DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER ONE Bones and Disorders of Connective Tissue CRT04101 · Anatomy, Physiology and Pathology START READING NOTES Study Bones and Disorders of Connective Tissue using the sections below. Use the topic navigation to continue through Anatomy, Physiology and Pathology. Contents of This Topic Structure and Functions of Bone Tissues Definition Of Bone Bones and Disorders of Connective Tissue Bone consists of: Bone Cells; The bone contains four types of cells namely the osteoprogenator cells, osteoblasts, osteocytes, and the osteoclasts Types of Bones Parts of the long bone Bones Formation Bones formation occurs in four main stages which are Functions of Bones Movement KEYPOINTS QUESTIONS Common Disorders of Common Disorders of Connective Tissues Common Types of Connective Tissue Diseases Acute pyrogenic arthritis Gout The disease is commonest in men over 40 years. Chronic joint disease Osteoarthritis Generalized bone disease Osteomalacia Structure and Functions of Bone Tissues PHARM. EMERENCIANA M. JAMES Definition Of Bone Bone is a hard and rigid tissue that forms the bony skeleton of the body. Bone supports the body weight, It provides attachment to muscles, Acts as lever for movements, and provides protection to organs Inside the bone there are spaces, which are filled with the bone marrow that produce red blood cells, platelets and cells of the immune system Bones and Disorders of Connective Tissue Cells of the immune system produced in bone marrow include monocytes, lymphocytes, mast cells, neutrophils, eosinophils and basophils The only difference with other connective tissues is that its ground substance is made up of inorganic salts, mostly calcium ions The bone is highly vascularized, and in living conditions the bone appears pinkish in colour Bone consists of: Cells Fibers Ground substances Bone Cells; The bone contains four types of cells namely the osteoprogenator cells, osteoblasts, osteocytes, and the osteoclasts Bone Matrix (Intercellular substance);It is made up of the collagen fibers (osteocollagenous fibers), amorphous ground substance and inorganic salts which constitute about 74% of bone mass Types of Bones Long bones e.g. femur, tibia and fibula Short bones e.g. carpals (wrist bones) Flat bones e.g. sternum, ribs and most skull bones (skull) Irregular bones e.g. vertebrae and some skull bones Sesamoid bones e.g. patella (kneecap) Parts of the long bone A long bone is one that has greater length than width. A typical long bone consists of the following parts: The diaphysis is the bone’s shaft or body—the long, cylindrical, main portion of the bone. The epiphyses (singular is epiphysis) are the proximal and distal ends of the bone. The metaphyses (singular is metaphysis) are the regions between the diaphysis and the epiphyses. Bones Formation Bones formation is commonly referred to as ossification and it occurs in two processes Intramembranous Ossification The bones that form by this process include most of skull bones such as frontal,parietal, maxilla, mandible, clavicle and parts of occipital and temporal bones. Endochondral Ossification In endochondral ossification bone is formed from the pre-existing hyaline cartilage that has the shape that closely resembles the bone to be formed. Bones and Disorders of Connective Tissue Most long and irregular bones form via endochondral ossification, such as the base of the skull, vertebral column, the pelvis and bones of the extremities (limbs). During this process the cartilage is gradually replaced by bone. Only a small amount of cartilage remains covering the articular surfaces of the joints. During endochondral ossification the bone also grows in length and width. Generally flat bones develop by intramembranous ossification while long bones develop by intra cartilaginous ossification Bones formation occurs in four main stages which are Development of the ossification canters (special membrane) Formation of bone matrix Deposition of minerals or calcification Formation of trabeculae and appearance of periosteum Functions of Bones Support The skeleton serves as the structural framework for the body by supporting soft tissues providing attachment points for the tendons of most skeletal muscles Protection The skeleton protects the most important internal organs from injury for example, cranial bones protect the brain, vertebrae (backbones) protect the spinal cord, and the ribcage protects the heart and lungs. Movement When muscles contract, they pull on bones to produce movement. Mineral homeostasis (storage and release); Bone tissue stores several minerals, especially calcium and phosphorus, which contribute to the strength of bone Blood cell production; bone marrow produces red blood cells, white blood cells, and platelets, a process called hemopoiesis KEYPOINTS Bone is a hard and rigid connective tissue that forms the bony skeleton of the body Functions of bones Bone supports the body weight, It provides attachment to muscles, Acts as lever for movements, and provides protection to organs. Inside the bone there are spaces, which are filled with the bone marrow that produce Red blood cells, platelets and cells of the immune system. Production of body cells: monocytes, lymphocytes, mast cells, neutrophils, eosinophils and basophils QUESTIONS What is bone tissue? What are the types of bones? What are the functions of bones? Common Disorders of Connective Tissues PHARM. EMERENCIANA M. JAMES Common Disorders of Connective Tissues A connective tissue diseases are diseases that affect the joints (parts of the body that connect the structures of the body together). It is presented by the inflammation of the joints (arthritis) It may be infective or non-infective. In most cases, all signs of inflammation are present (swollen joints, hot, tender and red) and there is limitation of movements Common Types of Connective Tissue Diseases Acute pyrogenic arthritis Gout Chronic joint disease Osteoarthritis Generalized bone disease Osteomalacia Osteoporosis Acute pyrogenic arthritis This is the infection of the joints by pus-producing bacteria It is caused by any pyrogenic bacteria like staphylococci. The infection may start suddenly without any obvious cause or may occur from other septic focus nearby like osteomyelitis The patients complain of pain, swelling and reduced movement of the joint Gout This is arthritis due to congenital abnormality of uric acid metabolism, leading to abnormal high uric acid in the blood. Uric acid is deposited in joints and also around the