Bone

Published on 11/03/2015 by admin

Filed under Orthopaedics

Last modified 11/03/2015

Print this page

This article have been viewed 1550 times

1 Bone

Chapter contents

Structure of bone

‘Normal’ radiographic bone appearances

Bone is a highly vascular connective tissue, in which bone cells are enclosed in a mineralised intercellular matrix interposed with a system of collagenous fibres.

The organic matrix forms one-third of the structure and gives resilience and a degree of flexibility; the mineral salts (mainly calcium and phosphorus) form the remaining two-thirds and provide the strength and weightbearing capabilities of the bone.

Structure of bone

There are two main types of bone: compact (dense) and cancellous (spongy). Compact bone forms the surface layers or cortex of mature bones and cancellous bone the interior aspect.

Compact bone

This type of bone is found mainly in the shafts of long bones where a strong, tubular structure is required. It consists of a number of cylindrical structures called haversian systems (Figs 1.1 and 1.2). Each system comprises:

Fig. 1.1 Transverse section of bone (microscopic).

A – Haversian canal

B – Canaliculi

C – Circumferential lamella

D – Interstitial lamella

Fig. 1.2 Longitudinal section of bone (microscopic).

1 – Haversian canal

2 – Volkmann’s canal

4 – Canaliculi.

A central haversian canal –

which contains blood, lymphatic vessels and nerves.

Lamellae –

rings of bone round the haversian canal.

Lacunae –

spaces between the lamellae, which contain osteocytes (mature bone cells).

Canaliculi –

channels carrying nutrient fluid, which connect the lacunae and communicate with the haversian canal.

Interstitial lamellae –

fill the spaces between adjacent haversian systems.

Circumferential lamellae –

rings of bone round the edge of the bone.

Volkmann’s canals –

join the various haversian canals.

Periosteum –

a membrane which surrounds the bone, except at the articular surfaces, where articular hyaline cartilage allows friction-free movement. The inner layer is vascular and cellular providing nutrition, growth and repair. The outer layer is fibrous and blends with tendons and ligaments.

Cancellous bone

This type of bone is found in the parts of bones where lightness, strength and area are required. It is similar in structure to compact bone but bone marrow is found between the trabeculae which form the internal support structure of the bone.

Elsewhere the red bone marrow becomes inactive yellow marrow.

Development

Some bones develop from rods of cartilage, e.g. the bones which form the limbs, the trunk and the base of the skull. Some bones develop from membranes, e.g. bones of the vault of the skull, the face and the clavicle. Some bones develop in tendons, e.g. sesamoid bones – the patella and fabella.

Ossification

Ossification is the formation of bone from connective tissue and requires:

adequate calcium and phosphate in the blood

a supply of vitamins A, C and D.

Growth of the bone is influenced by the following hormones:

Intramembranous ossification

This takes place in a membrane, e.g. in the vault of the skull in the developing fetus. At the point of ossification, osteogenic fibres and bone cells appear in the connective tissue and calcium salts are deposited to form osteoid tissue. Ossification spreads from the centre outwards.

Intracartilaginous ossification

The process by which bone formation takes place, e.g. in a long bone (Fig. 1.3).

Fig. 1.3 Section through a developing long bone.

A – Diaphysis

B – Epiphysis

C – Epiphyseal plate

D – Metaphysis

Buy Membership for Orthopaedics Category to continue reading. Learn more here

Related

Bones and Joints A Guide for Students