Stiffness is the extent to which an object resists deformation in response to an applied force .
102-483: A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells , store minerals , provide structure and support for the body, and enable mobility . Bones come in a variety of shapes and sizes and have complex internal and external structures. They are lightweight yet strong and hard and serve multiple functions . Bone tissue (osseous tissue), which
204-437: A bone experiences within long bones such as the femur . As far as short bones are concerned, trabecular alignment has been studied in the vertebral pedicle . Thin formations of osteoblasts covered in endosteum create an irregular network of spaces, known as trabeculae. Within these spaces are bone marrow and hematopoietic stem cells that give rise to platelets , red blood cells and white blood cells . Trabecular marrow
306-413: A bone mineral density 2.5 standard deviations below peak bone mass, relative to the age and sex-matched average, as measured by dual energy X-ray absorptiometry , with the term "established osteoporosis" including the presence of a fragility fracture . Osteoporosis is most common in women after menopause , when it is called "postmenopausal osteoporosis", but may develop in men and premenopausal women in
408-511: A device such as the Cutometer. The Cutometer applies a vacuum to the skin and measures the extent to which it can be vertically distended. These measurements are able to distinguish between healthy skin, normal scarring, and pathological scarring, and the method has been applied within clinical and industrial settings to monitor both pathophysiological sequelae, and the effects of treatments on skin. Human skeleton The human skeleton
510-427: A given population. It is not known whether or to what extent those differences are genetic or environmental. A variety of gross morphological traits of the human skull demonstrate sexual dimorphism, such as the median nuchal line , mastoid processes , supraorbital margin , supraorbital ridge , and the chin . Human inter-sex dental dimorphism centers on the canine teeth , but it is not nearly as pronounced as in
612-452: A healthy diet. Calcium supplements may also be advised, as may vitamin D . When medication is used, it may include bisphosphonates , strontium ranelate , and osteoporosis may be one factor considered when commencing hormone replacement therapy . The Sushruta Samhita , composed between the 6th century BCE and 5th century CE speaks of 360 bones. Books on Salya-Shastra (surgical science) know of only 300. The text then lists
714-477: A long bone are separated by a growing zone of cartilage (the epiphyseal plate ). At skeletal maturity (18 to 25 years of age), all of the cartilage is replaced by bone, fusing the diaphysis and both epiphyses together (epiphyseal closure). In the upper limbs, only the diaphyses of the long bones and scapula are ossified. The epiphyses, carpal bones, coracoid process, medial border of the scapula, and acromion are still cartilaginous. The following steps are followed in
816-508: A mineralized organic matrix. The primary inorganic component of human bone is hydroxyapatite , the dominant bone mineral , having the nominal composition of Ca 10 (PO 4 ) 6 (OH) 2 . The organic components of this matrix consist mainly of type I collagen —"organic" referring to materials produced as a result of the human body—and inorganic components, which alongside the dominant hydroxyapatite phase, include other compounds of calcium and phosphate including salts. Approximately 30% of
918-518: A mixture of chondroitin sulfate and hydroxyapatite , the latter making up 70% of a bone. Hydroxyapatite is in turn composed of 39.8% of calcium, 41.4% of oxygen, 18.5% of phosphorus, and 0.2% of hydrogen by mass. Chondroitin sulfate is a sugar made up primarily of oxygen and carbon. Bone cells release a hormone called osteocalcin , which contributes to the regulation of blood sugar ( glucose ) and fat deposition . Osteocalcin increases both insulin secretion and sensitivity, in addition to boosting
1020-457: A number of anatomical terms to describe the appearance, shape and function of bones. Other anatomical terms are also used to describe the location of bones . Like other anatomical terms, many of these derive from Latin and Greek . Some anatomists still use Latin to refer to bones. The term "osseous", and the prefix "osteo-", referring to things related to bone, are still used commonly today. Some examples of terms used to describe bones include
1122-420: A number of chemical enzymes that either promote or inhibit the activity of the bone remodeling cells, controlling the rate at which bone is made, destroyed, or changed in shape. The cells also use paracrine signalling to control the activity of each other. For example, the rate at which osteoclasts resorb bone is inhibited by calcitonin and osteoprotegerin . Calcitonin is produced by parafollicular cells in
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#17327730424381224-527: A positive correlation between the adaptations of resistance training and bone density. While nutritional and pharmacological approaches may also improve bone health, the strength and balance adaptations from resistance training are a substantial added benefit. Weight-bearing exercise may assist in osteoblast (bone-forming cells) formation and help to increase bone mineral content. High-impact sports, which involve quick changes in direction, jumping, and running, are particularly effective with stimulating bone growth in
1326-623: A prefix—such as osteopathy . In anatomical terminology , including the Terminologia Anatomica international standard, the word for a bone is os (for example, os breve , os longum , os sesamoideum ). Bone is not uniformly solid, but consists of a flexible matrix (about 30%) and bound minerals (about 70%), which are intricately woven and continuously remodeled by a group of specialized bone cells. Their unique composition and design allows bones to be relatively hard and strong, while remaining lightweight. Bone matrix
1428-418: A recent study, there was a strong correlation between calcium intake and BMD across a variety of diverse populations of children and adolescence ultimately coming to the conclusion that fundamentally, achieving optimal bone health is necessary for providing our youth with the ability to undergo hormonal changes as well. They found in a study of over 10,000 children ages 8-19 that in females, African Americans, and
1530-408: A smaller number of randomly oriented collagen fibers, but forms quickly; it is for this appearance of the fibrous matrix that the bone is termed woven . It is soon replaced by lamellar bone, which is highly organized in concentric sheets with a much lower proportion of osteocytes to surrounding tissue. Lamellar bone, which makes its first appearance in humans in the fetus during the third trimester,
1632-401: A strong nutritional plan with adequate amounts of Calcium sources can lead to strong bones but also can be a worth-while strategy into preventing further damage or degradation of bone stores as we age. The connection between Calcium intake & BMD and its effects on youth as a whole is a very world-wide issue and has been shown to affect different ethnicities in a variety of differing ways. In
1734-483: A variety of doctors, including rheumatologists for joints, and orthopedic surgeons, who may conduct surgery to fix broken bones. Other doctors, such as rehabilitation specialists may be involved in recovery, radiologists in interpreting the findings on imaging, and pathologists in investigating the cause of the disease, and family doctors may play a role in preventing complications of bone disease such as osteoporosis. Stiffness The complementary concept
1836-454: A very low shear stress strength (51.6 MPa). This means that bone resists pushing (compressional) stress well, resist pulling (tensional) stress less well, but only poorly resists shear stress (such as due to torsional loads). While bone is essentially brittle , bone does have a significant degree of elasticity , contributed chiefly by collagen . Mechanically, bones also have a special role in hearing . The ossicles are three small bones in
1938-440: Is flexibility or compliance , typically measured in units of metres per newton. In rheology , it may be defined as the ratio of strain to stress , and so take the units of reciprocal stress, for example, 1/ Pa . A body may also have a rotational stiffness, k , {\displaystyle k,} given by k = M θ {\displaystyle k={\frac {M}{\theta }}} where In
2040-494: Is flexibility or pliability: the more flexible an object is, the less stiff it is. The stiffness, k , {\displaystyle k,} of a body is a measure of the resistance offered by an elastic body to deformation. For an elastic body with a single degree of freedom (DOF) (for example, stretching or compression of a rod), the stiffness is defined as k = F δ {\displaystyle k={\frac {F}{\delta }}} where, Stiffness
2142-536: Is 90 to 95% composed of elastic collagen fibers, also known as ossein, and the remainder is ground substance . The elasticity of collagen improves fracture resistance. The matrix is hardened by the binding of inorganic mineral salt, calcium phosphate , in a chemical arrangement known as bone mineral , a form of calcium apatite . It is the mineralization that gives bones rigidity. Bone is actively constructed and remodeled throughout life by special bone cells known as osteoblasts and osteoclasts. Within any single bone,
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#17327730424382244-467: Is a parameter of interest that represents its firmness and extensibility, encompassing characteristics such as elasticity, stiffness, and adherence. These factors are of functional significance to patients. This is of significance to patients with traumatic injuries to the skin, whereby the pliability can be reduced due to the formation and replacement of healthy skin tissue by a pathological scar . This can be evaluated both subjectively, or objectively using
2346-462: Is also called bone in the uncountable sense of that word, is hard tissue , a type of specialised connective tissue . It has a honeycomb -like matrix internally, which helps to give the bone rigidity. Bone tissue is made up of different types of bone cells . Osteoblasts and osteocytes are involved in the formation and mineralisation of bone; osteoclasts are involved in the resorption of bone tissue. Modified (flattened) osteoblasts become
2448-472: Is called "osteoid". Around and inside collagen fibrils calcium and phosphate eventually precipitate within days to weeks becoming then fully mineralized bone with an overall carbonate substituted hydroxyapatite inorganic phase. In order to mineralise the bone, the osteoblasts secrete alkaline phosphatase, some of which is carried by vesicles . This cleaves the inhibitory pyrophosphate and simultaneously generates free phosphate ions for mineralization, acting as
2550-417: Is composed of a network of rod- and plate-like elements that make the overall organ lighter and allow room for blood vessels and marrow. Trabecular bone accounts for the remaining 20% of total bone mass but has nearly ten times the surface area of compact bone. The words cancellous and trabecular refer to the tiny lattice-shaped units (trabeculae) that form the tissue. It was first illustrated accurately in
2652-449: Is constantly being created and replaced in a process known as remodeling . This ongoing turnover of bone is a process of resorption followed by replacement of bone with little change in shape. This is accomplished through osteoblasts and osteoclasts. Cells are stimulated by a variety of signals , and together referred to as a remodeling unit. Approximately 10% of the skeletal mass of an adult is remodelled each year. The purpose of remodeling
2754-427: Is credited to be the pioneer of the field. His works are lost but are often cited by notable persons in the field such as Galen and Rufus of Ephesus . Galen himself did little dissection though and relied on the work of others like Marinus of Alexandria, as well as his own observations of gladiator cadavers and animals. According to Katherine Park , in medieval Europe dissection continued to be practiced, contrary to
2856-428: Is curved inwards to allow the child to have a " funnel " to assist in the child's pathway from the uterus to the birth canal . There are many classified skeletal disorders. One of the most common is osteoporosis . Also common is scoliosis , a side-to-side curve in the back or spine, often creating a pronounced "C" or "S" shape when viewed on an x-ray of the spine. This condition is most apparent during adolescence, and
2958-432: Is essential for building a strong initial bone foundation at which to build upon. Being able to reach our daily value of 1300mg for ages 9-18 is becoming more and more necessary and as we progress in health, the chance that osteoporosis and other factors such as bone fragility or potential for stunted growth can be greatly reduced through these resources, ultimately leading to a more fulfilling and healthier lifestyle. Bone
3060-401: Is formed by the vertebral column (32–34 bones; the number of the vertebrae differs from human to human as the lower 2 parts, sacral and coccygeal bone may vary in length), a part of the rib cage (12 pairs of ribs and the sternum ), and the skull (22 bones and 7 associated bones). The upright posture of humans is maintained by the axial skeleton, which transmits the weight from the head,
3162-588: Is less common to see, the necessity for a healthy routine especially when it comes to bone development is essential in our youth. Children that naturally have lower bone mineral density have a lower quality of life and therefore lead a life that is less fulfilling and uncomfortable. Factors such as increases in Calcium intake has been shown to increase BMD stores. Studies have shown that increasing calcium stores whether that be through supplementation or intake via foods and beverages such as leafy greens and milk have pushed
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3264-408: Is most common with females. Arthritis is a disorder of the joints. It involves inflammation of one or more joints. When affected by arthritis, the joint or joints affected may be painful to move, may move in unusual directions or may be immobile completely. The symptoms of arthritis will vary differently between types of arthritis. The most common form of arthritis, osteoarthritis , can affect both
3366-514: Is mostly found in the bone marrow of the femur, the ribs, the vertebrae and pelvic bones . Bone receives about 10% of cardiac output. Blood enters the endosteum , flows through the marrow, and exits through small vessels in the cortex. In humans, blood oxygen tension in bone marrow is about 6.6%, compared to about 12% in arterial blood, and 5% in venous and capillary blood. Bone is metabolically active tissue composed of several types of cells. These cells include osteoblasts , which are involved in
3468-526: Is necessary during our childhood as these factors lead to a supportive and healthy lifestyle/bone health. Up till the age of 30, the bone stores that we have will ultimately start to decrease as we surpass this age. Influencing factors that can help us have larger stores and higher amounts of BMD will allow us to see less harmful results as we reach older adulthood. The issue of having fragile bones during our childhood leads to an increase in certain disorders and conditions such as juvenile osteoporosis , though it
3570-513: Is not as sexually dimorphic as that of many other primate species, but subtle differences between sexes in the morphology of the skull, dentition , long bones , and pelvis exist. In general, female skeletal elements tend to be smaller and less robust than corresponding male elements within a given population. The human female pelvis is also different from that of males in order to facilitate childbirth . Unlike most primates, human males do not have penile bones . The axial skeleton (80 bones)
3672-454: Is not fully known. Two types of bone can be identified microscopically according to the arrangement of collagen: woven and lamellar. Woven bone is produced when osteoblasts produce osteoid rapidly, which occurs initially in all fetal bones, but is later replaced by more resilient lamellar bone. In adults, woven bone is created after fractures or in Paget's disease . Woven bone is weaker, with
3774-729: Is stimulated by the secretion of growth hormone by the pituitary , thyroid hormone and the sex hormones ( estrogens and androgens ). These hormones also promote increased secretion of osteoprotegerin. Osteoblasts can also be induced to secrete a number of cytokines that promote reabsorption of bone by stimulating osteoclast activity and differentiation from progenitor cells. Vitamin D , parathyroid hormone and stimulation from osteocytes induce osteoblasts to increase secretion of RANK- ligand and interleukin 6 , which cytokines then stimulate increased reabsorption of bone by osteoclasts. These same compounds also increase secretion of macrophage colony-stimulating factor by osteoblasts, which promotes
3876-561: Is stronger and filled with many collagen fibers parallel to other fibers in the same layer (these parallel columns are called osteons). In cross-section , the fibers run in opposite directions in alternating layers, much like in plywood , assisting in the bone's ability to resist torsion forces. After a fracture, woven bone forms initially and is gradually replaced by lamellar bone during a process known as "bony substitution". Compared to woven bone, lamellar bone formation takes place more slowly. The orderly deposition of collagen fibers restricts
3978-444: Is the osteon . Cancellous bone or spongy bone , also known as trabecular bone , is the internal tissue of the skeletal bone and is an open cell porous network that follows the material properties of biofoams . Cancellous bone has a higher surface-area-to-volume ratio than cortical bone and it is less dense . This makes it weaker and more flexible. The greater surface area also makes it suitable for metabolic activities such as
4080-423: Is the internal framework of the human body . It is composed of around 270 bones at birth – this total decreases to around 206 bones by adulthood after some bones get fused together. The bone mass in the skeleton makes up about 14% of the total body weight (ca. 10–11 kg for an average person) and reaches maximum mass between the ages of 25 and 30. The human skeleton can be divided into the axial skeleton and
4182-494: Is to regulate calcium homeostasis , repair microdamaged bones from everyday stress, and to shape the skeleton during growth. Repeated stress, such as weight-bearing exercise or bone healing, results in the bone thickening at the points of maximum stress ( Wolff's law ). It has been hypothesized that this is a result of bone's piezoelectric properties, which cause bone to generate small electrical potentials under stress. The action of osteoblasts and osteoclasts are controlled by
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4284-495: Is undesirable, while a low modulus of elasticity is required when flexibility is needed. In biology, the stiffness of the extracellular matrix is important for guiding the migration of cells in a phenomenon called durotaxis . Another application of stiffness finds itself in skin biology. The skin maintains its structure due to its intrinsic tension, contributed to by collagen , an extracellular protein that accounts for approximately 75% of its dry weight. The pliability of skin
4386-485: Is usually defined under quasi-static conditions , but sometimes under dynamic loading. In the International System of Units , stiffness is typically measured in newtons per meter ( N / m {\displaystyle N/m} ). In Imperial units, stiffness is typically measured in pounds (lbs) per inch. Generally speaking, deflections (or motions) of an infinitesimal element (which
4488-425: Is viewed as a point) in an elastic body can occur along multiple DOF (maximum of six DOF at a point). For example, a point on a horizontal beam can undergo both a vertical displacement and a rotation relative to its undeformed axis. When there are M {\displaystyle M} degrees of freedom a M × M {\displaystyle M\times M} matrix must be used to describe
4590-488: The appendicular skeleton . The axial skeleton is formed by the vertebral column , the rib cage , the skull and other associated bones. The appendicular skeleton, which is attached to the axial skeleton, is formed by the shoulder girdle , the pelvic girdle and the bones of the upper and lower limbs. The human skeleton performs six major functions: support, movement, protection, production of blood cells , storage of minerals, and endocrine regulation. The human skeleton
4692-422: The bone marrow . In children, haematopoiesis occurs primarily in the marrow of the long bones such as the femur and tibia. In adults, it occurs mainly in the pelvis, cranium, vertebrae, and sternum. The bone matrix can store calcium and is involved in calcium metabolism , and bone marrow can store iron in ferritin and is involved in iron metabolism . However, bones are not entirely made of calcium, but
4794-410: The human body at birth, approximately 300 bones are present. Many of these fuse together during development, leaving a total of 206 separate bones in the adult, not counting numerous small sesamoid bones . The largest bone in the body is the femur or thigh-bone, and the smallest is the stapes in the middle ear . The Greek word for bone is ὀστέον (" osteon "), hence the many terms that use it as
4896-421: The lungs would collapse. The joints between bones allow movement, some allowing a wider range of movement than others, e.g. the ball and socket joint allows a greater range of movement than the pivot joint at the neck. Movement is powered by skeletal muscles , which are attached to the skeleton at various sites on bones. Muscles, bones, and joints provide the principal mechanics for movement, all coordinated by
4998-427: The meridians , although given that Hua Tuo regularly performed surgery, there may be some distance between medical theory and actual understanding. Leonardo da Vinci made studies of the skeleton, albeit unpublished in his time. Many artists, Antonio del Pollaiuolo being the first, performed dissections for better understanding of the body, although they concentrated mostly on the muscles. Vesalius , regarded as
5100-720: The middle ear which are involved in sound transduction. The cancellous part of bones contain bone marrow . Bone marrow produces blood cells in a process called hematopoiesis . Blood cells that are created in bone marrow include red blood cells , platelets and white blood cells . Progenitor cells such as the hematopoietic stem cell divide in a process called mitosis to produce precursor cells. These include precursors which eventually give rise to white blood cells , and erythroblasts which give rise to red blood cells. Unlike red and white blood cells, created by mitosis, platelets are shed from very large cells called megakaryocytes . This process of progressive differentiation occurs within
5202-478: The osteonic canal . Volkmann's canals at right angles connect the osteons together. The columns are metabolically active, and as bone is reabsorbed and created the nature and location of the cells within the osteon will change. Cortical bone is covered by a periosteum on its outer surface, and an endosteum on its inner surface. The endosteum is the boundary between the cortical bone and the cancellous bone. The primary anatomical and functional unit of cortical bone
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#17327730424385304-418: The thyroid gland , and can bind to receptors on osteoclasts to directly inhibit osteoclast activity. Osteoprotegerin is secreted by osteoblasts and is able to bind RANK-L, inhibiting osteoclast stimulation. Osteoblasts can also be stimulated to increase bone mass through increased secretion of osteoid and by inhibiting the ability of osteoclasts to break down osseous tissue . Increased secretion of osteoid
5406-557: The 12-15 adolescent groups that at 2.6-2.8g/kg of body weight, they began to see a decrease in BMD. They elaborate on this by determining that this is strongly influenced by a lower baseline in calcium intake throughout puberty. Genetic factors have also been shown to influence lower acceptance of calcium stores. Ultimately, the window that youth have for accruing and building resilient bones is very minimal. Being able to consistently meet calcium needs while also engaging in weight-bearing exercise
5508-502: The SI system, rotational stiffness is typically measured in newton-metres per radian . In the SAE system, rotational stiffness is typically measured in inch- pounds per degree . Further measures of stiffness are derived on a similar basis, including: The elastic modulus of a material is not the same as the stiffness of a component made from that material. Elastic modulus is a property of
5610-418: The acellular component of bone consists of organic matter, while roughly 70% by mass is attributed to the inorganic phase. The collagen fibers give bone its tensile strength , and the interspersed crystals of hydroxyapatite give bone its compressive strength . These effects are synergistic . The exact composition of the matrix may be subject to change over time due to nutrition and biomineralization , with
5712-433: The axial stiffness is k = E ⋅ A L {\displaystyle k=E\cdot {\frac {A}{L}}} where Similarly, the torsional stiffness of a straight section is k = G ⋅ J L {\displaystyle k=G\cdot {\frac {J}{L}}} where Note that the torsional stiffness has dimensions [force] * [length] / [angle], so that its SI units are N*m/rad. For
5814-413: The bone marrow. After the cells are matured, they enter the circulation . Every day, over 2.5 billion red blood cells and platelets, and 50–100 billion granulocytes are produced in this way. As well as creating cells, bone marrow is also one of the major sites where defective or aged red blood cells are destroyed. Determined by the species, age, and the type of bone, bone cells make up to 15 percent of
5916-546: The bone matrix. The release of these growth factors from the bone matrix could cause the proliferation of osteoblast precursors. Essentially, bone growth factors may act as potential determinants of local bone formation. Cancellous bone volume in postmenopausal osteoporosis may be determined by the relationship between the total bone forming surface and the percent of surface resorption. A number of diseases can affect bone, including arthritis, fractures, infections, osteoporosis and tumors. Conditions relating to bone can be managed by
6018-428: The bone. Growth factor storage—mineralized bone matrix stores important growth factors such as insulin -like growth factors, transforming growth factor, bone morphogenetic proteins and others. Strong bones during our youth is essential for preventing osteoporosis and bone fragility as we age. The importance of insuring factors that could influence increases in BMD while lowering our risks for further bone degradation
6120-424: The breakdown of bones by the process of bone resorption . New bone is then formed by the osteoblasts. Bone is constantly remodeled by the resorption of osteoclasts and created by osteoblasts. Osteoclasts are large cells with multiple nuclei located on bone surfaces in what are called Howship's lacunae (or resorption pits ). These lacunae are the result of surrounding bone tissue that has been reabsorbed. Because
6222-458: The cartilage called "primary ossification centers". They mostly appear during fetal development, though a few short bones begin their primary ossification after birth . They are responsible for the formation of the diaphyses of long bones, short bones and certain parts of irregular bones. Secondary ossification occurs after birth and forms the epiphyses of long bones and the extremities of irregular and flat bones. The diaphysis and both epiphyses of
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#17327730424386324-460: The constituent material; stiffness is a property of a structure or component of a structure, and hence it is dependent upon various physical dimensions that describe that component. That is, the modulus is an intensive property of the material; stiffness, on the other hand, is an extensive property of the solid body that is dependent on the material and its shape and boundary conditions. For example, for an element in tension or compression ,
6426-447: The conversion of cartilage to bone: Bone development in youth is extremely important in preventing future complications of the skeletal system. Regular exercise during childhood and adolescence can help improve bone architecture, making bones more resilient and less prone to fractures in adulthood. Physical activity, specifically resistance training, stimulates growth of bones by increasing both bone density and strength. Studies have shown
6528-482: The count of bones in the two schools is partly because Charaka Samhita includes 32 tooth sockets in its count, and their difference of opinions on how and when to count a cartilage as bone (which both sometimes do, unlike modern anatomy). The study of bones in ancient Greece started under Ptolemaic kings due to their link to Egypt. Herophilos , through his work by studying dissected human corpses in Alexandria,
6630-407: The coupling stiffness. It is noted that for a body with multiple DOF, the equation above generally does not apply since the applied force generates not only the deflection along its direction (or degree of freedom) but also those along with other directions. For a body with multiple DOF, to calculate a particular direct-related stiffness (the diagonal terms), the corresponding DOF is left free while
6732-565: The creation and mineralization of bone tissue, osteocytes , and osteoclasts , which are involved in the reabsorption of bone tissue. Osteoblasts and osteocytes are derived from osteoprogenitor cells, but osteoclasts are derived from the same cells that differentiate to form macrophages and monocytes . Within the marrow of the bone there are also hematopoietic stem cells . These cells give rise to other cells, including white blood cells , red blood cells , and platelets . Osteoblasts are mononucleate bone-forming cells. They are located on
6834-639: The differentiation of progenitor cells into osteoclasts, and decrease secretion of osteoprotegerin. Bone volume is determined by the rates of bone formation and bone resorption. Certain growth factors may work to locally alter bone formation by increasing osteoblast activity. Numerous bone-derived growth factors have been isolated and classified via bone cultures. These factors include insulin-like growth factors I and II, transforming growth factor-beta, fibroblast growth factor, platelet-derived growth factor, and bone morphogenetic proteins. Evidence suggests that bone cells produce growth factors for extracellular storage in
6936-452: The engravings of Crisóstomo Martinez . Bone marrow , also known as myeloid tissue in red bone marrow, can be found in almost any bone that holds cancellous tissue . In newborns , all such bones are filled exclusively with red marrow or hematopoietic marrow, but as the child ages the hematopoietic fraction decreases in quantity and the fatty/ yellow fraction called marrow adipose tissue (MAT) increases in quantity. In adults, red marrow
7038-429: The exchange of calcium ions. Cancellous bone is typically found at the ends of long bones, near joints, and in the interior of vertebrae. Cancellous bone is highly vascular and often contains red bone marrow where hematopoiesis , the production of blood cells, occurs. The primary anatomical and functional unit of cancellous bone is the trabecula . The trabeculae are aligned towards the mechanical load distribution that
7140-407: The foci for calcium and phosphate deposition. Vesicles may initiate some of the early mineralization events by rupturing and acting as a centre for crystals to grow on. Bone mineral may be formed from globular and plate structures, and via initially amorphous phases. Five types of bones are found in the human body: long, short, flat, irregular, and sesamoid. In the study of anatomy , anatomists use
7242-410: The formation of bone from cartilage . Intramembranous ossification mainly occurs during formation of the flat bones of the skull but also the mandible, maxilla, and clavicles; the bone is formed from connective tissue such as mesenchyme tissue rather than from cartilage. The process includes: the development of the ossification center , calcification , trabeculae formation and the development of
7344-589: The formation of osteoid to about 1 to 2 μm per day. Lamellar bone also requires a relatively flat surface to lay the collagen fibers in parallel or concentric layers. The extracellular matrix of bone is laid down by osteoblasts , which secrete both collagen and ground substance. These cells synthesise collagen alpha polypetpide chains and then secrete collagen molecules. The collagen molecules associate with their neighbors and crosslink via lysyl oxidase to form collagen fibrils. At this stage, they are not yet mineralized, and this zone of unmineralized collagen fibrils
7446-473: The founder of modern anatomy, authored the book De humani corporis fabrica , which contained many illustrations of the skeleton and other body parts, correcting some theories dating from Galen, such as the lower jaw being a single bone instead of two. Various other figures like Alessandro Achillini also contributed to the further understanding of the skeleton. As early as 1797, the death goddess or folk saint known as Santa Muerte has been represented as
7548-474: The groundwork for bone health later in life, reducing the risk of bone-related conditions such as osteoporosis. Bones have a variety of functions: Bones serve a variety of mechanical functions. Together the bones in the body form the skeleton . They provide a frame to keep the body supported, and an attachment point for skeletal muscles , tendons , ligaments and joints , which function together to generate and transfer forces so that individual body parts or
7650-511: The larger and smaller joints of the human skeleton. The cartilage in the affected joints will degrade, soften and wear away. This decreases the mobility of the joints and decreases the space between bones where cartilage should be. Osteoporosis is a disease of bone where there is reduced bone mineral density , increasing the likelihood of fractures . Osteoporosis is defined by the World Health Organization in women as
7752-461: The lining cells that form a protective layer on the bone surface. The mineralised matrix of bone tissue has an organic component of mainly collagen called ossein and an inorganic component of bone mineral made up of various salts. Bone tissue is mineralized tissue of two types, cortical bone and cancellous bone . Other types of tissue found in bones include bone marrow , endosteum , periosteum , nerves , blood vessels and cartilage . In
7854-452: The major organs of digestion, excretion and reproduction. The skeleton serves six major functions: support, movement, protection, production of blood cells, storage of minerals and endocrine regulation. The skeleton provides the framework which supports the body and maintains its shape. The pelvis, associated ligaments and muscles provide a floor for the pelvic structures. Without the rib cages, costal cartilages , and intercostal muscles ,
7956-431: The nervous system. It is believed that the reduction of human bone density in prehistoric times reduced the agility and dexterity of human movement. Shifting from hunting to agriculture has caused human bone density to reduce significantly. The skeleton helps to protect many vital internal organs from being damaged. The skeleton is the site of haematopoiesis , the development of blood cells that takes place in
8058-485: The notion that prepuberty or even early pubertal children will see increases in BMD with the addition of increase Calcium intake. Another research study goes on to show that long-term calcium intake has been proven to significantly contribute to overall BMD in children without certain conditions or disorders. This data shows that ensuring adequate calcium intake in children reinforces the structure and rate at which bones will begin to densify. Further detailing how structuring
8160-564: The number of insulin-producing cells and reducing stores of fat. Anatomical differences between human males and females are highly pronounced in some soft tissue areas, but tend to be limited in the skeleton. The human skeleton is not as sexually dimorphic as that of many other primate species, but subtle differences between sexes in the morphology of the skull, dentition , long bones , and pelvis are exhibited across human populations. In general, female skeletal elements tend to be smaller and less robust than corresponding male elements within
8262-477: The osteoblast puts up collagen fibers. These collagen fibers are used as a framework for the osteoblasts' work. The osteoblast then deposits calcium phosphate which is hardened by hydroxide and bicarbonate ions. The brand-new bone created by the osteoblast is called osteoid . Once the osteoblast is finished working it is actually trapped inside the bone once it hardens. When the osteoblast becomes trapped, it becomes known as an osteocyte. Other osteoblasts remain on
8364-499: The osteoclasts are derived from a monocyte stem-cell lineage, they are equipped with phagocytic -like mechanisms similar to circulating macrophages . Osteoclasts mature and/or migrate to discrete bone surfaces. Upon arrival, active enzymes, such as tartrate-resistant acid phosphatase , are secreted against the mineral substrate. The reabsorption of bone by osteoclasts also plays a role in calcium homeostasis . Bones consist of living cells (osteoblasts and osteocytes) embedded in
8466-455: The osteocyte cell processes occupy channels called canaliculi. The many processes of osteocytes reach out to meet osteoblasts, osteoclasts, bone lining cells, and other osteocytes probably for the purposes of communication. Osteocytes remain in contact with other osteocytes in the bone through gap junctions—coupled cell processes which pass through the canalicular channels. Osteoclasts are very large multinucleate cells that are responsible for
8568-475: The other great apes . Long bones are generally larger in males than in females within a given population. Muscle attachment sites on long bones are often more robust in males than in females, reflecting a difference in overall muscle mass and development between sexes. Sexual dimorphism in the long bones is commonly characterized by morphometric or gross morphological analyses. The human pelvis exhibits greater sexual dimorphism than other bones, specifically in
8670-425: The periosteum. Endochondral ossification occurs in long bones and most other bones in the body; it involves the development of bone from cartilage. This process includes the development of a cartilage model, its growth and development, development of the primary and secondary ossification centers , and the formation of articular cartilage and the epiphyseal plates . Endochondral ossification begins with points in
8772-400: The popular understanding that such practices were taboo and thus completely banned. The practice of holy autopsy , such as in the case of Clare of Montefalco further supports the claim. Alexandria continued as a center of anatomy under Islamic rule, with Ibn Zuhr a notable figure. Chinese understandings are divergent, as the closest corresponding concept in the medicinal system seems to be
8874-479: The presence of particular hormonal disorders and other chronic diseases or as a result of smoking and medications , specifically glucocorticoids . Osteoporosis usually has no symptoms until a fracture occurs. For this reason, DEXA scans are often done in people with one or more risk factors, who have developed osteoporosis and be at risk of fracture. Osteoporosis treatment includes advice to stop smoking, decrease alcohol consumption, exercise regularly, and have
8976-682: The ratio of calcium to phosphate varying between 1.3 and 2.0 (per weight), and trace minerals such as magnesium , sodium , potassium and carbonate also be found. Type I collagen composes 90–95% of the organic matrix, with the remainder of the matrix being a homogenous liquid called ground substance consisting of proteoglycans such as hyaluronic acid and chondroitin sulfate , as well as non-collagenous proteins such as osteocalcin , osteopontin or bone sialoprotein . Collagen consists of strands of repeating units, which give bone tensile strength, and are arranged in an overlapping fashion that prevents shear stress. The function of ground substance
9078-520: The remaining should be constrained. Under such a condition, the above equation can obtain the direct-related stiffness for the degree of unconstrained freedom. The ratios between the reaction forces (or moments) and the produced deflection are the coupling stiffnesses. The elasticity tensor is a generalization that describes all possible stretch and shear parameters. A single spring may intentionally be designed to have variable (non-linear) stiffness throughout its displacement. The inverse of stiffness
9180-406: The size and shape of the pelvic cavity , ilia , greater sciatic notches, and the sub-pubic angle. The Phenice method is commonly used to determine the sex of an unidentified human skeleton by anthropologists with 96% to 100% accuracy in some populations. Women's pelvises are wider in the pelvic inlet and are wider throughout the pelvis to allow for child birth. The sacrum in the women's pelvis
9282-408: The special case of unconstrained uniaxial tension or compression, Young's modulus can be thought of as a measure of the stiffness of a structure. The stiffness of a structure is of principal importance in many engineering applications, so the modulus of elasticity is often one of the primary properties considered when selecting a material. A high modulus of elasticity is sought when deflection
9384-421: The stiffness at the point. The diagonal terms in the matrix are the direct-related stiffnesses (or simply stiffnesses) along the same degree of freedom and the off-diagonal terms are the coupling stiffnesses between two different degrees of freedom (either at the same or different points) or the same degree of freedom at two different points. In industry, the term influence coefficient is sometimes used to refer to
9486-468: The surface of osteon seams and make a protein mixture known as osteoid , which mineralizes to become bone. The osteoid seam is a narrow region of a newly formed organic matrix, not yet mineralized, located on the surface of a bone. Osteoid is primarily composed of Type I collagen . Osteoblasts also manufacture hormones , such as prostaglandins , to act on the bone itself. The osteoblast creates and repairs new bone by actually building around itself. First,
9588-450: The term "foramen" to describe a hole through which something passes, and a "canal" or "meatus" to describe a tunnel-like structure. A protrusion from a bone can be called a number of terms, including a "condyle", "crest", "spine", "eminence", "tubercle" or "tuberosity", depending on the protrusion's shape and location. In general, long bones are said to have a "head", "neck", and "body". When two bones join, they are said to "articulate". If
9690-419: The tissue is woven into two main patterns, known as cortical and cancellous bone, each with a different appearance and characteristics. The hard outer layer of bones is composed of cortical bone , which is also called compact bone as it is much denser than cancellous bone. It forms the hard exterior (cortex) of bones. The cortical bone gives bone its smooth, white, and solid appearance, and accounts for 80% of
9792-415: The top of the new bone and are used to protect the underlying bone, these become known as bone lining cells. Osteocytes are cells of mesenchymal origin and originate from osteoblasts that have migrated into and become trapped and surrounded by a bone matrix that they themselves produced. The spaces the cell body of osteocytes occupy within the mineralized collagen type I matrix are known as lacunae , while
9894-411: The total bone mass of an adult human skeleton . It facilitates bone's main functions—to support the whole body, to protect organs, to provide levers for movement, and to store and release chemical elements, mainly calcium. It consists of multiple microscopic columns, each called an osteon or Haversian system. Each column is multiple layers of osteoblasts and osteocytes around a central canal called
9996-544: The total of 300 as follows: 120 in the extremities (e.g. hands, legs), 117 in the pelvic area, sides, back, abdomen and breast, and 63 in the neck and upwards. The text then explains how these subtotals were empirically verified. The discussion shows that the Indian tradition nurtured diversity of thought, with Sushruta school reaching its own conclusions and differing from the Atreya-Caraka tradition. The differences in
10098-425: The trunk, and the upper extremities down to the lower extremities at the hip joints . The bones of the spine are supported by many ligaments. The erector spinae muscles are also supporting and are useful for balance. The appendicular skeleton (126 bones) is formed by the pectoral girdles, the upper limbs, the pelvic girdle or pelvis, and the lower limbs. Their functions are to make locomotion possible and to protect
10200-417: The two bones have a fibrous connection and are relatively immobile, then the joint is called a "suture". The formation of bone is called ossification . During the fetal stage of development this occurs by two processes: intramembranous ossification and endochondral ossification . Intramembranous ossification involves the formation of bone from connective tissue whereas endochondral ossification involves
10302-428: The whole body can be manipulated in three-dimensional space (the interaction between bone and muscle is studied in biomechanics ). Bones protect internal organs, such as the skull protecting the brain or the ribs protecting the heart and lungs . Because of the way that bone is formed, bone has a high compressive strength of about 170 MPa (1,700 kgf/cm ), poor tensile strength of 104–121 MPa, and
10404-418: The youth. Sports such as soccer, basketball, and tennis have shown to have positive effects on bone mineral density as well as bone mineral content in teenagers. Engaging in physical activity during childhood years, particularly in these high-impact osteogenic sports, can help to positively influence bone mineral density in adulthood. Children and adolescents who participate in regular physical activity will place
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