API06           BONES AND SKELETAL TISSUE

I.                Skeletal Cartilages

a.     High water content

b.     Surrounded by layer of dense irregular CT

                                                    i.     Perichondrium

                                                   ii.     Vascular

                                                 iii.     Chondrocytes in lacunae

c.     Most are hyaline cartilage

                                                    i.     Support, flexibility, resilient

                                                   ii.     Fine collagen fibers

                                                 iii.     Articular

                                                 iv.     Costal

d.     Elastic cartilage

                                                    i.     Elastic fibers

                                                   ii.     External ear

                                                 iii.     Epiglottis

e.     Fibrocartilage

                                                    i.     Compressible and great strength

                                                   ii.     Thick collagen fibers

                                                 iii.     Heavy pressure and stretch

                                                 iv.     Menisci in knee joint

                                                  v.     Intervertebral discs

II.              Functions of bone tissue (osseous tissue)

          A.support

                    1.whole body

                    2.other organs

          B.protection

                    1.vertebrae - spinal cord

                    2.rids - lungs, heart

                    3.skull - brain

          C.movement

                    1.works with skeletal muscle

                    2.bones as levers by muscle

          D.storage

                    1.fat for energy in cavities

                    2.minerals can be removed is required for other           body functions

          E.blood cell formation

                    1. Hematopoiesis

                              a.process of blood cell formation

                              b.occurs in red bone marrow                 

                    `         c. in adults

                                        1.limited to head of femur and humerus

                                        2.sternum and hip bone diploe

                              d. in severe anemia

                                        1.can revert medullary cavity to hematopoietic tissue

                             

III.Classification of bones

          A.composition

                    1.compact

                              a.dense

                    2.spongy (cancellous)

                              a.formed of many pieces - trabeculae

          B.shape – long, short, irregular, flat

                   

IV.Structure

          A.Long bone

                    1.Diaphysis

                              a. shaft

                              b. compact bone

                    2.Epiphysis

                              a.on proximal and distal ends

                              b.spongy bone

                    3.Metaphysis

                              a. epiphyseal plate/line

4.articular cartilage

                              a.on ends of bone

                              b.makes junction with other bones (articulates)

                    5. medullary cavity

                              a.center of diaphysis

                              b.in adults storage site for fat

                              c.yellow marrow

                    6. Draw and label a long bone:

 

 

 

 

 

 

 

 

 

                    6.linings

                              a.dense irregular connective tissue membrane with

                                        (1)cells

                                        (2)blood vessels, nerves, lymph vessels enter

                                             bone via nutrient foramina

                              b.periosteum

                                        (1)covers the outside surface of bone

                                        (2)dense connective tissue

                              c.endosteum

                                        (1)lines inside of medullary cavity

                                        (2)lines inside of trabeculae

          B.Short, Irregular, Flat

                    1.periosteum, compact, spongy, endosteum

                    2.diploe

                              a.spongy layer

VI.Bone Composition

          A.organic

                    1.cells

                              a.osteogenic cells- unspecified stem cells produce osteoblasts located in blood vessel canals in bonesn, inner side of perisoteum and endosteum

b.osteoblasts – produce matrix and initiates calcification

                              b.osteocytes –mature and maintain bone tissue

                              c.osteoclasts –form from fusion of monocytes (type of WBC phagocyte) and releases enzymes, acid to destroy matrix

                    2.osteoid

                              a.organic part of bone matrix secreted by  osteoblasts

                                        (1)proteoglycans

                                        (2)glycoproteins

                                        (3)collagen fibers

          B.inorganic

                    1.hydroxyapatite

                              a.mineral salts

                                        (1)calcium

                                        (2)phosphorus

                    2.arrangement of trabeculae allows nutrients to                      circulate         

                                        (3)hydroxide

                                                  (a)fluoride replaces to strengthen

                    2. 85% is calcium phosphate

                    3.10% calcium carbonate

                    4.magnesium salts also present

 

                    5.salts allow bones to last after death

                   

 

VII. Histology

          A.compact

                    1.dense with many canals

                    2.structural unit

                              a.Haversian system (canal)

                              b.Osteon -tube of bone matrix

                    3.Draw and label an osteon

                              a.lamella

                              b.lacunae

                              c.Haversian canal

                              d.Volkman's cannal

                              e.canaliculi

                                        (1)permits nutrients to enter all levels

                    4.osteocytes

                              a.lie at junction of lamella

                              b.in lacunae

         

          B.spongy

                    1.no true osteon

 

VIII.Bone development

          A.ossification = osteogenesis

                    1.process of bone formation

                    2.growth

                    3.remodeling of bone

                   

          B.Embryonic skeleton

                    1.hyaline cartilage

                              a.forms into bone by ENDOCHONDRAL ossification

                              b.chondroblasts become osteoblasts

                                        (1)mature to osteocytes

                    2.fibrous membranes

                              a.forms into bone by INTRAMEMBRANOUS ossification

                              b.skull and clavicle

          C.Process of bone formation

                    1.osteoblasts

                              a.secrete matrix substances

                              b.become trapped in lacunae of bone matrix

                              c.mature into osteocytes

                    2.osteoclast activity

                              a.breakdown of bone for growth

                              b.bone breaks at epiphyseal plates

                              for lengthening

                              c.osteoblast activity increases

                              d.appositional growth

                                        (1)increases width

          D.factors to regulate bone growth

                    1.hormones

                              a.growth hormone

                              b.thyroid hormone

                              c.testosterone

                              d.estrogen

                    2.calcium

                    3.Vitamin D

                    4. vitamin K

          E.Calcium in bone matrix

                    1.calcification

                              a.laying down of calcium salts initiated by osteoblasts

                              b.occurs to add bone strength

                              c.at injured site

                    2.resorption

                              a.breakdown of matrix and reabsorption of minerals

                              to bloodstream

                                        (1)Calcium

                                                  (a)for other functions as needed

                                                  (b)pregnancy

                              b.action of osteoclasts

                    3.hormones regulate bone resorption and deposition

                              a.parathyroid hormone (PTH)

                                        (1)signal is low blood calcium

                                        (2)calcium released from bones

                              b.calcitonin (thyroid cells)

                                        (1)signal is high blood calcium

                                        (2)stores in bone

          F.effect of mechanical stress or exercise on bone

                    1.growth in response to external stimulus

                    2.gravity

                              a.loss of bone density in space

                    3.exercise

                    4.electrical stimulation

                              a.speed repair process

          G. Fractures

                    1.breaks in bone

                              a.realign  with reduction

                    2.repair

                              a. hematoma

                                        (1)blood clot at site

                              b. fibrocatillagenous callus

                                        (1)granulation tissue

                                        (2)fibroblasts move in and secrete collagen

                              c.bony callus

                                        (1)osteoclasts and osteoblast active

                                        (2)osteoblasts move in from periosteum to                            secrete bone matrix

                              d.calcification

                                        (1)remodeling to change bony callus                

                                           over several months

IX.Bone Disorders

          A.osteoporosis

                    1.bone resorption > bone deposition

                    2.bone mass less

                    3.normal composition

          B.osteomalacia

                    1.soft bones more fragile

                    2.rickets in children

                              a.bowed legs

                              b.deformed pelvis