skull osteology and fractures (A10) Flashcards
bones of the skull
- refer to images and checklists
- be able to describe in detail all of the 23 bones of the skull
alveolar bone
maxilla and mandible contain alveolar bone which holds the teeth
zygomatic arch
- cheek bone
- made up of: temporal process of zygomatic bone and zygomatic process of temporal bone
- easily fractured when punched
- as it forms part of the wall of orbit, fracture can cause bleeding and swelling of eye
superior and inferior nuchal lines (ridges on occipital bone)
muscle markings/ attachment sites
what structure passes through the foramen magnum
- spinal cord
- meninges (the three membranes-the dura mater, arachnoid, and pia mater, that line the skull and vertebral canal and enclose the brain and spinal cord)
sella turcica
depression where pituitary gland is situated (on pituatry fossa)
dural venous sinuses
endothelium-lined venous channels in the dura mater
neurocranium
- bones of the cranial vault (level above the orbits-below the ear divides neurocranium and viscerocranium)
- protects structures of brain
- areas further towards the back of the skull are stronger
viscerocranium
- bones of the face (level above the orbits-below the ear divides neurocranium and viscerocranium)
- holes within the facial bones decrease robustness
bones in area of vision (special sense)
bones within orbit
bones in area of hearing (special sense)
temporal bone (petrous)
bones in area of smell (special sense)
- nasal cavity:
- > lateral walls have conchae
- > upper and middle are ethmoid bone
- > inferior conchae is a separate bone
bones in area of taste (special sense)
- oral cavity:
- > mandible
- > maxilla
- > palatine
joints within the skull
- sutures between skull bones: coronal, sagittal, bregma, lamda, lambdoid
- temporo-mandibular joint (synovial)
radiographic markings on skull
-suture
-vascular marking
-fracture
-artifact? (artificial eg. nail scratch)
(refer to image)
->fracture looks darker on x-ray (tend to be hard straight lines)
middle meningeal artery
runs just deep to pterion (vulnerable at pterion)
types of fractures of the skull
- linear
- depressed
- comminuted
- basilar
buttresses of the cranium
-spread masticatory forces away from the relatively delicate orbit and nasal areas
le fort fractures
- 3 forms of maxillary fractures:
- le fort I (fractures at line of maxilla, seperates maxilla from rest of face, most important in dentistry as it runs across the level of the teeth)
- le fort II (fractures through orbits)
- le fort III (completely separates bones of neurocranium/cranial vault from bones of viscerocranium/facial bones at the level of the base of the skull)
- le fort III fracture causes bilateral peri-orbital haematomas(black eyes)
mandible
- coronoid process
- mandibular condyle (has a neck and head, also known as the condylar process of the mandible)
- ramus
- angle
- body
- mental protuberance
fractures of the mandible
-impacted wisdom tooth (gets stuck/lies between vertical and horizontal part of mandible) weakens the angle
cervical vertebrae
- C1-C7 bones (C1-C8 nerves, C1 nerve is above C1 bone)
- C1 articulates with the occipital condyles and C2
- C7 articulates with C6 and T1
atlas
- C1
- anterior and posterior arch
- no body
- facet for dens of C2
- superior articular facet for joining to occipital condyles
axis
- C2
- odontoid process (dens/peg)= body of C1
synovial pivot joint
- between C1 and C2
- shaking head/’no’ movement
cervical vertebrae structure (refer to image)
- bifid spinous process
- superior articular facet
- transverse process
- foramen transversarium
- body