Bone Physiology Flashcards

(47 cards)

1
Q

organic material

A

collagen and ground substance that give flexibility and resilience to bone

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2
Q

inorganic material

A

calcium and phosphate that make bones stiff

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3
Q

functions of the skeletal system

A

storage: calcium, phosphorus, bone marrow, immune cells (B and T cells), fat, and growth factor

support and protect: the body structures and internal organs

anchorage: muscles and ligaments

hematopoeisis: RBC production in red bone marrow cavity

hormones: osteocalcin from osteoblasts that regulates metabolism and insulin secretion

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4
Q

cortical (compact) bone

A

outer layer of diaphysis

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5
Q

spongy (cancellous, trabecular) bone

A

inside of cortical bone

trabeculae: 3D latticework of thin pieces of bone

benefit: make bones much lighter

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6
Q

epiphysis

A

ends of long bones

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7
Q

diaphysis

A

shaft of long bones

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8
Q

bones are oriented along lines of stress. can these lines of stress change over time?

A

yes, repetition of activity, aging, pregnancy, and growth can change lines of stress

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9
Q

ossification begins in what week of gestation?

A

week 8

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10
Q

endochondral ossification

A

formed by replacing hyaline cartilage and making it bone

forms all bones except skull and clavicles

beings at primary ossification center in the diaphysis where mesenchymal cells specialize into osteoblasts

requires breakdown of hyaline cartilage first

epiphyseal plate: cartilage separating epiphysis and diaphysis (calcified by about 18-21)

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11
Q

intramembranous ossification

A

w/in the membrane

formation of osteocytes

replacing fibrous membranes w/bones

forms skull and clavicles

calcification occurs later (allows easier passage through the birth canal)

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12
Q

where is the primary ossification center?

A

diaphysis (shaft of long bone)

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13
Q

where is the secondary ossification center?

A

epiphysis (ends of long bone)

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14
Q

interstitial growth

A

growth lengthwise

requires epiphyseal plate

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15
Q

appositional growth

A

growth in thickness

bone thickens in response to increases stress (Wolff’s Law)

osteoblasts beneath the periosteum secrete bone matrix

osteoclasts remove bone on the endosteal surface

can occur throughout life

osteoblasts activity>osteoclast activity (bone formation>bone resorption)

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16
Q

epiphyseal plate

A

growth plate

calcified by 18-21 but can go until 25

maintains constant thickness
- cartilage growth on one side is balanced by bones replacement on the other

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17
Q

epiphyseal plate: 5 zones (from epiphyseal side to diaphysis side)

A

resting zone: area on epiphyseal side

proliferation zone: growth zone
- starts mitosis
- new cells pushed away from this zone
- young cartilage cells

hypertrophic zone: cells become bigger

calcification zone: chondrocytes dying
- chondrocytes deteriorate to become bones
- cartilage matrix becomes calcified

ossification zone: calcified cartilage replaced by ossified bone tissues

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18
Q

growth hormone during youth

A

too much=giantism

too little=dwarfism

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19
Q

thyroid hormone during youth

A

increases metabolic rate, insulin regulation, cortisol, heart function, thermoregulation

20
Q

testosterone and estrogen during youth

A

promote growth spurts

end growth by inducing epiphyseal plate closure

21
Q

age related changes in bone

A

children and adolescents:
- osteoblasts>osteoclasts (bone formation>bone resorption)
- higher bone mass in boys

young adults:
- balanced bone formation and resorption

adults (over 40 y/o):
- osteoclasts>osteoblasts (bone resorption>bone formation)
- bone mass, mineralization, and healing abilities decrease w/age
- increased bone loss in white females (can reduce the trend w/exercise)

22
Q

lifelong bone remodeling and repair

A

5-7% bone mass is recycled each week

spongy bone replaced every 3-4 years

cortical bone replaced every 10 years

occurs at surfaces of both periosteum and endosteum

23
Q

osteoclasts

A

bone resorption

24
Q

osteoblasts

A

bone formation

25
hormones
determines whether/when remodeling occurs parathyroid hormone, calcitonin, estrogen, leptin, and serotonin
26
parathyroid hormone
responds to low blood calcium and dumps calcium from the bone into the blood. stimulates osteoclasts to resorb bone secretion stops when homeostatic calcium levels are reached
27
calcitonin
in humans, it has negligible activity but can lower blood calcium temporarily
28
estrogen
regulates osteoclasts' and blasts' activities
29
leptin
released by adipose tissue regulates appetite inhibits osteoblasts (less bone formation)
30
serotonin
same as leptin more of a neurotransmitter inhibits osteoblasts (less bone formation)
31
biomechanical stress
weight, growth, body mechanics, etc. determines where remodeling occurs
32
aging
increases osteoclast activity (overall bone loss)
33
nutrition
little calcium and vitamin D=weaker bones
34
metabolic and disease processes
substance use can lead to brittle bones osteomalacia
35
lines of force in the body
usually no straight lines compressive force medially, tensive force laterally on the femur - no force in middle - thickness greater at mid-shaft where the loads are the greatest
36
Wolff's Law
bones thicken in response to increases stresses larger bony projection are due to the muscles pulling on them cortical bone is thickest where bending stress is greatest application of new forces increases osteoblast activity reduction of usual forces increases osteoclast activity, resulting in decreased bone mass - decreased WB/muscle activity=weaker bones bc the bone remodels to adapt to decreased stress right handed-bones thicker in right arm
37
spurring
muscles pulling on bone causes new tuberosity common in the heel w/plantar fasciitis
38
stress strain curve of cortical bone vs spongy bone
cortical bone is stiffer=more vertical curve=less likely to deform upon stress spongy bone is more compliant=more horizontal curve=more likely to deform upon stress
39
longitudinal loading
stiffer
40
transverse loading
bone is weaker and won't be able to w/stand as much force as longitudinal loading more compliant
41
fast loading
bones act stiffer than slow loading
42
stress and strain with large load over short time
high stress, low strain
43
stress and strain with low loads over long time
low stress, high strain stress fx
44
response to compression
bone withstands greater compression than tension structure shortens and widens failure occurs in response to oblique cracking of osteons
45
osteons
structural and functional unit of bone that looks like concentric rings
46
response to tension
failure occurs in response to de-bonding at cement lines in b/w osteons and pulling out of osteons avulsion fx
47
influence of muscles on stress distribution in bone
muscle contractions alters stress distribution of bone ski boot injury: overall compressive force from compressive force produced by gastrocs leads to fracture