19. Skeletal System Flashcards
Skeleton
-Greek for dried up
-Includes individual and fused bones and associated connective tissues (ligaments, joints, tendons).
-Has extensive blood supply
-Numbers: 206 in adults,
-forms internal framework for the body
-bones are hardest tissue in the body (second to tooth enamel)
-relatively light
-somewhat flexible, resists amounts of tension and external physical stress
-includes important bony landmarks for muscle attachments and cautionary sites
Functions:
-support: framework of the body
-protection: protections internal organs
-movement: attachment sites for muscles and tendons. Movement and reposition by muscular system.
-blood cell production: produced in red marrow of bones through hematopoiesis.
-fat storage: stored in yellow bone marrow. Released when needed.
-mineral storage: (phosphorus, magnesium, sodium, calcium phosphate, calcium carbonate)
Bone Classification
Shape/size
-Long: longer than are wide
-Short: small and cube shaped w/ multiple articulating surfaces
-Flat: possess a broad, flat surfaces
-Irregular: oddly shaped and do not fit well in other shape/size categories
-Sesamoid: round, usually small, embedded in tendons,
Long Bone
longer than are wide.
Example: humerus, ulna and radius, femur, tibia and fibula)
Short Bone
small and cube shaped w/ multiple articulating surfaces.
Example: carpals, tarsals
Flat Bones
possess a broad, flat surfaces.
Example: sternum, scapula, ribcage, pelvis, skull
Irregular Bones
oddly shaped and do not fit well in other shape/size categories
Example: Vertebrae
Sesamoid
round, usually small, embedded in tendons,
Example: patella, some bones in hands and feet.
Axial Skeleton
-one of 2 distinct regions of the skeletal system
-consists of 80 bones including:
*the skull
*vertebral column
*sternum
*ribs
Skull
-Part of the Axial Skeleton
-includes 29 bones
*8 cranial bones (frontal, 2 parietal, 2 temporal, occipital, sphenoid, ethmoid,
*14 fascial bones (2 maxilla, 2 zygomatic, 2 palatine, mandible, 2 lacrimal, 2 nasal, 2 inferior conch, vomer,
*6 ear ossicles (2 malleus, 2 incus, 2 stapes),
*1 hyoid bone
Vertebral Column
-Part of the Axial Skeleton
-includes 26 bones
*7 cervical vertebrae
*12 thoracic vertebrae
*5 lumbar vertebrae
*1 sacrum
*1 coccyx
Sternum
-Part of the Axial Skeleton
-includes 1/3 bones (manubrium, sternal body, xiphoid process)
Ribs
-Part of the Axial Skeleton
-includes 24 bones (12 pairs)
Appendicular Skeleton
-one of 2 distinct regions of the skeletal system
-consists of 126 bones including:
*shoulder girdle
*pelvic girdle
*upper extremities
*lower extremities
Shoulder Girdle
-part of the appendicular skeleton
-includes 4 bones:
*2 scapulae
*2 clavicles
Pelvic Girdle
-part of the appendicular skeleton
-includes 2 bones (each with 3 fused bones):
*2 ilium
*2 ishium
*2 pubic
Upper Extremities
-part of the appendicular skeleton
-includes 60 bones (30 on each side):
*2 humeri
*2 ulni
*2 radii
*16 carpals
*10 metacarpals
*28 phalanges
-hands contain small sesamoid bones
Osteology
-Study of the bones
-Osteo, osseo : Latin for bone
-Os, ossi: Greek for bone
-Ossicle: Latin for little bone
Joints
-where 2 or more bones come together
-aka articulation, arthrosis
-Functions:
*allows the body to move in response to muscular forces.
*helps bear weight
*Provides stability
-every bone articulates with another bone, except the hyoid bone.
-Classified by their Structure/Tissue
*Fibrous
*Cartilaginous
*Synovial
-Classification by Function/Amount of Movement Permitted
*Synarthrotic
*Amphiarthrotic
*Diarthrotic
Fibrous Joints
-Structure/Tissue classification of a joint
-Joined by dense fibrous connective tissue
-does not have a joint capsule
-resembles synarthrotic joints
Examples: Skull Sutures
Cartilaginous Joints
-Structure/Tissue classification of a joint
-Joined by cartilage (fibrocartilage or hyaline)
-does not have a joint capsule
-allows more movement than fibrous but less than synovial
-resembles amphiarthropic joints
Example: Pubic Symphysis
Synovial Joints
-Structure/Tissue classification of a joint
-enclosed by a dense fibrous joint capsule/cavity or synovial cavity lined with a membrane that secretes a fluid
-resembles diarthrotic joints
Examples: knee, shoulder
Synarthrotic Joints
-Functional/Allowable Movement Classification of Joints
-aka synarthroses
-movement is not permitted or extremely limited.
-resembles Fibrous Joints
-common in axial skeleton
Examples: Sutures in Skull, Gomphoses in Teeth
Amphiarthrotic Joints
-Functional/Allowable Movement Classification of Joints
-slightly moveable joints
-resembles cartilaginous joints
-common in axial skeleton
Examples: intervertebral joints, symphysis pubis
Diarthrotic Joints
-Functional/Allowable Movement Classification of Joints
-freely moveable joints
-common in appendicular skeleton
-resembles synovial joints
Synovial Joint Anatomy
-anatomy of freely moveable joints
-Outer Region:
*Joint Capsule
*Ligaments
*Articular Cartilage
*Labrum
-Inner Region:
*Joint Cavity
*Synovial Membranes
*Synovial Fluid
-Accessory Structures:
*Fat pads
*Bursae
*Synovial Sheaths
*Menisci
Joint Capsule
-part of the Outer Region in Synovial Joint Anatomy
-a highly innervated sleeve that has rich blood supply and surrounds the joint like a sleeve
Ligaments
-part of the Outer Region in Synovial Joint Anatomy
-unites the articulating bones (strengthening the the joint)
Articular Cartilage
-part of the Outer Region in Synovial Joint Anatomy
-Hyaline cartilage that covers the articulating surfaces of bone decreasing friction and increases shock absorption.
Labrum
-part of the Outer Region in Synovial Joint Anatomy
-A ring of fibrocartilage around the edge of the articular cartilage to increase its surface area. In most synovial joints
Joint Cavity
-part of the Inner Region in Synovial Joint Anatomy
-inner region of the joint cavity.
-Lined with a synovial membrane
Synovial Membrane
-part of the Inner Region in Synovial Joint Anatomy
-lines the joint cavity
-secretes synovial fluid
Synovial Fluid
-part of the Inner Region in Synovial Joint Anatomy
-fills the joint cavity
-decreases friction during movement
-provides nourishment and shock absorption
Fat Pads
-part of the Accessory Structures in Synovial Joint Anatomy
-protect articular cartilages
-“packing” used when that enjoins cavity changes shape during movement.
-Example: Knee fat pads
Bursae
-part of the Accessory Structures in Synovial Joint Anatomy
-flattened saclike structures between ligaments or tendons and bones to reduce friction
-lined with synovial sheaths that secrete synovial fluid.
-Example: shoulder
Synovial Sheaths
-part of the Accessory Structures in Synovial Joint Anatomy
-aka tendon sheaths
-elongated bursae surrounding tendons to increase their gliding capacity.
-lined with synovial sheaths that secrete synovial fluid.
-Example: forearms, wrists, legs, ankles
Menisci
-part of the Accessory Structures in Synovial Joint Anatomy
-Crescent-shaped fibrocartilaginious pads
-found in knees and jaw
-act as shims to to make irregular bone shapes fit together
-help the joints move smoothly
-serves as shock absorbers
Types of Synovial Joints
-classified by the number of axes they move around and their shape
-UniAxial Joints: moves in one axes on one plane
*Hinge
*Pivot
-BiAxial Joints: moves in 2 perpendicular axes on 2 planes
*Saddle joints
*Condyloid joints
-MultiAxial Joints: moves in 3 axes in 3 planes
*Gliding
*Ball and Socket
Hinge
-UniAxial Synovial Joint
-Movement: allows Flexion (decrease angle) and Extension (increase angle)
-Description: possesses a convex surface on one bone that fits into a concave surface of another bone (2 boards held together by a hinge
-Example: elbow joint (humeroulner and humeroradial joint), ankle joint (talocrural joint)
Pivot Joints
-UniAxial Synovial Joint
-Description: possess a ringed or notched surface of one bone that fits into a projection of another bone
-Movement: allows rotation around the length of the bone
-Example: 1st and 2nd vertebrae (atlantoaxial joint), 2 forearm bones (proximal and distal radioulnar joints)
Saddle Joints
-BiAxial Synovial Joint
-Description: possesses a concave surface of 1 bone that fits into a convex surface of another. Resembles a rider and a saddle.
-Movement: allows Flexion and Extension, Abduction and Adduction, Opposition and Reposition and Circumduction (not rotation)
-Example: Thumbs (first carpometacarpal joint) only
Condyloid Joints
-BiAxial Synovial Joint
-Description: possesses an oval-shaped surface (condole) of one of the bones that fits into a depression (socket) of another bone
-Movement: allows Flexion and Extension, Abduction and Adduction
-Example: Skull and Neck (atlantooccipital joint), forearm and wrist (radiocarpal joints)
-aka ellipsoidal joints
Gliding
-MultiAxial Synovial Joint
-Description: interactions of relatively flat surfaces of articulating bones
-Movement: allows limited but complex movements on all axes. Least mobile of all synovial joints
-Example: bones in the wrist (intercarpal joints), bones in the feet (intertarsal joints), vertebral column joints (facet joints)
-aka planar joints
Ball and Socket
-MultiAxial Synovial Joint
-Description: ball-shaped end of one bone fitting into a socket-shaped surface of another.
-Movement: allows many directions. Most moveable of all joints.
-Example: hip (acetabulofemoral joint), shoulder (glenohumeral joints
-aka spheroid joints
Synovial Joint Movement
-Flexion and Extension
-Abduction and Adduction
-Circumduction
-Rotation
-Supination and Pronation
-Plantar Flexion and Dorsiflextion
-Inversion and Eversion
-Elevation and Depression
-Protraction and Retraction
-Excursion
Flexion and Extension
-Flexion: angles between the bones decrease
-Extension: angles between the bones increase
-Examples: fingers, toes, elbows, hips, knees, neck, shoulders, spine, wrists
-Hyperextension: overextending the joint beyond its normally straightened position.
-Planes: Sagittal and Midsagital (forward and back)
Abduction and Adduction
-Abduction: away from midline/middle finger/2nd toe
*spreads the fingers/toes
*zombie to plane position (horizontal abduction)
*setter wrist position (Radial deviation/wrist abduction)
-Adduction: towards the midline/middle finger/2nd toe
*squeezes fingers and toes
*thumb to pad of palm (opposition) back to index finger (reposition)
*plane to zombie position (horizontal adduction)
*volleyball block wrist position (Ulnar deviation/wrist adduction)
-Planes: Frontal and Transverse (horizontal ab/adduction)
Circumduction
-circular movement with a fixed (usually proximal) end and a moving (usually distal) end
-combination of several movements including Flexion, extension, abduction and adduction
-Examples: Shoulder and Hip
Rotation
-when a bone pivots or rotates around its own central axis.
-Direction of Rotation:
*Left/Right Rotation: neck and spine
*Lateral and Medial Rotation: appendicular skeleton
*Upward(Superior) and Downward(Inferior Rotation: Gelnoid cavity of the Scapula
-Planes: Transverse (left/right, lateral/medial), Frontal (upward/downward)
Supination and Pronation
-Movements of the forearm
-Supination: lateral rotation of radius with palms anterior or superior with elbows flexed (serving platter)
-Pronation: medial rotation of radius with palms posterior or inferior with elbows flexed (calm down)
Plane: Transverse
Plantar Flexion and Dorsiflexion
-Movements of the ANKLE (not foot)
-Plantar Flexion: foot goes inferiorly (ballet pointing toes)
-Dorsiflexion: foot goes superiority (towards crural/shin)
-Planes: Sagital and Midsagital
Inversion and Eversion
-involving multiple joints in the FOOT (not ankle)
-Inversion: the foot turns inward (bottom of the feet face midline)
-Eversion: turning the foot turns outward (bottom of the feet face away from midline)
-Plane: Frontal
Elevation and Depression
-movements of the scapula and mandible
-elevation: superior (upward) movements (raising or lifting shoulder or jaw)
-depression: inferior (downward movements (lowering or dropping shoulder or jaw)
Plane: Frontal
Protraction and Retraction
-anterior and posterior movements of the scapula and mandible
-protraction: anterior or forward direction (protrusion) (push up)
-retraction: inferior or backward direction (recursion) (pull up)
-Plane: Transverse
-
Excursion
-side to side movements of the mandible
*Lateral Excursion: movement away from the midline
*Medial Excursion: movement returning to middle position
-Plane: Transverse
-aka lateral deviation
Herniated Disk
-Weakening of intervertebral disk resulting in protrusion of nucleus purposes, potentially compressing spinal nerve root or chord.
-Acute local contraindicated for massage; REFER OUT
Abnormal Spinal Curvature
-functional conditions of spine coming out of alignment. Constant pull of the soft tissues or gravity causes vertebrae and other skeletal structures to change shape and become more of a skeletal dysfunction.
-Common Abnormalities:
*Scoliosis C-Curve
*Scoliosis S-Curve
*Lordosis: exaggerated lordotic or concave curve in lumbar spine (swayback)
*Kyphosis - hyperkyphosis - exaggerated convex curve of the thoracic spine
#Postural Kyphosis: slouching, appearing during adolescence
#Scheiermann’s Kyphosis - genetic condition, severe irregularly formed vertebra and disks
Healthy Spinal Curvature
-curvatures help position the head over pelvis and provide flexibility, strength, shock absorption, and balance
-double S Curve when viewed from the side.
*Concave lordotic curve in cervical and lumbar spine
*Convex kyphotic curve in thoracic curve
Scoliosis
-abnormal spinal curvature
-C Curve: lateral curvature of the spine that involves a rotation of the vertebrae
-S Curve: when the spine contains 2 curves, one upper and one lower
-massage: position for comfort, avoid side-lying, sensitivity check in/adjust pressure
Lordosis
-abnormal spinal curvature
-exaggerated lordotic or concave curve in lumbar spine (swayback)
Kyphosis
-Hyperkyphosis - exaggerated kyphotic or convex curve of the thoracic spine
*Postural kyphosis: apparent during adolescence, associated with slouching
*Scheuermann’s Kyphosis - genetic condition, apparent during adolescence, severe irregularity formed by vertebral disks.
-Massage: position for comfort, avoid side-lying, sensitivity check in/ adjust pressure.
Bony Marking: Condyle
-Projections/Processes Category
-A round knuckle-like prominence usually at a point of articulation with another bone to form a joint
-Example: the femur and occipital condyles.
Bony Marking: Head
-Projections/Processes Category
-a rounded articulating process at the end of a bone
-Examples: femoral head and fibulae head
Bony Marking: Crest
-Projections/Processes Category
-A ridge or linear elevation on a bone
-Examples: Iliac crest and pubic crest
Bony Marking: Foremen
-Depression/Opening Category
-An opening through a bone and usually serve as a passageway for blood vessels, nerves, or ligaments.
-Examples: Obturator foremen and foremen magnum
Bony Markings: Fossa
-Depression/Opening Category
-A shallow depression
-Examples: subscapular fossa and iliac fossa
Bony Marking: Line
-Projections/Processes Category
-A narrow ridge or rounded end of a bone
-Example: Nuchal line and gluteal line
Bony Markings: Meatus
-Depression/Opening Category
-a tubelike passage
-Example: external auditory meatus, urethral meatus