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HESI A2 · Anatomy and Physiology · 7 min read

The Skeletal and Muscular Systems

In this lesson you will
  • Differentiate the microscopic and gross anatomical structures of bone, including cellular remodeling mechanisms.
  • Categorize the divisions of the human skeleton, classifications of joints, and types of body movements.
  • Explain the structural organization of skeletal muscle and the physiological sequence of muscle contraction.

Bone Structure, Composition, and Remodeling

Bone is dynamic living tissue that continuously reorganizes itself. At the microscopic level, compact bone is organized into repeating structural units called osteons, or Haversian systems. Each osteon features circular layers of calcified bone matrix known as concentric lamellae, which encircle a central Haversian canal. Within these dense layers are small pockets called lacunae that house mature bone cells called osteocytes. These cells stay nourished and connected through canaliculi, which are microscopic canals that bridge neighboring lacunae to facilitate nutrient and waste exchange.

On a gross anatomical level, a typical long bone consists of a tubular shaft called the diaphysis and expanded terminal ends known as epiphyses. In growing children, the epiphyseal plate, composed of hyaline cartilage, serves as the site of longitudinal bone growth. While compact bone provides dense strength along outer surfaces, spongy bone (also called cancellous or trabecular bone) forms an internal lattice of thin plates called trabeculae. Bones also house marrow: red bone marrow functions as the site of blood cell production, whereas yellow bone marrow consists mainly of fat-storing adipocytes.

Bone tissue undergoes perpetual maintenance through cellular remodeling. Osteoblasts are responsible for bone formation; they synthesize and secrete the organic components of the bone matrix. Conversely, osteoclasts are large, multinucleated cells derived from monocytes that break down and resorb the matrix. These opposing cells are regulated by hormonal signals to maintain homeostatic blood calcium levels. When circulating calcium drops too low, parathyroid hormone indirectly stimulates osteoclast activity, which increases the release of calcium from the skeletal matrix into the bloodstream. Calcitonin can inhibit osteoclast activity and lower blood calcium levels, although it plays a limited role in calcium regulation in adult humans.

Comparison of Bone Cells and Marrow Types
Structure / Cell TypePrimary CharacteristicsMajor Function
OsteoblastBone-building cellSynthesizes and secretes organic bone matrix components
OsteoclastMultinucleated cell derived from monocytesBreaks down and resorbs bone matrix to liberate minerals
OsteocyteMature bone cell residing in a lacunaMaintains matrix; exchanges substances via canaliculi
Red Bone MarrowTissue found in the spaces between spongy bone trabeculae.Produces blood cells
Yellow Bone MarrowTissue located within the medullary cavityStores fat within specialized adipocytes
Exam tip. Do not confuse osteoblasts and osteoclasts on test day. Remember the letter 'B' in osteoBlasts for 'Building' matrix, and 'C' in osteoClasts for 'Cleaving' or consuming bone. Also note that parathyroid hormone elevates blood calcium by indirectly stimulating osteoclasts, whereas calcitonin inhibits them.

Common mistakes

  • Confusing the structural roles of the epimysium, perimysium, and endomysium (remember that epimysium wraps the whole muscle, perimysium wraps fascicles, and endomysium wraps single fibers).
  • Believing that ATP hydrolysis is what releases the myosin head from actin, rather than the fresh binding of an intact ATP molecule.
  • Classifying the knee as a basic hinge joint instead of a modified hinge joint that permits slight rotation when flexed.
  • Assuming costal cartilage connects floating ribs to the sternum, when floating ribs have no anterior sternal attachment at all.

Key points

  • The osteon is the basic structural unit of compact bone, featuring concentric lamellae, a central Haversian canal, osteocyte-containing lacunae, and canaliculi.
  • Bone remodeling is balanced by osteoblasts that synthesize matrix and osteoclasts that resorb it under hormonal cues from parathyroid hormone and calcitonin.
  • The 206 bones of the human skeleton divide into the axial skeleton (skull, vertebral column, ribs, sternum) and the appendicular skeleton (limbs, pectoral and pelvic girdles).
  • Joints range from immovable synarthroses (sutures) to slightly movable amphiarthroses (pubic symphysis) and freely movable diarthroses (synovial joints such as hinge and ball-and-socket).
  • Muscle fibers contain sarcomeres made of thick myosin and thin actin filaments that slide during contraction when calcium binds troponin, shifting tropomyosin.
  • Major muscle pairings operate as agonists and antagonists, such as the forearm-flexing biceps brachii opposing the forearm-extending triceps brachii.

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Original lesson written for HESI A2 practice · updated October 15, 2026. Exam names are trademarks of their owners; tests.global is not affiliated with them.