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5-2
Bone Functions
• Support
• Protection
• Assistance in movement
• Mineral storage and release
• Blood cell production
• Triglyceride storage
5-3
Bone Chemistry
• Water (25%)
• Organic Constituent (~25%)– Collagen.
• A fibrous protein that provide flexibility.
• Inorganic Constituent (~50%)– Calcium phosphate and calcium carbonate.
• Mineral salts that provide hardness.
5-4
Bone Cell Types
• Osteogenic cells- stem cells.
• Osteoblasts- bone building cells, secrete matrix & collagen fibers.
• Osteocytes- mature bone cells that no longer secrete matrix.
• Osteoclasts- bone digestion.
5-7
Histology of Compact Bone• Concentric Lamellae- calcified matrix surrounding a vertically
oriented blood vessel.• Lacuna- a small hollow space, contains osteocytes.• Canaliculus- a small channel filled with extracellular fluid that
connects lacunae to each other, and to the central canal.• Central Canal- a circular channel that contains blood and lymphatic
vessels, and nerves.
5-9
Spongy Bone • Trabeculae- latticework of thin plates of bone.• Spaces in between the lattice are filled with red marrow,
which is where blood cells and platelets develop.• Location- found near ends of long bones and inside flat
bones. i.e. hipbones, sternum, sides of skull, and ribs.
Histology- no true osteons.
5-11
Bone Growth in Length
• Epiphyseal plate– Cartilage cells in this plate divide
rapidly.
– Zone of proliferating cartilage.
• Between ages 18-25, the epiphyseal plates close.– Cartilage cells in the plate stop
dividing and bone replaces the cartilage.
• Growth in length stops at age 25.
5-13
Factors Affecting Bone Growth 1
• Nutrition– Adequate levels of vitamins and minerals.
• Calcium and phosphorus for bone growth.
• Vitamin C for collagen formation.
• Vitamins K and B12 for protein synthesis.
5-14
Factors Affecting Bone Growth 2
• Hormones– During childhood growth
factors stimulate cell division.• Human growth hormone (hGH)
• Thyroid hormones
• Insulin
– Sex steroids at puberty initiate male and female characteristics.
5-15
Hormonal Abnormalities
• Oversecretion of hGH during childhood produces giantism.
• Undersecretion of hGH or the thyroid hormones during childhood produces dwarfism. – The epiphyseal plate closes before normal
height is reached.
• Estrogen is responsible for closing the growth plate.– Both men and women that lack estrogen
receptors on cells grow taller than normal.
5-16
Bone Remodeling
• Bone Remodeling- the ongoing replacement of old bone tissue by new bone tissue.
• Resorption and Deposition– Osteoclasts- removal of
minerals and collagen.• 4% per year in compact bone.
• 20% per year in spongy bone.
– Osteoblasts- deposition of minerals and collagen.
5-17
Aging and Bone Tissue
• Demineralization- loss of minerals. – Very rapid in women 40-45 as estrogen levels decrease.
– In males, begins after age 60, but is gradual.
• Decrease in protein synthesis– Decrease in growth hormone.
– Decrease in collagen production, which gives bone its tensile strength, this causes bone to become brittle and susceptible to fracture.
5-19
Osteoporosis• Decreased bone mass resulting in porous bones.
• Those at risk– White, thin, menopausal, smoking, drinking females with a
family history.
– Athletes who are not menstruating due to reduced body fat and decreased estrogen levels.
– People allergic to milk or with eating disorders whose intake of calcium is low.
• Prevention or decrease in severity of osteoporosis.– Adequate diet, weight-bearing exercise, and estrogen
replacement therapy (for menopausal women).
– Behavior when young may be most important factor.
5-20
Exercise and Bone Tissue• Mechanical Stress- the pull on bone by skeletal
muscle and gravity.• Mechanical stress increases deposition of mineral
salts and collagen production.
5-21
Lack of Mechanical Stress Results in Bone Loss.
5-23
Fracture- any break in a bone.• Named for shape or position
of fracture line.• Common fracture types:
– Open fracture- skin broken.
– Comminuted- broken ends of bones are fragmented.
– Greenstick- partial fracture.
– Impacted- one side of fracture driven into the interior of other side.
– Pott’s- distal fibular fracture.
– Colles’- distal radial fracture.
– Stress fracture- microscopic fissures from repeated strenuous activities.
5-24
Developmental Anatomy
Bone- derived from the Mesoderm germ layer.
5th Week= limb bud appears as mesoderm covered with ectoderm.
6th Week= constriction produces hand or foot plate, skeleton now totally cartilaginous.
7th Week= endochondral ossification begins.
8th Week= upper & lower limbs visible.
5-25
• Joint- a point of contact between– Two bones – Bone and cartilage – Bone and teeth
• Joint= articulation=arthrosis.
• Arthrology- the scientific study of joints.
• Synovial Cavity- the space between articulating bones.
Joints
5-26
Classification of Joints
• Structural classification based upon:– 1) Type of connective tissue holding bones together.– 2) Presence or absence of space between bones.
• Fibrous joint- collagen fibers, no space.
• Cartilaginous joint- cartilage, no space.
• Synovial joint- dense irregular connective tissue, space.
• Functional classification based upon movement: – Synarthrosis- immovable.– Amphiarthrosis- slightly movable.– Diarthrosis- freely movable.
5-27
Synovial Joints• Synovial cavity separates articulating bones.
• Freely movable (diarthroses).
• Articular cartilage– Reduces friction.
– Absorbs shock.
• Articular capsule– Surrounds joint.
– Thickenings in fibrouscapsule called ligaments.
• Synovial membrane– Inner lining of capsule.– Secretes synovial fluid
containing hyaluronic acid (slippery).
5-28
Hinge Joint
• Convex surface of one bone fits into concave surface of 2nd bone.
• Monoaxial movement, like a door hinge.
• Movements-– Flexion- decreasing the joint angle.
– Extension- increasing the angle.
– Hyperextension- opening the joint beyond the anatomical position.
• Examples– Knee, elbow, ankle, interphalangeal joints.