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.