Musculoskeletal System Flashcards
Terms: Unilateral bilateral ipsilateral contralateral
ipsi=same side
contra=opposite side
Terms of movement:
- extension/flexion
- hyperextension
- dorsiflexion/plantarflexion
- abduction/adduction
- lateral/medial rotation
- pronation/supination
- circumduction
beginning point 180, end point less than 180
circumduction= combination of flexion, abduction, extension, adduction
Hands/feet
- dorsum/palm(ar)
- dorsum/sole (plantar)
- opposite/reposition
- inversion/eversion
dorsal (dog) back
Bones:
- axial skeleton
- appendicular skeleton
- Cartilage
- head, neck, thoracic, spinal, sacral
- everything else: upper/lower extremities, pelvis bone, scapula
- costal cartilage, articular cartilage
Functions of bones 5
- protection organs
- support body weight
- levers movement
- reservoir calcium & phosphorous
- blood cell formation marrow
- 2 types of bones
- what is medullary?
- 2 types of marrow and its contents
1. spongy bone (trabecular, cancellous) compact bone (cortical, dense) 2. marrow cavity 3. red-hematopoesis yellow-inert & fatty
7 classifications of bones and examples
- long bones-humerus, phalanges, clavivle
- short bone- tarsals, carpals
- flat bone-some cranial vault bones, ribs, sternum
- irregular bone-vertebrae, sphenoid
- sesamoid bone-patella (develop within tendons)
- pneumatic bones-mastoid part of temporal bone, paranasal sinus
- accessory (supernumerary) bones- in foot
- 10 elevations
- 3 depressions
- 2 articualtions
- 1 hole
- crest-ridge of bone
- linea-linear elevation
- protuberance-projection of bone
- epicondyle-eminence superior to a condyle
- malleolus-rounded prominence
- spine-thorn like process
- process-projecting spine-like part
- trochanter-large blunt elevation
- tubercle- small raised eminence
- tuberosity-large rounded elevation
- fossa-hollow or depressed area
- groove
- notch- indentation at edge of bone
- condyle-rounded articular area
- facet- smooth flat area usually covered with cartilage, where bone articulate with another bone
- foramen-passage through a bone
6 names for development of bones
- ossification-bone formation
- osteoblast-bone forming cells
- osteocytes-bone cells
- osteoclasts-bone resorption cells
- chondrocytes-cartilage cells
- chondroblasts-cartilage forming cells
- bones develop from the condensations of what?
2. What are the two ossification by condensations?
- condensations of mesenchyme, an embryonic connective tissue
- Intramembranous ossification (direct)
- mesenchyme–>bone (rapid process)
ie. flat bones of skull
Endochondral ossification (indirect)
- mesenchyme–>cartilage–>bone (slow)
ie. most bones
Describe the process of endochondral ossification. 9 steps
- cartilage anlage
- periosteum layer forms
- primary center of ossification appear btw 7-12th weeks of prenatal life
- cartilage calcifies
- blood vessel invades
- blood vessel invades secondary center
of ossification - sec center appears after birth
- another sec ctr of ossification forms
- bone consist of epiphysis on both ends, metaphysis and diaphysis in middle
- Diaphysis grow between what and how?
- What happens before/after growth ceases?
- Fusions occurs at specific age for different bones. What is the dif btw xx vs. xy?
- name the 5 parts of a long bone
- btw growth plate & metaphysis by proliferation of cartilage
- before-bone replaces cartilage at growth plate
after-diaphysis fuses with epiphysis= synostosis - 1-2 yrs earlier in females than males
- epiphysis–>epiphyseal plate (growth plate)–>metaphysis–>diaphysis–>metaphysis–>epiphysis
Timeline of endochondral ossification:
- 3rd month of embryonic development
- 4th month embryonic dev
- birth-5 yrs
- 5 yrs-12 yrs in xx; 5-14 yrs in males
- 17-20 yrs
- 18-23 yrs
- 23-25 yrs
- by 25 yrs
- begins ossification of long bones
- most primary ctr appeared in diaphyses of bones
- sec ctr appear in epiphyses
- ossification spread rapidly from ctr and various bones are becoming ossified
- bone of upper limbs & scapulae becoming completely ossified
- bone of lower limbs & os coxae become completely ossified
- bone of sternum, clavicles, vertebrae become completely ossified
- nearly all bones completely ossified
- Why not have cells at ends t produce growth?
2. difference btw the development of long/short bones?
- moving joint damage growing tissue, bone must be capable of supporting loads
- same as long bones but no secondary centers (except the calcaneus in foot)
What happens if there's a loss of blood supply to epiphysis of other parts of the bone? 2. vasculature & innervation of bone Articular cartilage epiphysial line epiphysial artery metaphyseal artery lymphatics periosteum vein periosteal nerve periosteal artery compact bone with haversian system nutrient artery & vein
- avascular necrosis of bone tissue
Fibrous Joints
- Fibrous joints are united by what and the movement depends on what?
- what is diploe?
- Where is sutures seen?
- what is fontanelles?
- what is syndesmosis?
- fibrous joints are united by fibrous tissue and movement depends upon length of fibers uniting the bones.
- diploe is the central layer of spongy bone btw the 2 layers of compact bone
- sutures occurs only in skull linked by sutural ligament
- fontanelles are the wide areas of fibrous tissue in sutures, common in neonates where bone skull do not contact each other.
- syndesmosis is when two bones are linked by a sheet of fibrous tissue
Cartilaginous Joints
- united by?
- what is the name of the primary/secondary cartilaginous joints?
- What is each united by?
- what is each function?
- cartilage
- primary=synchondrosis
- united by hyaline cartilage
- permits growth; after full growth, synchondrosis —>synostosis - secondary=symphysis
- united by fibrocartilage
- strong, slightly movable
Synovial Joint
- what are the 4 things synovial joint contains
- It’s functions
- contains:
- a joint cavity contain synovial fluid
- articular cartilage
- articular joint capsule- synovial membrane
- a fibrous capsule
- most common, most important functionally, provide free movement
six types of synovial joints and its motion
- hinge-flexion/extension only
ie. elbow, interphalangeal joints - pivot-rotation around a long axis
ie. atlantoaxial, proximal radioulnar joints - plane-gliding limited by joint capsules
ie. zygapophyseal, acromioclavicular joints - condyloid (ellipsoid)- flexion, extension, abduction, adduction
ie. metacarpophalangeal joints - ball & socket-freest; universal movement
ie. hip, shoulder joints - saddle- several direction except rotation
ie. carpometacarpal joint of thumb
Muscular system
- consist of?
- movement by?
- provides (2)
- 3 types of muscles?
- contractile cells (muscle fibers)
- by contraction
- form to body and heat
- skeletal (striated) m
- cardiac (striated) m
- smooth (non-striated)
Skeletal M.
- % of body weight?
- function
- 2 attachments
- controlled by what NS?
- type of contraction
- 43%
- moves bones & other structures (skin of face, eyes, tongue)
- origin-least movable (proximal)
insertion-more moveable (distal) - voluntarily-somatic NS
- strong, quick intermittent (phasic) contraction
Skeletal M
- description of skeletal fibers
- fibers bound by?
- skeletal m. are large, long, un-branched, cylindrical fibers with transverse striations arranged in parallel
- fibers bound by connective tissue through which run blood vessels and nerves
- Motor unit-functional unit consist of?
2. what is tone?
- consists of motor neuron & all muscle fibers innervated by it. Muscle fibers in a motor unit varies from one to several 100’s
- maintenance of posture, muscle is in a state of reflex contraction or tone
skeletal M.
- produce movement by?
- muscle length is from?
- how is it named?
- produce movement by shortening
- length is distance between bony attachments
- named for their function, the bone to which it is attached, their position, or length
1.Types of contraction 3
- isometric contraction-muscle remains same length; muscular force precisely matches the load, and no movement result
- concentric contraction-force generated is sufficient to overcome the resistance, and the muscle shortens as it contracts.
- eccentric-force generated is insufficient to overcome the external load on the muscle and he muscle fiber length as they contract
4 skeletal m. actions
- prime movers (agonist)-main muscles activated during a specific movement
- antagonist-oppose the action of the prime movers
- synergist-complement the action of the prime movers
- fixators-steady the proximal part of a limb while the distal parts are moving
The same muscle can act differently under different conditions.
Testing skeletal muscle
- patient maintains position, examiner attempts to move
- patient moves, examiner resists movement
EMG-electromyography
Symptoms of peripheral nerve injuries
- motor nerve damage
- sensory nerve
- motor nerve
- weakness
- muscle atrophy
- twitching
- paralysis - sensory nerve
- pain
- sensitivity
- numbness
- tingling/prickling
- burning
- problems with positional awareness
5 classification of skeletal muscles (according to shape)
- pennate-featherlike arrangement of fibers
- unipennate
- bipennate
- multipennate - quadrate-having 4 sides like square
- fusiform-spindle shaped, round thick belly, tapered ends
- flat- parallel fibers often having an aponeurosis
- circular or sphincteral-fibers surrounding a body opening or orifice
4 Structures associated with skeletal muscle
- aponeurosis-flat fibrous sheet or expanded broad tendons
- synovial tendon sheaths-tubular sacs wrapped around tendons
- tendons- fibrous bands of dense tissue that attach muscles to bones (or another muscle)
- bursae- flattened sacs of synovial membrane that facilitate movement by minimizing friction