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116  M. C. H. VAN DER MEULEN AND P. J. PRENDERGAST



                               Epiphysis  Metaphysis    Diaphysis           Metaphysis Epiphysis









                                                                    Endosteum
                                                 Medullary  Cortical       Cancellous
                                  Growth plate    canal    bone  Periosteum   bone

                                                            (a)
                                                                         Osteoclast
                                                           Osteoblast
                                     Lining
                                       Cell

                                  Osteocyte
                                                                  Howship's
                                                                    lacuna

                                                                    Canaliculus
                                                            (b)
                               Figure 7.2. Schematics of bone anatomy: (a) the structure of a long bone
                               demonstrating the distribution of the two different tissue structures, cortical and
                               cancellous bone, and (b) the cells present in bone: osteoblasts, bone-forming cells
                               found on surfaces; osteocytes, bone cells embedded in the mineralised matrix; and
                               osteoclasts, bone-removing cells.



                               7.2.2 Cells and matrix
                               Cortical and cancellous bone tissue consists of cells in a mineralised
                               matrix. All skeletal cells differentiate from a common precursor cell pool:
                               the mesenchymal stem cells of the embryo (Figure 7.3). Mechanical
                               stimuli influence the mode of stem cell differentiation and the resulting
                               tissue type. Manipulation and control of stem cell differentiation holds
                               considerable promise in the field of tissue engineering and is receiving
                               much commercial and ethical attention. In addition to precursor cells,
                               three principal cell types are present in bone: osteoblasts, osteocytes, and
                               osteoclasts (Figure 7.2(b)). Osteoblasts are active bone-forming cells. All
                               bone surfaces are covered by a single layer of precursor cells and resting
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