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hGH- (from Pituitary Gland) BONE GROWTH - hGH hGH- (from Pituitary Gland) Increases size of all organs (including brain) Increases Protein Synthesis: Builds up Body Affected by exercise, nutrition, sleep Increases osteoblast activity Stimulates growth of cartilage in the epiphyseal plate
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Bone Growth and Fractures
BONE GROWTH - hGH
• Increases size of all organs (including brain)
• Increases Protein Synthesis: Builds up Body
• Affected by exercise, nutrition, sleep
• Increases osteoblast activity• Stimulates growth of
cartilage in the epiphyseal plate
1.hGH- (from Pituitary Gland)
Disorder: Gigantism- excess growth from too much hGH during childhood, before epiphyseal plates have closed
BONE GROWTH
BONE GROWTH
Bone GrowthAcromegaly- adult condition, ↑ hGH
after Epiphyseal plate closure, disfigured face, pronounced jaw and brow, swelling of internal organs
• most common cause: benign tumor of pituitary gland
• treatment: surgery
BONE GROWTH -
Causes elongation of bones through chondrocytes cell division at the epiphyseal plate and stimulates osteoblast activity
2. Thyroid Hormone (from Thyroid Gland)
• Estrogen and Testosterone (Male and Female Sex hormones – from ovaries /testes + adrenal glands )-at puberty released in larger quantities-increasing osteoblast activity and synthesis matrix-responsible for “growth spurts” teen yrs.- Levels of Estrogens (♀)/Androgens(♂) at the end of puberty cause epiphyseal plate to close (epiphyseal line)
BONE GROWTH
FACTORS AFFECTING NORMAL BONE GROWTH A. DIET
1. Minerals• CALCIUM & PHOSPHORUS (& traces of fluoride,
magnesium, iron, manganese) for deposition into matrix
Broccoli, Nuts, Seeds, Legumes, Grains, Dairy, Garlic, Chicken and Turkey
FACTORS AFFECTING NORMAL BONE GROWTH
A. DIET
2. vitamins• VITAMIN D stimulates
absorption & transport of Ca2+ into blood - can be synthesized by skin in presence of UV light or taken in through diet
(10-15 mins 2X/week on face, arms + hands)
(4 glasses milk/day or 1 serving fatty fish)
FACTORS AFFECTING NORMAL BONE GROWTH A. DIET• VITAMIN D: Deficiency Rickets
in Children/ Osteomalacia in Adults-Affects long bones: Bowed Legs, Fragile bones, Impaired growth, Dental problems, Bone pain, Muscle weakness
Rickets
Rickets• Caused by Vitamin D deficiency in childhood• Vit D crucial for calcium and phosphorus absorption in
digestive tract• Not enough minerals so bones are too flexible• During Industrial Revolution, a lot of children who
worked in factories (little exposure to sunlight and malnourished)
• Starting to increase again in urban US because spending so much time in doors and drinking soda instead of milk
FACTORS AFFECTING NORMAL BONE GROWTH
A. DIET
VITAMIN A balance between deposition and resorption, stimulates osteoblast activity liversweet potatoscarrotsmangoesspinachcantaloupedried apricotsmilkegg yolksmozzarella cheese
FACTORS AFFECTING NORMAL BONE GROWTH
A. DIET• VITAMIN C necessary for collagen synthesis,
normal bone growth, maintenance, & healing
SCURVYSymptoms – spots on skinspongy gumsbleeding from mucous membranes
BONE REMODELING- continual trading of Ca2+ between blood & bones;
bones are continually remodeled with spongy bone being replaced every 3-4 years and compact bone every 10 years
BONE REMODELINGA. BONE DEPOSITION: osteoblasts build
bone & deposit Ca2+ and collagen
BONE REMODELINGB. BONE RESORPTION: osteoclasts break
down bone (acids and enzymes) & release Ca2+ into blood
BONE REMODELING*TOO MUCH Dietary Ca2+ can lead to “bone spurs”
(Ca2+ deposits) and muscle weakness, heart failure*TOO LITTLE Dietary Ca2+ can lead to brittle,
weakened bones, muscle spasms
BONE REMODELING- *Major Factors Influencing Remodeling:A. STRESS RESPONSE • osteoblast formation stimulated by physical stress
(exercise) from gravitational and mechanical forces
BONE REMODELING- *Major Factors Influencing Remodeling:A. STRESS RESPONSE • CALCITONIN (thyroid gland) is released and inhibits
osteoclast activity and encourages osteoblast’s activity and calcium deposition from blood into bone
BONE REMODELING- *Major Factors Influencing Remodeling:A. STRESS RESPONSE
B. BLOOD CALCIUM & PHOSPHORUS CONCENTRATION HOMEOSTASIS
• P5+ needed for phosphates (PO43-) which
contribute to ATP, DNA, & RNA
BONE REMODELING- *Major Factors Influencing Remodeling:B. BLOOD CALCIUM & PHOSPHORUS CONCENTRATION HOMEOSTASIS
• Ca2+ needed for normal functioning in:MUSCLES & NERVES BLOOD CLOT RESPONSEGLANDULAR SECRETIONS CELL DIVISION
Ca2+ Regulation Flow Chart:• (bones = storage tank for Calcium (Ca2+))• CALCITONIN (THYROID GLAND) secreted when
blood calcium– inhibits osteoclasts– Stimulates osteoblasts
• PARATHYROID HORMONE (PARATHYROID GLANDS) secreted when blood calcium – stimulates osteoclasts– Inhibits osteoblasts
Thyroid and Parathyroid Glands
Blood Calcium Level
Low
Calcitonin
High
Parathyroid hormone
Ca2+ added to blood
Ca2+ remains in bones Osteoclasts inhibited
Osteoclasts stimulated
AGINGloss of Ca2+ over time (mostly due to hormonal changes)• -in females age ~ 30 (accelerates 40-45)• -in males age ~ 60
loss of protein (organics) from bone matrix = overall weakening of bone tissue
Bone Density• Some studies show peak bone density may be
reached by age 15– After age 15 bone density only slightly increases
• Mid 30’s bone density begins to decline 1% /year – menopause ↓ (decreases osteoblast activity) – impact activities stimulate osteoblasts ↑
-soccer + basketball better than running-strength training – great-swim/cycle need to do other activities if possible-walking pretty good*don’t specialize in one sport
• Need sex hormones for osteoblast activity
OSTEOPOROSISRISK FACTORS• AGE (Dec. Hormones)
-Bones need sex hormones (stimulate osteoblasts) to maintain density-estrogen drops dramatically ♀, in ♂ testosterone declines gradually male menopause
• EATING DISORDERS• LACK OF EXERCISE• Ca2+ Deficiency• VITAMIN D Deficiency• DRUGS (Alcohol, Smoking, some
Diuretics, etc.)
Bone Fractures and Healing
1. If it is a fracture, what type is it? If it’s not a fracture, what’s the injury?
2. List ALL of the bones present in the x-ray and underline which, if any, are the fractured bone
Answer these questions for each patientCan work in groups of 1-3
Bone Healing Stages