LECTURE OUTLINE & REVIEW QUESTIONS LECTURE OUTLINE: BONE Bone: Definition Special Supporting Connective Tissue Matrix = extracellular (intercellular) material Cells = Osteoblasts, Osteocytes, Osteoclasts General Functions Structural support Protection Muscle levers Calcium reservoir Bone marrow Gross Structure of Bones Flat bones: e.g., sternum, cranial bones, etc. Short bones: e.g., carpals, tarsals Sesamoid bones: develop in tendons Patella, tendons of hand and foot Long bones: Upper Limb: humerus, radius, ulna, metacarpals, phalanges Lower Limb: femur, tibia, fibula, metatarsals, phalanges Terminology: Proximal end (epiphysis) Distal end (epiphysis) Shaft (body, diaphysis) Metaphysis Irregular bones: e.g., vertebrae, many skull bones, scapula, hip bone Two Structural Forms of Bone Compact (dense): external Spongy (cancellous): internal Trabeculae (s.=trabecula) + marrow spaces Anatomy 25.mguthrie ANATOMY 25 - GUTHRIE Covering & Lining Tissues of Bone Periosteum (“around the bone”): fibrous c.t. Envelops all external surfaces, except joint surfaces. Outer fibrous layer + inner cellular (osteogenic) layer Perforating (Sharpey’s) fibers: Bundles of collagenous fibers Anchor periosteum to bone matrix Functions of periosteum: Anchor tendons & ligaments to bone Carry blood vessels & nerves supplying bone Growth & repair Endosteum (“within the bone”): delicate c.t. Lines all internal surfaces Bone Formation: The Basic Process Look at process for single cell: 1. Mesenchymal stem (osteoprogenitor) cells differentiation osteoblasts 2. Osteoblasts organic matrix (osteoid tissue, ossein) 95%: Type I collagen fibers + 5%: glycosaminoglycans and glycoproteins 3. Osteoblast and slender cell projections surrounded by organic matrix. 4. Deposition of inorganic matrix: slender calcium salt crystals Precipitate from tissue fluids (not produced by osteoblasts) Mostly calcium phosphate (~ hydroxyapatite rock crystals) Same orientation as Type I collagenous fibers 5. Osteoblast surrounded by bone matrix = osteocyte Space in matrix occupied by osteocyte cell body = lacuna (pl. lacunae) Tunnels through matrix occupied by cell processies = canaliculi (s. = canaliculus) page 1 of 6 LECTURE OUTLINE & REVIEW QUESTIONS Look at process for multiple cells: 1. “Rows” of osteoblasts connected by cell processes 2. Secretion of organic matrix Sheets or lamellae (s. = lamella) of matrix between rows of osteoblasts Collagen fibers in adjacent layers +/- at right angles 3. Deposition of inorganic matrix (calcium salts) Same orientation as collagen fibers 4. Final product: Lamellae of bone matrix + “cement substance” Rows of osteocytes in lacunae between lamellae Lacunae connected with each other by canaliculi Outermost canaliculi connect to bone surface All bone (compact & spongy) is constructed of lamellae cemented together. Problem: Osteocytes need nutrients, gases, waste removal, etc. Bone matrix too dense for adequate diffusion. Materials must diffuse through canaliculi. Blood vessels tissue fluids canaliculi osteocytes in lacunae Limits bone thickness (number of lamellae) The farther from the bone surface, the longer the diffusion time and the less the quality of the materials. Solution: Spongy bone Trabeculae thin (~ 3-5 lamellae). Surrounded on all sides by blood vessels in marrow spaces. Solution: Compact bone Lamellae formed into cylinders surrounding a central blood supply. Osteon (“bone unit”) or Haversian System Concentric lamellae (usually ~ 3-5) Haversian canal: contains blood vessels and nerves Osteons packed together to form compact bone. Anatomy 25.mguthrie ANATOMY 25 - GUTHRIE Angular spaces between osteons filled with interstitial lamellae. Fragments of older, reabsorbed ostons. Outer and inner surfaces of compact bone smoothed by circumferential lamellae. Blood Supply Nutrient artery or arteries periosteal branches Volkmann’s canals Haversian canal branches + branches to endosteum and marrow spaces Typical Long Bone Structure Proximal & Distal Ends: Core of spongy bone containing red (active) or yellow (inactive) bone marrow Trabeculae arranged to withstand tensile and compressive forces Lined with endosteum Compact bone enclosing spongy bone Joint cartilage covering joint surfaces Periosteum covering non-joint surfaces Shaft: Cylinder of compact bone (with variable amounts of internal spongy bone) Covered externally with periosteum. Medullary or marrow canal containing red or yellow bone marrow Lined with endosteum. Short, Flat, and Irregular Bone Structure Basically a core of spongy bone covered with compact bone. Joint surfaces covered with joint cartilage. Non-joint surfaces covered with periosteum. Parts of some irregular bones may consist of compact bone only; e.g., body of scapula. page 2 of 6 LECTURE OUTLINE & REVIEW QUESTIONS In cranial bones, spongy bone is often referred to as diploe (Greek for “spongy”). Osteoclasts (“bone breakers”) and Bone Resorption Large, multinucleated cells Origin: monocytes (white blood cells) Function: Bone matrix destruction (“resorption”) How osteoclasts work Podosomes (cell processes) attach cell to bone matrix surface Integrins & actin microfilaments Part of cell membrane facing matrix = resorption membrane. “Ruffled border” increases contact surface area Resorption membrane: Release of lysosomal enzymes Release of hydrogen ions (acid) Result: Breakdown of bone matrix. Depression in bone matrix: Howship’s (resorption) lacuna Why ? Bone is in constant flux: deposition resorption Bone Growth: Remodeling: “woven bone” spongy or compact bone Maintenance of bone proportions Responses to physical stresses: load, muscle tensions, etc. Calcium concentrations Dietary Ca++ intake blood calcium levels Blood Ca++ tissue fluids cells (critical functions) Blood calcium bone Bone Repair Fracture hematoma fibrocartilage callus woven bone remodeling to spongy & compact bone Anatomy 25.mguthrie ANATOMY 25 - GUTHRIE Hormonal Effects on Osteoclasts Growth hormone, steroids, calcitonin, etc. Bone Formation Bone forms by replacing a pre-existing tissue. 1. Intramembranous Bone Formation (“membrane bone”) Membrane = sheet of mesenchyme Mesenchymal stem cells osteoblasts Osteoblasts osteoid tissue depostion of calcium salt crystals bone matrix with trapped osteocytes plate of woven bone Osteoblasts deposit more bone around initial plate expansion of woven bone Remodeling (osteoblasts / osteoclasts) spongy & compact bone 2. Endochondral Bone Formation (“cartilage replacement bone”) Hyaline cartilage cells hypertrophy & release chemicals cartilage matrix calcifies & cartilage cells die Result: empty lacunae surrounded by spicules of calcified cartilage matrix Blood vessels, osteoblasts, bone marrow cells invade spaces in cartilage. Osteoblasts lay down bone around calcified cartilage spicules. Cartilage eventually completely replaced by bone. Osteoblasts / osteoclasts remodeling spongy & compact bone page 3 of 6 LECTURE OUTLINE & REVIEW QUESTIONS An Example: Developing Long Bone 1. Hyaline cartilage pre-bone model. General shape & proportions of specific bone All surfaces – except joints – covered with perichondrium 2. Bone collar & Primary ossification center Perichondrium around center of diaphysis periosteum Stem cells osteoblasts intramembranous bone Cartilage degeneration in centero of diaphysis primary ossification center 3. Periosteal blood vessels invade primary ossification center Osteoblasts & bone marrow cells follow vessels Osteoblasts bone (endochondral) replaces calcified cartilage 4. Secondary (epiphyseal) ossification centers form Blood vessels invade secondary centers Osteoblasts & bone marrow cells follow vessels Osteoblasts bone (endochondral) replaces calcified cartilage 5. Epiphyseal plate formation Endochondral formation expands until only a thin plate of cartilage separates diaphysis and epiphyses = epiphyseal plate or growth cartilage Growth continues as long as cartilage production outstrips replacement by bone. Epiphyseal closure = end of growth Epiphyseal plate replaced by bone. Synostosis of epiphyses and diaphysis 6. During growth period, osteoblast / osteoclast activity: Remodels woven to spongy or compact bone Maintains proper bone proportions Anatomy 25.mguthrie ANATOMY 25 - GUTHRIE REVIEW QUESTIONS 1. The sternum, ribs, and bones forming the cranium are examples of _?_ bones. (a) short (b) flat (c) long (d) irregular (e) none of these 2. Most bones of the limbs are _?_ bones. (a) short (b) flat (c) long (d) irregular (e) none of these 3. The vertebrae and the hip bones are examples of _?_ bones. (a) short (b) flat (c) long (d) irregular (e) none of these 4. The carpals and tarsals are examples of _?_ bones. (a) short (b) flat (c) long (d) irregular (e) none of these 5. Short bones that develop in muscle tendons are called _?_ . (a) sesamoid (b) endochondral (c) patellae (d) diploe (e) osteoid 6. In mature flat bones, the internal spongy bone is called _?_. (a) osteoid (b) endosteum (c) diploe (d) periosteum (e) woven 7. The shaft of a long bone is also called the: (a) proximal epiphysis (b) medullary canal (c) diaphysis (d) distal epiphysis (e) hypophysis 8. The marrow space in the shaft of a long bone is called the _?_. (a) perforating canal (b) Haversian canal (c) medullary cavity (d) central canal (e) diastema page 4 of 6 LECTURE OUTLINE & REVIEW QUESTIONS ANATOMY 25 - GUTHRIE 9. Which of the following statements about bone is not true ? a. All external, non-articular surfaces of bones are covered with periosteum b. All internal surfaces are lined with endosteum c. All internal spaces are filled with either red or yellow bone marrow. d. All bone develops by endochondral ossification. e. All mature bone is basically contructed of sheets of matrix called lamellae. 12. Which of the following is not associated with spongy bone ? (a) trabeculae composed of lamellae (b) spaces lined with endosteum (c) periosteum (d) osteocytes in lacunae connected by canaliculi (e) marrow spaces filled with yellow or red bone marrow 10. Which of the following statements about bone is not correct ? a. Bone matrix consists of organic and inorganic components. b. The organic matrix of bone consists of ground substance and collagenous fibers. c. The organic matrix of bone is produced by osteoblasts. d. The inorganic matrix consists mostly of calcium phosphate crystals. e. The inorganic matrix is produced and maintained by osteoclasts. 14. Osteoclasts _?_. (a) are derived from monocytes (b) release acids and enzymes that break down bone matrix (c) phagocytize collagen fibers and dead osteocytes (d) all of these (e) none of these 11. Which of the following statements about osteons is not correct ? a. Osteons are composed of concentric lamellae. b. Osteons are found only in bones that develop by replacing cartilage. c. The Haversian or central canal contains blood vessels and nerves. d. Blood vessels enter osteons by way of Volkmann's or perforating canals. e. Nutrients travel from the Haversian canal to osteocytes through canaliculi. Anatomy 25.mguthrie 13. Which of the following is not found in both spongy and compact bone ? (a) osteocytes (b) osteons (c) canaliculi (d) lamellae (e) lacunae 15. Osteoclasts _?_. (a) work with osteoblasts to remodel and reshape growing bones (b) work with osteoblasts to repair bones (c) are responsible for releasing calcium from bone matrix (d) all of these (e) none of these 16. Periosteum: (a) is an anchoring site for tendons and ligaments (b) contains blood vessels and nerves that supply the bone (c) is anchored to the bone matrix by Sharpey's fibers (d) all of these (e) none of these 17. The inner layer of periosteum _?_. (a) contains stem cells that can become osteoblasts (b) is necessary for the repair of bone fractures (c) is involved in bone growth (d) all of these (e) none of these 18. Which of the listed events occurs thirdly during osteogenesis or ossification ? (a) osteoblasts secrete osteoid tissue (b) mesenchymal cells convert to osteoblasts (c) calcium salt crystals form in and around collagenous fibers (d) osteoblasts become trapped in lacunae connected by canaliculi (e) osteocytes maintain the surrounding matrix page 5 of 6 LECTURE OUTLINE & REVIEW QUESTIONS ANATOMY 25 - GUTHRIE 19. Which of the listed events occurs fourthly during intremembranous ossification ? (a) mesenchymal cells convert to osteoblasts (b) osteoblasts and osteoclasts convert woven bone to spongy and compact bone (c) osteoblasts secrete osteoid tissue (d) calcium salts precipitate in and around collagenous fibers (e) a mass of woven bone begins to form 20. Which event does not occur in endochondral bone formation ? a. Cartilage cells hypertrophy and release substances that cause the matrix to calcify. b. Cartilage cells die, the matrix degenerates, and spaces appear in the matrix. c. Blood vessels, dragging osteoblasts and marrow cells, invade the spaces. d. Osteoblasts convert the calcified cartilage matrix to bone. e. Osteoblasts lay down bone around the degenerating cartilage matrix. 21. In a growing long bone, the epiphyses and the diaphysis are separated by _?_. (a) epiphyseal plates (b) primary ossification centers (c) a bone collar (d) secondary ossification centers (e) fibrocartilage (d) all of these (e) none of these 22. Which of the following occurs in terminating the growth of long bones ? (a) chondroblasts stop dividing mitotically (b) no new cartilage matrix is formed (c) osteoblasts replace the existing cartilage with bone (d) the epiphysis and the diaphysis synostose (e) all of these Anatomy 25.mguthrie page 6 of 6