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Anatomy & Physiology: Bone and Cartilage Structure and Function

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  • General function and properties of cartilage

    Cartilage provides flexible support, reduces friction, and absorbs shock in joints. It is avascular and composed of chondrocytes embedded in an extracellular matrix.

  • Three types of cartilage

    Hyaline: most common, found in joints and respiratory tract.
    Elastic: flexible, found in ear and epiglottis.
    Fibrocartilage: tough, found in intervertebral discs and pubic symphysis.

  • Role of the perichondrium in cartilage growth

    The perichondrium is a dense connective tissue layer that supports appositional growth by adding new cartilage cells to the surface.

  • Interstitial cartilage growth

    Interstitial growth occurs from within the cartilage by division of chondrocytes, expanding the cartilage matrix internally.

  • Functions of bones in the skeleton

    Bones provide support, protection, movement, mineral storage, blood cell production, and energy storage.

  • Classification of bones by location, shape, and composition

    Bones are classified as axial or appendicular by location; long, short, flat, irregular by shape; and composed of compact and spongy bone tissue.

  • Gross anatomy of a typical flat bone

    Flat bones have a sandwich structure: two layers of compact bone enclosing a middle layer of spongy bone called the diploë.

  • Compact bone

    Compact bone is dense and forms the outer layer of bones, providing strength and protection.

  • Spongy bone and trabeculae

    Spongy bone is porous and contains trabeculae, which are lattice-like structures that support bone marrow and reduce bone weight.

  • Diaphysis and epiphysis

    Diaphysis is the shaft of a long bone; epiphysis is the expanded end that forms joints.

  • Epiphyseal plate and epiphyseal line

    The epiphyseal plate is a cartilage growth plate in children; it ossifies into the epiphyseal line after growth ends.

  • Medullary cavity

    The medullary cavity is the central hollow space in the diaphysis containing bone marrow.

  • Articular cartilage

    Articular cartilage covers bone ends at joints, reducing friction and absorbing shock.

  • Periosteum

    The periosteum is a connective tissue membrane covering bone surfaces, containing nerves and blood vessels, and aiding in growth and repair.

  • Endosteum

    The endosteum lines the medullary cavity and contains bone-forming cells.

  • Nutrient foramen and perforating fibers

    Nutrient foramen are openings for blood vessels; perforating fibers anchor the periosteum to the bone.

  • Functions and locations of red and yellow bone marrow

    Red marrow produces blood cells and is found in infants' medullary cavities and adult flat bones.
    Yellow marrow stores fat and is found in adult long bone medullary cavities.

  • Cells of bone and their origin

    Bone cells include osteoblasts (build bone), osteocytes (maintain bone), osteoclasts (resorb bone), all derived from mesenchymal stem cells or hematopoietic lineage.

  • Functional units of compact and spongy bone

    Compact bone is organized into osteons; spongy bone has trabeculae without osteons, supporting marrow and resisting stress.

  • Chemical composition of bone

    Bone matrix is organic (collagen for flexibility) and inorganic (hydroxyapatite for hardness).

  • Endochondral ossification

    Endochondral ossification is bone formation from cartilage, essential for long bone growth.

  • Role of epiphyseal plate in longitudinal bone growth

    The epiphyseal plate allows bones to lengthen during childhood by cartilage proliferation and ossification.

  • Role of periosteum in appositional bone growth

    The periosteum contributes to bone thickness by adding new bone layers on the surface.

  • Purpose and control of bone remodeling

    Bone remodeling maintains bone strength and mineral balance, controlled by hormones and mechanical stress.

  • Steps of fracture repair

    Fracture repair involves hematoma formation, fibrocartilaginous callus, bony callus formation, and bone remodeling.

  • Pathophysiology of osteoporosis

    Osteoporosis is bone loss due to increased resorption or decreased formation, leading to fragile bones.

  • Pathophysiology of Paget’s disease

    Paget’s disease causes excessive and disorganized bone remodeling, resulting in weak, deformed bones.