5 The Skeletal System: Osseous Tissue and Skeletal Structure Introduction • The skeletal system is made of: • • • • Skeletal bones Cartilage Ligaments Connective tissue to stabilize the skeleton • Bones are dynamic organs, which consist of several tissue types Introduction • Functions of the skeletal system • Support • Provides the framework for the attachment of other organs • Storage of minerals • Calcium ions: 98% of the body’s calcium ions are in the bones • Phosphate ions • Blood cell production • Bone marrow produces erythrocytes, leukocytes, and platelets Introduction • Functions of the skeletal system (continued) • Leverage • Muscles pull on the bones to produce movement • Protection • • • • Ribs protect heart and lungs Skull protects the brain Vertebrae protect the spinal cord Pelvic bones protect the reproductive organs Anatomy of Skeletal Elements • There are seven broad categories of bones according to their shapes • • • • • • • Sutural bones Irregular bones Short bones Pneumatized bones Flat bones Long bones Sesamoid bones Classification of Bones • Long Bones: longer than they are wide, upper and lower limbs. • Short Bones: Broad as they are long, cube shaped, round, i.e. tarsals & carpals • Flat Bones: Thin, flat and curved, skull (parietal), sternum, scapulae. • Irregular Bones: Don’t fit in the others, face, vertebrae • Sesamoid: Sesame seed, patella, small and flat • Sutural bones: Wormian bones, borders like a jigsaw puzzle. Figure 5.11 Shapes of Bones Sutural Bones Flat Bones Pneumatized Bones External table Parietal bone Sutures Sutural bone Ethmoid Diploë Internal table (spongy bone) Air cells Long Bones Irregular Bones Vertebra Humerus Short Bones Carpal bones Sesamoid Bones Patella Structure of Bone • Bones (osseous tissue) • Supporting connective tissue • Specialized cells • Solid matrix • Outer lining • Called the periosteum • Inner lining • Called the endosteum Structure of Bone • The Histological Organization of Mature Bone • The matrix • Calcium phosphate eventually converts to hydroxyapatite crystals • Hydroxyapatite crystals resist compression Structure of Bone • The Histological Organization of Mature Bone • Collagen fibers • Make up 2/3 of the bone matrix • Contribute to the tensile strength of bones • Collagen and hydroxyapatite make bone tissue extremely strong • Bone cells • Contribute only 2% of the bone mass Structure of Bone • The Cells of Mature Bone • Osteocytes • Mature bone cells • Maintain the protein and mineral content of the matrix • Osteoblasts • • • • Immature bone cells Found on the inner and outer surfaces of bones Produce osteoid, which is involved in making the matrix Osteoblasts are involved in making new bone. This is a process called osteogenesis • Osteoblasts can convert to osteocytes Structure of Bone • The Cells of Mature Bone (continued) • Osteoprogenitor cells • Found on the inner and outer surfaces of bones • Differentiate to form new osteoblasts • Heavily involved in the repair of bones after a break • Osteoclasts • Secrete acids, which dissolve the bones thereby causing the release of stored calcium ions and phosphate ions into the blood • This process is called osteolysis Figure 5.1a Histological Structure of a Typical Bone Canaliculi Osteocyte Matrix Endosteum Osteoprogenitor cell Medullary cavity Osteocyte: Mature bone cell that maintains the bone matrix Osteoblast Osteoid Osteoprogenitor cell: Stem cell whose divisions produce osteoblasts Osteoclast Matrix Matrix Medullary cavity Osteoblast: Immature bone cell that secretes organic components of matrix The cells of bone Osteoclast: Multinucleate cell that secretes acids and enzymes to dissolve bone matrix Structure of Bone • The Osteon • It is the basic unit of skeletal bones • Consists of: • • • • • Central canal Canaliculi Osteocytes Lacunae Lamellae Figure 5.1c Histological Structure of a Typical Bone Canaliculi Concentric lamellae Central canal Osteon Lacunae Osteons LM 220 A thin section through compact bone; in this procedure the intact matrix and central canals appear white, and the lacunae and canaliculi are shown in black. Figure 5.1d Histological Structure of a Typical Bone Canaliculi Concentric lamellae Central canal Osteon Lacunae Osteon LM 343 A single osteon at higher magnification Figure 5.1b Histological Structure of a Typical Bone Osteon Lacunae Central canals Lamellae Osteons SEM 182 A scanning electron micrograph of several osteons in compact bone Structure of Bone • Two types of osseous tissue • Compact bone (dense bone) • Compact bones are dense and solid • Forms the walls of bone outlining the medullary cavity • Medullary cavity consists of bone marrow • Spongy bone (trabecular bone) • Open network of plates Figure 5.2a-c The Internal Organization in Representative Bones Concentric lamellae Spongy bone Blood vessels Collagen fiber orientation Compact bone Medullary cavity Central canal Endosteum Endosteum The organization of collagen fibers within concentric lamellae Periosteum Compact Spongy bone bone Medullary cavity Capillary Small vein Gross anatomy of the humerus Circumferential lamellae Concentric lamellae Osteons Periosteum Interstitial lamellae Artery Vein Trabeculae of spongy bone Perforating canal Central canal Diagrammatic view of the histological organization of compact and spongy bone Figure 5.2d The Internal Organization in Representative Bones Trabeculae of spongy bone Canaliculi opening on surface Endosteum Lamellae Location and structure of spongy bone. The photo shows a sectional view of the proximal end of the femur. Structure of Bone • Structural Differences • Compact bone • Consists of osteons • Makes up the dense, solid portion of bone • Spongy bone • • • • Trabeculae are arranged in parallel struts Trabeculae form branching plates Trabeculae form an open network Creates the lightweight nature of bones Structure of Bone • Functional Differences • Compact bone • Conducts stress from one area of the body to another area of the body • Generates tremendous strength from end to end • Weak strength when stress is applied to the side • Spongy bone • Trabeculae create strength to deal with stress from the side Figure 5.3a Anatomy of a Representative Bone Spongy bone Epiphysis Articular surface of head of femur Metaphysis Compact bone Diaphysis (shaft) Medullary cavity Metaphysis Epiphysis Posterior view Sectional view The femur, or thigh bone, in superficial and sectional views. The femur has a diaphysis (shaft) with walls of compact bone and epiphyses (ends) filled with spongy bone. A metaphysis separates the diaphysis and epiphysis at each end of the shaft. The body weight is transferred to the femur at the hip joint. Because the hip joint is off center relative to the axis of the shaft, the body weight is distributed along the bone so that the medial portion of the shaft is compressed and the lateral portion is stretched. Figure 5.3b Anatomy of a Representative Bone An intact femur chemically cleared to show the orientation of the trabeculae in the epiphysis Figure 5.3c Anatomy of a Representative Bone Articular surface of head of femur Trabeculae of spongy bone Cortex Medullary cavity Compact bone A photograph showing the epiphysis after sectioning Structure of Bone • Organization of Compact and Spongy Bone • Epiphysis • Each end of the long bones • Diaphysis • Shaft of the long bones • Metaphysis • Narrow growth zone between the epiphysis and the diaphysis Figure 5.3a Anatomy of a Representative Bone Spongy bone Epiphysis Articular surface of head of femur Metaphysis Compact bone Diaphysis (shaft) Medullary cavity Metaphysis Epiphysis Posterior view Sectional view The femur, or thigh bone, in superficial and sectional views. The femur has a diaphysis (shaft) with walls of compact bone and epiphyses (ends) filled with spongy bone. A metaphysis separates the diaphysis and epiphysis at each end of the shaft. The body weight is transferred to the femur at the hip joint. Because the hip joint is off center relative to the axis of the shaft, the body weight is distributed along the bone so that the medial portion of the shaft is compressed and the lateral portion is stretched. Structure of Bone • The Periosteum and Endosteum • Periosteum • Outer surface of the bone • Isolates and protects the bone from surrounding tissue • Provides a route and a place for attachment for circulatory and nervous supply • Actively participates in bone growth and repair • Attaches the bone to the connective tissue network of the deep fascia Structure of Bone • The Periosteum and Endosteum • Periosteum and Tendons • Tendons are cemented into the lamellae by osteoblasts • Therefore, tendons are actually a part of the bone Figure 5.4c Anatomy and Histology of the Periosteum and Endosteum Zone of tendonbone attachment Tendon Periosteum Medullary cavity Endosteum Spongy bone of epiphysis Epiphyseal cartilage LM 100 A tendonbone junction Structure of Bone • The Periosteum and Endosteum • Endosteum • • • • Inner surface of bone Lines the medullary cavity Consists of osteoprogenitor cells Actively involved in repair and growth Bone Development and Growth • Factors Regulating Bone Growth • • • • • • • • Nutrition Calcium ions Phosphate ions Magnesium ions Citrate Carbonate ions Sodium ions Vitamins A, C, D (calcitriol) Bone Development and Growth • Factors Regulating Bone Growth (continued) • Hormones: Parathyroid gland • • • • Releases parathyroid hormone Stimulates osteoclasts Stimulates osteoblasts Increases calcium ion absorption from the small intestine to the blood Bone Development and Growth • Factors Regulating Bone Growth (continued) • Hormones: Thyroid gland Releases calcitonin • Inhibits osteoclasts • Removes calcium ions from blood and adds it to bone Bone Development and Growth • Factors Regulating Bone Growth (continued) • Hormones: Thyroid gland • Releases thyroxine (T4) • Maintains normal activity of the epiphyseal cartilage Bone Development and Growth • Factors Regulating Bone Growth (continued) • Hormones: Pituitary gland • Releases growth hormone (somatotropin) • Maintains normal activity of the epiphyseal cartilage Bone Development and Growth • There are four major sets of blood vessels associated with the long bones • Nutrient vessels • Enter the diaphysis and branch toward the epiphysis • Re-enter the compact bone, leading to the central canals of the osteons • Metaphyseal vessels • Supply nutrients to the diaphyseal edge of the epiphysis Bone Development and Growth • Four major sets of blood vessels (continued) • Epiphyseal vessels • Supply nutrients to the medullary cavities of the epiphysis • Periosteal vessels • Supply nutrients to the superficial osteons Figure 5.4ab Anatomy and Histology of the Periosteum and Endosteum Joint capsule Cellular layer of periosteum Fibrous layer of periosteum Endosteum Compact bone Circumferential lamellae Cellular layer of periosteum Fibrous layer of periosteum Canaliculi Lacuna Osteocyte Perforating fibers Bone matrix Giant multinucleate osteoclast Endosteum Osteoprogenitor cell Osteocyte Osteoid Osteoblasts The endosteum is an incomplete cellular layer containing osteoblasts, osteoprogenitor cells, and osteoclasts. The periosteum contains outer (fibrous) and inner (cellular) layers. Collagen fibers of the periosteum are continuous with those of the bone, adjacent joint capsules, and attached tendons and ligaments. Bone Development and Growth • Before six weeks of development, the skeleton is cartilage • Cartilage cells will be replaced by bone cells • This is called ossification • Osteogenesis • Bone formation • Calcification • The deposition of calcium ions into the bone tissue Nutrition and hormones • Bone growth requires Osteoblasts & Chondroblasts to proliferate. • Calcium is critical for growth • Vitamin D is necessary for Calcium absorption in the small intestine….. Vitamin D is soluble in fat • Lack of calcium results in Rickets in kids and osteomalacia in adults. • Vitamin C is critical for collagen synthesis. • Scurvy is the malady of deficient Vitamin C. • This causes bones deficient in collagen. • scurvy causes poor wound healing and easy hemorrhage. Hormones • Human Growth hormone secreted from the anterior pituitary increases general tissue growth, specifically appositional bone growth and interstitial cartilage growth • Thyroid hormones: Calcitonin & Thyroxine. • Calcitonin: promotes Ca loss in the kidneys & reduces blood levels, also inhibits osteoclast activity. • Thyroxine: stimulates osteoblast activity, bone matrix synthesis. • Sex Hormones; Estrogen & testosterone stimulates osteoblasts activity. Bone Formation, Growth, and Remodeling • most bones develop using hyaline cartilage structures as their "models.“ • In embryos, the skeleton is primarily made of hyaline cartilage • In childhood most of the cartilage has been replaced by bone • Cartilage remains only in the bridge of the nose, parts of the ribs, and surfaces of the joints. • flat bones form on fibrous membranes, Bone cell types •Osteocytes: These are the most common of the 4 types of bone cells. Each of these occupies a lacuna. They have 2 primary functions, 1) maintain and monitor protein & mineral content of bone matrix 2) participate in bone repair. •Osteoblasts: bone producing cells •Osteoclasts: cells that break down bone •Both of these cells are found in the inner layer of the periosteum. •Osteoprogenitor Cells; stem cells that differentiate into osteoblasts Bone Ossification Ossification: the formation of bone by osteoblasts and synthesis of extracellular matrix and addition of minerals to matrix. The process of replacing other tissue with bone. • Calcification: deposition of calcium salts during ossification. ossification Hyaline cartilage model Ossification Bone starting to replace cartilage New center of bone growth process of bone formation in fetus 1. the hyaline cartilage model is completely covered with bone matrix by bone-forming cells called osteoblasts. 2. Bone Hyaline cartilage the fetus has cartilage "bones" enclosed by "bony" bones. Yellow marrow cavity forming 3. the enclosed hyaline cartilage model is digested away, opening up a medullary cavity within the newly formed bone.Artic ular 4. By birth or shortly after, most hyaline cartilage models have been converted to bone cartil age Blood vessels articular cartilages that cover the bone ends, and the epiphyseal plates remain. Articular cartilage articular Bone Epiphyseal plate cartilage forming Bone forming cartilages persist for life, reducing friction at the joint surfaces. epiphyseal plates provide for longitudinal growth of the long bones during childhood. Growth in bone width Bone forming Epiphyseal plate cartilage forming Bone Development and Growth • There are two types of ossification • Intramembranous ossification • Involved in the development of clavicle, mandible, skull, and face • Endochondral ossification • Involved in the development of limbs, vertebrae, and hips Intramembranous Ossification: (dermal ossification) bone that develops from fibrous connective tissue. This occurs in deep layers of dermis (dermal bones), i.e. skull (fontanels), mandible, clavicle. The 3 steps of intramembranous ossification! • Step 1: Mesenchymal cells (stem cells that are present in many connective tissues) aggregate, and begin the ossification process. The bone expands out from the ossification center as a series of spicules (small struts). The mesenchymal cells differentiate and produce osteoblasts. • Step 2: Bone growth is active & requires oxygen and food. Blood vessels form and become trapped in the growing bone. • Step 3: Formed intramembranous is only spongy bone, as the bone matures spongy bone is removed for marrow cavities, also spongy bone formed in this process can become compact. Figure 5.6 Fetal Intramembranous and Endochondral Ossification Temporal bone Parietal bone Mandible Intramembranous ossification produces the roofing bones of the skull Clavicle Frontal bone Scapula Humerus Ribs Metacarpal bones Phalanges Radius Endochondral ossification replaces cartilages of embryonic skull Primary ossification centers of the diaphyses (bones of the lower limb) Future hip bone At 10 weeks the fetal skull clearly shows both membrane and cartilaginous bone, but the boundaries that indicate the limits of future skull bones have yet to be established. Vertebrae Hip bone (ilium) Femur Ulna Cartilage Fibula Tibia Phalanx Metatarsal bones At 16 weeks the fetal skull shows the irregular margins of the future skull bones. Most elements of the appendicular skeleton form through endochondral ossification. Note the appearance of the wrist and ankle bones at 16 weeks versus at 10 weeks. • Endochondral Ossification: • Is responsible for the increase in length of bones. • In long bones endochondral growth at the epiphyseal plate results in the increase of the diaphysis. Most bone starts as hyaline cartilage. The cartilage is a miniature model of what the bone will look like in adulthood. These models become bone in endochondral ossification. • The six steps of endochondral growth • Step 1: cartilage enlarges, by appositional growth, chondrocytes at center of cartilage grow in size. The matrix reduces in size and spicules calcify. Chondrocytes die and leave cavities in cartilage. • Step 2: blood vessels grow around edges of cartilage, osteoblasts form in the perichondrium form and the cartilage becomes encased in bone. • Step 3: The perichondrium needs oxygen & food, so capillaries begin to grow where the cartilage has died off. Endochondral Bone Ossification • Fibroblasts become osteoblasts and replace cartilage with spongy bone. This happens in an area called Primary Center of Ossification here bone grows towards the ends of the bone, the entire diaphysis is spongy bone. • Step 4; As the bone continues to grow osteoclasts appear breaking down the trabeculae of spongy bone starting a marrow cavity. Now bone grows two ways, 1 in length and 2 in diameter by appositional growth. • Step 5: Capillaries and osteoblasts migrate to the epiphysis creating secondary ossification centers. • Step 6: The epiphysis fills with spongy bone, a small layer of cartilage remains and becomes articular cartilage. Bone Growth • Bones cannot grow by interstitial growth like cartilage, ligaments, & tendons. • bones grow by two methods: Appositional growth or Endochondral growth. • Appositional Growth is responsible for the increase in diameter of long bones and most growth of other bones. • cells on the inner layer of periosteum differentiate into osteoblasts and cause growth of the bone matrix. They become surrounded with matrix and become osteocytes. • On the surface of the bone, appositional growth adds layers of bone that become lamellae. • Remember, Bone is deposited by osteoblasts on the surface of the bone and reabsorbed by osteoclasts on the inner surface of the bone, so marrow cavity enlarges as bone grows. Longitudinal growth • 1."New" cartilage is formed continuously on the external face of the articular cartilage and on the epiphyseal plate surface that is farther away from the medullary cavity. Articular cartilage • 2. At the same time, the "old" cartilage abutting the internal face of the articular Hyaline cartilage grows cartilage and the medullary cavity is here broken down and replaced by bony matrix • This process of long-bone growth is controlled by hormones, • (growth hormone and, during puberty, the sex hormones). • It ends during adolescence, when the epiphyseal plates are completely converted to bone. Hyaline cartilage replaced by bone here Epiphyseal plate Medullary cavity Bone Development and Growth • Intramembranous ossification • • • • • • Mesenchymal cells differentiate to form osteoblasts Osteoblasts begin secreting a matrix Osteoblasts become trapped in the matrix Osteoblasts differentiate and form osteocytes More osteoblasts are produced, thus move outward Eventually, compact bone is formed Figure 5.5 Histology of Intramembranous Ossification Mesenchymal cells aggregate, differentiate into osteoblasts, and begin the ossification process. The bone expands as a series of spicules that spread into surrounding tissues. Osteocyte in lacuna As the spicules interconnect, they trap blood vessels within the bone. Bone matrix Osteoblast Osteoid Embryonic connective tissue Mesenchymal cell Blood vessel Osteocytes in lacunae Blood vessels Osteoblast layer Over time, the bone assumes the structure of spongy bone. Areas of spongy bone may later be removed, creating medullary cavities. Through remodeling, spongy bone formed in this way can be converted to compact bone. Blood vessel Blood vessel Osteoblasts Spicules LM 32 LM 32 Bone Development and Growth • Endochondral ossification • The developing bone begins as cartilage cells • Cartilage matrix grows inward • Interstitial growth • Cartilage matrix grows outward • Appositional growth • Blood vessels grow around the cartilage Bone Development and Growth • Endochondral ossification (continued) • Perichondrial cells convert to osteoblasts • Osteoblasts develop a superficial layer of bone around the cartilage • Blood vessels penetrate the cartilage • Osteoblasts begin to develop spongy bone in the diaphysis • This becomes the primary center of ossification Figure 5.7a Anatomical and Histological Organization of Endochondral Ossification (Part 1 of 2) As the cartilage enlarges, chondrocytes near the center of the shaft increase greatly in size. The matrix is reduced to a series of small struts that soon begin to calcify. The enlarged chondrocytes then die and disintegrate, leaving cavities within the cartilage. Blood vessels grow around the edges of the cartilage, and the cells of the perichondrium convert to osteoblasts. The shaft of the cartilage then becomes ensheathed in a superficial layer of bone. Enlarging chondrocytes within calcifying matrix Epiphysis Diaphysis Bone formation Hyaline cartilage Steps in the formation of a long bone from a hyaline cartilage model Figure 5.7a Anatomical and Histological Organization of Endochondral Ossification (Part 2 of 2) Blood vessels penetrate the cartilage and invade the central region. Fibroblasts migrating with the blood vessels differentiate into osteoblasts and begin producing spongy bone at a primary center of ossification. Bone formation then spreads along the shaft toward both ends. Medullary cavity Blood vessel Primary ossification center Remodeling occurs as growth continues, creating a medullary cavity. The bone of the shaft becomes thicker, and the cartilage near each epiphysis is replaced by shafts of bone. Further growth involves increases in length (Steps 5 and 6) and diameter (see Figure 5.9). Medullary cavity Superficial bone See Figure 5.9 Spongy bone Metaphysis Steps in the formation of a long bone from a hyaline cartilage model Bone Development and Growth • Endochondral ossification (continued) • • • • The cartilage near the epiphysis converts to bone Blood vessels penetrate the epiphysis Osteoblasts begin to develop spongy bone in the epiphysis Epiphysis becomes the secondary center of ossification Figure 5.7b Anatomical and Histological Organization of Endochondral Ossification (Part 1 of 2) Capillaries and osteoblasts migrate into the epiphyses, creating secondary ossification centers. Hyaline cartilage Soon the epiphyses are filled with spongy bone. An articular cartilage remains exposed to the joint cavity; over time it will be reduced to a thin superficial layer. At each metaphysis, an epiphyseal cartilage separates the epiphysis from the diaphysis. Articular cartilage Epiphysis Spongy bone Metaphysis Periosteum Compact bone Secondary ossification center Epiphyseal cartilage Diaphysis Bone Development and Growth • Epiphyseal plate • • • • Area of cartilage in the metaphysis Also called the epiphyseal cartilage Cartilage near the diaphysis is converted to bone The width of this zone gets narrower as we age Figure 5.7b Anatomical and Histological Organization of Endochondral Ossification (Part 2 of 2) Epiphyseal cartilage matrix Cartilage cells undergoing division Zone of proliferation Zone of hypertrophy Medullary cavity Osteoblasts Osteoid Epiphyseal cartilage Light micrograph showing the zones of cartilage and the advancing osteoblasts at an epiphyseal cartilage LM 250 Figure 5.7 Anatomical and Histological Organization of Endochondral Ossification As the cartilage enlarges, chondrocytes near the center of the shaft increase greatly in size. The matrix is reduced to a series of small struts that soon begin to calcify. The enlarged chondrocytes then die and disintegrate, leaving cavities within the cartilage. Blood vessels grow around the edges of the cartilage, and the cells of the perichondrium convert to osteoblasts. The shaft of the cartilage then becomes ensheathed in a superficial layer of bone. Blood vessels penetrate the cartilage and invade the central region. Fibroblasts migrating with the blood vessels differentiate into osteoblasts and begin producing spongy bone at a primary center of ossification. Bone formation then spreads along the shaft toward both ends. Remodeling occurs as growth continues, creating a medullary cavity. The bone of the shaft becomes thicker, and the cartilage near each epiphysis is replaced by shafts of bone. Further growth involves increases in length (Steps 5 and 6) and diameter (see Figure 5.9). Capillaries and osteoblasts migrate into the epiphyses, creating secondary ossification centers. Hyaline cartilage Articular cartilage Cartilage cells undergoing division Epiphyseal cartilage matrix Spongy bone Epiphysis Enlarging chondrocytes within calcifying matrix Soon the epiphyses are filled with spongy bone. An articular cartilage remains exposed to the joint cavity; over time it will be reduced to a thin superficial layer. At each metaphysis, an epiphyseal cartilage separates the epiphysis from the diaphysis. Zone of proliferation Metaphysis Zone of hypertrophy Epiphysis Medullary cavity Blood vessel Diaphysis Primary ossification center Superficial bone Spongy bone Bone formation Hyaline cartilage Steps in the formation of a long bone from a hyaline cartilage model Periosteum Medullary cavity Compact bone Epiphyseal cartilage Diaphysis See Figure 5.9 Medullary cavity Metaphysis Osteoblasts Osteoid Epiphyseal cartilage Secondary ossification center Light micrograph showing the zones of cartilage and the advancing osteoblasts at an epiphyseal cartilage LM 250 Figure 5.8 Epiphyseal Cartilages and Lines X-ray of the hand of a young child. The arrows indicate the locations of the epiphyseal cartilages. X-ray of the hand of an adult. The arrows indicate the locations of epiphyseal lines. Bone Development and Growth • Enlarging the diameter of bone • Called appositional growth • Blood vessels that run parallel to the bone becomes surrounded by bone cells • “Tunnels” begin to form • Each “tunnel” has a blood vessel in it Bone Development and Growth • Enlarging the diameter of bone • Osteoblasts begin to produce matrix, thus creating concentric rings • As osteoblasts are laying down more bone material, osteoclasts are dissolving the inner bone, thus creating the marrow cavity Figure 5.9a Appositional Bone Growth (Part 1 of 2) Bone formation at the surface of the bone produces ridges that parallel a blood vessel. Ridge The ridges enlarge and create a deep pocket. Periosteum Perforating canal Artery Three-dimensional diagrams illustrate the mechanism responsible for increasing the diameter of a growing bone. The ridges meet and fuse, trapping the vessel inside the bone. Figure 5.9a Appositional Bone Growth (Part 2 of 2) Bone deposition proceeds inward toward the vessel, beginning the creation of a typical osteon. Additional circumferential lamellae are deposited and the bone continues to increase in diameter. Circumferential lamellae Three-dimensional diagrams illustrate the mechanism responsible for increasing the diameter of a growing bone. Osteon is complete with new central canal around blood vessel. Second blood vessel becomes enclosed. Central canal of new osteon Periosteum Figure 5.9b Appositional Bone Growth Bone resorbed by osteoclasts Infant Child Bone deposited by osteoblasts Young adult A bone grows in diameter as new bone is added to the outer surface. At the same time, osteoclasts resorb bone on the inside, enlarging the medullary cavity. Adult Figure 5.10 Circulatory Supply to a Mature Bone Branches of nutrient artery and vein Periosteum Articular cartilage Epiphyseal artery and vein Metaphyseal artery and vein Periosteum Compact bone Periosteal arteries and veins Connections to superficial osteons Medullary cavity Nutrient artery and vein Nutrient foramen Metaphyseal artery and vein Metaphysis Epiphyseal line Bone Maintenance, Remodeling, and Repair • Aging and the Skeletal System • When we’re young, osteoblast activity balances with osteoclast activity • When we get older, osteoblast activity slows faster than osteoclast activity • When osteoclast activity is faster than osteoblast activity, bones become porous • Estrogen keeps osteoclast activity under control Bone Maintenance, Remodeling, and Repair • Aging and the Skeletal System • As women age, estrogen levels drop • Osteoclast control is lost • Osteoclasts are overactive • Bones become porous • This is osteoporosis Bone Maintenance, Remodeling, and Repair • Injury and Repair • When a bone is broken, bleeding occurs • A network of spongy bone forms • Osteoblasts are overly activated, thus resulting in enlarged callused area • This area is now stronger and thicker than normal bone Clinical Note 5.3 Fractures and Their Repair (Part 3 of 4) Repair of a fracture Fracture hematoma Dead bone Bone fragments Immediately after the fracture, extensive bleeding occurs. Over a period of several hours, a large blood clot, or fracture hematoma, develops. Spongy bone of external callus Periosteum An internal callus forms as a network of spongy bone units the inner edges, and an external callus of cartilage and bone stabilizes the outer edges. Clinical Note 5.3 Fractures and Their Repair (Part 4 of 4) External callus Internal callus External callus The cartilage of the external callus has been replaced by bone, and struts of spongy bone now unite the broken ends. Fragments of dead bone and the areas of bone closest to the break have been removed and replaced. A swelling initially marks the location of the fracture. Over time, this region will be remodeled, and little evidence of the fracture will remain. Anatomy of Skeletal Elements • Bone markings include: • • • • • Projections Depressions Fissures Foramina Canals (meatuses) Figure 5.12a Examples of Bone Markings (Surface Features) Trochanter Head Neck Facet Tubercle Condyle Femur Figure 5.12b Examples of Bone Markings (Surface Features) Fissure Process Foramen Ramus Skull, anterior view Figure 5.12c Examples of Bone Markings (Surface Features) Canal Sinuses Meatus Skull, sagittal section Figure 5.12d Examples of Bone Markings (Surface Features) Tubercle Head Sulcus Neck Tuberosity Fossa Trochlea Condyle Humerus Figure 5.12e Examples of Bone Markings (Surface Features) Crest Spine Fossa Line Foramen Ramus Pelvis Table 5.1 Common Bone Marking Terminology