Bones Flashcards
1
Q
Function of bones
A
storage, hematopoiesis,
protection, movement
2
Q
Types of tissue in bones
A
Connective tissue with calcified matrix. this matrix surrounds osteocytes and osteoblasts
3
Q
Structurally, there are 4 types of bones
A
Long bones
Short bones
Flat bones
Irregular bones
4
Q
Bones vary in their proportions of ___ and ____;
A
compact
cancellous
(spongy) bone
5
Q
Appearance of compact and caancellous bone
A
compact bone is dense and solid in appearance
• whereas cancellous bone is characterized by open space
partially filled with needle-like structures
6
Q
What is diaphysis
A
Main shaft of long bone • Hollow, cylindrical shape and thick, compact bone • Function is to provide strong support without cumbersome weight
7
Q
What is epiphyses
A
Both ends of a long bone, made of cancellous bone filled with marrow • Bulbous shape • Function is to provide attachments for muscles and give stability to joints
8
Q
What is articular cartilage
A
Layer of hyaline cartilage that
covers the articular surface of
epiphyses
9
Q
Hyaline cartilage function
A
Elastic cartilage
Function is to cushion jolts and blows
10
Q
What is periosteum (appearance, where does it attach, what does it have, function)
A
Dense, white, fibrous membrane that covers bone • Attaches tendons firmly to bones • Contains cells that form and destroy bone • Contains blood vessels important in growth and repair • Contains blood vessels that send branches into bone • Essential for bone cell survival and bone formation
11
Q
In adult medullary or marrow cavity is filled with
A
Yellow marrow
12
Q
What is endosteum
A
thin epithelial
membrane that lines
medullary cavity
13
Q
Parts of the long bone
A
endosteum medullary cavity Periosteum Articular cartilage Epiphyses Diaphysis
14
Q
What is the inner portion of short, flat and irregular bones
A
Cancellous bone, covered on the outside with compact bone
15
Q
What can be found inside cancellous bone of a few irregular and flat bones
A
Red marrow
16
Q
Name bones with high red marrow
A
ribs, pelvis and skull.
17
Q
Composition of bone matrix can be divided into
___
A
inorganic salts and organic matrix
18
Q
The hardness of bone results from the deposition of:
A
Hydroxyapatite—highly specialized chemical crystals of
calcium and phosphate
19
Q
Hydrozyapatite is found between ___
A
collagen
20
Q
apart from hydroxyapatite, what other salt is a part of the bone
A
10% calcium carbonate
Magnesium and sodium are also found in bone
21
Q
How calcium carbonate crystals are oriented in the bone
A
Slender, needle-like crystals are oriented to most effectively
resist stress and mechanical deformation
22
Q
Organic matrix of the bone is secreted by ____
A
bone cells (osteoblasts, derived from mesenchymal stem cells).
23
Q
Role of mesenchymal cells
A
derives osteoblasts
24
Q
What is a ground substance
A
Made of collagenous fibers and a mixture of protein
and polysaccharides which forms a gelatanous
material
25
Role of ground substance
important in bone growth,
repair and remodeling as it acts as a medium for the
diffusion of nutrients, oxygen and metabolic waste
26
Four types of structures make up each osteon:
Lamella
Lacunae
Canaliculi
Havesian canal
27
What are lamella
concentric rings that are , islands of calcified matrix. Altered by growth.
Think of Tree rings
28
What are lacunae
small spaces containing tissue fluid in which bone cells (osteocytes)
are located between hard layers of the lamella
29
What are canaliculi
ultrasmall canals radiating from the osteocytes and connecting them to
each other and to the Haversian canal (part of network that allows excretion and
absorption of nutrients)
30
What are haversian canal
extends lengthwise through the center of each osteon and
| contains blood vessels and lymphatic vessels
31
Structure of the Cancellous Bone
There are no osteons in cancellous bone; instead, it has
trabeculae-needle like bony spicules
– Nutrients are delivered and waste products removed by
diffusion through tiny canaliculi (canals radiating from
bone cells)
– Bony spicules are arranged along lines of stress,
enhancing the bone’s strength
32
Difference between osteoblast and osteoclast and osteocyte
```
Osteoblasts
deposit calcium
as they create
new bone matrix
• Osteoclasts
break
down bone
matrix during
bone resorption
```
-Osteocyte—is a transformed osteoblast
that is trapped in the surrounding bone
matrix.
• Final differentiation state for an osteoblast
33
All bone surfaces are covered with layer of cells mostly made of
___, and less ____
osteoblasts (bone building)
less osteoclasts (bone reabsorbing
cells)
34
Osteoclasts- cell specificity
Giant multinucleate
Formed by the fusion of several
precursor cells-multinucleated
35
Osteoclasts develop from ___. Attach to ____
Stem cells in bone marrow
| Attach to bone surface by integrins
36
When does the formation of bone tissue stop
```
The formation of
bone tissues
continues
throughout life,
long after growth
stops.
```
37
RANK protein is expressed by ___, as well as ___
Osteoblasts
| OPG (osteoprotegerin)
38
RANK and OPG relationship
OPG is RANK inhibitor
39
Function of RANK
essential for osteoclast formation, function and survival. Continually binds to osteoclast
40
Estrogen role in bone remodelling
Limits the RANK ligand receptors on osteoblasts
41
OPG function
Reduce RANK and osteoblast activity
42
What happens in postmenopausal women
Decreased estrogen->increased RANK receptors->increased activity of osteoclasts
43
Stimulator of osteoblast induction of osteoclast differentiation
Parathyroid hormone-> trigger release of calcium
44
opposing effects of parathyroid hormones have ___
Calcitonin
45
What can affect Calcium Balance?
Age
Disease
Diet
Medications
46
When people have positive, negative and equal balance
Children usually have a positive balance that allows
bone to grow
• In adults input and output should be the same
• Post-menopausal women tend to have a negative
calcium balance
47
PTH is released when
When plasma Ca is low
48
PTH action
ØMobilizes calcium from
bone
ØEnhances renal
reabsorption of calcium
ØStimulates release of
Calcitriol
• Calcitriol increases intestinal
calcium absorption
49
Calcitonin is released as a response to
Ca2+ is high)
ØDecreases bone resorption
ØIncreases renal calcium
excretion
50
PTH and Vitamin D relationship
PTH will stimulate kidney to convert 25(OH)D3 to calcitriol ( the first activation of vitamin D was in the liver).
PTH together with Vitamin D will increase plasma calcium
51
Actions of Vitamin D on calcium regulation:
Increased reabsorption in the proximal and distal
convoluted tubules of the kidney
– Vitamin D stimulates osteoblast activity to increase
bone mass and calcification
– In the intestine increases the synthesis of calcium
binding proteins on intestinal cells
52
Disorders of vitamin D can cause ___
weak bones
| (rickets in children or osteomalacia in adults
53
Development of Bone is ___
osteogenesis
54
When the skeleton forms in a fetus it is made of ___
cartilage
55
Changing of cartilage to bone tissue requires
constant activity by the osteoblasts
and osteoclasts
• Calcification by laying down of calcium salts (calcium and
phosphorous)
56
In the adults sculpting of the bone allows bones to ___
respond to stress
| or injury by changing size shape and density
57
Exercise and bone health
Exercise stimulates osteoblasts to secrete more collagen which
makes bones stronger
58
There are two mechanisms for bone formations
1. Intramebranous -some flat bones, no cartilage
| 2. Endochondral cartilage, vascular, long and flat bones
59
Intramembranous bones: examples and how do they begin
bones)-less common
• Flat bones, like the bones of the skull or jaw bone,
– does not begin with a cartilage model.
– Instead, dense areas of mesenchymal cells (multipotent stem cells)
differentiate and begin to lay down bone around themselves,
forming early spicules.
60
Stages in intramembranous bone development
Occurs within a connective tissue membrane
Ø Begins with migration of mesenchymal stem cell which to the site
of bone formation and differentiate into osteoblasts
Ø Osteoblasts are clustered together in centers of ossification
Ø Osteoblasts secrete matrix material and collagenous fibrils
(ground substance or osteod)
Ø Mineralization occurs-(calcium and phosphate) the organic
strands once mineralized are called trabecula (little beam)
61
Endochondrial bone development
Most bones begin as a cartilage
model, with bone formation
spreading essentially from the
center to the ends
• Mesenchymal stem cell migrate to the site of
eventual bone development
• These cell are induced to become chondrocytes
(cartilage cells)
• Chondrocytes differentiate into very dense
avascular mass
• Cartilage forms in the shape of the bone
62
What happens after cartilage model of the bone is developed is long bone developement
```
ØThe cartilage is surrounded by
periosteum (envelope of
connective tissue) develops and
enlarges
Ø Osteoblasts which differentiate
from the inner surface of the
periosteum produce a collar of
bone
ØPrimary ossification center
forms
ØBlood vessel enters the cartilage
at the midpoint of the diaphysis
```
```
ØBone grows in
length as
endochondral
ossification
progresses from
the diaphysis
toward each
epiphysis
```
```
ØEpiphyseal plate
remains between
diaphysis and each
epiphysis until bone
growth in length is
complete
```
63
Epiphyseal plate is composed of ___
4 layers:
- Zone of resting cartilage
- Zone of proliferation
- Zone of hypertrophy
- Zone of calcification
64
Epiphyseal plate allows long bones to grow in
Length
65
Bones grow in diameter by the
| combined action of ___
osteoclasts
and osteoblasts
```
Osteoclasts enlarge the diameter
of the medullary cavity
• Osteoblasts from the periosteum
build new bone around the
outside of the bone
```
66
Symptoms of osteoporosis
fractures of the vertebrae, wrists or
hips, lower back pain, neck pain, bone pain or
tenderness, loss of height over time, or stooped
posture.
67
Treatment for osteoporosis
use of drugs such, raloxifene (It has estrogenic effects in bone), and calcitonin or
through estrogen replacement therapy.
• Another recommended treatment for osteoporosis is
exercise. Studies show that exercise can cause an
increase in bone density
68
Detailed role of estrogen in bones
Estrogen acts on osteoblast to stimulates the production of TGF-beta,
• TGF-β causes the osteoblast cells to make osteoprotegerin (OPG)
• OPG binds to RANKL and prevents it from binding to the RANK receptors on the
preosteoclasts. This prevents them from becoming osteoclasts and thus limits
bone resorption.
• When there are low levels of estrogen, the levels of OPG decline, leaving
RANKL to bind to RANK receptor and allowing differentiation of osteoclasts to
proceed and bone resorption increases
69
Spongy bonds looks the same as
compact inside trabeculae, but they are not so highly structured, no osteones
