Bones are rigid organs that constitute part of the endoskeleton of vertebrates. They support, and protect the various organs of the body, produce red and white blood cells and store minerals. Bone tissue is a type of dense connective tissue. Bones come in a variety of shapes and have a complex internal and external structure, are lightweight yet strong and hard, and serve multiple functions. One of the types of tissue that makes up bone is the mineralized osseous tissue, also called bone tissue, that gives it rigidity and a honeycomb-like three-dimensional internal structure. Other types of tissue found in bones include marrow, endosteum and periosteum, nerves, blood vessels and cartilage. At birth, there are over 270 bones in an infant human's body, but many of these fuse together as the child grows, leaving a total of 206 separate bones in an adult. The largest bone in the human body is the femur.
Functions
Bones have eleven main functions:
Mechanical
Protection — bones can serve to protect internal organs, such as the skull protecting the brain or the ribs protecting the heart and lungs.
Shape — bones provide a frame to keep the body supported.
Movement — bones, skeletal muscles, tendons, ligaments and joints function together to generate and transfer forces so that individual body parts or the whole body can be manipulated in three-dimensional space. The interaction between bone and muscle is studied in biomechanics.
Sound transduction — bones are important in the mechanical aspect of overshadowed hearing.
Synthetic
Blood production — the marrow, located within the medullary cavity of long bones and interstices of cancellous bone, produces blood cells in a process called haematopoiesis.
Metabolic
Mineral storage — bones act as reserves of minerals important for the body, most notably calcium and phosphorus.
Growth factor storage — mineralized bone matrix stores important growth factors such as insulin-like growth factors, transforming growth factor, bone morphogenetic proteins and others.
Fat storage — the yellow bone marrow acts as a storage reserve of fatty acids.
Acid-base balance — bone buffers the blood against excessive pH changes by absorbing or releasing alkaline salts.
Detoxification — bone tissues can also store
heavy metals and other foreign elements, removing them from the blood and reducing their effects on other tissues. These can later be gradually released for
excretion.'''
Endocrine organ — bone controls
phosphate metabolism by releasing
fibroblast growth factor – 23 (FGF-23), which acts on
kidneys to reduce phosphate
reabsorption. Bone cells also release a hormone called
osteocalcin, which contributes to the regulation of
blood sugar (
glucose) and
fat deposition. Osteocalcin increases both the
insulin secretion and sensitivity, in addition to boosting the number of
insulin-producing cells and reducing stores of fat.
Mechanical properties
The primary tissue of bone,
osseous tissue, is a relatively
hard and lightweight
composite material, formed mostly of
calcium phosphate in the chemical arrangement termed calcium
hydroxylapatite (this is the
osseous tissue that gives bones their rigidity). It has relatively high
compressive strength, of about 170
MPa (1800
kgf/cm²) but poor
tensile strength of 104–121
MPa and very low
shear stress strength (51.6
MPa), meaning it resists pushing forces well, but not pulling or torsional forces. While bone is essentially
brittle, it does have a significant degree of
elasticity, contributed chiefly by
collagen. All bones consist of living and dead
cells embedded in the mineralized organic ''matrix'' that makes up the osseous tissue.
Structure
Gross anatomy
Bone structure
Bone is not a uniformly solid material, but rather has some spaces between its hard elements.
Compact (cortical) bone
The hard outer layer of bones is composed of
compact bone tissue, so-called due to its minimal gaps and spaces. Its porosity is 5–30%. This tissue gives bones their smooth, white, and solid appearance, and accounts for 80% of the total bone mass of an adult
skeleton. Compact bone may also be referred to as dense bone.
Trabecular (cancellous) bone
Filling the interior of the bone is the
trabecular bone tissue (an open cell
porous network also called cancellous or spongy bone), which 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. Its porosity is 30–90%. (Ca
10(PO
4)
6(OH)
2) with lower crystallinity.
The matrix is initially laid down as unmineralised osteoid (manufactured by osteoblasts). Mineralisation involves osteoblasts secreting
vesicles containing alkaline phosphatase. This cleaves the phosphate groups and acts as the foci for calcium and phosphate deposition. The vesicles then rupture and act as a centre for crystals to grow on.
More particularly, bone mineral is formed from globular and plate structures, distributed among the collagen fibrils of bone and forming yet larger structure.
Organic
The organic part of matrix is mainly composed of Type I
collagen. This is synthesised intracellularly as tropocollagen and then exported, forming
fibrils. The organic part is also composed of various growth factors, the functions of which are not fully known. Factors present include
glycosaminoglycans,
osteocalcin,
osteonectin,
bone sialo protein,
osteopontin and Cell Attachment Factor. One of the main things that distinguishes the matrix of a bone from that of another cell is that the matrix in bone is hard.
Woven or lamellar
Two types of bone can be identified microscopically according to the pattern of collagen forming the osteoid (collagenous support tissue of type I collagen embedded in glycosaminoglycan gel):
Woven bone, which is characterised by haphazard organisation of collagen fibers and is mechanically weak
Lamellar bone, which has a regular parallel alignment of collagen into sheets (lamellae) and is mechanically strong
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 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 the fetus during the third trimester, 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 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.
These terms are histologic, in that a microscope is necessary to differentiate between the two.
Types
There are five types of bones in the human body: long, short, flat, irregular, and sesamoid.
Long bones are characterized by a shaft, the diaphysis, that is much longer than it is wide. They are made up mostly of compact bone, with lesser amounts of marrow, located within the medullary cavity, and spongy bone. Most bones of the limbs, including those of the fingers and toes, are long bones. The exceptions are those of the wrist, ankle and kneecap.
Short bones are roughly cube-shaped, and have only a thin layer of compact bone surrounding a spongy interior. The bones of the wrist and ankle are short bones, as are the sesamoid bones.
Flat bones are thin and generally curved, with two parallel layers of compact bones sandwiching a layer of spongy bone. Most of the bones of the skull are flat bones, as is the sternum.
Irregular bones do not fit into the above categories. They consist of thin layers of compact bone surrounding a spongy interior. As implied by the name, their shapes are irregular and complicated. The bones of the spine and hips are irregular bones.
Sesamoid bones are bones embedded in tendons. Since they act to hold the tendon further away from the joint, the angle of the tendon is increased and thus the leverage of the muscle is increased. Examples of sesamoid bones are the patella and the pisiform.
Formation
The formation of bone during the fetal stage of development occurs by two processes:
Intramembranous ossification and
endochondral ossification.
Intramembranous ossification
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 steps in intramembranous ossification are:
# Development of ossification center
# Calcification
# Formation of trabeculae
# Development of periosteum
Endochondral ossification
Endochondral ossification, on the other hand, occurs in long bones and most of the rest of the bones in the body; it involves an initial hyaline cartilage that continues to grow. The steps in endochondral ossification are:
# Development of cartilage model
# Growth of cartilage model
# Development of the primary ossification center
# Development of the secondary ossification center
# Formation of articular cartilage and epiphyseal plate
Endochondral ossification begins with points in 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 a long bone are separated by a growing zone of cartilage (the epiphyseal plate). When the child reaches 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).
Bone marrow
Bone marrow can be found in almost any bone that holds
cancellous tissue. In
newborns, all such bones are filled exclusively with red marrow, but as the child ages it is mostly replaced by yellow, or ''fatty'' marrow. In adults, red marrow is mostly found in the marrow bones of the femur, the ribs, the vertebrae and pelvic bones.
Remodeling
''
Remodeling'' or ''bone turnover'' is the process of resorption followed by replacement of bone with little change in shape and occurs throughout a person's life. Osteoblasts and osteoclasts, coupled together via
paracrine cell signalling, are referred to as bone remodeling units.
Purpose
The purpose of remodeling is to regulate
calcium homeostasis, repair
micro-damaged bones (from everyday stress) but also to shape and sculpture the skeleton during growth.
Calcium balance
The process of bone resorption by the osteoclasts releases stored calcium into the systemic circulation and is an important process in regulating calcium balance. As bone formation actively ''fixes'' circulating calcium in its mineral form, removing it from the bloodstream, resorption actively ''unfixes'' it thereby increasing circulating calcium levels. These processes occur in tandem at site-specific locations.
Repair
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.
Paracrine cell signalling
The action of
osteoblasts and
osteoclasts are controlled by a number of chemical
factors 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.
Osteoblast stimulation
Osteoblasts can be stimulated to increase bone mass through increased secretion of
osteoid and by
inhibiting the ability of osteoclasts to break down
osseous tissue.
Bone building through increased secretion of osteoid 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 reabsorbtion 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 reabsorbtion of bone by osteoclasts. These same compounds also increase secretion of macrophage colony-stimulating factor by osteoblasts, which promotes the differentiation of progenitor cells into osteoclasts, and decrease secretion of osteoprotegerin.
Osteoclast inhibition
The rate at which osteoclasts resorb bone is inhibited by
calcitonin and osteoprotegerin. Calcitonin is produced by
parafollicular cells in 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.
Disorders
There are many disorders of the skeleton. One of the more prominent is
osteoporosis.
Osteoporosis
Osteoporosis is a
disease of bone, leading to an increased risk of
fracture. In osteoporosis, the
bone mineral density (BMD) is reduced, bone microarchitecture is disrupted, and the amount and variety of non-
collagenous proteins in bone is altered. Osteoporosis is defined by the
World Health Organization (WHO) in women as a bone mineral density 2.5
standard deviations below peak bone mass (20-year-old sex-matched healthy person average) as measured by
DEXA; the term "established osteoporosis" includes the presence of a
fragility fracture. Osteoporosis is most common in women after the
menopause, when it is called
postmenopausal osteoporosis, but may develop in men and premenopausal women in the presence of particular hormonal disorders and other
chronic diseases or as a result of
smoking and
medications, specifically
glucocorticoids, when the disease is called
steroid- or
glucocorticoid-induced osteoporosis (SIOP or GIOP).
Osteoporosis can be prevented with lifestyle advice and medication, and preventing falls in people with known or suspected osteoporosis is an established way to prevent fractures. Osteoporosis can be treated with bisphosphonates and various other medical treatments.
Other
Other disorders of bone include:
Bone fracture
Bone mineral
Osteomyelitis
Osteosarcoma
Osteogenesis imperfecta
Osteochondritis dissecans
Bone metastases
Neurofibromatosis type I
Osteology
The study of bones and teeth is referred to as
osteology. It is frequently used in
anthropology,
archeology and
forensic science for a variety of tasks. This can include determining the nutritional, health, age or injury status of the individual the bones were taken from. Preparing fleshed bones for these types of studies can involve
maceration – boiling fleshed bones to remove large particles, then hand-cleaning.
Typically anthropologists and archeologists study bone tools made by ''Homo sapiens'' and ''Homo neanderthalensis''. Bones can serve a number of uses such as projectile points or artistic pigments, and can be made from endoskeletal or external bones such as antler or tusk.
Alternatives to bony endoskeletons
There are several
evolutionary alternatives to
mammillary bone; though they have some similar functions, they are not completely functionally analogous to bone.
Exoskeletons offer support, protection and levers for movement similar to endoskeletal bone. Different types of exoskeletons include shells, carapaces (consisting of calcium compounds or silica) and chitinous exoskeletons.
A true endoskeleton (that is, protective tissue derived from mesoderm) is also present in Echinoderms. Porifera (sponges) possess simple endoskeletons that consist of calcareous or siliceous spicules and a spongin fiber network.
Exposed bone
Bone penetrating the skin and being exposed to the outside can be both a natural process in some animals, and due to injury:
A deer's
antlers are composed of bone.
Instead of teeth, the extinct predatory fish ''Dunkleosteus'' had sharp edges of hard exposed bone along its jaws.
A compound fracture occurs when the edges of a broken bone puncture the skin.
Though not strictly speaking exposed, a bird's beak is primarily bone covered in a layer of keratin over a vascular layer containing blood vessels and nerve endings.
==Terminology==
Several terms are used to refer to features and components of bones throughout the body:
!Bone feature |
''articular process'' |
A projection that contacts an adjacent bone.
|
''articulation'' |
The region where adjacent bones contact each other — a joint.
|
''canal'' |
A long, tunnel-like foramen, usually a passage for notable nerves or blood vessels.
|
''condyle'' |
A large, rounded articular process.
|
''crest'' |
A prominent ridge.
|
''eminence'' |
A relatively small projection or bump.
|
''epicondyle'' |
A projection near to a condyle but not part of the joint.
|
''facet'' |
A small, flattened articular surface.
|
''foramen'' |
An opening through a bone.
|
''fossa'' |
A broad, shallow depressed area.
|
''fovea'' |
A small pit on the head of a bone.
|
''labyrinth'' |
A cavity within a bone.
|
''line'' |
A long, thin projection, often with a rough surface. Also known as a ''ridge''.
|
''malleolus'' |
One of two specific protuberances of bones in the ankle.
|
''meatus'' |
A short canal that finishes as a dead end, so it has only the entrance.
|
''process'' |
A relatively large projection or prominent bump.(gen.)
|
''ramus'' |
An arm-like branch off the body of a bone.
|
''sinus'' |
skull>cranial bone.
|
''spine'' |
A relatively long, thin projection or bump.
|
''suture'' |
Articulation between cranial bones.
|
''trochanter'' |
One of two specific tuberosities located on the femur.
|
''tubercle'' |
A projection or bump with a roughened surface, generally smaller than a tuberosity.
|
''tuberosity'' |
A projection or bump with a roughened surface.
|
Several terms are used to refer to specific features of long bones:
{|class="wikitable"
|-
! Bone feature||Definition
|-
| ''diaphysis''
| The long, relatively straight main body of a long bone; region of primary ossification. Also known as the ''shaft''.
|-
| ''epiphysis''
| The end regions of a long bone; regions of secondary ossification.
|-
| ''epiphyseal plate''
| Also known as the ''growth plate'' or ''physis''. In a long bone it is a thin disc of hyaline cartilage that is positioned transversely between the epiphysis and metaphysis. In the long bones of humans, the epiphyseal plate disappears by twenty years of age.
|-
| ''head''
| The proximal articular end of the bone.
|-
| ''metaphysis''
| The region of a long bone lying between the epiphysis and diaphysis.
|-
| ''neck''
| The region of bone between the head and the shaft.
|}
See also
List of bones of the human skeleton
Terms for anatomical location
Orthopaedics
Artificial bone
National Bone Health Campaign
Intramembranous ossification
Endochondral ossification
Osteoblast
Osteoclast
Bone marrow
Bone mineral
Mineralized tissues
Footnotes
References
External links
Educational resource materials (including animations) by the American Society for Bone and Mineral Research
Review (including references) of piezoelectricity''' and bone remodelling
A good basic overview of bone biology from the Science Creative '''Quarterly
Bone Health at Got Bones?
Osteopathic physicians
*Bone
Category:Osteology
*Bone
af:Been
am:አጥንት
ang:Bān
ar:عظم
arc:ܓܪܡܐ
ay:Ch'aka
zh-min-nan:Kut
bar:Boan
bs:Kost
br:Askorn
bg:Кост
ca:Os
cv:Шăмă
cs:Kost
co:Ossu
cy:Asgwrn
da:Knogle (anatomi)
de:Knochen
et:Luu
el:Οστό
es:Hueso
eo:Osto
eu:Hezur
fa:استخوان
fr:Os
fy:Bonke (skelet)
ga:Cnámh
gd:Cnàmh
gl:Óso
ko:뼈
hy:Ոսկոր
hi:अस्थि
hr:Kost
io:Osto
id:Tulang
is:Bein
it:Osso
he:עצם
jv:Balung
kk:Қарға сүйек, құстұмсықша сүйек
ht:Zo
lbe:ТтаркI
la:Os (anatomia ossis)
lv:Kauls
lt:Kaulas
ln:Mokúwa
lmo:Òs
hu:Csont
mk:Коска
ml:അസ്ഥി
ms:Tulang
nah:Omitl
nl:Bot (anatomie)
ja:骨
oc:Òs
pag:Pokel
pl:Kość
pt:Osso
ro:Os (anatomie)
qu:Tullu
ru:Кость
sco:Bane
sq:Eshtrat e njeriut
scn:Ossu (struttura rìggida)
simple:Bone
sk:Kosť
sl:Kost
so:Laf
sr:Кост
sh:Kosti
su:Tulang
fi:Luu
sv:Ben (skelett)
tl:Buto (anatomiya)
ta:எலும்பு
te:ఎముక
th:กระดูก
tr:Kemik doku
uk:Кістка
ur:ہڈی
vi:Xương
diq:Este
zh:骨骼