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Introduction to Osteology
Dr Mathew Joseph
MBBS, MD(AIIMS), BCC(Palliative Medicine)
Assistant Professor
Department of Anatomy
Malankara Orthodox Syrian Church Medical College - Kolenchery
Table of Contents:
• General concepts about skeletal system
• Bone as an organ
• Role of skeletal system
• Classification of bones
• Concept of Ossification & Development of bones
• Terminology a/w bones
Osteology - General Concepts
• The science concerned with the
study of bones is termed
osteology.
• The skeletal system of an adult is
composed of approximately 206
bones.
• Each bone is an organ of the
skeletal system.
• For the convenience of study, the
skeleton is divided into axial and
appendicular parts.
Axial Skeleton
The axial skeleton consists of 80
bones that form the axis of the
body and which supports and
protects the organs of the head,
neck, and trunk.
• Skull
• Auditory ossicles
• Hyoid bone
• Vertebral column
• Thoracic cage
Appendicular Skeleton
The appendicular skeleton is composed of
126 bones of the upper and lower limbs
and the bony girdles, which anchor the
appendages to the axial skeleton.
• The shoulder girdle (the scapula and
clavicle)
• The upper limb (the humerus, ulna,
radius and bones of the hand)
• The pelvic girdle (the hip bone)
• The lower limb (the femur, tibia, fibula
and bones of the foot)
Bone - An Organ
• Bone (osis) is one of the hardest
structures of the body.
• It possesses -- certain degree of
toughness and elasticity.
• Its color, in a fresh state, is
pinkish-white externally, and red
within.
Bone - Living or Non-Living?
• Living Tissue
• Arteries & Nerves
• Veins
• Age
• Diseases
• Regenration
• Fracture healing
• Remodeling
• Strains & Stress
• Atrophy & Hypertrophy
Types of bone tissue
There are two types of bone tissue:
• compact bony tissue
• spongy bony tissue
• The names imply that the two types differ in density, or how tightly the
tissue is packed together.
There are three types of cells that contribute to bone homeostasis.
a. Osteoblasts are bone-forming cell
b. Osteoclasts resorb or break down the bone
c. Osteocytes are mature bone cells.
An equilibrium between osteoblasts and osteoclasts maintains the bone tissue.
Parts of a Young Long Bone -
Macrostructure of Bone
• Diaphysis
• Epiphysis
• Articular Surfaces
• Epiphysial Growth Plate
• Medullary Cavity
• Periostuem
• Endosteum
Structure of bone -
Microstructure of Bone
• Compact tissue, it is dense in texture
and it is always placed on the exterior
of the bone.
• Cancellous tissue consists of slender
fibers and lamellae, which join to form
a reticular structure and it is placed in
the interior of the bone
Structure of Bone
• The morphofunctional unit of the bone is the
osteon, or Haversian system.
• The osteon consists of a system of bony
lamellae arranged concentrically around a
canal, which is called Haversian canal.
• This canal contains nerves and vessels.
• The bone lamellae consist of osteocytes, their
lacunae, and interconnecting canaliculi and
matrix.
• From the periosteum into the bone
matter, in special canals called Volkmann's
canals, pass blood vessels and nerves.
• The blood vessels conveyed in the
Volkmann‘s and Haversian canals provide
for metabolism in the bone.
• The canaliculi permit substances to pass
from one cell to another and from the
blood vessels in the Haversian canals.
• In this way the living cells get rid of their
waste products and receive the
nourishment they must have to maintain
normal function.
The spongy bone tissue
• Spongy (cancellous) bone is lighter
and less dense than compact bone.
• Spongy bone consists of plates
(trabeculae) and bars of bone
adjacent to small, irregular cavities
that contain red bone marrow.
• The canaliculi connect to the adjacent
cavities, instead of a central haversian
canal, to receive their blood supply.
The spongy bone tissue
• It may appear that the trabeculae are
arranged in a haphazard manner, but
they are organized to provide
maximum strength similar to braces
that are used to support a building.
• The trabeculae of spongy bone follow
the lines of stress and can realign if
the direction of stress changes.
The periosteum
Externally bone is covered by
periosteum (except articular
surfaces). The periosteum
adheres to the surface of the
bones.
It consists of two layers closely
united together:
a) The outer layer fibrous layer
b) The inner layer or bone-forming layer
(cambial)
Structure of the periosteum
• The periosteum is rich in vessels and
nerves, and it contributes to the
nutrition and growth of the bone in
thickness.
• Nutrients are conveyed by blood
vessels penetrating in great number
the outer (cortical) layer of the bone
from the periosteum through
numerous vascular openings
(foramina nutricia).
• The interior of each long
tubular bone of the limbs
presents a cylindrical
cavity named marrow
cavity and it is lined with
the medullary membrane
called endosteum.
Bone - Chemical Composition
Bone matter consists of two types of chemical material:
• Organic – 1/3, mainly ossein (it provides elasticity to the bone).
• Inorganic – 2/3, mainly calcium phosphate in particular 51.04%
(provides hardness to the bone) & hydroxyapatite (Ca10{PO4}4(OH)2
• The bone contains vitamins A, D and C.
• A lack of salts or vitamin D in the period of growth reduces bone
hardness and causes deformities of bones (rickets) in children.
Vitamin A deficiency leads to abnormal thickness of bones, and the
bone cavities and canals become empty.
Functions of the skeleton
•Biological functions - Storage, Hemopoesis
•Mechanical functions - Support, Protect, Movement
Biological functions of the skeleton
a)Haemopoiesis
b)Storage.
Bone marrow
• The bony compartments contain bony marrow, medulla ossium. Two
types of bone marrow can be distinguished:
• red bone marrow
• white bone marrow
• The white or yellow marrow fills up the medullary cavities of the
shafts of the long tubular bones.
• The red marrow is located within the cancellous tissue and extends
into the larger bony canals (Haversian canals) that contain blood
vessels.
Haemopoiesis
• The bone marrow provides haemopoiesis function and biological
protection of the organism.
• It takes part in nutrition, development and growth of the bone.
• The red marrow concerned with haemopoiesis and bone formation, has
an active role in the healing of fractures.
• Red marrow predominates in infants and in children, with growth of child
the red marrow is gradually replaced by yellow marrow.
Haemopoiesis
• The red bone marrow of an adult produces white blood cells, red
blood cells, and platelets.
• In an infant, the spleen and liver produce red blood cells, but as the
bones mature, the bone marrow performs this task.
• It is estimated that an average of 1 million blood cells are produced
every second by the bone marrow to replace those that are worn
out and destroyed by the liver.
Mineral storage
• The inorganic matrix of bone is composed primarily of
minerals calcium and phosphorus. These minerals give
bone rigidity and account for approximately two-thirds
of the weight of bone.
• About 95% of the calcium and 90% of the phosphorus,
within the body, are stored in the bones and teeth.
• In addition to calcium and phosphorus, lesser amounts
of magnesium and sodium salts are stored in bones.
Mechanical functions of the skeleton
• Support
• Protection
• Body movement
Support (weight bearing)
• The skeleton forms a rigid framework to which are attached the
soft tissues and organs of the body.
Protection
Protection is assured by the property of the bones
to form body cavities which protects the vital
important organs.
• The skull and vertebral column enclose the central
nervous system.
• The thoracic cage protects the heart, lungs, great
vessels, liver and spleen.
• The pelvic cavity supports and protects pelvic
organs.
• Even the site where blood cells are produced is
protected within the central portion of certain
bones.
Body movements
• Bones serve as anchoring attachments
for most skeletal muscles.
• The bones act as levers, with the
joints functioning as pivots, when
muscles, which are regulated by the
nervous system, contract to cause the
movement.
Classification of bones
Tubular bones
a) Long tubular bones
• Humerus,
• Radius, Ulna,
• Femur,
• Tibia, Fibula
b) Short tubular bones
• Metacarpal,
• Metatarsal bones and Phalanges
Classification of bones
Spongy bones
a) Long spongy bones
• Sternum,
• Ribs, etc
b) Short spongy bones
• Carpal and Tarsal bones
c) Sesamoid bones
• Patella
• pisiform bone, etc.
Classification of bones
Flat bones
Skull bones
• Bones of the vault of the skull
Girdle bones
• The scapula
• The hip bone, etc.
Classification of bones
Mixed bones - (Irregular)
The vertebrae are mixed, or
irregular bones (their bodies
are referred to spongy bones,
but their arches and
processes are referred to flat
bones).
Classification of bones dependent on their
development
a) Desmal (tegumentary, or Primary bones)
b) Condral (Secondary bone)
c) Condro-desmal bone (the vertebrae, the bones of the base of the
skull, the clavicle)
Stages of development of the human skeleton
• Bone formation - ossification, @ fourth week of embryonic development.
• Ossification centers cannot be readily observed until about the tenth week.
• Three stages of development of the human skeleton are encountered:
• Connective-tissue (membranous)
• Cartilaginous
• Bony
NB: 10 & 20
Types of Ossification
• Intramembranous
• Perichondral
• Periosteal
• Encondral, or endochondral
Intramembranous or endesmal ossification
• Intramembranous occurs in the connective
tissue of the primary (membrane) bones.
• The future bones are first formed as
connective tissue membranes, that are
replaced with bony tissue. Bones formed in
this manner are called intramembranous
bones. They include certain flat bones of
the skull and some of the irregular bones.
• The osteoblasts migrate to the membranes
and deposit bony matrix around
themselves.
• As a result of osteoblastic activity appear
points (centers) or nuclei of ossification.
• Perichondral ossification (Gk peri around, chondros cartilage)
takes place on the outer surface of the cartilaginous bone germs
with the participation of the perichondrium. The perichondral
osteoblasts covering the cartilage replace the cartilaginous tissue
gradually and form a compact bony substance.
• With the conversion of the cartilaginous model to a bone model,
the perichondrium becomes the periosteum, and further
deposition of bone tissue is accomplished by the periosteum; this
is periosteal ossification. The perichondral and periosteal types of
ossification are therefore connected and one follows the other
chronologically.
Endochondral ossification
• Most of the bones of the skeleton are formed in this manner.
• These bones are called endochondral bones.
• In this process, the future bones are first formed as hyaline cartilage models.
Endochondral ossification
During the third month after conception, the perichondrium that surrounds the hyaline cartilage
"models" becomes infiltrated with blood vessels and osteoblasts and changes into a periosteum.
The osteoblasts form a collar of compact bone around the diaphysis. At the same time, the
cartilage in the center of the diaphysis begins to disintegrate.
Endochondral ossification
The osteoblasts penetrate the disintegrating cartilage and replace it with spongy bone. This forms a
primary ossification center. Ossification continues from this center toward the ends of the bones. After
spongy bone is formed in the diaphysis, osteoclasts break down the newly formed bone to open up the
medullary cavity.
Primary centers of ossification
• In the second month of the
intrauterine life, the primary points of
ossification appear first, in the shafts,
or diaphyses of tubular bones, and in
the metaphyses.
• They ossify by perichondral and
enchondral osteogenesis.
Secondary ossification
• The secondary points of ossification
appear shortly before birth or during
the first years after birth and they
develop by encondral osteogenesis.
• The accessory points of ossification
appear in children, adolescents, and
even adults in the appophyses of
bones (e.g. tubercles, trochanters, the
accessory processes of the lumbar
vertebrae).
Enchondral Ossification - In Nutshell
Surface Markings of Bones
Surface Markings of
Bones
• Articular Surface
• Condyle
• Epicondyle
• Facet
• Fossa
• Sulcus/Groove
• Trochlea
• Foramen
• Canal
• Tuberosity
• Tubercle
• Trochanter
• Notch/Incisure
• Hiatus
• Spine
• Hamulus/Cornu
• Line
• Crest
• Lamina/Plate
• Squma
• Wing
Thank You

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Introduction to osteology

  • 1. Introduction to Osteology Dr Mathew Joseph MBBS, MD(AIIMS), BCC(Palliative Medicine) Assistant Professor Department of Anatomy Malankara Orthodox Syrian Church Medical College - Kolenchery
  • 2. Table of Contents: • General concepts about skeletal system • Bone as an organ • Role of skeletal system • Classification of bones • Concept of Ossification & Development of bones • Terminology a/w bones
  • 3. Osteology - General Concepts • The science concerned with the study of bones is termed osteology. • The skeletal system of an adult is composed of approximately 206 bones. • Each bone is an organ of the skeletal system. • For the convenience of study, the skeleton is divided into axial and appendicular parts.
  • 4. Axial Skeleton The axial skeleton consists of 80 bones that form the axis of the body and which supports and protects the organs of the head, neck, and trunk. • Skull • Auditory ossicles • Hyoid bone • Vertebral column • Thoracic cage
  • 5. Appendicular Skeleton The appendicular skeleton is composed of 126 bones of the upper and lower limbs and the bony girdles, which anchor the appendages to the axial skeleton. • The shoulder girdle (the scapula and clavicle) • The upper limb (the humerus, ulna, radius and bones of the hand) • The pelvic girdle (the hip bone) • The lower limb (the femur, tibia, fibula and bones of the foot)
  • 6. Bone - An Organ • Bone (osis) is one of the hardest structures of the body. • It possesses -- certain degree of toughness and elasticity. • Its color, in a fresh state, is pinkish-white externally, and red within.
  • 7. Bone - Living or Non-Living? • Living Tissue • Arteries & Nerves • Veins • Age • Diseases • Regenration • Fracture healing • Remodeling • Strains & Stress • Atrophy & Hypertrophy
  • 8. Types of bone tissue There are two types of bone tissue: • compact bony tissue • spongy bony tissue • The names imply that the two types differ in density, or how tightly the tissue is packed together. There are three types of cells that contribute to bone homeostasis. a. Osteoblasts are bone-forming cell b. Osteoclasts resorb or break down the bone c. Osteocytes are mature bone cells. An equilibrium between osteoblasts and osteoclasts maintains the bone tissue.
  • 9.
  • 10.
  • 11. Parts of a Young Long Bone - Macrostructure of Bone • Diaphysis • Epiphysis • Articular Surfaces • Epiphysial Growth Plate • Medullary Cavity • Periostuem • Endosteum
  • 12. Structure of bone - Microstructure of Bone • Compact tissue, it is dense in texture and it is always placed on the exterior of the bone. • Cancellous tissue consists of slender fibers and lamellae, which join to form a reticular structure and it is placed in the interior of the bone
  • 13. Structure of Bone • The morphofunctional unit of the bone is the osteon, or Haversian system. • The osteon consists of a system of bony lamellae arranged concentrically around a canal, which is called Haversian canal. • This canal contains nerves and vessels. • The bone lamellae consist of osteocytes, their lacunae, and interconnecting canaliculi and matrix.
  • 14.
  • 15.
  • 16. • From the periosteum into the bone matter, in special canals called Volkmann's canals, pass blood vessels and nerves. • The blood vessels conveyed in the Volkmann‘s and Haversian canals provide for metabolism in the bone. • The canaliculi permit substances to pass from one cell to another and from the blood vessels in the Haversian canals. • In this way the living cells get rid of their waste products and receive the nourishment they must have to maintain normal function.
  • 17.
  • 18. The spongy bone tissue • Spongy (cancellous) bone is lighter and less dense than compact bone. • Spongy bone consists of plates (trabeculae) and bars of bone adjacent to small, irregular cavities that contain red bone marrow. • The canaliculi connect to the adjacent cavities, instead of a central haversian canal, to receive their blood supply.
  • 19. The spongy bone tissue • It may appear that the trabeculae are arranged in a haphazard manner, but they are organized to provide maximum strength similar to braces that are used to support a building. • The trabeculae of spongy bone follow the lines of stress and can realign if the direction of stress changes.
  • 20. The periosteum Externally bone is covered by periosteum (except articular surfaces). The periosteum adheres to the surface of the bones. It consists of two layers closely united together: a) The outer layer fibrous layer b) The inner layer or bone-forming layer (cambial)
  • 21.
  • 22. Structure of the periosteum • The periosteum is rich in vessels and nerves, and it contributes to the nutrition and growth of the bone in thickness. • Nutrients are conveyed by blood vessels penetrating in great number the outer (cortical) layer of the bone from the periosteum through numerous vascular openings (foramina nutricia).
  • 23. • The interior of each long tubular bone of the limbs presents a cylindrical cavity named marrow cavity and it is lined with the medullary membrane called endosteum.
  • 24. Bone - Chemical Composition Bone matter consists of two types of chemical material: • Organic – 1/3, mainly ossein (it provides elasticity to the bone). • Inorganic – 2/3, mainly calcium phosphate in particular 51.04% (provides hardness to the bone) & hydroxyapatite (Ca10{PO4}4(OH)2 • The bone contains vitamins A, D and C. • A lack of salts or vitamin D in the period of growth reduces bone hardness and causes deformities of bones (rickets) in children. Vitamin A deficiency leads to abnormal thickness of bones, and the bone cavities and canals become empty.
  • 25. Functions of the skeleton •Biological functions - Storage, Hemopoesis •Mechanical functions - Support, Protect, Movement
  • 26. Biological functions of the skeleton a)Haemopoiesis b)Storage.
  • 27. Bone marrow • The bony compartments contain bony marrow, medulla ossium. Two types of bone marrow can be distinguished: • red bone marrow • white bone marrow • The white or yellow marrow fills up the medullary cavities of the shafts of the long tubular bones. • The red marrow is located within the cancellous tissue and extends into the larger bony canals (Haversian canals) that contain blood vessels.
  • 28. Haemopoiesis • The bone marrow provides haemopoiesis function and biological protection of the organism. • It takes part in nutrition, development and growth of the bone. • The red marrow concerned with haemopoiesis and bone formation, has an active role in the healing of fractures. • Red marrow predominates in infants and in children, with growth of child the red marrow is gradually replaced by yellow marrow.
  • 29. Haemopoiesis • The red bone marrow of an adult produces white blood cells, red blood cells, and platelets. • In an infant, the spleen and liver produce red blood cells, but as the bones mature, the bone marrow performs this task. • It is estimated that an average of 1 million blood cells are produced every second by the bone marrow to replace those that are worn out and destroyed by the liver.
  • 30. Mineral storage • The inorganic matrix of bone is composed primarily of minerals calcium and phosphorus. These minerals give bone rigidity and account for approximately two-thirds of the weight of bone. • About 95% of the calcium and 90% of the phosphorus, within the body, are stored in the bones and teeth. • In addition to calcium and phosphorus, lesser amounts of magnesium and sodium salts are stored in bones.
  • 31. Mechanical functions of the skeleton • Support • Protection • Body movement
  • 32. Support (weight bearing) • The skeleton forms a rigid framework to which are attached the soft tissues and organs of the body.
  • 33. Protection Protection is assured by the property of the bones to form body cavities which protects the vital important organs. • The skull and vertebral column enclose the central nervous system. • The thoracic cage protects the heart, lungs, great vessels, liver and spleen. • The pelvic cavity supports and protects pelvic organs. • Even the site where blood cells are produced is protected within the central portion of certain bones.
  • 34. Body movements • Bones serve as anchoring attachments for most skeletal muscles. • The bones act as levers, with the joints functioning as pivots, when muscles, which are regulated by the nervous system, contract to cause the movement.
  • 35. Classification of bones Tubular bones a) Long tubular bones • Humerus, • Radius, Ulna, • Femur, • Tibia, Fibula b) Short tubular bones • Metacarpal, • Metatarsal bones and Phalanges
  • 36. Classification of bones Spongy bones a) Long spongy bones • Sternum, • Ribs, etc b) Short spongy bones • Carpal and Tarsal bones c) Sesamoid bones • Patella • pisiform bone, etc.
  • 37. Classification of bones Flat bones Skull bones • Bones of the vault of the skull Girdle bones • The scapula • The hip bone, etc.
  • 38. Classification of bones Mixed bones - (Irregular) The vertebrae are mixed, or irregular bones (their bodies are referred to spongy bones, but their arches and processes are referred to flat bones).
  • 39. Classification of bones dependent on their development a) Desmal (tegumentary, or Primary bones) b) Condral (Secondary bone) c) Condro-desmal bone (the vertebrae, the bones of the base of the skull, the clavicle)
  • 40. Stages of development of the human skeleton • Bone formation - ossification, @ fourth week of embryonic development. • Ossification centers cannot be readily observed until about the tenth week. • Three stages of development of the human skeleton are encountered: • Connective-tissue (membranous) • Cartilaginous • Bony NB: 10 & 20
  • 41. Types of Ossification • Intramembranous • Perichondral • Periosteal • Encondral, or endochondral
  • 42. Intramembranous or endesmal ossification • Intramembranous occurs in the connective tissue of the primary (membrane) bones. • The future bones are first formed as connective tissue membranes, that are replaced with bony tissue. Bones formed in this manner are called intramembranous bones. They include certain flat bones of the skull and some of the irregular bones. • The osteoblasts migrate to the membranes and deposit bony matrix around themselves. • As a result of osteoblastic activity appear points (centers) or nuclei of ossification.
  • 43. • Perichondral ossification (Gk peri around, chondros cartilage) takes place on the outer surface of the cartilaginous bone germs with the participation of the perichondrium. The perichondral osteoblasts covering the cartilage replace the cartilaginous tissue gradually and form a compact bony substance.
  • 44. • With the conversion of the cartilaginous model to a bone model, the perichondrium becomes the periosteum, and further deposition of bone tissue is accomplished by the periosteum; this is periosteal ossification. The perichondral and periosteal types of ossification are therefore connected and one follows the other chronologically.
  • 45. Endochondral ossification • Most of the bones of the skeleton are formed in this manner. • These bones are called endochondral bones. • In this process, the future bones are first formed as hyaline cartilage models.
  • 46. Endochondral ossification During the third month after conception, the perichondrium that surrounds the hyaline cartilage "models" becomes infiltrated with blood vessels and osteoblasts and changes into a periosteum. The osteoblasts form a collar of compact bone around the diaphysis. At the same time, the cartilage in the center of the diaphysis begins to disintegrate.
  • 47. Endochondral ossification The osteoblasts penetrate the disintegrating cartilage and replace it with spongy bone. This forms a primary ossification center. Ossification continues from this center toward the ends of the bones. After spongy bone is formed in the diaphysis, osteoclasts break down the newly formed bone to open up the medullary cavity.
  • 48. Primary centers of ossification • In the second month of the intrauterine life, the primary points of ossification appear first, in the shafts, or diaphyses of tubular bones, and in the metaphyses. • They ossify by perichondral and enchondral osteogenesis.
  • 49. Secondary ossification • The secondary points of ossification appear shortly before birth or during the first years after birth and they develop by encondral osteogenesis. • The accessory points of ossification appear in children, adolescents, and even adults in the appophyses of bones (e.g. tubercles, trochanters, the accessory processes of the lumbar vertebrae).
  • 52. Surface Markings of Bones • Articular Surface • Condyle • Epicondyle • Facet • Fossa • Sulcus/Groove • Trochlea • Foramen • Canal • Tuberosity • Tubercle • Trochanter • Notch/Incisure • Hiatus • Spine • Hamulus/Cornu • Line • Crest • Lamina/Plate • Squma • Wing