Look Out Below: A Case Study on Bone Tissue Structure and Repair Mrs.

Debbie Morgan is a 45-year-old female who works as a stocking clerk for a local home improvement store. While she was at work today a large box of metal rivets fell from a 2 -ft.high overhead shelf! striking her o"tstretched arm and knocking her to the gro"nd. #he amb"lance personnel reported that she had lost $"ite a bit of blood at the accident scene and was %knocked o"t& when they arrived. #o minimi'e f"rther hemorrhage! the paramedics applied a press"re bandage to her arm. (o" meet the paramedics as they bring Mrs. Morgan into the emergency room and begin to assess her for in)"ries. *he is awake and alert! b"t complaining of severe left arm and back pain! pl"s she has a %killer headache.& #o f"lly examine her in)"ries yo" remove fo"r blood-soaked bandages from her arm. (o" notice a large open wo"nd on her arm with what appears to be bone tiss"e sticking o"t of the skin. *he also has br"ises covering her left sho"lder! left wrist! and lower back. #o determine the extent of her in)"ries Mrs. Morgan "ndergoes several x-rays! which reveal the following+ ,- fract"re of the left h"mer"s at the proximal diaphysis! 2- depressed fract"re of the occipital bone! .- fract"re of the .rd l"mbar vertebral body. *hort /nswer 0"estions ,. Define the following terms! "sed in the case and also in associated $"estions+ a. hemorrhage b. fract"re c. proximal d. diaphysis 2. 1ne way bones are classified is by their shape. 2ow wo"ld yo" classify the bones fract"red by Mrs. Morgan3 .. #he body of Mrs. Morgan4s vertebra is fract"red. What type of bone tiss"e makes "p the ma)ority of the vertebral body3 Describe the str"ct"re and f"nction of this type of bone. 4. #he diaphysis of Mrs. Morgan4s h"mer"s is fract"red. What type of bone makes "p the ma)ority of the diaphysis of long bones like the h"mer"s3 Describe the layers of bone tiss"e fo"nd here. 5. Most connective tiss"e! incl"ding bone! is highly vasc"lar. Which anatomical str"ct"res in Mrs. Morgan4s compact bone ho"se blood vessels3 What sign or symptom in Mrs. Morgan4s case is directly related to disr"ption of these str"ct"res by her bone fract"res3 2ow is the sign or symptom related to these anatomical str"ct"res3 5. Within days after a fract"re! a %soft call"s& of fibrocartilage forms. What fibers are fo"nd in this type of cartilage3 6dentify the cells re$"ired for fibrocartilagino"s call"s formation and list their f"nctions.

7. /s a fract"re is repaired! new bone is added to the in)"ry site. What term is "sed to describe the addition of new bone tiss"e3 6dentify which bone cell is responsible for this process and explain how it occ"rs. 8. 6n the final stage of bone repair! some of the osseo"s tiss"e m"st be broken down and removed. What term is "sed to define the breaking down of osseo"s tiss"e3 Which bone cell wo"ld be best s"ited for this task3 9. #he extracell"lar matrix :;<M- of bone is considered to be a composite material made "p of organic and inorganic matter. What makes "p the organic and inorganic portions of the matrix3 Describe the cell"lar mechanism involved in breaking down this matrix= incl"de the bone cell re$"ired for the process.