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The periosteum is a membrane that covers the outer surface of all bones, [1] except at the articular surfaces (i.e. the parts within a joint space) of long bones. (At the joints of long bones the bone's outer surface is lined with "articular cartilage", a type of hyaline cartilage .)
Examples of periosteal reactive bone in selected specimens of Triceratops. A periosteal reaction can result from a large number of causes, including injury and chronic irritation due to a medical condition such as hypertrophic osteopathy, bone healing in response to fracture, chronic stress injuries, subperiosteal hematomas, osteomyelitis, and cancer of the bone.
The periosteum is one source of precursor cells that develop into chondroblasts and osteoblasts that are essential to the healing of bone. Other sources of precursor cells are the bone marrow (when present), endosteum , small blood vessels , and fibroblasts .
The outer surface of a bone is lined by a thin layer of connective tissue that is very similar in morphology and function to endosteum. It is called the periosteum , or the periosteal surface. During bone growth , the width of the bone increases as osteoblasts lay new bone tissue at the periosteum.
Bone pain originates from both the periosteum and the bone marrow which relay nociceptive signals to the brain creating the sensation of pain. Bone tissue is innervated by both myelinated (A beta and A delta fiber) and unmyelinated sensory neurons. In combination, they can provide an initial burst of pain, initiated by the faster myelinated ...
This newly formed bone can be called "periosteal bone" as it originates from the transformed periosteum. However, considering its developmental pathway, it could be classified as "intramembranous bone". [8] After the formation of the periosteum, chondrocytes in the primary center of ossification begin to grow (hypertrophy).
The bone collar is a cuff of periosteal bone that forms around the diaphysis of the hyaline cartilage model in developing long bones. [1] The bone collar appears during endochondral bone development to support the growing bone and help it retain its shape.
It is called onion skin periosteal reaction because it resembles the layers of an onion. These layers are formed due to any pathological process that leads to the variable, excessive growth of the bone. [1] Onion skin periosteal reaction is seen in osteosarcoma, [2] Ewing sarcoma and Langerhans cell histiocytosis. [3]