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CARTILAGE
CARTILAGE
• Cartilage is a specialized dense connective tissue. It is hard but not rigid
like bone. • They are rigid structures, hence provide protection & support the organs. They can withstand the effect of pressure, pull or torsion. • They are present in the body where elasticity & rigidity is required. • They are avascular structures, nourished by diffusion from adjacent tissues. • Repair of cartilage is slow & takes time due to its avascularity. • Cartilage consist of 1. Cells called chondrocytes 2. Fibers 3. Ground substance Based on the type of fibre present in the matrix, the cartilage are classified into three types . – Hyaline – Elastic & – Fibro cartilage. Hyaline cartilage
• It appears transparent glass like in fresh
condition. • It is covered by a vascular fibrous membrane called perichondrium. The perichondrium has an outer fibrous layer & inner cellular layer. The cellular layer consist of chondroblast (immmature chondrocytes). • The Matrix Contain Collagen Fibers (Type 2) Which Run In Parallel Bundles • The chondrocytes are placed in matrix. • They are arranged in groups of two ,four & six. This arrangements is called “the cell nest condition” • The ground substance is made up of carbohydrates & proteins. Distribution of hyaline cartilage
1. Costal cartilage of ribs
2. Cartilage covering the articulating surface of the bones. 3. Cartilage of larynx – thyroid & cricoid cartrilage. 4. The tracheal rings. ELASTIC CARTILAGE • Structurally the elastic cartilage is mainly made up of elastic fibers & the chondrocytes. • The surface of the elastic cartilage is covered by “perichondrium” • More flexible than hyaline cartilage Distributions of elastic cartilage • Pinna of the external ear • Epiglottis, corniculate & cuneiform cartilage of larynx. • Medial part of the auditory tube. Fibro cartilage (white fibrocartilage) • Structurally the white fibrocartilage contains mainly thick bundles of collagen fibers (type 1) & a few chondrocytes. • It has no perichondrium • It is very tough & strong but resilient. • It has great tensile strength & considerable elasticity. Distribution of Fibro cartilage • Articular disc of the temporomandibular joint & sternoclavicular joint. • Intervertebral discs present between the bodies of vertebrae. • Glenoidal labrum of shoulder joint. • Acetabular labrum of hip joint. • Menisci of the knee joint. Growth of the cartilage Cartilage grows by two mechanism BONES BONES • Bones is a highly vascular living connective tissue in which the matrix is calcified by the deposition of calcium phosphate. • The human skeleton consists of 206 bones. FUNCTIONS OF BONES Bones Gives shape & support to the body, & resist any forms of stress. These provide surface for the attachment of muscles, tendons, ligaments, etc. Functions of bones
These serve as lever for muscular actions.
The skull, vertebral column & thoracic cage protect brain, spinal cord & thoracic & some abdominal viscera, respectively Bone marrow manufactures blood cells. Bone stores 97% of the body calcium & phosphorous. Bone marrow contains reticuloendothelial cells which are phagocytic in nature & take part in immune responses of the body. The large paranasal air sinuses, e.g. ethmoidal sinuses affect the timbre of the voice. MACROSCOPIC STRUCTURE OF A BONE The Long Bone consist of two ends & a shaft. The shaft consist of a cylindrical cavity inside called medullary cavity, which is filled with bone marrow. The outer part of the shaft is made up of compact bone. The two ends of the long bone are filled with tiny plates of bone containing numerous spaces. This is referred as “spongy bone” to which the medullary cavity does not extend. MACROSCOPIC STRUCTURE OF A BONE The outer surface of the bone is covered by a highly vascular connective tissue membrane called “periosteum” except at the articular surfaces. This articular surface is covered by articular cartilage, usually hylaine type.
The medullary cavity is lined by
the another connective tissue membrane called endosteum. BONE MARROW
• It is the vascular connective tissue present
in the cavity of the bone. • The bone marrow differs in composition in different bones & at different ages. It occurs in two forms, yellow marrow & red marrow. • The red marrow is actively engaged in the production of blood cells. • The yellow marrow derives bits colour from the large quantity of fat cells it contains. • At birth the red marrow is present throughout the skeleton. • After about fifth year of post natal life, the red marrow is gradually replaced in the long bones by yellow marrow. MICROSCOPIC STRUCTURE OF A BONE COMPACT BONE The Compact Bone Is Made Up Of ‘Lamellae’ Lamellae are thin plates of bone consisting of collagen fibers embedded in ground substance. Lamellae are placed one over another. The space between the lamellae are called ‘lacunae’. Lacunae are occupied by osteocytes. MICROSCOPIC STRUCTURE OF A BONE COMPACT BONE The adjacent lacunae are connected through canaliculi which are occupied by the cytoplasmic process of osteocytes. Most of the lamellae are arranged in the form of concentric rings that surround a ‘Haversian Canal’ which is present at the centre of each rings. MICROSCOPIC STRUCTURE OF A BONE COMPACT BONE Haversian canals are placed parallel to medullary cavity & they are occupied by blood vessels & nerve fibers. Adjacent haversian canals are connected by volkman’s canal. One haversian canal & lamellae around it constitute a haversian system or an osteon. COMPONENTS OF BONE • An adult long bone consist of following components 1. Bone cells 2. Matrix Bone cells 1. Osteoprogenitor cells 2. Osteoblasts 3. Osteocytes 4. Osteoclast Matrix (Ground substance) The matrix of the bone consist of both • Organic (25%) & • Inorganic constituents. (75%) Bone cells 1. Osteoprogenitor cells • These are stem cells of mesenchymal origin that can proliferate & convert themselves into osteoblast whenever there is need for bone formation. 2. Osteoblast These are bone forming cells. They are more numerous in periosteum. The cells are ovoid, triangular or cuboidal in shape with oval nucleus. These cells are responsible for laying down the organic matrix of bone including the collagen fibres. They are responsible for the calcification of matrix. Bone cells 3. osteocytes These are mature bone cells. They are derived from osteoblasts after they have laid down the matrix. They are present in the lacunae of the bone between the lamellae. Osteocytes show many cytoplasmic processes, which establish connections with other osteocytes. Osteoytes maintain the integrity of the lacunae & thus kep open the channels for diffusion of nutrients. 4. Osteoclasts These are bone removing cells & found in relation to the surface of the bone. Osteoclasts are multinucleated large cells. The lysosomes present in their cytoplasm contain ‘acid phosphate’ Osteoclasts are involved in demineralization & removal of bone matrix. Osteoclasts are stimulated by parathyroid hormone. Organic constituents.
• It is mainly made up of collagen fibers.
• These collagen fibers are embedded in proteins, carbohydrates & water. • The collagen fibers are responsible for toughness & resilience of bone. These fibers are synthesized by osteoblast. • Chondroitin sulphate is another importamt organic constituent of the bone. Inorganic constituents.
• Following mineral salts are present;
1. Calcium phosphate (85%) 2. Calcium carbonate (10%) 3. Small amount of calcium fluoride & magnesium phosphate. • Most of the calcium, phosphate & hydroxyl ions are in the form of needle-shaped crystals called “hydroxyapatite crystals” • These crystals lie parallel to the collagen fibers. OSSIFICATION • The process of bone formation is called ossification. • All the bones are developed from the mesenchymal tissue of the embryo. • Development of bone tissue starts before birth & completed by 21 year of life. • There are two mechanism of bone formation: 1. Intra membranous ossification 2. Endo chondral ossification Membranous ossification
• The embryonic mesenchymal tissue will
directly from the bone, e.g. bone of the cranial vault, mandible, & clavicle. Cartilaginous ossification
• The mesenchymal tissue is first transformed
into a cartilage. Later this cartilage is ossified to form a bone. OSSIFICATION OF A LONG BONE • The ossification begins in one or more areas of future bone model. • These areas are called centres of ossification. Primary center of ossification The ossififcation starts in the central part of the cartilaginous model (i.e at the centre of the future shaft). The portions of the long bone developed from this primary centre of ossification is called ‘diaphysis’. The primary centre of ossification normally appears before birth. OSSIFICATION OF A LONG BONE Secondary center of ossification These centres appear at the two ends of the long bone usually after birth. The portion of the long bone developed from secondary centre of ossification is called ‘Epiphysis’. The two ends of the diaphysis, which are actively involved in growth, are called ‘Metaphyses’. In a long bone between epiphysis & diaphysis is a part of the cartilage remains unossified until epiphysis fuses with diaphysis & it is called ‘epiphyseal plate’. They also undergo ossification at puberty. Parts of developing long bone 1. Epiphysis is the part of the bone, which develops from the secondary centre of ossifications, e.g. ends of the long bones. 2. Diaphysis is the part of the bone, which develops from the primary centre of ossification , eg. Shaft of the long bones. 3. Metaphysis is the zones of the bone where active growth is seen. It is present at the junction of the epiphysis & diaphysis of the long bone. Blood supply to a long bone 1. Nutrient artery : It enters the shaft through a nutrient with one or two veins. On reaching the bone marrow cavity they divide into ascending & descending branches. 2. Epiphseal arteries : They are several in numbers & enters the bone near the ends. 3. Metaphyseal arteries : They enter the bone along the line of attachment of capsular ligament (near the articular end). 4. Periosteal arteries : They are numerous &enter the bone along the muscular attachment. Branches of all these ateries from a rich sinusoidal plexus in bone marrow. Many branches from the plexus enter haversian canal. These vessels provide blood to the superficial osteons of the shaft. During endochondral ossification, these vessels also enter the epiphyses providing blood to the secondary ossification centers. Following the closure of epiphyses all these sets of vessels become extensively interconnected. Diseases affecting the bones Osteoporosis – a reduction in organic & inorganic components of bone to a degree that compromises normal function. The bone becomes brittle ,lose their elasticity, & fracture easily . Bone scanning will reveal the reduction of bone mass. osteomalacia – softening of bone due to decrease in the mineral content. Achondroplasia : A condition resulting from abnormal epiphyseal activity. the epiphyseal plate grows unusually slow& the individual develops short, stocky limbs. The trunk is normal in size & sexual & mental development remains unaffected. Rickets : a disorder that reduces the amount of calcium salts in the skeleton. It is characterised by a bowlegged appearance. Osteomylitis :