Phase 1a revision - Bone Anatomy & Phsyiology Flashcards

(49 cards)

1
Q

What are osteogenic stem cells?

A
  • Cells derived from mesenchymal stem cells and have the capacity to differentiate into osteoblasts and chondroblasts
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2
Q

What are the 5 types of bone?

A
  • Flat bones
  • Long bones
  • Irregular bones
  • Short bones
  • Sesamoid bones
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3
Q

Where does red marrow reside in?

A
  • Cancellous bone
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4
Q

What are osteocytes?

A
  • Osteocytes are mature osteoblasts that have been enveloped within the bone matrix
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5
Q

Where do osteocytes reside?

A
  • Osteocytes reside within the lacuna and communicates with surroundings by canaliculi
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6
Q

What are the main functions of osteocytes (3)?

A
  • Capable of bone deposition and resorption involved in bone deformation caused by muscular activity
  • Strengthens bone in response to additional stresses
  • Continue to form bone to an extent (maintain strength of the bone matrix)
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7
Q

What is the function of the osteoblasts?

A
  • Responsible for the catalysing and synthesising the mineralisation of osteoid during bone formation and remodelling
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8
Q

Which cells do osteoblasts arise from?

A
  • Arise from the differentiation of osteogenic cells in the periosteum – the tissue that covers the superficial surface of bone and in the endosteum (marrow cavity)
    • Differentiation requires constant supply of blood
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9
Q

What is the periosteum?

A
  • The tissue that covers the superficial surface of bone
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10
Q

What do osteoblasts secrete (5)?

A
  • Alkaline phosphatase
  • Colleganase
  • Growth factors
  • Collagen
  • Osteocalcin
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11
Q

What are osteoclasts?

A
  • Osteoclasts are large multinucleated cells responsible for the dissolution and absorption of bone – mediators of bone destruction by phagocytosis
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12
Q

Where do osteoclasts reside?

A
  • Within Howship Lacunae - caused by their erosion of bone by osteoclast derived enzymes
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13
Q

What are the 2 main types of bone?

A
  • Immature woven (primary) bone
  • Mature lamellar (secondary) bone
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14
Q

How are the collagen fibres organised within woven bone?

A
  • In a haphazard organisation
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15
Q

What is the first type of bone formed in embryonic development and fracture healing?

A
  • Primary bone - immature woven bone
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16
Q

What are the two forms of mature bone?

A
  • Cortical (compact) bone
  • Cancellous (cancellous) bone
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17
Q

Which type of bone ensheathes the bony medulla?

A
  • Cortical bone
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18
Q

How is cortical bone organised?

A
  • Lamellar configuration
    • Densely arranged osteons (Haversian systems)
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19
Q

What is an osteon?

A
  • The chief structural unit of compact (cortical) bone consisting of:
    • Contain a central canal that is surrounded by concentric rings (lamella) of the matrix
    • Osteocytes located between lamellae within the small cavities - lacunae
    • Canaliculi radiate from the launcae to the Haversian canal to provide passageways through the hard matrix
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20
Q

How do the blood vessels interconnect within bone?

A
  • By Volkmann’s canal
21
Q

Which cells mediate bone resorption through phagocytosis?

22
Q

How do osteoclasts mediate bone resorption (3 steps)?

A
  1. Ruffled border (invaginations of the plasma membrane) is formed by osteoclasts, which define the active region where acid phosphatase enzymes are secreted to dissolve the organic collagen and inorganic calcium & phosphate of the bone
  2. Attach to the bone by osteopontin and sialoprotein forming a sealing zone between the osteoclast and bone
  3. Calcium hydroxyapatite crystals are removed from the bone by acidification – the osteoid is protected against osteoclastic resorption
23
Q

How is calcium stored within bone?

A
  • Calcium hydroxyapetite crystals
24
Q

Which cells are predominantly found within immature woven bone?

25
What type of bone is the humerus?
* **Long bone**
26
What type of bone is patella?
* **Sesamoid** bone
27
Which type of collagen forms the bone?
* **Type I bone** (90%) + **Type V bone**
28
How is cancellous bone organised?
* Cancellous bone is characterised by a **trabecular structure** that is comparatively **less dense, softer, weaker and less stiff than cortical bone**
29
Where does cancellous bone reside?
* Within the **epiphysis of the bone** and within the **medullary canal**
30
What is the function of cancellous bone (2)?
* Greater surface area is ideal for **metabolic activity** - exchange of calcium ions * High vascular and red bone marrow support **haemopoiesis**
31
What is the function of flat bones?
* **Protects internal organs**
32
What type of bone is the cranial cavity?
* Flat bone
33
What is the function of long bones?
* **Support & facilitate movement**
34
What is the function of irregular bones?
* **Vary in shape and structure**
35
What is the function of short bones?
* No diaphysis, as wide as they are long, **provide stability and some movement**
36
What is the function of sesamoid bones?
* Embedded within the tendons potentially **protects tendons from stress or wear**
37
What is the diaphysis?
* A **tubular shaft** that traverses between the proximal and distal ends of the bone * The hollow region within the diaphysis is considered to be the **medullary cavity**
38
What does the medullary cavity encapsulate?
* Yellow marrow
39
What are the walls of the diaphysis composed of?
* **Dense and hard compact bone**
40
What is the membranous lining of the medullary cavity?
* **Endosteum**
41
What is the outer surface of the medullary cavity?
* **Periosteum**
42
Where does the red marrow occupy?
* The **cavities** of the **trabeculae** within the **epiphysis**
43
What is the epiphysis?
* **Wider terminal ends of bone** that are filled with cancellous bone
44
What is the point at which the epiphysis meets the diaphysis?
* **Metaphysis**
45
What is the metaphysis?
* **Narrow segments** that contain the **epiphyseal growth plates** - a layer of **hyaline in a growing bone**
46
What is intramembranous ossification (8 steps)?
1. **Mesenchymal cells undergo differentiation** and specialises into osteogenic cells and ultimately osteoblasts * Clusters of osteoblasts form an ossification centre 2. **Osteoblasts secrete osteoid**, uncalcified matrix consists of collagen precursors and organic proteins which calcifies due to mineralisation - therefore **entrapping osteoblasts** 3. **Osteoblasts that are entrapped within the matrix become osteocytes** 4. As osteoblasts transform into osteocytes, osteogenic cells in the surrounding connective tissue **differentiate into osteoblasts** at the edges of growing bone 5. Clusters of osteoid unite around capillaries → **Forms a trabecular matrix** 6. Osteoblasts on the surface of newly formed spongy bone become the **cellular layer of the periosteum** 7. The periosteum secretes **compact bone** superficial to the cancellous bone 8. **Cancellous bone aggregates near blood vessels condensing into red bone marrow**
47
What is endochondral ossification?
* The **bone develops through hyaline cartilage replacement** - Behaving as a template to be completely replaced by new bone
48
Compare the rate at which intramembranous and endochondral ossification occur.
* **Endochondral** ossification is **longer** than intramembranous ossification
49
What is the process of endochondral ossification (7 steps)?
1. **Formation of matrix increases cartilaginous model size** - blood vessels in the perichondrium brings osteoblasts to the edges of the structure 2. Arriving **osteoblasts deposit osteoid** in concentric formation around the diaphysis * Bony edges of the developing structure prevent nutrients from diffusing into the centre of the hyaline cartilage → **Chondrocyte death** 3. **Periosteal bud invasion:** Without cartilage inhibiting blood vessel invasion, **blood vessels penetrate the resulting space** - enlarging the cavities and transferring osteogenic cells with them - forming osteoblasts * The enlarged spaces become the **medullary cavity** 4. **Chondrocytes and cartilage continue to grow at the epiphyses, increasing length** 5. Continued growth is accompanied by remodelling inside the medullary cavity, and overall **lengthening of the diaphysis** 6. **Cartilage remains at the epiphyses** and at joint surfaces as **articulate cartilage** 7. **Secondary ossification centre forms**