03 - Bone Flashcards

(38 cards)

1
Q

Primary/Immature/Woven bone

A

Formed during fetal development & healing
- contains abundant osteocytes & collagen 1

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2
Q

Secondary/Mature/Lamellar bone

A
  • concentric lamella
  • highly organized
  • contains osteons, osteocytes, Haversian canals, and Volksman canals
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3
Q

Compact/Cortical bone

A
  • external hard layer of all bones
  • contains osteons
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4
Q

Compact bone development

A

OPCs form new osteoblasts that secrete osteoid which calcifies at the matrix and remodels with osteocytes to form compact bone

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5
Q

Spongy/Trabecular/Cancellous bone

A
  • network of trabeculae with red bone marrow in between
  • inner layer of all bones
  • NO osteons
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6
Q

Osteons

A

Contribute to bone resilience
- aligned in parallel with long axis of bone
- has lamellae (layers of matrix) cocentrically around Haversian canal

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7
Q

Haversian canals

A

surrounded by lamella of an osteon and contain blood vessels and nerves

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8
Q

Canaliculi

A

Thin branch like structures extending from osteocytes in lacunae within lamellae
- contain cellular extensions (formed by matrix) to transport nutrients and blood vessels to osteocytes

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9
Q

Ossification (Osteogenesis)

A

New bone formation

Template –> new bone forms (woven) –> remodeling into lamellar bone (for strength)

2 Types = intramembranous & endochondral

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10
Q

Lamella

A

Contain mineralized collagen fibrils aligned at angels that vary from layer to layer.

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11
Q

Intramembranous Ossification

A
  • Begins at 8 weeks in utero
  • Bone forms on embryonic mesenchyme in sheets of condensed mesenchyme
  • Skull, mandible, clavicles
  • Some mesenchymal cells –> osteoblasts –> secrete osteoid –> osteoid calcifies –> traps osteoblasts –> osteocytes
  • Spongy bone on outer edges remodels into compact bone
  • Condensed mesenchyme that doesn’t ossify gives rise to endosteum & periosteum
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12
Q

What type of template does endochondral ossification form on?

A

hyaline cartilage template

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13
Q

How long does endochondral ossification take?

A

many weeks

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14
Q

Endochondral ossification (EO)

A

bone collar forms around middle underlying cartilage degenerates
- forms ossification center
- blood vessels and OPC cells invade
- long bones

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15
Q

Where and when do the primary and secondary ossification centers develop? When and how do they separate?

A

primary = diaphysis; fetal life
secondary = epiphysis; birth

During childhood, they get separated by the epiphyseal (growth) plate

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16
Q

5 Zones of growth plate; EO

A
  1. Reserve Zone
  2. Zone of Proliferation
  3. Zone of Maturation & Hypertrophy
  4. Calcified Cartilage Zone
  5. Ossification Zone
17
Q

Reserve Zone

A

small, flat quiescent chondrocytes (stratified squamous)

18
Q

Zone of Proliferation

A
  • mitotically active chondrocytes
  • produce daughter cells in stacks or columns
19
Q

Calcified Cartilage Zone

A
  • hypertrophic/dying chondrocytes compress matrix and trigger CaPO4 deposits (calcification = basophilic)
  • dead chondrocytes reabsorbed and lacunae eroded leaving spaces –> invaded by thin walled blood vessels to form bone marrow
19
Q

Zone of Maturation & Hypertrophy

A
  • chondrocytes and lacunae enlarge and accumulate glycogen and lipids
  • as they regenerate, they release alkaline phosphatase
20
Q

Ossification Zone

A

osteoblasts line up on calcified cartilage and secrete osteoid which becomes mineralized to form bone (woven)

21
Q

6 Components of bone

A

ECM (hydroxypatite)
Osteoid
Matrix
Cells
Hormones
Signaling mediators

22
Q

components of osteoid

A

Collagen 1, GAGs, osteopointin or osteocalcin (marker of osteroblast activity)

23
Q

Matrix of bone

A

Woven & lamellar bone

Organic
- PGs, collagen 1, ground substance (GAGs), osteopontin, osteocalcin

Inorganic
- hydroxyapatite (Ca10, [PO4]6 [OH]2) - main component, citrate, carbonate, hydration shell

24
Cells of bone
Osteoblasts, osteocytes, osteoclasts, bone lining cells, osteoprogenitor cells (OPCs)
25
Hormones of bone
PTH, calcitonin
26
Signaling Mediators of bone
RANK, RANKL, osteoprotegrin
27
Osteoblasts
- derived from mesenchymal progenitors - cuboidal during new matrix deposition - connected to neighboring osteoblasts thru lateral processes - membrane receptors for hormones and cytokinesq
28
What do osteoblasts synthesize?
Collagen 1, osteopontin, osteoprotegrin
29
Osteocytes
- mature osteoblasts that have been trapped by calcified matrix within lacunae - have canaliculi - communicate with each other via gap junctions at end of canaliculi
30
Osteoclast
- Large, multinucleated cells derived from pluripotent hematopoietic stem cells -ruffled apical membrane (protons propelled across, lowering pH to solubilize hydroxyapatite) -- extends into osteoid to engulf products of bone digestion - function: remodeling by removing calcified matrix & secretes lysosomal proteases that dissolve osteoid, digest the matrix, and create concavities called Howship's lacuna
31
Osteoprogenitor cells (OPCs)
osteogenic stem cells located in bone coverings, periosteum and endosteum, activated during bone development and remodeling
32
Role of PTH in bone remodeling
Triggers Ca2+ release out of bone and into blood
33
Calcitonin (CT)
lowers blood Ca2+ levels to increase bone Ca2+
34
How does bone lengthen?
- chondrocytes on epiphyseal side of physis divide - one cell near this side and one near diaphysis side, which matures and gets destroyed by calcification, which replaces cartilage with bone to length - adolescence = physis closes; cart. cells stop dividing & replaced by bone. Epipysis and diaphysis fuse, epiphyseal line remains.
35
How does bone widen?
- Via appositional bone growth (NO EO) - Add layers of compact bone to bone surfaces - Osteoclasts on outer surface secrete matrix - Osteoclasts on inner surface breakdown bone - Balance bewteen bone breakdown and build up allows bone widening without increasing weight
36
4 stages of bone fracture healing
1) inflammatory (hematoma formation) - release of inflammatory mediators and mesenchymal stem cell recruitment (req. step) 2) procallus (granulation tissue formation) 3) hard callus (ossification) 4) remodeling (mature bone formation)
37
Appositional Bone Growth
- AKA radial bone growth - begin with bone collar formation - as new bone is added below periosteum, old bone is removed from endosteum - marrow cavity enlarges while increase in bone weight is minimized