Support and Movement

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Questions and Answers

In the context of bone remodeling, if osteocytic regulation of mineral homeostasis is compromised, leading to unchecked osteoblastic activity, which of the following scenarios is most likely to ensue?

  • An imbalance in bone matrix mineralization, potentially leading to osteomalacia despite increased bone mass. (correct)
  • An increased risk of fractures due to the formation of excessively dense but brittle bone.
  • A compensatory up-regulation of osteoclast activity to maintain mineral balance, averting any significant bone pathology.
  • A rapid decrease in bone density due to accelerated osteoclastic resorption exceeding bone formation.

The Haversian system in bone tissue facilitates nutrient delivery and waste removal exclusively through osteocytes directly connected via canaliculi to the Haversian canal, independent of blood vessel proximity to lacunae.

False (B)

Juxtapose and critically evaluate the biomechanical and metabolic implications of trabecular microfractures in cancellous bone relative to stress fractures in cortical bone, with particular emphasis on bone remodeling dynamics.

Trabecular microfractures, common in cancellous bone, initiate localized, rapid remodeling to maintain bone integrity. In contrast, cortical stress fractures demand extended remodeling due to the compact nature of cortical bone, increasing the risk of complete fracture and delayed healing, thus demonstrating distinct biomechanical and metabolic responses.

In the context of skeletal muscle contraction, the force-velocity relationship dictates that at maximal shortening velocity, the force generated by the muscle approaches ______, reflecting the inverse relationship between these two variables.

<p>zero</p> Signup and view all the answers

Match the following bone cell types with their primary mechanism of action in bone remodeling:

<p>Osteoblasts = Secretion of new bone matrix, initiating bone formation through collagen and mineral deposition. Osteoclasts = Resorption of bone tissue through the dissolution of minerals and degradation of collagen. Osteocytes = Regulation of bone remodeling by sensing mechanical strain and signaling to osteoblasts and osteoclasts. Bone Lining Cells = Quiescent precursors to osteoblasts and regulate movement of calcium and phosphate into and out of the bone.</p> Signup and view all the answers

Given the complex interplay of factors affecting bone remodeling, analyze which hormonal imbalance would MOST directly contribute to the progression of osteoporosis, assuming adequate calcium intake and physical activity.

<p>Decreased estrogen production coupled with increased cortisol levels. (D)</p> Signup and view all the answers

Articular cartilage's remarkable resilience under compressive loads is primarily attributable to its dense collagen fiber network and minimal water content, effectively preventing deformation and ensuring frictionless joint movement.

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

Delineate the specific roles and regulatory interactions of RANK, RANKL, and OPG in the context of osteoclastogenesis and bone remodeling.

<p>RANK, a receptor on osteoclast precursors, binds to RANKL produced by osteoblasts, promoting osteoclast differentiation and bone resorption. OPG, also produced by osteoblasts, acts as a decoy receptor, binding to RANKL and preventing it from activating RANK, thereby inhibiting osteoclastogenesis and limiting bone resorption.</p> Signup and view all the answers

In the context of muscle physiology, the phenomenon of 'length-tension relationship' posits that maximal force generation occurs at the ______ length, where optimal overlap between actin and myosin filaments allows for the greatest number of cross-bridge formations.

<p>optimal</p> Signup and view all the answers

Relate the following types of fractures to their defining characteristics and typical causes:

<p>Comminuted Fracture = Bone breaks into multiple fragments, often due to high-impact trauma. Greenstick Fracture = Incomplete fracture in which the bone is bent but not completely broken, common in children. Stress Fracture = Small crack in the bone caused by repetitive stress or overuse. Avulsion Fracture = Fragment of bone breaks off due to the strong pulling force of a tendon or ligament</p> Signup and view all the answers

In the context of joint stability and the prevention of dislocations, which structural element is MOST critical for maintaining the integrity of a synovial joint under conditions of extreme tensile stress?

<p>The collagen fiber orientation within the joint capsule and associated ligaments. (C)</p> Signup and view all the answers

The primary determinant of the range of motion at a synovial joint is solely determined by the congruity of the articular surfaces, irrespective of surrounding soft tissue structures and ligamentous constraints.

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

Critically compare and contrast the etiology, pathophysiology, and long-term sequelae of rheumatoid arthritis versus osteoarthritis, emphasizing their distinct impacts on joint structure and function.

<p>Rheumatoid arthritis is an autoimmune disorder causing synovial inflammation, cartilage destruction, and systemic effects. Osteoarthritis is a degenerative condition due to mechanical stress and cartilage breakdown. RA leads to joint deformities and systemic complications, while OA causes localized pain and reduced mobility.</p> Signup and view all the answers

In the context of the sliding filament model of muscle contraction, the power stroke is directly powered by the hydrolysis of ______, leading to conformational changes in the myosin head and subsequent movement of the actin filament.

<p>ATP</p> Signup and view all the answers

Match the type of muscle tissue with its primary characteristics:

<p>Skeletal Muscle = Striated, multinucleated, voluntary control, attached to bones. Cardiac Muscle = Striated, uninucleated, involuntary control, heart wall. Smooth Muscle = Non-striated, uninucleated, involuntary control, walls of hollow organs.</p> Signup and view all the answers

Given the complex neural control of skeletal muscle, which scenario is MOST likely to result in a sustained, maximal voluntary contraction in a healthy individual?

<p>Asynchronous recruitment of multiple motor units firing at varying, high frequencies. (B)</p> Signup and view all the answers

During concentric muscle contractions, the length of the I-band and H-zone within the sarcomere increase as actin and myosin filaments slide further apart, leading to increased muscle tension.

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

Elaborate on the molecular mechanisms underlying muscle fatigue, differentiating between peripheral and central fatigue and their respective contributions to diminished force production.

<p>Peripheral fatigue arises from factors within the muscle, like ATP depletion, lactic acid accumulation, and impaired calcium handling. Central fatigue involves the central nervous system, decreasing motor neuron output due to psychological or physiological factors.</p> Signup and view all the answers

In the context of the Cori cycle, lactate produced during anaerobic glycolysis in skeletal muscle is transported to the liver, where it is converted back into ______ via gluconeogenesis, thereby providing a substrate for energy production.

<p>glucose</p> Signup and view all the answers

Match each disorder related to musculoskeletal system:

<p>Sciatica = Nerve pain caused by irritation or compression of the sciatic nerve. Spondylosis = Degenerative osteoarthritis of the spine. Osteoporosis = A condition in which bones become weak and brittle.</p> Signup and view all the answers

Given the coordinated action of antagonistic muscles, which neurological condition would MOST directly impair the reciprocal inhibition required for smooth, controlled movement?

<p>Cerebellar ataxia, disrupting motor coordination and balance. (D)</p> Signup and view all the answers

The absolute refractory period in skeletal muscle fibers is significantly longer than that in cardiac muscle, preventing summation and tetanic contractions, thereby ensuring coordinated muscle function

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

Critically evaluate the biomechanical adaptations of bone tissue in response to long-term resistance training, delineating the roles of osteocytes, mechanotransduction pathways, and hormonal regulation.

<p>Resistance training induces bone remodeling via mechanotransduction, where osteocytes sense mechanical strain and signal osteoblasts to increase bone density and strength. Hormones like growth hormone and testosterone also play crucial roles in this adaptation.</p> Signup and view all the answers

In the context of muscle metabolism, the phosphagen system, utilizing ______ and creatine kinase, provides a rapid but limited source of ATP for short-duration, high-intensity activities.

<p>phosphocreatine</p> Signup and view all the answers

Associate following terms with human skeletal system anatomy

<p>Humerus = Long bone of the upper arm. Femur = Long bone of the thigh. Scapula = The shoulder blade Sternum = Breast Bone.</p> Signup and view all the answers

Considering the integrated nature of human physiology, which systemic condition would MOST directly impair both bone formation and muscle contraction?

<p>Chronic kidney disease resulting in impaired vitamin D activation and electrolyte imbalances. (D)</p> Signup and view all the answers

In individuals with complete spinal cord transection, passive range-of-motion exercises can effectively restore voluntary muscle control and prevent muscle atrophy distal to the level of the lesion.

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

Explain the distinct roles of dystrophin and the associated glycoprotein complex (DGC) in maintaining sarcolemma integrity and force transmission in skeletal muscle fibers.

<p>Dystrophin links the actin cytoskeleton to the DGC, which spans the sarcolemma and connects to the extracellular matrix. This complex stabilizes the sarcolemma and transmits force generated during muscle contraction.</p> Signup and view all the answers

In the context of muscle fiber types, Type IIx (or IIb) fibers are characterized by high glycolytic capacity, rapid contraction speed, and low resistance to fatigue, making them primarily reliant on ______ for ATP production.

<p>anaerobic glycolysis</p> Signup and view all the answers

Couple the following anatomical position to their description

<p>Anterior = Toward the front of the body. Posterior = Toward the back of the body. Medial = Closer to the midline of the body. Lateral = Farther from the midline of the body.</p> Signup and view all the answers

Following a complete rupture of the anterior cruciate ligament (ACL), which compensatory mechanism is MOST critical for maintaining knee joint stability during high-impact activities?

<p>Enhanced activation of the hamstrings muscle group to counteract anterior tibial translation. (C)</p> Signup and view all the answers

The primary function of the Golgi tendon organs is to initiate muscle contraction in response to increased muscle tension, preventing overstretching and potential injury.

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

Describe the cellular and molecular events involved in the repair of a simple fracture, detailing the roles of hematoma formation, callus formation, and bone remodeling.

<p>Fracture repair involves hematoma formation, inflammation, soft callus formation (fibrocartilage), hard callus formation (bone), and remodeling to restore bone structure.</p> Signup and view all the answers

In the context of skeletal muscle excitation-contraction coupling, dihydropyridine receptors (DHPR) serve as voltage sensors that trigger the release of calcium from the ______ via ryanodine receptors (RyR).

<p>sarcoplasmic reticulum</p> Signup and view all the answers

Associate correct joint types.

<p>Hinge = permits movement in one plane. Ball-and-Socket = spherical articulation with cuplike depression. Fibrous = immovable joint.</p> Signup and view all the answers

In the event of a severe crush injury to a limb, leading to extensive muscle necrosis and subsequent release of intracellular contents into systemic circulation, which complication poses the GREATEST immediate threat to renal function?

<p>Hyperkalemia resulting from cellular lysis. (A)</p> Signup and view all the answers

Tetanus toxin directly induces muscle rigidity and spasms by irreversibly blocking the release of acetylcholine at the neuromuscular junction.

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

Articulate the distinct mechanisms underlying muscle cramps, differentiating between exercise-associated muscle cramps and those caused by electrolyte imbalances or neurological disorders.

<p>Exercise-associated cramps likely involve neuromuscular fatigue and altered spinal reflexes. Electrolyte imbalances and neurological disorders can alter muscle excitability and trigger cramps.</p> Signup and view all the answers

In synovial joints, hyaluronic acid, produced by synoviocytes, is crucial in maintaining the viscosity of the synovial fluid, thereby reducing ______ wear and tear on articular cartilage.

<p>frictional</p> Signup and view all the answers

Associate each with the role these play in Contraction of Muscles

<p>Actin = Thin filament of the Myofibril. Myosin = Thick filament of the Myofibril. Tropomyosin = A protein involved in muscle contraction.</p> Signup and view all the answers

Flashcards

Functions of the skeleton

Provides support, protects organs, facilitates movement, stores minerals, and produces blood cells.

What is cartilage?

A type of connective tissue made of chondrocytes.

Types of cartilage

Hyaline, elastic, and fibrocartilage.

What is Bone?

A rigid connective tissue that forms the endoskeleton of vertebrates. Consists of cells and a hard matrix of inorganic and organic substances.

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Bone cells types

Osteoblasts, osteocytes, and osteoclasts.

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Divisions of the human skeleton

Axial and Appendicular.

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Axial skeleton

Skull, vertebrae, and ribs.

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Appendicular skeleton

Pectoral (shoulder) and pelvic (hip) girdles with their attached limbs.

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Types of Joints

Fibrous, cartilaginous, and synovial.

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Fibrous Joints

Immovable joints held together by fibrous tissue.

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Cartilaginous Joints

Joints connected by cartilage, allowing slight movement.

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Synovial Joints

Freely movable joints with a fluid-filled cavity.

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Synovial Joints categories

Hinge and Ball-and-Socket Joints.

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Disc Slip

Vertebral discs split or rupture, causing pressure on nerves.

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Sciatica

Pain, weakness, numbness, or tingling in the leg due to sciatic nerve pressure or injury.

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Sprain

An injury to a ligament, often in the ankle, knee, or wrist.

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Types of Muscle

Skeletal, cardiac, and smooth.

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Skeletal Muscles

Attached to bones, striated, voluntary.

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Cardiac Muscles

Found in the heart, striated, involuntary.

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Smooth Muscles

Located in the walls of visceral organs; spindle-shaped, involuntary.

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Sarcomere

The functional unit of muscle contraction composed of actin and myosin.

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Proteins in muscle contraction

Actin and Myosin.

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Sliding Filament Hypothesis

Sliding of actin and myosin filaments past each other.

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Antagonistic Muscles

A muscle that opposes the action of another.

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Vertebral column

The vertebral column forms a more or less rigid rod that protect spinal cord.

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Simple fractures

A fracture are those in which the skin is intact.

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Sprains treatmen

Sprains can be usually treated with treatments such as icing and physical therapy.

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Study Notes

  • Chapter 16 discusses support and movement in living organisms.
  • Focus is given to the components, structure, and function of the human musculoskeletal system.

Human Skeleton

  • The vertebrate skeleton is composed of cartilage or bone, providing an internal supporting framework.
  • It is necessary to uphold and sustain the body against gravity and other external forces.

Cartilage

  • Cartilage is a connective tissue made of chondrocytes and a matrix of type II collagen.
  • Unlike other connective tissues, cartilage lacks blood vessels and receives nutrients via diffusion.
  • Hyaline, elastic, and fibrocartilage are the three types of cartilage tissue in the human body.

Bone

  • Bones provide structural support, protect internal organs and act as a storage place for minerals.
  • Bone is a rigid connective tissue that forms the endoskeleton of vertebrates.
  • Bone resists compression and bending.
  • Bone matrix consists of about 65% inorganic matter (calcium phosphate, carbonate) and 35% organic substances (protein, collagen).

Bone Structure

  • Bone is surrounded by a membrane called the periosteum.
  • Numerous round canals, the Haversian Canals, are found in bone.
  • Concentrically arranged boney plates called Haversian lamellae surround each canal.
  • Calcified matrix with collagen fibers are embedded in the Haversian lamellae.
  • Lacunae, containing bone cells or osteocytes, are spaces between adjacent lamellae.
  • Fine fibers or canaliculi radiate from the lacunae in all directions.
  • The Haversian system includes the Haversian canal with surrounding lamellae, lacunae, and canaliculi.

Bone Marrow

  • Some bones contain soft tissue called bone marrow.
  • Red bone marrow, found in spongy bone, produces red blood cells, platelets, and white blood cells.
  • Yellow bone marrow, found in the shafts of long bones, serves as an energy reserve and consists mostly of fat cells.

Bone Cells

  • Osteoblasts, osteocytes, and osteoclasts are the three types of specialized cells in human bones.
  • Osteoblasts make new bone cells and are responsible for bone growth.
  • Osteocytes regulate mineral homeostasis.
  • Osteoclasts dissolve minerals in bone matrix.

Main Divisions of the Human Skeleton

  • The human skeleton is divided into the axial and appendicular skeletons.
  • At birth, the skeleton consists of about 350 bones, which fuse to 206 in adults.
  • The axial skeleton is the basic framework of the body.
  • The appendicular skeleton includes the extremities.

Axial Skeleton

  • The axial skeleton includes the skull, vertebrae, and ribs.

Skull

  • The skull is a bony structure that supports the face.
  • The skull forms a protective casing cavity for the brain.
  • The bones of the skull are joined by sutures (fibrous joints).
  • There are cranial and facial bones in the skull.

Cranial Bones

  • The cranium consists of 8 bones: frontal, occipital, sphenoid, ethmoid, 2 parietal, and 2 temporal bones.

Facial Bones

  • The 14 facial bones are: Zygomatic (2), Lacrimal (2), Nasal (2), Inferior nasal conchae (2), Palatine (2), Maxilla (2), Vomer, Mandible (jaw).

Middle Ear Bones

  • The middle ear contains the auditory ossicles: malleus, incus, and stapes.

Neck Bone

  • The hyoid bone is a ‘U’ shaped structure.
  • It is located in the anterior neck.

Vertebral Column

  • The vertebral column forms a flexible rod.
  • The vertebral column extends through the length of the trunk.
  • It houses and protects the spinal cord.
  • Humans have 33 vertebrae: 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 4 coccygeal vertebrae.

Ribs

  • Humans have 12 pairs of ribs that articulate with the thoracic vertebrae, forming a protective cage.
  • The first seven pairs are connected to the sternum as true ribs.
  • The next three pairs are indirectly connected to the sternum as false ribs.
  • The lower two pairs are not attached in front and are called "floating ribs".

Appendicular Skeleton

  • Forelimbs, pectoral girdle, pelvic girdle, and the hind limbs make up the appendicular skeleton.

Pectoral Girdle

  • The pectoral girdle consists of a ventral coracoid, scapula, and clavicle.

Forelimbs

  • The forelimbs consist of a humerus, radius, ulna, carpels, metacarpels, and phalanges.

Pelvic Girdle

  • The pelvic girdle attaches to the vertebral column.
  • The pelvic girdle is made of two coxal bones formed by the fusion of the three bones; ischium, illium and pubis.

Hind Limbs

  • Each hind limb consists of a thigh, shank, ankle, and foot.
  • In the hind limb there is a single femur in the thigh, tibia and fibula in the shank, and metatarsals and phalanges in the foot.

Joints

  • Joints or articulations are sites where two or more bones meet.
  • Joints provide mobility and hold the skeletal parts.
  • Fibrous, cartilaginous, and synovial joints are the three types of joints.
  • Structural classification of joints is based on the material binding the bones together and whether or not a joint cavity is present.

Fibrous Joints

  • In fibrous joints, fibrous connective tissue holds the bones firmly.
  • Fibrous joints generally are immoveable and provide strength and support.

Cartilaginous Joints

  • Cartilaginous joints cartilage entirely connects them.
  • These joints allow slight movement and are found between vertebrae.

Synovial Joints

  • Synovial joints are separated by a fluid-containing joint cavity (synovial cavity).
  • This arrangement allows freedom of movement so they are freely movable.
  • Ligaments reinforce and strengthen synovial joints.
  • Hinge and ball-and-socket joints are the two major categories of synovial joints.

Hinge Joints

  • A cylindrical projection of one bone fits into a trough-shaped surface on another in Hinge joints.
  • Hinge joints permit flexion and extension.
  • Elbow and knee joints are examples

Ball-and-Socket Joints

  • The spherical head of one bone articulates with the cuplike socket of another in ball-and-socket joints.
  • The shoulder and hip joints are the most freely moving synovial joints.

Disorders of the Skeleton

  • Disorders of skeleton can result in reduced movement or complete immobility.
  • Deformities may be genetic, hormonal, or due to nutrient deficiency.

Disc Slip

  • Rupture or slippage of a vertebral disc.
  • The intervertebral discs acts as a shock absorber.
  • The leaking jelly-like substance places pressure on the spinal cord.

Spondylosis

  • Degenerative disorder that may cause loss of normal spinal structure and function.
  • Aging is the primary cause.

Sciatica

  • Pain, weakness, numbness, or tingling in the leg.
  • Sciatica is caused by injury to or pressure on the sciatic nerve.

Sprain

  • A sprain is where the ligaments are stretched or torn.

Muscles

  • Muscle tissue is a specialized tissue of mesodermal origin.
  • Three types of muscles exist: skeletal, cardiac, and smooth.

Skeletal Muscles

  • Skeletal muscles are attached to and cover the bony skeleton.
  • Obvious stripes called striations are found within muscles connected to the skeleton.
  • The muscles are under voluntary control.
  • Skeletal muscles are involved in locomotory actions and changes of body postures.

Cardiac Muscles

  • Cardiac muscles are only in the heart. They make up the bulk of the heart walls.
  • Skeletal muscle cells, also cardiac muscle cells are striated, but are involuntary and have single nucleus.
  • Cardiac muscles contract rhythmically.
  • Atria and ventricles contract in the heart to pump blood.

Smooth Muscles

  • Smooth muscles are in the walls of hollow visceral organs, such as the stomach.
  • No striations are present so they are called smooth.
  • Smooth muscles are not subject to voluntary control.
  • Substances are controlled through hollow organs by smooth muscle.

Structure of Skeletal Muscles

  • Muscle bundle makes up the skeletal muscle which is made up of large elongated cells.
  • Muscle fibres are the huge elongated cells that make up the fibers.
  • The sarcoplasm, or cytoplasm, of each fiber is a semi-fluid matrix.

Muscle Contraction

  • Contractility is a fundamental characteristic of living substance.
  • Muscle fibre contraction is described by the sliding filament hypothesis.

Muscle Fibre Relaxation

  • Sarcoplasmic reticulum re-accumulates the calcium ions by active transport.
  • The myosin heads and actin filaments cannot bind.

Antagonistic Muscles

  • When a bone is moved by a given muscle.
  • Antagonistic muscles involves the bone being returned by the other muscle that opposes the movement.

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