Innervation, Vessels, Growth & Healing of Bones · Sources • Tortara, Gerard J., Bryan...
Transcript of Innervation, Vessels, Growth & Healing of Bones · Sources • Tortara, Gerard J., Bryan...
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Innervation, Vessels, Growth & Healing of
BonesHelena Varys
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Innervation & Vessels
• Periosteum
• nerves
• blood & lymph vessels
• large vessel -> small capillaries
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Innervation• Peripheral
• Most sympathetic and vasomotor
• Sensory
• Hilton's Law
• Muscle nerve innervates underlining bone
• Accompany vessels
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Vessels• nutrient foramina
• perforating (Volkmann) canals
• connect to central (haversian) canals
• canaliculi
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Ossification• bone formation
• initial formation
• growth after birth
• remodeling
• fracture repair
• template out of mesenchyme cells
• ossification starts by 6th week
• two different patterns
• Intramembranous
• Endochondral
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Growth in Thickness and Length • perichondrium ->
osteoblasts -> osteocytes
• lamellae, new osteons formed at surface
• medullary cavity enlargement slower than growth
• Epiphyseal plate
• thickness stays constant
• chondrocytes divide
• on diaphyseal sides, replaced by bone
• replaced by epiphyseal line
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Bone Remodeling • Bone Resorption
(osteoclasts) & Deposition (osteoblasts)
• different rates
• removes injuries
• influenced by exercise, diet change, hormones
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Fracture Repair1. phagocytes (osteoclasts) remove dead tissue
2. chondroblasts form fibrocartilage
3. osteoblast convert fibrocartilage into spongy bone
4. spongy bone converted into compact bone
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Healing
• takes months
• bone cells slowly divide
• blood supply disrupted
• gradual Ca & P deposits
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Summary • Vessels and nerves come from the periosteum
through canals
• Epiphyseal plate is in charge of growth in length
• Periosteum differentiation is in charge of growth in width
• Healing involves cartilage formation and its ossification.
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Sources • Tortara, Gerard J., Bryan Derrickson. Introduction to the Human Body The Essentials
of Anatomy and Physiology. New Jersey: John Wiley & Sons, Inc, 2012. Print
• Junqueira, Luiz C., and Anthony L. Mescher. Junqueira's Basic Histology: Text & Atlas. New York: McGraw-Hill Medical, 2010. Print.
• Platzer, Werner. Color Atlas of Human Anatomy, Vol. 1 Locomotor System 6th Edition. New York, 2005. Print
• "nutrient foramen." Medical Dictionary for the Health Professions and Nursing. 2012. Farlex 6 Oct. 2015 http://medical-dictionary.thefreedictionary.com/nutrient+foramen
• Iqbal, Ahsan. Man Anatomy. 2011. Web. 11 October 2015. http://www.mananatomy.com/basic-anatomy/nerve-supply-bones
http://medical-dictionary.thefreedictionary.com/nutrient+foramen