Human
skeletal system :
The hard external or internal structures of the animals
body is called skeleton. The external skeleton is known as exoskeleton. eg. Nails, hairs, etc .
The Internal skeleton is known as endoskeleton. Eg. Bones.
The skeletal system in an adult body is made up of
206 individual bones. These bones are arranged into two major divisions:
the axial skeleton and the appendicular skeleton. The axial
skeleton runs along the body’s midline axis and is made up of 80 bones in the
following regions:
- Skull
- Hyoid
- Auditory ossicles
- Ribs
- Sternum
- Vertebral column
The appendicular skeleton is made up of 126 bones in
the folowing regions:
- Upper limbs
- Lower limbs
- Pelvic girdle
- Pectoral (shoulder) girdle
Functions
of skeleton :
A human skeleton on exhibit at theMuseum of
Osteology, Oklahoma City ,
Oklahoma
The skeleton serves six major functions; support,
movement, protection, production of blood cells, storage of minerals and
endocrine regulation.
Support
The skeleton provides the framework which supports
the body and maintains its shape. The pelvis, associated ligaments and muscles
provide a floor for the pelvic structures. Without the rib
cages, costal cartilages, and intercostal muscles, the
lungs would collapse.
Movement
The joints between bones allow movement, some
allowing a wider range of movement than others, e.g. the ball and socket joint
allows a greater range of movement than the pivot joint at the neck. Movement
is powered by skeletal muscles, which are attached to the skeleton at
various sites on bones. Muscles, bones, and joints provide the principal
mechanics for movement, all coordinated by the nervous system.
It is believed that the reduction of human bone
density in prehistoric times reduced the agility and dexterity of human
movement. Shifting from hunting to agriculture has caused human bone
density to reduce significantly.
Muscle
attachment :
The endoskeletal parts provide attachment for large
muscles.
Helps
in breathing and hearing :
The cartilages of the larynx, trachea, sternum, and
ribs are helpful in breathing while the ear bones of the middle ear transmit
the sound vibrations from the tympanic membrane to the internal ear .
Protection
The skeleton helps to protect our many vital
internal organs from being damaged.
The skull protects the brain
The vertebrae protect the spinal
cord.
The rib cage, spine,
and sternum protect the lungs, heart and
major blood vessels.
Blood
cell production
The skeleton is the site of haematopoiesis, the
development of blood cells that takes place in the bone marrow. In
children, haematopoiesis occurs primarily in the marrow of the long bones such
as the femur and tibia. In adults, it occurs mainly in the pelvis, cranium,
vertebrae, and sternum.
Storage
The bone matrix can
store calcium and is involved in calcium metabolism,
and bone marrow can store iron in ferritin and is
involved in iron metabolism. However, bones are not entirely made of
calcium, but a mixture of chondroitin sulfate and hydroxyapatite, the
latter making up 70% of a bone. Hydroxyapatite is in turn composed of 39.8% of
calcium, 41.4% of oxygen, 18.5% of phosphorus, and 0.2% of hydrogen by mass.
Chondroitin sulfate is a sugar made up primarily of oxygen and carbon.
Endocrine
regulation
Bone cells 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.
Skull
:
skeleton of the head is called skeleton and The skull is
composed of 22 bones that are fused together except for the mandible. These 21
fused bones are separate in children to allow the skull and brain to grow, but
fuse to give added strength and protection as an adult. The mandible remains
as a movable jaw bone and forms the only movable joint in the skull with
the temporal bone.
The bones of the superior portion of the skull are
known as the cranium and protect the brain from damage. The bones of the
inferior and anterior portion of the skull are known as facial bones and
support the eyes, nose, and mouth.
Functions
of the skull :
- The skull is protect the brain .
- The skull bears jaws which helps the animals for cutting the food .
- protect and supports special sense organ
- the hyoid bone protects and supports the throat .
Bones
of the cranium : cranium is formed by 8 bones. The bones
which forms the cranium are :
- 1 frontal bone
- 2 parietal bone
- 2 temporal bone
- 1 occipital bone
- 1 sphenoid bone
- 1 ethmoid bone
Hyoid
and Auditory Ossicles :
The hyoid is a small, U-shaped bone found just inferior to the mandible. The hyoid is the only bone in the body that does not form a joint with any other bone—it is a floating bone. The hyoid’s function is to help hold the trachea open and to form a bony connection for the tongue muscles.
The hyoid is a small, U-shaped bone found just inferior to the mandible. The hyoid is the only bone in the body that does not form a joint with any other bone—it is a floating bone. The hyoid’s function is to help hold the trachea open and to form a bony connection for the tongue muscles.
The malleus, incus, and stapes—known collectively as
the auditory ossicles—are the smallest bones in the body. Found in a small
cavity inside of the temporal bone, they serve to transmit and amplify sound
from the eardrum to the inner ear.
Bones
of the face :
There are 14 bones which forms the skeleton of the
face .
- 2 zygomatic bones
- 2 maxilla
- 2 nasal bones
- 2 lacrimal bones
- 1 vomer
- 2 palatine bones
- 2 inferior nasal conchae
- 1 mandible ( dentary )
Vertebrae
:
Twenty-six vertebrae form the vertebral column of the human body. They are named by region:
Twenty-six vertebrae form the vertebral column of the human body. They are named by region:
- Cervical (neck) - 7 vertebrae
- Thoracic (chest) - 12 vertebrae
- Lumbar (lower back) - 5 vertebrae
- Sacrum - 1 vertebra
- Coccyx (tailbone) - 1 vertebra
With the exception of the singular sacrum and
coccyx, each vertebra is named for the first letter of its region and its
position along the superior-inferior axis. For example, the most superior
thoracic vertebra is called T1 and the most inferior is called T12.
Ribs
and Sternum :
The sternum, or breastbone, is a thin, knife-shaped bone located along the midline of the anterior side of the thoracic region of the skeleton. The sternum connects to the ribs by thin bands of cartilage called the costal cartilage.
The sternum, or breastbone, is a thin, knife-shaped bone located along the midline of the anterior side of the thoracic region of the skeleton. The sternum connects to the ribs by thin bands of cartilage called the costal cartilage.
There are 12 pairs of ribs that together with the
sternum form the ribcage of the thoracic region. The first seven ribs are known
as “true ribs” because they connect the thoracic vertebrae directly to the
sternum through their own band of costal cartilage. Ribs 8, 9, and 10 all
connect to the sternum through cartilage that is connected to the cartilage of
the seventh rib, so we consider these to be “false ribs.” Ribs 11 and 12 are
also false ribs, but are also considered to be “floating ribs” because they do
not have any cartilage attachment to the sternum at all.
Pectoral Girdle and
Upper Limb :
The pectoral girdle connects the upper limb (arm) bones to the axial skeleton and consists of the left and right clavicles and left and right scapulae.
The pectoral girdle connects the upper limb (arm) bones to the axial skeleton and consists of the left and right clavicles and left and right scapulae.
The humerus is the bone of the upper arm. It forms
the ball and socket joint of the shoulder with the scapula and forms
the elbow joint with the lower arm bones. The radius and ulna are the
two bones of the forearm. The ulna is on the medial side of the forearm and forms
a hinge joint with the humerus at the elbow. The radius allows the forearm and
hand to turn over at the wrist joint.
The lower arm bones form the wrist joint with the
carpals, a group of eight small bones that give added flexibility to the wrist.
The carpals are connected to the five metacarpals that form the bones of
the hand and connect to each of the fingers. Each finger has three bones
known as phalanges, except for the thumb, which only has two phalanges.
Pelvic
Girdle and Lower Limb :
Formed by the left and right hip bones, the pelvic girdle connects the lower limb (leg) bones to the axial skeleton.
Formed by the left and right hip bones, the pelvic girdle connects the lower limb (leg) bones to the axial skeleton.
The femur is the largest bone in the body
and the only bone of the thigh (femoral) region. The femur forms the ball and
socket hip joint with the hip bone and forms theknee joint with
the tibia and patella. Commonly called the kneecap, the patella is special
because it is one of the few bones that are not present at birth. The patella
forms in early childhood to support the knee for walking and crawling.
The tibia and fibula are the bones of the lower leg.
The tibia is much larger than the fibula and bears almost all of the body’s
weight. The fibula is mainly a muscle attachment point and is used to help
maintain balance. The tibia and fibula form the ankle joint with the talus, one
of the seven tarsal bones in the foot.
The tarsals are a group of seven small bones that
form the posterior end of the foot and heel. The tarsals form joints with the
five long metatarsals of the foot. Then each of the metatarsals forms a joint
with one of the set of phalanges in the toes. Each toe has three phalanges,
except for the big toe, which only has two phalanges.
Microscopic
Structure of Bones :
The skeleton makes up about 30-40% of an adult’s body mass. The skeleton’s mass is made up of nonliving bone matrix and many tiny bone cells. Roughly half of the bone matrix’s mass is water, while the other half is collagen protein and solid crystals of calcium carbonate and calcium phosphate.
Living bone cells are found on the edges of bones and in small cavities inside of the bone matrix. Although these cells make up very little of the total bone mass, they have several very important roles in the functions of the skeletal system.
The skeleton makes up about 30-40% of an adult’s body mass. The skeleton’s mass is made up of nonliving bone matrix and many tiny bone cells. Roughly half of the bone matrix’s mass is water, while the other half is collagen protein and solid crystals of calcium carbonate and calcium phosphate.
Living bone cells are found on the edges of bones and in small cavities inside of the bone matrix. Although these cells make up very little of the total bone mass, they have several very important roles in the functions of the skeletal system.
The bone cells allow bones to:
Grow and develop
Be repaired following an injury or daily wear
Be broken down to release their stored minerals
Types
of Bones :
All of the bones of the body can be broken down into five types: long, short, flat, irregular, and sesamoid.
All of the bones of the body can be broken down into five types: long, short, flat, irregular, and sesamoid.
·
Long. Long bones are longer than
they are wide and are the major bones of the limbs. Long bones grow more than
the other classes of bone throughout childhood and so are responsible for the
bulk of our height as adults. A hollow medullary cavity is found in the center
of long bones and serves as a storage area for bone marrow. Examples of long
bones include the femur, tibia, fibula, metatarsals, and phalanges.
·
Short. Short bones are about as long
as they are wide and are often cubed or round in shape. The carpal bones of the
wrist and the tarsal bones of the foot are examples of short bones.
·
Flat. Flat bones vary greatly in
size and shape, but have the common feature of being very thin in one
direction. Because they are thin, flat bones do not have a medullary cavity
like the long bones. The frontal, parietal, and occipital bones of
the cranium—along with the ribs and hip bones—are all examples of flat bones.
·
Irregular. Irregular bones have a
shape that does not fit the pattern of the long, short, or flat bones. The
vertebrae, sacrum, and coccyx of the spine—as well as the sphenoid, ethmoid,
and zygomatic bones of the skull—are all irregular bones.
·
Sesamoid. The sesamoid bones are formed
after birth inside of tendons that run across joints. Sesamoid bones grow to
protect the tendon from stresses and strains at the joint and can help to give
a mechanical advantage to muscles pulling on the tendon. The patella and
the pisiform bone of the carpals are the only sesamoid bones that are
counted as part of the 206 bones of the body. Other sesamoid bones can form in
the joints of the hands and feet, but are not present in all people.
Parts
of Bones
The long bones of the body contain many distinct regions due to the way in which they develop. At birth, each long bone is made of three individual bones separated by hyaline cartilage. Each end bone is called an epiphysis (epi = on; physis = to grow) while the middle bone is called a diaphysis (dia = passing through). The epiphyses and diaphysis grow towards one another and eventually fuse into one bone. The region of growth and eventual fusion in between the epiphysis and diaphysis is called the metaphysis (meta = after). Once the long bone parts have fused together, the only hyaline cartilage left in the bone is found as articular cartilage on the ends of the bone that form joints with other bones. The articular cartilage acts as a shock absorber and gliding surface between the bones to facilitate movement at the joint.
The long bones of the body contain many distinct regions due to the way in which they develop. At birth, each long bone is made of three individual bones separated by hyaline cartilage. Each end bone is called an epiphysis (epi = on; physis = to grow) while the middle bone is called a diaphysis (dia = passing through). The epiphyses and diaphysis grow towards one another and eventually fuse into one bone. The region of growth and eventual fusion in between the epiphysis and diaphysis is called the metaphysis (meta = after). Once the long bone parts have fused together, the only hyaline cartilage left in the bone is found as articular cartilage on the ends of the bone that form joints with other bones. The articular cartilage acts as a shock absorber and gliding surface between the bones to facilitate movement at the joint.
Looking at a bone in cross section, there are
several distinct layered regions that make up a bone. The outside of a bone is
covered in a thin layer of dense irregular connective tissue called the
periosteum. The periosteum contains many strong collagen fibers that are used
to firmly anchor tendons and muscles to the bone for movement. Stem cells and
osteoblast cells in the periosteum are involved in the growth and repair of the
outside of the bone due to stress and injury. Blood vessels present in the
periosteum provide energy to the cells on the surface of the bone and penetrate
into the bone itself to nourish the cells inside of the bone. The periosteum
also contains nervous tissue and many nerve endings to give bone its
sensitivity to pain when injured.
Deep to the periosteum is the compact bone that
makes up the hard, mineralized portion of the bone. Compact bone is made of a
matrix of hard mineral salts reinforced with tough collagen fibers. Many tiny
cells called osteocytes live in small spaces in the matrix and help to maintain
the strength and integrity of the compact bone.
Deep to the compact bone layer is a region of spongy
bone where the bone tissue grows in thin columns called trabeculae with spaces
for red bone marrow in between. The trabeculae grow in a specific pattern to
resist outside stresses with the least amount of mass possible, keeping bones
light but strong. Long bones have a spongy bone on their ends but have a hollow
medullary cavity in the middle of the diaphysis. The medullary cavity contains
red bone marrow during childhood, eventually turning into yellow bone marrow
after puberty.
Articulations
An articulation, or joint, is a point of contact between bones, between a bone and cartilage, or between a bone and a tooth. Synovial joints are the most common type of articulation and feature a small gap between the bones. This gap allows a free range of motion and space for synovial fluid to lubricate the joint. Fibrous joints exist where bones are very tightly joined and offer little to no movement between the bones. Fibrous joints also hold teeth in their bony sockets. Finally, cartilaginous joints are formed where bone meets cartilage or where there is a layer of cartilage between two bones. These joints provide a small amount of flexibility in the joint due to the gel-like consistency of cartilage.
An articulation, or joint, is a point of contact between bones, between a bone and cartilage, or between a bone and a tooth. Synovial joints are the most common type of articulation and feature a small gap between the bones. This gap allows a free range of motion and space for synovial fluid to lubricate the joint. Fibrous joints exist where bones are very tightly joined and offer little to no movement between the bones. Fibrous joints also hold teeth in their bony sockets. Finally, cartilaginous joints are formed where bone meets cartilage or where there is a layer of cartilage between two bones. These joints provide a small amount of flexibility in the joint due to the gel-like consistency of cartilage.
Support
and Protection
The skeletal system’s primary function is to form a solid framework that supports and protects the body's organs and anchors the skeletal muscles. The bones of the axial skeleton act as a hard shell to protect the internal organs—such as the brain and theheart—from damage caused by external forces. The bones of the appendicular skeleton provide support and flexibility at the joints and anchor the muscles that move the limbs.
The skeletal system’s primary function is to form a solid framework that supports and protects the body's organs and anchors the skeletal muscles. The bones of the axial skeleton act as a hard shell to protect the internal organs—such as the brain and theheart—from damage caused by external forces. The bones of the appendicular skeleton provide support and flexibility at the joints and anchor the muscles that move the limbs.
Movement
The bones of the skeletal system act as attachment points for the skeletal muscles of the body. Almost every skeletal muscle works by pulling two or more bones either closer together or further apart. Joints act as pivot points for the movement of the bones. The regions of each bone where muscles attach to the bone grow larger and stronger to support the additional force of the muscle. In addition, the overall mass and thickness of a bone increase when it is under a lot of stress from lifting weights or supporting body weight.
The bones of the skeletal system act as attachment points for the skeletal muscles of the body. Almost every skeletal muscle works by pulling two or more bones either closer together or further apart. Joints act as pivot points for the movement of the bones. The regions of each bone where muscles attach to the bone grow larger and stronger to support the additional force of the muscle. In addition, the overall mass and thickness of a bone increase when it is under a lot of stress from lifting weights or supporting body weight.
Hematopoiesis
Red bone marrow produces red and white blood cells in a process known as hematopoiesis. Red bone marrow is found in the hollow space inside of bones known as the medullary cavity. Children tend to have more red bone marrow compared to their body size than adults do, due to their body’s constant growth and development. The amount of red bone marrow drops off at the end of puberty, replaced by yellow bone marrow.
Red bone marrow produces red and white blood cells in a process known as hematopoiesis. Red bone marrow is found in the hollow space inside of bones known as the medullary cavity. Children tend to have more red bone marrow compared to their body size than adults do, due to their body’s constant growth and development. The amount of red bone marrow drops off at the end of puberty, replaced by yellow bone marrow.
Storage
The skeletal system stores many different types of essential substances to facilitate growth and repair of the body. The skeletal system’s cell matrix acts as our calcium bank by storing and releasing calcium ions into the blood as needed. Proper levels of calcium ions in the blood are essential to the proper function of the nervous and muscular systems. Bone cells also release osteocalcin, a hormone that helps regulate blood sugar and fat deposition. The yellow bone marrow inside of our hollow long bones is used to store energy in the form of lipids. Finally, red bone marrow stores some iron in the form of the molecule ferritin and uses this iron to form hemoglobin in red blood cells.
The skeletal system stores many different types of essential substances to facilitate growth and repair of the body. The skeletal system’s cell matrix acts as our calcium bank by storing and releasing calcium ions into the blood as needed. Proper levels of calcium ions in the blood are essential to the proper function of the nervous and muscular systems. Bone cells also release osteocalcin, a hormone that helps regulate blood sugar and fat deposition. The yellow bone marrow inside of our hollow long bones is used to store energy in the form of lipids. Finally, red bone marrow stores some iron in the form of the molecule ferritin and uses this iron to form hemoglobin in red blood cells.
Growth
and Development
The skeleton begins to form early in fetal development as a flexible skeleton made of hyaline cartilage and dense irregular fibrous connective tissue. These tissues act as a soft, growing framework and placeholder for the bony skeleton that will replace them. As development progresses, blood vessels begin to grow into the soft fetal skeleton, bringing stem cells and nutrients for bone growth. Osseous tissue slowly replaces the cartilage and fibrous tissue in a process called calcification. The calcified areas spread out from their blood vessels replacing the old tissues until they reach the border of another bony area. At birth, the skeleton of a newborn has more than 300 bones; as a person ages, these bones grow together and fuse into larger bones, leaving adults with only 206 bones.
The skeleton begins to form early in fetal development as a flexible skeleton made of hyaline cartilage and dense irregular fibrous connective tissue. These tissues act as a soft, growing framework and placeholder for the bony skeleton that will replace them. As development progresses, blood vessels begin to grow into the soft fetal skeleton, bringing stem cells and nutrients for bone growth. Osseous tissue slowly replaces the cartilage and fibrous tissue in a process called calcification. The calcified areas spread out from their blood vessels replacing the old tissues until they reach the border of another bony area. At birth, the skeleton of a newborn has more than 300 bones; as a person ages, these bones grow together and fuse into larger bones, leaving adults with only 206 bones.
Flat bones follow the process of intramembranous
ossification where the young bones grow from a primary ossification center in
fibrous membranes and leave a small region of fibrous tissue in between each
other. In the skull these soft spots are known as fontanels, and give the skull
flexibility and room for the bones to grow. Bone slowly replaces the fontanels
until the individual bones of the skull fuse together to form a rigid adult
skull.
Long bones follow the process of endochondral
ossification where the diaphysis grows inside of cartilage from a primary
ossification center until it forms most of the bone. The epiphyses then grow
from secondary ossification centers on the ends of the bone. A small band of
hyaline cartilage remains in between the bones as a growth plate. As we grow
through childhood, the growth plates grow under the influence of growth and sex
hormones, slowly separating the bones. At the same time the bones grow larger
by growing back into the growth plates. This process continues until the end of
puberty, when the growth plate stops growing and the bones fuse permanently
into a single bone. The vast difference in height and limb length between birth
and adulthood are mainly the result of endochondral ossification in the long
bones.
The human skeleton is the internal
framework of the body. It is composed of 270 bones at birth – this
total decreases to 206 bones by adulthood after some bones have fused
together. The bone mass in the skeleton reaches maximum density around age
30. The human skeleton can be divided into the axial skeleton and
the appendicular skeleton. The axial skeleton is formed by
the vertebral column, the rib cage and the skull. The
appendicular skeleton, which is attached to the axial skeleton, is formed by
the pectoral girdle, the pelvic girdle and the bones of the upper and
lower limbs.
The human skeleton serves six major functions;
support, movement, protection, production of blood cells, storage of ions
and endocrine regulation.
The human skeleton is not as sexually
dimorphic as that of many other primate species, but subtle differences
between sexes in the morphology of the skull, dentition, long
bones, and pelves exist. In general, female skeletal elements tend to be
smaller and less robust than corresponding male elements within a given
population. The human female pelvis is also different from that of
males in order to facilitate child birth.[citation needed] Unlike most
primates, human males do not have penile bones.
Divisions
Axial
skeleton
The axial skeleton (80 bones) is formed by
the vertebral column (32–34 bones; the number of the vertebrae
differs from human to human as the lower 2 parts, sacral and coccygeal bone may
vary in length), the rib cage (12 pairs of ribs and the sternum),
and the skull (22 bones and 7 associated bones).
The upright posture of humans is maintained by the
axial skeleton, which transmits the weight from the head, the trunk, and the
upper extremities down to the lower extremities at the hip joints. The
bones of the spine are supported by many ligaments. The erector spinae
muscles are also supporting and are useful for balance.
A human is able to survive with just the axial
portion of their skeleton.[citation needed]
Appendicular
skeleton
The appendicular skeleton (126 bones) is formed by the
pectoral girdles, the upper limbs, the pelvic girdle or pelvis, and the lower
limbs. Their functions are to make locomotion possible and to protect the major
organs of digestion, excretion and reproduction.
Sex differences
During construction of the York
to Scarborough Railway Bridge in
1901, workmen discovered a large stone coffin, close to the River Ouse.
Inside was a skeleton, accompanied by an array of unusual and expensive
objects. This chance find represents one of the most significant discoveries
ever made from Roman York. Study of the skeleton has revealed that it
belonged to a woman.
Anatomical differences between human males and
females are highly pronounced in some soft tissue areas, but tend to be limited
in the skeleton. The human skeleton is not as sexually dimorphic as
that of many other primate species, but subtle differences between sexes in
the morphology of the skull, dentition, long bones,
and pelves (sing. pelvis) are exhibited across human populations. In
general, female skeletal elements tend to be smaller and less robust than
corresponding male elements within a given population.
Skull
A variety of gross morphological traits of
the human skull demonstrate sexual dimorphism, such as
the nuchal crest, mastoid processes, supraorbital
margin,supraorbital ridge, and mental eminence.
Dentition
Human inter-sex dental dimorphism centers on
the canines, but it is not nearly as pronounced as in the other great
apes.
Long
bones
Long bones are generally larger in males than in
females within a given population. Muscle attachment sites on long bones are
often more robust in males than in females, reflecting a difference in overall
muscle mass and development between sexes. Sexual dimorphism in the long bones
is commonly characterized by morphometric or gross morphological
analyses.
Pelvis
Human pelves exhibit greater sexual dimorphism than
other bones, specifically in the size and shape of the pelvic
cavity, ilia, greater sciatic notches, and the sub-pubic angle. The
Phenice method is commonly used to determine the sex of an unidentified
human skeleton by anthropologists with 96% to 100% accuracy in some populations.
Disorders
Bone
disease
There are many classified skeletal disorders. One of
the most common is osteoporosis. Also common is scoliosis, a
side-to-side curve in the back or spine, often creating a pronounced
"C" or "S" shape when viewed on an x-ray of the spine. This
condition is most apparent during adolescence, and is most common with females.
Arthritis
Arthritis is a disorder of the joints. It
involves inflammation of one or more joints. When affected by arthritis, the
joint or joints affected may be painful to move, may move in unusual directions
or may be immobile completely. The symptoms of arthritis will vary differently
between types of arthritis. The most common form of
arthritis: Osteoarthritis can affect both the larger and smaller
joints of the human skeleton. The cartilage in the affected joints
will degrade, soften and wear away. This decreases the mobility of the joints
and decreases the space between bones where cartilage should be.
Osteoporosis
Osteoporosis is a disease of bone where there is
reduced bone mineral density, increasing the likelihood of fractures.
Osteoporosis is defined by the World Health Organization in women as
a bone mineral density 2.5 standard deviations below peak bone mass,
relative to the age and sex-matched average, as measured by Dual energy
X-ray absorptiometry, with the term "established osteoporosis"
including the presence of a fragility fracture. Osteoporosis is most
common in women after 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. Osteoporosis usually has no symptoms
until a fracture occurs. For this reason, DEXA scans are often done in people
with one or more risk factors, who have developed osteoporosis and be at risk
of fracture.
Osteoporosis treatment includes advice to stop
smoking, decrease alcohol consumption, exercise regularly, and have a healthy
diet. Calcium supplements may also be advised, as may Vitamin D.
When medication is used, it may include bisphosphonates, Strontium
ranelate, and osteoporosis may be one factor considered when
commencing Hormone replacement therapy
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