Bone Structure & Development Flashcards

1
Q

what is the effect of exercise on the skeletal system?

A
  • bone health: build strong bones when one is young and maintain bone strength as you age
  • reduce bone loss and improve bone mass
  • flexibility: help keep joints as flexible as possible
    -synovial fluid production: exercise can increase the production of synovial fluid
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2
Q

what is the effect of hormones on the skeletal system?

A
  • bone growth:
    • thyroxine stimulates cell metabolism and increases rate of osteoblast activity (produced in thyroid gland)
    • growth hormone (GH) stimulates protein synthesis and cell growth throughout body (produced by pituitary gland
  • bone maintenance: hormones control bone growth, maintain bone, and remodel it
  • bone strength: sex hormones are important for maintaining the mass and strength of bone
  • bone density: too much or too little of certain hormones can contribute to osteopenia and osteoperosis, which are conditions that make bones weak and likely to break
  • bone remodeling: osteocytes sense mechanical strain and microcracks, respond to hormonal changes, and trigger bone remodeling
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3
Q

what is the effect of puberty on bone development and the skeletal system?

A
  • increased sex hormones (estrogens and androgens) stimulate osteoblasts to produce bone faster than rate at which epiphyseal cartilage expands
    • estrogen and androgen account for differences in male and female size and body proportions
  • over time, epiphyseal cartilage narrows and closes
    • timing differs from bone to bone and individual to individual (ie. toes may complete ossification by age 11, while pelvis continues to enlarge until 25)
  • estrogen is faster at epiphyseal closure than androgens
    - females generally shorter than males
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4
Q

what is the effect of nutrients on bone development and the skeletal system?

A
  • body needs constant dietary sources of Ca and phosphate salts and lesser amounts of Mg, F, Fe, and Mn
  • Calcitriol: essential for normal Ca and phosphate absorption
    • produced in kidneys
    • synthesized from Vitamin D3 produced in skin or absorbed from diet
  • adequate levels of Vitamin C
    • required as coenzyme in reactions of collagen synthesis
    • stimulates osteoblast activity
  • Vitamin A: stimulates osteoblast activity
  • Vitamin K & B12: required for synthesis of proteins in bone
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5
Q

what are irregular bones?

A

complex-shaped bones with short, flat, notched surfaces
- seen in spinal vertebrae, bones of pelvis, ethmoid & sphenoid bones

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6
Q

what is the importance of calcium within the body, specifically as it relates to the skeletal system?

A
  • most abundant mineral in the body
  • 99% housed in bones and teeth
  • plays a role in physiological processes such as:
    • muscle contractions
    • tight junctions
    • hormone secretion
    • blood clotting
  • body has tight control over levels (usually within +/- 10%)
  • 30% abv normal: neurons and muscle cells become unresponsive
  • 35% below normal: neurons become too excitable resulting in convulsions
  • 50% below normal: death
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7
Q

how does the body control [Ca2+] in the body?

A
  • controlled by pair of hormones with opposing effects
  • coordinate storage, absorption, and excretion of Ca2+
  • calcitonin (thyroid)
  • parathyroid (PTH - parathyroid gland)
  • 3 target sites
    • bones (storage)
    • digestive tract (absorption)
    • kidneys (excretion)
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8
Q

describe calcium homeostasis in bones

A
  • bone is a major storage site for Ca2+
  • movement of Ca2+ in and out of bone helps determine blood calcium levels (critical for normal muscle and NS functioning)
  • calcium moves into bones as osteoblasts build new bone
  • calcium moves out as osteoclasts break bone down
  • blood Ca2+ levels regulated by hormones
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9
Q

what happens when blood calcium levels are too low?

A
  • osteoclast activity increases
  • calcium released by osteoclasts from bone into blood
  • blood calcium levels are restored
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10
Q

what happens when blood calcium levels are too high?

A
  • osteoclast activity decreases
  • osteoblast activity increases
  • calcium taken from blood by osteoblasts to produce new bone
  • blood calcium levels decrease
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11
Q

what is calcitonin?

A
  • secreted from thyroid gland
  • inhibits osteoclast activity
  • increases rate of excretion of Ca2+ at kidneys
  • decreases blood Ca2+ levels
  • increasing blood Ca2+ levels stimulates calcitonin secretion
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12
Q

what is PTH?

A

aka parathyroid hormone
- from parathyroid glands
- stimulates increased bone breakdown; increases blood Ca levels
- stimulates osteoclast activity
- increases Ca2+ reabsorption from urine in kidneys; decreases rate of excretion
- stimulates kidneys to form Vitamin D (also increases Ca2+ absorption in GI tract)
- decreasing blood Ca levels stimulates PTH secretion

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13
Q

how does aging effect the skeletal system?

A

articulation of skeletal system affected by years of use (and abuse)
- if not used, joints get stiff due to lack of synovial circulation
- decreases in ability to repair damage
- fractures easier
- exercise to maintain mobility

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14
Q

what is rheumatism?

A

general term indicating pain and stiffness of skeletal and/or muscular systems

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15
Q

what is arthritis?

A

encompasses all rheumatic diseases affecting synovial joints
- always involves damage to articular cartilages
- specific cause can vary: bacterial, viral, injury, metabolic, or severe physical stresses

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16
Q

what is osteoarthritis?

A

also known as DJD (degenerative joint disease)
- generally affects 60y/o+
- due to cumulative wear and tear at joint surfaces or genetic factors affecting collagen formation
- at 60+ yrs, 25% women/15% men show signs
- regular exercise, physical therapy, drugs reducing inflammation (aspirin) can slow progress

17
Q

what is rheumatoid arthritis?

A
  • inflammatory condition
  • affects 0.5 - 1.0% of adult population
  • some cases can be an autoimmune disease
    • body attacks its own joint tissue due to allergies, bacteria, viruses, and/or genetic factors
18
Q

what is osteopenia?

A

in adequate ossification
- part of natural aging process
- reduction in bone mass occurs btwn ages 30-40
- osteoblast activity begins to decline while osteoclast activity remains normal
- women lose abt 8% of skeletal mass/decade
- men lose 3%
- epiphyses, vertebrae, and jaws lose more mass than other sites
- results in fragile limbs, reduction in height, and loss of teeth

19
Q

what is osteoporosis?

A

condition when reduction in bone mass leads to compromise in normal functioning
- hip can fracture due to standing
- over age 45: 29% of women and 18% of men have osteoporosis
- in women, condition accelerates after menopause due to decline in estrogen circulation
- men retain androgen levels until late in life
- develops as secondary effect w/ cancers which release osteoclast-activating factor

20
Q

what is gigantism?

A

rare condition causing accelerated growth during childhood
- pituitary gland produces too much growth hormone (GH) before epiphyseal lines close
- results in longer appendages and tall stature

21
Q

what is pituitary dwarfism?

A

inadequate production of GH leads to reduced epiphyseal cartilage activity and abnormally short bones

22
Q

what is Marfan’s syndrome?

A

inherited/genetic metabolic condition resulting in excessive cartilage formation at epiphyseal cartilage
- affects the heart, eyes, blood vessels, and skeleton
- characterized by tall and thin (lanky) stature, with long arms, legs, fingers, and toes