bones and skeletal tissues

93
Bones and Skeletal Tissues P A R T A

Upload: hanne

Post on 23-Feb-2016

27 views

Category:

Documents


0 download

DESCRIPTION

Bones and Skeletal Tissues. P A R T A. Skeletal Cartilage. Contains no blood vessels or nerves Surrounded by the perichondrium (dense irregular connective tissue) that resists outward expansion Three types – hyaline, elastic, and fibrocartilage. Hyaline Cartilage. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: Bones and Skeletal Tissues

Bones and Skeletal Tissues

P A R T A

Page 2: Bones and Skeletal Tissues

Skeletal Cartilage

Contains no blood vessels or nerves Surrounded by the perichondrium

(dense irregular connective tissue) that resists outward expansion

Three types – hyaline, elastic, and fibrocartilage

Page 3: Bones and Skeletal Tissues

Hyaline Cartilage Provides support, flexibility, and

resilience Is the most abundant skeletal cartilage Is present in these cartilages:

Articular – covers the ends of long bones

Costal – connects the ribs to the sternum

Respiratory – makes up larynx, reinforces air passages

Nasal – supports the nose

Page 4: Bones and Skeletal Tissues

Elastic Cartilage

Similar to hyaline cartilage, but contains elastic fibers

Found in the external ear and the epiglottis

Page 5: Bones and Skeletal Tissues

Fibrocartilage

Highly compressed with great tensile strength

Contains collagen fibers Found in menisci of the knee and in

intervertebral discs

Page 6: Bones and Skeletal Tissues

Growth of Cartilage

Appositional – cells in the perichondrium secrete matrix against the external face of existing cartilage

Interstitial – lacunae-bound chondrocytes inside the cartilage divide and secrete new matrix, expanding the cartilage from within

Calcification of cartilage occursDuring normal bone growthDuring old age

Page 7: Bones and Skeletal Tissues

Bones and Cartilages of the Human Body

Page 8: Bones and Skeletal Tissues

Classification of Bones

Axial skeleton – bones of the skull, vertebral column, and rib cage

Appendicular skeleton – bones of the upper and lower limbs, shoulder, and hip

Page 9: Bones and Skeletal Tissues

Classification of Bones: By Shape

• Long bones – longer than they are wide (e.g., humerus)

Page 10: Bones and Skeletal Tissues

Classification of Bones: By Shape

• Short bones– Cube-shaped

bones of the wrist and ankle

Page 11: Bones and Skeletal Tissues

Classification of Bones: By Shape

• Flat bones – thin, flattened, and a bit curved (e.g., sternum, and most skull bones)

Page 12: Bones and Skeletal Tissues

Classification of Bones: By Shape

• Irregular bones – bones with complicated shapes (e.g., vertebrae and hip bones)

Page 13: Bones and Skeletal Tissues

Classification of bones by shape

Sesamoid bonesShort bones located in a tendon

Patella

Page 14: Bones and Skeletal Tissues

Function of Bones

Support – form the framework that supports the body and cradles soft organs

Protection – provide a protective case for the brain, spinal cord, and vital organs

Movement – provide levers for muscles

Page 15: Bones and Skeletal Tissues

Function of Bones

Mineral storage – reservoir for minerals, especially calcium and phosphorus

Blood cell formation – hematopoiesis occurs within the marrow cavities of bones

Page 16: Bones and Skeletal Tissues

Bone Markings

Bulges, depressions, and holes that serve as: Sites of attachment for muscles,

ligaments, and tendonsJoint surfacesConduits for blood vessels and

nerves

Page 17: Bones and Skeletal Tissues

Projections – Sites of Muscle and Ligament Attachment

Tubercle – small rounded projection Tuberosity – rounded projection Trochanter – large, blunt, irregular

surface Crest – narrow, prominent ridge of bone Line – narrow ridge of bone

Page 18: Bones and Skeletal Tissues

Epicondyle – raised area above a condyle

Spine – sharp, slender projection Process – any bony prominence

Projections – Sites of Muscle and Ligament Attachment

Page 19: Bones and Skeletal Tissues

Projections That Help to Form Joints

Head – bony expansion carried on a narrow neck

Facet – smooth, nearly flat articular surface

Condyle – rounded articular projection Ramus – armlike bar of bone

Page 20: Bones and Skeletal Tissues

Bone Markings: Depressions and Openings

Meatus – canal-like passageway Sinus – cavity within a bone Fossa – shallow, basin-like

depression Groove – furrow Fissure – narrow, slit-like opening Foramen – round or oval opening

through a bone

Page 21: Bones and Skeletal Tissues

Gross Anatomy of Bones: Bone Textures

Compact bone – dense outer layer Spongy bone – honeycomb of

trabeculae filled with yellow bone marrow

Page 22: Bones and Skeletal Tissues

Structure of Long Bone

DiaphysisTubular shaft that forms the axis

of long bonesComposed of compact bone that

surrounds the medullary cavityYellow bone marrow (fat) is

contained in the medullary cavity

Page 23: Bones and Skeletal Tissues

Structure of Long Bone Epiphyses

Expanded ends of long bones: distal and proximal

Exterior is compact bone, and the interior is spongy bone

Joint surface is covered with articular (hyaline) cartilage

Epiphyseal line separates the diaphysis from the epiphyses (metaphisis)

Page 24: Bones and Skeletal Tissues

Structure of Long Bone

Page 25: Bones and Skeletal Tissues

Structure of Long Bone

Page 26: Bones and Skeletal Tissues

Structure of Long Bone

Page 27: Bones and Skeletal Tissues

Structure of Long Bone

Page 28: Bones and Skeletal Tissues

Bone Membranes Periosteum – double-layered

protective membraneOuter fibrous layer is dense regular

connective tissueInner osteogenic layer is composed

of osteoblasts and osteoclastsRichly supplied with nerve fibers,

blood, and lymphatic vessels, which enter the bone via nutrient foramina

Page 29: Bones and Skeletal Tissues

Bone Membranes

Secured to underlying bone by Sharpey’s fibers

Endosteum – delicate membrane covering internal surfaces of boneIt contains osteoclasts and

osteoblasts

Page 30: Bones and Skeletal Tissues

Structure of Short, Irregular, and Flat Bones

Thin plates of periosteum-covered compact bone on the outside with endosteum-covered spongy bone (diploë) on the inside

Have no diaphysis or epiphyses Contain bone marrow between the

trabeculae

Page 31: Bones and Skeletal Tissues

Structure of a Flat Bone

Page 32: Bones and Skeletal Tissues

Location of Hematopoietic Tissue (Red Marrow)

In infantsFound in the medullary cavity and all

areas of spongy bone In adults

Found in the diploë of flat bones, and the head of the femur and humerus

Page 33: Bones and Skeletal Tissues

Microscopic Structure of Bone: Compact Bone

Haversian system, or osteon – the structural unit of compact boneLamella – weight-bearing, column-like

matrix tubes composed mainly of collagen. Concentric, circumferential, interstitial

Haversian, or central canal – central channel containing blood vessels and nerves

Page 34: Bones and Skeletal Tissues

Microscopic Structure of Bone: Compact Bone

Volkmann’s canals – channels lying at right angles to the central canal, connecting blood and nerve supply of the periosteum to that of the Haversian canal

Page 35: Bones and Skeletal Tissues

Microscopic Structure of Bone: Compact Bone

Osteocytes – mature bone cells Lacunae – small cavities in bone that

contain osteocytes Canaliculi – hairlike canals that connect

lacunae to each other and the central canal

Page 36: Bones and Skeletal Tissues

Microscopic Structure of Bone: Compact Bone

Page 37: Bones and Skeletal Tissues

Microscopic Structure of Bone: Compact Bone

Page 38: Bones and Skeletal Tissues

Microscopic Structure of Bone: Compact Bone

Page 39: Bones and Skeletal Tissues

Microscopic Structure of Bone: Compact Bone

Page 40: Bones and Skeletal Tissues

Chemical Composition of Bone: Organic

Osteoblasts – bone-forming cells Osteocytes – mature bone cells Osteoclasts – large cells that

resorb or break down bone matrix Osteoid – unmineralized bone

matrix composed of proteoglycans, glycoproteins, and collagen

Page 41: Bones and Skeletal Tissues

Chemical Composition of Bone: Inorganic

Hydroxyapatites, or mineral saltsSixty-five percent of bone by

massMainly calcium phosphatesResponsible for bone hardness

and its resistance to compression

Page 42: Bones and Skeletal Tissues

Bone Development

Osteogenesis (ossification) – the process of bone tissue formationThe formation of the bony

skeleton in embryosBone growth until early adulthoodBone thickness, remodeling, and

repair Calcification

Page 43: Bones and Skeletal Tissues

Formation of the Bony Skeleton

Begins at week 8 of embryo development

Intramembranous ossification – bone develops from a fibrous membrane

Endochondral ossification – bone forms by replacing hyaline cartilage

Page 44: Bones and Skeletal Tissues

Intramembranous Ossification

Formation of most of the flat bones of the skull and the clavicles

Fibrous connective tissue membranes are formed by mesenchymal cells

Page 45: Bones and Skeletal Tissues

Stages of Intramembranous Ossification

An ossification center appears in the fibrous connective tissue membrane

Bone matrix is secreted within the fibrous membrane

Woven bone and periosteum form Bone collar of compact bone forms,

and red marrow appears

Page 46: Bones and Skeletal Tissues

Stages of Intramembranous Ossification

Figure 6.7.1

Page 47: Bones and Skeletal Tissues

Stages of Intramembranous Ossification

Figure 6.7.2

Page 48: Bones and Skeletal Tissues

Stages of Intramembranous Ossification

Figure 6.7.3

Page 49: Bones and Skeletal Tissues

Stages of Intramembranous Ossification

Figure 6.7.4

Page 50: Bones and Skeletal Tissues

Bones and Skeletal Tissues

P A R T B

Page 51: Bones and Skeletal Tissues

Endochondral Ossification

Begins in the second month of development

Uses hyaline cartilage “bones” as models for bone construction

Requires breakdown of hyaline cartilage prior to ossification

Page 52: Bones and Skeletal Tissues

52

Stages of Endochondral Ossification

Figure 6.8

Osteoblasts on the periosteum form abone collararound the hyalinecartilage model.

Hyalinecartilage

As the cartilage in the center of the diaphysis calcifies, the chondrocytes die, and the center disintegratesforming cavities.

Invasion ofinternal cavitiesby the periostealbud and spongybone formation.

Osteoclasts erode the central spongy boneforming the medullary cavity. Also appearance of secondary ossification centers in the epiphyses in preparation for stage 5.

Ossification of theepiphyses; whencompleted, hyalinecartilage remains onlyin the epiphyseal platesand articular cartilages.

Deterioratingcartilagematrix

Epiphysealblood vessel

Spongyboneformation

Epiphysealplatecartilage

Secondaryossificatoncenter

Bloodvessel ofperiostealbud

Medullarycavity

Articularcartilage

Spongybone

Primaryossificationcenter

Bone collar

1

2

34

5

Page 53: Bones and Skeletal Tissues

Postnatal Bone Growth in Length The epiphyseal plate consist of hyaline

cartilage in the middle, with a transitional zone on each side

MetaphysisThe transitional zone facing the

marrow cavity

Page 54: Bones and Skeletal Tissues

Functional Zones in Long Bone Growth Resting zone

Facing the epiphysisZone of inactive cartilage

Proliferation zoneChondrocytes multiplying and

lining up in rowsEpiphysis is pushed away from

the diaphysis

Page 55: Bones and Skeletal Tissues

Functional Zones in Long Bone Growth Hypertrophic zone

Cessation of mitosisEnlargement of chondrocytesEnlargement of lacunae

Page 56: Bones and Skeletal Tissues

Functional Zones in Long Bone Growth Calcification zone

Calcification of the matrixDeath and deterioration of

chondrocytes Osteogenic zone

Bone deposition by osteoblastsFormation of the trabeculae of the

spongy bone

Page 57: Bones and Skeletal Tissues

Growth in Length of Long Bone

Figure 6.9

Page 58: Bones and Skeletal Tissues

Long Bone Growth and Remodeling

Growth in length During growth the epiphyseal

plate maintain a constant thickness

Growth on the epiphysis side is balanced by bone deposition on the diaphysis side

Interstitial growth

Page 59: Bones and Skeletal Tissues

Long Bone Growth and Remodeling

Figure 6.10

Page 60: Bones and Skeletal Tissues

During infancy and childhood, epiphyseal plate activity is stimulated by growth hormone

Hormonal Regulation of Bone Growth During Youth

Page 61: Bones and Skeletal Tissues

Hormonal Regulation of Bone Growth During Youth

During puberty, testosterone and estrogens: Initially promote adolescent

growth spurtsCause masculinization and

feminization of specific parts of the skeleton

Later induce epiphyseal plate closure, ending longitudinal bone growth

Page 62: Bones and Skeletal Tissues

Bone Growth in Width

It is by appositional growth Osteoblasts in the inner layer of the

periosteum deposit osteoid Osteoid calcifies Osteoblasts become osteocytes Circumferential lamellae is formed Osteoclasts of the endosteal layer

resorb bone tissue to keep its proportion

Page 63: Bones and Skeletal Tissues

Bone Remodeling

Also by appositional growth Remodeling units – adjacent

osteoblasts deposit bone at periosteal surfaces and osteoclasts resorb bone at endosteal side

Page 64: Bones and Skeletal Tissues

Bone Remodeling

Deposition Occurs also where bone is injured or

added strength is needed Requires a diet rich in protein,

vitamins C, D, and A, calcium, phosphorus, magnesium, and manganese

Alkaline phosphatase is essential for mineralization of bone

Page 65: Bones and Skeletal Tissues

Bone Remodeling

Sites of new matrix deposition are revealed by the:Osteoid seam – unmineralized

band of bone matrixCalcification front – abrupt

transition zone between the osteoid seam and the older mineralized bone

Page 66: Bones and Skeletal Tissues

Bone Remodeling

Resorption Accomplished by osteoclasts

Lysosomal enzymes digest organic matrix

Hydrochloric acid convert calcium salts into soluble forms

Resorption bays – grooves formed by osteoclasts as they break down bone matrix

Page 67: Bones and Skeletal Tissues

Bone Remodeling

Dissolved matrix is transcytosed across the osteoclast’s cell where it is secreted into the interstitial fluid and then into the blood

Page 68: Bones and Skeletal Tissues

Importance of Ionic Calcium in the Body

Calcium is necessary for:Transmission of nerve impulsesMuscle contractionBlood coagulationSecretion by glands and nerve

cellsCell division

Page 69: Bones and Skeletal Tissues

Control of Remodeling

Two control loops regulate bone remodelingHormonal mechanism maintains

calcium homeostasis in the bloodMechanical and gravitational

forces acting on the skeleton

Page 70: Bones and Skeletal Tissues

70

Response to Mechanical Stress

Wolff’s law – a bone grows or remodels in response to the forces or demands placed upon it

Observations supporting Wolff’s law includeLong bones are thickest midway

along the shaft (where bending stress is greatest)

Curved bones are thickest where they are most likely to buckle

Page 71: Bones and Skeletal Tissues

Response to Mechanical Stress

Trabeculae form along lines of stress Large, bony projections occur where

heavy, active muscles attach

Page 72: Bones and Skeletal Tissues

Response to Mechanical Stress

Figure 6.12

Page 73: Bones and Skeletal Tissues

Bone Fractures (Breaks)

Bone fractures are classified by:The position of the bone ends

after fractureThe completeness of the breakThe orientation of the bone to the

long axisWhether or not the bones ends

penetrate the skin

Page 74: Bones and Skeletal Tissues

Types of Bone Fractures

Nondisplaced – bone ends retain their normal position

Displaced – bone ends are out of normal alignment

Page 75: Bones and Skeletal Tissues

Types of Bone Fractures

Complete – bone is broken all the way through

Incomplete – bone is not broken all the way through

Linear – the fracture is parallel to the long axis of the bone

Page 76: Bones and Skeletal Tissues

Types of Bone Fractures

Transverse – the fracture is perpendicular to the long axis of the bone

Compound (open) – bone ends penetrate the skin

Simple (closed) – bone ends do not penetrate the skin

Page 77: Bones and Skeletal Tissues

Common Types of Fractures

Comminuted – bone fragments into three or more pieces; common in the elderly

Spiral – ragged break when bone is excessively twisted; common sports injury

Depressed – broken bone portion pressed inward; typical skull fracture

Page 78: Bones and Skeletal Tissues

Common Types of Fractures

Compression – bone is crushed; common in porous bones

Epiphyseal – epiphysis separates from diaphysis along epiphyseal line; occurs where cartilage cells are dying

Greenstick – incomplete fracture where one side of the bone breaks and the other side bends; common in children

Page 79: Bones and Skeletal Tissues

Common Types of Fractures

Table 6.2.1

Page 80: Bones and Skeletal Tissues

Common Types of Fractures

Table 6.2.2

Page 81: Bones and Skeletal Tissues

Common Types of Fractures

Table 6.2.3

Page 82: Bones and Skeletal Tissues

Stages in the Healing of a Bone Fracture

• Hematoma formation– A mass of clotted blood

(hematoma) forms at the fracture site

– Granulation tissue formation • Blood vessels grow• Macrophages,

osteoclasts, etc invade the fracture

Figure 6.13.1

Page 83: Bones and Skeletal Tissues

Stages in the Healing of a Bone Fracture

• Fibrocartilaginous callus formation

• Fibroblasts deposit collagen fibers in the granulation tissue

• Osteogenic cells become chondroblasts and produce fibrocartilage that connect the broken ends Figure 6.13.2

Page 84: Bones and Skeletal Tissues

Stages in the Healing of a Bone Fracture

• Bony callus formation– Other osteogenic

cells differentiate into osteoblasts

– Formation of a bony hard callus of spongy bone around the fracture

– Bone callus begins 3-4 weeks after injury, and continues until firm union is formed 2-3 months later

Figure 6.13.3

Page 85: Bones and Skeletal Tissues

Stages in the Healing of a Bone Fracture

• Bone remodeling– Excess material on the

bone shaft exterior and in the medullary canal is removed

– Compact bone is laid down to reconstruct shaft walls• In a manner similar

to intramembranous ossification

Figure 6.13.4

Page 86: Bones and Skeletal Tissues

Homeostatic Imbalances

OsteomalaciaBones are inadequately

mineralized causing softened, weakened bones

Main symptom is pain when weight is put on the affected bone

Caused by insufficient calcium in the diet, or by vitamin D deficiency

Page 87: Bones and Skeletal Tissues

Homeostatic Imbalances

RicketsBones of children are

inadequately mineralized causing softened, weakened bones

Bowed legs and deformities of the pelvis, skull, and rib cage are common

Caused by insufficient calcium in the diet, or by vitamin D deficiency

Page 88: Bones and Skeletal Tissues

Homeostatic Imbalances

OsteopeniaOsteoblast activity decreases,

osteoclast activity remains the same

Epiphysis, jaw, vertebra

Page 89: Bones and Skeletal Tissues

Homeostatic Imbalances

OsteoporosisOsteopenia beyond expectedSpontaneous fracturesSpongy bone of the spine is most

vulnerableOccurs most often in postmenopausal

women

Page 90: Bones and Skeletal Tissues

Paget’s Disease Characterized by excessive bone

formation and breakdown Pagetic bone, along with reduced

mineralization, causes spotty weakening of bone

Osteoclast activity wanes, but osteoblast activity continues to work

Page 91: Bones and Skeletal Tissues

Fetal Primary Ossification Centers

Figure 6.15

12-week-old fetus

Page 92: Bones and Skeletal Tissues

Developmental Aspects of Bones

Mesoderm gives rise to embryonic mesenchymal cells, which produce membranes and cartilages that form the embryonic skeleton

The embryonic skeleton ossifies in a predictable timetable that allows fetal age to be easily determined from sonograms

At birth, most long bones are well ossified (except for their epiphyses)

Page 93: Bones and Skeletal Tissues

Developmental Aspects of Bones

By age 25, nearly all bones are completely ossified

In old age, bone resorption predominates

A single gene that codes for vitamin D docking determines both the tendency to accumulate bone mass early in life, and the risk for osteoporosis later in life