Chapter 6- Bones What do bones do for you other than make up 18% of your weight? • • • • 1. Support- muscles 2. Protection- organs 3. Movement- with muscles 4. Mineral storage- calcium (99% of body's), phosphorus, • 45% of bone weight • 5. Hemopoiesis- Blood cell production, in the Red bone marrow • 6. Fat storage- Yellow bone marrow Figure 6-1 A Classification of Bones by Shape Flat Bones Sutural Bones Sutures External table Parietal bone Sutural bone Internal Diploë table (spongy bone) Irregular Bones Long Bones Vertebra Humerus Short Bones Carpal bones Sesamoid Bones Patella Structure of Bone(pg 173) • 1. Diaphysis- shaft • 2. Epiphyses- ends • 3. Metaphyses- b/w 1 & 2, includes the epiphyseal plate (cartilage) - cartilage replaced by bone when done growing = epiphyseal line • 4. Articular cartilage- reduces friction • 5. Periosteum-covering for protection & nourishment • 6. Medullary cavity/ Marrow cavityyellow marrow • 7. Endosteum- lines the marrow cavity 6-3 Bone (Osseous) Tissue • Matrix composed of: – Minerals: • Hydroxyapatite (Calcium) • Function: Hard, brittle and can withstand compression – Protein Fibers: • Collagen • Function: Tensile strength, tolerates twisting/bending Bone Cells Maintain matrix, help repair damage bone Secrete new matrix (osteoid), become osteocytes Resorption- breakdown of bone *every 7 years you make a new skeleton Produce osteoblasts, repair fractures Remove/recycle matrix by dissolving with acids/enzymes (osteolysis) Bone Tissue • 1. Compact- 80% of bone, few spaces – Haversian canals (bld vessels), Lamellae (layers), Lacunae(pockets with osteocytes) * All bone tissue has a rich supply of blood 2. Spongy- 20% of bone, found in the epiphyses • No osteons • Matrix = trabeculae (lattice structures), appears to have holes stores red marrow – Open network of fibers w/ no blood vessels 6-4 Compact Bone and Spongy Bone • Periosteum: – Outer membrane covering compact bone – fibrous and cellular layer – Functions: – Isolates bone – Route for blood vessels/nerves – Bone growth/repair 6-4 Compact Bone and Spongy Bone • Endosteum – incomplete cellular layer lining the medullary cavity – Contains osteoblasts, osteoprogenitor cells and osteoclasts – Functions: – Covers trabeculae – Lines central canals – bone growth and repair 6-5 Bone Formation and Growth • Ossification • The process of replacing other tissues with bone • Includes calcification: deposition of Ca salts • Two Main forms of ossification: • Endochondral Ossification and Intramembranous Ossification Endochondral Ossification • Ossifies bones that originated as hyaline cartilage • Step 1: • Chondrocytes increase in size • Matrix begins to calcify • Enlarged chondrocytes die Endochondral Ossification • Step 2: • BVs grow into perichondrium • Cells of perichondrium convert to osteoblasts and produce thin layer of superficial bone Endochondral Ossification • Step 3: • BVs penetrate cartilage • Fibroblasts migrate and differentiate into osteoblasts • Form primary ossification center, cartilage replaced with spongy bone Endochondral Ossification • Step 4: • Remodeling occurs • Osseous tissue becomes thicker • Cartilage near epiphysis replaced by bone • Osteoclasts erode spongy bone and form medullary cavity Endochondral Ossification • Step 5: • Capillaries and osteoblasts migrate into epiphyses • Secondary ossification centers form Endochondral Ossification • Step 6: • Epiphyses fill with spongy bone • Articular cartilage remains • Metaphysis: epiphyseal cartilage separates epiphysis from diaphysis • Epiphyseal cartilage lost after puberty complete females 23, males 25 when complete-no epiphyseal disks Figure 6-11a Bone Growth at an Epiphyseal Cartilage An x-ray of growing epiphyseal cartilages (arrows) Epiphyseal lines in an adult (arrows) Intramembranous (Dermal) Ossification Bone Formation Video 6-6 Bone Remodeling • The adult skeleton: • Maintains itself • Replaces mineral reserves • Recycles and renews bone matrix 6-7 Exercise, Hormones, and Nutrition • Exercise – Mineral recycling allows bones to adapt to stress – Heavily stressed bones become thicker and stronger • Bone Degeneration – Bone degenerates quickly – Up to one third of bone mass can be lost in a few weeks of inactivity 6-7 Exercise, Hormones, and Nutrition • Nutrition – Diet must include calcium and phosphate salts, plus small amounts of magnesium, fluoride, iron, and manganese – Calcitriol • Vitamin C required for collagen synthesis and stimulation of osteoblast differentiation • Vitamin A stimulates osteoblast activity • Vitamins K and B12 help synthesize bone proteins 6-7 Exercise, Hormones, and Nutrition • Hormones – Growth hormone and thyroxine stimulate bone growth – Estrogens and androgens stimulate osteoblasts – Calcitonin and parathyroid hormone regulate calcium levels Figure 6-16b Factors That Alter the Concentration of Calcium Ions in Body Fluids Factors That Decrease Blood Calcium Levels These responses are triggered when plasma calcium ion concentrations rise above 11 mg/dL. HIgh Calcium Ion Levels in Plasma (above 11 mg/dL) Thyroid Gland Response Parafollicular cells (C cells) in the thryoid gland secrete calcitonin. Calcitonin Bone Response Osteoclasts inhibited while osteoblasts continue to lock calcium ions in bone matrix Intestinal Response Kidney Response Rate of intestinal absorption decreases Kidneys allow calcium loss less Bone calcitriol Calcium absorbed slowly Calcium excreted Calcium stored ↓Ca2+ levels in bloodstream Increased calcium loss in urine Figure 6-16a Factors That Alter the Concentration of Calcium Ions in Body Fluids Factors That Increase Blood Calcium Levels These responses are triggered when plasma calcium ion concentrations fall below 8.5 mg/dL. Low Calcium Ion Levels in Plasma (below 8.5 mg/dL) Parathyroid Gland Response Low calcium plasma levels cause the parathyroid glands to secrete parathyroid hormone (PTH). PTH Bone Response Osteoclasts stimulated to release stored calcium ions from bone Osteoclast Intestinal Response Kidney Response Rate of intestinal absorption increases Kidneys retain calcium ions more Bone Calcium released calcitriol Calcium absorbed quickly ↑Ca2+ levels in bloodstream Calcium conserved Decreased calcium loss in urine Cracks/breaks in bones Caused by physical stress Repaired in four steps Figure 6-17 Types of Fractures and Steps in Repair 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 unites the inner edges, and an external callus of cartilage and bone stabilizes the outer edges. Figure 6-17 Types of Fractures and Steps in Repair External callus Internal callus External callus The cartilage of the external callus has been replaced by bone, and struts of spongy bone now united 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. Fractures • • • • 1. Open/Compound- through the skin 2. Closed/ Simple- not through the skin 3. Comminuted- smaller fragments 4. Greenstick- only children, 1 side broken, 1 side bends • 5. Impacted- bone through bone • Stress fracture- microscopic , repeated stress • can withstand 24,000 lbs/sq in, 4x greater than steel Transverse- break along shaft Spiral- from twisting Displaced- produces abnormal bone alignment 6-10 Effects of Aging on the Skeletal System • Bones become thinner and weaker with age • Osteopenia begins between 30 - 40 • Inadequate ossification/osteoblast activity declines = loss of bone mass • Women lose 8% of bone mass/decade, men 3% • The epiphyses, vertebrae, jaws most affected • Result = fragile limbs, reduction in height, tooth loss • Osteoporosis • Severe bone loss • Affects normal function/increases possibility of fracture Normal spongy bone SEM 25 Causes: • inadequate intake of calcium and vitamin D • lack of weight-bearing exercise • lack of certain hormones, particularly estrogen in women (menopausal women are at higher risk) • Cigarette smoking • eating disorders such as anorexia nervosa or bulimia Spongy bone in osteoporosis SEM 21 Abnormal Development of Bone Pituitary dwarfism =inadequate production of growth hormone resulting in short bones Gigantism= overproduction of HGH Robert Wadlow (Alton) 8ft, 11in Marfan’s syndrome = excess cartilage at epiphyseal plates