Documentos de Académico
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bone
lecture 1&2
DR KHADIJA IQBAL
PROFESSOR ANATOMY
Presenting complaint:
1.
Short Stature
2.
Bowing of legs
3.
Deformity of chest
A mother has brought her son 2 years old who has short
stature for his age. He was delivered in hospital with
delayed cry and history of stridor. He also has swollen knees
which are bent inwards.
Physical Examination:
Compact
Dense and solid
Bone
Periosteum
In young growing bones and in older bones after
trauma, an inner cellular (osteogenic) layer of the
periosteum is found deep
to
the fibrous
layer.
Periosteum
The spindle-shaped osteoprogenitor cells of this highly
vascularized layer can differentiate into osteoblasts
that produce new bone.
Bone
Endosteum - consists of
a fine reticular
connective tissue
containing
osteoprogenitor cells
which may be
transformed
into osteoblasts.
Endosteum
Lining of the
bone surface
facing the
marrow and
also of
trabeculae
Endosteum
Enters
perforating
(Volkman)
canals
Endosteum
Continues to
cover central
canals
endosteum
Composition of bone
cells
fibers
Ground
substance
Osteogenic cells
Osteoblasts
Bone-building cells
Osteocytes
Osteoclasts
Bone
2. Its cells are located in lacunae
Osteoclasts
Large multinucleated cells with acidophilic
cytoplasm that occupy Howship's lacunae etched,
by enzymatic action, into the surface of bone that
is being resorbed.
Osteoclasts
Osteoclasts
Formed by the fusion of monocytes (part of the
mononuclear phagocyte system).
Osteoclasts
These cells secrete acids, collagenase and other
proteolytic enzymes.
Proteo
glycans
Glyco proteins
Ground Substance
Chondroitin sulfates form most of the organic
portion of bone matrix.
Organic-proteoglycan
and
glycoprotein,collagen
type I
Inorganiccalcium,phosphorus,Ca
and Phosphate crystalahydroxy apetiet crystals
Bone
3. Canaliculi link the lacunae and serve as a means
for the passage of nutrients
Fibers
Collagen fibers gives tensile strength and resiliency to
bone.
Fibers
The collagenous fibers within a lamella are oriented
in the same plane; fibers in adjacent lamellae are
oriented at right angles to these.
Bone
4. The collagen fibrils are
organized into lamellae *
Bone
Microscopic examination shows
Concentric
Lamellae
Central
(Haversian)
Canal
Osteon
ground
bone,
unstained
lacunae
canaliculi
Bone
Cells called osteocytes, occupy lacunae and are
somewhat evenly distributed throughout the bone
tissue. *
Bone
Cells called osteocytes, occupy lacunae and are
somewhat evenly distributed throughout the bone
tissue. *
The cells conform to the shape of the lacunae and
send processes into canaliculi, where they form gap
junctions with the processes of adjacent cells. *
Bone
Haversian Systems (Osteons):
Cylindrical units of 5 15 concentric lamellae
which surround a
central Haversian
canal.
Each lamellae is 3 to 7
m in thickness and its
fibers run in a spiral
fashion around the
canal.
Bone
Haversian Systems (Osteons):
The Haversian canal contains
capillaries, venules, lymphatic vessels
and a loose connective tissue
containing osteoprogenitor cells.
Bone
Organization of lamellae:
Compact bone - consists
of:
(1) concentric lamellae
arranged in Haversian
systems, and*
(2) Interstitial lamellae
between the Haversian
systems.
Bone
Haversian Systems (Osteons):
Haversian canals are oriented
in the long axis of the bone.
Bone
Haversian Systems (Osteons):
Haversian canals are oriented
in the long axis of the bone.
Volkmann's canals are
vascular channels that
connect the Haversian system
with the blood vessels in the
periosteum.
Bone
Bone
Interstitial Lamellae:
Remnants of Haversian systems that were partially
resorbed.
Bone
Circumferential Lamellae:
Outer circumferential
lamellae lie next to the
periosteum and oriented
parallel to it. *
Inner circumferential
lamellae lie next to the
endosteum.
Microscopic
examination of bone
shows
primary, immature, or woven bone
temporary
(eg, near the sutures of the flat bones of the skull, in tooth
sockets, and in the insertions of some tendons), is replaced in
adults by secondary bone tissue.
Compact
Spongy
Bone
Resists
Components
Osteons
Bone
Lacks
osteons
Lamellae are arranged in a lattice of
thin columns called trabeculae
Spaces
Bone
Components
cells,
fibers
matrix
Rickets
Calcium deficiency
the bone matrix does not calcify normally
the epiphyseal plate becomes distorted by
the normal strains of body weight and
muscular activity.
Ossification processes hindered,
the bones not only grow more slowly but
also become deformed.
Osteomalacia
Osteoporosis
immobilized patients
postmenopausal women
a disease caused by a defect in
osteoclast function that results in
overgrowth, thickening, and
hardening of bones
Thick and dense-marble bones