Biology Anatomy

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6 Pearson Education, Inc.

PowerPoint® Lecture Slides

prepared by

Karen Dunbar Kareiva

Ivy Tech Community College

© Annie Leibovitz/Contact Press Images

Chapter 6 Part A

Bones and Skeletal Tissue

1

Why This Matters

Understanding bone anatomy and the process of bone remodeling allows you to work effectively with patients with bone diseases such as osteoporosis

© 2016 Pearson Education, Inc.

6.1 Skeletal Cartilages
The human skeleton initially consists of just cartilage, which is replaced by bone, except in areas requiring flexibility
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Basic Structure, Types, and Locations
Skeletal cartilage: made of highly resilient, molded cartilage tissue that consists primarily of water
Contains no blood vessels or nerves
Perichondrium: layer of dense connective tissue surrounding cartilage like a girdle
Helps cartilage resist outward expansion
Contains blood vessels for nutrient delivery to cartilage
Cartilage is made up of chondrocytes, cells encased in small cavities (lacunae) within jelly-like extracellular matrix
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Basic Structure, Types, and Locations (cont.)
Three types of cartilage:
Hyaline cartilage
Provides support, flexibility, and resilience
Most abundant type; contains collagen fibers only
Articular (joints), costal (ribs), respiratory (larynx), nasal cartilage (nose tip)
Elastic cartilage
Similar to hyaline cartilage, but contains elastic fibers
External ear and epiglottis
Fibrocartilage
Thick collagen fibers: has great tensile strength
Menisci of knee; vertebral discs
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Epiglottis
Larynx
Cartilage in
external ear
Cartilages in
nose
Trachea
Cartilage in
intervertebral
disc
Respiratory
tube cartilages
in neck and thorax
Pubic symphysis
Meniscus (padlike
cartilage in
knee joint)
Cartilages
Articular cartilage
of a joint
Articular
cartilage
of a joint
Costal
cartilage
Thyroid
cartilage
Cricoid
cartilage
Lung
Axial skeleton
Appendicular skeleton
Bones of skeleton
Hyaline cartilages
Elastic cartilages
Fibrocartilages
Figure 6.1 The bones and cartilages of the human skeleton.
© 2016 Pearson Education, Inc.

Epiglottis
Larynx
Cartilage in
external ear
Cartilages in
nose
Trachea
Cartilage in
intervertebral
disc
Respiratory
tube cartilages
in neck and thorax
Pubic symphysis
Meniscus (padlike
cartilage in
knee joint)
Cartilages
Articular cartilage
of a joint
Articular
cartilage
of a joint
Costal
cartilage
Thyroid
cartilage
Cricoid
cartilage
Lung
Axial skeleton
Appendicular skeleton
Bones of skeleton
Hyaline cartilages
Elastic cartilages
Fibrocartilages
Figure 6.1 The bones and cartilages of the human skeleton.
© 2016 Pearson Education, Inc.

Figure 4.8i Connective tissues.
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Cartilage: fibrocartilage
Description: Matrix similar to
but less firm than that in hyaline
cartilage; thick collagen fibers
predominate.
Function: Tensile strength
allows it to absorb compressive
shock.
Chondrocytes
in lacunae
Collagen
fiber
Location: Intervertebral discs;
pubic symphysis; discs of knee
joint.
Intervertebral
discs
Photomicrograph: Fibrocartilage of an
intervertebral disc (125×). Special staining
produced the blue color seen.

8

Growth of Cartilage
Cartilage grows in two ways:
Appositional growth
Cartilage-forming cells in perichondrium secrete matrix against external face of existing cartilage
New matrix laid down on surface of cartilage
Interstitial growth
Chondrocytes within lacunae divide and secrete new matrix, expanding cartilage from within
New matrix made within cartilage
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Growth of Cartilage (cont.)
Calcification of cartilage occurs during normal bone growth in youth, but can also occur in old age
Hardened cartilage is not the same as bone
© 2016 Pearson Education, Inc.

6.2 Functions of Bones
There are seven important functions of bones:
Support
For body and soft organs
Protection
Protect brain, spinal cord, and vital organs
Movement
Levers for muscle action
Mineral and growth factor storage
Calcium and phosphorus, and growth factors reservoir
© 2016 Pearson Education, Inc.

6.2 Functions of Bones
Blood cell formation
Hematopoiesis occurs in red marrow cavities of certain bones
Triglyceride (fat) storage
Fat, used for an energy source, is stored in bone cavities
Hormone production
Osteocalcin secreted by bones helps to regulate insulin secretion, glucose levels, and metabolism
© 2016 Pearson Education, Inc.

6.3 Classification of Bones
206 named bones in human skeleton
Divided into two groups based on location
Axial skeleton
Long axis of body
Skull, vertebral column, rib cage
Appendicular skeleton
Bones of upper and lower limbs
Girdles attaching limbs to axial skeleton
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6.3 Classification of Bones
Bones are also classified according to one of four shapes:
Long bones
Longer than they are wide
Limb bones
Short bones
Cube-shaped bones (in wrist and ankle)
Sesamoid bones form within tendons (example: patella)
Vary in size and number in different individuals
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6.3 Classification of Bones
Flat bones
Thin, flat, slightly curved
Sternum, scapulae, ribs, most skull bones
Irregular bones
Complicated shapes
Vertebrae and hip bones
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Figure 6.2 Classification of bones on the basis of shape.
© 2016 Pearson Education, Inc.
Flat bone
(sternum)
Long bone
(humerus)
Irregular bone (vertebra),
right lateral view
Short bone
(talus)

6.4 Bone Structure
Bones are organs because they contain different types of tissues
Bone (osseous) tissue predominates, but a bone also has nervous tissue, cartilage, fibrous connective tissue, muscle cells, and epithelial cells in its blood vessels
Three levels of structure
Gross
Microscopic
Chemical
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Gross Anatomy
Compact and spongy bone
Compact bone: dense outer layer on every bone that appears smooth and solid
Spongy bone: made up of a honeycomb of small, needle-like or flat pieces of bone called trabeculae
Open spaces between trabeculae are filled with red or yellow bone marrow
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Gross Anatomy (cont.)
Structure of short, irregular, and flat bones
Consist of thin plates of spongy bone (diploe) covered by compact bone
Compact bone sandwiched between connective tissue membranes
Periosteum covers outside of compact bone, and endosteum covers inside portion of compact bone
Bone marrow is scattered throughout spongy bone; no defined marrow cavity
Hyaline cartilage covers area of bone that is part of a movable joint
© 2016 Pearson Education, Inc.

Figure 6.3 Flat bones consist of a layer of spongy bone sandwiched between two thin layers of compact bone.
© 2016 Pearson Education, Inc.

Spongy bone
(diploë)
Compact
bone
Trabeculae of
spongy bone

Gross Anatomy (cont.)
Structure of typical long bone
All long bones have a shaft (diaphysis), bone ends (epiphyses), and membranes
Diaphysis: tubular shaft that forms long axis of bone
Consists of compact bone surrounding central medullary cavity that is filled with yellow marrow in adults
Epiphyses: ends of long bones that consist of compact bone externally and spongy bone internally
Articular cartilage covers articular (joint) surfaces
Between diaphysis and epiphysis is epiphyseal line
Remnant of childhood epiphyseal plate where bone growth occurs
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Figure 6.4a The structure of a long bone (humerus of arm).
© 2016 Pearson Education, Inc.

Articular
cartilage
Proximal
epiphysis
Diaphysis
Distal
epiphysis
Spongy bone
Epiphyseal
line
Periosteum
Compact bone
Medullary
cavity (lined
by endosteum)

Figure 6.4b The structure of a long bone (humerus of arm).
© 2016 Pearson Education, Inc.

Articular
cartilage
Compact
bone
Endosteum
Spongy
bone

Gross Anatomy (cont.)
Membranes: two types (periosteum and endosteum)
Periosteum: white, double-layered membrane that covers external surfaces except joints
Fibrous layer: outer layer consisting of dense irregular connective tissue consisting of Sharpey’s fibers that secure to bone matrix
Osteogenic layer: inner layer abutting bone and contains primitive osteogenic stem cells that gives rise to most all bone cells
Contains many nerve fibers and blood vessels that continue on to the shaft through nutrient foramen openings
Anchoring points for tendons and ligaments
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Gross Anatomy (cont.)
Membranes (cont.)
Endosteum
Delicate connective tissue membrane covering internal bone surface
Covers trabeculae of spongy bone
Lines canals that pass through compact bone
Like periosteum, contains osteogenic cells that can differentiate into other bone cells
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Figure 6.4c The structure of a long bone (humerus of arm).
© 2016 Pearson Education, Inc.

Endosteum
Yellow
bone marrow
Compact bone
Periosteum
Perforating
(Sharpey’s)
fibers
Nutrient
artery

Gross Anatomy (cont.)
Hematopoietic tissue in bones
Red marrow is found within trabecular cavities of spongy bone and diploë of flat bones, such as sternum
In newborns, medullary cavities and all spongy bone contain red marrow
In adults, red marrow is located in heads of femur and humerus, but most active areas of hematopoiesis are flat bone diploë and some irregular bones (such as the hip bone)
Yellow marrow can convert to red, if person becomes anemic
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Gross Anatomy (cont.)
Bone markings
Sites of muscle, ligament, and tendon attachment on external surfaces
Areas involved in joint formation or conduits for blood vessels and nerves
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Gross Anatomy (cont.)
Bone markings (cont.)
Three types of markings:
Projection: outward bulge of bone
May be due to increased stress from muscle pull or is a modification for joints
Depression: bowl- or groove-like cut-out that can serve as passageways for vessels and nerves, or plays a role in joints
Opening: hole or canal in bone that serves as passageways for blood vessels and nerves
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Table 6.1-1 Bone Markings
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Table 6.1-2 Bone Markings (continued)
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Microscopic Anatomy of Bone
Cells of bone tissue
Five major cell types, each of which is a specialized form of the same basic cell type
Osteogenic cells
Osteoblasts
Osteocytes
Bone-lining cells
Osteoclasts
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Microscopic Anatomy of Bone (cont.)
Osteogenic cells
Also called osteoprogenitor cells
Mitotically active stem cells in periosteum and endosteum
When stimulated, they differentiate into osteoblasts or bone-lining cells
Some remain as osteogenic stem cells
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Microscopic Anatomy of Bone (cont.)
Osteoblasts
Bone-forming cells that secrete unmineralized bone matrix called osteoid
Osteoid is made up of collagen and calcium-binding proteins
Collagen makes up 90% of bone protein
Osteoblasts are actively mitotic
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Figure 6.5ab Comparison of different types of bone cells.
© 2016 Pearson Education, Inc.
Osteogenic cell
Osteoblast
Stem cell
Matrix-synthesizing
cell responsible for
bone growth

Microscopic Anatomy of Bone (cont.)
Osteocytes
Mature bone cells in lacunae that no longer divide
Maintain bone matrix and act as stress or strain sensors
Respond to mechanical stimuli such as increased force on bone or weightlessness
Communicate information to osteoblasts and osteoclasts (cells that destroy bone) so bone remodeling can occur
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Microscopic Anatomy of Bone (cont.)
Bone-lining cells
Flat cells on bone surfaces believed to also help maintain matrix (along with osteocytes)
On external bone surface, lining cells are called periosteal cells
On internal surfaces, they are called endosteal cells
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Microscopic Anatomy of Bone (cont.)
Osteoclasts
Derived from same hematopoietic stem cells that become macrophages
Giant, multinucleate cells function in bone resorption (breakdown of bone)
When active, cells are located in depressions called resorption bays
Cells have ruffled borders that serve to increase surface area for enzyme degradation of bone
Also helps seal off area from surrounding matrix
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Figure 6.5cd Comparison of different types of bone cells.
© 2016 Pearson Education, Inc.
Bone-resorbing cell
Osteoclast
Osteocyte
Mature bone cell that
monitors and maintains
the mineralized
bone matrix

Microscopic Anatomy of Bone (cont.)
Compact bone
Also called lamellar bone
Consists of:
Osteon (Haversian system)
Canals and canaliculi
Interstitial and circumferential lamellae
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Microscopic Anatomy of Bone (cont.)
Osteon (Haversian system)
An osteon is the structural unit of compact bone
Consists of an elongated cylinder that runs parallel to long axis of bone
Acts as tiny weight-bearing pillars
An osteon cylinder consists of several rings of bone matrix called lamellae
Lamellae contain collagen fibers that run in different directions in adjacent rings
Withstands stress and resist twisting
Bone salts are found between collagen fibers
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Figure 6.6 A single osteon.
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Artery with
capillaries
Structures
in the
central
canal
Vein
Lamellae
Collagen
fibers
run in
different
directions
Twisting
force
Nerve fiber

Microscopic Anatomy of Bone (cont.)
Canals and canaliculi
Central (Haversian) canal runs through core of osteon
Contains blood vessels and nerve fibers
Perforating (Volkmann’s) canals: canals lined with endosteum that occur at right angles to central canal
Connect blood vessels and nerves of periosteum, medullary cavity, and central canal
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Microscopic Anatomy of Bone (cont.)
Canals and canaliculi (cont.)
Lacunae: small cavities that contain osteocytes
Canaliculi: hairlike canals that connect lacunae to each other and to central canal
Osteoblasts that secrete bone matrix maintain contact with each other and osteocytes via cell projections with gap junctions
When matrix hardens and cells are trapped the canaliculi form
Allow communication between all osteocytes of osteon and permit nutrients and wastes to be relayed from one cell to another
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Microscopic Anatomy of Bone (cont.)
Interstitial and circumferential lamellae
Interstitial lamellae
Lamellae that are not part of osteon
Some fill gaps between forming osteons; others are remnants of osteons cut by bone remodeling
Circumferential lamellae
Just deep to periosteum, but superficial to endosteum, these layers of lamellae extend around entire surface of diaphysis
Help long bone to resist twisting
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Compact
bone
Spongy bone
Perforating
(Volkmann’s) canal
Central
(Haversian) canal
Endosteum lining bony canals
and covering trabeculae
Osteon
(Haversian system)
Circumferential
lamellae
Perforating (Sharpey’s) fibers
Lamellae
Periosteal blood vessel
Nerve
Lamellae
Canaliculi
Lacuna (with osteocyte)
Interstitial lamella
Periosteum
Vein
Artery
Osteocyte
in a lacuna
Lacunae
Central
canal
Figure 6.7 Microscopic anatomy of compact bone.
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Microscopic Anatomy of Bone (cont.)
Spongy bone
Appears poorly organized but is actually organized along lines of stress to help bone resist any stress
Trabeculae, like cables on a suspension bridge, confer strength to bone
No osteons are present, but trabeculae do contain irregularly arranged lamellae and osteocytes interconnected by canaliculi
Capillaries in endosteum supply nutrients
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Figure 6.3 Flat bones consist of a layer of spongy bone sandwiched between two thin layers of compact bone.
© 2016 Pearson Education, Inc.

Spongy bone
(diploë)
Compact
bone
Trabeculae of
spongy bone

Chemical Composition of Bone
Bone is made up of both organic and inorganic components
Organic components
Includes osteogenic cells, osteoblasts, osteocytes, bone-lining cells, osteoclasts, and osteoid
Osteoid, which makes up one-third of organic bone matrix, is secreted by osteoblasts
Consists of ground substance and collagen fibers, which contribute to high tensile strength and flexibility of bone
© 2016 Pearson Education, Inc.

Chemical Composition of Bone (cont.)
Organic components (cont.)
Resilience of bone is due to sacrificial bonds in or between collagen molecules that stretch and break to dissipate energy and prevent fractures
If no additional trauma, bonds re-form
Inorganic components
Hydroxyapatites (mineral salts)
Makeup 65% of bone by mass
Consist mainly of tiny calcium phosphate crystals in and around collagen fibers
Responsible for hardness and resistance to compression
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Chemical Composition of Bone (cont.)
Inorganic components (cont.)
Bone is half as strong as steel in resisting compression and as strong as steel in resisting tension
Lasts long after death because of mineral composition
Can reveal information about ancient people
© 2016 Pearson Education, Inc.

A and P I Chapter 6 Bones and skeletal tissues

1. Skeletal cartilages-

a. functions-

b. anatomy-perichondrium-

chondrocytes-

lacunae-

extracellular matrix-

2

. Types of cartilages-

a. hyaline-

e.g.

b. elastic-

e.g.

c. fibrocartilage-

e.g.

3. Growth of cartilage-

a. appositional growth-

b. interstitial growth-

3. Bones-206 bones

a. functions-

b. 2 divisions of the skeleton-

1) axial skeleton-

2) appendicular skeleton-

4. shape of bones-

a. long bones-

e.g.

2) short bones-

e.g.

3) flat bones-

e.g.

4) irregular bones-

e.g.

5. Gross anatomy of bones-

a. textures-

1) compact bone-

2) spongy bone-

b. structure of short, irregular and flat bones-

c. structure of a long bone-

1) diaphysis-

2) epiphysis-

epiphyseal line-

epiphyseal plate-

3) membranes-

periosteum-

outer layer-

inner layer-

cells of inner layer-

perforation fibers-

endosteum-

nutrient artery and vein, nerves-

nutrient foramen-

d. bone marrow-

red marrow-

yellow marrow-

locations-

e. bone markings-

1) projections-

2) surfaces-

3) depressions and openings-

6. Microscopic anatomy of bone-5 cell types-

a. osteogenic cells-

b. osteoblasts-

c. osteocytes-

d. bone lining cells-

e. osteoclasts-

f. compact bone-

1) osteon-

2) lamellae-

3) central or Haversian canal-

4) perforation or Volkmann’s canal-

5) lacunae-

6) canaliculi-

7) interstitial lamellae-

8) circumferential lamellae-

g. spongy bone-no osteons

1) trabeculae-

2) lamellae-

3) canaliculi-

7. Mineral composition of bone-

a. organic components-

1) cells-

2) osteoid-

sacrificial bonds-

b. inorganic components-

1) hydroxyapatites-

8. Formation of bone-

a. endochondral ossification-

b. intramembranous ossification-

c. postnatal bone growth-

d. hormone regulation of bone growth-

1) growth hormone-

2) thyroid hormone-

3) sex hormones-

9. Bone remodeling-

a. bone reabsorption-

b. bone deposition-

c. control of remodeling-

1) hormones-

2) mechanical stress-

10. Bone repair-

a. fracture classification-

1) position of bone-

displaced-

non-displaced-

2) completeness of break-

complete-

incomplete-

3) penetration of skin-

open-

closed-

4) other classification-depends on location or external appearance or nature of break-

comminuted-

spiral-

depressed-

compression-

epiphyseal-

greenstick-

b. fracture repair-

reduction-

repair occurs in 4 steps-

1) hematoma forms-

2) fibrocartilaginous callus forms-

3) bony callus forms-

4) bone remodeling-

2

© 2016 Pearson Education, Inc.

PowerPoint® Lecture Slides

prepared by

Karen Dunbar Kareiva

Ivy Tech Community College

© Annie Leibovitz/Contact Press Images

Chapter 6 Part B

Bones and Skeletal Tissue

6.5 Bone Development

Ossification (osteogenesis) is the process of bone tissue formation

Formation of bony skeleton begins in month 2 of development

Postnatal bone growth occurs until early adulthood

Bone remodeling and repair are lifelong

© 2016 Pearson Education, Inc.

Formation of the Bony Skeleton
Up to about week 8, fibrous membranes and hyaline cartilage of fetal skeleton are replaced with bone tissue
Endochondral ossification
Bone forms by replacing hyaline cartilage
Bones are called cartilage (endochondral) bones
Form most of skeleton
Intramembranous ossification
Bone develops from fibrous membrane
Bones are called membrane bones
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Formation of the Bony Skeleton (cont.)
Endochondral ossification
Forms essentially all bones inferior to base of skull, except clavicles
Begins late in month 2 of development
Uses previously formed hyaline cartilage models
Requires breakdown of hyaline cartilage prior to ossification
Begins at primary ossification center in center of shaft
Blood vessels infiltrate perichondrium, converting it to periosteum
Mesenchymal cells specialize into osteoblasts
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Formation of the Bony Skeleton (cont.)
Five main steps in the process of ossification:
Bone collar forms around diaphysis of cartilage model
Central cartilage in diaphysis calcifies, then develops cavities
Periosteal bud invades cavities, leading to formation of spongy bone
Bud is made up of blood vessels, nerves, red marrow, osteogenic cells, and osteoclasts
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Formation of the Bony Skeleton (cont.)
Five main steps in the process of ossification (cont.):
Diaphysis elongates, and medullary cavity forms
Secondary ossification centers appear in epiphyses
Epiphyses ossify
Hyaline cartilage remains only in epiphyseal plates and articular cartilages
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Figure 6.8 Endochondral ossification in a long bone.
© 2016 Pearson Education, Inc.

Week 9
Hyaline
cartilage
Primary
ossification
center
Bone
collar
1
Bone collar forms
around the diaphysis
of the hyaline
cartilage model.
1
Slide 2

Figure 6.8 Endochondral ossification in a long bone.
© 2016 Pearson Education, Inc.

Week 9
Area of
deteriorating
cartilage matrix
Hyaline
cartilage
Primary
ossification
center
Bone
collar
1
Bone collar forms
around the diaphysis
of the hyaline
cartilage model.
Cartilage in the
center of the diaphysis
calcifies and then
develops cavities.
1
2
Slide 3

Figure 6.8 Endochondral ossification in a long bone.
© 2016 Pearson Education, Inc.

Month 3
Week 9
Area of
deteriorating
cartilage matrix
Hyaline
cartilage
Spongy
bone
formation
Blood
vessel of
periosteal
bud
Primary
ossification
center
Bone
collar
1
Bone collar forms
around the diaphysis
of the hyaline
cartilage model.
Cartilage in the
center of the diaphysis
calcifies and then
develops cavities.
The periosteal
bud invades the
internal cavities
and spongy bone
forms.
1
2
3
Slide 4

Figure 6.8 Endochondral ossification in a long bone.
© 2016 Pearson Education, Inc.

Month 3
Week 9
Birth
Secondary
ossification
center
Epiphyseal
blood vessel
Area of
deteriorating
cartilage matrix
Hyaline
cartilage
Medullary
cavity
Spongy
bone
formation
Blood
vessel of
periosteal
bud
Primary
ossification
center
Bone
collar
1

Bone collar forms
around the diaphysis
of the hyaline
cartilage model.
Cartilage in the
center of the diaphysis
calcifies and then
develops cavities.
The periosteal
bud invades the
internal cavities
and spongy bone
forms.
1
2
3
The diaphysis
elongates and a
medullary cavity forms.
Secondary ossification
centers appear in the
epiphyses.
4
Slide 5

Figure 6.8 Endochondral ossification in a long bone.
© 2016 Pearson Education, Inc.

Month 3
Week 9
Birth
Childhood to adolescence
Articular
cartilage
Secondary
ossification
center
Spongy
bone
Epiphyseal
blood vessel
Area of
deteriorating
cartilage matrix
Epiphyseal
plate
cartilage
Hyaline
cartilage
Medullary
cavity
Spongy
bone
formation
Blood
vessel of
periosteal
bud
Primary
ossification
center
Bone
collar
1

Bone collar forms
around the diaphysis
of the hyaline
cartilage model.
Cartilage in the
center of the diaphysis
calcifies and then
develops cavities.
The periosteal
bud invades the
internal cavities
and spongy bone
forms.
1
2
3
The epiphyses ossify.
When completed, hyaline
cartilage remains only in
the epiphyseal plates and
articular cartilages.
5
The diaphysis
elongates and a
medullary cavity forms.
Secondary ossification
centers appear in the
epiphyses.
4
Slide 6

Formation of the Bony Skeleton (cont.)
Intramembranous ossification: begins within fibrous connective tissue membranes formed by mesenchymal cells
Forms frontal, parietal, occipital, temporal, and clavicle bones
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Formation of the Bony Skeleton (cont.)
Four major steps are involved:
Ossification centers are formed when mesenchymal cells cluster and become osteoblasts
Osteoid is secreted, then calcified
Woven bone is formed when osteoid is laid down around blood vessels, resulting in trabeculae
Outer layer of woven bone forms periosteum
Lamellar bone replaces woven bone, and red marrow appears
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Mesenchymal
cell
Osteoid
Osteoblast
Ossification centers appear in the fibrous
connective tissue membrane.
• Selected centrally located mesenchymal cells cluster
and differentiate into osteoblasts, forming an ossification
center that produces the first trabeculae of spongy bone.
Ossification
center
Collagen
fiber
Figure 6.9 Intramembranous ossification.
© 2016 Pearson Education, Inc.
1
Slide 2

Mesenchymal
cell
Osteoblast
Osteoid
Osteocyte
Newly calcified
bone matrix
Osteoid
Osteoblast
Ossification centers appear in the fibrous
connective tissue membrane.
Osteoid is secreted within the fibrous
membrane and calcifies.
• Selected centrally located mesenchymal cells cluster
and differentiate into osteoblasts, forming an ossification
center that produces the first trabeculae of spongy bone.
• Osteoblasts continue to secrete osteoid, which
calcifies in a few days.
• Trapped osteoblasts become osteocytes.
Ossification
center
Collagen
fiber
Figure 6.9 Intramembranous ossification.
© 2016 Pearson Education, Inc.
1
2
Slide 3

Mesenchymal
cell
Osteoblast
Osteoid
Osteocyte
Newly calcified
bone matrix
Osteoid
Osteoblast
Ossification centers appear in the fibrous
connective tissue membrane.
Osteoid is secreted within the fibrous
membrane and calcifies.
• Selected centrally located mesenchymal cells cluster
and differentiate into osteoblasts, forming an ossification
center that produces the first trabeculae of spongy bone.
• Osteoblasts continue to secrete osteoid, which
calcifies in a few days.
• Trapped osteoblasts become osteocytes.
Mesenchyme
condensing
to form the
periosteum
Trabeculae of
woven bone
Blood vessel
Woven bone and periosteum form.
• Accumulating osteoid is laid down between embryonic
blood vessels in a manner that results in a network
(instead of concentric lamellae) of trabeculae called
woven bone.
• Vascularized mesenchyme condenses on the external
face of the woven bone and becomes the periosteum.
Ossification
center
Collagen
fiber
Figure 6.9 Intramembranous ossification.
© 2016 Pearson Education, Inc.
1
2
3
Slide 4

Mesenchymal
cell
Osteoblast
Osteoid
Osteocyte
Newly calcified
bone matrix
Osteoid
Osteoblast
Ossification centers appear in the fibrous
connective tissue membrane.
Osteoid is secreted within the fibrous
membrane and calcifies.
• Selected centrally located mesenchymal cells cluster
and differentiate into osteoblasts, forming an ossification
center that produces the first trabeculae of spongy bone.
• Osteoblasts continue to secrete osteoid, which
calcifies in a few days.
• Trapped osteoblasts become osteocytes.
Mesenchyme
condensing
to form the
periosteum
Fibrous
periosteum
Plate of
compact bone
Trabeculae of
woven bone
Diploë (spongy
bone) cavities
contain red
marrow
Blood vessel
Woven bone and periosteum form.
• Accumulating osteoid is laid down between embryonic
blood vessels in a manner that results in a network
(instead of concentric lamellae) of trabeculae called
woven bone.
• Vascularized mesenchyme condenses on the external
face of the woven bone and becomes the periosteum.
• Trabeculae just deep to the periosteum thicken. Mature
lamellar bone replaces them, forming compact bone
plates.
• Spongy bone (diploë), consisting of distinct trabeculae,
persists internally and its vascular tissue becomes red
marrow.
Ossification
center
Collagen
fiber
Osteoblast
Lamellar bone replaces woven bone, just deep
to the periosteum. Red marrow appears.
Figure 6.9 Intramembranous ossification.
© 2016 Pearson Education, Inc.
1
2
3
4
Slide 5

Postnatal Bone Growth
Long bones grow lengthwise by interstitial (longitudinal) growth of epiphyseal plate
Bones increase thickness through appositional growth
Bones stop growing during adolescence
Some facial bones continue to grow slowly through life
© 2016 Pearson Education, Inc.

Growth in Length of Long Bones
Interstitial growth requires presence of epiphyseal cartilage in the epiphyseal plate
Epiphyseal plate maintains constant thickness
Rate of cartilage growth on one side balanced by bone replacement on other
Epiphyseal plate consists of five zones:
Resting (quiescent) zone
Proliferation (growth) zone
Hypertrophic zone
Calcification zone
Ossification (osteogenic) zone
© 2016 Pearson Education, Inc.

Growth in Length of Long Bones (cont.)
Resting (quiescent) zone
Area of cartilage on epiphyseal side of epiphyseal plate that is relatively inactive
Proliferation (growth) zone
Area of cartilage on diaphysis side of epiphyseal plate that is rapidly dividing
New cells formed move upward, pushing epiphysis away from diaphysis, causing lengthening
© 2016 Pearson Education, Inc.

Growth in Length of Long Bones (cont.)
Hypertrophic zone
Area with older chondrocytes closer to diaphysis
Cartilage lacunae enlarge and erode, forming interconnecting spaces
Calcification zone
Surrounding cartilage matrix calcifies; chondrocytes die and deteriorate
© 2016 Pearson Education, Inc.

Growth in Length of Long Bones (cont.)
Ossification zone
Chondrocyte deterioration leaves long spicules of calcified cartilage at epiphysis-diaphysis junction
Spicules are then eroded by osteoclasts and are covered with new bone by osteoblasts
Ultimately replaced with spongy bone
Medullary cavity enlarges as spicules are eroded
© 2016 Pearson Education, Inc.

Resting zone
Proliferation zone
Cartilage cells undergo
mitosis.
Hypertrophic zone
Older cartilage cells
enlarge.
Calcification zone
Matrix calcifies; cartilage
cells die; matrix begins
deteriorating; blood
vessels invade cavity.
Calcified
cartilage spicule
Ossification zone
New bone forms.
Osseous tissue
(bone) covering
cartilage spicules
Osteoblast
depositing
bone matrix
Figure 6.10 Growth in length of a long bone occurs at the epiphyseal plate.
© 2016 Pearson Education, Inc.
1
2
3
4

Growth in Length of Long Bones (cont.)
Near end of adolescence, chondroblasts divide less often
Epiphyseal plate thins, then is replaced by bone
Epiphyseal plate closure occurs when epiphysis and diaphysis fuse
Bone lengthening ceases
Females: occurs around 18 years of age
Males: occurs around 21 years of age
© 2016 Pearson Education, Inc.

Growth in Width (Thickness)
Growing bones widen as they lengthen through appositional growth
Can occur throughout life
Bones thicken in response to increased stress from muscle activity or added weight
Osteoblasts beneath periosteum secrete bone matrix on external bone
Osteoclasts remove bone on endosteal surface
Usually more building up than breaking down which leads to thicker, stronger bone that is not too heavy
© 2016 Pearson Education, Inc.

Figure 6.11 Long bone growth and remodeling during youth.
© 2016 Pearson Education, Inc.

Bone growth
Bone remodeling
Articular cartilage
Cartilage
grows here.
Epiphyseal plate
Bone that was
here has been
resorbed.
Bone replaces
cartilage here.
Bone that was
here has been
resorbed.
Appositional
growth adds
bone here.
Cartilage
grows here.
Bone
replaces
cartilage
here.

Hormonal Regulation of Bone Growth
Growth hormone: most important hormone in stimulating epiphyseal plate activity in infancy and childhood
Thyroid hormone: modulates activity of growth hormone, ensuring proper proportions
Testosterone (males) and estrogens (females) at puberty: promote adolescent growth spurts
End growth by inducing epiphyseal plate closure
Excesses or deficits of any hormones cause abnormal skeletal growth
© 2016 Pearson Education, Inc.

6.6 Bone Remodeling
About 5–7% of bone mass is recycled each week
Spongy bone replaced ~ every 3-4 years
Compact bone replaced ~ every 10 years
Bone remodeling consists of both bone deposit and bone resorption
Occurs at surfaces of both periosteum and endosteum
Remodeling units: packets of adjacent osteoblasts and osteoclasts coordinate remodeling process
© 2016 Pearson Education, Inc.

Bone Deposit
New bone matrix is deposited by osteoblasts
Osteoid seam: band of unmineralized bone matrix that marks area of new matrix
Calcification front: abrupt transition zone between osteoid seam and older mineralized bone
© 2016 Pearson Education, Inc.

Bone Deposit (cont.)
Trigger for deposit not confirmed but may include:
Mechanical signals
Increased concentrations of calcium and phosphate ions for hydroxyapatite formation
Matrix proteins that bind and concentrate calcium
Appropriate amount of enzyme alkaline phosphatase for mineralization
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Bone Resorption
Resorption is function of osteoclasts
Dig depressions or grooves as they break down matrix
Secrete lysosomal enzymes and protons (H+) that digest matrix
Acidity converts calcium salts to soluble forms
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Bone Resorption (cont.)
Osteoclasts also phagocytize demineralized matrix and dead osteocytes
Digested products are transcytosed across cell and released into interstitial fluid and then into blood
Once resorption is complete, osteoclasts undergo apoptosis
Osteoclast activation involves PTH (parathyroid hormone) and immune T cell proteins
© 2016 Pearson Education, Inc.

Control of Remodeling
Remodeling occurs continuously but is regulated by genetic factors and two control loops
Hormonal controls
Negative feedback loop that controls blood Ca2+ levels
Calcium functions in many processes, such as nerve transmission, muscle contraction, blood coagulation, gland and nerve secretions, as well as cell division
99% of 1200–1400 gms of calcium are found in bone
Intestinal absorption of Ca2+ requires vitamin D
Response to mechanical stress
© 2016 Pearson Education, Inc.

Control of Remodeling
Hormonal controls
Parathyroid hormone (PTH): produced by parathyroid glands in response to low blood calcium levels
Stimulates osteoclasts to resorb bone
Calcium is released into blood, raising levels
PTH secretion stops when homeostatic calcium levels are reached
Calcitonin: produced by parafollicular cells of thyroid gland in response to high levels of blood calcium levels
Effects are negligible, but at high pharmacological doses it can lower blood calcium levels temporarily
© 2016 Pearson Education, Inc.

Figure 6.12 Parathyroid hormone (PTH) control of blood calcium levels.
© 2016 Pearson Education, Inc.

Calcium homeostasis of blood: 9–11 mg/100 ml
BALANCE
BALANCE
Stimulus
Falling blood
Ca2 levels
Thyroid
gland
Osteoclasts
degrade bone
matrix and release
Ca2 into blood.
Parathyroid
glands
Parathyroid
glands release
parathyroid
hormone (PTH).
PTH
IMBALANCE
IMBALANCE

Clinical – Homeostatic Imbalance 6.1
Even minute changes in blood calcium levels can cause severe neuromuscular problems
Hypocalcemia: low levels of calcium cause hyperexcitablility
Hypercalcemia: high levels of calcium cause nonresponsiveness
Sustained high blood calcium levels can lead to deposits of calcium salts in blood vessels or kidneys and formation of kidney stones
© 2016 Pearson Education, Inc.

Control of Remodeling (cont.)
Hormonal controls (cont.)
Other hormones play a role in bone density and turnover
Leptin
Hormone released by adipose tissue
May play role in bone density regulation by inhibiting osteoblasts
Serotonin
Neurotransmitter regulates mood and sleep; also interferes with osteoblast activity
Most serotonin made in gut
Secreted into blood after a meal
May inhibit bone turnover after a meal, so bone calcium is locked in when new calcium is flooding into bloodstream
© 2016 Pearson Education, Inc.

Control of Remodeling (cont.)
Response to mechanical stress
Bones reflect stresses they encounter
Bones are stressed when weight bears on them or muscles pull on them
Wolf’s law states that bones grow or remodel in response to demands placed on them
Stress is usually off center, so bones tend to bend
Bending compresses one side, stretches other side
Diaphysis is thickest where bending stresses are greatest
Bone can be hollow because compression and tension cancel each other out in center of bone
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Load here
(body weight)
Head of
femur
Compression
here
Tension
here
Point
of no
stress
Figure 6.13 Bone anatomy and bending stress.
© 2016 Pearson Education, Inc.

Control of Remodeling (cont.)
Wolf’s law also explains:
Handedness (right- or left-handed) results in thicker and stronger bone of the corresponding upper limb
Curved bones are thickest where most likely to buckle
Trabeculae form trusses along lines of stress
Large, bony projections occur where heavy, active muscles attach
Weight lifters have enormous thickenings at muscle attachment sites of most used muscles
Bones of fetus and bedridden people are featureless because of lack of stress on bones
© 2016 Pearson Education, Inc.

Control of Remodeling (cont.)
Mechanical stress causes remodeling by producing electrical signals when bone is deformed
Compressed and stretched regions are oppositely charged
Compression/tension changes fluid flows within canaliculi, which may also stimulate remodeling
Hormonal controls determine whether and when remodeling occurs in response to changing blood calcium levels, but mechanical stress determines where it occurs
© 2016 Pearson Education, Inc.

6.7 Bone Repair
Fractures are breaks
During youth, most fractures result from trauma
In old age, most result from weakness of bone due to bone thinning
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Fracture Classification
Three “either/or” fracture classifications
Position of bone ends after fracture
Nondisplaced: ends retain normal position
Displaced: ends are out of normal alignment
Completeness of break
Complete: broken all the way through
Incomplete: not broken all the way through
Whether skin is penetrated
Open (compound): skin is penetrated
Closed (simple): skin is not penetrated
Can also be described by location of fracture, external appearance, and nature of break
© 2016 Pearson Education, Inc.

Table 6.2-1 Common Types of Fractures
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Table 6.2-2 Common Types of Fractures (continued)
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Table 6.2-3 Common Types of Fractures (continued)
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Fracture Treatment and Repair
Treatment involves reduction, the realignment of broken bone ends
Closed reduction: physician manipulates to correct position
Open reduction: surgical pins or wires secure ends
Immobilization of bone by cast or traction is needed for healing
Time needed for repair depends on break severity, bone broken, and age of patient
© 2016 Pearson Education, Inc.

Fracture Treatment and Repair (cont.)
Repair involves four major stages:
Hematoma formation
Fibrocartilaginous callus formation
Bony callus formation
Bone remodeling
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Fracture Treatment and Repair (cont.)
Hematoma formation
Torn blood vessels hemorrhage, forming mass of clotted blood called a hematoma
Site is swollen, painful, and inflamed
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Figure 6.14-1 Stages in the healing of a bone fracture.
© 2016 Pearson Education, Inc.
Hematoma
A hematoma forms.

1

Fracture Treatment and Repair (cont.)
Fibrocartilaginous callus formation
Capillaries grow into hematoma
Phagocytic cells clear debris
Fibroblasts secrete collagen fibers to span break and connect broken ends
Fibroblasts, cartilage, and osteogenic cells begin reconstruction of bone
Create cartilage matrix of repair tissue
Osteoblasts form spongy bone within matrix
This mass of repair tissue is called fibrocartilaginous callus
© 2016 Pearson Education, Inc.

Figure 6.14-2 Stages in the healing of a bone fracture.
© 2016 Pearson Education, Inc.
External
callus
Internal
callus
(fibrous
tissue and
cartilage)
New
blood
vessels
Spongy
bone
trabecula
Fibrocartilaginous
callus forms.

2

Fracture Treatment and Repair (cont.)
Bony callus formation
Within one week, new trabeculae appear in fibrocartilaginous callus
Callus is converted to bony (hard) callus of spongy bone
Bony callus formation continues for about 2 months until firm union forms
© 2016 Pearson Education, Inc.

Figure 6.14-3 Stages in the healing of a bone fracture.
© 2016 Pearson Education, Inc.
Bony
callus of
spongy
bone
Bony callus forms.

3

Fracture Treatment and Repair (cont.)
Bone remodeling
Begins during bony callus formation and continues for several months
Excess material on diaphysis exterior and within medullary cavity is removed
Compact bone is laid down to reconstruct shaft walls
Final structure resembles original structure
Responds to same mechanical stressors
© 2016 Pearson Education, Inc.

Figure 6.14-4 Stages in the healing of a bone fracture.
© 2016 Pearson Education, Inc.
Healed
fracture
Bone remodeling
occurs.

4

Figure 6.14 Stages in the healing of a bone fracture.
© 2016 Pearson Education, Inc.

Hematoma
External
callus
Bony
callus of
spongy
bone
Internal
callus
(fibrous
tissue and
cartilage)
Healed
fracture
New
blood
vessels
Spongy
bone
trabecula
A hematoma forms.
Fibrocartilaginous
callus forms.
Bony callus forms.
Bone remodeling
occurs.
1
2
3
4

6.8 Bone Disorders
Imbalances between bone deposit and bone resorption underlie nearly every disease that affects the human skeleton.
Three major bone diseases:
Osteomalacia and rickets
Osteoporosis
Paget’s disease
© 2016 Pearson Education, Inc.

Osteomalacia and Rickets
Osteomalacia
Bones are poorly mineralized
Osteoid is produced, but calcium salts not adequately deposited
Results in soft, weak bones
Pain upon bearing weight
Rickets (osteomalacia of children)
Results in bowed legs and other bone deformities because bones ends are enlarged and abnormally long
Cause: vitamin D deficiency or insufficient dietary calcium
© 2016 Pearson Education, Inc.

Osteoporosis
Osteoporosis is a group of diseases in which bone resorption exceeds deposit
Matrix remains normal, but bone mass declines
Spongy bone of spine and neck of femur most susceptible
Vertebral and hip fractures common
© 2016 Pearson Education, Inc.

Figure 6.15 The contrasting architecture of normal versus osteoporotic bone.
© 2016 Pearson Education, Inc.
Normal bone
Osteoporotic bone

Osteoporosis (cont.)
Risk factors for osteoporosis
Most often aged, postmenopausal women
Affects 30% of women aged 60–70 years and 70% by age 80
30% of Caucasian women will fracture bone because of osteoporosis
Estrogen plays a role in bone density, so when levels drop at menopause, women run higher risk
Men are less prone due to protection by the effects of testosterone
© 2016 Pearson Education, Inc.

Osteoporosis (cont.)
Additional risk factors for osteoporosis:
Petite body form
Insufficient exercise to stress bones
Diet poor in calcium and protein
Smoking
Hormone-related conditions
Hyperthyroidism
Low blood levels of thyroid-stimulating hormone
Diabetes mellitus
Immobility
Males with prostate cancer taking androgen-suppressing drugs
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Osteoporosis (cont.)
Treating osteoporosis
Traditional treatments
Calcium
Vitamin D supplements
Weight-bearing exercise
Hormone replacement therapy
Slows bone loss but does not reverse it
Controversial because of increased risk of heart attack, stroke, and breast cancer
© 2016 Pearson Education, Inc.

Osteoporosis (cont.)
Other drugs for osteoporosis:
Bisphosphonates: decrease osteoclast activity and number
Partially reverse osteoporosis in spine
Selective estrogen receptor modulators: mimic estrogen without targeting breast and uterus
Denosumab
Monoclonal antibody shown to reduce fractures in men with prostate cancer
Improves bone density in elderly
© 2016 Pearson Education, Inc.

Osteoporosis (cont.)
Preventing osteoporosis
Plenty of calcium in diet in early adulthood
Reduce consumption of carbonated beverages and alcohol
Leach minerals from bone, so decrease bone density
Plenty of weight-bearing exercise
Increases bone mass above normal for buffer against age-related bone loss
© 2016 Pearson Education, Inc.

Paget’s Disease
Excessive and haphazard bone deposit and resorption cause bone to be made fast and poorly
Called Pagetic bone
Very high ratio of spongy to compact bone and reduced mineralization
Usually occurs in spine, pelvis, femur, and skull
Rarely occurs before age 40
Cause unknown: possibly viral
Treatment includes calcitonin and bisphosphonates
© 2016 Pearson Education, Inc.

Developmental Aspects of Bone
Embryonic skeleton ossifies predictably, so fetal age is easily determined from X rays or sonograms
Most long bones begin ossifying by 8 weeks, with primary ossification centers developed by week 12
© 2016 Pearson Education, Inc.

Developmental Aspects of Bone
Birth to Young Adulthood
At birth, most long bones ossified, except at epiphyses
Epiphyseal plates persist through childhood and adolescence
At ~ age 25, all bones are completely ossified, and skeletal growth ceases
© 2016 Pearson Education, Inc.

Figure 6.17 Fetal primary ossification centers at 12 weeks.
© 2016 Pearson Education, Inc.

Parietal
bone
Frontal
bone
of skull
Occipital
bone
Mandible
Clavicle
Radius
Femur
Tibia
Ribs
Vertebra
Scapula
Ulna
Humerus
Ilium

Age-Related Changes in Bone
In children and adolescents, bone formation exceeds resorption
Males tend to have greater mass than females
In young adults, both are balanced
In adults, bone resorption exceeds formation
© 2016 Pearson Education, Inc.

Age-Related Changes in Bone (cont.)
Bone density changes over lifetime are largely determined by genetics
Gene for vitamin D’s cellular docking determines mass early in life and osteoporosis risk at old age
Bone mass, mineralization, and healing ability decrease with age beginning in fourth decade
Except bones of skull
Bone loss is greater in whites and in females
© 2016 Pearson Education, Inc.

A and P I Chapter 8 Joints

1. Definition-articulation or joint-

2

. Function of joints-

3. Structural classification of joints-

a. fibrous joints-

3 types-

1) sutures-

e.g.

2) syndesmoses-

e.g.

3) gomphoses

e.g.

b. cartilaginous joints-

2 types-

1) synchondroses-

e.g.

2) symphyses-

e.g.

c. synovial joints-

6 features-

1) articular capsule-

2) joint cavity-

3) articular capsule-

4) synovial fluid-

5) ligaments-

6) nerves and blood vessels-

features in some synovial joints-

articular discs-

bursa-

tendon sheaths-

e.g.

4. Movement of synovial joints-

origin-

insertion-

a. gliding movements-

e.g.

b. angular movements-

1) flexion-

e.g.

2) extension-

e.g.

hyperextension-

3) abduction-

e.g.

4) adduction-

e.g.

5) circumduction-

e.g.

c. rotation-

e.g.

d. special movements-

supination-

pronation-

e.g.

2) dorsiflexion-

plantar flexion-

e.g.

3) inversion-

eversion-

e.g.

4) protraction-

retraction-

e.g.

5) elevation-

depression-

e.g.

6) opposition-

e.g.

5. Types of synovial joints-

6 types

a. plane joint-

e.g.

b. hinge joint-

e.g.

c. pivot joint-

e.g.

d. condylar joint-

e.g.

e. saddle joint-

e.g.

f. ball and socket joint-

e.g.

2

© 2016 Pearson Education, Inc.

PowerPoint® Lecture Slides

prepared by

Karen Dunbar Kareiva

Ivy Tech Community College

© Annie Leibovitz/Contact Press Images

Chapter 8 Part A

Joints

Why This Matters

Understanding the nature of joints will help you treat patients with injuries such as ankle sprains

© 2016 Pearson Education, Inc.

8.1 Classification of Joints
Joints, also called articulations: sites where two or more bones meet
Functions of joints: give skeleton mobility and hold skeleton together
Two classifications:
Structural: three types based on what material binds the joints and whether a cavity is present
Fibrous
Cartilaginous
Synovial
© 2016 Pearson Education, Inc.

3

8.1 Classification of Joints
Functional classifications: three types based on movement joint allows
Synarthroses: immovable joints
Amphiarthroses: slightly movable joints
Diarthroses: freely movable joints
Structural classifications are more clear cut, so these will be used here
© 2016 Pearson Education, Inc.

8.2 Fibrous Joints
Bones joined by dense fibrous connective tissue
No joint cavity
Most are immovable
Depends on length of connective tissue fibers
Three types of fibrous joints
Sutures
Syndesmoses
Gomphoses
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Sutures
Rigid, interlocking joints of skull
Allow for growth during youth
Contain short connective tissue fibers that allow for expansion
In middle age, sutures ossify and fuse
Immovable joints join skull into one unit that protects brain
Closed, immovable sutures referred to as synostoses
© 2016 Pearson Education, Inc.

Figure 8.1a Fibrous joints.

Suture
Joint held together with very short,
interconnecting fibers, and bone
edges interlock. Found only in
the skull.
Suture
line
Fibrous
connective
tissue
© 2016 Pearson Education, Inc.

Syndesmoses
Bones connected by ligaments, bands of fibrous tissue
Fiber length varies, so movement varies
Short fibers offer little to no movement
Example: inferior tibiofibular joint
Longer fibers offer a larger amount of movement
Example: interosseous membrane connecting radius and ulna
© 2016 Pearson Education, Inc.

Figure 8.1b Fibrous joints.

Syndesmosis
Joint held together by a ligament.
Fibrous tissue can vary in length,
but is longer than in sutures.
Fibula
Tibia
Ligament
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Gomphoses
Peg-in-socket joints
Only examples are the teeth in alveolar sockets
Fibrous connection is the periodontal ligament
Holds tooth in socket
© 2016 Pearson Education, Inc.

Figure 8.1c Fibrous joints.

Gomphosis
“Peg in socket” fibrous joint.
Periodontal ligament holds tooth
in socket.
Socket of
alveolar
process
Root of
tooth
Periodontal
ligament
© 2016 Pearson Education, Inc.

8.3 Cartilaginous Joints
Bones united by cartilage
Like fibrous joints, have no joint cavity
Not highly movable
Two types
Synchondroses
Symphyses
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Synchondroses
Bar or plate of hyaline cartilage unites bones
Almost all are synarthrotic (immovable)
Examples
Temporary epiphyseal plate joints
Become synostoses after plate closure
Cartilage of 1st rib with manubrium of sternum
© 2016 Pearson Education, Inc.

Figure 8.2a Cartilaginous joints.

Synchondroses
Bones united by hyaline cartilage
Sternum
(manubrium)
Epiphyseal
plate (temporary
hyaline cartilage
joint)
Joint between
first rib and
sternum
(immovable)
© 2016 Pearson Education, Inc.

Symphyses
Fibrocartilage unites bone in symphysis joint
Hyaline cartilage also present as articular cartilage on bony surfaces
Symphyses are strong, amphiarthrotic (slightly movable) joints
Examples
Intervertebral joints
Pubic symphysis
© 2016 Pearson Education, Inc.

Figure 8.2b Cartilaginous joints.

Symphyses
Bones united by fibrocartilage
Body of vertebra
Fibrocartilaginous
intervertebral disc
(sandwiched between
hyaline cartilage)
Pubic symphysis
© 2016 Pearson Education, Inc.

8.4 Synovial Joints
Bones separated by fluid-filled joint cavity
All are diarthrotic (freely movable)
Include almost all limb joints
Characteristics of synovial joints
Have six general features
Have bursae and tendon sheaths associated with them
Stability is influenced by three factors
Allow several types of movements
Classified into six different types
© 2016 Pearson Education, Inc.

General Structure
Synovial joints have six general features:
Articular cartilage: consists of hyaline
cartilage covering ends of bones
Prevents crushing of bone ends
Joint (synovial) cavity: small, fluid-filled
potential space that is unique to synovial joints
Articular (joint) capsule: two layers thick
External fibrous layer: dense irregular connective tissue
Inner synovial membrane: loose connective tissue that makes synovial fluid
© 2016 Pearson Education, Inc.

General Structure (cont.)
Synovial fluid: viscous, slippery filtrate of
plasma and hyaluronic acid
Lubricates and nourishes articular cartilage
Contains phagocytic cells to remove microbes and debris
Different types of reinforcing ligaments
Capsular: thickened part of fibrous layer
Extracapsular: outside the capsule
Intracapsular: deep to capsule; covered by synovial membrane
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General Structure (cont.)
Nerves and blood vessels
Nerves detect pain; monitor joint position and stretch
Capillary beds supply filtrate for synovial fluid
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Figure 8.3 General structure of a synovial joint.

Ligament
Joint cavity
(contains
synovial fluid)
Articular (hyaline)
cartilage
Fibrous
layer
Synovial
membrane
(secretes
synovial
fluid)
Periosteum
Articular
capsule
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General Structure (cont.)
Other features of some synovial joints:
Fatty pads
For cushioning between fibrous layer of capsule and synovial membrane or bone
Articular discs (menisci)
Fibrocartilage separates articular surfaces to improve “fit” of bone ends, stabilize joint, and reduce wear and tear
© 2016 Pearson Education, Inc.

Bursae and Tendon Sheaths
Bags of synovial fluid that act as lubricating “ball bearing”
Not strictly part of synovial joints, but closely associated
Bursae: reduce friction where ligaments, muscles, skin, tendons, or bones rub together
Tendon sheaths: elongated bursae wrapped completely around tendons subjected to friction
© 2016 Pearson Education, Inc.

Figure 8.4a Bursae and tendon sheaths.

Acromion
of scapula
Subacromial
bursa
Fibrous layer of
articular capsule
Joint cavity
containing
synovial fluid
Articular
cartilage
Tendon
sheath
Synovial
membrane
Tendon of
long head
of biceps
brachii muscle
Fibrous
layer
Humerus
Frontal section through the right shoulder joint
© 2016 Pearson Education, Inc.

Figure 8.4b Bursae and tendon sheaths.

Bursa rolls
and lessens
friction.
Humerus head
rolls medially
as arm abducts.
Humerus moving
Enlargement of (a), showing how
a bursa eliminates friction where
a ligament (or other structure) would
rub against a bone
© 2016 Pearson Education, Inc.

Factors Influencing Stability of Synovial Joints
Three factors determine stability of joints to prevent dislocations:
Shape of articular surface (minor role)
Shallow surfaces less stable than ball-and-socket
Ligament number and location (limited role)
The more ligaments, the stronger the joint
Muscle tone keeps tendons taut as they cross joints (most important)
Extremely important in reinforcing shoulder and knee joints and arches of the foot
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Table 8.2-1 Structural and Functional Characteristics of Body Joints
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Table 8.2-2 Structural and Functional Characteristics of Body Joints (continued)
© 2016 Pearson Education, Inc.

Table 8.2-3 Structural and Functional Characteristics of Body Joints (continued)
© 2016 Pearson Education, Inc.

Table 8.2-3 Structural and Functional Characteristics of Body Joints (continued)
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints
All muscles attach to bone or connective tissue at no fewer than two points
Origin: attachment to immovable bone
Insertion: attachment to movable bone
Muscle contraction causes insertion to move toward origin
Movements occur along transverse, frontal, or sagittal planes
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Range of motion allowed by synovial joints
Nonaxial: slipping movements only
Uniaxial: movement in one plane
Biaxial: movement in two planes
Multiaxial: movement in or around all three planes
Three general types of movements
Gliding
Angular movements
Rotation
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Gliding movements
One flat bone surface glides or slips over another similar surface
Examples
Intercarpal joints
Intertarsal joints
Between articular processes of vertebrae
© 2016 Pearson Education, Inc.

Figure 8.5a Movements allowed by synovial joints.
Gliding
Gliding movements at the wrist
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Angular movements
Increase or decrease angle between two bones
Movement along sagittal plane
Angular movements include:
Flexion: decreases the angle of the joint
Extension: increases the angle of the joint
Hyperextension: movement beyond the anatomical position
© 2016 Pearson Education, Inc.

Figure 8.5b Movements allowed by synovial joints.
Hyperextension
Extension
Flexion
Angular movements: flexion,
extension, and hyperextension
of the neck
© 2016 Pearson Education, Inc.

Figure 8.5c Movements allowed by synovial joints.
Extension
Hyperextension
Flexion
Angular movements: flexion,
extension, and hyperextension of
the vertebral column
© 2016 Pearson Education, Inc.

Figure 8.5d Movements allowed by synovial joints.
Flexion
Hyper-
extension
Extension
Flexion
Extension
Angular movements: flexion, extension, and hyperextension at the shoulder and knee
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Angular movements (cont.)
Abduction: movement along frontal plane, away from the midline
Adduction: movement along frontal plane, toward the midline
Circumduction
Involves flexion, abduction, extension, and adduction of limb
Limb describes cone in space
© 2016 Pearson Education, Inc.

Figure 8.5e Movements allowed by synovial joints.
Abduction
Adduction
Circumduction
Angular movements: abduction, adduction, and
circumduction of the upper limb at the shoulder
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Rotation: turning of bone around its own long axis, toward midline or away from it
Medial: rotation toward midline
Lateral: rotation away from midline
Examples
Rotation between C1 and C2 vertebrae
Rotation of humerus and femur
© 2016 Pearson Education, Inc.

Figure 8.5f Movements allowed by synovial joints.
Rotation
Lateral
rotation
Medial
rotation
Rotation of the head, neck, and lower limb
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Special movements
Supination and pronation: rotation of radius and ulna
Supination: palms face anteriorly
Radius and ulna are parallel
Pronation: palms face posteriorly
Radius rotates over ulna
Dorsiflexion and plantar flexion of foot
Dorsiflexion: bending foot toward shin
Plantar flexion: pointing toes
© 2016 Pearson Education, Inc.

Figure 8.6a Special body movements.
Pronation
(radius rotates
over ulna)
Supination
(radius and ulna
are parallel)
P
S
Pronation (P) and supination (S)
© 2016 Pearson Education, Inc.

Figure 8.6b Special body movements.
Dorsiflexion
Plantar flexion
Dorsiflexion and plantar flexion
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Special movements (cont.)
Inversion and eversion of foot
Inversion: sole of foot faces medially
Eversion: sole of foot faces laterally
Protraction and retraction: movement in lateral plane
Protraction: mandible juts out
Retraction: mandible is pulled toward neck
© 2016 Pearson Education, Inc.

Figure 8.6c Special body movements.
Inversion
Eversion
Inversion and eversion
© 2016 Pearson Education, Inc.

Figure 8.6d Special body movements.
Protraction
of mandible
Retraction
of mandible
Protraction and retraction
© 2016 Pearson Education, Inc.

Movements Allowed by Synovial Joints (cont.)
Special movements (cont.)
Elevation and depression of mandible
Elevation: lifting body part superiorly
Example: shrugging shoulders
Depression: lowering body part
Example: opening jaw
Opposition: movement of thumb
Example: touching thumb to tips of other fingers on same hand or any grasping movement
© 2016 Pearson Education, Inc.

Figure 8.6e Special body movements.
Elevation
of mandible
Depression
of mandible
Elevation and depression
© 2016 Pearson Education, Inc.

Figure 8.6f Special body movements.
Opposition
Opposition
© 2016 Pearson Education, Inc.

Types of Synovial Joints
There are six different types of synovial joints
Categories are based on shape of articular \
surface, as well as movement joint is capable of
Plane
Hinge
Pivot
Condylar
Saddle
Ball-and-socket
© 2016 Pearson Education, Inc.

Focus Figure 8.1a Six types of synovial joint shapes determine the movements that can occur at a joint.

Plane joint
Nonaxial movement
Meta-
carpals
Carpals
Flat
articular
surfaces
Gliding
Examples: Intercarpal joints, intertarsal joints, joints between
vertebral articular surfaces
© 2016 Pearson Education, Inc.

Focus Figure 8.1b Six types of synovial joint shapes determine the movements that can occur at a joint.

Hinge joint
Humerus
Cylinder
Trough
Uniaxial movement
Medial/lateral
axis
Ulna
Flexion and extension
Examples: Elbow joints, interphalangeal joints
© 2016 Pearson Education, Inc.

Focus Figure 8.1c Six types of synovial joint shapes determine the movements that can occur at a joint.

Pivot joint
Uniaxial movement
Sleeve
(bone and
ligament)
Vertical axis
Ulna
Radius
Axle (rounded
bone)
Rotation
Examples: Proximal radioulnar joints, atlantoaxial joint
© 2016 Pearson Education, Inc.

Focus Figure 8.1d Six types of synovial joint shapes determine the movements that can occur at a joint.

Condylar joint
Phalanges
Medial/
lateral
axis
Oval
articular
surfaces
Biaxial movement
Anterior/
posterior
axis
Meta-
carpals
Flexion
and extension
Adduction
and abduction
Examples: Metacarpophalangeal (knuckle) joints, wrist joints
© 2016 Pearson Education, Inc.

Focus Figure 8.1e Six types of synovial joint shapes determine the movements that can occur at a joint.

Saddle joint
Anterior/
posterior
axis
Metacarpal
I
Articular
surfaces
are both
concave
and convex
Biaxial movement
Medial/
lateral
axis
Adduction
and abduction
Flexion and
extension
Trapezium
Example: Carpometacarpal joints of the thumbs
© 2016 Pearson Education, Inc.

Focus Figure 8.1f Six types of synovial joint shapes determine the movements that can occur at a joint.

Ball-and-socket joint
Multiaxial movement
Anterior/posterior
axis
Cup
(socket)
Medial/lateral
axis
Scapula
Spherical
head
(ball)
Humerus
Flexion
and extension
Adduction and
abduction
Rotation
Examples: Shoulder joints and hip joints
Vertical
axis
© 2016 Pearson Education, Inc.

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