skeletal

Introduction

  • Importance of bones in bodily functions.

  • Key roles outlined: support, protection, hematopoiesis, and movement.

Lesson Objectives

  • To list and describe the functions of cell types and hormones in bone formation and matrix maintenance.

Bone Formation and Maintenance

  • Terms Involved:

    • Matrix: The intercellular substance in which the cells are embedded.

    • Osteoblast: Cells responsible for bone formation. They synthesize and secrete the bone matrix and facilitate mineralization.

    • Ossification: The process during which bone tissue is formed.

    • Calcium and Phosphate: Essential minerals for bone health, contributing to its strength and rigidity.

    • Osteocyte: Mature bone cells that reside in bone matrix.

    • Lacunae: Small cavities in bone that house osteocytes.

    • Canaliculi: Microscopic channels that connect lacunae and allow for nutrient and waste transport between osteocytes.

    • Epiphyseal Cartilage: Cartilage located at the ends of long bones that facilitates growth and development.

  • Hormones Involved in Bone Formation:

    • Parathyroid Hormone (PTH): Increases serum calcium levels by stimulating osteoclast activity.

    • Calcitonin: Decreases serum calcium levels by inhibiting osteoclast activity.

  • Types of Bone Development:

    • Endochondrial ossification (long bones).

    • Intramembranous ossification (flat bones).

Lesson Outcomes

  • Describe classifications of bone structure and the main parts and functions of bones:

    • Axial Skeleton: Comprises the skull, hyoid bone, vertebral column, ribs, and sternum.

    • Appendicular Skeleton: Comprises limbs attached to the axial skeleton.

  • Discuss different fracture types and the healing process, particularly focusing on epiphyseal plate fractures.

Bone Modeling and Remodeling

  • Osteoclasts: Break down bone tissue during remodeling.

  • Osteoblasts: Form new bone tissue during repair and maintenance.

  • Osteocytes: Retain the activity of osteoblasts, contributing to bone health.

Functions of Bones

  • Protection: Shields vital organs (e.g., skull protects the brain).

  • Support: Maintains body structure, providing a framework for soft tissues.

  • Leverage: Bones act as levers, facilitating movement through muscle attachment.

  • Mineral Storage: Bones store minerals, primarily calcium and phosphorus.

  • Blood Formation: Red bone marrow within bones is responsible for erythropoiesis (red blood cell production).

  • Nutrient Storage: Yellow bone marrow stores fats, which can be utilized during starvation.

Physiology of Calcium Metabolism

  • Calcium Homeostasis: Critical for functions such as muscle contraction, nerve transmission, and blood coagulation.

    • Primary Hormones:

    • PTH: Increases serum calcium levels by promoting bone resorption.

    • Calcitriol (Vitamin D): Enhances calcium absorption in the intestines and mobilizes calcium from bone.

    • Calcitonin: Reduces serum calcium by promoting bone formation and reducing resorption.

  • Calcium to Phosphorus Ratio: Normal ratio approximately 2:1 in the body.

Conditions Related to Bone Health

  • Rickets: Caused by vitamin D deficiency, leading to poor mineralization of bone, resulting in deformities.

Terminology Related to Bone Structure

  • Compact Bone: Dense and forms the outer layer of bone.

  • Cancellous Bone: Spongy and lightweight; contains bone marrow.

  • Epiphysis: The rounded end of a long bone, which forms joints with adjacent bones.

  • Diaphysis: The shaft of a long bone, providing major support.

  • Metaphysis: Section between the diaphysis and epiphysis; contains growth plates.

Anatomic Features of Bones

  • Articular Surfaces: Areas where bones meet to form joints:

    • Condyle: A round, large articular surface.

    • Head: A spherical articular surface at the proximal end of a long bone.

    • Facet: A flat surface for articulation.

  • Processes: Protrusions from the bone, acting as attachment points for ligaments and tendons.

    • Examples: Crest, Trochanter, Spine, Tuberosity.

  • Foramen: Openings that allow nerves and blood vessels to pass through bones.

  • Fossa: Depressed or sunken area on bone surfaces.

Skull Anatomy

  • Functions of the Skull: Protects the brain, houses sense organs, and provides attachment for facial structures including teeth and larynx.

  • Sinuses: Air-filled spaces that can serve as resonating chambers and can be sites for potential infections.

  • Variations in Skull Types: Type:

    • Dolichocephalic: Long, narrow skull.

    • Mesaticephalic: Medium-sized skull.

    • Brachycephalic: Short, broad skull.

Vertebral Column Anatomy

  • Composed of cervical, thoracic, lumbar, sacral, and coccygeal vertebrae.

  • Cervical Vertebrae: 7 vertebrae in the neck region.

  • Thoracic Vertebrae: 13-18 vertebrae in the chest region.

  • Lumbar Vertebrae: 6-7 vertebrae in the lower back.

  • Sacral Vertebrae: Typically fused.

  • Caudal (Coccygeal) Vertebrae: Varies in number by species.

Clinical Examples Related to the Vertebral Column

  • Epidurals: Typically administered in the lumbosacral space for pain relief and surgery.

  • IVDD (Intervertebral Disc Disease): Condition resulting from injury to disc material between vertebrae leading to impingement on nerves.

The Sternum and Ribs

  • Sternum: Comprised of 7 bones (manubrium, body, xiphoid).

  • Ribs: Articulate with thoracic vertebrae, comprising true (direct attachment to sternum), false (via cartilaginous material), and floating ribs (no attachment).

Axial Skeleton Overview

  • Key structures include the skull, vertebral column, ribs, and cartilage.

Appendicular Skeleton Overview

  • Components of the Appendicular Skeleton:

    • Pectoral Girdle (Forelimbs): Impacted by muscular attachment rather than bony.

    • Pelvic Girdle (Hindlimbs): Strong base that supports the hindquarters; includes ilium, ischium, and pubis.

Clinical Implications Related to the Appendicular Skeleton

  • Luxating Patellas: A common condition in small dogs where the kneecap dislocates.

  • Hip Dysplasia: A heritable condition leading to joint instability and pain due to abnormal hip development.

Types of Fractures

  • Categories of Fractures:

    • Transverse: Fracture line is horizontal.

    • Oblique: Angled fracture line.

    • Fissure: A thin crack in the bone.

    • Comminuted: Bone is shattered into multiple fragments.

    • Spiral: Fractures occurring due to twisting forces.

    • Avulsion: A piece of bone is pulled off by a tendon or ligament.

    • Physeal: Fracture involving the growth plate.

Salter-Harris Fracture Classification**

  • Type I-IV: Different types of fractures that involve the growth plate, outlining prognosis and necessary interventions for repair.

Fracture Repair Stages**

  • Involves alignment, immobilization, and the progression from hematoma formation to the remodeling phase. Non-union can occur due to misalignment, poor fixation, or infection.