The Skeleton: Joints, Vertebrae and Sternum Flashcards

1
Q

Name 5 functions of the skeleton

A
  1. Rigid support framework
  2. Protection of soft tissues
  3. Facilitation of movement
  4. Resistance to gravity and other forces applied to the body
  5. Surface area for attachment of muscles
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2
Q

What does the Axial skeleton comprise of? (3)

A
  1. Head
  2. Neck
  3. Trunk
    (includes upper and lower limbs)
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3
Q

What does the Appendicular skeleton comprise of? (3)

A
  1. Pectoral (includes clavicles and scapulae)
  2. Pelvic girdles (include hip bones)
  3. Limbs
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4
Q

What are bumps on the surface of bones called? What do they do?

A

Tubercles, tuberosities, trochanters

Serve as a point of attachment of muscles or tendons

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5
Q

What are the grooves in bones for?

A

Smooth areas where blood vessels, nerves or tendons lie

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6
Q

What are the holes in bones called and what are they for?

A

Foramina, where blood vessels or nerves enter or leave the bone

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7
Q

What is surface/living anatomy?

A

The study of the relationship of the external features of the body to the underlying skeleton

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8
Q

What is a joint?

A

Site in the body where 2 or more bones meet or articulate, whether or not there is movement between them

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9
Q

Grouped according to the tissues that lie between the bones.

What are the 3 groups that joints can be classified into?

A
  1. Fibrous
  2. Cartilaginous
  3. synovial
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10
Q

What do ligaments do?
What are they made of?

A
  1. Connect bones to bones at joints
  2. Provide strength and restrict excessive movements
  3. Connective tissue with parallel arrays of collagen fibres (or less frequently of fibrillar protein called elastin)
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11
Q

What is a tendon?
What is is composed of?

A
  1. A structure connecting muscle and bone
  2. Consists of connective tissue comprised of parallel bundles of collagen fibres

Sometimes a tendon is flattened out as an aponeurosis

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12
Q

What is a fibrous joint?
Where are they present?

A
  1. A joint where adjacent bones are bound together by fibrous (collagen-containing) connective tissue.
  2. Present between flat bones (sutures) or between long bones (syndesmmoses)

Joints between bones of the cranium of the skull = sutures (Immovable joint)

Joints between the lower end of tibia and fibula, just above the ankle = syndesmosis (Little movement)

Fibrous joints provide stability but little movement

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13
Q

What are cartilaginous joints divided into?

A
  1. Primary cartilaginous (synchondrosis)
  2. Secondary cartilaginous (symphysis)
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14
Q

What is a primary cartilaginous joint and where are they found?

A
  1. Consists of hyaline cartilage
  2. Found between developing and maturing bone (in adults link ribs to costal cartilages)
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15
Q

Whats a secondary cartilaginous joint and where are they found?

*They permit a limited amount of movement and lie on the midline of the

A
  1. Surfaces of articulating bones are lined by hyaline cartilage with a fibrocartilage disc/pad in between.
  2. Joints between vertebral bodies
    * intervertebral discs
    * manubriosternal joint (between manbrium and sternum)
    * symphysis pubis (between 2 pubic bones)
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16
Q

Whats the main characteristic of a synovial joint?

A

The presence of a cavity that contains a small volume of synovial fluid

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17
Q

What ensures minimal friction during movements of the synovial joint?

A
  1. articular hyaline cartilage covering the surface of the bones
  2. synovial fluid
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18
Q

Describe/name the structures of the synovial joint

A
  1. Surfaces of bone covered with **articular hyaline cartilage **
  2. joint is **enclosed within fibrous capsule **
  3. fibrous capsule **inner lined **with synovial membrane
  4. Synovial membrane secretes synovial fluid into joint cavity
  5. Capsule may be strengthened on outer surface by ligaments
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19
Q

Synovial joints classified on shapes of articulating bones

What are the 6 types of synovial joints?

A
  1. Hinge (uni-axial) common
  2. Condyloid/Ellipsoid (bi-axial) common
  3. Ball and socket (multi-axial) common
  4. Hinge
  5. Saddle
  6. Pivot
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20
Q

How does a hinge joint permit movements? Give examples

A
  1. In one plane only (uni-axial)
    * Only flexion and extension

e.g. Elbow, Interphalangeal joint in fingers

21
Q

How does an ellipsoid/condyloid joint permit movements? Give examples

A
  1. In two planes (bi-axial)
    * Flexion/extension
    * Abduction/adduction
    * Circumduction may also occur

e.g. wrist

22
Q

How does a ball and socket joint permit movements? Give examples

A
  1. Sphere articulates with a spherical cup. Permits movement in 3 planes (multi-axial)
    * Flexion/extension
    * abduction/adduction
    * medial/lateral rotation
    *Circumduction also occurs at such joints *
23
Q

Where is a plane joint found and how does it move?

A
  1. found between articular processes of vertebrae
  2. gliding movements
24
Q

Where are pivot joints found and how do they move

A
  1. Rounded process of bone fits into a bony ligamentous socket
  2. By rotation
25
Q

What is a saddle joint and what movement does it permit?

A
  1. Opposing surfaces are saddle-shaped
  2. Bi-axial movement permitting:
    * abduction/adduction
    * flexion/extension
    Movements occur in planes at right angles so circumduction is possible
26
Q

What affects the stability of joints?

A
  1. Shape, size and form of articular surfaces
  2. Ligaments
  3. Tone of muscles around joint
27
Q
  1. What are the joints in the skull?
  2. What skeleton does the skull comprise (axial/appendicular)?
  3. What is the largest hole in the skull?
A
  1. Immovable fibrous joints (sutures)
  2. Facial and cranial skeleton
  3. A number of holes (foramina), the largest being foramen magnum (Spinal cord)
28
Q

What are the structures in the skull that articulate with the 1st cervical vertebra (atlas) ?

A

The interior surfaces which lie on either side of the foramen magnum, the occipital condyles

29
Q

How is the vertebral column dividied and how many vertebrae are there?

A
  1. Cervical (7)
  2. Thoracic (12)
  3. Lumbar (5)
  4. Sacral (5)
  5. Coccygeal
30
Q

What abnormal curvatures of the vertebral column can develop?

A
  1. Kyphosis (abnrmal antero-posterior)
  2. Scoliosis (lateral-curvatures)
31
Q

Label the axial skeleton (anterior view)

A
32
Q

Label the axial skeleton (lateral view)

A
33
Q

What are the structures of vertebrae?

A
  • Body anteriorly
  • Vertebral arch posteriorly (pedicles form the sides, flattened laminae complete the posterial side)

These enclose the space called the vertebral foramen (spinal canal)

34
Q

How are vertebral bodies articulated with adjacent ones?

A

Secondary cartilaginous joint - the intervertebral disc

35
Q

What does the spinous process which projects posteriorly from the lamina of vertebra do?

A
  • Provides muscle and ligament attachment
  • From the junction of the pedicle and lamina on each side, a transverse process projects laterally
36
Q

What 2 vertebrae are different from the rest?
How are they similar to the others?
How are they different in structure and what does it allow?

A
  1. Atlas (C1)
    Axis (C2)
  2. They both have foramina in their transverse processes which accommodate vertebral artery and vein on either side
  3. The atlas (C1) has a ring shape structure.
    The axis (C2) has an upwards facing long bony process called the dens which forms a joint with C1 to allow turning movements of the head
37
Q

How does the atlas connect with the occipital condyle of the skull?

A

The condylar part of occipital bone forms lateral walls of the foramen magnum (hole for spinal cord)

The 2 occipital condyles serves as an articular surface with the atlas (atlanto-occipital joint)

Occipital joint formed between occipital condyles and C1 allow free flexion/extension and some lateral flexion. No rotation

38
Q

How is the sacrum formed?
What failure in this form is useful for anasthetic purposes?

A
  1. Formed by the fusion of 5 sacral vertebrae
  2. The failure of the vertebrae to fuse, specifically the laminae leaves the lower end of the spinal canal open, useful access for anaesthetists to administer anaesthetic.
39
Q

What joint does the sacrum form with the hip?

A

Sacrum presents roughened surfaces for articulation with each hip bone at the sacroiliac joint

40
Q

What 3 movements can the vertebral column do?

A
  1. Flexion/extension (back and forth)
  2. Lateral flexion (movement from midline to left of right)
  3. Rotation about a vertical axis

exceptions for the first two cervical vertebrae

41
Q

What ligament does the upper cervical vertebrae lie deep to?

A

Ligamentum nuchae

42
Q

Surface anatomy

At what C can you visibly see the spinous processes of vertebrae?

A

Most superior = C7 (vertebra prominens)
Inferior = T1

43
Q

What does the skeleton of the thoracic cage formed of?

A
  • thoracic vertebrae
  • ribs (costae)
  • costal cartilages
  • Sternum
44
Q

What is the thoracic inlet? What is it bound by?

A
  1. communication between the neck and thoracic cavity
  2. bound by ribs, manubrium of sternum and T1 (first thoracic vertebra)
45
Q

What does the sternum consist of?

A
  • Manubrium (upper part) (Bone)
  • Body (middle longest) (Bone)
  • Xiphoid process (cartilage)
46
Q

Why is the secondary catilaginous joing between manubrium and body of sternum important clinically? What is it called?

A

Manubriosternal joint

Important landmark forming the sternal angle used to identify specific ribs, e.g. assessing position of heart and vessels

47
Q

What number costal cartilages does the sternum articulate with?

A

1st: manubrium
2nd: sternal angle
3rd-6th: body
7th-9th: united cartilage the costal margin which diverges from the xiphoid

48
Q

Whats the difference between circumduction and rotation?

A
  1. Circumduction is a circular movement where one body part stays stationary (e.g. shoulder)
  2. Rotation is a circular movement around an axis (e.g. wrist)
49
Q
A