Introduction Flashcards
Eponyms
Terms incorporating names of people. Trying to move from it but might need to know for clinical
Anatomical position
Standing upright.
Head, gaze, and toes directed forward.
Arms adjacent to sides. Palms facing anterior ley.
Lower limbs close together and feet parallel
Median plane
Vertical anterioposterior plane passing longitudinally through mid lines of head, neck and trunk.
Sagittal
Vertical planes passing through body parallel to median plane.
Frontal / coronal
Vertical plane passing through body at right angles to median plane
Transverse plane
Horizontal plane passing through body at right angles to median and frontal planes
Superficial
Nearer to surface
Deep
Further from surface
Posterior / dorsal
Nearer to back
Interior / ventral
Nearer to front.
Dorsal
Superior foot surface
Plantar
Inferior foot surface (sole)
Vertex
Topmost point of cranium
Caudal
Toward foot/ tail region
Rostral
Used instead of anterior when describing parts of brain
Latin for beak
Dorsum
Refers to superior aspect of any part that protrudes anteriorly from body.
Ipsilateral
Same side of body
Contra lateral
Opposite sides of body
Flexion
Bending / decreasing angle between bones/ parts of body
Extension
Straightening / increasing angle between bones / body parts
Dorsiflexion
Flexion at ankle joint.
Flexing foot.
Plantar flexion
Flexion at ankle joint.
Pointing toes
Abduction
Moving away from medial plane
Adduction
Moving toward median plane.
Lateral flexion
Lateral bending.
Special forms of abduction for only neck and trunk.
Circumduction.
Circular movement that involves sequential flexion, abduction, extension and adduction.
Foot in circle
Rotation
Turning/ revolving part of body around a longitudinal axis.
Turning head to face sideways.
Medial rotation
Brings anterior surface of limb closer to median plane
Duck walk.
Lateral rotation
External rotation
Takes anterior surface away from medial plane
Pigeon toed
Pronation
Rotates radius medically so palm faces posteriorly
Supination
Rotates radius laterally
Palm faces anteriorly.
Eversion
Moves sole of foot away from median plane, turning sole laterally.
Fully everted and dorsiflexed
Inversion
Moves sole of foot toward median plane
Fully inverted > plantar flexed.
Opposition
Movement which pad of 1st digit (thumb) is brought to another digit
Pinch.
Reposition
Describes movement of 1st digit from opposition to its anatomical position.
Protrusion
Movement anteriorly
Protruding lips
Retrusion
Movement posterioly
Returning tongue
Protraction
Anterolateral movement of scapula
Retraction
Posteromedial movement of scapula
Elevation
Raises/ moves part superiorly
Shrug shoulders.
Depression
Lowers/ moves part inferiority
Upper eyelid closes.
Congenital anomaly
Birth defect
Variation often evident at birth or soon afterward due to aberrant form or function.
Skin functions (6)
Provides protection from environment Containment for body structures and organs Prevent dehydration Thermal regulation Sensation Synthesis and storage of vitamin d
Layers of skin
Epidermis
Superficial cellular layer
Dermis
Epidermis
Keratinized epithelium.
No blood vessels or lymphatic
Nourished by dermis
Few nerve terminals penetrate epidermis
Dermis
Dense layer of interlacing collagen and elastic fibers
Provide skin tone and strength of skin
Predominant pattern of collagen fibers determines characteristic tension lines
Supplied by arteries, enter deep surface to form plexus
Most nerve terminals housed here.
Sensitive to touch, pain, irritation, and temperature
Tension line
Cleavage lines
Langer lines
Spiral longitudinally in limbs and run transversely in neck and trunk.
Determined by predominant pattern of collagen fibers.
Subcutaneous tissue
Between dermis and underlying deep fascia.
Composed mostly of loose connective tissue and stored fat.
Contains sweat glands, superficial blood vessels, lymphatic vessels, and cutaneous nerves.
Provides most of body’s fat storage. (Varies in sites and persons)
Skin ligaments
Numerous small fibrous bands extend through subcutaneous tissue and attach deep surface of dermis to deep fascia.
Erythema
Abnormally red skin.
Capillaries engorged.
Can be due to skin injury, exposure to excess hear, infection, inflammation, or allergic reaction
Superficial lacerations
Penetrate epidermis and maybe superficial dermis.
Bleed but don’t interrupt continuity of dermis
Deep laceration
Penetrate deep layer, extending into subcutaneous tissue or beyond
Gape and require approximation of cut edges of dermis (suturing) to minimize scarring
Superficial burn
Damage is limited to the epidermis
Symptoms include erythema, pain, edema, desquamation of superficial layer. Layer quickly replaced from basal layer without scarring.
Partial thickness burn
Epidermis and superficial dermis are damaged with blistering or loss.
Nerve endings damaged.
Sweat glands and hair follicles are not damaged and can provide source of replacement cells for basal layer of epidermis
Healing occurs slowly (3 weeks to several months) leaving some scarring and some contracture but usually complete.
Full thickness burn
Entire thickness of skin is damaged and often subcutaneous tissue too
Marked edema
Destroyed sensory endings.
Minor degree healing may begin at edges, but open ulcerated portions require skin grafting.
4th degree burn
Damage extends through entire thickness into underlying fascia, muscle or bone.
Life threatening.
Factors that increase risk of death from burn injury
Older than 60
Partial thickness and full thickness burns over 40% of body
Presence of inhalation injury
Burn Percentages
Anterior head and neck
4.5%
Burn Percentages
Anterior shoulders, arms, forearms and hands
9%
Burn Percentages
Anterior thighs, legs and feet
18%
Burn Percentages
Anterior trunk
18%
Burn Percentages
Anterior right leg
9%
Burn Percentages
Anterior and posterior head and neck
9%
Burn Percentages
Anterior and posterior arms, fore arms, and hands
18%
Burn percentages
Anterior and posterior trunk
36%
Burn percentages
Anterior and posterior thighs, legs and feet
36%
Burn percentages
Perineum
1%
Fascias
Constitute wrapping, packaging and insulating materials of deep structures of body.
Under subcutaneous tissue
Deep fascia
Dense organized connective tissue layer
Devoid of fat.
Covers most of body parallel and deep to skin and subcutaneous tissue
Thickness varies in body (absent in face)
Fascial compartments
Groups of muscles with similar functions usually sharing same nerve supply house together.
Separated by inter muscular septa that extend from fascial sleeve to attach to bones
Retinaculum
Thick deep fascia near certain joints (wrist/ankle) to hold tendons in place where cross joint during flexion/extension.
Prevents shortcuts
Subserous fascia
Varying amounts of fatty tissue
Lies between internal surfaces of musculoskeletal walls and serous membranes
Endothoracic fascia example
Bursae
Closed sacs of serous membrane. Normally collapsed.
Their walls contain thin film of lubricated fluid that is secreted by enclosed membranes.
When wall is interrupted at any point, become realized spaces
Enable one structure to move more freely over another
Subcutaneous bursae
Subcutaneous tissue between skin and bony prominence (elbow)
Subfascial bursae
Lies beneath deep fascia
Subtendinous bursae
Facilitate movement of tendons over bone
Synovial tendon sheaths
Specialized type of elongated bursae that wrap around tendons, usually enclosing them as they transverse osseofibrous tunnels that anchor tendons in place.
Visceral layer
Inner layer of serous sac
Parietal later
Outer layer closest to body wall
Cartilage
Resilient semirigid form of connective tissue that forms parts of skeleton where more flexibility is required.
A
Articular cartilage
Provides smooth low friction gliding surfaces for free movement.
On articulating surfaces of bones in synovial joint
Bone
Highly specialized hard form of connective tissue
Bone functions
5
Support for body Protection for vital organs Mechanical basis for movement Storage for slats Continuous supply of new blood cells (produced by marrow)
Periosteum
Fibrous connective tissue covering surrounding bone.
Nourishes external aspects of skeletal tissue. Capable of laying down more cartilage or nome. Provide attachment point for tendon and ligaments
Perichondrium
Connective tissue surrounding cartilage
Nourshed external aspects of skeletal tissue. Capable of laying down more cartilage
Provides attachment points for tendons/ ligaments
Compact bone
Provides strength for weight bearing.
In long bones greatest near middle of shaft where bones are liable to buckle.