1989
DOI: 10.1002/aja.1001860208
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Errors in bone remodeling: Toward a unified theory of metabolic bone disease

Abstract: Recent evidence suggests that skeletal adaptation is organized by a functional unit that includes cells of diverse origin working in coordination. Genetic and metabolic factors control and regulate the processes of modeling and remodeling, only rarely acting on the isolated individual functions of specific cell lines. Errors in the genetic or metabolic regulation of the functional unit affect the entire process of skeletal adaptation rather than specific elements of it. Viewed in this way, some metabolic bone … Show more

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Cited by 108 publications
(73 citation statements)
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References 161 publications
(175 reference statements)
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“…For example, in mechanically tested bones, Currey (1969) reported a level of mineral content where impact strength was greatest but yield strength was relatively reduced. Therefore, mineral content differences in the opposing cortices of the calcanei may enhance other mechanical properties such as work-offracture and/or the energy of failure in their characteristic loading mode (Currey, 1969(Currey, , 1984aMartin and Burr, 1989).…”
Section: Circumferential Lamellae In Compression and Tension Corticesmentioning
confidence: 99%
See 1 more Smart Citation
“…For example, in mechanically tested bones, Currey (1969) reported a level of mineral content where impact strength was greatest but yield strength was relatively reduced. Therefore, mineral content differences in the opposing cortices of the calcanei may enhance other mechanical properties such as work-offracture and/or the energy of failure in their characteristic loading mode (Currey, 1969(Currey, , 1984aMartin and Burr, 1989).…”
Section: Circumferential Lamellae In Compression and Tension Corticesmentioning
confidence: 99%
“…These images excluded circumferential lamellar bone. This was done for several reasons, including: (1) circumferential lamellar bone may have different mechanical properties when compared to osteon-remodeled bone (Currey, 1984a;Martin and Burr, 1989), and therefore comparisons of these two distinct bone types would be inappropriate in the context of the present study, and (2) circumferential lamellar bone was not present along the compression cortex of any of the horse calcanei, but was present in six of seven sheep calcanei (average thickness 0.44 mm), and was present in five of seven elk calcanei (average thickness 0.86 mm). Without exception, the images of the cortical regions did not overlap and did not contain trabecular bone of the microscopic porous transition zone between the cortical and trabecular bone types (Skedros et al, 1994b).…”
Section: Specimens and Image Acquisitionmentioning
confidence: 99%
“…The adaptation of this single bone to a certain loading regime, different from that of other limb bones, is unlikely. However, the cartilage preservation could be pathological mineralization caused by metabolic diseases, such as acroarthritis (Burr & Martin 1989), caused either by an injury of the anconeal joint or by a metabolic disease of the individual. Pathologies to load-bearing bones (i.e.…”
Section: Taphonomymentioning
confidence: 99%
“…Bone strength must increase to redistribute these forces or stresses by altering the bone's microstructure through Haversian remodeling 5,9) . Mandibular loading occurs during mastication.…”
Section: Discussionmentioning
confidence: 99%