Bone Flashcards

1
Q

What is endochondral ossification?

A

The replacement of pre-existing hyaline cartilage with bone

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2
Q

Most bones of the body develop by __________ ossification

Particularly which sort of bones

A

Endochondral

Long bones

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3
Q

Hyaline cartilage is _______ to become bone

A

Mineralised

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4
Q

What is the middle portion of a bone called?

A

Diaphysis

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5
Q

What is the portion of bone between the middle of the bone and the epiphyseal growth plates called?

A

Metaphysis

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6
Q

What is the end of a bone called? (After the epiphyseal growth plates)

A

Epiphysis

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7
Q

When do the epiphyseal growth plate of long bones disappear? What are these epiphyseal growth plates replaced by?

A

After growth ends (in adults)

Compact bone

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8
Q

In an embryo, long bones begin as a hyaline cartilage template, how do they develop by endochondral ossification?

A

1) collar of compact bone appears in the shaft (6-8 weeks)

2) a primary ossification centre is formed at the diaphysis
3) central cartilage calcifies
4) artery penetrates the centre and supplies bone depositing osteogenic cells (8-12 weeks)

5) Medulla becomes cancellous bone
6) cartilage forms epiphyseal growth plates
7) secondary ossification centres form at epiphyses

8) epiphyses ossify
9) epiphyseal growth plates move further apart and bone lengthens
(Prepubertal)

10) growth plates replaced by compact bone (mature adult)

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9
Q

What are the 3 different type of bone cells?

A

Osteoclasts
Osteoblasts
Osteocytes

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10
Q

When does an osteoblasts become an osteocyte?

A

Once it is completely surrounded by bone

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11
Q

What is the function and a characteristic feature of osteoclasts?

A

Resorb and deposit bone/useful in bone remodelling

They are multinucleate

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12
Q

The synovial membrane contains macrophages to…

A

Remove debris from a joint

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13
Q

What is intramembranous ossification?

A

The formation of bone from condensations of mesenchymal tissue

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14
Q

Which sorts of bones develop by intramembranous ossification?

A

Flat bones e.g. Skull, pelvic bone, clavicle

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15
Q

As well as help in the development of flat bones, intramembranous ossification is important in…

A

The thickening of long bones

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16
Q

What are the stages of intramembranous ossification?

A

1) MSCs —> osteoprogenitor cells —-> osteoblasts
2) osteoblasts lay down an EM with a lot of type 1 collagen (osteoid)
3) osteoid mineralises —>bony spicules
4) osteoblasts —> osteocytes
5) bony spicules —-> trabecullae —-> woven bone
5) replaced by the lamellae of mature compact bone

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17
Q

What do osteoclasts release to help in the remodelling of bone?

A

H+ ions and lysosomal enzymes

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18
Q

Where is compact bone found?

A

Forms the external surfaces of bone

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19
Q

What is the structure of cancellous bone?

A

Network of bony columns

20
Q

What is found between the spaces in cancellous bone?

A

Bone marrow

21
Q

What is the periosteum?

A

Connective tissue with blood supply and fibroblasts on the outside of compact bone

22
Q

What is the endosteum?

A

The connective tissue between the compact bone and cancellous bone

23
Q

What is the structure of compact bone?

A

Consists of lamellae of bone in circular structures called osteons

24
Q

What is in the centre of an osteon?

A

Osteon canal containing blood vessels and nerves

25
What do Volkmann's and Haversian canals contain? How do they appear in an osteon?
Blood vessels, lymphatics and nerves Haversian canals run parallel to the osteon central canal Volkmann's canals run perpendicular
26
Where are osteocytes in compact bone?
Embedded between lamellae
27
How do osteocytes communicate with each other?
They have slender cytoplasmic processes which reach out to adjacent osteocytes Connect via gap junctions
28
What is a difference in structure between cancellous and compact bone?
No volkmann's/haversian canals in cancellous bone
29
What is the general % composition of bone?
65% calcium hydroxyapatite crystals 23% type 1 collagen 10% water 2% non collagen proteins
30
Why does bone breakage result in bleeding?
Blood vessels are broken
31
What are the four general steps in bone fracture repair?
1) haematoma formation 2) fibrocartilaginous callus formation 3) bony callus formation 4) bone remodelling
32
Which cells remove dead/damaged tissue when a haematoma forms during a fracture? Which cells remove the blood clot?
Phagocytic cells/osteoclasts Macrophages
33
What happens in the fibrocartilaginous callus formation stage of bone fracture repair?
New blood vessels enter the fracture site Procallus of granulation tissue Fibroblasts ----> chondrocytes and collagen fibres Hyaline cartilage sleeve formed Osteoblasts invade fracture site and form spongy bone
34
What happens in the bony callus formation of bone fracture repair?
New bone trabecullae appear | Fibrocartilaginous callus ----> bony callus (cancellous bone)
35
Which forms of ossification are used in the repair of a bone fracture?
Both
36
What happens in the bone remodelling stage of bone fracture repair?
Callus of cancellous bone ---> compact bone (at cortical regions) Bone is remodelled to original shape by osteoclasts
37
What are the three types of bone grafting?
Autograft Homograft Heterograft
38
Which particular type of animal bone works reasonably well in bone grafting?
Calf bones after refrigeration
39
What is osteoporosis? What does it result in?
A metabolic bone disorder where mineralised bone is decreased in mass Increased susceptibility to fractures
40
What are the most common fractures as a result of osteoporosis?
Fractures of the vertebral bodies and hip
41
Is there a higher risk of osteoporosis in males or females?
Females
42
What are the two types of primary osteoporosis?
Type 1 Type 2
43
Which group is most affected by type 1 osteoporosis? What is the cause?
Post menopausal women | Oestrogen withdrawal ---> increased osteoclasts
44
Which group of people is most affected by type 2 osteoporosis? What is the cause?
Elderly Compromised osteoblast function
45
What is the recommended calcium intake of postmenopausal women?
800mg/day