MSK System Anatomy 1 Flashcards
What are the 4 types of bone cell?
Osteoclasts: resorbs bone
Osteoblasts: produce bone matrix
Osteocytes: result of osteoblasts
Osteoprogenitor cells: bone stem cells
Which bone cell occupies Howship’s lacunae?
Osteoclast
Where within the bone are osteoprogenitor cells found?
Periosteum
Where within the bone are osteocytes found?
Lacunae
What connects lacunae?
Canaliculi
What type of connective tissue is most abundant in the bone matrix?
Type 1 collagen. Versus Type II collagen forms hyaline and articular cartilage.
Volkmann’s canals connect what?
Haversian canals
What is an example of a syndesmosis joint?
Distal tibiofibular joint (tibiofibular syndesmosis). Syndesmosis joints are fibrous joints between 2 bones that are only slightly movable.
What is an example of a plane/gliding/arthrodial joint?
Acromioclavicular
Calcaneocuboidal
Carpometacarpal (except jt. of thumb)
Intercarpals
Proximal tibiofibular
What is an example of a hinge joint?
Elbow
Talocrural (ankle) Interphalangeal
Mandible
Knee
What is an example of a condylar joint?
Metacarpophalangeal
Atlanto-occipital
What is an example of a ball and socket joint?
Hip
Shoulder
What is an example of an ellipsoidal joint?
Wrist
What is an example of a pivot/trochoid joint?
Distal radioulnar
Atlas/axis
What is an example of a saddle joint?
Carpometacarpal joint of thumb (between trapezium and MC1)
What is an example of a symphysis joint?
Pubic symphysis
What type of joint forms the fibrous union between the radius and ulna?
Syndesmosis joint
What type of joint is a cranial suture?
Synarthroid. Synarthroid joints have little or no movement.
Fibrous joints that are either immovable or barely movable are classified as what type of joint?
Synarthrosis
What type of joint is united by hyaline cartilage or fibrocartilage?
Cartilaginous
What type of joint is united by an articular capsule and allows free motion in at least one axis?
Synovial or diarthrodial joint
What are the four main sutures in the skull?
The Coronal, Sagittal, Squamous, and Lambdoid
What suture separates the parietal bone and the temporal bones form the occipital bone?
Lambdoid suture
What suture separates the parietal bones superiorly?
Sagittal suture
What suture separates the parietal bone from the temporal bone laterally?
Squamous suture
What suture separates the frontal bone from parietal bones?
Coronal suture
What forms the bregma landmark?
The intersection of the coronal and sagittal sutures
Which bones are considered pneumatized bones (i.e. contain sinuses)?
Frontal bone
Temporal bone
Sphenoid bone
Ethmoid bone
What is the easily palpable, external occipital protuberance on the medial plane between the inferior and superior nuchal lines of the occiput called?
The inion
What bone forms the posterior part of the nasal septum?
Vomer
What bones make up the nasal aperture?
Nasal
Maxilla
Frontal
What makes up the septum?
Vomer
Septal cartilage
Perpendicular plate of the ethmoid bone
The inion is associated with which bone?
Occiput
Which bone of the skull has the styloid process?
The temporal bone
What bones make up the hard palate?
Palatine bone
Maxilla
What prominence on the mandible forms the prominence of the chin?
Mental protuberance
What are the articular surfaces involved in the tmj?
Head of condylar process of the mandible articulates with the mandibular fossa and articular tubercle of the temporal bone
What ligament limits post. movement of tmj?
Lateral Temporomandibular ligament. Versus the medial temporomandibular ligament limits inferior mandibular movement.
What passes through the optic canal?
Optic nerve (CNII) and Opthalmic artery
What structures pass through the superior orbital fissure?
Opthalmic veins, sympathetic fibers, CN III, CN IV, CN V1 (ophthalmic nerve), and CN VI
What passes through the mandibular foramen?
Inferior alveolar nerve a branch of CN V3 (mandibular nerve) and the Inferior alveolar artery and vein
What exits through the stylomastoid foramen?
The facial nerve (CN VII) and stylomastoid artery
What passes through the mental foramen?
The mental artery and mental nerve a branch of CN V3 (mandibular nerve)
What passes through the foramen rotundum?
The maxillary nerve (CN V2)
What passes through the foramen ovale?
The mandibular nerve (CN V3) and accessory meningeal artery
What passes through the supraorbital foramen?
The supraorbital nerve a branch of CN V3 (opthalmic nerve)
What passes through the infraorbital foramen?
The infraorbital nerve a branch of CN V2 (maxillary nerve)
What structures pass through the foramen lacerum?
Internal carotid artery and accompanying sympathetic and venous plexuses
What bones make up the auditory ossicles?
Malleus
Incus
Stapes
What U-shaped bone lies at the level of C3 vertebrae?
Hyoid bone
What makes up the primary curves of the spine?
Thoracic curve
Pelvic (Sacrum/coccyx) curve
What makes up secondary curves of spine?
Cervical curve
Lumbar curve
What type of curve is the lordotic curve?
Secondary
What type of curve is the kyphotic curve?
Primary
Which are the true/movable vertebrae?
Cervicals
Thoracics
Lumbars
What are the false/fixed vertebrae?
Sacrum
Coccyx
What makes up a typical vertebra?
Vertebral body
2 pedicles
2 laminae
4 articular processes
2 Transverse processes
1 spinous process
Which of the cervical vertebrae are atypical?
C1, C2, C7
C1 lacks spinous process, C2 has the unique dens, C7 has the longest spinous process (of all cervical vertebrae).
Which of the thoracic vertebrae are atypical?
T10, T11, T12. T10 has small costal facet (on transverse process) while T11 and T12 don’t have costal facets.
Which of the lumbar vertebrae are atypical?
L5. Unlike other lumbar vertebrae, L5 has a distinct transverse process.
Where is the 1st intervertebral disc found?
Between C2 and C3
Where does head flexion take place?
Between Atlas and occiput
Where does head rotation take place?
Between Atlas and axis
What penetrates the atlanto-occipital membrane?
suboccipital nerve
Vertebral artery
What ligament spans the inside of the vertebral foramen on the posterior side?
Ligamentum flavum
What ligament prevents full rotation of the head?
Alar ligament
What ligament holds the dens in ventral position?
Cruciform
What ligament is found on the dorsal surface of the inside of the vertebral foramen?
Ligamentum flavum
What ligaments join tips of vertebral spines?
Supraspinous ligs.
What ligaments span between vertebral spines?
Interspinous ligaments
What forms the boundary for the intervertebral foramen?
Superior and inferior vertebral notch
What is contained within the intervertebral foramen?
Spinal nerve
Intervertebral artery and vein
Intervertebral lymphatic vessels
Adipose tissue
Peripheral nerve roots and meningeal sleeves
What vessels and nerves pass through the intervertebral foramen?
Spinal nerve
Intervertebral artery and vein
Intervertebral lymphatic vessels
What passes through the transverse foramina of the cervical vertebrae?
The vertebral artery and vein
The vertebral artery does not pass through the transverse foramina of which cervical vertebra?
C7
Which CNs pass through the jugular foramen?
CN IX, X, XI
How many articulations are there between a typical rib and vertebrae?
Three: head of rib articulates with 2 vertebral bodies; tubercle on neck of rib articulates with 1 tvp
What ligament is involved with the head of the rib connecting with the vertebral body?
The radiate ligament
How many true ribs are there?
Seven. True ribs refer to ribs directly attached to the sternum (and not via cartilage).
What constitutes a true rib?
The first 7 ribs that are attached to the sternum by their own costal cartilage
Which ribs are called vertebrochondral ribs?
Ribs 8, 9 and 10
Which ribs are typical ribs?
Ribs 3 to 9
What constitutes a typical rib?
They contain a head, a tubercle and a shaft (a.k.a. a body)
Which is the most curved, broadest and shortest rib?
Rib 1
What attaches to the scalene tubercle on the 1st rib?
The anterior scalene muscle
What passes through the groves anterior and posterior to the scalene tubercle on the 1st rib?
Anterior groove = The subclavian vein
Posterior groove = The subclavian artery and lower brachial plexus
Which ribs have only one facet each on their heads?
Ribs 1, 10, 11 and 12
What structure gives elasticity to the thoracic wall?
Costal cartilage
True or False: There is a cervical rib?
True, it occurs in 0.5% of the population and arises from the 7th cervical vertebra’s transverse process.
What is the name of the structure produced by the meeting of the manubrium and the body of the sternum?
The angle of Louis, aka the sternal angle
What part of the sternum lies at the level of T3 and T4?
Manubrium
What portion of the sternum lies at the level of T10?
Xyphoid
Give the landmarks for when the trachea begins and ends?
It begins at 6th cervical vertebra and extends to the level of the sternal angle
What joint forms the junction of the xiphoid and the sternum?
Xiphisternal joint
What are the 3 angles of the scapula?
Inferior
Superior
Lateral
What are the 4 fossa on the scapula?
Supraspinatus fossa
Infraspinatus fossa
Subscapular fossa
Glenoid cavity
What are the 2 tubercles on the scapula that are superior and inferior of the glenoid cavity?
Supraglenoid tubercle
Infraglenoid tubercle
What lateral continuation of the spine of the scapula articulates with the clavicle?
Acromion
What 2 ligaments make up the capsular ligaments of the shoulder?
Coracohumeral ligament
Glenohumeral ligament
What is the chief bracing ligament of the acromial end of the clavicle?
Coracoclavicular ligament