Development and growth of bone Flashcards

1
Q

What are the 5 functions of bone?

A
Support of the body shape 
Systems of levers for muscle action 
Protection of internal organs 
Site of blood cell formation 
Mineral storage pool
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2
Q

What are the 2 mechanical properties of bone and what is responsible for these properties?

A

Cable-like flexibility + resistance to tension because the framework is collagen + osteoid
Pillar-like stiffness + resistance to compression conferred by impregnation of collagen with crystalline mineral (hydroxyapatite))

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3
Q

What are the 2 main types of bone tissue?

A

Woven (immature)

Lamellar (mature)

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4
Q

When is woven bone found in adults?

A

Only found in repairing fractures

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5
Q

What is the technical term for the shaft of a bone?

A

Diaphysis

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6
Q

What is the technical term for the head of a bone? What type of bone is found here?

A

Epiphysis

Spongy bone

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7
Q

What type of bone is found around the outside of the bone?

A

Compact (cortical) bone

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8
Q

What is the term given to the cavity within the bone?

A

Medullary cavity (contains bone marrow)

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9
Q

What type of bone is found within the medullary cavity?

A

Trabecular/ spongy/ cancellous bone (still lamellar)

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10
Q

What units are lamellar bone in the compact bone arranged into?

A

Osteons
Have a central canal containing vessels + around the vessels you have concentric layers of bone maintained by concentrically arranged osteocytes

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11
Q

In what planes are osteons arranged?

A

Usually organised along pressure planes

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12
Q

What provides the main blood supply to the bone marrow?

A

Nutrient artery (passing through the nutrient foramen)

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13
Q

What are the 2 layers of the periosteum?

A

Fibrous

Cellular

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14
Q

What are the main roles of the periosteum?

A

Bone growth + repair
Vascular
Good sensory nerve supply

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15
Q

What do osteogenic cells give rise to?

A

Osteogenic cells
Osteoblasts
Osteocytes

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16
Q

What lineage do osteoclasts come from?

A

Derived from immune cell lineage (modified macrophages)

17
Q

At what point in fetal life does the skeleton start to develop?

18
Q

What are the 2 types of ossification?

A

Intramembranous

Endochondral

19
Q

Describe intramembranous ossification.

A

Occurs within existing vascular connective tissue
Bone matrix is deposited around the collagen
This mineralises to form woven bone
Then remodels to form lamellar bone

20
Q

Describe endochondral ossification.

A

Occurs within existing fetal cartilage models
Cartilage calcifies + chondrocytes die
Periosteal osteoclasts cut channels for sprouting vessels
Osteoblasts enter with vessels to build bone around them

21
Q

Name 2 bones in which intramembranous ossification takes place.

A

Skull
Mandible
(Flat bones)

22
Q

At what point do the epiphyses ossify in a child’s wrist?

23
Q

Until what point do epiphyseal plates remain cartilaginous?

A

Until you stop growing: then epiphyseal plates will calcify

24
Q

How does bone grow in length without disrupting terminal appositional growth?

A

Shaft ossifies 1st, followed by epiphyses
Growth continues by ossification at growing cartilage plate between them
Growth cessation when cartilage growth ceases + plate is over-run by ossification

25
Why is bone described as adaptable?
Can grow without compromising its support function Increases/ decreases bulk + density in response to pattern of use Can alter its external + internal shape in response to pattern of use (remodelling) Can repair when fractured
26
Describe 3 features of bone that allow for remodelling
Bone has a large blood supply- cells never far from nutrients + O2 Osteocytes maintain matrix but can activate osteoblasts for new bone building Osteoclasts are giant cells specialised for destruction of bone matrix
27
What is the name of growth in bone diameter? Describe this
Apposition: addition to exterior at periosteum Osteoblasts + osteoclasts create ridges + grooves on surface Blood vessels align in grooves Osteoblasts build new osteons round vessels Osteoclasts remove bone from endosteal surface
28
What is essential for intiating repair of a fracture?
Haematoma | Becomes infiltrated by fibrous matrix + invaded by cartilage/ bone progenitors
29
Describe the response to high blood calcium levels
Calcitonin released by parafolicular thyroid cells Breakdown of bone matrix by osteoclasts INHIBITED Uptake of Ca2+ into bone STIMULATED
30
Describe the response to low blood calcium levels
PTH released by chief cells of parathyroid gland Osteoclasts bone resorption activity STIMULATED Increases Ca2+ re-absorption by kidneys