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| Functions of the Skeletal System |
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Support - for the body and soft organs Protection - for brain, spinal cord, and vital organs Movement - levers for muscle action Storage - minerals (calcium and phosphorus) and growth factors Blood cell formation - (hematopoiesis) in marrow cavities Triglyceride (energy) storage- in bone cavities Hormone production: - Osteocalcin |
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- contain no blood vessels or nerves - dense connective tissue girdle of perichondrium contains blood vessels for nutrient delivery to cartilage |
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Provide support, flexibility, and resilience Most abundant type |
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| Similar to hyaline cartilages, but contain elastic fibers |
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| Collagen fibers—have great tensile strength |
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| Appositional growth of cartilage |
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| Cells secrete matrix against the external face of existing cartilage |
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| Interstitial growth of cartilage |
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| Chondrocytes divide and secrete new matrix, expanding cartilage from within |
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| Calcification of cartilage |
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| occurs during normal bone growth & old age |
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| why is cartilage not bone? |
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| Longer than they are wide |
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Cube-shaped bones (in wrist and ankle) Sesamoid bones (within tendons, e.g., patella) |
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| Thin, flat, slightly curved |
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| Complicated shapes, sutural bones |
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Compact bone collar surrounds medullary (marrow) cavity Medullary cavity in adults contains fat (yellow marrow) |
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Expanded ends Spongy bone interior Epiphyseal line (remnant of growth plate) Articular (hyaline) cartilage on joint surfaces |
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Outer fibrous layer Inner osteogenic layer Osteoblasts (bone-forming cells) Osteoclasts (bone-destroying cells) Osteogenic cells (stem cells) Nerve fibers, nutrient blood vessels, and lymphatic vessels enter the bone via nutrient foramina Secured to underlying bone by Sharpey’s fibers |
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Delicate membrane on internal surfaces of bone Also contains osteoblasts and osteoclasts |
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| bone-destroying cells that resorb bone matrix |
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| Osteon (compact bone not spongey) |
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| stem cells in periosteum and endosteum that give rise to osteoblasts |
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| Medullary cavity in adults contains fat (yellow marrow) |
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Trabecular cavities of the heads of the femur and humerus Trabecular cavities of the diploë of flat bones Red marrow of newborn infants Medullary cavities and all spaces in spongy bone |
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| Ostification of Bone Stages |
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Definition
bone tissue formation* Bone formation—begins in the 2nd month of development Postnatal bone growth—until early adulthood Bone remodeling and repair—lifelong |
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| inorganic vs organic w/respect to calcium cells, osteoid -- short answer |
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| intramembraneous ossification |
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(Fig 6-8) Membrane bone develops from fibrous membrane Forms flat bones, e.g. clavicles and cranial bones |
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| endochondral ossification |
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(Fig 6-9) Cartilage (endochondral) bone forms by replacing hyaline cartilage Forms most of the rest of the skeleton |
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| thickness and remodeling of all bones by osteoblasts and osteoclasts on bone surfaces |
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| What controls continual remodeling of bone? |
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Hormonal mechanisms that maintain calcium homeostasis in the blood Mechanical and gravitational forces |
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| what regulates bone growth (hormones PTH, Calcium, etc) |
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| Wolf’s law with mechanical stress |
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| A bone grows or remodels in response to forces or demands placed upon it |
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| What classifies bone fractures? |
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Definition
1. Position of bone ends after fracture 2. Completeness of the break 3. Whether or not the bone ends penetrate the skin |
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| repairing fractures (4 steps) |
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Definition
1. Hematoma forms Torn blood vessels hemorrhage Clot (hematoma) forms Site becomes swollen, painful, and inflamed
2. Fibrocartilaginous callus forms Phagocytic cells clear debris Osteoblasts begin forming spongy bone within 1 week Fibroblasts secrete collagen fibers to connect bone ends Mass of repair tissue now called fibrocartilaginous callus
3. Bony callus formation New trabeculae form a bony (hard) callus Bony callus formation continues until firm union is formed in ~2 months
4. Bone remodeling In response to mechanical stressors over several months Final structure resembles original |
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Loss of bone mass—osteoclasts (eating bone) working harder than osteoblasts (forming bone) Spongy bone of spine and neck of femur become most susceptible to fracture Risk factors Lack of estrogen, calcium or vitamin D; petite body form; immobility; low levels of TSH; diabetes mellitus |
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| heterotrophic bone formation |
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| cartilage is being stimulated to forms & elongate |
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| Calcium is necessary for: |
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Transmission of nerve impulses Muscle contraction Blood coagulation Secretion by glands and nerve cells Cell division |
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| Observations supporting Wolff’s law: |
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Handedness (right or left handed) results in bone of one upper limb being thicker and stronger Curved bones are thickest where they are most likely to buckle Trabeculae form along lines of stress Large, bony projections occur where heavy, active muscles attach |
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| Nondisplaced vs. Displaced Fracture |
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Nondisplaced—ends retain normal position Displaced—ends out of normal alignment |
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| Complete vs. Incomplete Fracture |
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Complete—broken all the way through Incomplete—not broken all the way through |
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Compound (open)—bone ends penetrate the skin Simple (closed)—bone ends do not penetrate the skin |
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Calcium salts not deposited Rickets (childhood disease) causes bowed legs and other bone deformities Cause: vitamin D deficiency or insufficient dietary calcium |
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Excessive and haphazard bone formation and breakdown, usually in spine, pelvis, femur, or skull Unknown cause (possibly viral) |
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bone fragments into three or more pieces *common in aged whose bones are more brittle |
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bone is crushed *common in porous bones (osteoporosis) subjected to extreme trauma |
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Ragged break occurs when excessive twisting forces are applied to bone *common sports injury |
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epiphysis separates from diaphysis along the epiphyseal plate *tends to occur where cartilage cells are dying and calcification of the matrix is occurring |
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broken bone portion is pressed inward *skull fracture |
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bone breaks incompletely like a green twig; one side breaks the other bends *common in children whose bones have a relatively organic matrix and are more flexible than adults |
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| occurs at the ankle and effects both bones of the leg |
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| break a bone shaft across its long axis |
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| produce new and abnormal bone arrangements |
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| retains normal alignment of bones or fragments |
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| a break in the distal portion of the radius; typically occurs as a result of reaching out to cushion a fall |
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