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Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Osteoclasts in Bone Remodeling01:31

Osteoclasts in Bone Remodeling

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...

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Related Experiment Videos

Recognizing and treating secondary osteoporosis.

Karen Walker-Bone1

  • 1Brighton & Sussex Medical School, University of Sussex, Falmer, Brighton BN1 9PX, UK. k.walker-bone@bsms.ac.uk

Nature Reviews. Rheumatology
|July 12, 2012
PubMed
Summary
This summary is machine-generated.

Secondary osteoporosis, often caused by medications or other health conditions, is a growing public health concern. Early identification and treatment are crucial to manage this increasingly common bone disease.

Related Experiment Videos

Area of Science:

  • Endocrinology
  • Public Health
  • Pharmacology

Background:

  • Osteoporosis is a significant global health issue, linked to fragility fractures and substantial economic costs.
  • The prevalence of osteoporosis is projected to increase due to demographic shifts.
  • Secondary osteoporosis, resulting from drugs, diseases, or deficiencies, is gaining recognition as a critical area of concern.

Purpose of the Study:

  • To highlight the importance of secondary osteoporosis.
  • To discuss known and emerging causes and mechanisms of secondary osteoporosis.
  • To provide guidance on identifying and managing secondary osteoporosis.

Main Methods:

  • Review of existing literature on secondary osteoporosis.
  • Analysis of frequently recognized and less common causes.
  • Examination of treatment strategies for secondary osteoporosis.

Main Results:

  • Identified common causes like glucocorticoids, hypogonadism, alcohol abuse, and malnutrition.
  • Highlighted less publicized causes, including hematological conditions and acid-suppressing medications.
  • Discussed how advancements in treating primary diseases (e.g., cancer, HIV, cystic fibrosis) contribute to the development of secondary osteoporosis.

Conclusions:

  • Secondary osteoporosis represents a growing challenge in public health.
  • Comprehensive understanding and identification of diverse causes are essential for effective management.
  • Further research and clinical attention are needed for pragmatic identification and treatment strategies.