. What are the three tasks of bone. OrthopaedicsOne Clerkship. In: OrthopaedicsOne - The Orthopaedic Knowledge Network. Created Oct 30, 2011 05:38. Last modified Mar 21, 2014 21:47 ver.238. Retrieved 2019-01-20, from https://www.orthopaedicsone.com/x/VgJCB.
What are the three tasks of bone? How can problems related to the two non-structural tasks lead to fracture?
The three tasks of bone are: skeletal homeostasis, mineral homeostasis and hematopoesis.
Mineral homeostasis involves maintaining the correct serum levels of calcium, phosphate and magnesium and other ions. PTH increases serum calcium levels by increasing GI calcium absorption, renal phosphate and calcium resorption and releasing calcium from the skeleton by de-boning the bone
As shown here (and don't memorize this for this class!) bone is only one of the actors, and plays a relatively subservient role
Hyperparathyroidism, to name one disease of aberrant mineral homeostasis, will increase osteoclast activity and therefore weaken the bone. Vitamin D deficiency in adults, to name another process, can cause defective bone mineralization, and will might lead to pathologic fractures.
In general, if the body needs minerals it will take them from the bones. You need the right level of Calcium to have a heart beat. You need a skeleton (in evolutionary terms) only to get to food and mate(s). Despite what you may recall of the vicissitudes of adolescence, cardiac contractility is more important, at least on a minute to minute basis, than finding food or mates.
Recall that Calcium is critical for nerve transmission, as shown here
Hematopoesis problems can also lead to fracture - indirectly. The indirect link is that because the blood-making apparatus resides in the bone, blood cell cancers that originate in the bone can cause local bony damage. Also, because the blood-making apparatus is in the bone, the bones are essentially part of the vascular system. And because bones are part of the vascular system, bad blood cells can get stuck there (for example, sickled red blood cells can muck up the circulation and lead to infarction) as can metastatic cancer cells or infectious microbes.
lymphoma of bone
osteomyelitis (infection) of the tibia from circulating bacteria
Infarction of bone from Sickle cell disease