Chapter 7 Skeletal Tissue Types of Bone Bones • • • • Long Bone Short Bone Flat Bone Irregular Bone Long Bone • Identified by extended longitudinal axes and uniquely shaped articular end • Femur and humorous are examples Parts of Long Bone • Diaphysis: Main shaft or portion. Hollow. Composed of compact bone • Epiphysis: End of long bone. Gives stability to joints. Composed of spongy bone • Articular cartilage: Hyaline cartilage that covers epiphysis Parts of Long Bone • Periosteum: White fibrous membrane that covers bone except at joint surfaces • Medullary (marrow) cavity: Tube like hollow space in the diaphysis of long bones. Filled with fat rich connective tissue called yellow marrow • Endosteum: Thin epithelial membrane that line medullary cavity Short Bone • Usually described as cube or box shape • Includes carpals (wrist) and tarsals (ankles) Flat Bones • Generally broad and thin • Flattened and often curved surface • Include some skull bones, scapula (shoulder blade), ribs and sternum (breast bone) Irregular Bones • Clustered in groups • Have variety of sizes and shape • Include vertical bone that forms spine and some facial bones • Bones that appear singly instead of in groups are called sesamoid • Kneecap or patella Bone Tissue Composition of Bone • Osseous tissue, connective tissue • Extracellular components are hard and calcified • Matrix is subdivided into two chemical components: Inorganic salts (2/3) and organic matrix (1/3) Inorganic Salts • Hardness of bone result from deposits of chemical crystals of calcium and phosphate called hydroxyapatite (85% of inorganic matrix) • 10% of calcium carbonate and other minerals. (magnesium, sodium, sulfate and fluoride) • Harmful elements also mix with bone matrix. (radioactive elements such as radium, stronium-90, uranium and plutonium) Organic matrix • Composite of collagenous and mixture of protein and polysaccharides called ground substance • Ground substance provide support and adhesion between cellular and fibrous elements • Chondroitin Sulfate helps cartilage remain compressible and elastic • Glucosamine is an amino sugar important in cartilage formation, maintenance and repair Chondroitin Sulfate and Glucosamine • dietary supplements that facilitate healing and reduce pain of osteoarthritis • Naturally found in body and are important constitutes of ground substance • Commercially, Chondroitin Sulfate is harvested from sharks and cattle tracheas • Glucosamine harvested from shells of shrimp, lobster and crab Bone Marrow • Specialized type of soft, diffuse connective tissue called myeloid tissue • Site for production of blood cells • Found in medullary cavity of long bones • Two types Red and Yellow Red Bone Marrow • Production of blood cells • In an infant or child nearly all bones contain red marrow • In adult in ribs, bodies of vertebrae, ends of humerus, pelvis, and femur. Yellow Bone Marrow • As aging continues red bone marrow is replaced by yellow bone marrow • Marrow cells have become saturated with fat • Inactive in blood cell production • Advancing age become almost rustcolored, less fatty and gelatinous • During times of decreased blood supply yellow marrow may convert back to red A small amount of bone marrow is removed during a bone marrow aspiration. The procedure is uncomfortable, but can be tolerated by both children and adults. The marrow can be studied to determine the cause of anemia, the presence of leukemia or other malignancy, or the presence of some "storage diseases" in which abnormal metabolic products are stored in certain bone marrow cells. Bone Marrow Transplant • While you are awake and pain-free (using local anesthesia), bone marrow is removed from the top of the hip bone (iliac crest). The bone marrow is filtered, treated, and transplanted immediately. Other times it's frozen and stored for later use. Bone Marrow Transport • The bone marrow is then transfused through a vein (IV line). It naturally transports itself back into the intended bone cavities, where it grows quickly to replace the old bone marrow. Regulation of Blood Calcium Levels Blood Calcium Levels • Skeletal system serves as storehouse for about 98% of body calcium reserves • Calcium moves into and out of blood during continuous remodeling of bone • Osteoblast deposit bone and remove calcium from blood • osteoclast breakdown and reabsorb bone, releasing calcium back into the blood Blood Calcium Levels • Needed for normal blood clotting • Transmission of nerve impulses • Maintenance of skeletal and cardiac muscle contraction • Involve secretion of two hormones: parathyroid hormone and calcitonin Parathyroid Hormone • Most critical factor in blood calcium homeostasis • When blood calcium levels are lower than set point in parathyroid gland, osteoclasts are initiated to start break down of bone matrix • If levels are high osteoclasts activity is surpressed • Also increases renal absorption of calcium from urine • Stimulates vitamin D synthesis Calcitonin • Produced in response to high calcium levels • Stimulates bone deposition by osteoblasts • Inhibits osteoclast activity • Nasal spray containing calcitonin (Miacalcin) can be used to treat post menopausal osteoporosis Development of Bone Development of Bone • Before birth bones consist of cartilage and fibrous structures • Replaced with calcified bone matrix • Bone formation is on going process known as osteogenesis Intramembranous Ossification • Formation of bone on, or in, fibrous connective tissue • Process used to make flat bones such as the mandible and flat bones of the skull. • Clusters of osteoblasts are called centers of ossification • They secrete matrix material and collagenous fibrils Intramembranous Ossification • Calcification of bone continues • Trabeculae appear to form spongy bone • Uses appositional growth Endochondral Ossification • Bones are formed from cartilage models • Cartilage model develops periosteum that enlarges and produces a ring or collar Endochondral Ossification • Bone is deposited by osteoblast and cartilage begins to calcify •Primary ossification center •Blood vessels enter Endochondral Ossification • Secondary ossifiaction center • Bone growth proceeds toward diaphysis •Epiphyseal plate allow bone to increase in length •Ossification near diaphysis follows Repair of Bone Fracture http://www.youtube.com/watch?v=qVougiCEgH8 Bone repair Bone Repair of Fracture 1 Fracture takes place, damaging bone and blood vessels 2 •Pooling of blood result in blood clot (fracture hematoma) •Develops fibrin mesh and transforms into mass of granulation tissue •Contains inflammatory cells, fibroblast, bone and cartilage forming cells, and new capillaries Bone Repair of Fracture 3 •Islands of cartilaginous tissue (procallus) form •Helps anchor ends of fractured bone more firmly •Osteoblasts form bony callus collars broken ends 4 •Repaired bone Mechanism of Disease Osteosarcoma • Most common malignant bone tumor • Often fatal • Males 10-25 yrs • Common site: tibia humerus and femur • 10% metastasize to lung • Surgery, followed by chemo Chondrosarcoma • Malignant tumor of hyaline cartilage • Arises from chondroblasts • Occurs more frequently in middle age • Common sites: Humerus, femur, scapula, spine, pelvis and ribs • Large excission or amputation • Chemo has not proven effective Osteoporosis http://www.youtube.com/watch?v=vcsPjThU-5Q&feature=fvw Rickets and Osteomalacia • caused by insufficient levels of vitamin D in the body • rickets is the name used when it occurs in children whereas osteomalacia is the term used for adults. • Symptoms: Bone pain, muscle weakness and possible joint inflammation and pain • Treatment: daily supplements of vitamin D and calcium or single injection vitamin D, in the form of calciferol (vitamin D2). Osteomyelitis • Bacterial bone infection • Most common is from staph • bacteria can settle on a small section of bone, and multiply to cause infection. • Treatment include antibiotics and or surgery