Chapter 6: Skeletal System I Bernard Siegfried Albinus 1697 – 1770 Famous for his drawings in the work entitled Tables of the Skeleton and Muscles of the Human Body published in 1747. An example of Albinus’ drawings of the skeleton. Figure 6.1 The bones and cartilages of the human skeleton. Cartilage in external ear Cartilage in Intervertebral disc Cartilages in nose Articular Cartilage of a joint Epiglottis Thyroid cartilage Cricoid cartilage Larynx Trachea Lung Costal cartilage Respiratory tube cartilages in neck and thorax Pubic symphysis Meniscus (padlike cartilage in knee joint) Articular cartilage of a joint Bones of skeleton Axial skeleton Appendicular skeleton Cartilages Hyaline cartilages Elastic cartilages Fibrocartilages Figure 6.2 Classification of bones on the basis of shape. (a) Long bone (humerus) (b) Irregular bone (vertebra), right lateral view (c) Flat bone (sternum) (d) Short bone (talus) Figure 6.3a The structure of a long bone (humerus of arm). Articular cartilage Proximal epiphysis Spongy bone Epiphyseal line Periosteum Compact bone Medullary cavity (lined by endosteum) Diaphysis Distal epiphysis (a) Figure 6.3b The structure of a long bone (humerus of arm). Articular cartilage Compact bone Spongy bone (b) Figure 6.3c The structure of a long bone (humerus of arm). Endosteum Yellow bone marrow Compact bone Periosteum Perforating (Sharpey’s) fibers Nutrient arteries (c) Figure 6.4 Comparison of different types of bone cells. (a) Osteogenic cell (b) Osteoblast (c) Osteocyte (d) Osteoclast Stem cell Matrix-synthesizing cell responsible for bone growth Mature bone cell that maintains the bone matrix Bone-resorbing cell Figure 6.5 Flat bones consist of a layer of spongy bone sandwiched between two thin layers of compact bone. Spongy bone (diploë) Compact bone Trabeculae Figure 6.9 Endochondral ossification in a long bone. Month 3 Week 9 Birth Childhood to adolescence Articular cartilage Secondary ossification center Epiphyseal blood vessel Area of deteriorating cartilage matrix Hyaline cartilage Spongy bone formation Bone collar Primary ossification center 1 Bone collar Spongy bone Epiphyseal plate cartilage Medullary cavity Blood vessel of periosteal bud 2 Cartilage in the 3 The periosteal center of the forms around hyaline cartilage diaphysis calcifies and then develops model. cavities. bud invades the internal cavities and spongy bone begins to form. 4 The diaphysis elongates and a medullary cavity forms as ossification continues. Secondary ossification centers appear in the epiphyses in preparation for stage 5. 5 The epiphyses ossify. When completed, hyaline cartilage remains only in the epiphyseal plates and articular cartilages. Figure 6.11 Long bone growth and remodeling during youth. Bone growth Cartilage grows here. Bone remodeling Articular cartilage Epiphyseal plate Cartilage is replaced by bone here. Cartilage grows here. Cartilage is replaced by bone here. Bone is resorbed here. Bone is added by appositional growth here. Bone is resorbed here. Figure 6.12 Parathyroid hormone (PTH) control of blood calcium levels. Calcium homeostasis of blood: 9–11 mg/100 ml BALANCE BALANCE Stimulus Falling blood Ca2+ levels Thyroid gland Osteoclasts degrade bone matrix and release Ca2+ into blood. Parathyroid glands PTH Parathyroid glands release parathyroid hormone (PTH). Calcitonin Figure 6.13 Bone anatomy and bending stress. Load here (body weight) Head of femur Tension here Compression here Point of no stress Figure 6.14 Vigorous exercise can lead to large increases in bone strength. (a) (b) Serving arm Crosssectional dimension of the humerus Added bone matrix counteracts added stress Nonserving arm Steel “Bone Cages” used to lengthen legs. These were originally developed in the Soviet Union in the 1950s to treat dwarfism. Twelve-year-old boy with pituitary gigantism measuring 6'5" with his mother. Note the coarse facial features and prominent jaw. An example of untreated acromegaly. Chelation Therapy – intravenous administration of chemicals designed to absorb toxic substances that have accumulated in the body. Most notably used for exposure to heavy metals such as lead or mercury. Figure 6.15 Stages in the healing of a bone fracture. Hematoma Internal callus (fibrous tissue and cartilage) 1 A hematoma forms. External callus New blood vessels Bony callus of spongy bone Healed fracture Spongy bone trabecula 2 Fibrocartilaginous callus forms. 3 Bony callus forms. 4 Bone remodeling occurs. Figure 6.16 The contrasting architecture of normal versus osteporotic bone. Figure UN 6.1 Figure 6.17 Fetal primary ossification centers at 12 weeks. Parietal bone Occipital bone Mandible Frontal bone of skull Clavicle Scapula Radius Ulna Ribs Humerus Vertebra Ilium Tibia Femur Table 6.2 Common Types of Fractures (1 of 3) Table 6.2 Common Types of Fractures (2 of 3) Table 6.2 Common Types of Fractures (3 of 3)