Functions of Skeletal System • • • • • Provides support Protects organs Movement by working with muscle Stores calcium Forms blood cells— hematopoiesis 1 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Types of Bones • Structure of long bones – Diaphysis, or shaft—hollow tube of compact bone – Medullary cavity—space inside diaphysis that contains yellow marrow – Epiphyses, or ends—made of spongy bone that contains red marrow – Articular cartilage—thin layer that covers each epiphysis; – Periosteum—strong membrane covering bone – Endosteum-membrane that lines medullary cavity 2 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 3 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Types of Bones • Structure of flat bones – Thin layer of compact bone surrounding cancellous (spongy or diploe) bone – Spaces surrounded by boney trabeculae 4 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Microscopic Structure of Bone and Cartilage • Bone – Spongy • Threads called trabeculae surrounded by open spaces • In epiphyses • Spaces contain red bone marrow 5 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 6 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Microscopic Structure of Bone and Cartilage • Bone: Compact – Concentric lamella—circular layers of calcified matrix – Lacunae—spaces in matrix for osteocytes – Canaliculi—passageways that connect lacunae and allow nutrients to reach osteocytes – Central canal of osteon contains blood vessel 7 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 8 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Bone Formation and Growth • New bone-forming cells are osteoblasts • Bone resorbing cells are osteoclasts 9 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Bone Formation and Growth • Bone formation – Epiphyseal plate of cartilage between epiphyses and diaphysis remains until skeletal maturity – Epiphyseal line (bone) replaces epiphyseal plate (cartilage) when growth ceases 10 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Microscopic Structure of Bone and Cartilage • Cartilage – Chondrocytes located in lacunae – Matrix is flexible gel-like substance and lacks blood vessels 11 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Divisions of Skeleton • Axial skeleton (80 bones) – Skull – Spine, or vertebral column – Thorax • Appendicular skeleton (126 bones) – Upper extremities, including shoulder (pectoral) girdle – Lower extremities, including hip (pelvic) girdle 12 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. – Spine or vertebral column • Four normal curves • Three abnormal curves – Lordosis or “swayback” – Kyphosis or “hunchback” – Scoliosis 13 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Differences Between a Man’s and a Woman’s Skeleton • Size—male skeleton generally larger • Shape of pelvis—male pelvis deep and narrow; female pelvis broad and shallow • Size of pelvic inlet—female pelvic inlet generally wider; normally large enough for baby’s head to pass through it • Pubic angle—angle between pubic bones of female generally wider 14 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 15 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 16 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Metabolic bone diseases – Osteoporosis • Loss of calcified bone matrix and reduction in number of trabeculae in spongy bone • Bones fracture easily, especially in wrists, hips, and vertebrae • Treatment : 17 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 18 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Metabolic bone diseases – Rickets and osteomalacia—both diseases characterized by loss of bone minerals related to vit D • Rickets – Loss of bone minerals in infants and young children before skeletal maturity – Lack of bone rigidity causes gross skeletal changes (bowing of legs) – Treated with vitamin D 19 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 20 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Metabolic bone diseases – Rickets and osteomalacia • Osteomalacia – Mineral content lost from bones that have already matured – Increases susceptibility to fractures – Treated with vitamin D 21 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Metabolic bone diseases – Paget disease (osteitis deformans) • Faulty remodeling results in deformed bones that fracture easily • Cause may be genetic or triggered by viral infections 22 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 23 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Metabolic bone diseases – Osteogenesis imperfecta (also called brittle bone disease) • Bones are brittle because of lack of organic matrix • Treatment may include splinting to reduce fracture and drugs that decrease cell activity 24 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Bone infection – Osteomyelitis • General term for bacterial (usually staphylococcal) infection of bone • Treatment involve surgery, drainage of pus, and antibiotic 25 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 26 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Bone fractures – Open (compound) fractures pierce skin and closed (simple) fractures do not – Fracture types include complete and incomplete, linear, transverse and oblique 27 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 28 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Joint disorders – Noninflammatory joint disorders—do not usually involve inflammation of the synovial membrane; symptoms tend to be local and not systemic • Osteoarthritis, or degenerative joint disease (DJD) – Most common noninflammatory disorder of movable joints—often called “wear and tear” arthritis – Symptoms: joint pain, morning stiffness, Bouchard nodes (at proximal interphalangeal joints), Heberden nodes (at distal interphalangeal joints) of the fingers – Most common cause for partial and total hip and knee replacements 29 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 30 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Joint disorders – Noninflammatory joint disorders • Traumatic injury – Dislocation or subluxation—articular surfaces of bones in joint are no longer in proper contact – Sprain—acute injury to ligaments around joints (e.g., whiplash type injuries) – Strain—acute injury to any part of the “musculotendinous unit” (muscle, tendon, junction between the two, and attachments to bone) 31 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Joint disorders – Inflammatory joint disorders • Arthritis: general name for several inflammatory joint diseases that may be caused by infection, injury, genetic factors, and autoimmunity • Inflammation of the synovial membrane occurs, often with systemic signs and symptoms 32 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Skeletal Disorders • Joint disorders – Inflammatory joint disorders • Rheumatoid arthritis – Systemic autoimmune disease—chronic inflammation of synovial membrane with involvement of other tissues such as blood vessels, eyes, heart, and lungs – Gouty arthritis—synovial inflammation caused by gout, a condition in which sodium urate crystals form in joints and other tissues – Infectious arthritis—arthritis resulting from infection by a pathogen, as in Lyme arthritis and ehrlichiosis, caused by two different bacteria that are transmitted to humans by tick bites 33 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 34 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 35 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc.