Quiz 2 Flashcards
cranial sutures
- fibrous joints between skull bones
- coronal suture
- sagittal suture
- lambdoid suture
- squamous suture
- metopic suture
craniosynostrosis
- premature fusion of suture leads to craniofacial dysmorphology
- categorized by which suture is fused
- brain keeps growing
- high intercranial pressure
- shunt needed
- if sagittal suture -> skull expands more than usually anteriorly and posteriorly
cranial base
- vomer
- sphenoid
- temporal (petrous)
- occipital
- ethmoid
- bony features that connect the skull to the spine and provide structural support for the brain and face
- endochondral ossified
- support the weight
- foramen magnum
facial bones
- temporal (zygomatic process)
- zygomatic
- maxilla
- maxilla
- mandible
- sphenoid
- lacrimal
- nasal
- frontal
- palatine
le fort fractures
- face fractures
- 3 types
- stereotypical locations
1. when people fall, car accident, physical accident- fracture across the upper jaw
2. goes through the orbit
3. facial skeleton is separating from the cranial base -> fracture line across the eyes
which portions of the skull are found adjacent to the brain
- cranial vault
- cranial base
transverse and spinous processes
muscle attachment
body
supporting weight
vertebral column
- cervical - neck
- thoracic - ribs attach
- lumbar - lower back
- sacrum - pelvis
- coccyx - tail bone
hyper-kyphosis
- exaggerated posterior curvature of thoracic spine
- convex portion of the curve is curving posteriorly
- hunchback
scoliosis
- lateral curvature
- usually thoracic
- pathological
hyper-lordosis
- exaggerated curvature of the lower back
- concave portion of lower back is curing anteriorly
- common during pregnancy bc of extra weight
- lumbar region
ribs
12 ribs
- 1-7- true ribs: during development each of these ribs has its own costal cartilage that attaches to the sternum
- 8-12- false: if they have costal cartilage it will connect to another costal cartilage before connecting to the sternum
- 11-12- floating ribs: no costal cartilage or attachment
costal cartilage
-attaches the medial ends of the ribs to the sternum
articulation of ribs
- tubercle/neck of rib articulates with transverse process of the lower vertebrae
- connects at what looks like in between two vertebrae
sternum
- manubrium: articulates with clavicle (only articulating between axial and appendicular)
- sternal body
- xiphoid process
upper limbs
- pectoral girdle
- arm
- forearm
- manus
lower limbs
- pelvic girdle
- thigh
- leg
- pes
forearm
homologous to leg
manus
homologous to pes
arm
homologous to thigh
pectoral girdle
- mobile -> range of motion for upper arms
- clavicle
- scapula
clavicle
- sternoclavicular joint - sternum and clavicle
- acromioclavicular joint - acromion process of the scapula and clavicle
sternoclavicular joint
- ligaments of the joint:
- costoclavicular- between clavicle and first rib
- sternoclavicular - surrounds the joint; between clavicle and sternum
- interclavicular- between two sternoclavicular joints
- synovial joint*
- synovial fluid
- two areas with a cartilaginous disc in between with synovial fluid
acromioclavicular joint
- ligaments of the joints
- acromioclavicular- between the clavicle and the acromion process
- coracoclavicular- holds the clavicle down; between clavicle and coracoid process
- coracoid process
- acromion process
shoulder separation
- occurs at acromioclavicular joint
- clavicle overrides acromion
- nothing is holding down the clavicle due to tear in acromioclavicular ligament
scapula
- glenoid fossa- lateral- head of humerus articulates here
- acromion
- axillary border
- coracoid process- major site of muscle and ligament attachment (anterior)
- spine- shoulder blade
- floating within layer of muscle -> allows for more range of movement
- no attachment
movement of scapulae
- sliding- abduction -> protraction
- sliding- adduction -> retraction
- rotation- when you move you arm up the scapula rotates laterally (superior); when you move your arm behind you the scapula is rotating medially
- sliding- elevation and depression -> shrugging shoulders
arm
- between elbow and shoulder
- mobility
- humerus
humerus
- lesser tubercle
- head articulates with glenoid fossa of scapula
- greater tubercle
- medial epicondyl
- trochlea
- capitulum
- articulates with ulna at elbow posteriorly
glenohumeral joint
- articulation of humerus and glenoid fossa of scapula
- glenohumeral ligament
elbow joint
- radius (lateral side)
- ulna (medial side)
- both articulate with humerus
- olecranon process (part of the ulna) goes into the olecranon fossa posteriorly
- olecranon process is the pointy part of your elbow
- ulna articulates strongly - locked in place - flexion & extension
- radius is circular -> rotation
radius and ulna
- radius is lateral
- ulna medial
- ulna is responsible for flexion and extension
- radius is responsible for rotation
- connected by interosseous membrane
supination and pronation
- rotation thanks to circular radial head moving at the radiohumeral and radioulnar joint surfaces
- radius rotates over the ulna
- ulna stays in place
radiolulnar joint
-between radius and ulna
interosseous membrane
- connects the radius and ulna
- tissue
- helpful for rotation
manus
- hand and wrist
- mobility
- carpal bones
- metacarpals
- phalanges
- pollex
- fingers
carpal bones
- 8 bones
- irregular shape
- wrist bones
- some articulate with metacarpals or ulna/radius
- 4 of the them flexor retinaculum (ligament) -> medial and lateral sides
- scaphoid
- trapezium
- pisiform
- hamate
carpal tunnel
- flexor retinaculum forms the carpel tunnel space that tendons of the hand flexors pass through
- formed by the cupping of the carpals and flexor retinaculum that goes between 4 of the carpals
- tendons that attach the hand flexor muscles to the muscle bodies of the forearm are being affected -> numbness, weakness
- presents as numbness, pain, and/or muscle weakness in hands
- in severe cases, cutting the flexor retinaculum may be necessary to prevent muscular atrophy caused by compression of median nerve
- pressure on median nerve
which bones does the radius share a joint with
- ulna
- humerus
- carpels
pelvic girdle
- stability
- sacrum coccyx
- os coxae
os coxae
- 2 (left and right)
- articulates with femur
- acetabulum surface articulates
- oracular surface
- 3 portions that develop independently (primary ossification centers are separate):
- ilium crest
- ischium
- pubis- pubic area
- each of these meet at the acetabulum
ischial tuberosity
-what we sit on
pubis
- pubic symphysis joint -> two pubic bones join
- anterior medially
- one of the three parts of the os coxae
thigh
- stability
- mobility
- femur
- patella
femur
- curved -> lateral to medial
- bicondylar angle
- adaptation to keep a center of gravity
patella
- knee joint
- in ligaments of quadriceps femoris
- slides over to allow muscle use
- sesamoid
leg
- stability
- mobility
- tibia
- fibula
- below knee
tibia and fibia
- no rotation
- interosseous membrane
pes
- stability
- mobility
- foot and ankle
- tarsal bones
- metatarsals
- phalanges
- hallux (big toe)
- toes
tarsal articulation
- talus articulates mostly with tibia joint (also fibia)
- dorsiflexion
- plantar flexion
longitudinal arch
- arch from posterior to anterior
- as you walk -> heel strike and toe off
transverse arch
medial to lateral
- lateral side is in more contact with ground
- heel strike -> stance phase -> toe off
dipedality
supported by
- foramen magnum
- foot morphology
- bicondylar angle
axial skeleton
- function:
- framework and protection of viscera
- special sense organs
- central nervous system
- hemopoietic tissue
- attachment for muscles
skull
- cranium - cranial nerves
- mandible
- teeth
thoracic cage
- ribs
- costal cartilages
- sternum
cranial bones
- parietal
- frontal
- temporal
- occipital
- ethmoid
- sphenoid
cranial vault bones
- encloses the brain
- protects brain
- parietal (left & right)
- frontal
- temporal (squamous)
- sphenoid
- occipital
fontanelle
- wide fibrous
- at suture intersection
- allows for further brain/skull growth
- soft spots
- sphenoid fontanelle
- anterior fontanelle
- posterior fontanelle
- mastoid fontanelle
anterior fontanelle
- found at the intersection of the coronal suture and sagittal suture
- right in the top middle
skull and vertebrae attachment
- atlas articulates with occipital condyles
- foramen magnum- spinal cord passes through
articulation at the elbow
- radius head x capitulum
- olecranon process in the olecranon fossa x trochlea
- radius head x ulna
calcaneus
heel bone
joints
- articulations
- points of connection
- movement between different skeleton elements
- teeth
- sutures
- interosseous membrane
- synovial joints
- costal cartilage
- bone to bone
- bone to cartilage
- bone to teeth
joint classification: structure
- fibrous- dense fibrous connective tissue (can be regular or irregular)
- cartilaginous- cartilage between two bone (hyaline or fibrocartilage)
- synovial- fluid-filled joint cavity (surrounded by dense fibrous tissue)
joint classification: function
- synarthrotic- immobile
- amphiarthrotic- slightly mobile (bend, compression, twist)
- diarthrotic- freely mobile
mobility/stability
- synarthrotic tend to be fibrous
- amphiarthrotic tend to be cartilaginous
- diarthrotic tend to by synovial
- not definite!!!
- less movement means more stability (general coorelation)
what function classification is the pubic symphysis
- amphiarthrotic
- slight movement -> giving birth
- cartilaginous joint
synarthrotic: fibrous
- no movement
- interlaced bone fronts
- sutures
- gomphosis (teeth)
- fibrous connective tissues
amphiarthotic: fibrous
- interosseous membrane
- between radius and ulna
- allows rotation and connects radius and ulna
synarthrotic: cartilaginous
- costochondral joints
- joint between first rib and sternum -> costal cartilage
- epiphyseal plate -> hyaline cartilage
- synchondroses (hyaline)
amphiarthrotic: cartilaginous
- symphyses
- fibrocartilage
- pubic symphysis
- intervertebral discs/joint
intervertebral discs
- amphiarthrotic
- cartilaginous (fibrocartilage)
- annulus fibrosis- outer fibrous ring -> transmits forces
- nucleus pulposus- inner protein gel -> shock absorption
- prolapsed disk can impinge the spinal nerve (break or tear in annulus fibrosis and nucleus pulposus leaks out)
vertebral discs: aging
- anklosing spondylitis- type of progressive arthritis -> can lead to fusion
- age related degeneration
- dehydration of the disc
- space between discs will shrink -> we get shorter overtime
diarthrotic: synovial
- full range of motion
- wrist
- jaw
- knee
- fingers
- hyaline cartilage
types of synovial joints
- uniaxial: hinge joint (humerus x ulna)
- biaxial: saddle joint (thumb joint)
- multiaxial: ball and socket (femur x pelvis)
- (going from least to most mobile ^)
common features of synovial joints
- articular capsule- layer of dense fibrous tissue over synovial membrane
- articulate cartilage (almost always hyaline) -> there isnt bone to bone contact -> its articular cartilage to articular cartilage
- synovial fluid
- ligaments- dense fibrous tissue external to articular capsule
what is the synovial membrane composed of
-areolar connective tissue
bursae
- commonly associated with synovial joints
- fibrous sac of synovial fluid
- when found surrounding ligaments and tendon can be called sheaths
- rounded areas around the joint
- can be separate or included in articular capsule
- subdeltoid bursae
- digital tendon sheath
bursitis
- irritation/inflammation of bursae
- irritation/inflammation can lead to accumulation of fluid -> pressure
- olecranon bursa irritation can lead to bursitis when banged
tendinitis
- tennis elbow
- tendons- dense connective tissue that connects muscle body to bone
- damage to tendon due to repetitive use
- flexor pronator
- wrist extensor
- triceps tendon
articular discs
- synovial joints are commonly associated
- thin fibrocartilage separating the synovial cavity space
- separates 2 synovial space cavities
- hyaline can rotate on this disc
- present in the temporal mandibular joint
shoulder
- ball and socket
- glenohumeral joint
- extremely mobile
- very shallow articulation
- stability from ligaments and muscles
- glenoid fossa deepened by fibrocartilaginous labrum that extends beyond bony edge
hip
-ball and socket
knee
-hinge
ligaments of shoulder
- supported by extracapsular ligaments
- coracohumeral ligaments- coracoid process x humerus
- glenohumeral ligaments- glenoid fossa x humerus
- ligaments are external to synovial joint
rotator cuff
- shoulder muscles
- subscapularis- deep to scapula
- supraspinatus- lateral posterior of scapula
- infraspinatus- lateral posterior of scapula
- teres minor- inferior posterior
subscapularis
-attaches to lesser tubercle
teres minor and infraspinatus
-attach to greater tubercle
brachial plexus
- innervation
- suprascapular nerve- innervates the supraspinatus and infraspinatus
- subscapular nerve- innervates subscapular nerve
- axillary nerve- innervates teres minor
shoulder impingement
- swollen bursa
- increase pressure
- impinge nerve
hip joint*
- extremely stable
- very deep articulation
- added stability from ligaments
- acetabular surface- ear-like, covered with hyaline
- acetabular labrum
- acetabulum is deepened by- fibrocartilaginous labrum and transverse acetabular ligament
what would the name of an extracapsular ligament between the femur and the inferior-posterior part of the pelvis be called (the part you sit on)
-ischiofemoral
extracapsular ligaments of hip
- iliofemoral- anterior
- pubofemoral- anterior
- ischiofemoral- posterior
intracapsular ligament for hip joint
- ligament of the head of the femur
- connect the head of the femur into the acetabulum
- inside the capsule
hip replacement
- common
- arthritic damage
- inflammation of the bone
- replacing the head of the femur with a metal ball
- replacing the acetabulum
knee joint
- unstable (compared to hip)
- very shallow articulation
- added stability from ligament
tibial plateau
- deepened by fibrocartilaginous menisci
- flat
- medial meniscus and lateral meniscus -> make a cup
extracapsular ligaments of knee
- support joint capsule
- patellar ligament- patella and * -> prevents too much flexion
- medial (tibial) collateral ligament- tibia and femur
- lateral (fibular) collateral ligament- fibula and femur
- medial and lateral collateral prevent too much abduction and adduction
- too much abduction can tear medial collateral ligament vice versa
intracapsular ligaments of knee
- anterior cruciate (ACL)- anterior side of tibia back to femur -> prevents posterior dislocation of femur (anterior dislocation of tibia) -prevents medial rotation of tibia
- posterior cruciate (PCL)- make a cross- posterior of tibia forward to femur -> prevents anterior dislocation of femur (posterior dislocation of tibia)
muscle tissue
- elongated cells capable of contraction
- excitability- responsive to stimuli
- elasticity- return to original form after contraction (titin)
- contractility- tension within cells causes shortening (active)
- extensibility- extend in response to contraction of opposing muscles (passive)
tissue
- epithelial
- connective
- muscle
- nervous
muscle tissue function
- movement
- posture
- temperature regulation (skeletal muscle- shivering, arrector pili)
- storage and movement
- support
3 muscle types
- skeletal
- cardiac
- smooth
skeletal muscle
- voluntary
- striated- fiber pattern, action and myosin
- produced movement
- generates heat- contraction releases heat
skeletal muscle structure
- fibers run parallel with different thickness
- nesting doll
- muscle body attach to tendon
- fascicles- composed of fibers
- vessels and nerves between fascicles
- fibers (cell)- composed of fibrils and filaments
- epimysium
- myofibrils
- myofilaments
tendon
- connect muscle to bone
- dense regular connective tissue
- contraction pulls on tendons (and bone)
ligament
-bone to bone
epimysium
- directly adhered to muscle body
- outside of the muscle
- connective tissue
- under the fascia
perimysium
- surround the fascicles
- connective tissue
fasicles
- bundles of muscle fibers wrapped in connective tissue
- some fascicles can contract while others arnt in the same muscle body
- composed of fibers (Cells)
- semi-independent
- can run in different directions:
- parallel, convergent, unipennate
muscle fiber
- multinucleated
- composed of myofibrils
- long -> extend the entire length of fascicle
- connect to nervous system
endomysium
- surrounds the muscle fiber
- not a cell membrane -> external to cell
- helps keep fluid surrounding the cell that would normally be ECF
myofibrils
- contraction
- composed of myofilaments
- run the whole length of the fiber
- contractile segments
- composed of stacked sarcomeres (myofilaments)
sarcolemma
-cell membrane of the muscle fiber
which level of muscular organization represents a collection of multiple muscle cells
-fascicle
myofilaments
- actin thin filaments- made of actin, troponin, and tropomyosin
- myosin thick filaments- made of myosin protein
- makeup 10,000 of sarcomeres stacked (z disc to z disc)
- actin and myosin are contractile proteins
- myosin pulls the actin fibers
A band
- myosin and actin
- darkest area -> both filaments
- stays the same length
H zone
- myosin
- middle
- dark areas
sarcomeres
- functional contractile unit
- responsible for striations
- myosin and actin
I band
- actin
- light areas
- shrink during contraction
skeletal muscle innervation
- neuromuscular junction- the synapse between neuron axon and muscle cell
- each skeletal muscle fiber is innervated by a single motor neuron
- contract in unison
contraction at sarcomere
- thin filaments slides over thick filaments
- Z discs move closer
- titin is compacted
- myosin binds to actin and pull actin fibers together
- Z discs move closer together
- titin- springy complex that is compacted -> provides elasticity
cramping
- an involuntary and forcibly contracted muscle that does not relax
- keeps contracting after signal stops
- caused by hyperexcitability of the nerves that stimulate the muscles
amyotrophic lateral sclerosis
- Lou Gehrig
- degeneration of motor neurons that control skeletal muscle
- voluntary muscle action progressively lost
- atrophy, cell death, mass loss
striated muscle
-skeletal and cardiac
cardiac muscle
- heart wall
- walls of aorta
cardiac muscle structure
- single nucleus
- Y-shaped cells
- intercalcated discs between cells -> directly connected with large SA -> good for gap junctions
- attached to 2,3,4 other cells
- involuntary contraction (autonomic system)
- striated
- internally generated impulses
smooth muscle
- walls of hollow organs and blood vessels
- tunica media- thick layer of smooth muscle surround arteries
- detrusor muscle- bladder -> allows us to push out pee
- 3 muscle layers of stomach
sphincter
-skeletal muscle
smooth muscle structure
- involuntary
- non-striated
- resist fatigue
- low power
- maintain constant muscle tone
- always somewhat contracted to maintain shape of organ
smooth muscle function
- bundles of actin and myosin that stretch in between dense bodies
- dense body is analogous to z disc
- filaments connect dense bodies
- thin filaments slide over thick filaments
- sliding mechanism
- contraction in all directions
- elongated shape- relaxed
- blobby- contracted
which muscle is involved in goose bumps (erector pili)
- smooth muscles
- involuntary
which muscle is involved in shivering
skeletal
-heat production
muscle action
- when considered in isolation, the movement that a muscle is capable of producing in isolation
- the movements that a muscle is capable of producing
muscle function
- the body motion that a muscle produced when it is in use
- depends on the context of other muscle actions and joint positions
- the body motion that muscle produces when it is in use
muscle function = muscle action in some cases:
- pronator quadratus
- brachialis
pronator quadratus
- action=function
- pronation at forearm/wrist
- anterior distal end
- between ulna and radius
- brings them closer together
- rotation about the ulna
brachialis
- action=function
- crosses from the diaphysis of the humerus to the coracoid process of ulna
- pulls ulna towards humerus
- flexion of forearm at elbow joint
muscle function may be modified muscle action
- pronator teres
- biceps brachii
pronator teres
- action= pronation
- elongated
- pulling between medial epicondyle of humerus
- pulls radius and forearm towards the humerus
- pronation
- if you already have pronation and have further flexion of the pronator teres you would expect it to produce flexion at the elbow
- function = can do flexion when already pronated
biceps brachii
- action=flexion of elbow
- function=when elbow is partially flexed, also powerful supinator
- connected to radius
- pulls radius towards humerus -> flexion
- rotates radial from radial tuberosity once flexed
muscle action and muscle function may be different
-walking
agonist
- prime mover
- responsible for movement
antagoinist
- prime opponent
- prevents the movement
synergist
-assist agonist (stabilize joint)
fixator
-assist agonist (stabilize bone)
elbow flexion
- agonist- bicep brachii
- antagonist- triceps brachii
flexion of wrist
- agonist- palmaris longus, flexor carpi ulnaris, flexor carpi radialis
- flexor carpi ulnaris- also adducts
- flexor carpi radialis- also abducts
- results in straight flexion
- flexor carpi ulnaris and flexor carpi radialis are antagonists of one another (abductor and abbductor)
finger flexion: pulling yourself up
- agonist- finger flexors: flexor digitorum superficialis, flexor pollicis longus, flexor digitorum profundus, flexor radialis
- antagonist- finger extensors
- synergist- wrist should be extended: wrist extensors -> extensor carpi ulnaris, extensor carpi radialis brevis, extensor carpi radialis longus