chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfchapter 6 - bone! 2! 3 skeletal system - elements...

35
Chapter 6 - Bone 1 Chapter 6 Osseous Tissue and Bone Structure 2 SECTION 6-1 The skeletal system has five primary functions

Upload: phungkhuong

Post on 26-Apr-2018

222 views

Category:

Documents


2 download

TRANSCRIPT

Page 1: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

1!

Chapter 6!Osseous Tissue and Bone Structure!

2

SECTION 6-1 !The skeletal system has five primary functions!

Page 2: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

2!

3

Skeletal System - Elements and Functions!

Elements!•  Bones of the skeleton!•  Cartilages, ligaments and other connective

tissues that stabilize and interconnect bones!Functions!

1.  Support (physical and physiological)!2.  Storage of minerals and lipids!3.  Blood cell production (hemopoiesis)!4.  Protection (of soft parts)!5.  Leverage (with muscles)!

4

SECTION 6-2 !Bone structure!

•  Don’t worry about Bone Shapes (p. 180/184)!!•  Know the definitions of the Bone Markings that

you are using in lab. See Table 6-2, page 181.

Page 3: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

3!

5

Bone Structure Figure 6-3!

•  Spongy bone!•  Compact bone !•  Periosteum!•  Endosteum!•  Articular cartilage!

6

Diaphysis (Shaft)!Epiphyses (Ends of a bone)!Metaphysis!•  Union between shaft and ends!•  Growing bone contains epiphyseal plate (hyaline

cartilage)!Articular cartilage!•  Hyaline cartilage - reduces friction, absorbs

shock!Marrow cavity!•  Contains red marrow or yellow marrow!

Parts of a Typical Long Bone (1 of 4)!

Page 4: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

4!

7

Parts of a Typical Long Bone (2 of 4)!

Periosteum (see slide #10)!•  Dense irregular CT!•  Everywhere but under articular cartilage!•  Continuous with Sharpey’s (perforating) fibers

at origins and insertions of muscles!Functions of periosteum!•  Isolates bone from other tissues!•  Route for circulatory and nerve supply!•  Site of bone growth!•  Site of bone repair!

8

Parts of a Typical Long Bone (3 of 4)!

Periosteum structure!

1. Fibrous layer = superficial layer!•  Dense irregular CT!•  Nerves, blood vessels!

2. Osteogenic layer = deep layer!•  Elastic fibers!•  Blood vessels!•  Bone cells!

Osteoprogenitors, osteoblasts!

Page 5: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

5!

9

Parts of a Typical Long Bone (4 of 4)!

Endosteum•  Lines marrow cavity and trabeculae!•  Incomplete cellular layer!

Osteoprogenitors, osteoblasts, osteoclasts!

Nutrient foramina!•  Allow vessels and nerves to enter bone!

Marrow!•  Red marrow - hemopoiesis!•  Yellow marrow - fat for energy storage!

10

Periosteum and Endosteum (Figure 6-9)!

Page 6: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

6!

11

Bone Structure Figure 6-3!

•  Spongy bone!•  Compact bone !•  Periosteum!•  Endosteum!•  Articular cartilage!

12

Circulatory Supply to a Mature Bone Figure 6-13!

Page 7: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

7!

13

SECTION 6-3 !Bone is composed of a matrix and several types of cells!

14

Bone = bone cells + mineralized intercellular matrix containing fibers!

Mineral salts in matrix!•  Provide compressional strength!

Resist crushing forces•  Act like concrete in a sidewalk!•  Calcium phosphate (Ca3PO4) – forms

hydroxyapatite!•  Calcium carbonate, ions also present!

Osseous Tissue - Matrix (1 of 2) !

Page 8: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

8!

15

Osseous Tissue – Matrix and Fibers !

Proteoglycans in ground substance of matrix!•  Hydrophilic!•  May help regulate bone’s water content, fiber

formation!Fibers within the matrixCollagen fibers in matrix!•  Provide tensile strength!

Resist twisting, bending forces•  Act like rebar in a concrete floor!

!

16

Bone Cell Types Figure 6-4!

Osteogenic cell = osteoprogenitor cell

Page 9: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

9!

17

Osteoprogenitor (Osteogenic) Cells!

•  Are stem cells (-progenitor = “gives rise to”)!•  Derived from mesenchyme (like all CT)!

Mitosis + differentiation → osteoblasts!Found in:!•  Osteogenic layer of periosteum!•  Endosteum!•  Canals containing blood vessels!

Haversian (central) canals!Volkmann’s (perforating) canals!

18

Osteoblasts!

Build new bone (-blast = “germ” or “bud”)!Derived from osteoprogenitors!•  Not capable of mitosis (in G0)!•  Synthesize new matrix = osteoid!

!Osteoid = collagen fibers and proteoglycans!•  Becomes mineralized (next slide)!•  Minerals accumulate in spaces between

collagen fibers; deposited on fibers!•  Formation of new bone = osteogenesis!

Page 10: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

10!

19

Osteoblasts - Mineralization!

A high enough [Ca2+] exists in ECF that mineralization should occur spontaneously!•  Normally prevented by pyrophosphate in ECF!

ATP → AMP + PPi (pyrophosphate)!1.  When o’blasts (and other cells) release

pyrophosphate, ossification is prevented.!2.  When o’blasts release alkaline phosphatase

from matrix vesicles, ossification occurs!•  Alkaline phosphatase is thought to overcome

the inhibitory effect by cleaving (breaking) pyrophosphate!

20

Osteoblast Image!http://www.mhhe.com/biosci/ap/histology_mb/!

(trabecula)

Page 11: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

11!

21

Osteocytes - 1!

Mature bone cells!•  Derived from o’blasts!•  Not capable of mitosis (in G0)!•  Live in lacunae – o’blasts wall themselves in!•  Cytoplasmic extensions of cell body found in

canaliculi (“little canals”)!•  Gap junctions interconnect osteocytes!

22

Osteocytes - 2!

Functions: !1.  Maintain local area of matrix!

•  Do not secrete matrix (or only a tiny bit)!2.  Help in fracture repair!

•  Can revert to osteoblast or osteoprogenitor when released from lacuna by a fracture!

Page 12: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

12!

23

Osteocyte Image (Is this cool or what??)!

www.hone-kenko.org!

24

Break down bone (osteolysis) -clast = “to break”!Derived from monocytes!•  Multinucleate cells (up to 50 nuclei per cell!)!

Found on free bone surfaces!

Activated by parathyroid hormone!

Release:!

Osteoclasts!

•  Proteolytic enzymes – break down collagen!•  Organic acids – dissolve inorganic matrix!

Phagocytize and digest end products!

Page 13: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

13!

25

Osteoclast Image (1)!

www.mhhe.com/biosci/ap/histology_mb/

Osteoclast!

26

Osteoclast Image (2)!

open.jorum.ac.uk/xmlui/bitstream/handle/123456789/2475/content/osteoclast_em.htm!

Page 14: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

14!

27

SECTION 6-4 !Compact bone contains parallel osteons, and spongy bone contains trabeculae!

28

Basic unit of compact (lamellar) bone is the osteon!•  Osteocytes arranged around a central

(Haversian) canal!•  Perforating (Volkmann’s) canals extend

between adjacent osteons!

Spongy (cancellous) bone contains trabeculae!

•  Bars of bone, act like girders on a bridge!•  Surrounded by red marrow!•  Canaliculi open into marrow cavity!

Compact Bone and Spongy Bone !

Page 15: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

15!

29

The Structure of Osseus Tissue Figure 6-6!

N.A.V.a.L.!

30

Compact Bone (1 of 2)!

Locations:!•  External layer of all bones!•  Diaphysis of long bones!

General functions:!•  Protection and support!

Osteons (Haversian systems)!•  Haversian (central) canals!•  Volkmann’s (perforating) canals!

Interconnect central canals!•  Both contain N.A.V.a.L. (What’s N.A.V.a.L.??)!

Page 16: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

16!

31

Compact Bone (2 of 2)!

Canaliculi (“little canals”) contain:!1. Cytoplasmic extensions (arms) of osteocytes!•  O’cytes communicate via gap junctions!•  Exchange metabolites!•  Exchange control molecules!

2. “Bone fluid”!•  Similar to extracellular fluid!•  Located between o’cytes’ cell membranes

and bone tissue!•  Circulates nutrients, wastes, hormones, etc.!

32

Histology of Compact Bone Figure 6-5!

A review of what you!learned in lab!

Page 17: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

17!

33

Spongy (Cancellous) Bone!

•  Structure = bars of bone called trabeculae!•  No true osteons (What is an osteon? Why

are osteons not necessary in spongy bone?)!(Hint: Fick’s equation)!

•  Trabeculae surrounded by red marrow!•  Osteocytes exchange nutrients, wastes with

directly with marrow!•  Called diploë when found between layers of

compact bone (e.g. in parietal bone)!

34

Spongy Bone !

http://medpics.ucsd.edu/!

Page 18: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

18!

35

Spongy Bone!

http://grad.uic.edu/gallery/main.php?g2_itemId=871!

36

SECTION 6-5 !Ossification and appositional growth are mechanisms of bone formation and enlargement!

Page 19: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

19!

37

Methods of Ossification!

Ossification types:!•  Intramembranous ossification!•  Endochondral ossification!

Both methods:!•  Begin with a connective tissue model!•  Lead to same end product!

!Major difference between the two methods:!•  CT model used as starting material!

38

Model = fibrous CT Begins at ossification center!•  Mesenchyme cells → o’progenitors →

o’blasts!•  O’blasts secrete osteoid!•  Mineralization occurs!•  Trabeculae (dermal bone) produced!

May be remodeled into compact bone!!Flat bones of skull, clavicle and mandible!

Intramembranous (Dermal) Ossification !

Page 20: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

20!

39

Intramembranous Ossification Figure 6-12!

40

Cartilage model is gradually replaced by bone!Interstitial growth!•  Increase in bone length•  Involves expansion of cartilage!

Appositional growth!•  Increase in bone diameter•  Add new cartilage (or bone, later) to surface!

Endochondral Ossification !

Page 21: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

21!

41

Endochondral Ossification Figure 6-11!

42

Endochondral Ossification Figure 6-11b!

Page 22: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

22!

43

Endochondral Ossification (1 of 5) !

“Step 1”!A. Chondrocytes in midsection hypertrophy

(enlarge), mature!B. Cells burst → ↑pH → calcification!

(Note that this is opposite of osteoclasts’ mechanism for breaking down bone!)!

C. Nearby chondrocytes die (↓ diffusion)!D.  Thin-walled cavities left behind!E.  Walls calcify!

44

Endochondral Ossification (2 of 5)!

“Step 2”!A. Vessels grow around shaft!•  O’progenitors in perichondrium → o’blasts!•  Form periosteal collar (bone)!

Page 23: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

23!

45

Endochondral Ossification (3 of 5)!

“Step 3”!•  Nutrient artery penetrates shaft through

periosteum (nutrient foramen)!•  Fibroblasts migrating with blood vessels →

o’blasts !•  Replace calcified cartilage with spongy bone

in primary ossification center of shaft!•  Ossification spreads towards ends of

cartilage model!

46

Endochondral Ossification (4 of 5)!

“Step 4”!•  Remodeling occurs!•  O’clasts break down trabeculae → marrow

cavity!Also:!•  Length increases - interstitial growth!•  Diameter increases - appositional growth!

Page 24: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

24!

47

Endochondral Ossification (5 of 5)!

“Step 5”!•  Vessels penetrate epiphyses!•  Secondary ossification center begins forming!

“Step 6”!•  Epiphyses fill with spongy bone!•  Cartilage remains as:!

Articular cartilage!Epiphyseal cartilage!

48

Figure 6-11, Step 6 !

(University of Kansas Medical Center)

Page 25: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

25!

49

Epiphyseal plate (University of Kansas Medical Center)!EPIPHYSIS OF BONE!

DIAPHYSIS OF BONE!

Reserve cartilage!•  Anchors plate to epiphysis!•  Does not participate in bone

growth!Proliferating cartilage!

•  Mitosis occurring!Maturing cartilage!

•  Maturing after division!Hypertrophic cartilage!

•  Cells enlarging!•  Enlargement pushes plate up !•  Calcification begins!

Osteogenic zone!•  Ossification occurring!•  Cements plate to diaphysis!•  Osteoblasts lay down bone on

calcified matrix!•  Produces spongy bone first

50

Bone Growth at Epiphyseal Cartilage Figure 6-10!

Page 26: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

26!

51

Growth Plate: Growth and Closure!

Plate growth stimulated by:!•  Growth hormone (insulin-like growth factors)!•  Thyroid hormones!•  Glucocorticoids!•  Insulin!•  Sex hormones at puberty!

Plate closure stimulated by:•  Estrogen important in both sexes!

Testosterone → estrogen !Accelerates senescence of chondrocytes!

52

SECTION 6-7 !Exercise, hormones and nutrition affect bone development and the skeletal system!

Page 27: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

27!

53

Bone remodeling!

Changes in bone structure result from:!•  Exercise!•  Hormone levels!

•  Growth hormone and thyroxine increase bone mass!

•  Calcitonin and PTH control blood calcium levels, affect bone mass!

•  Nutrition (e.g. Ca2+ intake)!

Bone Is Constantly Changing!

54

Bone responds to physical stress!•  Compact bone is located where stresses are

limited in direction!•  Spongy is bone located where stresses are

weaker or multi-directional!•  Remodeling takes place throughout life!

Bones and Physical Stress !

Page 28: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

28!

55

Distribution of Forces on a Long Bone!

Figure 6-8!

56

The Piezoelectric Effect!

The Piezoelectric effect during exercise may be part of bone’s response to stress :!•  Stress on a crystal generates an electrical

field!•  Bone contains crystals = hydroxyapatite•  Electrical field thought to call osteoblasts to

points of stress!Lay down new bone → ↑ strength!!

Certain extracellular proteins are also thought to be involved in the stress → growth response!

Page 29: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

29!

57

SECTION 6-8 !Calcium plays a critical role in bone physiology!

58

Skeleton contains 99% of body’s calcium!

Blood [Ca2+] is maintained by bone, the GI tract and the kidneys!

Calcitonin and PTH regulate blood calcium levels!•  Calcitonin decreases blood calcium levels!•  PTH increases blood calcium levels!

!What are some ways that proper blood [Ca2+] important is important?!

Bone as a Calcium Reserve !

Page 30: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

30!

59

Factors Affecting [Ca2+] in Body Fluids!

Don’t WASTE

Ca2+Get Ca2+ outof STORAGE

Get NEW Ca2+

Figure 6-15a!Parathyroid

hormone!

60

Factors Affecting [Ca2+] in Body Fluids!

Figure 6-15b!Calcitonin!

Page 31: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

31!

61

Nutrition and Hormonal Effects on Bone!Vitamin C!•  Necessary for collagen synthesis!•  Stimulates osteoblast differentiation!•  Deficiency → scurvy!

Calcitriol from Vitamin D3 (see next slide)!•  Required for Ca2+ uptake from gut!

Vitamin A!•  Stimulates osteoblast activity!

Vitamins K and B12!•  Necessary for protein synthesis!

62

Vitamin D Synthesis!

Vitamin D3 inactive form

Calcitriolactive form

Liver

Kidney

www.clinuvel.com/en/blog/wp-content/uploads/2011/04/Vitamin_D_Synthesis.jpg

Epidermis

UV rays!

Page 32: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

32!

63

Hormones Involved in Bone Growth/Maintenance!

Table 3-1!

64

SECTION 6-9 !A fracture is a crack or break in bone!

Page 33: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

33!

65

1.  Fracture hematoma!2.  External and internal calluses!

a. Fibrocartilaginous callus!b. Bony callus!

3. Remodeling!

Fracture Repair !

66

Steps in Fracture Repair Spotlight Figure 6-16!

1. Fracture Hematoma!

2. Internal callus!

3. External callus!

4. Remodeling!

Page 34: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

34!

67

SECTION 6-10 !Osteopenia has a widespread effect on aging skeletal tissue!

68

Osteopenia!•  Decreased o’blast activity!•  Begins between 30 and 40 years of age.!•  Women: ↓ 8% bone mass per decade!•  Men: ↓ 3% bone mass per decade!

Osteoporosis!•  Bone loss affects function - bones thin, break!

Effects of Aging !

Page 35: chapter 6rnrausch.com/25x/pdf/251/chapter_6_2x.pdfChapter 6 - Bone! 2! 3 Skeletal System - Elements and Functions! Elements! • Bones of the skeleton! • Cartilages, ligaments and

Chapter 6 - Bone!

35!

69

Osteoporosis Image Figure 6-17!