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Friday, February 15, 2013

Reorganisation and Restoration of Bone


Reorganisation and Restoration of Bone
Changes in the size and shape of bones during the period of growth imply some bone reorganisation. Osteoblast and osteoclast constantly deposit and remove bone to adjust its properties to growth-related demands on size and/or changes of tensile and compressive forces.Although the reorganisation of bone may not result in macroscopically visible changes of bone structure, it continues throughout life to mend damage to bone (e.g. microfractures) and to counteract the wear and tear occurring in bone. Osteoclasts and osteoblasts remain the key players in this process. Osteoclasts "drill" more or less circular tunnels within existing bone matrix. 

Osteoblasts deposit new lamellae of bone matrix on the walls of these tunnels resulting in the formation of a new Haversian system within the matrix of compact bone. Parts of older Haversian systems, which may remain between the new ones, represent the interstitial lamellae in mature bone. Capillaries and nerves sprout into new Haversian canals. Restorative activity continues in aged humans (about 2% of the Haversian systems seen in an 84 year old individual contained lamellae that had been formed within 2 weeks prior to death!). 

However, the Haversian systems tend to be smaller in older individuals and the canals are larger because of slower bone deposition. If these age-related changes in the appearance of the Haversian systems are pronounced they are termed osteopenia or senile osteoporosis. The reduced strength of bone affected by osteoporosis will increase the likelihood of fractures.
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by:om at 2013-02-15T03:05:00+07:00
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