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ODSC 4A
| Question | Answer |
|---|---|
| I. Bone Formation | |
| 1. Intramembraneous bone formation | membrane is turned into bone, conn tissue. Does not need cartilage bone model |
| Occurs in | flat bones ex; skull |
| Osteogenesis | bone formation |
| 2. Endochondral | bone growth occurs within the hyaline cartilage(growth plate). Requires hyaline cartilage bone model |
| Endo | within |
| Occurs in | short and long bones |
| Three main phases | hyaline cartilage phase, primary center of ossification, secondary center of ossification |
| 1) Hyaline Cartilage phase | formed initially, but is a temporary structure and is eventually destroyed except for the articular surface. |
| 2) Primary Center of Ossification | 5 stages |
| 5 Stages | |
| i. Formation of Periosteum | ossification occurs in the diaphysis |
| ii. Bone collar | osteoblasts secrete bone matrix forming bone collar |
| iii. Calcification of cartilage matrix | chondrocytes in primary center grow. Due to calcification they do not receive nutrients and begin to die |
| iv. Invasion of periosteal bud | osteoclasts remove calcified cartilage and initiate trabecular formation and marrow cavity |
| v. Formation of trabeculae | osteoblasts clarify bone and form trabeculae in the dyaphysis |
| 3) Secondary center of Ossification | bone shaft becomes thicker |
| i. cartilage near epiphysis(growth plate) becomes | ossifyed |
| ii. Hyaline cartilage covering epiphysis becomes | articular cartilage |
| Differences between Primary | no bony collar formed, osteoblasts makes spongy bone, cavities are produced that fill with bone marrow |
| Note | Articular cartilage(end of bone) does NOT contribute to bone growth |
| II. Bone Growth | Length |
| Interstitial growth | bone is lengthened |
| Occurs at | epiphysis(growth plate) |
| 1. Cellular organization of growth plate | |
| Resting zone | inactive cartilage |
| Poliferation | cell division, cell division occurs which increases length |
| Maturation/hypertophic | Cell size increase in columnar arrangement, high levels of alkaline phasphatase |
| Calcification | occurs between condrocytes, death by hypoxia |
| Ossification | cartilage becomes bone |
| ○ Prolification | resorptinon of bone |
| ○ AT 20 | zone of ossification take over zone of calcification |
| 2. Bone Growth in length | occurs in epiphysis(growth plant), chondroblats divide and push epiphysis from diaphysis(middle of bone) to lengthen bone |
| 3. Formation of marrow cavity | growth will stop when chondroblasts divide less often |
| What happens | epiphysis becomes thinner and diaphysis and epiphsysis fuse and marrow cavity grows |
| III. Bone Growth Width | |
| 1. Appositional Growth | increase in diameter of bone |
| Occurs at | periosteum (covering of bone) and endosteum (covers bone marrow) |
| What happens | osteoblasts increase diamteter of periosteum and form bone on external surface. |
| Osteoclasts | break down bone in endosteum |
| Note | both formation and reabsorption is Very important in increasing diameter of bone and increases the marrow space. This helps the bone from becoming to heavy and bulky |
| IV. Components of bone and calcification | |
| Calcification | Two theories |
| 1. Heterogenous nucleation | in gap region of collagen, calcium and phosphate crystalize. |
| Nucleation | the crystallize process, and calcification proceeds |
| 2. Osteoblasts release matrix | they concentrate them as vesicles and release the matrix |
| Mediated by | alkaline phosphatase |
| Enamel(very strong) Dentine Bone | |
| V. Hormones | |
| PTH | Increases blood Ca, indirectly stimulates osteoclast activity, bone resorption. |
| Calcitonin | Decreases blood Ca. Stimulates osteoblasts, inhibit osteoclast. Opposite of PTH |
| Calcitrol (Vit D) | Raises blood Ca. Promotes bone resorption |
| Thyroid Hormone | bone resorption, needed for growth and maturation. |
| Mostly secreted by | osteoblasts |
| IL 1 | roles in osteoclast differentiation and activity |
| TGF beta | osteoblast migration and mineralization, and apoptosis |
| Osteoprotegerin | inhibits osteoclasts |
| VI. Repair Process | |
| Fracture repair | periosteum becomes perichondrium and makes callus |
| How | hyaline cartilage model |
| Forms | a bony callus that spans across the fracture and fills the space between broken bone |
| Callus | firm knot of calcified tissue of new primary bone, holds bone together |