SA - most of written midterm Flashcards
2 forms of bone
Cortical (compact)
Cancellous (spongy or medullary)
Cortical (compact bone)
Appears as solid mass of hard, dense mineralized bone. Found around the periphery of bones. WEIGHT-BEARING portion of the bone
Cancellous (spongy/medullary) bone
Mineralized network of bony plates (trabeculae) that forms a mesh work that resembles sponge. The spaces between the trabeculae contain fat or blood forming tissue. Located at the center of the bone.
Long bones
Found in the limbs. Length is greater than the width. Composed of: diaphysis, epiphysis, epiphyseal plate, metaphysis
Diaphysis
Tubular shaft
Epiphysis
Two end regions, distal and proximal, of the bone
Epiphyseal plate
Separates the diaphysis and epiphysis. Where growth takes place as bone increases in length
Metaphysis
Part of the diaphysis that lies adjacent to the epiphyseal plate
Short bones
Found in hands and feet
Roughly cuboidal in shape
Composed of cancellous bone surrounded by compact bone
Flat bones
Ribs, sternum, and calvarium of the skull/ scapula and clavicle also
Inner and outer layer of compact bone separated by cancellous bone
Sesamoid bones
Developed within muscle tendons that rub over bony surfaces
Patella
Irregular bones
Odd shaped bones that don’t fit into any other category of bone
Composed of an outer layer of compact bone and inner of cancellous/spongy bone
Vertebrae, particular bones of the skull, and the pelvis
Adult Axial Skeleton
80 Bones of the skull = 22 Ossicles of the middle ear = 6 Hyoid = 1 Vertebral = 27 (cervical = 7; thoracic = 12; lumbar = 5; sacrum = 1; coccyx = 1) Sternum = 1 Ribs = 24 (12 pairs)
Adult Appendicular Skeleton
126 bones Upper extremities = 64 - scapula = 2 - clavicle = 2 - humerus = 2 - radius = 2 - ulna = 2 - carpals = 16 - metacarpals = 10 - phalanges = 26
Lower extremities
- os coxae (innominate bone) = 2
- femur = 2
- tibia = 2
- fibula = 2
- patella = 2
- tarsals = 14
- metatarsals = 10
- phalanges = 28
Vertebral Column Functions (7)
PROTECTION of the spinal cord
STABILIZATION of the entire body
SUPPORT AND WEIGHT BEARING
- the vertebral column supports the head and the entire weight of the body
SHAPE AND POSITION with the lordodic and kyphotic curves
SKELETAL FORMATION
- it is part of the axial skeleton and has attachments of the ribs
RESILIENCY
-shock absorbing
MINERAL PRODUCTION
- calcium
spinal column includes all ____
All vertebrae
Average length for a male and female spinal column
Male = 71cm = 28in Female = 61cm = 24in
Intervertebral Discs (IVDs) make up ____ of spinal column
1/4 of spinal column
Two types of spinal curves
Primary - kyphotic
Secondary - lordodic
Primary/Kyphotic Curve
Seen in the thoracic and sacral regions
You are born with them
Convexed posteriorly
Accommodating curves bc they are in the areas that accommodate the visceral organs
Secondary/Lordodic Curves
Seen in cervical and lumbar regions
Develop them as we grow
Convexed anteriorly
Compensatory bc they compensate to keep us in the upright position
Intervertebral Foramina
Holes formed by the superior notch and inferior notch of the vertebrae that are on the pedicles
Allow for passage of nerves and vessels
Smallest in cervical and largest in lumbar
Change in size with movement of the spine
_____ true vertebrae
24
Moveable
Cervical, thoracic, and lumbar vertebrae
_____ false ribs
2
Non moveable
Sacrum and coccyx
Typical Vertebrae (6 characteristics)
- 1 vertebral body which functions for support
- 2 pedicles that function to protect
- 2 laminae that function to protect
- 4 articulate processes (APs) that, due to their shape, function to reduce movement
- 2 transverse processes (TPs) whose function is to allow movement and muscle attachment
- 1 spinous process (SP) whose function is to allow for movement, thus muscle attachment
Atypical Vertebrae
Peculiar
Those that have something more or something less than the typical 6 characteristics
Typical Cervical Vertebrae
C3-C6
Typical Thoracic Vertebrae
T2-T8
Typical Lumbar Vertebrae
L1-L4
Atypical Cervical Vertebrae
C1 (atlas), C2 (axis), C7 (vertebral prominent)
Atypical Thoracic Vertebrae
T1, T9, T10, T11, T12
Atypical Lumbar Vertebrae
L5
Anterior Landmark - C3 vertebral body
Hyoid bone
Anterior Landmark - C4/C5 vertebral bodies
Thyroid cartilage
Anterior Landmark - C6 vertebral body
Cricoid cartilage
Anterior Landmark - C5, C6, C7 vertebral bodies
Thyroid gland
Anterior Landmark - T2 vertebral body
Jugular notch aka suprasternal notch
Anterior Landmark - T4/T5 vertebral bodies
Sternal angle of Lewis
- jxn where the second costal cartilage attaches with the manubrium
- also where the articulation between manubrium and the body of the sternum
Anterior Landmark - T9 vertebral body
Jxn of the sternal body and the xiphoid process (xiphosternal joint)
Anterior Landmark - T10 vertebral body
Xiphoid process
Anterior Landmark - L4 vertebral body
Umbilicus
Posterior Landmark - EOP ( external occipital protuberance)
Protuberance in the midline of the occipital bone which is on the same line as the superior nuchal line
Posterior Landmark - C2 spinous process
First prominent sp inferior to the EOP
Posterior Landmark - C7 or T1 SP
Vertebral prominence (VP); anatomically, in 70% C7 will be VP; in 30% C1 will be VP
Posterior Landmark - T3 SP
Level of the base or root of the spine of the scapula when the patient is in the prone position
Posterior Landmark - T4 SP
Level of the base or root of the spine of the scapula when the patient is in the sitting or standing position
Posterior Landmark - T6 SP
Level of the inferior angle of the scapula when the patient is in the prone position
Posterior Landmark - T7 SP
Level of the inferior angle of the scapula when the patient is in the sitting or standing position
Two portions of vertebrae
Anterior and posterior
Anterior portion of vertebrae components
Vertebral body
Posterior portion of vertebrae components
Vertebral arch and 7 processes
7 processes of the posterior portion of the vertebrae
2 laminae and 2 pedicles of the vertebral arch
1 SP
2 TPs
4 APs
Function of vertebral body
Support
Function of pedicles
Protection
Function of laminae
Protection
Function of TPs
Movement
Function of SP
Movement
Function of APs
Restriction of movement
Atlas is the ONLY vertebrae to be _____________ TO THE ENTIRE SPINE
ATYPICAL
Vertebral canal = spinal foremen = spinal ring
Name before birth?
Spinal foramina?
Neural foremen or neural rings
Are the holes that are formed when the pedicles of the adjacent vertebrae come together
Vertebral canal = spinal canal
Before birth?
Vertebral canal?
Neural canal
Formed when two or more vertebral foremen are put together
BODY - _______ portion of the vertebrae and the _______ single portion
Anterior
Largest
BODY - superior and inferior portions are ______ and receive the convexity of the IVD
Concave
BODY - the anterior portion has several small holes for the passage of the _______ ________ into the vertebral body (spongy bone area)
Nutrient arteries
BODY - the posterior region has 1 or more large holes to receive the _________ __________ which drains the vertebral body
Basivertebral vein
BODY - central region is _________ bone
- function?
Spongy
In the production if red blood cells and provides nourishment to the IVD. Gives strength to the vertebral body
BODY - peripheral region of the body is _________ bone
- the vertebral end plates are rings of compact bone that surround the vertebral body. They are important in creating the trabeculae due to weight bearing forces
Compact = cortical
PEDICLES - bony pillars that extend ________ and ________ from the vertebral body. They connect the body to the ________
Posteriorly and laterally
Laminae
PEDICLES - constricted to form and __________ ___________ ____________ and ____________ ___________ ______ that forms part of the IVF
Superior vertebral notch
Inferior vertebral notch
PEDICLES - pedicongenic stenosis
If the pedicles are congenitally shortened, it may cause a narrowing of the vertebral canal at that level resulting in an impingement upon the spinal cord
PEDICLES - spondylolithesis
If the pedicles are congenitally elongated, it may cause the vertebra to slip anteriorly
LAMINAE - two broad plates that extend ________ and ______. The two plates fuse in the midline to form the base of the _______ ________
Anteriorly and medially
Spinous process
SPINOUS PROCESS - the spine is projected _______ from the junction of the ________. The ______ fuse to form this.
Posteriorly
Laminae
Laminae
TRANSVERSE PROCESSES - projections that extend ________ from the junction of the ________ and _________.
Laterally
Pedicles
Laminae
TRANSVERSE PROCESSES - vary in _______, __________, and _________ in the different regions of the spine
Size
Shape
Location
ARTICULAR PROCESSES = _____________
Zygopophyses
ARTICULAR PROCESSES - 2 _________ APs and 2 ________ APs that arise from the junction of the laminae and pedicles
Superior
Inferior
ARTICULAR PROCESSES - each process has a s,oath surface called a _________. These 4 ______ form the articulation (joint) between adjacent vertebrae. That joint is called the _________ joint or “___” joint
Facet
Facets
Zygopophyseal or “Z”
ARTICULAR PROCESSES - the orientation of the processes determines what type of ________ that will occur in that region of the spine. This is why they function to ________ movement
Motion(s)
Restrict
VERTEBRAL END PLATES aka _______ __________ _______
Cartilaginous end plates
VERTEBRAL END PLATES - there are 2, ________ and _____
Superior
Inferior
VERTEBRAL END PLATES - they surround the ________ section of the vertebral bodies
Peripheral
VERTEBRAL END PLATES - they are attached to two adjacent ________ ________ and _____
Vertebral bodies
IVDs
TYPICAL CERVICAL BODY - shape?
oval or rectangular
CERVICAL UNCINATE PROCESSES
Where?
May hypertrophy and grow upward into the IVF resulting in?
Found in which vertebrae?
Concavity of the superior surface projects upward on the lateral sides
Prevent lateral displacement of the vertebrae
Result in foraminal encroachment
Found C3-C7
CERVICAL SPs
Bifid on C_ to C_
C1?
C7?
2-6
Does not have in
Is not bifid
CERVICAL TPs
Hole in TP called ______ ________ which is for the passage of vertebral _______ and _______ nerves.
Vertebral artery passes through ___-___ to enter the foramen magnum of the occiput to form the basilar artery.
Anterior?
Posterior?
Space between anterior and posterior? What passes through this?
TPs project ________ and _______
Transverse foramen Artery and sympathetic C6 to C1 Anterior - Costal transverse process Posterior - true transverse process. Costotransverse lamella. Spinal nerve Laterally and anteriorly