Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The formation of new bone by the osteoblasts may be _defective_ as a
result of physiological conditions, such as old age and disease of a
part, and defective formation is often associated with atrophy, or more
strictly speaking, absorption, of the existing bone, as is well seen in
the edentulous jaw and in the neck of the femur of a person advanced in
years. Defective formation associated with atrophy is also illustrated
in the bones of the lower limbs of persons who are unable to stand or
walk, and in the distal portion of a bone which is the seat of an
ununited fracture. The same combination is seen in an exaggerated degree
in the bones of limbs that are paralysed; in the case of adults, atrophy
of bone predominates; in children and adolescents, defective formation
is the more prominent feature, and the affected bones are attenuated,
smooth on the surface, and abnormally light.

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