Bone Growth Flashcards

1
Q

What tissue forms the blueprint of the skeleton

A

Cartilage (bone later replaces this)

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2
Q

Define endochondral ossification

A

The process of forming bone from cartilage during growth in utero

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3
Q

Describe step 1 of endochondral ossification

A

Nucleation of CaCO3 minerals in centre of cartilage

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4
Q

Describe step 2 of endochondral ossification

A

Blood vessels form on surface, bring fibroblast, differentiate into OB

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5
Q

Describe step 3 of endochondral ossification

A

OB begin to lay down bone

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6
Q

Describe step 4 of endochondral ossification

A

Blood vessels become inside bone

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7
Q

Describe step 5 of endochondral ossification

A

OB create more bone in centre = create bone shaft

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8
Q

What is the location of primary ossification?

A

In the diaphyses (shafts)

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9
Q

What is the secondary site of ossification?

A

In the epiphyses

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10
Q

What is the growth plate known as?

A

The epiphyseal plate

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11
Q

What is the function of the growth/epiphyseal plate?

A

To enable lengthwise bone growth throughout childhood, as the diaphyses is not not attached to anything and thus can continue to grow

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12
Q

What process occurs in bones from about puberty onwards?

A

The epiphyses start to fuse with the diaphyses

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13
Q

Define appositional growth

A

Bone growth widthwise

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14
Q

What role do osteoblasts play in appositional growth?

A

OB adds bone matrix to the bone surface, create extra lamellae

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15
Q

What role do osteoclasts play in appositional growth and what is the purpose of this?

A

OC removes bone from the medullary cavity, ensuring that the cavity also gets wider and isn’t too dense (heavy and hard to move)

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16
Q

Define bone homeostasis

A

The balance of OB and OC activity

17
Q

Bone is constantly being formed/destroyed - why is this?

A

to allow body to…

  • mobilise minerals from the matrix
  • respond plastically to stress
18
Q

How are minerals mobilised from the bone, and how is homeostasis maintained?

A

Bone tissue broken down, ions into bloodstream, new bone formed simultaneously = maintains homeostasis

19
Q

Why is bone able to respond plastically?

A

Shape change possible throughout life based on stress, common movements

20
Q

What are some requirements to maintain bone homeostasis?

A

adequate Ca in diet, regular exercise

21
Q

Name 2 conditions that are the result of imbalance of OB/OC activity

A

Osteopenia (OC > OB activity)

Osteoporosis (same issue, but has become clinically significant)

22
Q

Describe 2 characteristics of osteopenia

A
  • compact bone is thin and weak

- bone becomes fragile, brittle, and is more likely to fracture

23
Q

Name 3 risk factors for osteopenia

A
  • women (OC activity linked to oestrogen)
  • lack of exercise
  • poor diet (salt, alcohol consumption)