Anatomy - Week 10 PP Flashcards
Osteology
-The study of bones
-Bones cover and protect the internal structures
-Bones serve as landmarks for us
Skeletal Terminoloy
Articulation - is an area of the skeleton where the bones are joined to eachother. They can be either movable or immovable (joined together)
Sutures - appear on the skulls as “cracks”. Firm joining of two or more bones (where two bones are coming together - wiggly look)
Joint - is the moveable junction of two or more bones (TMJ is an example, knee, elbow)
Process - is an extension of a bone
Fossa - is a depression in a bony surface, a place for a joint or muscle attachment to be located
Bony Openings
- The cranium has a number of holes called foramina (singular, foramen).
◦ Major blood vessels supply the brain with blood through foramina into the cranium - Meatus: canal-like opening into a bone from outside of the body [external] as in the opening to the ear
Foramina
- Mental Foramen
-Foramen Magnum - largest hole in skull
-Supraorbital
-Infraorbital Foramen
Cranium has a total of 8 bones..
◦ Frontal: Single
◦ Parietal: Paired
◦ Occipital: Single
◦ Temporal: Paired
◦ Sphenoid: Single
◦ Ethmoid: Single
How many facial bones?
14 facial bones
How many bones in the skull total? (excluding ossicles in the inner ear)
22 bones in total
Frontal Bone - Single
- Forms the forehead, part of the floor of the cranium and most of the roof of the orbits
- Contains the two frontal sinuses
- The frontal bone protects the frontal lobe of the brain, which is largely involved with motor and control functions of the body
Parietal Bones
- Paired
-Forms most of the roof and the upper sides of the cranium
-Joined by the sagittal suture at the midline of the skull
-The suture between the frontal bone and the parietal bones, is the coronal sture
Occipital Bone - Single
-Forms the back and base of the cranium
-Joins the parietal bones at the lambdoidal suture
-The spinal cord passes through the foramen magnum of this bone, to join with the brain
Temporal Bones - Paired
Paired (2)
-Form the sides and base of cranium
-Enclose the ear and contain the external auditory meatus (bony passage of the outer ear)
* Extend toward the zygomatic bone (check bones)
* Have a depression, called the glenoid fossa into which the lower jaw articulates
Sphenoid Bone
-Forms the anterior portion of the base of the skull
-It articulates with the temporal bones and the frontal bone to form the back of the eye orbit
Greater Wing - larger outer wings
Lesser wings - smaller & higher
Ethmoid Bone
-Forms part of the floor of the cranium, the orbit, and the nasal cavity
Facial Bones - 14 in total
- Maxilla (paired)
- Zygomatic (paired)
- Palatine (paired)
- Nasal (paired)
- Lacrimal (paired)
- Inferior nasal conchae (paired)
- Vomer (single)
- Mandible (single)
Maxilla
-Forms the upper jaw and part of the hard palate
-The two bones are joined together by the maxillary suture at the midline
-Contain the maxillary sinuses
-Contains the maxillary tuberosity where the blood vessels and nerves enter This is also where much of the growth of the maxilla takes place
Zygomatic Bones
- Also called the Malar bones
- Forms the prominence of the cheek, distal walls and floor of the orbit * Rest on the maxillary bones
- There is a temporal process of the Zygomatic bone (that projects backwards) articulates with the Zygomatic process of the temporal bone – This forms the Zygomatic arch
Palatine Bones
Made up of a horizontal plate (hard palate) and a vertical plate
* Horizontal plate – posterior portion
* Vertical plate – lateral walls of the nasal cavity
* It is joined midsagittally at the median palatine suture. This is covered by the tissue of the palatine raphae
The Nasal Bones
-Two bones that are joined
-Articulate with the Frontal Bone to make up a small portion of the nasal septum
Lacrimal Bones
- Paired bones found at the inner angle of the eye
-resemble a fingernail
-smallest bones of the face
-located posterior and laterla to the naasal bone
-Contain the lacrimal duct, where tears pass into the nasal cavity and out to the surface
Nasal Conchae
3 TYPES
-They are formed from the Ethmoid Bone
-The superior and middle nasal concae are extensions of the ethmoid
-The inferior is a separate bone
-extend ineward from the maxilla
-allow for circulation and filtration of air before it goes to the lungs
Vomer
-Single Bone
-Triangular shaped, it forms the inferior and posterior part of the nasal septum
Hyoid Bone
-Does not articulate with any other bones
-It is suspended in the neck and is an attachment point for neck and tongue muscles
-it is horshoe shaped
Auditory Ossicles
-Composed of six main bones
-They are tiny, highly specialized bones of the inner ear
-There are three types per side:
- Stapes - stirrup
- Incus - anvil
- Malleus - hammer
The Hard Palate
-is composed of the palatine process of the maxilla and the palatine bones
-The right and left sides are joined by the median palatine suture
-Incisive foramen is located at the mid-line, just behind the upper central insisors
-Greater Palatine foramen is located in the palatine bone
Mandible
-Single bone
-Forms the lower jaw
-is the movable bone of the skull
-The alveolar process of the mandible supports the teeth in the mandiblar arch
- it is composed of three parts:
1. Body
2. Alveolar Process
3. Ramus
Parasnasal Sinuses
- The maxillary sinuses are the largest of the paranasal sinuses
-The frontal sinuses are located within the forehead, just above both eyes
-the ethmoid sinuses are irregulary shaped air cells seprated from the orbital cavity by a very thin layer of bone
-the sphenoid sinuses are located close to the optic nerves, where an infection may damage vision
Functions of th sinuses
- Lighten the skull bones
- Act as sound resonators
- Provide mucus for the nasal cavity
Temporomandibular Joint (TMJ)
- Is a joint on each side of the head that allows for movement of the mandible for speech and mastication
3 bony parts
-Glenoid fossa of the temporal bone
-Articular eminence of the temporal bone
-Condyloid process of the mandible
Capsular Ligament
-a fibrous joint capsule completely encloses the TJ
-The capsule wraps around the margin of the temporal bone’s articular eminence and articular fossa superiorly
-Inferiorly, the capsule wraps around the circumference of the mandibular clondyle’s neck
Articular Space
-The area between the capsular ligament and the surfaces of the glenoid fossa and condyle
-Articular disc (meniscus) is a cushion of dense, specialized connective tissue that divies the articular spce into upper and lower compartments
-These compartments are filled with synovial fluid, which helps lubricate the joint and fills the synovial cavities
Jaw Movement of the TMJ
-Hing Action
*The first phase of the mouth opening
*Only the lower comartment of the joint is used
-Gliding movement
*Allows the lower jaw to move forward or backward
*it involves both the lower and upper compartments of the joint
*The condyle articular disc “glide” forwrad and downward along the articular eminence
Gliding Movement
Protrusion is the forward movement of the mandible
* The reversal of this movement is the backward movement of the mandible, called retrusion
* Lateral movement of the mandible occurs when the internal and external pterygoid muscles on the same side of the face contract together
Rest Position of the TMJ
- Elimination of muscle tension and rest of the TMJ is essential throughout the day
- Clenching and grinding [bruxism] contribute to the tension and eventually lead to TMJ and muscle discomfort
- The ‘rest’ position of the TMJ is achieved with lips together, but teeth slightly apart – carrying the TMJ like this whenever possible will reduce tension and discomfort
Temporomandibular Disorder (TMD)
Etiology
*Trauma
*Genetic Factors
*Developmental Disorders
*Behavioural Stresses
*Para-Functional habits
*Malocclusion
*Arthritis
Signs and Symptoms of TMD
-Pain
-Stiffness
-TMJ sounds (clicking/popping)
-Internal Disc derangment
-Subluxation (locking open)
-Limitation of movement (trismus)
Malocclusion (Shift in the way the teeth align)
*No solution to TMJ disorders - but can provide “help”
-Patient education
-CBT
-Physical therapy
-Medication - antidepressant, muscle relaxants
-Muscular Therapy