BIOL 2401 A & P Lecture Notes Skeletal System Dr. Weis
Skeletal System
Function : support and protection
storage of calcium and phosphorus
production of blood cells in the marrow
movement
Bone and cartilage are supportive connective tissue, that contain cells, fibers, ground substance.
(matrix = fibers + ground substance)
I. Cartilage
temporarily forms the early fetal skeletonpersists over articular surface, parts of the ear, and respiratory passagescontains no nerves or blood vessels
Cells ---> chondrocytes
ground substance ---> proteoglycans
fibers ---> determine the three types of cartilage
1. hyaline : most abundantcollagen fibers predominatechondrocytes are sphericalLocation --> articular, costal, laryngeal, tracheal, bronchial, nasal
2. elastic : looks like hyaline but also has elastic fibers
location --> external ear, epiglottis
3. fibrocartilage : thick collagen fibers, parallel rows of chondrocytesLocation --> in areas under great pressurea. Intervertebral discb. Menisci of knee
II. BONE
A. Gross
1. Structure
Cells ---> osteocytes, osteoblast, osteoclasts
BONE CELLS ::
osteoprogenitor cells : are stem cells
differentiate into osteoblasts
found on inner surface of periosteum
Osteoblast : associated with bone formation
synthesize organic components of matrix
(collagen & glycoproteins called osteoid)
associated with calcification
Osteoclasts : multinucleated giant cells
found at bone surfaces along two linings
(periosteum, endosteum)
cause resorption of bone by dissolving the
matrix by enzymes to release minerals
Collagenous fibers
Inorganic salts (hydroxiapatites) provide hardness and rigidity consist of calcium carbonate (CaCO4)& calcium phosphate (CaPO4 )
Two types of bone matrices laid down by osteoblasts (named for gross appearance)
1. Spongy or cancellous2. Compact or dense
Both present in varying degrees in most bones
Histology :
I. Spongy bone
Spongy bone show slender irregular bars to form a meshwork, whose spaces are filled with bone marrow
Trabeculae will align to stress changes and form an irregular lamellae (layers)
Osteocytes interconnect by canalicui to provide nutrients by diffusion from marrow spaces
II. Compact Bone
Arranged in OSTEONS (* = components of osteon)
* lamella (layers)
Compact bone have lamellae regularly arranged determined by blood vessels
1. concentric --> rings2. interstitial --> incomplete, between rings3. circumferential -> around bone circumference
* central canal : longitudinal channels (Haversian) for blood supply
* osteocytes in lacunae (small spaces)
* canaliculi (channels that interconnect lacunae)
* perforating canals (Volkmann)
A specialized connective tissue membrane lines internal and external bone surfaces.
1.
Endosteum : lines the internal bone surfaces of compact and spongy bone
lines the canals of compact
bone and contains osteoblasts and osteoclasts
2. Periosteum : double fold of C.T.
outer --> outer dense irregular C.T.inner --> contains osteoblasts & osteoclasts
Surrounds the outer bone except at the articular surfaces where there is hyaline cartilage.
Contains blood vessels, lymphatics, nerves
Provides an insertion point for muscles
Extensions of periosteum will form ligaments
Anchored to bone by collagenous bundles known as Sharpy's fibers
B. Classification of Bones
1. Long bones.... longer than they are wide
primarily compact bone with spongy at the epiphysis
i.e. humerus, femur, metacarpals, metatarsals
2. Short bones... boxy, cubelike. Spongy bone covered with a thin layer of compact bone
i.e. wrist (carpals) & ankles (tarsals)
3. Flat bones ... 2 layers of compact bone with spongy in between creating thin and flat surfaces
i.e. skull, ribs, scapula
the flat bones offer a large surface area for skeletal muscle attachment
4. Irregular...complicated shapes. Spongy bone covered with a thin layer of compact bone
i.e. spinal vertebrae
5. Round.... circular/round
i.e. sesmoids, patella
Most Bones will have spongy bone on the inside with compact bone on the outside.
i.e. (Short, flat, irregular, & round)
Long Bone anatomy :
a. Shaft or diaphysis...compact bone with medullary cavity
b. ends or epiphysis... spongy bone primarily with a layer of compact bone covering
c. epiphyseal line (plate)...growth area, cartilage present in young bone
d. periosteum...double membrane -->
outer.....dense, irregular C.T.inner.....osteoblasts, osteoclastscollagen fibers anchor it to boneprovide insertion point for muscles/tendons
e. endosteum... C.T. membrane lining inner
bone surfaces
and trabeculae of spongy bone. Contains
osteoblasts and osteoclasts
f. articular cartilage... hyaline cartilage remains along epiphyseal surface where long bone articulate
Prominent features used to identify bone and create skeletal terminology
a. muscle attachmentb. articular surfaces
Skeletal terms --->
elevations..........processes
projections for attachments........trochanter, tuberosity, crest, spine, tubercle
articulations.......condyle, trochlea, head
depressions.........fossa
openings............foramen, fissure, meatus
III. OSSIFICATION :
A. Osteogenesis
B. Bone Growth
A. Osteogenesis : Bone development --> Two types
1. Intramembranous
Defined as : bone development on or within
a membrane
Starts as a connective tissue sheet, primarily
collagen fibers and mesenchymal cells that line up and differentiate into
osteogenic cells (blasts)
osteoblasts deposits collagenous matrix
around themselves, spread out and
create a bone plate that extend and fuse together to form a network. Once
the osteoblasts are trapped, they become osteocytes
The periosteum will then forms, and in this
region, the trabeculae thicken and eventually are replaced to form compact
(lamellar) bone
Intramembranous examples include -->
flat bone of the skulls, mandible, clavicle
2. Endochondrial
replacement of cartilage by bone
starts with a band shaped area surrounding
the center of the diaphysis and deposits a ring of bone.
At the center of the diaphysis the cartilage
cells that grow larger, secrete calcium in the matrix and shut themselves
off from nutrition.
These cells die, leaving large spaces in the cartilage matrix
Developing blood vessels called periosteal
buds will penetrate the boney ring and grow into these large spaces and open
up cavities.
These formed cavities will be the primary marrow spaces. The periosteal buds
(containing artery, vein, nerves and lymphatics) will carry osteoblasts and osteoclasts
that will line up on the surface of the cartilage matrix and continue the
process as seen in INTRAMEMBRANOUS growth.
This deposition of bone in the center of the diaphysis constitutes a primary
ossification center.
This
process extends toward both ends of cartilage, and the same type process almost
occurs in the epiphyseal region and is known as the second center of ossification.
In this region, spongy bone is retained (not replaced by compact bone) and
no medullary cavity forms.
Cartilage will be replaced by bone except
1. at articular surface2. epiphyseal plate --> is an active site that forms cartilage and will be calcified and replaced by bone.
B. BONE GROWTH
occurs Longitudinally (length) @ epiphyseal plates
Appositionally (width) at endosteal/periosteal surfaces
The process called LONGITUDINAL BONE GROWTH causes an increase in length.
When growth ceases, the plate will be replaced by bone. The plate line can still be seen in adult bones.
To increase the bone diameter, APPOSITIONAL GROWTH occurs by deposition of new periosteal bone that forms intramembranously.
Examples of bone growth are seen in the long bones.
IV. Histophysiology :: The importance of vitamins and hormones
A. VITAMIN D
1. Deficiency of vitamin D results in a faulty resorption of calcium and therefore a decrease in phosphate.
The cartilage matrix fails to ossify and the epiphyseal plate becomes thick and irregular.
in children the deficiency is called Rickets in adults it is known as OSTEOMALACIA (bone softening due to the decrease in calcium content)
B. VITAMIN C
deficiency is called scurvy and causes a decrease production of bone matrix and destruction of osteocallagenous fibers making bones weak and brittle.
C. VITAMIN A
a deficiency causes osteoblasts to not synthesize the bone matrix normally, and causes a decrease in the rate of growth and can interfere with remodeling.
D. VITAMIN B12 (Cobalamin)
coenzyme in the synthesis of nucleic acids (and therefore proteins, some for bone)
E. HORMONES
1. Growth hormone (GH)
from anterior pituitaryessential for normal growth, works with somatomedins from the liverlack of GH causes Dwarfismexcess of GH causes Gigantism
2. Thyroid Hormones (T3, T4)
works with GH and promotes osteoblast activity
3. Parathormone ---> Parathyroid glands
regulates bone reabsorption by controlling osteoblastscontrols the release of calcium into the bloodand will respond to decrease in serum (blood) calciumtherefore, will release calcium from bone and cause a reabsorption of calcium from the kidneys.
4. Calcitonin ---> from C-cells of thyroid gland
inhibits resorption and calcium mobilization by controlling osteoclastsinvolved in calcium deposition
5. Sex hormones ---> (estrogen, testosterone)
production cause the closure of the secondary centers of ossification.
V. Remodeling, Reconstruction, and Repair
The bone architecture is NOT static, areas are locally destroyed and reformed.
Remodeling results from resorption in certain areas and deposition of new bone elsewhere.
Resorption is associated with osteoclasts causing enzymatic lysis known as OSTEOLYSIS.
Fracture :
Classification based on
body surface exposure (open or closed)
patterns created by different forces ( see next page)
Repair after a fracture ::
1. Hemorrhage and clotting2. granulation tissue forms, known as a PROCALLUS3. changes to dense fibrous C.T. and then cartilage that temporarily forms a CALLUS4. osteoblasts lay down spongy bone that replaces the temporary cartilage callus as seen in Endochondrial ossification5. continuous remodeling by osteoblasts and osteoclasts
VII. Aging and Bone diseases
A. Aging due to inadequate ossification --> thin, weak, called osteopenia
B. Diseases :
1. Osteopetrosis -- hereditary disease characterized by an abnormally dense bone, due to faulty reabsorption2. Osteoporosis -- reduction of bone mass, the bone becomes fragile and breaks and bone resorption outpaces bone deposition3. Osteomyelitis -- bacterial infection in the bone starts in the Haversian canals and can spread to marrow and periosteum4. Osteomalacia -- soft, weak bonesinadequate mineralization due to lack of calcium salt deposition due to decreased calciumaka... Rickets
Fracture Patterns :
Based on location and pattern created.Sometimes will reference the actual boneOpen and closed fracture references only deal with the skin.