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The Skeletal System

•       Skeleton comes from a Greek word meaning dried up body.

•       Bone appears dead and dried up, but it is not!

•       Bone is living tissue

•       Newborn human has 350 bones

•       Adult human has 206 bones

•       Parts of the skeletal system

•       Bones (skeleton)

•       Joints

•       Cartilages

•       Ligaments (bone to bone)(tendon=bone to muscle)

Functions of Bones

  • Support of the body (framework)
  • Protection of soft organs
  • Serve as levers (with help from muscles)
  • Storage of minerals and fats (calcium)
  • Blood cell formation

Bones of the Human Body

Two basic types of bone tissue

    • Compact bone
      • Dense/hard
    • Spongy bone
      • (Cancellous)
      • Many open spaces
        • Decrease wt of bone/contain red bone marrow

Classification of Bones on the Basis of Shape

  • Long bones
    • Typically longer than wide
    • Have a shaft with heads at both ends
    • Contain mostly compact bone
    • Found in legs and arms

•          Examples: Femur, humerus

  • Short bones
    • Generally cube-shape and small
    • Contain mostly spongy bone
    • Found in wrist, ankles, and toes

•          Examples: Carpals, tarsals

  • Flat bones
    • Thin and flattened
    • Usually curved
    • Cover organs/provide surface for lg. muscle
    • Thin layers of compact bone around a layer of spongy bone

•          Examples: Skull, ribs, sternum

  • Irregular bones
    • Irregular shape
    • Do not fit into other bone classification categories

•          Example: Vertebrae and hip

Gross Anatomy of a Bone

  • Diaphysis

§  Shaft

§  Composed of compact bone

  • Epiphysis

§  Ends of the bone

§  Composed mostly of spongy bone

  • Periosteum

§  Outside covering of the diaphysis

§  Fibrous connective tissue membrane

§  Serves as an attachment for muscle

  • Arteries

§  Supply bone cells with nutrients

·         Articular cartilage

§  Covers the external surface of the epiphyses

§  Made of hyaline cartilage

§  Decreases friction at joint surfaces

·         Medullary cavity

§  Cavity of the shaft

§  Contains yellow marrow (mostly fat) in adults

§  Contains red marrow (for blood cell formation) in infants

Changes in the Human Skeleton

  • In embryos, the skeleton is primarily hyaline cartilage
  • During development, much of this cartilage is replaced by bone
  • Cartilage remains in isolated areas
    • Bridge of the nose
    • Parts of ribs
    • Joints

Bone Growth

  • Epiphyseal plates allow for growth of long bone during childhood
    • New cartilage is continuously formed
    • Older cartilage becomes ossified
      • Cartilage is broken down
      • Bone replaces cartilage
  • Bones are remodeled and lengthened until growth stops
    • Grow longitudinally for height
    • Bones grow in width to support weight

Epiphyseal Disc

•       Growth plate

•       The cartilage near the epiphyseal disc multiplies and eventually becomes ossified (turns to bone)

•       As long as new cartilage continues to form the bone continues to lengthen.

•       When the growth plate hardens and becomes ossified, growth stops

•       Hormones play a big part in this

•       Growth hormone stimulates growth

•       Sex hormones stop growth

Bone Width

•       Long after longitudinal bone growth has stopped, bones continue to grow in thickness and width.

•       Bones are continuously being reshaped

Types of Bone Cells

  • Osteocytes
    • Mature bone cells
  • Osteoblasts
    • Bone-forming cells
  • Osteoclasts
    • Bone-destroying cells
    • Break down bone matrix for remodeling and release of calcium
  • Bone remodeling is a process by both osteoblasts and osteoclasts

Bone Remodeling

•       A combined action of osteoblasts (bone forming cells) and osteoclasts (bone destroying cells)

•       Osteoblasts deposit bone on the external bone surface

•       Osteoclasts break down bone from the inside

Bone Fractures

  • A break in a bone
  • Types of bone fractures
    • Closed (simple) fracture – break that does not penetrate the skin
    • Open (compound) fracture – broken bone penetrates through the skin
  • Bone fractures are treated  by reduction and immobilization
    • Realignment of the bone

Dislocation of joint

•       Displacement of bones at the joint

•       Often caused by impact trauma to that joint

•       Can be more damaging and painful than a fracture

•       Damage to the joint capsule and surrounding ligaments and tendons often takes much longer to heal than bone tissue.

Repair of Bone Fractures

  • Hematoma (blood-filled swelling) is formed
  • Break is splinted by fibrocartilage to form a soft callus
    • Blood vessels grow into the hematoma
  • Fibrocartilage callus is replaced by a bony callus
  • Bony callus is remodeled to form a permanent patch

Skeletal System

Divided into two divisions

Axial skeleton ~ bones of the cranium, face, vertebral column, and bony thorax.

Appendicular skeleton ~ includes the bones of the pelvic girdles, the upper extremities and lower extremities.

The Axial Skeleton 

  • Forms the longitudinal part of the body
  • Divided into three parts
    • Skull
    • Vertebral column
    • Bony thorax

The Skull (28 bones) (18 names!)

  • Sits on top of the vertebral column
  • Two sets of bones
    • Cranium (8 bones)
    • Facial bones (14 bones)
  • Bones are joined by sutures
  • Only the mandible is attached by a freely movable joint

The Cranium

•       Bony structure that encases and protects the brain.

•       8 bones

•       Frontal Bone ~ forehead/upper part of the bony structure surrounding the eyes.

•       Parietal Bone (2) ~ upper sides of the head and the roof of the cranial cavity (top of the head)

•       Temporal Bones (2) ~ sides of the head, close to ears.

•       Commonly called the temples

•       Includes the external auditory meatus

•       Opening for the ear

•       Includes the zygomatic process

•       Part of the cheekbone

•       Occipital Bone ~ back and base of the cranium

•       Includes the foramen magnum

•       Foramen means hole

•       Large hole for the brainstem/spinal cord

•       Sphenoid Bone ~ forms sides of cranium and parts of orbits of the eyes

•       Butterfly shaped

•       Includes Sella Turcica (Turk’s Saddle)

•       Where pituitary gland sits

•       Ethmoid Bone ~ irregularly shaped bone located between the eye orbits

•       Major supporting bone of the nasal cavity

•       That’s it!  No more cranium bones!

•       206 bones - 8 bones = 198 bones to go…

Facial Bones

•       14 bones

•       Most of these bones come in pairs

•       Only the mandible and vomer are single bones

•       Mandible ~ the lower jaw bone

•       Carries the lower teeth

•       The anterior portion forms the chin

•       Only freely movable joint in the skull

•       Maxilla (2) ~ Upper jaw

•       Two bones fused together

•       Roof of the mouth

•       Also form parts of the nasal cavity and eye orbits

•       Palantine Bones (2) ~ form the posterior part of the hard palate and the floor of the nasal cavity.

•       Failure of the palatine and/or maxillary bones to fuse causes a cleft palate.

•       Zygomatic Bones (2) ~ the cheekbones

•       Also forms a part of the orbits of the eyes

•       Other Facial Bones

•                      Lacrimal Bones (2) ~ inner wall of eye sockets

•                      Nasal Bones (2) ~ bridge of nose

•                      Vomer ~ nasal septum

•                      Inferior Nasal Conchae (2)

•       That’s it!  No more facial bones!

•       198 bones - 14 bones = 184 bones to go…

Paranasal Sinuses

  • Functions of paranasal sinuses
  • Air filled cavities
    • Lighten the skull
    • Give resonance and amplification to voice

The Fetal Skull

  • The fetal skull is large compared to the infants total body length
  • Fontanelles – fibrous membranes connecting the cranial bones
    • Allow the brain
      to grow
    • Convert to bone within 24 months after birth

The Hyoid Bone

  • U shaped
  • Found in the upper neck
  • The only bone that does not articulate with another bone
  • Serves as a moveable base for the tongue

Middle Ear

•       3 Tiny bones ~ transmit vibrations

•       All derived from Latin words

•       Malleus (hammer)

•       Incus (anvil)

•       Stapes (stirrup)

•       Smallest bone in the body

Middle Ear and Hyoid Bones

•       That’s it!

•       184 bones - 4 bones = 180 bones to go…

The Vertebral Column

•       The backbone or spine

•       Consists of 26 bones called vertebrae

•       Vertebrae separated by intervertebral discs (act as shock absorbers)

•       The spine has a normal curvature

•       Each vertebrae is given a name according to its location

•       C1-C7 ~ in the neck region

•       7 cervical vertebrae

•       T1-T12 ~ located in the chest region

•       12 thoracic vertebrae

•       L1-L5 ~ located in the lower back

•       5 lumbar vertebrae

•       Sacrum ~ curved bone of the lower back (posterior wall of the pelvis)

•       fused sacral vertebrae

•       5 vertebrae at birth

•       Coccyx ~ the tailbone

•       4 vertebrae at birth

•       The vertebrae become larger as the vertebral column descends…..WHY?

•       Vertebral foramen ~ opening for spinal cord.

•       What is the opening for the spinal cord in the skull called?

•       180 bones - 26 vertebral column bones = 154 bones to go!

The Bony Thorax (Thoracic Cage)

  • The chest region
  • Forms a cage to protect major organs
  • Composed of sternum, ribs and thoracic vertebrae.
  • Sternum ~ breastbone.
  • Dagger-shaped bone located along the midline of the anterior chest.
  • Ribs ~ 12 pairs of ribs attach posteriorly to the thoracic vertebrae
  • True ribs ~ first 7 pair
  • False ribs ~ last 5 pairs

That is it for the axial skeleton!

•       154 bones - 24 ribs -1 sternum = 129 bones to go!!!

 

The Appendicular Skeleton

  • Limbs (appendages)
  • Pectoral (shoulder) girdle
  • Pelvic girdle

The Pectoral (Shoulder) Girdle

  • Composed of two bones
    • Clavicle – collarbone
    • Scapula – shoulder blade
  • These bones allow the upper limb to have exceptionally free movement

Bones of the Upper Limb

  • The arm is formed by a single bone
    • Humerus
    • Head of humerus allows for rotation
  • The forearm has two bones
    • Ulna
    • Radius

Radius

•       Radius ~ locate on the lateral or thumb side when the palm of the hand is facing forward.

Ulna

•       Ulna~ the longer of the two forearm bones.

•       Located on the medial or little finger side of the forearm.

Bones of the Upper Limb

  • The hand
    • Carpals – wrist
    • Metacarpals – palm
    • Phalanges – fingers

Bones of the Pelvic Girdle

  • Composed of two coxal bones (hip bones)
    • Composed of three pair of fused bones
      • Ilium
      • Ischium
      • Pubis
  • The total weight of the upper body rests on the pelvis
  • Protects several organs
    • Reproductive organs
    • Urinary bladder
    • Part of the large intestine

Bones of the Lower Limbs

  • The thigh has one bone
    • Femur – thigh bone
  • Patella ~ knee cap
  • Triangular bone located within a tendon that passes over the knee.
  • The leg has two bones
    • Tibia ~ shin bone
      • larger
    • Fibula
      • Long and thin
  • The foot
    • Tarsal (7)– ankle
    • Metatarsals (5)– sole/instep
    • Phalanges (14) – toes

Joints

  • Articulations of bones
  • Functions of joints
    • Hold bones together
    • Provide flexibility
  • Ways joints are classified
    • By their function
    • By their structure

Functional Classification of Joints

  • Synarthroses – immovable joints
  • Amphiarthroses – slightly moveable joints
  • Diarthroses – freely moveable joints

Structural Classification of Joints

  • Fibrous joints
    • Generally immovable
  • Cartilaginous joints
    • Immovable or slightly moveable
  • Synovial joints
    • Freely moveable

Fibrous Joints

  • Bones united by fibrous tissue – synarthrosis or largely immovable.

Cartilaginous Joints – mostly amphiarthrosis

  • Bones connected by cartilage
  • Examples
    • Pubic
      symphysis
    • Intervertebral
      joints

Synovial Joints

  • Articulating bones are separated by a joint cavity
  • Synovial fluid is found in the joint cavity
  • Reinforced by ligaments
  • 6 Types of Synovial Joints

Hinge joint

·         Movement is like two boards joined together by a hinge

·         Movement in one direction

·         Elbow, knees, fingers

Ball and Socket Joint

·         When ball-shaped end of one bone fits into the cup-shaped socket of another

·         Bones can move in many directions

·         Shoulder, hip

Pivot Joint

·         Allows for rotation around the length of a bone.

·         Allows only for rotation

·         Head (side to side “no” action)

·         Forearm joints (palms) supination/pronation

Saddle Joint

·         When the surfaces of both articulation bones are saddle-shaped              

·         Concave/convex

·         Thumb

·         Wide range of motion

Gliding Joint

·         Interaction of flat surfaces of articulating bones

·         Limited but complex movement

·         Wrist, ankle

Condyloid Joint

·         Oval-shaped articular surface of one bone fits into the oval-shaped depression of another

·         Mandible, knuckles

Inflammatory Conditions Associated with Joints

  • Bursitis – inflammation of a bursa usually caused by a blow or friction
  • Tendonitis – inflammation of tendon sheaths
  • Arthritis – inflammatory or degenerative diseases of joints
    • Over 100 different types
    • The most widespread crippling disease in the United States

Clinical Forms of Arthritis

  • Osteoarthritis
    • Most common chronic arthritis
    • Probably related to normal aging processes
  • Rheumatoid arthritis
    • An autoimmune disease – the immune system attacks the joints
    • Symptoms begin with bilateral inflammation of certain joints
    • Often leads to deformities
  • Gouty Arthritis
    • Inflammation of joints is caused by a deposition of urate crystals from the blood
    • Can usually be controlled with diet
      • Red meat and wine are high in uric acid.

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