Journal
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
Volume 38, Issue 10, Pages 1115-1130Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.injury.2007.05.017
Keywords
periosteum; fibrous layer; cambium layer; Sharpey's fibres; periosteal circulation; bone formation; bone resorption; perichondrial ossification groove
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The periosteum is a thin layer of connective tissue that covers the outer surface of a bone in all places except at joints (which are protected by articular cartilage). As opposed to bone itself, it has nociceptive nerve endings, making it very sensitive to manipulation. It also provides nourishment in the form of blood supply to the bone. The periosteum is connected to the bone by strong collagenous fibres called Sharpey's fibres, which extend to the outer circumferential and interstitial lamellae of bone. The periosteum consists of an outer fibrous layer and inner cambium layer. The fibrous layer contains fibroblasts white the cambium layer contains progenitor cells which develop into osteoblasts that are responsible for increasing bone width. After a bone fracture the progenitor cells develop into osteobtasts and chondrobtasts which are essential to the heating process. This review discusses the anatomy, histology and molecular biology of the periosteum in detail. (c) 2007 Elsevier Ltd. All rights reserved.
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