Human Anatomy & Physiology

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6BonesStudents.pptx

Skeletal System

Professor Odom

Levels of Organization

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Learning Objectives

List and describe the functions of bones

Describe the classes of bones

Discuss the process of bone formation and development

Discuss the effect of exercise, nutrition, and hormones on bone tissue

Describe how an imbalance of calcium can affect bone tissue

Explain how bone repairs itself after a fracture

Functions of Skeletal System

Supports the body

Provides attachment for muscles to facilitate movement

Protects internal organs and structures

RBC production

Mineral storage

Learning Objectives

List and describe the functions of bones

Describe the classes of bones

Discuss the process of bone formation and development

Discuss the effect of exercise, nutrition, and hormones on bone tissue

Describe how an imbalance of calcium can affect bone tissue

Explain how bone repairs itself after a fracture

Bone Classifications

There are 206 bones in an adult human skeleton

Axial (80) vs. Appendicular (126)

Classifications:

Flat

Long

Short

In terms of shaft length

Sesamoid

Like a seed

Irregular

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Bone Classifications

Bone Classifications
Bone classification Features Function(s) Examples
Long Cylinder-like shape, longer than it is wide Leverage Femur, tibia, fibula, metatarsals, humerus, ulna, radius, metacarpals, phalanges
Short Cube-like shape, approximately equal in length, width, and thickness Provide stability, support, while allowing for some motion Carpals, tarsals
Flat Thin and curved Points of attachment for muscles; protectors of internal organs Sternum, ribs, scapulae, cranial bones
Irregular Complex shape Protect internal organs Vertebrae, facial bones
Sesamoid Small and round; embedded in tendons Protect tendons from compressive forces Patellae

Learning Objectives

List and describe the functions of bones

Describe the classes of bones

Discuss the process of bone formation and development

Discuss the effect of exercise, nutrition, and hormones on bone tissue

Describe how an imbalance of calcium can affect bone tissue

Explain how bone repairs itself after a fracture

Anatomy of Bone

Epiphysis: end of long bone

Proximal

Distal

Diaphysis: Shaft

Metaphysis: Narrow portion between diaphysis and epiphysis, contains growth plate

Periosteum: outer layer (peri=around, osteum=bone)

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Bone Growth

Growth occurs between the diaphysis and the epiphysis in the epiphyseal plate

Epiphyseal plate contains cartilage until growth is complete

Cartilage growth occurs on distal end of plate while bone is added medially

Diaphysis lengthens

When growth is complete, the plate becomes the epiphyseal line

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Bone External Structure / Markings

Bone Markings
Marking Description Example
Articulations Where two bones meet Knee joint
Head Prominent rounded surface Head of femur
Facet Flat surface Vertebrae
Condyle Rounded surface Occipital condyles
Projections Raised markings Spinous process of the vertebrae
Protuberance Protruding Chin
Process Prominence feature Transverse process of vertebra
Spine Sharp process Ischial spine
Tubercle Small, rounded process Tubercle of humerus
Tuberosity Rough surface Deltoid tuberosity
Line Slight, elongated ridge Temporal lines of the parietal bones
Crest Ridge Iliac crest
Holes Holes and depressions Foramen (holes through which blood vessels can pass through)
Fossa Elongated basin Mandibular fossa
Fovea Small pit Fovea capitis on the head of the femur
Sulcus Groove Sigmoid sulcus of the temporal bones
Canal Passage in bone Auditory canal
Fissure Slit through bone Auricular fissure
Foramen Hole through bone Foramen magnum in the occipital bone
Meatus Opening into canal External auditory meatus
Sinus Air-filled space in bone Nasal sinus

Bone Structure: Internal

Internal Structure

Compact (load bearing): densely packed hydroxyapatite

Contains Yellow marrow

Spongy: trabeculae

Better manage stress from multiple directions

Contains Red Marrow

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Bone Structure: Internal

Bone Cavities

Red marrow: site of RBC production

Yellow marrow: filled with adipose

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Bone Structure: Internal

Internal Structure

Compact (load bearing): densely packed hydroxyapatite

Contains Yellow marrow

Spongy: trabeculae

Better manage stress from multiple directions

Contains Red Marrow

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Compact Bone

Organized in Osteons (Haversian System)

Bone (Osseus) Tissues

Osteon (Haversian System): basic structural unit

Central canal/Haversian Canal: contains nerves and vasculature

Concentric lamellae

Pockets in concentric lamellae are lacuna and contain osteocytes

Lacuna are connected to central canal via canaliculi

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Bone Structure: Internal

Internal Structure

Compact (load bearing): densely packed hydroxyapatite

Contains Yellow marrow

Spongy: trabeculae

Better manage stress from multiple directions

Contains Red Marrow

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Spongy Bone

Also contains:

Organized in Osteons (Haversian System)

But in a Trabecular network

Other Important Bone Cells

Important Bone Cells

Bone Cells
Cell type Function Location
Osteogenic cells Develop into osteoblasts Deep layers of the periosteum and the marrow
Osteoblasts Bone formation Growing portions of bone, including periosteum and endosteum
Osteocytes Maintain mineral concentration of matrix Entrapped in matrix
Osteoclasts Bone resorption Bone surfaces and at sites of old, injured, or unneeded bone

Now that we’ve discussed some of the Important Cells related to Bone let’s revisit growth!

Ossification

Ossification is the transition from cartilage to bone (simplified definition)

Types of Ossification:

Intramembranous ossification

Endochondral ossification

Intramembranous Ossification

Intramembranous ossification: compact and spongy bone develops directly from sheets of mesenchymal (undifferentiated) connective tissue.

Where (Examples): flat bones of skull, mandible and clavicle

Remember this??

Connective Tissue Proper: Loose

Loose Connective Tissue

The “packing material” of the body

Fills empty spaces

Cushion & stabilize organs; support epithelia, blood vessels and nerves

Types include

Areolar tissue

Adipose tissue

Reticular tissue

Mesenchyme & Mucous tissue (embryos only)

Adipose

Reticular

Areolar

Connective Tissue Proper:

Loose

Areolar

Adipose

Reticular

Mesenchyme

Dense

Regular

Irregular

Elastic

Fluid

Blood

Lymph

Solid

Bone

Cartilage

Hyaline

Elastic

Fibrocartilage

Produced by the Mesoderm in embryo

Provides multiple uses during development

Intramembranous Ossification

Intramembranous ossification: compact and spongy bone develops directly from sheets of mesenchymal (undifferentiated) connective tissue.

Where (Examples): flat bones of skull, mandible and clavicle

How:

Mesenchymal cells 

Osteoblasts

Cluster together to form a ossification center

Secrete Osteoid (uncalcified matrix)

Calcifies (hardens) as calcium phosphate is deposited around osteoblasts

Osteoblasts Osteoclasts

Ossification

Ossification is the transition from cartilage to bone (simplified definition)

Types of Ossification:

Intramembranous ossification

Endochondral ossification

Skeleton Cartilage

Hyaline Cartilage:

Most abundant

Covers articulating surfaces (joints)

Flexible

Fibrocartilage:

Stiff and tough; absorbs force

Found in intervertebral discs and meniscus

Elastic Cartilage:

Least abundant

Most flexible

Found in ear and epiglottis

Review Slide

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Endochondral Ossification

Endochondral ossification, bone develops by replacing hyaline cartilage. Cartilage does not become bone. Instead, cartilage serves as a template to be completely replaced by new bone. Endochondral ossification takes much longer than intramembranous ossification.

Where: all bones except flat bones of skull, mandible and clavicle

How (long bone):

Week 6-8 of embryonic development Mesenchymal cells 

Chondrocytes precursor of bones (a)

Perichondrium (a membrane that covers the cartilage) appears (b)

Uncalcified matrix grows

Chondrocytes also grow in size

Matrix begins to calcify

Endochondral Ossification

Endochondral ossification, bone develops by replacing hyaline cartilage. Cartilage does not become bone. Instead, cartilage serves as a template to be completely replaced by new bone. Endochondral ossification takes much longer than intramembranous ossification.

Where: all bones except flat bones of skull, mandible and clavicle

How (long bone):

Matrix begins to calcify

Prevents chondrocytes from receiving nutrients

Chondrocyte death and disappear

Blood vessels invade spaces

Enlarges cavity (eventually becomes medullary cavity)

Initiates the transformation of the perichondrium into the bone-producing periosteum

and brings osteogenic cells 

Osteoblasts begin to form

Endochondral Ossification

Endochondral ossification, bone develops by replacing hyaline cartilage. Cartilage does not become bone. Instead, cartilage serves as a template to be completely replaced by new bone. Endochondral ossification takes much longer than intramembranous ossification.

Where: all bones except flat bones of skull, mandible and clavicle

How (long bone):

Osteoblasts begin to form

A periosteal collar of compact bone around the cartilage of the diaphysis

2nd-3rd month of embryonic development primary ossification center forms, a region deep in the periosteal collar where ossification begins (c)

This process continues.

Chondrocytes continue to grow proximally and distally forming the epiphyses and consist of the epiphyseal plate, while osteocytes continue to replace chondrocytes in the diaphysis

Eventually this process occurs in the epiphyseal regions and is referred to as secondary ossification (e)

Cool…we still haven’t answered the question. How do we grow?

Bone Growth

Growth occurs between the diaphysis and the epiphysis in the epiphyseal plate

Epiphyseal plate contains cartilage until growth is complete

Cartilage growth occurs on distal end of plate while bone is added medially

Diaphysis lengthens

When growth is complete, the plate becomes the epiphyseal line

Review Slide

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Bone Growth in Length

The epiphyseal plate is composed of four zones of cells and activity:

Reserve zone 

Proliferative zone

Zone of maturation and hypertrophy

Zone of calcified matrix.

Bone Growth in Diameter

This is called appositional growth. Is controlled by the balance of osteoclasts vs osteoblasts which are stimulated by aging and compressive forces as well as hormones

Osteoclasts resorb old bone that lines the medullary cavity

Osteoblasts produce new bone tissue beneath the periosteum.

The erosion of old bone along the medullary cavity and the deposition of new bone beneath the periosteum not only increase the diameter of the diaphysis but also increase the diameter of the medullary cavity. This process is called modeling.

Learning Objectives

List and describe the functions of bones

Describe the classes of bones

Discuss the process of bone formation and development

Discuss the effect of exercise, nutrition, and hormones on bone tissue

Describe how an imbalance of calcium can affect bone tissue

Explain how bone repairs itself after a fracture

Exercise and Mechanical Stress

Mechanical stress stimulates the deposition of mineral salts and collagen fibers.

The internal and external structure of a bone will change as stress increases or decreases so that the bone is an ideal size and weight for the amount of activity it endures.

That is why people who exercise regularly have thicker bones than people who are more sedentary. The bones undergo remodeling as a result of forces (or lack of forces) placed on them.

Resistance training is especially important to slow down the eventual bone loss due to aging and for preventing osteoporosis.

Hormones that affect Bone Growth

Hormones that have a (+) affect on growth:

GH: increases length and mineralization

Thyroxine: stimulates bone growth

Sex Hormones (E2, T): stimulate growth and osteoblasts

Calcitonin: increases kidney excretion of calcium and inhibits osteoclasts

Calcitriol: stimulates osteoclastic activity and increases absorption of calcium in the gut

Hormones that have a (-) affect on growth:

PTH: stimulates osteoclasts and reabsorption of calcium in the kidney

Calcium and Vitamin D

Bone is made of: Calcium phosphate and calcium carbonate

Calcium needs Vitamin D to be absorbed form the intestines

Sources of Calcium: milk, green leafy vegetables, broccoli, and intact salmon and canned sardines with their soft bones. Nuts, beans, seeds, and shellfish provide calcium in smaller quantities.

Sources of Vitamin D: most commonly acquired from sunlight, supplements and fortified milk.

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Solid Supporting Connective Tissue Cartilage & Bone

Provide a strong framework of support & protection for the body as well as mineral sources

Bone-solid component for attachment, protection, minerals, & RBC production

Organic component: collagen

Inorganic component: calcium phosphate in chemical arrangement called calcium hydroxyapatite

Cartilage-articular surface of joints

Hyaline

Elastic

Fibrocartilage

Review Slide

Learning Objectives

List and describe the functions of bones

Describe the classes of bones

Discuss the process of bone formation and development

Discuss the effect of exercise, nutrition, and hormones on bone tissue

Describe how an imbalance of calcium can affect bone tissue

Explain how bone repairs itself after a fracture

Homeostatic Control of Calcium

Thyroid Gland

Parafollicular cells produce Calcitonin (CT)

Cells monitor concentration of calcium in blood & release calcitonin when blood calcium is too high

Kidneys respond to CT by excreting calcium into urine, reducing blood levels

Tone down Ca2+

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Parathyroid Glands

4 small nodules on the posterior surface of the thyroid gland

Produce PTH (parathyroid hormone)

Released when blood calcium is too low

Kidneys respond by keeping calcium in the blood, and by releasing calcitriol aka vitamin D synthesis

Causing GI to increase absorption

Stimulates osteoclasts that dissolve bone to add calcium to the blood

Homeostatic Control of Calcium

Learning Objectives

List and describe the functions of bones

Describe the classes of bones

Discuss the process of bone formation and development

Discuss the effect of exercise, nutrition, and hormones on bone tissue

Describe how an imbalance of calcium can affect bone tissue

Explain how bone repairs itself after a fracture

Fractured Bone Definitions

A fracture is a broken bone.

Closed reduction is when a broken bone is manipulated and set into its natural position without surgery

Open reduction requires surgery to expose the fracture and reset the bone.

It will heal whether or not a physician resets it in its anatomical position. If the bone is not reset correctly, the healing process will keep the bone in its deformed position.

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Fractured Bone Definitions

Closed: skin remains in tact

Open: one end has penetrated through skin (high infection risk)

Transverse: Occurs in transverse plane, straight across

Spiral: Bones are split as result of twisting motion

Communicated: several breaks with small pieces in between each segment

Impacted: compression that has driven one segment into the other

Greenstick: only one side of bone is broken

Oblique: occurs at a angle that is not 90 degrees

It will heal whether or not a physician resets it in its anatomical position. If the bone is not reset correctly, the healing process will keep the bone in its deformed position.

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Fractured Bones

Types of Fractures
Type of fracture Description
Transverse Occurs straight across the long axis of the bone
Oblique Occurs at an angle that is not 90 degrees
Spiral Bone segments are pulled apart as a result of a twisting motion
Comminuted Several breaks result in many small pieces between two large segments
Impacted One fragment is driven into the other, usually as a result of compression
Greenstick A partial fracture in which only one side of the bone is broken
Open (or compound) A fracture in which at least one end of the broken bone tears through the skin; carries a high risk of infection
Closed (or simple) A fracture in which the skin remains intact

Bone Healing

Hematoma

Internal Callus of fibrocartilage

External Callus of hyaline cartilage

Osteoclasts destroy dead osteocytes, osteoblasts create new osseous tissue and cartilage is replaced

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