Skeletal system Flashcards

1
Q

Skeletal system: components and functions

A

Components
- Bones and joints of the body and their associated cartilage

Function
- Support and protection
- Surface for muscle attachment
- Aids body movement
- Houses cells that produce blood cells
- Stores minerals and lipids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is bone?

A

-is a very dense connective tissue;
- is one of the hardest structures in the human body;
-contributes to approximately 60% of the bodies weight;
-is composed of:
Water 10%;
Organic tissue 30%;
Inorganic salts 60%.
-Although bone is one of the hardest structures, it maintains a degree of elasticity due to structure and composition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the axial skeleton?

A
  • Bones that form the upright axis of the body:
    Skull, hyoid bone, bones of the vertebral column, sternum and ribs
  • Consists of 80 bones.
  • Form the central region of the skeleton that is the axis. Some are single, others are paired.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Bones of the axial skeleton

A
  • Skull: Cranial bones, Facial bones
  • Spine: Cervical, Thoracic, Lumbar, Sacral, Coccygeal
  • Ribs
  • Sternum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the appendicular skeleton?

A
  • Bones that are appended to the axial skeleton.
  • Upper and lower extremities, including the shoulder and hip girdles.
  • Consists of 126 bones (Note the sesamoid bones are excluded in the count with the exception of the patella and the pisiform)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Bones of the appendicular skeleton: upper limb

A
  • Clavicle
  • Scapula
  • Humerus
  • Radius
  • Ulna
  • Carpal bones
  • Metacarpal bones
  • Phalanges
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Bones of the appendicular skeleton: Lower limb

A
  • Innominate bone
  • Femur
  • Patella
  • Tibia
  • Fibula
  • Tarsal bones
  • Metatarsals
  • Phalanges
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 5 classification of bone?

A
  • Long
  • Short
  • Flat
  • Irregular
  • Sesamoid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe Long and which bones are classified as long

A
  • Consist of a cylindrical diaphysis (shaft) of compact bone with two expanded ends (epiphyses).
  • These bones provide a large surface area for attachment of muscle to enable articulation.
  • Bones that are classified as long are:
    Humerus, femur, radius, ulna, tibia, fibula, phalanges, metacarpals, metatarsals, clavicles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe short and which bones are classified as short

A
  • Consist of cancellous bone (spongy bone) covered with a thin layer of compact bone. These are found at sites where strength but limited movement is required. These bones vary considerably in shape, but are many considered to be cuboidal.
  • Bones that are classified as short are:
    The tarsal and carpal bones
  • The exception is the pisiform which is a carpal bone and is a sesamoid bone.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe flat and which bones are classified as flat

A
  • Consist of a thin layer of compact bone enclosing a layer of cancellous bone. Found where protection of underlying organs or the need for space for muscle attachment is the greatest need. These bones have a large surface area compared to their depth.
  • Bones that are classified as flat are:
    Vault of the skull, scapula, ribs and sternum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe irregular and which bones are classified as irregular

A
  • Consist of cancellous bone surrounded by a layer of compact bone. Bones in this classification vary considerably in their size and shape.
  • Bones that are classified as irregular are:
    Vertebrae, facial bones, Sphenoid, Ethmoid, mandible, Auditory ossicles, Hyoid bone, and hip bones (innominate).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe sesamoid and which bones are classified as sesamoid

A
  • Nodules of bone that ossify within a tendon at a point of friction. The purpose of sesamoid bones is to protect muscle and tendons from wear and provide a channel for their movement as they glide over the bony surface.
  • Main sesamoid bone is the patella.
  • Other sesamoid bones exist in the foot and hand, mainly related to the great toe and thumb, but others can be located within the hand and foot also pisiform.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are accessory ossicles?

A
  • These are normal variants that are unfused secondary ossification centres remaining separate from the bone.
  • These can be located throughout the body.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Structure of long bone

A
  • Periosteum
  • Cortical or Compact
  • Cancellous, Spongy or Trabecular
  • Endosteum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is periosteum and its function?

A
  • Fibrous membrane or layer.
  • Covers the external surface of bone
  • The periosteum consists of two layers:
    Outer fibrous layer
    Inner vascular layer
  • Sharpey’s fibres are tufts of collagen fibres that extend from the fibrous layer into the bone matrix.
  • Contains nutrient foramina

Function:
- Protective outer covering of bone
- Provides attachment for muscles, tendons and ligaments.
- Contains blood vessels, that provide blood supply to the bone
- Forms new bone by means of osteoblasts found in the inner layer of the periosteum.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is cortical or compact bone?

A
  • Dense and ivory like.
  • Approximately 80% of bone is of the cortical type.
  • Has strength, present in the cortex of diaphysis. Covers the cancellous bone.
  • Cortical bone consists of irregularly spaced overlapping cylindrical units these are microscopic and known as Haversian systems or osteons
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cancellous, Spongy or Trabecular

A
  • similar in structure to compact bone
  • bone marrow is found between trabeculea.
  • generally found at the ends of long bones, vertebral bodies and flat bone.
  • Trabeculea form the internal support structure of the bone. Approximately 20% of bone is of the trabecular type.
  • site of greatest bone turnover
  • Cancellous bone has a spongy texture
  • Provides large spaces for blood forming cells to occupy.
  • bone is used where lightness, strength and area are required
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is endosteum?

A
  • Connective tissue
  • covers the trabeculae of spongy bone in the marrow cavities and lines the canals that pass through compact bone.
  • Like the periosteum the endosteum contains osteoblasts and osteoclasts.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is bone marrow?

A
  • Soft pulpy substance, composed of connective tissue and cells. Located in the cavity of long bones and in spaces between the trabaculae of all bones.
  • Two kinds:
    Red bone marrow
    Yellow bone marrow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Bone development: Ossification

A
  • Cartilagenous or membranous precursors are later changed to bone through the process of Ossification
  • Ossification can occur in:
    Hyaline cartilage (intracartilaginous or endochondral ossification)
    or
    Membrane (intramembranous ossification).
  • Most bones ossify in cartilage but some do ossify in membrane. Processes are identical to one another.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Primary and secondary ossification

A

Primary ossification centre:
area where bone development starts. In long bone this is the shaft and is termed the diaphysis

Secondary ossification centres:
occur later in bone development and are usually related to features of bone. In long bone occur at the ends. This is termed the epiphysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is metaphysis?

A

The epiphysis is separated from the diaphysis by the metaphysis. The is the a cartilaginous part and remains until growth cease through the union of the diaphysis and the epiphysis. Known as the growth plate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the 3 bone cells?

A
  • Osteoclasts
  • Osteoblasts
  • Osteocytes
25
Q

Osteoclasts

A

Absorbs bone

26
Q

osteoblasts

A

Builds bones

27
Q

Osteocytes

A

Matures bone cell

28
Q

What are the skeletal differences?

A
  • Gender
  • Age- bone density reaches peak at 30 and then starts to decrease.
  • Ethnic and genetic differences- African Carribean tend to have higher bone density than those who are Caucasian.
  • Physical activity- If bone is not in use it gets reabsorbed.
  • Diet- 800ml calcium per day
29
Q

What are Joints?

A
  • Where two (or more) bones (or cartilage and bone) meet
  • They are considered a weak part of the skeleton; structure aims to resist forces
  • Two main functions:
    –Movement and flexibility
    –Stability/attachment between bones
30
Q

What are the 2 main categories of joints?

A

Synovial joints; separated by a cavity and not firmly held together
–Solid/fixed joints; bones held together by connective tissue (no cavity)

31
Q

Types of joints

A

–Fibrous joints
–Cartilaginous joints
–Synovial

32
Q

Solid joints

A
  • Bones are connected by either:
    –Dense fibrous connective tissue: Fibrous joints
    –Cartilage (mainly fibrocartilage): Cartilaginous joints
  • Function predominantly for strength/support
  • Movement much more restricted than synovial joints
33
Q

Fibrous joints

A
  • Syn-arthro-ses; together-joint-movement
  • Allow virtually no movement
  • Bones joined by strong fibrous tissue
  • 3 Types of fibrous joints:
    –Sutures;
    –Gomphoses;
    –Syndesmoses;
34
Q

(Solid) Fibrous joints: Sutures

A
  • Only occur in the skull
  • Individual skull vault bones linked by strong connective tissue called sutural ligaments (sharpey’s fibres)
  • Interlocking ‘teeth’ give added strength
  • Wider in young children resulting in ‘soft spots called fontanelles which fuse in first year
  • allow minimal movement and changing shape of skull until age of approximately 20; birth and growth
  • becoming more fixed and immoveable and fuse by 6th decade
35
Q

(Solid) Fibrous joints: Gomphoses

A
  • GOMPHos Greek for ‘bolt’
  • Occur between the teeth (not bone) and mandible bone
  • Short collagen fibres in periodontal ligament join the tooth root and bone socket in mandible
  • very minimal movement; over time
36
Q

(Solid) Fibrous joints: Syndemoses

A

Syn – with
DESMOS - band
- variable but minimal movement
- Bones Held together by interosseous ligament/ membrane
- Examples include:
-Distal tibia/fibula
-Distal radius/ulna
-Ligamentum flavum in spine.

37
Q

(Solid) joints: Cartilaginous joints

A
  • Amphi-arthro-ses; both sides-joint movement
  • Virtually no / minimal movement
  • Bones joined by layer of cartilage (fibro- or hyaline cartilage)
  • Permanent joints all in midline
  • 2 types of cartilaginous joints:
    –Primary: Synchondrosis
    –Secondary: Symphysis
38
Q

Solid joints: Cartilaginous joints: Synchondroses: Permanent

A

Syn – with
chondro - cartilage
- Connected by hyaline cartilage
- No/very minimal movement
Permanent:
- sterno-costal joint of 1st rib
- Sacro-coccygeal joint

39
Q

Solid joints: Cartilaginous joints: Synchondroses: Temporary

A

Temporary:
- between metaphysis and physeal (growth) plates of a growing long bone (no movement)

Joint between:
- Metaphysis/diaphysis and epiphysis of long bone
primary and secondary ossification centres

No movement
- Allows increase in bone length; endochondral ossification
Fuses with skeletal maturity

40
Q

Solid joints: Cartilaginous joints: Symphyses

A
  • Variable (but fairly minimal) movement
  • Bones are connected by cartilage
  • Occur in midline
    Examples include:
  • intervertebral discs between vertebrae in spine
  • symphysis pubis in pelvis
41
Q

What are synovial joints and its basic structure?

A
  • Di-arthro-ses; two-joint-movement
  • Main classification of joints; where most movement occurs
  • Movement varies according to type of synovial joint
  • Highly specialised according to required function

Basic structure includes:
- End of bones covered by protective layer of articular (hyaline) cartilage
- Space in between layers of cartilage filled with synovial fluid
- Bones joined by Surrounding fibrous capsule continuous with periosteum
- Capsule lined by synovial membrane which secretes lubricating fluid

42
Q

What are the components of synovial joints?

A
  • Joint cavity
  • Two bones
  • Hyaline cartilage
  • Joint capsule:
    -Synovial membrane
    -Fibrous capsule
  • Synovial fluid

Accessory structures (vary by joint)
- Menisci (articular discs)
- Fat pads
- Bursae
- Synovial sheaths
- Tendons / muscles
- Ligaments
- Sesamoid bones

43
Q

Hyaline cartilage

A
  • Two opposing bones covered by hyaline (articular cartilage)
  • Prevent bone-on-bone contact
  • Protection and reduced friction
  • Normally not seen on X-ray (joint space)
  • Thickness dependent on forces acting on joint
  • Thinning caused by arthritis
44
Q

Synovial membrane

A
  • Lines inner part of joint capsule enclosing joint cavity between edges of hyaline cartilage
  • Does not cover articulating surfaces (i.e. where cartilage present)
  • Pink (highly vascular) Smooth, slippery membrane
  • Produces synovial fluid
  • Helps to remove debris from joint as derived from monocyte cells
  • Also found in outside joints in synovial sheaths and bursae
45
Q

Bursae/synovial sheaths

A
  • Occur at sites and of most friction between extra-articular structures such as:
    –Tendon / bone
    –Muscle / bone
    –Ligament / bone
    –Skin / bone
  • Closed sack of synovial membrane: bursa (bursae)
  • Length of synovial membrane surrounding tendon: tendon sheath
  • Normally contain minimal synovial fluid
46
Q

Synovial fluid

A
  • Viscous fluid produced by synovial membrane
  • Fills joint cavities within synovial membrane and forms very thin layer between articular cartilages
    Roles include:
  • Friction reduction
  • Shock absorption; becomes more viscous the more pressure it undergoes
  • Nutrient/waste diffusion to cartilage (avascular)
  • Removal of microbes / particles debris from degeneration of cartilage
47
Q

Fibrous capsule

A
  • Dense fibrous connective tissue external to synovial membrane
  • Enclose all intra-articular aspects of a joint
  • Blends with periosteum in articulating bones
  • Perforated by nerves / blood vessels
  • Parts may be thickened to form stabilising ligaments (further supported by ligaments outside of capsule)
48
Q

Stability of synovial joints: Ligaments

A
  • Add to strength of fibrous capsule
  • More ligaments, more stability
  • Minimal elasticity; prone to tearing under severe strain
49
Q

Stability of synovial joints: Muscles/tendons

A
  • Muscle tone most important to joint stability
50
Q

What are Menisci (articular disks) and its roles?

A
  • Fibrocartilage discs within larger joints; knee
  • Intra-capsular (articular) structures
    Roles include:
  • Increase concavity / joint surface of articulating bones (stability)
  • Additional shock absorption
  • Provide additional support on certain movements (increase range)
    May be prone to injury
51
Q

Types of synovial joints

A
  • Synovial Condylar/ellipsoid joint
  • Synovial ball and socket joints
  • Synovial saddle joint
  • Synovial plane/gliding joint
  • Synovial pivot joint
  • Synovial hinge joint
52
Q

Synovial Condylar/ellipsoid joint

A
  • biaxial; movement in two directions/axes at right angles
  • Rounded (condyloid) surface sites within cup-shaped (concave) surface
  • Movement varies but may include all directions

Examples include:
- wrist joint (radio-carpal)
- Metacarpo-phalangeal joints (MCPJ)
- Metatarso-phalangeal joints (MTPJ)
- Temporo-mandibular joint (TMJ)

53
Q

Synovial ball and socket joints

A
  • multiaxial; movement in more than two directions/axes
  • Ball (head) of one bone sits within deep socket of other bone
  • Wide range of movement
  • Allows flexion, extension abduction, adduction, rotation, and circumduction

Examples include:
- Hip joint
- Shoulder joint

54
Q

Synovial saddle joint

A
  • biaxial; movement in two directions/axes
  • Articular surfaces like person sitting on a saddle
  • Allows flexion, extension, abduction, adduction and rotation
    Examples include:
  • Ankle joint
  • Sterno-clavicular joint (SCJ)
  • First (Thumb) carpo-metacarpal joint (cmcJ)
55
Q

Synovial plane/gliding joint

A
  • Uniaxial; movement in one direction/axis
  • Articular surface flat/slightly curved
  • Allows gliding only
  • Least movement of all synovial joints
  • Often Work in groups (eg foot, spine

Examples include:
- Sacro-iliac joint (SIJ)
- Proximal tibio-fibular joint
- Acromio-clavicular joint (acj)
- Inter - Carpal / tarsal joints
- Vertebral facet joints

56
Q

Synovial pivot joint

A
  • uniaxial; movement in one direction/axis
  • Allows rotation only
  • Long process on one bone sits within hole/arch of other bone/ligament
    Examples include:
  • Proximal radio-ulna joint
  • Distal radio-ulna joint
  • Atlanto-axial joint
57
Q

Synovial hinge joint

A
  • Uniaxial; movement in one direction/axis
  • Allows flexion / extension
  • Articular surfaces fit like door hinge

Examples include:
- Elbow joint
- Inter-phalangeal joints

58
Q
A