Lecture 3: The Skeleton Flashcards
Axial skeleton
skull, spine, ribcage
supports what is necessary for life (can survive w/ ONLY axial skeleton)
Appendicular skeleton
upper extremities, lower extermities, pelvis
pelvis can be axial
The Spine
5 sections:
Cervical spine (7)
Thoracic spine (12)
Lumbar spine (5)
Sacrum
Coccyx
Has lordortic (fwd) and kyphotic (bwd) curves
- weak point of skeleton b/c of lots of motion + lots of loading
Cervical spine
(7) - Neck
- flexion/extension (nodding) + rotation (shaking head)
- lordotic
Thoracic spine
(12) - Ribcage
- protects heart and lungs
- does NOT twist
- kyphotic
Lumbar spine
(5) - low back
- can twist
- lordotic
Sacrum
part of pelvis
5 separate vertebrae as fetus THEN fused by birth
Coccyx
Tail bone
- anchor for many connextive tissues that make up pelvic floor
NOT vestigial
Hardest bone in body
Teeth then sternum
Functions of skeleton
- attachment for muscles
- leverage for applying torque to jts.
- protects vital organs (brain, lungs, heart)
- support soft tissue
- making new RBCs (long bones have bone marrow)
- reservoir for calcium and phosphate
Wolff’s Law of Bone
Use it or lose it (remodeling)
Bone is laid down in areas of high stress, bone is lost in areas of low stress
Osteoblasts lay down bone continuously
Osteoclasts break down bone continuously
Stress adjusts the balance btwn both
Stress shielding
stiff metal implant offloads the surrounding bone so the bone resorbs
Charnley hip replacement
included a phalange on stem implanted
- under phalange, there is no bone after a few months b/c metal is stronger then bone
- load goes through metal and not bone = osteoclasts work and causes loosening of jt.
Today’s hip replacement
metal implants have thinner stems w/ less metal = more load goes into bones
Types of bones
Long
Short
Flat
Irregular
Function is related to shape