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Bone Growth and Repair
Morrow 2/11/11 lecture
76
Histology
Undergraduate 4
02/09/2011

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Term
bone growth
Definition
controlled by growth hormone, thyroid hormone and sex hormones
Term
endochondral ossification
Definition
replacement of cartilage precursor by bone
Term
woven bone
Definition
what bone forms first from endochondral ossification
Term
lamellar bone
Definition
what woven bone becomes when extensively remodeled by resorbtion and appositional growth
Term
endochondral ossification
Definition
long bones, vertebrae, pelvis and base of skull do what kind of bone formation
Term
intramembranous ossification
Definition
direct replacement of mesenchyme by bone; no cartilage precursor
Term
intramembranous ossification
Definition
what kind of bone formation does the VAULT of the skull undergo
Term
1)mesenchymal cells differentiate into osteoblasts, 2)produce osteoid, 3)later this mineralizes into bone
Definition
describe the process of intramembranous ossification
Term
hyaline cartilage
Definition
long bone precursor is formed from ____
Term
mid shaft(diaphysis) -forms the periosteal cuff
Definition
primary center of ossification(the only one) in endochondral ossification occurs where?
Term
osteoprogenitor cells from the periosteum, along with growing blood vessels
Definition
after the periosteal cuff is formed, what migrates into the medulla?
Term
2
Definition
how many centers of secondary ossification occur in the epiphyses?
Term
death of chondrocytes and spread of osteoblasts
Definition
as mineralization spreads across the cartilage matrix, and it becomes calcified, diffusion of nutrients is limited, so what happens?
Term
epiphyseal plate
Definition
this region of the metaphysis remains open for a while in humans, allowing continuous longitudinal growth
Term
unmineralized, to allow for growth
Definition
what does "open" mean when referring to bone
Term
it decreases
Definition
at maturity what happens to cartilage proliferation as the cartilage plate is replace by bone?
Term
closure of epiphysis
Definition
complete ossification occurs at maturity, what is another name for this?
Term
femur, age 18-20
Definition
the last long bone to close, when does this happen?
Term
no, fish grow indefinately, so the oldest fish usually = the biggest fish
Definition
do fish and reptiles (lower vertebrae) have closure of epiphysis?
Term
epiphyseal line
Definition
once the epiphysis closes, what does the growth plate appear as in the metaphysis on x-rays?
Term
all growth plates were closed except the femur so he had to be 18-20
Definition
how was the age of king tut at death determined?
Term
[image]
Definition
open epiphysis
Term
1)zone of reserve cartilage, 2)proliferation, 3)maturation, 4)hypertrophy, 5)degeneration, 6)ossification
Definition
list the zones in the epiphyseal plate (6-in order epiphysis to diaphysis)
Term
zone of reserve cartilage
Definition
epiphyseal growth plate zone where there is hyaline cartilage with clusters of chondrocytes, no cell proliferation
Term
zone of proliferation
Definition
epiphyseal growth plate zone where there is successive mitotic division of chondrocytes, creating columns of chondrocytes
Term
zone of maturation
Definition
epiphyseal growth plate zone where division ceases, chondrocytes increase in size
Term
zone of hypertrophy (& calcification)
Definition
epiphyseal growth plate zone where chondrocytes greatly enlarge, contain large amounts of glycogen, become vacuolated and calcify
Term
zone of (cartilage) degeneration
Definition
epiphyseal growth plate zone where chondrocytes degenerate; lacunae invaded by osteogenic cells

capillaries of marrow cavity migrate from diaphysis into growth plate
Term
zone of ossification
Definition
epiphyseal growth plate zone where blood vessels from the marrow cavity grow into cartilage mass

osteogenic cells differentiate into osteoblasts, congregate on spicules of calcified cartilage matrix to form bony trabeculae
Term
mesenchymal cells
Definition
in intramembranous ossification, _____ differentiate directly into osteoblasts and begin synthesizing osteoid at multiple sites
Term
multiple
Definition
how many centers of ossification are there in intramembranous ossification
Term
there is none, the ossification centers form within membrane (mesenchyme)
Definition
what is the precursor for intramembranous ossification
Term
adjacent centers of ossification
Definition
in intramembranous ossification, mineralization follows with subsequent fusion of ______
Term
osteoid
Definition
in intramembranous ossification, osteoblasts trapped within lacunae of _____ become osteocytes
Term
in periphery
Definition
in intramembranous ossification, osteoprogenitor cells (located where) continue to divide, provide replacements
Term
woven bone is formed, can be remodeled to compact or spongy bone
Definition
in intramembranous ossification, what type of bone forms first, later to be remodeled by osteoclasts/blasts
Term
pain, swelling, redness, and heat
Definition
immediately after fracture, inflammatory response happens causing what?
Term
neutrophils
Definition
in acute phase(first few days) _____ arrive to fracture/inflammation site
Term
macrophages
Definition
in the subacute phase, ______ arrives to the bone fracture/inflammation site
Term
fibroblasts and capillaries(need blood supply to heal)
Definition
after 1 week, ____ and ______ proliferate and grow into site of injury
Term
granulation tissue (vascular collagenous tissue)
Definition
once capillaries and fibroblasts invade the injury site, what is formed?
Term
fibrous granulation tissue
Definition
after granulation tissue forms the injury site becomes progressively more fibrous in the chronic face forming _____
Term
mesenchymal
Definition
after fibrous granulation tissue forms during fracture repair, ______ cells differentiate into chondroblasts and secret matrix causing the progressive replacement of granulation tissue by hyaline cartilage
Term
deposition of calcium salts in collagen matrix
Definition
once hyaline cartilage (provisional callous) forms in bone repair process, what is it strengthened with?
Term
woven
Definition
in bone repair when the provisional callous is forming, osteoprogenitor cells from endosteum and periosteum at edge of wound grow inward and produce a meshwork of ____ bone within the provisional callous
Term
helps stabilize and bind the fracture together
Definition
what is the function of the bony callous
Term
bony union
Definition
when fracture site is completely bridged by woven bone
Term
the bony callous forms quickly and bone could begin to repair itself in the incorrect position, making it necessary to re-break the bone
Definition
why is it important to realign and stabilize/set the fracture quickly?
Term
mature lamellar bone
Definition
what is the bony callous progressivley remodeled into?
Term
6-12 wks depending on severity and location
Definition
how long does it take bone to fully heal?
Term
arthritis
Definition
inflammation of joints causes this
Term
osteoarthritis
Definition
progressive degeneration and loss of articular cartilage
Term
pitting, erosion, eburnation
Definition
what does osteoarthritis lead to
Term
eburnation
Definition
pain swelling, thickening of joint capsule
Term
osteophytes
Definition
production of irregular new bone at edges of articular surfaces
Term
osteoarrthritis
Definition
limits range of motion, progressive buildup of osteophytes
Term
ankylosis
Definition
osteroarthritis or trauma can lead to ______, bony fusion of joint with loss of mobility
Term
rheumatoid arthritis
Definition
local autoimmune reaction in joints
Term
rheumatoid arthritis
Definition
body produces antibodies that attack joints, causing pain, damage to articular cartilage, thickening, and damage to synovial membrane
Term
Gout
Definition
deposits of urates and uric acid crystals in joints (especially fingers and toes)
Term
gout
Definition
extremely painful, associated with consumption of large quantities of red wine, meat
Term
asparagus, broccoli, cauliflower, brussels sprouts

-all of these are "new" growth on the plant and contain high levels of nitrogen and protein
Definition
what vegetables cause gout, why?
Term
some diuretics and HTN meds
Definition
some drugs cause gout, what did morrow mention?
Term
Rickets
Definition
disease when bone matrix doesn't calcify normally in children during growth, leading to sofy deformed bones which can be permanent
Term
dietary insufficiency of Ca or Vitamin D (required of CA absorbtion
Definition
what causes rickets?
Term
osteomalacia (failure to mineralize ->softening of bone)
Definition
in adults insufficient Ca and Vit D can lead to __
Term
osteoporosis
Definition
loss of bone mass, resorption of osteoclasts exceeds deposition by osteoclaasts
Term
low estrogen levels
Definition
osteoporosis is a common problem in post menopausal women due to ______
Term
oral calcium, and Vit D to increase absorption

also chondroitin, glucosamine, and gelatin are helpful
Definition
how is osteoporosis treated
Term
vitamin C
Definition
what vitamin is necessary for synthesis of collagen
Term
scurvy
Definition
lack of vitamin C causes
Term
scurvy
Definition
can lead to weakening of collagen in ligaments esp. peridontal ligament so there can bee tooth loss
Term
scurvy
Definition
breakdown of scars /old wounds which break open and bleed is caused by what?
Term
citrus fruits, oranges, lemons, limes, guavas, mangoes
Definition
what is high in vitamin C?
Term
LAMELLAR!!!! (as opposed to woven)
Definition
spongy bone, compact bone, trabecular bone, and cortical bone are all _____ bone
Term
matrix vessicles (with alkaline phosphatase)
Definition
controls bone mineralization by neutralizing inhibitory effects of pyrophosphate
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