By Dr. Maddie Swannack

Next Lesson - Basics of Bone Anatomy

Musculoskeletal System


Contents

Abstract

There are 206 bones in the adult body. The functions of bones include locomotion, protection and haematopoiesis to name a few.

There are three main cell types involved in the homeostasis of bone: osteoblasts which secrete bone tissue, osteocytes which are osteoblasts in lacunae surrounded by bone tissue, and osteoclasts which break down bone tissue.

There are two types of bone: cortical bone in which osteons are arranged neatly in parallel, concentric lamellae and Volkmann’s canals, and spongy bone, which is arranged in trabeculae and does not contain true osteons.

Bones can be created by two methods: endochondral ossification which uses a cartilaginous template to produce long bones, and intramembranous ossification which does not use a template, and is responsible for flat bones.

Osteoporosis is a condition of reduced bone density originating from an overactivity of osteoclasts. Fractures are the most common symptom of osteoporosis and can lead to disability. Risk factors include age, oestrogen deficiency, chronic conditions, medications, smoking and too little exercise. Prevention of osteoporosis includes maintaining a healthy diet and exercise, stopping smoking, and reducing alcohol intake. It can be managed through the use of bisphosphonates.

Fractures of bone occur when there is a break in the continuity of the bone. Fractures require significant force in the young, but less force in the elderly due to the higher incidence of osteoporosis in this age group. It is important to consider whether a fracture is open (which carries an infection risk) or closed, and whether it is partial or complete.

Types of fracture include: transverse, spiral, comminuted, impacted, greenstick and oblique.

Stages of fracture repair include: haematoma formation, angiogenesis, formation of a pro-callus of granulation tissue, soft callus formation by osteoblasts, hard callus formation through endochondral ossification, and then remodelling by osteoclasts.

Core

This article describes the structure of bones from a molecular perspective. More information can be found on the anatomical relationships of bones in the rest of our Musculoskeletal Section.

 

The Skeleton

The skeleton in an adult human is made up of 206 bones and facilitates the movement of the body and the protection of important internal organs.

See our article ‘Basics of Bone Anatomy’ which includes information about the types of bones and their functions.

 

Cells within Bone Tissue

There are three main types of cell that make up bone tissue.

 

Osteoblasts

Osteoblasts are derived from mesenchymal stem cells and are responsible for the laying down of bone. This is done through the production of dense collagen and hydroxyapatite (the mineral component of bone). Osteoblasts are closely associated with one another, forming an osteon. Once the osteoblast has surrounded itself with bone matrix, it becomes trapped in its lacuna and becomes an osteocyte. 

 

Osteocytes

Osteocytes are star-shaped cells that cannot divide. Osteocytes are formed from osteoclasts that have been trapped in the bony matrix that they have secreted and exist in a space called a lacuna. This restrictive space means that the osteocytes are no longer able to produce osteoid (bone tissue). The processes of an osteocyte instead stretch out, connecting to other osteocytes through canaliculi.

 

Osteoclasts

Osteoclasts are the type of bone cell responsible for the break down of bone tissue through the release of acid (to dissolve the hydroxyapatite crystals) and collagenase. They have an important role in remodelling of bone and regulation of calcium levels in the blood, but also play a key part in the pathophysiology of osteoporosis.  The osteoclasts originate from haemopoietic stem cells, rather than mesenchymal stem cells which produce osteoblasts.

 

 

Structure of Bone Tissue

There are two types of bone tissue namely compact (cortical) bone and spongy (trabecular) bone.

The main building block of bone is an osteon, shown in the image below. It is a collection of osteocytes trapped in the bone matrix that they have secreted. The individual osteocytes communicate with each other through microscopic canals called canaliculi. An osteon has a central canal called a Haversian Canal, which contains blood vessels and nerves to supply the bone.

Image: this diagram shows the structure of an osteon; note the Haversian canal and the lamellae created by osteocytes.

Source:  https://en.wikipedia.org/wiki/Osteocyte#/media/File:Transverse_section_of_bone_en.svg

 

 

Compact Bone

Compact bone consists of closely packed osteons. An osteon is made up of a central canal called the Haversian canal, surrounded by concentric rings of matrix called lamellae. These Haversian canals lie parallel to the axis of the long bone.

 

Between the lamellae are osteocytes, mature bone cells which have been surrounded by bony tissue and now exist in lacunae. The lacunae are connected by canaliculi.

 

Smaller canals known as perforating or Volkmann’s canals connect the Haversian canals to provide passageways through the hard matrix. They run at 90 degrees to the Haversian canals, across the width of the long bone.

 

The structure of a long bone

Image: this diagram shows the structure of a long bone. Key features include the periosteum, the lamellae of the osteons and the trabeculae of the spongy bone centre. 

SimpleMed original by Dr. Maddie Swannack  

 

 

Spongy or Cancellous Bone

Spongy or cancellous bone is lighter and less dense than compact bone. It consists of plates called trabeculae, bars of compact bone, and irregular cavities that contain red bone marrow (responsible for haematopoiesis). While it may seem that the trabeculae are arranged randomly, in fact they are organised to provide maximum support. They are aligned along the stress points of the bone and can realign if the direction of the stress on the bone changes.

The structure of spongy bone, highlighting the trabeculae and marrow spaces within cancellous bone

 

 

Image: this diagram shows the structure of spongy bone, highlighting the trabeculae and marrow spaces within cancellous bone. 

Source:  https://commons.wikimedia.org/wiki/File:606_Spongy_Bone_esp.jpg

 

 

Quiz

Preview the Structure of Bones quiz