1: Bone Flashcards

1
Q

What are the main functions of the bone?

A
  • Structural support (shape+muscle action)
  • protection
  • blood formation
  • mineral storage site
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2
Q

What are the two mechanical properies of bone?

A
  1. Cable-like flexibility –>osteioid due to collagen fibres (resistant to tension)
  2. Pillar-like stiffness –> impregnation of collagen with hytroxyapatite –> complex calcium hydrophosphate (also causes resistance to compression
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3
Q

What is the structure of immature or healing bone?

A

Woven bone

–> quite irregular structure, not as stable

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4
Q

What is the normal structure of a bone in healthy adults?

A

Mature bone: Lamellar bone –>

organised and stable

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5
Q
A
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6
Q
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7
Q
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8
Q
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9
Q
A
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10
Q

Explain the different arrangements of lamellar bone

A

Arranges into

  1. Cortical bone (hard, outer part), compact lamellar bone
  2. Cancellous bone (spongy/ trabecular bone)
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11
Q

What is an osteon?

How is it organised

A

Small funtion al unit of bone–> organised as laminar organised cells around a centric canal that carries blood vessels

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12
Q

How does the organisation of spongey osteons differ from compact bone osteons?

A

They barely differ and have the same structure –> both Lamellar

but spongy part might be a bit smaller

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13
Q

Explain the structure of an osteocyte

A

It is a big cell with many connections to other cells (gap juctions) to share nutrients

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14
Q

Summarise the bony blood supply

A

A nutrient artery (middle part, but also epyphisis artery and veins) enters the bone through a nutrient canal

Bone is highly vascularised

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15
Q

How do you call the most outer part iof bone?

What is its function?

A

It is the periosteum

  • Vascularised
  • –> important in growth and repair
  • good sensory supply (hurts when fractures)
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16
Q

Explain the developemnt of osteocytes

A

Develop from osteoblasts (that develop from osteogenic cell)

17
Q

When do bones start to form?

When do they stop growing?

A

The skeleton starts to form at 6 weeks

Stops growing at Age 25

18
Q

What are the two types of bone development?

A
  1. Intramembranous –> in existing vascular connective tissue
  2. Endochondral –> exisiting fetal cartilage models
19
Q

Explain intramembranous formation of bone

A
  • In existing vascular connective tissue
  • Bone matrix (ostein) deposited around collagen
  • Mineralises to form woven bone
  • Remodels to lamellar bone

–> normally in flat bones

20
Q

How does bone growth?

A

When bone growth it still needs to carry weight –> not ideal if that is the end of the bone

So:

  • Shaft ossifies first, followed by epiphyses
  • Growth continues by ossification at growing cartilage plate between them
  • Growth cessation when cartilage growth ceases and plate is over-run by ossification
21
Q

Explain endochrondal bone growht

A

Forms around existing fetal cartilage models

  • Cartilage calcifies and chondrocytes (part of cartilage) die
  • Periosteal osteoclasts cut channels for sprouting vessels
  • Osteoblasts enter with vessels to build bone around them
22
Q

Explain the structure and function of the epiphysal plate

A

It is a cartilage region between shaft and head of bone

–> Cartilage forms and gets ostefied (endochondral) –> enables bone growth

23
Q

What happens to bone when it is used little and a lot?

A

Increases or decreases bulk and density in response to pattern of use

  • But: when less used: loss of bone mass (ISS)
24
Q

What shows that bone is an adaptable structure?

A
  • Can grow
  • changes density with use
  • can remoddel depending on pattern of use
  • ability to repair
25
What is the role in osteocytes in bone repair?
•Osteocytes maintain matrix but can activate osteoblasts for new bone building
26
How does bone grows in diameter? When does this happens?
Periosteum is activated to become osteoblasts
27
Expalint the process of bone healing
1. Haematoma * becomes infiltrated by fibrous matrix and invaded by cartilage/bone progenitors 2. Blood vessels invade damaged structure 3. Woven bone is forming 4. Remoddeling in lamellar bone
28
What happens to the bone at high calcium levels?
Calcitonin released by parafollicular thyroid cells; 1. Inhibition of breakdown of bone matrix by osteoclasts 2. Promotion of Ca2+ uptake into bone matrix
29
What happens to bone at low Ca2+ levels?
Parathyroid Hormone (PTH) released * Promote osteoclast bone resorption * increases Ca2+ re-absorption by the kidneys + intestine