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Copyright © John Wiley & Sons, Inc. All rights reserved.
Chapters 6
Bone Tissue
Lecture slides prepared by Curtis DeFriez,
Weber State University
Copyright © John Wiley & Sons, Inc. All rights reserved.
Introduction
 The skeletal system has 6 important functions:
 Provide support by acting as a structural framework
and a point of attachment for tendons and ligaments
 Protect the internal organs (brain, chest, etc.)
 Assist body movements (in conjunction with muscles)
 Store and release salts of calcium and phosphorus
 Participate in blood cell production (hematopoiesis)
 Store triglycerides in adipose cells of yellow marrow
Copyright © John Wiley & Sons, Inc. All rights reserved.
 Bone is a dynamic tissue – it is always remodeling
(building up and breaking down).
 Like all organ systems (and as part of
the even larger musculoskeletal organ
system), the skeletal system is made
of several different tissues.
 The two major tissues are bone
(osseous tissue) and cartilage.
Tissues of the Skeletal System
Copyright © John Wiley & Sons, Inc. All rights reserved.
Tissues of the Skeletal System
 Bone is a highly vascularized C.T. with a hard, mineralized
extracellular matrix. It is found in the body in two different
arrangements:
 Compact bone – most of the bone in this graphic is compact
bone.
 Spongy bone is seen as
the less organized tissue
along the left margin
(with the spicules).
Copyright © John Wiley & Sons, Inc. All rights reserved.
Tissues of the Skeletal System
 Compact bone is good at providing
protection and support.
 It forms the diaphysis of long bones,
and the external layer of all bones.
 Spongy bone is lightweight and
provides tissue support .
 It forms much of the epiphysis
and the internal cavity of long bones.
Compact bone
Spongy bone
Copyright © John Wiley & Sons, Inc. All rights reserved.
Tissues of the Skeletal System
 Cartilage is a poorly vascularized C.T. with a matrix
composed of chondroitin sulfate and various fibers.
 Fiber types distinguish hyaline
cartilage from fibrocartilage or
elastic cartilage.
Hyaline cartilage
Copyright © John Wiley & Sons, Inc. All rights reserved.
 Articular cartilage is the thin layer of hyaline cartilage
covering the epiphysis of long bones.
 Articular cartilage is found where the bone forms an
articular (joint) surface -
where one bone
moves against another
bone.
Tissues of the Skeletal System
Hyaline cartilage is the
articular cartilage of
this long bone
Copyright © John Wiley & Sons, Inc. All rights reserved.
 The periosteum is a tough sheath of dense, irregular
connective tissue on the outside of the bone.
 It contains osteoblasts that
help the bone grow in thickness,
but not in length.
 It also assists with fracture repair
and serves as an attachment point
for tendons and ligaments.
Tissues of the Skeletal System
Copyright © John Wiley & Sons, Inc. All rights reserved.
 The medullary cavity is a space within the diaphysis of
long bones that contains fatty
yellow bone marrow in adults.
 The endosteum is a membrane that
lines the medullary cavity .
 The endosteum is composed of
osteoclasts, osteoblasts, and
connective tissue.
Structure of Bone
Copyright © John Wiley & Sons, Inc. All rights reserved.
Tissues of the Skeletal System
 The perichondrium is a dense irregular connective tissue
membrane that surrounds cartilage.
 Chondrocytes are cells that
form cartilage.
 As we will soon see, many of
the major bones are formed
from cartilage (the remainder
do not go through a
cartilaginous stage.)
Perichondrium
Periosteum
Copyright © John Wiley & Sons, Inc. All rights reserved.
Tissues of the Skeletal System
 The various cells in osseous tissues are shown in the
bottom graphic:
Copyright © John Wiley & Sons, Inc. All rights reserved.
 Osteoblasts are bone building cells: They synthesize and
secrete collagen fibers and other organic components.
 Osteocytes are mature osteoblasts (maintenance).
 Osteoclasts are large bone breakdown cells.
 As white blood cells, osteoclasts
migrated from the bone
marrow to become “fixed
macrophages” in the
substance of the bone.
Tissues of the Skeletal System
Copyright © John Wiley & Sons, Inc. All rights reserved.
Tissues of the Skeletal System
 Besides bone and cartilage, the skeletal system contains
other important tissues:
 Epithelium (endothelium) form
the capillary walls
 Nerves (the periosteum is
especially tender)
 Red marrow – hematopoiesis
 Yellow marrow – fat storage
Copyright © John Wiley & Sons, Inc. All rights reserved.
Chemical Constituents of Bone
 Bone is 25% water, 25% organic proteins, 50% mineral
salts (hydroxyapatite crystals).
 Organic constituents
• Collagen fibers provide flexibility and tensile strength.
 Inorganic hydroxyapatite crystals (mineral salts)
• Calcium Phosphate (Ca3PO4)2
• Calcium Carbonate (CaCO3 – marble)
• Other trace elements: magnesium, fluoride, sulfate
Copyright © John Wiley & Sons, Inc. All rights reserved.
 The humerus in
the arm is a typical
long bone.
Bone Structure
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Structure
 The diaphysis is the shaft or
body of a long bone.
 The epiphyses form the distal
and proximal ends of a
long bone.
 The metaphyses are the areas
where the epiphyses and
diaphysis join.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Structure
 In adolescents, through the end of
active growth, the epiphysis of the
long bones contains hyaline
cartilage and forms an “epiphyseal
growth plate”.
 The growth plate is always
actively dividing and causing the
bone to elongate from each end.
Copyright © John Wiley & Sons, Inc. All rights reserved.
 In adults, the epiphyseal cartilage is no longer present and
elongation of bones has stopped.
 The epiphyseal growth plate
becomes an “epiphyseal line”,
as growing cartilage is
replaced by calcified bone.
• The epiphyseal line is
visible externally and on
X-rays.
Bone Structure
Copyright © John Wiley & Sons, Inc. All rights reserved.
Histology of Bone Tissue
 Compact Bone contains units called osteons or Haversian
systems formed from concentric lamellae (rings of
calcified matrix).
 Interstitial lamellae
between osteons are left
over fragments of older
osteons.
Copyright © John Wiley & Sons, Inc. All rights reserved.
 Outer circumferential lamellae encircle the bone beneath
the periosteum.
 Inner circumferential
lamellae encircle
the medullary
cavity.
Histology of Bone Tissue
Copyright © John Wiley & Sons, Inc. All rights reserved.
 Lacunae are small spaces
between the lamellae which
house osteocytes.
 Canaliculi are small
channels filled with
extracellular fluid
connecting the
lacunae.
Histology of Bone Tissue
Copyright © John Wiley & Sons, Inc. All rights reserved.
Histology of Bone Tissue
 Blood and lymphatic vessels
are found in the osteon’s
Central canal.
 Perforating (Volkmann’s)
canals allow transit of
these vessels to the
outer cortex of the
bone.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Histology of Bone Tissue
 Spongy bone lacks osteons. Instead, lamellae are
arranged in a lattice of thin columns called trabeculae.
 Trabeculae of spongy bone support and protect the red
bone marrow and are oriented along lines of stress
(helps bones resist stresses without breaking).
 Hematopoiesis (blood cell production)
occurs in spongy bone.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Histology of Bone Tissue
 Within each trabecula of spongy bone are lacunae .
 As in compact bone, lacunae contain osteocytes that
nourish the mature bone tissue from the blood
circulating through the trabeculae.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Histology of Bone Tissue
 The interior of long bones is made up primarily of spongy
bone. The use of spongy bone lessens overall bone weight.
Copyright © John Wiley & Sons, Inc. All rights reserved.
 Bone is richly supplied with blood; Periosteal arteries
and veins supply the periosteum and compact bone.
 Nerves accompany the blood
vessels (this is often the case.)
 The periosteum is rich in
sensory nerves sensitive to
tearing or tension (as anyone
who has bruised their shin
will tell you!)
Blood and Nerve Supply of Bone
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
 Ossification or osteogenesis is the process of forming
new bone. Bone formation occurs in four situations:
 Formation of bone in an embryo
 Growth of bones until adulthood
 Remodeling of bone
 Repair of fractures
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
 Osteogenesis occurs by two different methods, beginning
about the 6th week of embryonic development.
 Intra-membranous ossification produces spongy bone.
• This bone may subsequently be remodeled to form
compact bone.
 Endochondral ossification is a process whereby
cartilage is replaced by bone.
• Forms both compact and spongy bone.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
 Intra-membranous ossification is the simpler of the two
methods.
 It is used in forming the flat bones of the skull,
mandible, and clavicle.
 Bone forms from mesenchymal cells that develop
within a membrane – without going through a cartilage
stage (recall that mesenchyme is the tissue from which
almost all other C.T. develop.)
 Many ossification centers.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
 Endochondral ossification is the method used in the
formation of most bones, especially long bones.
 It involves replacement of cartilage by bone.
 There are one primary and two secondary centers of
growth.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
 Ossification contributing to bone length is usually
complete by 18-21 years of age.
 Bones can still continue to thicken and are capable of
repair even after the epiphyseal growth plates have
closed.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
 Human growth hormone is one of the body’s many
anabolic hormones. Among other things, its secretion will
stimulate bone growth, muscle growth, loss of fat, and
increased glucose output in the liver.
 The use of growth hormone has been increasing in
popularity among athletes due to the numerous “benefits”
associated with its use; side effects are often not thought
of when young athletes use these drugs.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Formation
Interactions Animation
 Bone Formation
You must be connected to the internet to run this animation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Growth and Remodeling
 A balance must exist between the actions of osteoclasts
and osteoblasts.
 If too much new tissue is formed, the bones become
abnormally thick and heavy (acromegaly).
 Excessive loss of calcium weakens the bones, as occurs
in osteoporosis.
 They may also become too “soft”, as seen in the bone
diseases rickets and osteomalacia.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Growth and Remodeling
Interactions Animation
 Bone Remodeling
You must be connected to the internet to run this animation
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Growth and Remodeling
Normal bone metabolism depends on several factors:
 Minerals are an essential component.
 Large amounts of calcium and phosphorus and smaller
amounts of magnesium, fluoride, and manganese are
required for bone growth and remodeling.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Growth and Remodeling
 Vitamins are also necessary for normal bone metabolism:
 Vitamin A stimulates activity of osteoblasts.
 Vitamin C is needed for synthesis of collagen.
 Vitamin D is essential to healthy bones because it
promotes the absorption of calcium from foods in the
gastrointestinal tract into the blood.
 Vitamins K and B12 are needed for synthesis of bone
proteins.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Growth and Remodeling
 Hormones are key contributors to normal bone
metabolism.
 During childhood, the hormones most important to
bone growth are human growth hormone (hGH) and
growth factors called IGFs (produced by the liver). Both
stimulate osteoblasts, promote cell division at the
epiphyseal plate, and enhance protein synthesis.
 Thyroid hormones and insulin also promote bone
growth by stimulating osteoblasts and protein synthesis.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Growth and Remodeling
 Hormones continued…
 The sex hormones (estrogen and testosterone) cause a
dramatic effect on bone growth, such as the sudden
“growth spurt” that occurs during the teenage years.
• The sex hormones also promote widening of the
pelvis in the female skeleton.
• They are also responsible for closing the epiphyseal
plates at the end of puberty.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Bone Growth and Remodeling
 Hormones continued…
 Parathyroid hormone (PTH) and calcitonin are critical
for balancing the levels of calcium and phosphorus
between blood and bone.
• Maintaining a normal serum Ca2+
level takes
precedence over mineralizing bone (usually both
can be done) – can you suggest an explanation why
this is true?
Copyright © John Wiley & Sons, Inc. All rights reserved.
Calcium Homeostasis
 Day to day control of calcium regulation mainly involves:
 PTH stimulates osteoclastic activity and raises serum
calcium level.
 Calcitonin (thyrocalcitonin), and to a lesser extent hGH
and the sex hormones, stimulate osteoblastic activity and
lower serum calcium level.
 Vitamin D is needed for absorption of the Ca2+
and PO4
–
ions from the small intestine, and reabsorption of those
same ions in the kidneys.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Calcium Homeostasis
The role of regulating serum Ca2+
levels and mineralizing bone
is under hormonal control, and is carefully balanced .
I made this
little
diagram… but
I’m not sure
where I got the
figures from.
Can we
reproduce this?
PTH
Calcitonin
hGH
Testosterone
Copyright © John Wiley & Sons, Inc. All rights reserved.
Calcium
Homeostasis
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 The naming of fractures can be confusing because of the
many different criteria that are used.
 Some schemes describe the anatomical appearance of
the fracture:
• Partial, complete (fx is all the way through the bone),
closed (simple), open (fx punctures the skin), “Green
stick” (a small linear break in the bone cortex),
impacted, comminuted, spiral, transverse, displaced
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 Anatomical appearance – like breaking a green twig
Greenstick
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 Anatomical appearance – the distal part is shoved up into
the proximal part.
Impacted
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 Anatomical appearance – though not seen here, one or
both bones are “open” to the outside.
Open (compound)
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 Naming fractures, continued…
 Other fractures are classified by the disease or
mechanism which produced the fracture.
• Pathological fracture (usually from a cancerous
process or severe chronic disease), compression
fracture (produced by extreme forces such as in
trauma)
• Stress fracture (produced from repeated strenuous
activities such as running)
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 Naming fractures, continued…
 Still other fractures describe a common pattern of
injury, often involving more than one bone, and
usually denoted by an eponym (someone’s name):
• Colles’ fracture of the distal radius
• Pott’s fracture of the distal fibula
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 Eponyms – Colles’ is a fracture of the distal radius ± ulna.
Colles’
Copyright © John Wiley & Sons, Inc. All rights reserved.
Once a bone is fractured, repair proceeds in
a predictable pattern:
 The first step, which occurs 6-8 hours after injury, is the
formation of a fracture
hematoma as a result of
blood vessels breaking in
the periosteum and
in osteons.
Fracture and Repair
Copyright © John Wiley & Sons, Inc. All rights reserved.
 The second and third steps involve the formation of a
callus (takes a few weeks, to as many as six months).
 Phagocytes remove cellular debris and fibroblasts
deposit collagen to
form a fibro-
cartilaginous callus...
Fracture and Repair
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 ... which is followed by osteoblasts forming a bony
callus of spongy bone.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Fracture and Repair
 The final step takes several months and is called
remodeling :
 Spongy bone is replaced by
compact bone.
 The fracture line
disappears, but
evidence of the break
remains.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Exercise and Bone Tissue
 Under mechanical stress, bone tissue becomes stronger
through deposition of mineral salts and production of
collagen fibers by osteoblasts. Unstressed bones, on the
other hand, become weaker.
 Astronauts in space suffer rapid loss of bone density.
 The main mechanical stresses on bone are those that
result from the pull of skeletal muscles and the pull of
gravity (weight-bearing activities).
Copyright © John Wiley & Sons, Inc. All rights reserved.
Aging and Bone Tissue
 A decrease in bone mass occurs as the level of sex
hormones diminishes during middle age (especially in
women after menopause).
 Bone resorption by osteoclasts outpaces bone
deposition by osteoblasts.
 Since female bones are generally smaller and less
massive than males to begin with, old age has a
greater adverse effect in females.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Aging and Bone Tissue
 There are two principal effects of aging on bone tissue:
 Loss of bone mass
• The loss of calcium from bones is one of the
symptoms in osteoporosis.
 Brittleness
• Collagen fibers give bone its tensile strength, and
protein synthesis decreases with age.
• The loss of tensile strength causes the bones to
become very brittle and susceptible to fracture.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Aging and Bone Tissue
 Osteoporosis is a condition where bone resorption
outpaces bone deposition.
 Often due to depletion of calcium from the body or
inadequate
intake
Copyright © John Wiley & Sons, Inc. All rights reserved.
End of Chapter 6
Copyright 2012 John Wiley & Sons, Inc. All rights reserved.
Reproduction or translation of this work beyond that permitted
in section 117 of the 1976 United States Copyright Act without
express permission of the copyright owner is unlawful. Request
for further information should be addressed to the Permission
Department, John Wiley & Sons, Inc. The purchaser may make
back-up copies for his/her own use only and not for distribution
or resale. The Publisher assumes no responsibility for errors,
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Bone Tissue Structure and Formation

  • 1. Copyright © John Wiley & Sons, Inc. All rights reserved. Chapters 6 Bone Tissue Lecture slides prepared by Curtis DeFriez, Weber State University
  • 2. Copyright © John Wiley & Sons, Inc. All rights reserved. Introduction  The skeletal system has 6 important functions:  Provide support by acting as a structural framework and a point of attachment for tendons and ligaments  Protect the internal organs (brain, chest, etc.)  Assist body movements (in conjunction with muscles)  Store and release salts of calcium and phosphorus  Participate in blood cell production (hematopoiesis)  Store triglycerides in adipose cells of yellow marrow
  • 3. Copyright © John Wiley & Sons, Inc. All rights reserved.  Bone is a dynamic tissue – it is always remodeling (building up and breaking down).  Like all organ systems (and as part of the even larger musculoskeletal organ system), the skeletal system is made of several different tissues.  The two major tissues are bone (osseous tissue) and cartilage. Tissues of the Skeletal System
  • 4. Copyright © John Wiley & Sons, Inc. All rights reserved. Tissues of the Skeletal System  Bone is a highly vascularized C.T. with a hard, mineralized extracellular matrix. It is found in the body in two different arrangements:  Compact bone – most of the bone in this graphic is compact bone.  Spongy bone is seen as the less organized tissue along the left margin (with the spicules).
  • 5. Copyright © John Wiley & Sons, Inc. All rights reserved. Tissues of the Skeletal System  Compact bone is good at providing protection and support.  It forms the diaphysis of long bones, and the external layer of all bones.  Spongy bone is lightweight and provides tissue support .  It forms much of the epiphysis and the internal cavity of long bones. Compact bone Spongy bone
  • 6. Copyright © John Wiley & Sons, Inc. All rights reserved. Tissues of the Skeletal System  Cartilage is a poorly vascularized C.T. with a matrix composed of chondroitin sulfate and various fibers.  Fiber types distinguish hyaline cartilage from fibrocartilage or elastic cartilage. Hyaline cartilage
  • 7. Copyright © John Wiley & Sons, Inc. All rights reserved.  Articular cartilage is the thin layer of hyaline cartilage covering the epiphysis of long bones.  Articular cartilage is found where the bone forms an articular (joint) surface - where one bone moves against another bone. Tissues of the Skeletal System Hyaline cartilage is the articular cartilage of this long bone
  • 8. Copyright © John Wiley & Sons, Inc. All rights reserved.  The periosteum is a tough sheath of dense, irregular connective tissue on the outside of the bone.  It contains osteoblasts that help the bone grow in thickness, but not in length.  It also assists with fracture repair and serves as an attachment point for tendons and ligaments. Tissues of the Skeletal System
  • 9. Copyright © John Wiley & Sons, Inc. All rights reserved.  The medullary cavity is a space within the diaphysis of long bones that contains fatty yellow bone marrow in adults.  The endosteum is a membrane that lines the medullary cavity .  The endosteum is composed of osteoclasts, osteoblasts, and connective tissue. Structure of Bone
  • 10. Copyright © John Wiley & Sons, Inc. All rights reserved. Tissues of the Skeletal System  The perichondrium is a dense irregular connective tissue membrane that surrounds cartilage.  Chondrocytes are cells that form cartilage.  As we will soon see, many of the major bones are formed from cartilage (the remainder do not go through a cartilaginous stage.) Perichondrium Periosteum
  • 11. Copyright © John Wiley & Sons, Inc. All rights reserved. Tissues of the Skeletal System  The various cells in osseous tissues are shown in the bottom graphic:
  • 12. Copyright © John Wiley & Sons, Inc. All rights reserved.  Osteoblasts are bone building cells: They synthesize and secrete collagen fibers and other organic components.  Osteocytes are mature osteoblasts (maintenance).  Osteoclasts are large bone breakdown cells.  As white blood cells, osteoclasts migrated from the bone marrow to become “fixed macrophages” in the substance of the bone. Tissues of the Skeletal System
  • 13. Copyright © John Wiley & Sons, Inc. All rights reserved. Tissues of the Skeletal System  Besides bone and cartilage, the skeletal system contains other important tissues:  Epithelium (endothelium) form the capillary walls  Nerves (the periosteum is especially tender)  Red marrow – hematopoiesis  Yellow marrow – fat storage
  • 14. Copyright © John Wiley & Sons, Inc. All rights reserved. Chemical Constituents of Bone  Bone is 25% water, 25% organic proteins, 50% mineral salts (hydroxyapatite crystals).  Organic constituents • Collagen fibers provide flexibility and tensile strength.  Inorganic hydroxyapatite crystals (mineral salts) • Calcium Phosphate (Ca3PO4)2 • Calcium Carbonate (CaCO3 – marble) • Other trace elements: magnesium, fluoride, sulfate
  • 15. Copyright © John Wiley & Sons, Inc. All rights reserved.  The humerus in the arm is a typical long bone. Bone Structure
  • 16. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Structure  The diaphysis is the shaft or body of a long bone.  The epiphyses form the distal and proximal ends of a long bone.  The metaphyses are the areas where the epiphyses and diaphysis join.
  • 17. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Structure  In adolescents, through the end of active growth, the epiphysis of the long bones contains hyaline cartilage and forms an “epiphyseal growth plate”.  The growth plate is always actively dividing and causing the bone to elongate from each end.
  • 18. Copyright © John Wiley & Sons, Inc. All rights reserved.  In adults, the epiphyseal cartilage is no longer present and elongation of bones has stopped.  The epiphyseal growth plate becomes an “epiphyseal line”, as growing cartilage is replaced by calcified bone. • The epiphyseal line is visible externally and on X-rays. Bone Structure
  • 19. Copyright © John Wiley & Sons, Inc. All rights reserved. Histology of Bone Tissue  Compact Bone contains units called osteons or Haversian systems formed from concentric lamellae (rings of calcified matrix).  Interstitial lamellae between osteons are left over fragments of older osteons.
  • 20. Copyright © John Wiley & Sons, Inc. All rights reserved.  Outer circumferential lamellae encircle the bone beneath the periosteum.  Inner circumferential lamellae encircle the medullary cavity. Histology of Bone Tissue
  • 21. Copyright © John Wiley & Sons, Inc. All rights reserved.  Lacunae are small spaces between the lamellae which house osteocytes.  Canaliculi are small channels filled with extracellular fluid connecting the lacunae. Histology of Bone Tissue
  • 22. Copyright © John Wiley & Sons, Inc. All rights reserved. Histology of Bone Tissue  Blood and lymphatic vessels are found in the osteon’s Central canal.  Perforating (Volkmann’s) canals allow transit of these vessels to the outer cortex of the bone.
  • 23. Copyright © John Wiley & Sons, Inc. All rights reserved. Histology of Bone Tissue  Spongy bone lacks osteons. Instead, lamellae are arranged in a lattice of thin columns called trabeculae.  Trabeculae of spongy bone support and protect the red bone marrow and are oriented along lines of stress (helps bones resist stresses without breaking).  Hematopoiesis (blood cell production) occurs in spongy bone.
  • 24. Copyright © John Wiley & Sons, Inc. All rights reserved. Histology of Bone Tissue  Within each trabecula of spongy bone are lacunae .  As in compact bone, lacunae contain osteocytes that nourish the mature bone tissue from the blood circulating through the trabeculae.
  • 25. Copyright © John Wiley & Sons, Inc. All rights reserved. Histology of Bone Tissue  The interior of long bones is made up primarily of spongy bone. The use of spongy bone lessens overall bone weight.
  • 26. Copyright © John Wiley & Sons, Inc. All rights reserved.  Bone is richly supplied with blood; Periosteal arteries and veins supply the periosteum and compact bone.  Nerves accompany the blood vessels (this is often the case.)  The periosteum is rich in sensory nerves sensitive to tearing or tension (as anyone who has bruised their shin will tell you!) Blood and Nerve Supply of Bone
  • 27. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation  Ossification or osteogenesis is the process of forming new bone. Bone formation occurs in four situations:  Formation of bone in an embryo  Growth of bones until adulthood  Remodeling of bone  Repair of fractures
  • 28. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation  Osteogenesis occurs by two different methods, beginning about the 6th week of embryonic development.  Intra-membranous ossification produces spongy bone. • This bone may subsequently be remodeled to form compact bone.  Endochondral ossification is a process whereby cartilage is replaced by bone. • Forms both compact and spongy bone.
  • 29. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation  Intra-membranous ossification is the simpler of the two methods.  It is used in forming the flat bones of the skull, mandible, and clavicle.  Bone forms from mesenchymal cells that develop within a membrane – without going through a cartilage stage (recall that mesenchyme is the tissue from which almost all other C.T. develop.)  Many ossification centers.
  • 30. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 31. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 32. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 33. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 34. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 35. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation  Endochondral ossification is the method used in the formation of most bones, especially long bones.  It involves replacement of cartilage by bone.  There are one primary and two secondary centers of growth.
  • 36. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 37. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 38. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 39. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 40. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 41. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 42. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation
  • 43. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation  Ossification contributing to bone length is usually complete by 18-21 years of age.  Bones can still continue to thicken and are capable of repair even after the epiphyseal growth plates have closed.
  • 44. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation  Human growth hormone is one of the body’s many anabolic hormones. Among other things, its secretion will stimulate bone growth, muscle growth, loss of fat, and increased glucose output in the liver.  The use of growth hormone has been increasing in popularity among athletes due to the numerous “benefits” associated with its use; side effects are often not thought of when young athletes use these drugs.
  • 45. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Formation Interactions Animation  Bone Formation You must be connected to the internet to run this animation
  • 46. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Growth and Remodeling  A balance must exist between the actions of osteoclasts and osteoblasts.  If too much new tissue is formed, the bones become abnormally thick and heavy (acromegaly).  Excessive loss of calcium weakens the bones, as occurs in osteoporosis.  They may also become too “soft”, as seen in the bone diseases rickets and osteomalacia.
  • 47. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Growth and Remodeling Interactions Animation  Bone Remodeling You must be connected to the internet to run this animation
  • 48. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Growth and Remodeling Normal bone metabolism depends on several factors:  Minerals are an essential component.  Large amounts of calcium and phosphorus and smaller amounts of magnesium, fluoride, and manganese are required for bone growth and remodeling.
  • 49. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Growth and Remodeling  Vitamins are also necessary for normal bone metabolism:  Vitamin A stimulates activity of osteoblasts.  Vitamin C is needed for synthesis of collagen.  Vitamin D is essential to healthy bones because it promotes the absorption of calcium from foods in the gastrointestinal tract into the blood.  Vitamins K and B12 are needed for synthesis of bone proteins.
  • 50. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Growth and Remodeling  Hormones are key contributors to normal bone metabolism.  During childhood, the hormones most important to bone growth are human growth hormone (hGH) and growth factors called IGFs (produced by the liver). Both stimulate osteoblasts, promote cell division at the epiphyseal plate, and enhance protein synthesis.  Thyroid hormones and insulin also promote bone growth by stimulating osteoblasts and protein synthesis.
  • 51. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Growth and Remodeling  Hormones continued…  The sex hormones (estrogen and testosterone) cause a dramatic effect on bone growth, such as the sudden “growth spurt” that occurs during the teenage years. • The sex hormones also promote widening of the pelvis in the female skeleton. • They are also responsible for closing the epiphyseal plates at the end of puberty.
  • 52. Copyright © John Wiley & Sons, Inc. All rights reserved. Bone Growth and Remodeling  Hormones continued…  Parathyroid hormone (PTH) and calcitonin are critical for balancing the levels of calcium and phosphorus between blood and bone. • Maintaining a normal serum Ca2+ level takes precedence over mineralizing bone (usually both can be done) – can you suggest an explanation why this is true?
  • 53. Copyright © John Wiley & Sons, Inc. All rights reserved. Calcium Homeostasis  Day to day control of calcium regulation mainly involves:  PTH stimulates osteoclastic activity and raises serum calcium level.  Calcitonin (thyrocalcitonin), and to a lesser extent hGH and the sex hormones, stimulate osteoblastic activity and lower serum calcium level.  Vitamin D is needed for absorption of the Ca2+ and PO4 – ions from the small intestine, and reabsorption of those same ions in the kidneys.
  • 54. Copyright © John Wiley & Sons, Inc. All rights reserved. Calcium Homeostasis The role of regulating serum Ca2+ levels and mineralizing bone is under hormonal control, and is carefully balanced . I made this little diagram… but I’m not sure where I got the figures from. Can we reproduce this? PTH Calcitonin hGH Testosterone
  • 55. Copyright © John Wiley & Sons, Inc. All rights reserved. Calcium Homeostasis
  • 56. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  The naming of fractures can be confusing because of the many different criteria that are used.  Some schemes describe the anatomical appearance of the fracture: • Partial, complete (fx is all the way through the bone), closed (simple), open (fx punctures the skin), “Green stick” (a small linear break in the bone cortex), impacted, comminuted, spiral, transverse, displaced
  • 57. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  Anatomical appearance – like breaking a green twig Greenstick
  • 58. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  Anatomical appearance – the distal part is shoved up into the proximal part. Impacted
  • 59. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  Anatomical appearance – though not seen here, one or both bones are “open” to the outside. Open (compound)
  • 60. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  Naming fractures, continued…  Other fractures are classified by the disease or mechanism which produced the fracture. • Pathological fracture (usually from a cancerous process or severe chronic disease), compression fracture (produced by extreme forces such as in trauma) • Stress fracture (produced from repeated strenuous activities such as running)
  • 61. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  Naming fractures, continued…  Still other fractures describe a common pattern of injury, often involving more than one bone, and usually denoted by an eponym (someone’s name): • Colles’ fracture of the distal radius • Pott’s fracture of the distal fibula
  • 62. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  Eponyms – Colles’ is a fracture of the distal radius ± ulna. Colles’
  • 63. Copyright © John Wiley & Sons, Inc. All rights reserved. Once a bone is fractured, repair proceeds in a predictable pattern:  The first step, which occurs 6-8 hours after injury, is the formation of a fracture hematoma as a result of blood vessels breaking in the periosteum and in osteons. Fracture and Repair
  • 64. Copyright © John Wiley & Sons, Inc. All rights reserved.  The second and third steps involve the formation of a callus (takes a few weeks, to as many as six months).  Phagocytes remove cellular debris and fibroblasts deposit collagen to form a fibro- cartilaginous callus... Fracture and Repair
  • 65. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  ... which is followed by osteoblasts forming a bony callus of spongy bone.
  • 66. Copyright © John Wiley & Sons, Inc. All rights reserved. Fracture and Repair  The final step takes several months and is called remodeling :  Spongy bone is replaced by compact bone.  The fracture line disappears, but evidence of the break remains.
  • 67. Copyright © John Wiley & Sons, Inc. All rights reserved. Exercise and Bone Tissue  Under mechanical stress, bone tissue becomes stronger through deposition of mineral salts and production of collagen fibers by osteoblasts. Unstressed bones, on the other hand, become weaker.  Astronauts in space suffer rapid loss of bone density.  The main mechanical stresses on bone are those that result from the pull of skeletal muscles and the pull of gravity (weight-bearing activities).
  • 68. Copyright © John Wiley & Sons, Inc. All rights reserved. Aging and Bone Tissue  A decrease in bone mass occurs as the level of sex hormones diminishes during middle age (especially in women after menopause).  Bone resorption by osteoclasts outpaces bone deposition by osteoblasts.  Since female bones are generally smaller and less massive than males to begin with, old age has a greater adverse effect in females.
  • 69. Copyright © John Wiley & Sons, Inc. All rights reserved. Aging and Bone Tissue  There are two principal effects of aging on bone tissue:  Loss of bone mass • The loss of calcium from bones is one of the symptoms in osteoporosis.  Brittleness • Collagen fibers give bone its tensile strength, and protein synthesis decreases with age. • The loss of tensile strength causes the bones to become very brittle and susceptible to fracture.
  • 70. Copyright © John Wiley & Sons, Inc. All rights reserved. Aging and Bone Tissue  Osteoporosis is a condition where bone resorption outpaces bone deposition.  Often due to depletion of calcium from the body or inadequate intake
  • 71. Copyright © John Wiley & Sons, Inc. All rights reserved. End of Chapter 6 Copyright 2012 John Wiley & Sons, Inc. All rights reserved. Reproduction or translation of this work beyond that permitted in section 117 of the 1976 United States Copyright Act without express permission of the copyright owner is unlawful. Request for further information should be addressed to the Permission Department, John Wiley & Sons, Inc. The purchaser may make back-up copies for his/her own use only and not for distribution or resale. The Publisher assumes no responsibility for errors, omissions, or damages caused by the use of these programs or from the use of the information herein.

Notas del editor

  1. The periosteum is only found on areas where there is no articular cartilage
  2. Discuss only a typical long bone at this point. Later, other bone types will be discussed.
  3. Named After Clopton Havers (1650?–1702), English physician and anatomist.
  4. Maintaining blood calcium levels is more “important” than bone mineralization because normal heart function depends on a normal ionized serum calcium level (between 8.5-10.2 mg/dl)