Musculoskeletal Flashcards
What does NAVL stand for?
N: Nerves
A: Artery
V: Vein
L: Lymphatic
What is the difference between intramembranous ossification and endochondral ossification?
Intramembranous: bones of skull formation
Endochondral: Formation of bones in the body from chondrocytes that is replaced by bone
What is the basic process of intramembranous ossification?
Mesenchymal cells differentiating into bone-forming cells called osteoblasts that lay down bone matrix
What is the term for bone-forming cells
Osteoblasts
What is the most common type of joint in the body?
Synovial joint
Name the three types of joints
1.) Synovial
2.) Cartilaginous
3.) Fibrous
Name 3 types of fibrous joint
How does their movement function?
- Synarthroses, sutures of the skull, joints between teeth and jaw
- They have little to no movement
List the 4 types of synovial joints
1.) Plane/gliding
2.) Hinge
3.) Pivot
4.) Ellipsoidal/Condyloid
The wrist and ankle are a type of _________________ joint which is a ______________ joint
Ellipsoidal/condyloid
Synovial joint
What is the purpose of cartilage
absorbs shock
What are diarthroses?
Synovial joints
Describe the bony landmark: Fissure
Narrow opening or slit in the bone that can serve as a passageway for blod vessels and nerves
Describe the bony landmark: Foramen
Round or oval shaped opening in the bone that allows structures like blood vessels and nerves to pass through
Describe the bony landmark: Fossa
Depressed or concave area on the surface of a bone that can accommodate and protect underlying structures
Describe the bony landmark: Meatus
Tube-like passageway such as external auditory meatus in the temporal bone, which allows for the passage of structures like nerves and vessels
What are peritoneal ligaments?
Ligaments of the peritoneum, the membrane lining the abdominal cavity, pass b/t organs or organs in the abdominal wall to help hold organs in place and transmit blood vessels and nerves
Describe an aponeurosis
Tendon that spreads out as a broad flat sheet-like layer that connects muscles to each other or to bones
What are the two main goals of bursa?
Reduce compression and friction
A ____________ ___________________ is a special type of bursa that is tubular-shaped, surrounding a tendon. To reduce friction and enable smooth gliding of the tendon as it moves through an area
Synovial sheath
Tendons attach:
Muscle to bone
With respect to muscles: ___________ moves less, while the _________ moves toward the _____________________
The origin point moves less, while the attachment point moves toward the origin
Describe a pennate muscle
- Fibers arranged at an angle to the tendon
- Pennate muscles resemble the shape of a feather, with muscle fibers approaching a central tendon at an oblique angle
- The diagonal orientation of the fibers maximizes the muscle’s force potential. Many more muscle fibers fit into the muscle compared with a similarly sized fusiform muscle.
Describe a fusiform muscle
- Fibers run parallel to the long axis of the muscle belly
- having a spindle-like shape that is wide in the middle and tapers at both ends
When muscles have the prefix “bi”, “tri” etc. what does that indicate?
The prefix corresponds to the number of origins the muscle has
What does “brevis-“ mean?
Shortest
What is the difference between isotonic and isometric contractions
Isotonic = Change in length of muscle
Isometric = no change in muscle length, ONLY TENSION
A reflexive contraction is:
Involuntary
__________________ contractions are involuntary and represent the normal resting state of balanced muscle tension
Tonic
What are the two main ducts of the lymphatic system?
Thoracic and right Lymphatic duct
Where are two places the lymphatic system or its components NOT found?
Brain and spinal cord
Paresthesia corresponds to what type of nerves?
Paralysis corresponds to what type of nerves?
Sensory
Motor
Every nerve is ____________________! What does this mean?
Mixed
Means they contain both sensory and motor fibers
What does ipsilateral mean?
Same side
What is the most distal portion of the limbs?
phalanges
Define flexion
Bending of a joint that DECREASES the angle between body parts
Define extension
Straightening of a joint that INCREASES the angle between body parts
Name the five bilateral regions of the back
What is a hint to use to name 4/5?
1.) Lumbar
2.) Scapular
3.) Suprascapular
4.) Interscapular
5.) InFRAscapular
Hint: 4 are related to the scapular region
Describe the location back region:
INFRAscapular
SUPRAscapular
INTERscapular
Infra is BELOW the scapula
Supra is ABOVE the scapula
Inter is between the scapula and the vertebra
Name the two UPAIRED regions of the back
Where are the located?
1.) Vertebral region
2.) Sacral region
Medial
The back contains
Skin & ______
Extrinsic muscles: DEFINE
Intrinsic muscles: DEFINE
Fascia
Extrinsic: Moving the UPPER LIMBS
Intrinsic: Moving or maintaining the axial skeleton
Which muscles are considered the “true back” muscles?
Intrinsic muscles
Very generally, where are extrinsic muscles located?
Intrinsic
Extrinsic are more superficial and intermediate
Intrinsic are more intermediate and deep
Does the back contain the appendicular or axial skeleton?
Axial
What internal structure approximation can be found at C7 spinous process?
Apex of the lungs, ismuth of the thyroid
What internal structure approximates to the spinous process T3
Formation of the superior vena cava
The spine of the scapula is a palpable landmark that is approximate to which vertebrae?
This vertebrae can be use to approximate what internal structure?
T3
The inferior angle of the scapula is a palpable landmark that corresponds to which vertebra?
What internal structure does this correspond to?
T7
Level of nipple on anterior thoracic wall
What is PSIS?
Which vertebra can this help locate?
Dimple overlying the posterior superior iliac spine
S2
S2 can be located using the dimple overlying the posterior superior iliac can be used to locate what internal structure?
Inferior extent of the dural sac/subarachnoid space
The tips of the 12th rib are palpable landmarks that correspond to which vertebra?
What internal structure do these correspond to?
L2
Bifurcation of the aorta
Which vertebrae can be used to approximate the central tendon of the diaphragm and the base of the lungs?
T9-T10
How many cervical vertebrae?
7
How many total vertebrae?
33
How many thoracic vertebrae?
12
How many lumbar vertebrae?
5
How many sacral vertebrae?
5
How many coccygeal vertebrae?
4
Significant motion occurs only between 25 superior vertebrae, what regions does this comprise?
C, Thoracic, Lumbar and the first sacral vertebrae
The lower most ______________ of the vetabral column is functionally immobile
Sacrum
What is significant about the lumosacral angle?
The mobile region where moves to an immobile region
Which region(s) of the spine fuse as we age?
The sacrum and coccyx
What is housed in the vertebral foramen
Spinal column and mentees
Describe the 9 most common features of vertebrae?
1.) Body
2.) Vertebral arch
3.) 7 spinal processes
There are normally 7 spinal processes on a vertebra. How can you differentiate them?
1.) 1 spinous process
2.) 2 transverse process
3.) 4 Articular process: Remaining 4 will articulate with other vertebrae and form synovial joints
What is significant about the transverse and spinous process of vertebrae?
They are for muscle attachments to the vertebrae
What is the vertebral body?
What is it comprised of?
Anterior region of the vertebrae that is large and cylindrical normally
Spongy bone & compact bone
The body of a vertebra is comprised of spongy bone also known as:
And enclosed by a thin external layer of compact bone
Trabecular
Cancellous
Where is the most actively hematopoietic tissue found?
In the red bone marrow of the trabeculae
Where are basivertebral veins found?
What do they do?
In the foramina on the posterior surface of the vertebral body
Drain marrow
T5-L5 are:
Robust
As it is weight bearing
The superior and inferior surfaces of the vertebral body are covered in _________________ ____________________ also known as vertebral end plates
Hyaline cartilage
What is the epiphysial rim?
Smooth bone surrounding the vertebral body that derives from the anular epiphysis
The vertebral foramen is formed by the vertebral arch and the posterior portion of the vertebral body. What comprises the vertebral arch?
Pedicle
Lamina
1 on each side
What is different about the intervertebral foramen vs the vertebral foramen?
1.) The vertebral foramen houses the spinal cord, etc and is seen from a top down view
2.) Intervertebral foramen is can be seen laterally is where the spinal nerves emerge from the vertebral column
Where are the superior and inferior articular processes?
What do they form?
Notches above and below the spinal processes
Form the intervertebral foramen
Inferior vertebral notch and inferior vertebral notch what do they form
Intervertebral foramen
Where spinal nerve converge?
What is spinal stenosis?
Narrowing of the vertebral foramen in one or more vertebrae
What might the treatment be for lumbar spinal stenosis?
Laminectomy to stop the compression of one or more spinal nerve roots
What is a laminectomy?
Removal of one ore more spinous process and the adjacent supporting vertebral laminae
Transverse process is superior to the _________________ process
Spinous
The spinous process is ________ to the transverse process
Medial
Where is the Pars interartcularis found on a vertebra?
Connects the superior and inferior articular process on each side of a vertebra
Runs laterally to the spinous process
Where is a zygapophysial (facet) joint found?
The joint where a superior and inferior articular process of 2 vertebrae meet
The facets determine the plane of rotation of the body. For example, the articular facets of thoracic vertebrae are nearly vertical, this arrangement allows for:
Rotation and lateral flexion of the vertebral column in the thoracic region
What are the smallest of the movable vertebrae
Cervical
Intervertebral discs of the cervical spine are:
Small
Intervertebral discs of the cervical spine are:
How does their size compare to their corresponding vertebral bodies?
Small
The discs are larger compared to the vertebral body
Other than the more triangular/oval vertebral foramen, what is significant about the foramen in the cervical spine?
The presence of a transverse foramen
Where are the foramen transversarium found?
What is the purpose of this?
Cervical spine
Location for vertebral arteries, nerve and veins to pass through
Why does C7 sometimes lack a transverse foramen?
Because C7 only transmits small accessory veins and the larger components exit a C6
So the foramen is often smaller and sometimes absent
On the lateral edge of the foramen transversarium (transverse foramen) there are a perforated transverse process that split into two tubercle-anterior and posterior. What is different about these component(s) of C6
The anterior tubercles are called carotid tubercles
Here the common carotid artery can be compressed b/t the tubercle and body to slow bleeding
What is the Ucinate processes
Cervical spine
The superior surface of these vertebrae are convex in shape
The ridges at the edge are elevated and named uncus of body AKA ucinate process
Why are the cervical foramina larger compared to others?
To accommodate the cervical enlargement of the spinal cord
Which vertebrae is call Vertebrae prominent? Why?
C7
Because it has a longer spinous process