(per′ē-os′tē-um)
n
The layer of connective tissue that varies considerably in thickness in the different areas of bone. It is thick over the surfaces that do not serve as areas of muscle attachment, especially on surfaces that are covered only by skin and subcutaneous tissue. In these areas the periosteum connects loosely with the bone itself and is easily lifted from it. Muscles are attached to bones directly, or they end on the periosteum. When muscles or tendons are attached to the bone, connective tissue extends into the bone as Sharpey’s fibers. In such areas a periosteum may be lacking. When muscles are attached to the periosteum and thus are indirectly attached to the bone, the periosteum is relatively thin but is strongly fixed to the bone. The periosteum consists of two layers: an outer layer, which is rich in blood vessels and nerves and shows a dense arrangement of collagenous fibers, and an inner layer, the cambium, in which the fibers are loosely arranged, the cells numerous, and the blood vessels relatively sparse. During active growth, this layer of osteoblasts covers the periosteal surface of the bone. In the quiescent state in the adult, the periosteum primarily provides support. However, the inner layer retains its osteogenetic potencies and in fractures is activated to form osteoblasts and new bone.