I. Introduction
The
skeletal system includes connective tissues such as blood, bone, cartilage,
tendons, and ligaments. These tissues also combine with the various types of
muscle tissue.
1) Bone itself has several functions, including:
A. Mechanical
Support. Bones provide a
framework for the attachment of
muscles and other
tissues.
Movement. Bones enable body
movements by acting as levers
and points of
attachment for muscles.
B.
Protective
Bones such as the
skull and rib cage protect vital organs
from injury. Bones
also protect the marrow.
C. Metabolic
Mineral storage. Bones serve as a
reservoir for calcium and
phosphorus, essential minerals for various
cellular
activities throughout the body.
Blood cell production. The
production of blood cells, or
hematopoiesis,
occurs in the red marrow found within the
cavities of certain bones.
Energy storage. Lipids (fats)
stored in adipose cells of the
yellow marrow serve as an energy reservoir.
2) Cartilage serves as the fetal template for bone
formation, and covers
the ends of bone, most especially at the
joints, or points of
articulation.
CARTILAGE
is an important part of the skeleton. What type of cartilage is the most common
type? HYALINE CARTILAGE makes up most of the EMBRYONIC SKELETON, but
eventually is replaced by bone during fetal and childhood development. HYALINE
CARTILAGE is also found at the ends of long bones at joints, connects the ribs
to the breastbone, and forms the end of the nose. ELASTIC CARTILAGE gives shape
to the outer ear. FIBROCARTILAGE forms
the intervertebral discs, between the vertebrae.
CARTILAGE
resists compression (pushing
forces) & tension (pulling
forces) due to its rubbery ground substance (chondroitin sulfate) and collagen.
Cartilage is also very resilient,
able to spring back to its original shape following compression. Unfortunately,
cartilage is weak in resisting shear forces (twisting & bending). Because
of this weakness, torn cartilage is a common sports injury.
Most
LIGAMENTS are cords of DENSE REGULAR CONNECTIVE TISSUE that attach bone to bone at joints. The
ligaments between the vertebrae, however, are made of ELASTIC CONNECTIVE TISSUE.
3) Tendons connect muscles to bone
4) Ligaments connect bone to bone
II. Bone
Biology
Like
all connective tissue, BONE TISSUE contains a great deal of extracellular
matrix. The extracellular matrix
of bone consists of 25% water, 50%
mineral salts & 25% collagen. The mineral salts include primarily calcium salts, like calcium phosphate and calcium carbonate. There
are also small amounts of magnesium
and fluoride. The mineral salts
give bone its hardness, which allows bone to resist compression. Collagen
contributes to the bone's great tensile
strength, making the bone more resilient and pliable, and less
brittle.
1) Bone is composed of organic material
(mostly collagen, a spongy
protein), within an inorganic matrix called
hydroxyapatite (mostly
calcium and potassium).
2) Bone
tissue consists of three specialized cell types, osteoblasts,
osteocytes, and osteoclasts
a.
Osteoblasts are
bone-forming cells, which line the surface of a
bone’s structure.
b.
Osteocytes are
bone cells and are found within the bone’s
structure.
c.
Osteoclasts are
cells that resorb bone trough a degradation
process.
3) Process of Bone Formation
At birth,
most of the skeletal system is composed of cartilage, which over time is
replaced by bone. By the early twenties, most bone growth is complete, although
bone is remodeled throughout life.
Your bones are constantly
remodeled throughout your life. This process helps to keep them strong and to
maintain their integrity for withstanding stresses, and maintaining
homeostasis. In a healthy adult the rate of resorption (breakdown) roughly
equals the rate of bone deposition. In older people the rate of deposition
often falls below that of resorption and osteoporosis results. Bone remodeling
is stimulated by physical stress placed on the bone by exercise, and will be
tailored to provide specific adaptation to that stress. Thus a weight lifter's
bones will show growth patterns peculiar to the stresses placed on the bones.
Through the
process of remodeling, osteoclasts circulate throughout the bone and look for
old or damaged osteocytes to break down, which are then replaced by osteoblasts
which lay down new bone tissue.
This
breakdown and buildup occurs throughout the bone, but is most visible at the
growth plates of the bone which form at the junction of the epiphysis (bone ends), and the diaphysis (bone shaft). This junction is
called the epiphyseal plate, located
towards the end of the bone shaft.
Finally,
some growth occurs in the periosteum, which is a thin sheaf of tissue that
covers the outside of the bone surface. The periosteum also serves as an intake
of nutrition and gasses.
III. Bone
Anatomy
1) There are approximately 206 bones in
the human body
2) They can be classified into four
main classes
a. Long bones: main components of
limbs, include the femur,
humerus, radius and ulna, tibia
and fibula.
b. Short Bones: include metacarpals of
hands and metatarsals of feet
c. Flat Bones: includes cranial bones,
innominates and scapula, offer
protection and large muscle
attachments
d. Irregular Bones: includes vertebra,
carpals (hand) and tarsals
(feet), many of the cranial bones.
These bones are generally
complex in design and serve
specialized purposes
3) The skeleton can also be divided
into two parts, the axial
skeleton,
and the appendicular skeleton.
a.
The axial skeleton includes the skull or cranium, the vertebral
column, and the ribs.
b.
The appendicular skeleton includes the pelvic and pectoral
girdles, as well as the upper and
lower limb bones.
The pectoral girdle
includes the scapula and clavicle, and
forms the shoulder
The
pelvic girdle includes innominate or hip bones.
The
upper limbs include the humerus, radius, ulna, carpals,
metacarpals, and hand
phalanges.
The
lower limbs include the femur, tibia, fibula, patella,
tarsals, metatarsals, and
foot phalanges.
Tissues
found in bones:
osseous tissues - bone tissue proper
Osseous tissue has a matrix containing inorganic salts and organic
fibers. The inorganic matrix gives the rigidity and hardness to bone and is
composed of a combination of calcium and phosphorus salts called hydroxyapatite. The organic collagen
fibers give a bone its tensile strength and resistance to stress.
cortical (compact) bone - made of a dense regular arrangement of osteons (Haversian
systems). Compact bone is found in the diaphysis (shaft) of long bones and as
the outer layer of all bones.
cancellous (spongy) bone - Consists of trabeculae (a network) of thin, connecting spicules
which form a meshwork in the interior of bones. Spaces between the trabeculae
contain marrow and blood vessels.
red marrow - myeloid (blood producing) tissue found in the spaces in the
spongy bone, produces both red and white blood cells. Red marrow does not
increase in proportion to bone growth, and in the adult much of the red marrow
changes to yellow (fatty) marrow, especially in the medullary canal.
yellow marrow - Consists mostly of fat cells. It can revert to red marrow under
extreme hematopoietic stress, such as in blood loss.
periosteum - a fibrous covering of bones which connects to tendons and
ligaments and anchors blood vessels and nerves. The inner layer of the
periosteum contains osteoprogenitor
cells, derived from mesenchyme cells, these are the cells which
divide to become osteoblasts under
appropriate stimuli. An extremely strong connection is formed with tendons and
ligaments because the collagen fibers from these structures, called Sharpey's fibers, extend at an angle
into the bone where they are continuous with collagen fibers in its
extracellular matrix.
endosteum - fibrous tissue lining the medullary canal. Often only once
cells thick its cells are also osteoprogenitor
cells.
medullary canal - central canal of a long bone. It makes the bone lighter and in
adults contains yellow marrow.
articular cartilage - hyaline cartilage which forms part of synovial joints.
Haversian systems, are the units of structure in mature bone. They
are tightly arranged running generally parallel to the long axis of the bone.
At the center of each is an Haversian
canal which carries blood vessels and nerves. Canaliculi (small canals) connect the Haversian canals with
lacunae containing the osteocytes.
Osteocytes extend processes into the canaliculi and receive nutrients and O2
and get rid of wastes and CO2 by diffusion through the canaliculi.
The lacunae and canaliculi form lamellae
or layers of two types: concentric
lamellae form circular rings around each Haversian canal, and interstitial lamellae, derived from
previous osteons, fill in the spaces between existing osteons.
Hormones important to
bone growth and homeostasis: Growth Hormone (GH) - from the anterior pituitary, this hormone is necessary for
normal growth and development of the skeleton. A deficiency (hyposecretion)
of GH during childhood produces a dwarf, an excess (hypersecretion) produces
a giant. Hypersecretion in adulthood produces acromegaly, a disorder in which
the shape of many bones, especially those in the face becomes exaggerated. The thyroid hormones
(e.g. thyroxine) - regulate metabolism of
most cells including those in bone. testosterone - this and other androgens are important for growth in mass and
density of bone. Testosterone is present in both males and females in varying
amounts. estrogens - these hormones are important for growth in length of bone and
for bone maintenance. They too are present in varying amounts in both sexes. parathyroid hormone - this hormone exerts the primary control in calcium
homeostasis. Calcium is necessary in the blood for many functions and when
its level falls parathyroid hormone is secreted. This hormone uses several
methods to raise calcium levels in the blood: 1) increased Vitamin D production. Vitamin D is a hormone whose
precursor is produced in the skin in response to sunlight and then processed
in the liver and kidney to become active Vitamin D3. Vitamin D3 increases calcium
absorption in the gut. Without this vitamin calcium is not absorbed to any
great degree. 2) increased
reabsorption of calcium in the kidney. Much calcium is lost to the urine, so
when you need more in the blood this is an important source. 3) resorption of bone. PTH increases
osteoclastic activity to release calcium into the blood. Calcitonin - Normally important only in children, this hormone is secreted
by special cells in the thyroid. Its function is to stimulate the uptake of
calcium into growing bone and the deposition of bone matrix. It is not
produced, nor is it effective therapeutically, in adults. |
Osteoporosis, a disorder involving
demineralization of bone usually associated with older individuals can be
related to several factors: 1) deficiency of dietary calcium 2) reduced estrogen levels common in post-menopausal women. This
may be treated with HRT, hormone replacement therapy. 3) reduced activity and exercise, including: 4) reduced weight bearing stress on the bones. This is important
in stimulating bone growth and replacement at any age. Osteoporosis treatment may include calcium formulated with other
minerals, hormone replacement therapy, calcitonin, and an exercise program. |