Chapter 5 The Skeletal System



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Essentials of Human Anatomy & Physiology Elaine N. Marieb Seventh Edition Chapter 5 The Skeletal System

The Skeletal System Parts of the skeletal system Bones (skeleton) Joints Cartilages Ligaments (bone to bone)(tendon=bone to muscle) Divided into two divisions Axial skeleton Appendicular skeleton limbs and girdle Slide 5.1

Functions of Bones Support of the body Protection of soft organs Movement due to attached skeletal muscles Storage of minerals and fats Blood cell formation Slide 5.2

Bones of the Human Body The skeleton has 206 bones Two basic types of bone tissue Compact bone Homogeneous Spongy bone Small needle-like pieces of bone Many open spaces Figure 5.2b Slide 5.3

Classification of Bones Long bones Typically longer than wide Have a shaft with heads at both ends Contain mostly compact bone Examples: Femur, humerus Slide 5.4a

Classification of Bones Short bones Generally cube-shape Contain mostly spongy bone Examples: Carpals, tarsals Slide 5.4b

Classification of Bones Flat bones Thin and flattened Usually curved Thin layers of compact bone around a layer of spongy bone Examples: Skull, ribs, sternum Slide 5.5a

Classification of Bones Irregular bones Irregular shape Do not fit into other bone classification categories Example: Vertebrae and hip Slide 5.5b

Classification of Bones on the Basis of Shape Figure 5.1 Slide 5.5c

Gross Anatomy of a Long Bone Diaphysis Shaft Composed of compact bone Epiphysis Ends of the bone Composed mostly of spongy bone Figure 5.2a Slide 5.6

Structures of a Long Bone Periosteum Outside covering of the diaphysis Fibrous connective tissue membrane Sharpey s fibers Secure periosteum to underlying bone Arteries Supply bone cells with nutrients Figure 5.2c Slide 5.7

Structures of a Long Bone Articular cartilage Covers the external surface of the epiphyses Made of hyaline cartilage Decreases friction at joint surfaces Figure 5.2a Slide 5.8a

Structures of a Long Bone Medullary cavity Cavity of the shaft Contains yellow marrow (mostly fat) in adults Contains red marrow (for blood cell formation) in infants Figure 5.2a Slide 5.8b

Bone Markings Surface features of bones Sites of attachments for muscles, tendons, and ligaments Passages for nerves and blood vessels Three broad categories of bone markings Projections for muscle attachment Surfaces that form joints Depressions or cavities indentations Slide 5.9

Bone Markings Table 5.1 (1 of 2)

Bone Markings Table 5.1 (2 of 2)

Microscopy Anatomy of Bone Bone Histology http://www.youtube.com/watch?v=py5r_sjig-a

Microscopic Anatomy of Bone Osteon (Haversian System) A unit of bone Central (Haversian) canal Opening in the center of an osteon Carries blood vessels and nerves Perforating (Volkman s) canal Canal perpendicular to the central canal Carries blood vessels and nerves Slide

Microscopic Anatomy of Bone Figure 5.3 Slide

Microscopic Anatomy of Bone Lacunae Cavities containing bone cells (osteocytes) Arranged in concentric rings Lamellae Rings around the central canal Sites of lacunae Figure 5.3 Slide

Microscopic Anatomy of Bone Canaliculi Tiny canals Radiate from the central canal to lacunae Form a transport system Figure 5.3 Slide

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 Slide 5.12

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 Slide

Bone Growth Bones are remodeled and lengthened until growth stops Bones change shape somewhat Bones grow in width Slide

Long Bone Formation and Growth Figure 5.4a Slide

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 Slide 5.15

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 Slide 5.16

Common Types of Fractures Table 5.2 Slide 5.17

Fractures are also categorized based on the shape of the break. There are eight main shapes or kinds of bone fractures.

Transverse fractures: go more or less straight across the bone. Oblique fractures: are diagonal breaks across the bone. Spiral fractures: happen when one or both halves of the bone are twisted. Comminuated fractures: break the bone into more than two pieces. Avulsion fractures: mean pieces of the bone have been pulled apart. Impacted fractures: are the opposite of avulsion fractures. These happen when a piece of bone is pushed down into another piece of bone. Fissure fractures: are cracks in the bone. Greenstick fractures: happen when the bone bends and breaks partially, but not completely.

Transverse fractures: go more or less straight across the bone. Oblique fractures: are diagonal breaks across the bone. Spiral fractures: happen when one or both halves of the bone are twisted. Comminuated fractures: break the bone into more than two pieces. Avulsion fractures: mean pieces of the bone have been pulled apart. Impacted fractures: are the opposite of avulsion fractures. These happen when a piece of bone is pushed down into another piece of bone. Fissure fractures: are cracks in the bone. Greenstick fractures: happen when the bone bends and breaks partially, but not completely.

Repair of Bone Fractures Hematoma (blood-filled swelling) is formed Break is splinted by fibrocartilage to form a callus Fibrocartilage callus is replaced by a bony callus Bony callus is remodeled to form a permanent patch Slide 5.18

Stages in the Healing of a Bone Fracture Figure 5.5 Slide 5.19

The Axial Skeleton Forms the longitudinal part of the body Divided into three parts Skull Vertebral column Bony thorax Slide

The Axial Skeleton Figure 5.6 Slide

The Skull Two sets of bones Cranium Facial bones Bones are joined by sutures Only the mandible is attached by a freely movable joint Slide

The Skull Figure 5.7 Slide

Bones of the Skull Figure 5.11 Slide 5.22

Human Skull, Superior View Figure 5.8 Slide 5.23

Human Skull, Inferior View Figure 5.9 Slide 5.24

Paranasal Sinuses Hollow portions of bones surrounding the nasal cavity Figure 5.10 Slide

Paranasal Sinuses Functions of paranasal sinuses Lighten the skull Give resonance and amplification to voice Figure 5.10 Slide

The Hyoid Bone The only bone that does not articulate with another bone Serves as a moveable base for the tongue Figure 5.12 Slide 5.26

The Fetal Skull The fetal skull is large compared to the infants total body length Figure 5.13 Slide

The Fetal Skull Fontanelles fibrous membranes connecting the cranial bones Allow the brain to grow Convert to bone within 24 months after birth Figure 5.13 Slide

The Vertebral Column Vertebrae separated by intervertebral discs The spine has a normal curvature Each vertebrae is given a name according to its location Figure 5.14 Slide 5.28

Structure of a Typical Vertebrae Figure 5.16 Slide 5.29

The Bony Thorax Forms a cage to protect major organs Figure 5.19a Slide

The Bony Thorax Made-up of three parts Sternum Ribs Thoracic vertebrae Figure 5.19a Slide

The Appendicular Skeleton Limbs (appendages) Pectoral girdle Pelvic girdle Slide

The Appendicular Skeleton Figure 5.6c Slide

The Pectoral (Shoulder) Girdle Composed of two bones Clavicle collarbone Scapula shoulder blade These bones allow the upper limb to have exceptionally free movement Slide 5.33

Bones of the Shoulder Girdle Figure 5.20a, b Slide

Bones of the Upper Limb The arm is formed by a single bone Humerus Figure 5.21a, b Slide

Bones of the Upper Limb The forearm has two bones Ulna Radius Figure 5.21c Slide

Bones of the Upper Limb The hand Carpals wrist Metacarpals palm Phalanges fingers Figure 5.22 Slide 5.36

Bones of the Pelvic Girdle Hip bones Composed of three pair of fused bones Ilium Ischium Pubic bone The total weight of the upper body rests on the pelvis Protects several organs Reproductive organs Urinary bladder Part of the large intestine Slide 5.37

The Pelvis Figure 5.23a Slide

Gender Differences of the Pelvis Figure 5.23c Slide 5.39

Bones of the Lower Limbs The thigh has one bone Femur thigh bone Figure 5.35a, b Slide

Bones of the Lower Limbs The leg has two bones Tibia Fibula Figure 5.35c Slide

Bones of the Lower Limbs The foot Tarsus ankle Metatarsals sole Phalanges toes Figure 5.25 Slide 5.41

Joints Articulations of bones Functions of joints Hold bones together Allow for mobility Ways joints are classified Functionally Structurally Slide 5.43

Functional Classification of Joints Synarthroses immovable joints Amphiarthroses slightly moveable joints Diarthroses freely moveable joints Slide 5.44

Structural Classification of Joints Fibrous joints Generally immovable Cartilaginous joints Immovable or slightly moveable Synovial joints Freely moveable Slide 5.45

Fibrous Joints Bones united by fibrous tissue synarthrosis or largely immovable. Figure 5.27d, e Slide 5.46

Cartilaginous Joints mostly amphiarthrosis Bones connected by cartilage Examples Pubic symphysis Intervertebral joints Figure 5.27b, c Slide 5.47

Synovial Joints Articulating bones are separated by a joint cavity Synovial fluid is found in the joint cavity Figure 5.27f h Slide 5.48

Features of Synovial Joints- Diarthroses Articular cartilage (hyaline cartilage) covers the ends of bones Joint surfaces are enclosed by a fibrous articular capsule Have a joint cavity filled with synovial fluid Ligaments reinforce the joint Slide 5.49

Structures Associated with the Synovial Joint Bursae flattened fibrous sacs Lined with synovial membranes Filled with synovial fluid Not actually part of the joint Tendon sheath Elongated bursa that wraps around a tendon Slide 5.50

The Synovial Joint Figure 5.28 Slide 5.51

Types of Synovial Joints Based on Shape Figure 5.29a c Slide

Types of Synovial Joints Based on Shape Figure 5.29d f Slide

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 Slide 5.53

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 Slide

Clinical Forms of Arthritis Gouty Arthritis Inflammation of joints is caused by a deposition of urate crystals from the blood Can usually be controlled with diet Slide