eprint_11_29830_1347

advertisement

“Cartilage and Bone”

By:Dr.ISAM ZEBEBA

Cartilage

Embryo

More prevalent than in adult

Skeleton initially mostly cartilage

Bone replaces cartilage in fetal and childhood periods

Location of cartilage in adults

1 External ear

2 Nose

3

“Articular” – covering the ends of most bones and movable joints

4

“Costal” – connecting ribs to sternum

5 Larynx - voice box

6 Epiglottis – flap keeping food out of lungs

7 Cartilaginous rings holding open the air tubes of the respiratory system (trachea and bronchi)

8 Intervertebral discs

9 Pubic symphysis

10 Articular discs such as meniscus in knee joint

Remember the four basic types of tissue…

 Epithelium

Connective tissue

Connective tissue proper

Cartilage

Bone

Blood

 Muscle tissue

 Nervous tissue

Cartilage is connective tissue

1 Cells called chondrocytes

2 Abundant extracellular matrix

Fibers: collagen & elastin

Jellylike ground substance of complex sugar molecules

 60-80% water (responsible for the resilience)

 No nerves or vessels

Types of cartilage: 3

1.

Hyaline cartilage: flexible and resilient

Chondrocytes appear spherical

Lacuna – cavity in matrix holding chondrocyte

Collagen the only fiber

2.

Elastic cartilage: highly bendable

 Matrix with elastic as well as collagen fibers

Epiglottis, larynx and outer ear

3.

Fibrocartilage: resists compression and tension

Rows of thick collagen fibers alternating with rows of chondrocytes (in matrix)

 Knee menisci and annunulus fibrosis of intervertebral discs

Hyaline Cartilage

Elastic Cartilage

Fibrocartilage

1

2

3

Hyaline cartilage

: flexible and resilient

Chondrocytes appear spherical

4

Lacuna – cavity in matrix holding chondrocyte

Collagen the only fiber

Elastic cartilage

: highly bendable

Matrix with elastic as well as collagen fibers

Epiglottis and larynx

5

Fibrocartilage

: resists compression and tension

 Rows of thick collagen fibers alternating with rows of chondrocytes (in matrix)

Knee menisci and annulus fibrosis of intervertebral discs

Growth of cartilage

1.

Appositional

“Growth from outside”

Chrondroblasts in perichondrium (external covering of cartilage) secrete matrix

2.

Interstitial

 “Growth from within”

 Chondrocytes within divide and secrete new matrix

1 Cartilage stops growing in late teens (chrondrocytes stop dividing)

2 Regenerates poorly in adults

Bones

1 Functions

1. Support

2. Movement: muscles attach by tendons and use bones as levers to move body

3. Protection

1. Skull – brain

2. Vertebrae – spinal cord

3. Rib cage – thoracic organs

4. Mineral storage

1. Calcium and phosphorus

2. Released as ions into blood as needed

5. Blood cell formation and energy storage

1. Bone marrow: red makes blood, yellow stores fat

Classification of bones by shape

1.

Long bones

2.

Short bones

3.

Flat bones

4.

Irregular bones

5.

Pneumatized bones

6.

Sesamoid bones

Gross anatomy of bones

1.

Compact bone

2.

Spongy (trabecular) bone

1 Blood vessels

2 Medullary cavity

3 Membranes

1. Periosteum

2. Endosteum

Flat bones

1 Spongy bone is called diploe when its in flat bones

Have bone marrow but no marrow cavity

Long bones

1 Tubular diaphysis

or shaft

1 Epiphyses at the ends: covered with “articular” (=joint) cartilage

2 Epiphyseal line in adults

Kids: epiphyseal growth plate (disc of hyaline cartilage that grows to lengthen the bone)

3 Blood vessels

Nutrient arteries and veins through nutrient foramen

Periosteum

1 Connective tissue membrane

2 Covers entire outer surface of bone except at epiphyses

3 Two sublayers

1. Outer fibrous layer of dense irregular connective tissue

2. Inner (deep) cellular osteogenic layer on the compact bone containing osteoprogenitor cells (stem cells that give rise to osteoblasts)

 Osteoblasts : bone depositing cells

 Also osteoclasts : bone destroying cells (from the white blood cell line)

4

Secured to bone by perforating fibers (Sharpey’s fibers)

Endosteum

1 Covers the internal bone surfaces

2 Is also osteogenic

Spongy bone

Spongy bone

1 Layers of lamellae and osteocytes

2 Seem to align along stress lines

Compact bone

1 Osteons: pillars

2 Lamellae: concentric tubes

3 Haversian canals

Osteocytes

Factors regulating bone growth

1 Vitamin D: increases calcium from gut

2 Parathyroid hormone (PTH): increases blood calcium (some of this comes out of bone)

3 Calcitonin: decreases blood calcium (opposes PTH)

4 Growth hormone & thyroid hormone: modulate bone growth

5 Sex hormones: growth spurt at adolescense and closure of epiphyses

Terms (examples)

1 chondro refers to cartilage

chondrocyte

 endochondral

 perichondrium

2 osteo refers to bone

osteogenesis

osteocyte

periostium

3 blast refers to precursor cell or one that produces something

 osteoblast

4 cyte refers to cell

osteocyte

1.

Intramembranous Ossification a. Forms flat bones of skull, mandible, clavicle b. Replacement of mesenchymal membrane with osseous tissue c. Mesenchymal cells differentiate to osteoprogenitor cells, which then become osteoblasts d. Osteoblasts create spongy bone, which then remodels into compact bone where necessary

2.Endochondral Ossification



Mesenchyme creates Cartilage model, which gets replaced by bone

 Replacement begins in middle (diaphysis) & follows in ends (epiphyses)

A)Cartilage model grows in length ( interstitial growth) & in width ( appositional growth)

Chondrocytes at the center of the growing cartilage model enlarge and then die as the matrix calcifies.

B)Newly derived osteoblasts cover the shaft of the cartilage in a thin layer of bone.

The perichondrium , which surrounded the cartilage model, now must be referred to as the periosteum .

C) Blood vessels penetrate the cartilage. New osteoblasts form a primary ossification center.

D) Bone tissue continues to replace cartilage of the diaphysis, and & continues toward each epiphysis.

The medullary cavity begins to hollow out Blood vessels invade the epiphyses and osteoblasts form secondary centers of ossification.

Cartilage remains only at the ends (articular cartilage) & at metaphysis (epiphyseal plate)

Organization of cartilage within the epiphyseal plate of a growing long bone

Download