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MIDTERMS 1.1: NURSING
ANAPHY LEC MIDTERMS
SKELETAL SYSTEM 2
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2 TYPES OF BONE FORMATION PATTERN IN FETAL DEVELOPMENT
Intramembranous ossification
endochondral ossification
bones form from pre-existing connective tissue membranes and happens at the fifth week of development in embryo
intramembranous ossification
Fontanels
are areas of membrane that are not ossified at birth. have not yet ossified. usually closed at the age of 2.
bones
form a pre-existing
cartilage
model.
Formation of cartilage ends at the end of the 4th week of embryonic development.
Endochondral ossification
4 zones of the epiphyseal plate
zone of resting cartilage
zone of proliferation
zone of hypertrophy
zone of calcification
closure of
epiphyseal
plate
is nearest the epiphysis and contains slowly dividing chondrocytes.
zone of resting cartilage
chondrocytes in this zone produces new cartilage through interstitial cartilage growth.
Chondrocytes then divide and form columns resembling a stack of plates or coins.
zone of proliferation
The chondrocytes produced in the zone of proliferation matures and enlarge.
zone of hypertrophy
is very thin and contains hypertrophied chondrocytes and calcified cartilage matrix.
zone of calcification
Hypertrophic
chondrocytes
die, and blood vessels from the diaphysis grow into areas.
Bones stop growing once they achieve normal adult size because the epiphyseal plate has ossified and become the epiphyseal line.
Happens approx. 12 and 25 years of age.
closure of epiphyseal plate
factors affecting bone growth
genetic factors
nutrition (
vitamin d
and
c)
hormones
stimulates interstitial cartilage growth and appositional bone growth.
growth hormone
is required for normal growth of all tissues.
a decrease in this hormone can result in a smaller individual.
thyroid hormone
Estrogen
; females usually stop growing earlier because estrogen causes quicker closure of the epiphyseal plate than testosterone
Estrogen and testosterone
cause increased bone growth and stimulate closure of the epiphyseal plate.
When a bone is fractured, the blood vessels in the bone surrounding the periosteum are damaged and
hematoma
forms.
a localized mass of blood released from blood vessels but confined in an organ or space.
hematoma
is a
mass
of tissue that forms at a
fracture site
and connects broken ends of the bone.
callus
forms between the ends of the broken bone, as well as in the marrow cavity, If the fracture occurs in the
diaphysis
of a long bone.
internal callus
forms around the
collar
around the opposing ends of the bone fragments.
external callus
The
internal and external calluses
are ossified to become a woven spongy bone. through
endochondral ossification
.
The result is a stronger external callus.
callus ossification
The
woven bone
is replaced to become a
compact bone
.
bone remodeling