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Chapter 6
The Skeletal System
61
Anatomy
Undergraduate 3
10/21/2012

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Term
Functions of the Skeletal System
Definition
Support - for the body and soft organs
Protection - for brain, spinal cord, and vital organs
Movement - levers for muscle action
Storage - minerals (calcium and phosphorus) and growth factors
Blood cell formation - (hematopoiesis) in marrow cavities
Triglyceride (energy) storage- in bone cavities
Hormone production: - Osteocalcin
Term
Skeletal Cartilage
Definition
- contain no blood vessels or nerves
- dense connective tissue girdle of perichondrium contains blood vessels for nutrient delivery to cartilage
Term
Growth of cartilage
Definition
Term
Hyaline cartilages
Definition
Provide support, flexibility, and resilience
Most abundant type
Term
Elastic cartilages
Definition
Similar to hyaline cartilages, but contain elastic fibers
Term
Fibrocartilages
Definition
Collagen fibers—have great tensile strength
Term
Appositional growth of cartilage
Definition
Cells secrete matrix against the external face of existing cartilage
Term
Interstitial growth of cartilage
Definition
Chondrocytes divide and secrete new matrix, expanding cartilage from within
Term
Calcification of cartilage
Definition
occurs during normal bone growth & old age
Term
why is cartilage not bone?
Definition
Term
Long bone
Definition
Longer than they are wide
Term
Short bone
Definition
Cube-shaped bones (in wrist and ankle)
Sesamoid bones (within tendons, e.g., patella)
Term
Flat bone
Definition
Thin, flat, slightly curved
Term
Irregular bone
Definition
Complicated shapes, sutural bones
Term
Compact bone
Definition
Dense outer layer
Term
Spongey bone
Definition
Honeycomb of trabeculae
Term
Diaphysis (shaft)
Definition
Compact bone collar surrounds medullary (marrow) cavity
Medullary cavity in adults contains fat (yellow marrow)
Term
Epiphyses
Definition
Expanded ends
Spongy bone interior
Epiphyseal line (remnant of growth plate)
Articular (hyaline) cartilage on joint surfaces
Term
Periosteum
Definition
Outer fibrous layer
Inner osteogenic layer
Osteoblasts (bone-forming cells)
Osteoclasts (bone-destroying cells)
Osteogenic cells (stem cells)
Nerve fibers, nutrient blood vessels, and lymphatic vessels enter the bone via nutrient foramina
Secured to underlying bone by Sharpey’s fibers
Term
Endosteum
Definition
Delicate membrane on internal surfaces of bone
Also contains osteoblasts and osteoclasts
Term
Osteoblast
Definition
bone-forming cells
Term
Osteocyte
Definition
mature bone cells
Term
Osteoclast
Definition
bone-destroying cells that resorb bone matrix
Term
Osteon (compact bone not spongey)
Definition
structural unit
Term
Osteogenic cells
Definition
stem cells in periosteum and endosteum that give rise to osteoblasts
Term
Yellow marrow
Definition
Medullary cavity in adults contains fat (yellow marrow)
Term
Red marrow
Definition
Trabecular cavities of the heads of the femur and humerus
Trabecular cavities of the diploë of flat bones
Red marrow of newborn infants
Medullary cavities and all spaces in spongy bone
Term
Ostification of Bone Stages
Definition
bone tissue formation*
Bone formation—begins in the 2nd month of development
Postnatal bone growth—until early adulthood
Bone remodeling and repair—lifelong
Term
inorganic vs organic w/respect to calcium cells, osteoid -- short answer
Definition
Term
intramembraneous ossification
Definition
(Fig 6-8)
Membrane bone develops from fibrous membrane
Forms flat bones, e.g. clavicles and cranial bones
Term
endochondral ossification
Definition
(Fig 6-9)
Cartilage (endochondral) bone forms by replacing hyaline cartilage
Forms most of the rest of the skeleton
Term
interstitial bone growth
Definition
length of long bones
Term
appositional bone growth
Definition
thickness and remodeling of all bones by osteoblasts and osteoclasts on bone surfaces
Term
What controls continual remodeling of bone?
Definition
Hormonal mechanisms that maintain calcium homeostasis in the blood
Mechanical and gravitational forces
Term
what regulates bone growth (hormones PTH, Calcium, etc)
Definition
Term
Wolf’s law with mechanical stress
Definition
A bone grows or remodels in response to forces or demands placed upon it
Term
What classifies bone fractures?
Definition
1. Position of bone ends after fracture
2. Completeness of the break
3. Whether or not the bone ends penetrate the skin
Term
repairing fractures (4 steps)
Definition
1. Hematoma forms
Torn blood vessels hemorrhage
Clot (hematoma) forms
Site becomes swollen, painful, and inflamed

2. Fibrocartilaginous callus forms
Phagocytic cells clear debris
Osteoblasts begin forming spongy bone within 1 week
Fibroblasts secrete collagen fibers to connect bone ends
Mass of repair tissue now called fibrocartilaginous callus

3. Bony callus formation
New trabeculae form a bony (hard) callus
Bony callus formation continues until firm union is formed in ~2 months

4. Bone remodeling
In response to mechanical stressors over several months
Final structure resembles original
Term
osteoporosis
Definition
Loss of bone mass—osteoclasts (eating bone) working harder than osteoblasts (forming bone)
Spongy bone of spine and neck of femur become most susceptible to fracture
Risk factors
Lack of estrogen, calcium or vitamin D; petite body form; immobility; low levels of TSH; diabetes mellitus
Term
heterotrophic bone formation
Definition
Term
marfan syndrome
Definition
cartilage is being stimulated to forms & elongate
Term
dwarfism
Definition
Term
Steps of Ossification
Definition
Term
Calcium is necessary for:
Definition
Transmission of nerve impulses
Muscle contraction
Blood coagulation
Secretion by glands and nerve cells
Cell division
Term
Observations supporting Wolff’s law:
Definition
Handedness (right or left handed) results in bone of one upper limb being thicker and stronger
Curved bones are thickest where they are most likely to buckle
Trabeculae form along lines of stress
Large, bony projections occur where heavy, active muscles attach
Term
Nondisplaced vs. Displaced Fracture
Definition
Nondisplaced—ends retain normal position
Displaced—ends out of normal alignment
Term
Complete vs. Incomplete Fracture
Definition
Complete—broken all the way through
Incomplete—not broken all the way through
Term
Compound vs. Simple
Definition
Compound (open)—bone ends penetrate the skin
Simple (closed)—bone ends do not penetrate the skin
Term
Osteomalacia and rickets
Definition
Calcium salts not deposited
Rickets (childhood disease) causes bowed legs and other bone deformities
Cause: vitamin D deficiency or insufficient dietary calcium
Term
Paget's Disease
Definition
Excessive and haphazard bone formation and breakdown, usually in spine, pelvis, femur, or skull
Unknown cause (possibly viral)
Term
Comminuted Fracture
Definition
bone fragments into three or more pieces
*common in aged whose bones are more brittle
Term
Compression Fracture
Definition
bone is crushed
*common in porous bones (osteoporosis) subjected to extreme trauma
Term
Spiral fracture
Definition
Ragged break occurs when excessive twisting forces are applied to bone
*common sports injury
Term
Epiphyseal fracture
Definition
epiphysis separates from diaphysis along the epiphyseal plate
*tends to occur where cartilage cells are dying and calcification of the matrix is occurring
Term
Depression fracture
Definition
broken bone portion is pressed inward
*skull fracture
Term
Greenstick fracture
Definition
bone breaks incompletely like a green twig; one side breaks the other bends
*common in children whose bones have a relatively organic matrix and are more flexible than adults
Term
Pott fracture
Definition
occurs at the ankle and effects both bones of the leg
Term
Transverse fractures
Definition
break a bone shaft across its long axis
Term
Displaced fracture
Definition
produce new and abnormal bone arrangements
Term
Nondisplaced fracture
Definition
retains normal alignment of bones or fragments
Term
Colles fracture
Definition
a break in the distal portion of the radius; typically occurs as a result of reaching out to cushion a fall
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