BONE - JU MedicineBONE ANATOMY Diaphysis: long shaft of bone Epiphysis: ends of bone Metaphysis: b/w...
Transcript of BONE - JU MedicineBONE ANATOMY Diaphysis: long shaft of bone Epiphysis: ends of bone Metaphysis: b/w...
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Bone Tissue
Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
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Functions • Support
• Protection (protect internal organs)
• Movement (provide leverage system for skeletal muscles, tendons, ligaments and joints)
• Mineral homeostasis (bones act as reserves of minerals important for the body like calcium or phosphorus)
• Hematopoiesis: blood cell formation
• Storage of adipose tissue: yellow marrow
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Types of Bones: • Gross observation:
Spongy Bone (Trabecular, Cancellous)
Compact Bone (Dense, Cortical)
Compact (cortical) bone:
a dense area near the surface,
which represents 80% of the
total bone mass.
Cancellous (trabecular or
spongy) bone:
deeper areas with numerous
interconnecting cavities, consisting
about 20 % of total bone mass.
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Spongy bone
Compact bone
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Types of Bone:
• Anatomical:
– Long
– Short
– Flat
– Irregular
– Sesamoid
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Head, Proximal end, Epiphysis
Distal end, Epiphysis
Shaft , Body, Diaphysis
LONG BONES
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LONG BONES
Line
Compact Bone Spongy Bone Spongy Bone
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BONE ANATOMY Diaphysis: long shaft of bone Epiphysis: ends of bone Metaphysis: b/w epiphysis and diaphysis Epiphyseal (growth) plate: layer of hyaline cartilage that allows the bone to grow in length
The cartilage in the epiphyseal plate is replaced by bone at the age of 18-21, and the resulting
bony structure is called the epiphyseal line
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Epiphysis
Metaphysis
Epiphyseal line
Diaphysis
Nutrient artery
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Articular cartilage: thin layer of
hyaline cartilage covering the part
of the epiphysis where the bone
forms an articulation (joint).
Function:
reduces friction and absorbs
shock.
Articular cartilage lacks a
perichondrium and lacks blood
vessels, repair of damage is
limited
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Periosteum: bone covering (pain sensitive) Sharpey’s fibers: thick bundles of collagen that extend from the periosteum into the bone extracellular matrix Medullary cavity: Hollow chamber in bone - red marrow produces blood cells - yellow marrow is adipose tissue
Endosteum: thin layer lining the medullary cavity
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Diaphysis
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Epiphysis
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Metaphysis
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Epiphyseal (growth) plate/ line
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Medullary canal (cavity)
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Compact bone
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Cancellous (spongy) bone
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Periosteum:
covers the external
surface of bones
:Endosteum
lines the internal
surface of bones
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An osteon (or Haversian system): concentric lamellae surrounding a small canal containing blood vessels, nerves, loose CT and lined by endosteum.
Between successive lamellae are lacunae (each with one osteocyte).
The outer boundary of each osteon is called the cement line.
The central canals communicate with the marrow cavity and the periosteum and with one another through transverse Perforating canals (or Volkmann’s canal).
Compact (cortical) bone
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Spongy bone lining the medullary canal/ cavity
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Central canals (or Haversian canals)
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Transverse Perforating canals (or Volkmann’s canals)
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Osteon
Periosteum
Yellow bone
marrow
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Types of lamellae:
• Outer circumferential
• Concentric
• Interstitial
• Inner circumferential
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Concentric lamellae
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- Scattered among the intact osteons.
- Are numerous irregularly shaped groups of parallel
lamellae.
- Are lamellae remaining from osteons partially destroyed
by osteoclasts during growth and remodeling of bone.
Interstitial lamellae
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Outer circumferential: located immediately beneath
the periosteum.
Inner circumferential: located around the marrow
cavity.
Outer and inner circumferential lamellae
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The Structure of Spongy Bone
• No osteons
• Lighter and porous
• Trabeculae
– Arches, rods, plates of bone
– Branching network of bony
tissue
– Strong in many directions
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Spongy bone
Trabecular bone tissue
(haphazard arrangement)
Spaces filled with red and
yellow bone marrow
Osteocytes get nutrients
directly from circulating blood
Short, flat and irregular bone is
made up of mostly spongy
bone
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Spongy bone
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PERIOSTEUM & ENDOSTEUM
• Surfaces of bone are covered by tissue layers with
bone forming cells.
• External surfaces: Periosteum.
• Internal surfaces: Endosteum.
• Functions:
– Nutrition of bone.
– Continuous supplying of osteoblasts from progenitor
cells for bone growth or repair.
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Endosteum:
• Lines the internal cavity of the bone.
• Covers trabeculae of spongy bone
• Composed of a single layer of flat osteoprogenitor
cells.
• Has the same functions as periosteum.
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Periosteum:
• Outer fibrous
– Some fibers penetrate through bone substance
Sharpey’s fibers.
• Inner cellular contains osteoprogenitor cells.
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Short, Irregular, and Flat Bones
• Compact bone on the outside with spongy bone (diploë) on the inside
• Have no diaphysis or epiphyses
• Contain bone marrow between the trabeculae
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Bone Matrix:
• Inorganic matter = ~ 67% of dry weight.
– Most of ions are: Ca+2 & PO-4
– Others: Mg, K, HCO3, Citrate.
– Ca+2 & PO-4 form C10(PO4)6(OH)2 = hydroxyapatite
• Surface ions are hydrated hydration shell
– Facilitates fluid exchange
• Organic matter = collagen type I & ground
substance.
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Situated inside
lacuna Found in both the periosteum and the endosteum
:Bone cells
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Osteoblasts
Bone building cells
Osteoclasts
Bone cutting cells
Bone deposition Bone resorption
Bone remodeling
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• Derived from embryonic
mesenchymal cells
• Located in the inner cellular
layer of the periosteum and in
the endosteum.
• Have the potential to
differentiate into osteoblasts.
Osteoprogenitor (osteogenic) Cells
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• Responsible for synthesis of the organic components of the matrix.
• Deposition of inorganic components also depends on osteoblasts.
• When active, appear cuboidal-columnar, typical protein synthesizing cells.
• The newly laid matrix is not calcified and called osteoid.
• Osteoblast Osteocyte
Osteoblast
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Inactive osteoblasts are flat cells that cover the bone
surface. These cells resemble bone lining cells in both
the endosteum and periosteum.
Secrete alkaline phosphatase (ALP) and osteocalcin,
their circulating levels are used clinically as markers
of osteoblast activity.
Osteoblast
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The newly deposited matrix is not immediately calcified. It stains lightly or not at all compared with the mature mineralized matrix, which stains heavily with eosin.
Because of this staining property of the newly formed matrix, osteoblasts appear to be separated from the bone by a light band.
This band represents the osteoid, the nonmineralized matrix, between the osteoblast layer and the preexisting bone surface
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Copyright © McGraw-Hill Companies
Figure 8-3
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Osteogenic cell
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Osteocyte
• Smaller than osteoblasts, almond
shaped, with fewer rER, and
condensed Golgi.
• Situated inside lacuna, one cell in
each lacuna.
• Cells have processes (filopodial)
passing through canaliculi in the
thin surrounding matrix.
• Adjacent cells make contact
through gap junctions in the
processes.
• Involved in maintenance of matrix.
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Osteoclast • Large, branched motile, multinucleated cells.
• Originates from fusion of monocytes.
• Secretes collagenase and some enzymes.
• When active, they lie in Howship’s lacuna:
– Enzymatically etched depression on the
surface.
• The surface facing the matrix shows irregular
foldings; ruffled border.
– The ruffled border is surrounded by clear
zone:
• Clear of organelles, rich in actin.
• Creates microenvironment for bone
resorption.
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Figure 8-6
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TECHNIQUE OF PREPARATION
• Ground bone:
• Decalcified bone:
Because of its hardness, bone cannot be sectioned routinely. Bone matrix is softened by immersion in a decalcifying solution before paraffin embedding.
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Decalcified bone section
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Copyright © McGraw-Hill Companies
Figure 8-9
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Histological Classification
• Primary = Immature = Woven
• Secondary = Mature = lamellar
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Lamellar Bone Most bone in adults, compact or cancellous , is
organized as lamellar bone.
Is multiple layers or lamellae of calcified matrix.
The lamellae are organized either parallel to each other (cancellous) or concentrically around a central canal (compact).
In each lamella = mainly collagen fibers type I
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Woven Bone
• Is nonlamellar.
• Is the first bone tissue to appear in embryonic
development and in fracture repair.
• Temporary, is replaced in adult by lamellar bone.
• Random deposition of type I collagen fibers
• Lower mineral content.
• Easily penetrated by x-ray.
• Number of osteocytes is relatively high.
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Repair process involves the
formation of a fibrocartilaginous
callus over the break, which is
subsequently replaced by a bony
callus. The area surrounding the
break is finally remodeled to
create a strong, healed bone.
Bone repair
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Terms: • Matrix
• periosteum
• Osteoprogenitor cells (osteogenic cells)
• Osteoblasts
• Osteocytes
• Lacuna
• Osteoclasts
• Canaliculi
• Filopodial process
• Haversian canal, system
• Osteon
• Volkmann canal
• Endosteum
• Osteoid