Flat bone

Medically Reviewed by Anatomy Team

A flat bone is a type of bone characterized by its thin, flattened shape and often slightly curved surfaces. These bones consist of two parallel layers of compact bone with a layer of spongy bone in between. The structure of flat bones provides extensive surfaces for muscle attachment and protection for underlying soft tissues. They do not have a cylindrical shape like long bones and typically do not contain a marrow cavity in adults.

Location

Flat bones are located in various parts of the body. They include:

  • Skull: Bones such as the frontal, parietal, occipital, and temporal bones form the cranium, protecting the brain.
  • Thoracic Cage: The sternum (breastbone) and ribs protect the organs in the thoracic cavity, including the heart and lungs.
  • Shoulder Girdle: The scapulae (shoulder blades) provide attachment points for muscles and aid in shoulder movement.
  • Pelvis: The hip bones (ilium, ischium, and pubis) protect pelvic organs and provide attachment for lower limb muscles.

Structure of Flat Bones

Flat bones are uniquely designed to provide extensive surfaces for muscle attachment and protection for internal organs. They have a complex structure that includes layers of compact and spongy bone, which contributes to their strength and functionality.

General Structure

Thin and Flattened Shape

Flat bones have a thin, flattened shape that is often curved. This design allows them to provide a broad surface area for muscle attachment and organ protection.

Layers of Bone

Flat bones are composed of two thin layers of compact bone enclosing a middle layer of spongy bone. This structure is known as a sandwich-like arrangement.

Compact Bone

Outer and Inner Tables

The outer layer (outer table) and the inner layer (inner table) of flat bones are made of compact bone. These layers are dense and strong, providing rigidity and strength to the bone.

Periosteum

The compact bone is covered by a periosteum, a dense, fibrous membrane that contains blood vessels, nerves, and lymphatic vessels. The periosteum plays a crucial role in nourishing the bone and aiding in repair and growth.

Spongy Bone

Diploë

The spongy bone sandwiched between the layers of compact bone in flat bones is known as diploë. This spongy bone consists of a network of trabeculae (small, needle-like or flat pieces) that create a porous, lattice-like structure.

Trabecular Structure

The trabeculae in the diploë are oriented along lines of stress, providing structural support and flexibility. The spaces within the trabeculae contain red bone marrow, which is involved in hematopoiesis (blood cell production).

Bone Marrow

Red Bone Marrow

The diploë houses red bone marrow within its trabecular spaces. This marrow is responsible for the production of red blood cells, white blood cells, and platelets, essential for oxygen transport, immune defense, and blood clotting.

Nutrient Supply

Blood vessels penetrate the periosteum and compact bone, reaching the diploë and supplying nutrients to the bone marrow. This vascular network is essential for maintaining bone health and facilitating the production of blood cells.

Examples of Flat Bones

Skull

The skull is composed of several flat bones that protect the brain and form the structure of the face. Notable flat bones of the skull include the frontal bone, parietal bones, occipital bone, and temporal bones.

Thoracic Cage

The thoracic cage includes the sternum (breastbone) and ribs. The sternum is a flat bone located in the center of the chest, while the ribs are curved flat bones that encircle the thorax, protecting the heart and lungs.

Shoulder Girdle

The scapulae (shoulder blades) are flat bones located on the posterior side of the ribcage. They provide attachment points for various muscles involved in shoulder and arm movements.

Pelvis

The hip bones (os coxae) are flat bones that form the pelvis. Each hip bone is composed of three fused bones: the ilium, ischium, and pubis. These bones protect pelvic organs and provide attachment points for muscles of the lower limbs.

Function

Flat bones play several critical roles in the human body, contributing to protection, support, movement, hematopoiesis, and mineral storage. Their unique structure and composition allow them to fulfill these functions effectively. Below is a detailed description of the functions of flat bones:

Protection of Vital Organs

Shielding Internal Organs

Flat bones provide a protective barrier for vital organs. For example, the bones of the skull (frontal, parietal, occipital, and temporal bones) protect the brain from mechanical injury. The ribs and sternum form the thoracic cage, which safeguards the heart and lungs from external impact.

Cranial Protection

The bones of the cranium are designed to absorb and dissipate forces, reducing the risk of brain injury during impacts.

Protection of Pelvic Organs

The hip bones (ilium, ischium, and pubis) protect the organs within the pelvic cavity, including the bladder, reproductive organs, and parts of the intestines.

Support and Structure

Providing Structural Framework

Flat bones provide a sturdy framework that supports the attachment of muscles and soft tissues. For example, the scapulae (shoulder blades) offer extensive surfaces for the attachment of muscles that facilitate shoulder and arm movements.

Maintaining Body Shape

Flat bones help maintain the shape and form of the body, contributing to overall posture and stability. The pelvis, for instance, supports the weight of the upper body and provides a stable base for movement.

Facilitation of Movement

Muscle Attachment Sites

The broad, flat surfaces of these bones provide ample space for the attachment of muscles, tendons, and ligaments. This is particularly evident in the scapulae, which serve as attachment points for muscles involved in shoulder and upper arm movements.

Leverage for Movement

By serving as points of attachment for muscles, flat bones act as levers that facilitate movement. The muscles pull on these bones to produce motion, enabling activities such as lifting, throwing, and rotating.

Hematopoiesis

Production of Blood Cells

The spongy bone (diploë) within flat bones contains red bone marrow, which is essential for hematopoiesis. This process involves the production of red blood cells, white blood cells, and platelets, which are vital for oxygen transport, immune defense, and blood clotting, respectively.

Maintaining Blood Cell Levels

The red bone marrow in flat bones helps maintain adequate levels of blood cells, ensuring the proper functioning of the circulatory and immune systems.

Mineral Storage

Reservoir for Minerals

Flat bones serve as reservoirs for essential minerals, particularly calcium and phosphorus. These minerals are crucial for various physiological processes, including bone strength, nerve transmission, and muscle contraction.

Regulation of Mineral Homeostasis

The bone matrix of flat bones can release minerals into the bloodstream as needed, helping to maintain appropriate levels of these minerals in the body. This process is regulated by hormones such as parathyroid hormone and calcitonin.

Support for Hemopoiesis

Nutrient Supply

Blood vessels penetrate the periosteum and compact bone, reaching the diploë and supplying nutrients to the bone marrow. This vascular network is essential for maintaining bone health and facilitating the production of blood cells.

Clinical Significance

Flat bones are crucial components of the human skeletal system, and their health and integrity are vital for overall bodily function. Their clinical significance spans various aspects of medicine, including trauma care, oncology, hematology, and orthopedics.

Protection of Vital Organs

Flat bones, such as those in the skull and thoracic cage, protect critical organs like the brain, heart, and lungs. Injuries to these bones, such as fractures from accidents or impacts, can lead to serious complications. For instance, a fracture in the skull can cause brain injury, while a rib fracture can damage the lungs or other thoracic organs. Prompt diagnosis and treatment are essential to prevent further damage and ensure proper healing.

Fractures and Trauma

Fractures of flat bones can occur due to falls, direct blows, or other traumatic events. Common examples include:

  • Skull Fractures: Can lead to brain injuries, intracranial bleeding, and other neurological complications.
  • Rib Fractures: Often result in severe pain and can cause damage to the lungs and other internal organs, potentially leading to pneumothorax or hemothorax.

Bone Marrow and Hematological Disorders

The red bone marrow within flat bones, such as the sternum and pelvis, is a primary site for hematopoiesis. Disorders affecting the bone marrow, such as leukemia and other hematological diseases, can disrupt blood cell production and lead to severe clinical conditions. Bone marrow biopsies are often performed on flat bones to diagnose and monitor these diseases.

Osteoporosis

Osteoporosis, a condition characterized by decreased bone density and increased fragility, can significantly affect flat bones. Although osteoporosis is more commonly associated with long bones, the reduced bone density can also impact flat bones, leading to an increased risk of fractures, particularly in the ribs and vertebrae.

Bone Infections

Infections such as osteomyelitis can affect flat bones, leading to severe pain, inflammation, and potential bone destruction. Prompt treatment with antibiotics and, in some cases, surgical intervention is necessary to manage these infections and prevent long-term damage.

Bone Cancer

Primary bone cancers, such as osteosarcoma, and metastatic cancers can affect flat bones. The pelvis, ribs, and skull are common sites for metastatic bone disease. Early detection and treatment, including surgery, chemotherapy, and radiation therapy, are critical for managing bone cancer and improving patient outcomes.

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