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Chapter 7. Skeleton & Skeletal Structure. Function. Support – provide surfaces for anchoring soft organs. Protection – skull, ribs, vertebrae Movement – anchor muscles; joints are pivot places, bones are levers. Storage – fat, minerals (Ca, P, K, Na, S, Mg, Cu,); 2/3 of bone weight.
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Chapter 7 Skeleton & Skeletal Structure
Function • Support – provide surfaces for anchoring soft organs. • Protection – skull, ribs, vertebrae • Movement – anchor muscles; joints are pivot places, bones are levers
Storage – fat, minerals (Ca, P, K, Na, S, Mg, Cu,); 2/3 of bone weight Hematopoiesis – red marrow makes RBC’s, WBC’s, platelets in adults; liver & spleen in infants
CLASSIFICATION Compact • Type of bone tissue: • Compact – dense & smooth • Spongy (cancellous) – open spaces with “girders” Spongy
Shape • Long bones – (femur, humerus, phalanges, etc.); compact; shaft w/2 ends; act as levers
Short bones – (carpals, tarsals); cube-like • often embedded in joints to articulate tendons
spongy w/compact on surface • bones glide across one another in multiple directions
Flat bones (cranium, ribs, shoulder) • protect soft organs • provide for large muscle attachment • 2 compact bone surfaces w/spongy in between
Structure of a Flat Bone • External and internal surfaces composed of compact bone • Middle layer is spongy bone and bone marrow • Skull fracture may leave inner layer of compact bone unharmed
Irregular(bones of the inner skull, vertebrae, hip) • varied for articulation with muscles, tendons, and ligaments
STRUCTURE (Gross) • Diaphysis – shaft • cylinder of compact bone • Covered with periosteum • Medullary cavity – center of bone • yellow marrow found here (fat) • Lined with endosteum
Epiphysis – ends of long bones spongy with red marrow covered by compact bone and hyaline cartilage Epiphyseal disk (plate) – ends of long bones; covered in hyaline cartilage, points of growth; replaced by bone at time of growth = epiphyseal line Predictable growth rates
Endosteum – membrane lining the inside of shaft; contains: • Osteoblasts – bone forming cells on the outside • Osteoclasts – bone resorption cells on the inside
Periosteum – outer membrane on the diaphysis • Articular Cartilage – ends of articulating long bones; cushions and absorbs stress • Nutrient Formina – holes for blood vessels and nerves
Structure of a Long Bone • Compact and spongy bone • Marrow cavity • Articular cartilage • Periosteum
STRUCTURE (Microscopic) • Haversian system (osteon) – structural unit of bone; consists of: • Hard bone matrix arranged in rings (lamellae) • Central canal (Haversian canal) through which vessels run
Volkmann’s canals – perpendicular to Haversian canals; connects nerves and blood vessels to periosteum • Osteocytes – spider-shaped; lie in lacunae • Canaliculi – canals that link lacunae to each other and to Haversian canals
Spongy – consists of trabeculae (fibers) • Irregularly arranged lamellae and osteocytes • No osteon present
CHEMICAL COMPOSITION • Organic • contributes to bone structure • helps resist stretch and twist forces (tensile strength) • 1/3 of bone matrix is organic • consists of: proteoglycans, glycoproteins, and collagen. Material is secreted by osteoblasts
Inorganic • 2/3 of bone weight • contributes to bone hardness (compression strength) • Mineral salts (Ca3PO4, CaOH2, CaCO3) • Can resist 25,000 lb/in2 of compression and 15,000 lb/in2 of tension • Lasts well past death Low calcium = porous bones
Bone Growth • Pts of skeleton begin to form within first few weeks of prenatal development
BONE GROWTH • Longitudinal Growth (length) • Chondroblasts slow their growth at the distal end of the epiphysis • The chondroblasts are replaced by osteocytes • Growth stops when the epiphyseal plates fuse with the bone; occurs in late adolescence
Appositional growth (diameter) Thickness can continue with stress from excessive muscle activity and/or body weight; accomplished through the antagonistic actions of osteoclasts and osteoblasts
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Hormonal Regulation • Human Growth Hormone – stimulates mitosis at epiphyseal plates
Sex hormones – causes growth spurts; molds male and female skeletons • Girls grow faster than boys and reach full height earlier (estrogen stronger effect) • Boys grow longer and taller • Use of anabolic steroids causes growth plate to close prematurely
Hypo- or hypersecretions – can cause “gigantism” or “dwarfism”
Dwarfism • Achondroplasia • long bones stop growing in childhood • normal torso, short limbs • spontaneous mutation during DNA replication • failure of cartilage growth • Pituitary • lack of growth hormone • normal proportions with short stature
REMODELING • Occurs at the tissue level, not at the cellular level as in other systems • Deposition and Resorption results in remodeling • Unequal by area – for example the femur is replaced every 5-6 months
Deposition • occurs at an area of stress or breakage • Osteoblasts put bone material down on the outside surface of the bone • Dental braces reposition teeth and remodel bone through pressure variances
Abnormal calcification (ectopic) may occur in lungs, brain, eyes, muscles, tendons or arteries (arteriosclerosis)
Resorption – Osteoclasts absorb bone material from the inside of the bone • Control • Hormonal through a negative feedback mechanism
PTH (parathyroid hormone) is released when calcium levels in the blood are low • This causes osteoclast activity to increase • When Ca+ levels rise, osteoclast activity ceases
Calcitonin is released when Ca+ levels are high; this inhibits bone resorption and stimulates osteoblasts to put bone material down on the outside of the bone.
When Ca+ levels fall, calcitonin release is stopped • This mechanism balances Ca+ levels in the blood. • Calcium needed in neurons, muscle contraction, blood clotting and exocytosis • ~1100g in adult skeleton • plasma concentration is ~ 10 mg/dL
Hormonal Control of Calcium Balance • PTH and calcitonin maintain normal blood calcium concentration.
Ca+ is absorbed from food in the intestines in the presence of activated Vitamin D. • Abnormal softness (rickets) in children and (osteomalacia) in adults without vitamin D
Mechanical/gravity/stress causes remodeling • Wolff’s law • bone grows or remodels in response to forces or stress • stress causes minute electrical currents to be produced in the bone • currents accelerate osteoblast activity • thus the use of exercise for those with osteoporosis.
Hormones determine whether or when remodeling occurs • Mechanical stress determines where remodeling occurs.
REPAIR • Required when trauma, pathology has occurred • Fracture – treated by “reduction” • Closed reduction – manipulation of ends of bones outside the skin to align ends • Open reduction – requires surgery and wires/pins • Traction – risks long-term confinement
Phases of Repair 1. Hematoma formation – blood clot; cells die (hours) 2. Callus formation – forms soft tissue then a callus; capillaries grow, phagocytes eat up callus (days)