Overview of the Skeletal System

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Questions and Answers

What type of marrow is responsible for producing blood cells?

  • Red marrow (correct)
  • Yellow marrow
  • Bone marrow
  • White marrow

Which cells function in the absorption and clear away of bone matrix?

  • Chondrocytes
  • Osteocytes
  • Osteoclasts (correct)
  • Osteoblasts

What is the primary inorganic component that gives bone its hardness?

  • Collagen
  • Calcium carbonate
  • Sodium chloride
  • Hydroxyapatite (correct)

Which type of bone is characterized by a dense structure and provides strength?

<p>Compact bone (A)</p> Signup and view all the answers

Which hormone, released by the kidneys, stimulates the formation of red blood cells?

<p>Erythropoietin (C)</p> Signup and view all the answers

What is a closed (simple) fracture?

<p>A break in the bone that does not penetrate the skin (A)</p> Signup and view all the answers

Which type of fracture is often due to excessive twisting of the bone?

<p>Spiral fracture (D)</p> Signup and view all the answers

What is the first step in the repair of a bone fracture?

<p>A hematoma is formed (D)</p> Signup and view all the answers

What characterizes a comminuted fracture?

<p>The bone is splintered into multiple pieces (C)</p> Signup and view all the answers

Which type of fracture is commonly found in children and is characterized as incomplete?

<p>Greenstick fracture (C)</p> Signup and view all the answers

What is the purpose of reduction in fracture treatment?

<p>Realignment of the fractured bone (B)</p> Signup and view all the answers

What occurs after a fibrocartilage callus is formed in fracture repair?

<p>A bony callus is formed (D)</p> Signup and view all the answers

What is an open (compound) fracture?

<p>A break that penetrates through the skin (D)</p> Signup and view all the answers

What type of bone is mainly homogeneous and found in long bones?

<p>Compact bone (B)</p> Signup and view all the answers

Which component is found in an osteon of compact bone?

<p>Osteocytes (B)</p> Signup and view all the answers

What differentiates spongy bone from compact bone?

<p>Spongy bone contains small needle-like pieces of bone. (D)</p> Signup and view all the answers

What is the primary role of osteoblasts in bone histology?

<p>To form bone matrix by secreting collagen. (B)</p> Signup and view all the answers

Which canals connect blood vessels and nerves between adjacent central canals in compact bone?

<p>Volkman canals (A)</p> Signup and view all the answers

What type of bone formation site is typical in adults?

<p>Spongy bone (B)</p> Signup and view all the answers

What is the main characteristic of trabecular bone?

<p>It is poorly organized and consists of needle-like pieces. (D)</p> Signup and view all the answers

What is the embryonic tissue from which osteoprogenitor cells are derived?

<p>Mesenchyme (B)</p> Signup and view all the answers

What remains cartilaginous until secondary ossification occurs?

<p>Epiphyses (B)</p> Signup and view all the answers

What role do osteoblasts play in bone growth?

<p>They lay down matrix of compact bone. (D)</p> Signup and view all the answers

Which hormones are involved in regulating bone growth?

<p>hGH and sex hormones (C)</p> Signup and view all the answers

How does appositional growth increase the diameter of bones?

<p>By adding new bone on the outer surface. (B)</p> Signup and view all the answers

What happens to cartilage cells during longitudinal bone growth?

<p>They are produced and destroyed. (C)</p> Signup and view all the answers

What type of fracture is characterized by an incomplete fracture of the bone, commonly found in youth?

<p>Greenstick fracture (C)</p> Signup and view all the answers

What is the primary function of osteoclasts?

<p>To reabsorb bone matrix. (B)</p> Signup and view all the answers

Which phase of bone repair involves fibroblasts producing fibrocartilage to fill the gap between broken bone ends?

<p>Fibrocartilage callus formation (C)</p> Signup and view all the answers

At what age is the ossification of most bones typically completed?

<p>By age 25 (A)</p> Signup and view all the answers

What term describes the process of fixing a simple fracture without surgery?

<p>Closed reduction (A)</p> Signup and view all the answers

What process involves the continuous remodeling of bone throughout life?

<p>Bone remodeling and repair (D)</p> Signup and view all the answers

What type of fracture involves bone breaking into multiple pieces?

<p>Comminuted fracture (C)</p> Signup and view all the answers

What is the inorganic component of bone that provides strength and rigidity?

<p>Hydroxyapatite (B)</p> Signup and view all the answers

How long does it typically take for a fracture to heal in adults, excluding long bones or the elderly?

<p>6-8 weeks (B)</p> Signup and view all the answers

Which type of ossification involves the formation of flat bones between layers of connective tissue?

<p>Intramembranous ossification (B)</p> Signup and view all the answers

Which cells are responsible for breaking down bone tissue?

<p>Osteoclasts (C)</p> Signup and view all the answers

What role does parathyroid hormone (PTH) play when blood calcium levels are low?

<p>Stimulates osteoclast activity (D)</p> Signup and view all the answers

Which vitamin is primarily responsible for increasing intestinal absorption of dietary calcium?

<p>Vitamin D (C)</p> Signup and view all the answers

How does calcitonin function in the body when blood calcium levels are high?

<p>Inhibits osteoclast activity (B)</p> Signup and view all the answers

What is the primary effect of human growth hormone (hGH) on bone tissue?

<p>Stimulates cartilage cell reproduction (A)</p> Signup and view all the answers

What contributes to the mineral composition required for bone remodeling?

<p>Calcium and Magnesium (A)</p> Signup and view all the answers

What is the effect of estrogen on bone growth compared to androgens?

<p>Greater effect than androgens (C)</p> Signup and view all the answers

How does exercise influence bone growth?

<p>Thickens bones due to stress (A)</p> Signup and view all the answers

Which mineral is needed for osteoblast activity?

<p>Magnesium (A)</p> Signup and view all the answers

What is the primary function of calcitonin in calcium homeostasis?

<p>Inhibit bone reabsorption (C)</p> Signup and view all the answers

What is a common consequence of Vitamin D deficiency?

<p>Rickets in children (C)</p> Signup and view all the answers

Flashcards

Compact Bone

A dense, homogenous bone tissue, primarily found in long bones, with a continuous extracellular matrix.

Spongy Bone

A porous, heterogeneous bone tissue, mainly found in short bones. It has many open spaces (trabeculae) and is lighter than compact bone.

Osteon (Haversian System)

The structural unit of compact bone, a cylindrical unit of bone tissue.

Osteocyte

Mature bone cell, spider shaped, living in the lacunae of bone.

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Lacunae

Tiny cavities in bone that house osteocytes.

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Lamellae

Concentric rings of calcified bone matrix (collagen and calcium salts) around the central canal.

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Central Canal (Haversian Canal)

The central channel within an osteon that contains blood vessels and nerves.

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Canalculi

Tiny channels connecting lacunae, allowing for nutrient transport to osteocytes.

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Volkmann Canals (Perforating Canals)

Canals that connect central canals and blood vessels of adjacent osteons, perpendicular to central canals

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Trabeculae

Small needle-like pieces of bone that make up spongy bone.

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Osteoprogenitor cells

Bone stem cells that divide and differentiate into osteoblasts.

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Osteoblasts

Bone-forming cells that secrete the bone matrix.

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Bone Fracture

A break in a bone.

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Osteocytes

Mature bone cells, derived from osteoblasts. They are the primary bone cells; they can't divide.

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Closed (Simple) Fracture

A break in the bone that does not penetrate the skin.

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Osteoclasts

Bone cells that break down and remove bone matrix (bone tissue). Essential for bone development, growth, health, and repair.

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Osteoid

The organic component of bone, primarily collagen. Gives bones flexibility and tensile strength (ability to resist pulling forces).

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Open (Compound) Fracture

A break in the bone that penetrates the skin.

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Fracture Reduction

Realignment of the broken bone.

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Inorganic component of bone

Mineral salts, primarily calcium phosphate, making up about 65% of bone. Provides bone with hardness and compression strength.

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Closed Reduction

Realigning the bone without surgery.

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Hematopoiesis

The process of red blood cell formation.

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Erythropoietin

A hormone released by the kidneys that stimulates red blood cell formation.

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Open Reduction

Realigning the bone using surgery.

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Red Marrow

Marrow tissue that produces blood cells.

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Greenstick Fracture

An incomplete fracture, common in children.

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Medullary cavity

The inner cavity of a bone that contains bone marrow.

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Spiral Fracture

A complete fracture caused by twisting.

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Comminuted Fracture

A complete fracture resulting in bone fragments.

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Spongy Bone

Type of bone with a porous appearance.

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Transverse Fracture

A complete fracture at a right angle to the bone.

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Compact Bone

Dense bone, found on the outer surface of bones.

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Short bone example

Carpals, tarsals, and patella (knee cap) are examples of these bones.

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Fissured Fracture

An incomplete longitudinal break.

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Long bone example

Humerus, femur, radius, ulna, tibia, fibula, metacarpals, metatarsals, and phalanges (fingers/toes) are examples of these bones.

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Oblique Fracture

A fracture at an angle other than a right angle.

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Bone Fracture Repair - Hematoma

Blood clot forms around the break.

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Flat bone example

Ribs, sternum, cranial (skull) and facial bones.

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Irregular bone example

Hip bones, vertebrae.

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Bone Fracture Repair - Fibrocartilage Callus

A temporary structure that splints the break.

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Bone Fracture Repair - Bony Callus

Fibrocartilage callus replaced by bone.

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Bone Fracture Repair - Remodeling

Permanent bone patch formed.

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Bone Fracture Repair - Step 1

A hematoma forms at the fracture site, a localized collection of blood.

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Bone Fracture Repair - Step 2

Fibrocartilage callus formation: Fibroblasts produce fibrocartilage, filling the gap near blood vessels. A temporary patch forms.

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Bone Fracture Repair - Step 3

A bony callus forms, replacing the fibrocartilage callus via osteoblasts, and filling the space. Bone is now bridging the gap.

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Bone Fracture Repair - Step 4

Remodeling occurs, as osteoclasts remove excess bone, leading to a permanent patch to the original bone structure.

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Greenstick Fracture

An incomplete fracture of the bone; commonly found in children.

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Compound Fracture

Fracture in which the bone protrudes through the skin.

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Closed Reduction

Medical procedure for fixing a simple fracture without surgery.

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Comminuted Fracture

Fracture that breaks a bone into several pieces.

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4 Major Steps in Bone Repair

  1. Hematoma formation; 2.Fibrocartilage callus formation; 3.Bony callus formation; 4. Remodeling into a permanent patch.
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Osteoblast

Bone-forming cell.

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Osteoclast

Bone-resorbing cell.

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Hydroxyapatite

Inorganic component of bone, primarily calcium phosphate.

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Typical Fracture Healing Time

6-8 weeks for a normal fracture.

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Intramembranous Ossification

Flat bones develop from sheet-like layers of connective tissue.

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Endochondral Ossification

Bone develops from a hyaline cartilage model, common for most bones.

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Bone Development in Long Bones

Cartilage calcifies in the diaphysis's center (primary ossification center), while epiphyses remain cartilaginous with secondary ossification centers appearing later. The epiphyseal plate separates these centers.

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Epiphyseal Plate Function

The epiphyseal plate enables longitudinal bone growth during childhood and adolescence. Cartilage is added and replaced by bone on opposite sides of the plate.

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Bone Growth: Appositional

Bone thickens due to osteoblasts laying down new compact bone on the outer surface while osteoclasts remove bone from the inner surface.

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Longitudinal Bone Growth

Growth in length, primarily occurring at the epiphyseal plates where cartilage cells multiply and are replaced by bone.

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Bone Growth Control

Growth rate is dictated by hormones, like human growth hormone (hGH) and sex hormones.

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Bone Remodeling, what it is

Continuous breakdown and rebuilding of bone throughout life, a process involving osteoblasts and osteoclasts.

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Bone Remodeling Frequency

Bones are constantly remodeled, with different parts being replaced at different rates. For example, the femur may be replaced every 4 months, while other regions may take a lifetime.

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Bone Growth Stops When...

Bone growth ceases when the primary and secondary ossification centers meet.

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Osteoclasts

Cells that break down bone matrix (reabsorption).

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Osteoblasts

Cells that build bone matrix.

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Bone Remodeling

The continuous process of breaking down and rebuilding bone tissue, crucial for calcium homeostasis and repair.

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Parathyroid Hormone (PTH)

A hormone that increases blood calcium levels by stimulating bone breakdown.

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Calcitonin

A hormone that lowers blood calcium levels by inhibiting bone breakdown.

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Osteoclasts

Bone cells that break down bone tissue to release calcium into the blood.

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Osteoblasts

Bone cells that build new bone tissue.

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Calcium Homeostasis

The process of maintaining a stable level of calcium in the blood.

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Vitamin D

Vitamin crucial for calcium absorption in the intestines and reducing calcium loss in urine.

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Rickets/Osteomalacia

Bone diseases caused by vitamin D deficiency, leading to weak and soft bones.

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Hydroxyapatite

The main mineral component of bone tissue, which consists of calcium phosphate crystals.

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Bone Remodeling Rate

The rate of exchange of bone calcium components in the human body.

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Study Notes

Skeletal System Overview

  • The skeletal system is a complex structure, composed of bones, cartilage, and ligaments.
  • It provides support, protection, movement, and mineral storage.

Functions of Bone Tissue

  • Support: Legs and pelvis support body weight; the atlas (first cervical vertebra) supports the skull.
  • Protection: The skull protects the brain, eyes, and ears; the rib cage and shoulder girdle protect the heart and lungs; the pelvic girdle protects lower abdominal organs and reproductive organs.
  • Movement: Skeletal muscles attach to bones via tendons, enabling movement. Muscles use bones to work in opposition to cause movement.

Mineral Homeostasis

  • Bones store minerals, including calcium phosphate, magnesium, sodium, potassium, and carbonate ions.
  • Bones also store potentially harmful minerals like lead, radium, and strontium.
  • Yellow bone marrow in long bone shafts serves as an energy storage site (fat). This yellow marrow can revert back to red marrow if blood cells are needed.

Hematopoiesis

  • Blood cell formation occurs within the red marrow of certain bones.
  • In children, red marrow is primarily in the medullary cavities of long bones.
  • In adults, red marrow is primarily in spongy bone of the skull, ribs, sternum, clavicles, vertebrae, and hip bones.

Bone Classification by Shape

  • Long Bones: Typically longer than wide, with a shaft and heads at both ends. Examples: femur, humerus, and all limb bones (except wrist and ankle).
  • Short Bones: Generally cube-shaped. Examples: carpals (wrist) and tarsals (ankle).
  • Flat Bones: Thin layers of compact bone around a layer of spongy bone; usually curved. Examples: skull, ribs, sternum, and scapula.
  • Irregular Bones: Irregular shape that does not fit into other classifications. Examples: vertebrae, hip bones, and auditory ossicles.
  • Sesamoid Bones: Round bones embedded within tendons adjacent to joints. Example: patella.

Bone Structure - Gross Anatomy

  • Diaphysis: The shaft of a long bone, consisting of a medullary cavity filled with marrow and surrounded by a thick collar of compact bone.
  • Epiphyses: The expanded ends of a long bone, primarily spongy bone, and surrounded by a thin layer of compact bone.
  • Epiphyseal Plate: An area of hyaline cartilage at the junction of the epiphyses and diaphysis, allowing for lengthwise growth in long bones.
  • Epiphyseal Line: The remnant of the epiphyseal plate in mature bones.
  • Periosteum: Tough, dense fibrous connective tissue that covers the outer surfaces of bones, containing osteogenic cells (allowing for osteoblast formation and bone repair). It's supplied with blood vessels and nerves, and serves as an insertion point for tendons and ligaments.
  • Endosteum: Thin, inner lining of the medullary cavity, containing osteoblasts and osteoclasts for bone growth and repair.
  • Articular Cartilage: Hyaline cartilage covering the external surfaces of the epiphyses; reducing friction at joint surfaces.
  • Sharpey's Fibers: Fibers that secure the periosteum to the underlying bone.
  • Medullary Cavity: The hollow central region of the diaphysis that holds marrow.
  • Nutrient Arteries: Blood vessels that supply bone cells with nutrients and enter the bone tissue through the nutrient foramen in compact bone.

Bone Fractures and Repair

  • Fracture: A break in a bone.
  • Types: Simple/closed (does not break skin), Compound/open (penetrates the skin) and other fractures based on shape.
  • Treatment: Reduction (realignement) and immobilization (e.g., closed reduction - bones to normal position, open reduction - surgery); treatment time varies depending on the type of fracture (6-8 weeks).
  • Major Steps of Repair: Hematoma formation, Fibrocartilage callus formation, Bony callus formation and remodelling.

Bone Development and Growth

  • Embryonic Skeleton: Initially composed of hyaline cartilage.
  • Ossification (beginning during gestation): Intramembranous (flat bones between connective tissue sheets) and endochondral (bone starts as hyaline cartilage) processes.
  • Longitudinal Growth: Lengthening at epiphyseal plates due to cartilage growth and replacement by bone.
  • Appositional Growth: Thickening of bones via activity of periosteal osteoblasts laying down matrix of compact bone (outer surface) and osteoclasts destroying bone matrix on the endosteal surface.

Bone Remodeling and Repair

  • Bone remodeling occurs throughout life, involving continuous actions of osteoblasts and osteoclasts.
  • Hormonal regulation (calcitonin, parathyroid hormone) is crucial for maintaining bone calcium homeostasis.
  • Necessary minerals and vitamins (Vitamin D, Magnesium, Calcium and Vitamins B12, A and C) also promote bone remodeling and repair.
  • Exercise also contributes towards increasing bone growth.

Bone Growth Control

  • Bone growth is controlled by hormones, like human growth hormone (hGH) and sex hormones (estrogen and testosterone).

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