New Notes CH 06
New Notes CH 06
New Notes CH 06
Bone Tissue
Instructor- Rebecca Zaman
Spring-2017
The two major tissues are bone (osseous tissue) and cartilage. Bone is a highly
vascularized C.T. with a hard, mineralized extracellular matrix. It is found in the
body in two different arrangements:Compact bone – most of the bone in this
graphic is compact bone.Spongy bone is seen as the less organized tissue along
the left margin (with the spicules).
Compact bone is good at providing protection and support.It forms the diaphysis
of long bones, and the external layer of all bones.
Spongy bone is lightweight and provides tissue support .It forms much of the
epiphysis and the internal cavity of long bones.
Articular cartilage is the thin layer of hyaline cartilage covering the epiphysis of
long bones.Articular cartilage is found where the bone forms an articular (joint)
surface -where one bone moves against another bone.
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The periosteum is a tough sheath of dense, irregular connective tissue on the
outside of the bone.It contains osteoblasts that help the bone grow in
thickness,but not in length.It also assists with fracture repai and serves as an
attachment point for tendons and ligaments.
The endosteum is a membrane that lines the medullary cavity .The endosteum is
composed of osteoclasts, osteoblasts, and connective tissue.
Chondrocytes are cells that form cartilage.As we will soon see, many of the major
bones are formed from cartilage (the remainder do not go through a
cartilaginous stage.)
Osteoblasts are bone building cells: They synthesize and secrete collagen fibers
and other organic components.
Osteoclasts are large bone breakdown cells.As white blood cells, osteoclasts
migrated from the bonemarrow to become “fixed macrophages” in the substance
of the bone.
Besides bone and cartilage, the skeletal system contains other important tissues:
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Inorganic hydroxyapatite crystals (mineral salts)-Calcium Phosphate
(Ca3PO4)2,Calcium Carbonate (CaCO3 – marble) ,Other trace elements:
magnesium, fluoride, sulfate.
The epiphyses form the distal and proximal ends of a long bone.
The metaphyses are the areas where the epiphyses and diaphysis join.
In adolescents, through the end of active growth, the epiphysis of the long bones
contains hyalinecartilage and forms an “epiphyseal growth plate”. The growth
plate is always actively dividing and causing the bone to elongate from each end.
Interstitial lamellae between osteons are left over fragments of older osteons.
Lacunae are small spaces between the lamellae which house osteocytes.
Canaliculi are small channels filled with extracellular fluid connecting the
lacunae.Blood and lymphatic vessels are found in the osteon’s Central canal.
Perforating (Volkmann’s) canals allow transit of these vessels to the outer cortex
of the bone.
Spongy bone lacks osteons. Instead, lamellae are arranged in a lattice of thin
columns called trabeculae.Trabeculae of spongy bone support and protect the
red bone marrow and are oriented along lines of stress (helps bones resist
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stresses without breaking).Hematopoiesis (blood cell production) occurs in
spongy bone.
Within each trabecula of spongy bone are lacunae .As in compact bone, lacunae
contain osteocytes that nourish the mature bone tissue from the blood circulating
through the trabeculae.The interior of long bones is made up primarily of spongy
bone. The use of spongy bone lessens overall bone weight.
Blood and Nerve Supply of Bone-Bone is richly supplied with blood; Periosteal
arteries and veins supply the periosteum and compact bone.
Nerves accompany the blood vessels (this is often the case.)The periosteum is rich
in sensory nerves sensitive to tearing or tension (as anyonewho has bruised their
shin will tell you!)
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Ossification contributing to bone length is usually complete by 18-21 years of age.
Bones can still continue to thicken and are capable of repair even after the
epiphyseal growth plates have closed.
Human growth hormone is one of the body’s many anabolic hormones. Among
other things, its secretion will stimulate bone growth, muscle growth, loss of fat,
and increased glucose output in the liver.The use of growth hormone has been
increasing in popularity among athletes due to the numerous “benefits”
associated with its use; side effects are often not thought of when young athletes
use these drugs.
Bone Growth and Remodeling-A balance must exist between the actions of
osteoclasts and osteoblasts.If too much new tissue is formed, the bones become
abnormally thick and heavy (acromegaly).Excessive loss of calcium weakens the
bones, as occurs in osteoporosis.They may also become too “soft”, as seen in the
bone diseases rickets and osteomalacia.
Parathyroid hormone (PTH) and calcitonin are critical for balancing the levels of
calcium and phosphorus between blood and bone.
Maintaining a normal serum Ca2+ level takes precedence over mineralizing bone.
Calcitonin (thyrocalcitonin), and to a lesser extent hGH and the sex hormones,
stimulate osteoblastic activity and lower serum calcium level.
Vitamin D is needed for absorption of the Ca2+ and PO4– ions from the small
intestine, and reabsorption of those same ions in the kidneys.
Partial, complete (fx is all the way through the bone), closed (simple), open (fx
punctures the skin), “Green stick” (a small linear break in the bone cortex),
impacted, comminuted, spiral, transverse, displaced
Other fractures are classified by the disease or mechanism which produced the
fracture.Pathological fracture (usually from a cancerous process or severe chronic
disease), compression fracture (produced by extreme forces such as in trauma)
Still other fractures describe a common pattern of injury, often involving more
than one bone, and usually denoted by an eponym (someone’s name):
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Once a bone is fractured, repair proceeds in a predictable pattern:
The first step, which occurs 6-8 hours after injury, is the formation of a fracture
hematoma as a result of blood vessels breaking in the periosteum and in
osteons.
The second and third steps involve the formation of a callus (takes a few weeks,
to as many as six months).Phagocytes remove cellular debris and fibroblasts
deposit collagen to form a fibro-cartilaginous callus...which is followed by
osteoblasts forming a bony callus of spongy bone.
The final step takes several months and is called remodeling :Spongy bone is
replaced by compact bone.The fracture line disappears, but evidence of the
break remains.
Exercise and Bone Tissue-Under mechanical stress, bone tissue becomes stronger
through deposition of mineral salts and production of collagen fibers by
osteoblasts. Unstressed bones, on the other hand, become weaker.Astronauts in
space suffer rapid loss of bone density.
The main mechanical stresses on bone are those that result from the pull of
skeletal muscles and the pull of gravity (weight-bearing activities).
Aging and Bone Tissue-A decrease in bone mass occurs as the level of sex
hormones diminishes during middle age (especially in women after menopause).
There are two principal effects of aging on bone tissue:Loss of bone massThe loss
of calcium from bones is one of the symptoms in osteoporosis.Brittleness-
Collagen fibers give bone its tensile strength, and protein synthesis decreases
with age. The loss of tensile strength causes the bones to become very brittle and
susceptible to fracture. Osteoporosis is a condition where bone resorption
outpaces bone deposition Often due to depletion of calcium from the body or
inadequate intake.
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