Unit 3 Learning Objectives Flashcards
Describe the axial skeleton and list the general bone structures contained within it
The axial skeleton has 80 named bones, and includes structures such as the skull, vertebrae, sternum, ribs, sacrum, and hyoid.
Describe the appendicular skeleton and list the general bone structures contained within it
The appendicular skeleton has 126 named bones, and includes structures such as the pectoral and pelvic girdles and upper and lower extremities (limbs).
Name the cranial bones and describe their locations
There are 8 cranial bones; two parietal, two temporal, frontal, occipital, sphenoid, and ethmoid.
The parietal bones are located at the apex of the head.
The frontal bone is located at the front of the head.
The temporal bones are located on the sides of the head (this is where the ears are located)
The sphenoid bone makes up the back of the eye socket
The ethmoid bone makes up the medial part of the eye socket.
Name the facial bones and describe their locations
There are 14 facial bones; two nasal, 2 maxilla, 2 lacrimal, 2 zygomatic, 2 inferior nasal concha, 2 palatine, vomer, and mandible.
The nasal bones are located towards the top of the nose.
The two maxillary bones are located superior to both the upper and lower teeth and inferior to the nose
The two zygomatic bones are located on either side of the face (often referred to as ‘cheekbones’)
The two lacrimal bones are located on the medial side of the eye sockets (superficial to the ethmoid bone).
The two inferior nasal concha are located on both lateral sides of the vomer.
The vomer makes up the middle of the nose and separates the left nostril from the right.
The mandible makes up the chin and lower jaw (inferior to the maxillary bone and teeth).
Describe the hyoid bone
This bone is located deep and inferior to the mandible, and it does not articulate with any other bones.
Describe the naming conventions of bone markings
- As a general rule, anything named as a process, tubercle, tuberosity, trochanter, condyle, or crest are projections of bone and are generally used as attachment sites for muscles or ligaments.
- Anything named as a foramen is a hole typically used for blood vessels or nerves.
- Anything named as a fissure is a slit-like narrow opening.
- Anything named as a notch is an indentation or large groove in a bone, and anything named a fossa is a shallow depression.
Describe the features/markings of the occipital bone (2)
- The occipital bone contains the foramen magnum, which is a hole in the occipital bone where the brainstem enters.
- The occipital condyles are round kidney bean shapes around the foramen magnum, which is where the skull articulates with vertebrae (this is what gives the us the ability to nod our heads vertically)
Describe the features/markings of the temporal bone (4)
- The temporal bone contains the external acoustic meatus, which is the hole of the ear canal.
- The mastoid process is a rather large bony projection that is located behind the ear.
- The styloid process is a small bony projection that serves as an anchor point for muscles associated with the tongue and larynx.
- The mandibular fossa is a shallow depression located just slightly anterior to the styloid process.
Describe the features/markings of the sphenoid bone (5)
- The majority of the sphenoid bone is made up of the greater and lesser wings (the lesser wing is anterior to the greater wing).
- The sella turcica is where the brain sits.
- The superior orbital fissure is a spike/triangular shaped hole, and allows certain nerves to enter the orbit.
- The optic canal lets the optic nerve into the orbit.
Describe the features/markings of the ethmoid bone (3)
- The ethmoid bone has cribriform plates, the holes of which are what allow nerves entry to the nasal cavity.
- The olfactory foramina lets bundles of nerve fibers of the olfactory nerve enter the nasal cavity. -The meninges anchor to the crista galli.
List the bones that contain the paranasal sinuses.
The frontal, sphenoid, ethmoid, and maxillary bones.
Define and describe the purposes of fontanelles in a newborn skull
Fontanelles in the newborn skull are dense connective tissue membrane-filled spaces
(soft spots); they are unossified at birth but close early in a child’s life. They have two purposes: to allow the fetal skull to pass through the birth canal, and to allow rapid growth of the brain during infancy.
List the most common fontanelles found in the newborn skull
The most common fontanelles are the sphenoidal (aka anterolateral fontanel), the mastoid (aka posterolateral fontanel), the anterior fontanel, and the posterior fontanel.
Describe the general features of the vertebral column
The vertebral column typically consists of 7 cervical vertebrae (C1 is the atlas and C2 is the axis), 12 thoracic vertebrae, 5 lumbar vertebrae, sacrum (5, fused), and coccyx (3-5, fused).
Describe the general features of vertebrae
Typical vertebra consist of a body, vertebral foramen (where the spinal cord goes), and a spinous process (excluding the atlas).
Describe the general differentiating features of cervical, thoracic, and lumbar vertebrae.
The cervical vertebra have a transverse foramen to let the vertebral arteries travel up to the head and neck.
The thoracic vertebrae typically each attach to a pair of ribs.
The lumbar vertebrae typically have very large bodies.
Describe the structure of the intervertebral discs and their relationship to the vertebrae.
Intervertebral discs are made of fibrocartilage with a pulpy center and are located between each vertebrae, and their purpose is to absorb vertical shock and allow for the vertebral column to move.
Describe herniated discs
If the nucleus pulposus of an intervertebral disc herniates, it puts pressure on the nerves and causes pain.
Describe the primary normal curvatures of the vertebral column.
Primary curvatures: thoracic and sacral curves, which form during fetal development
Describe the secondary normal curvatures of the vertebral column
Secondary curvatures: cervical and lumbar curves; the cervical curve forms when infant raises head at 4 months, and the lumbar curve forms when an infant sits up & begins to walk.
Describe how the shape of the spine changes during the first 3 years of life.
The spine has a C-shaped curve at birth (convex) and is S-shaped past the age of 3 years.
Describe the three abnormal curvatures of the vertebral column.
Kyphosis (hunchback): exaggerated thoracic curvature, usually from osteoporosis, osteomalacia, spinal tuberculosis, or weightlifting and/or wrestling from a young age.
Lordosis (swayback): exaggerated lumbar curvature
Scoliosis: lateral bending of the spinal column; the most common abnormal curve, and is often seen in adolescent girls.
Describe the anatomy of the sternum and ribs and how the ribs articulate with the thoracic vertebrae.
Ribs 1-7 are true ribs (their cartilage directly connects to the sternum) 8-12 are false ribs (they indirectly connect to the sternum), and ribs 11-12 are floating ribs (they do not connect to the sternum). Each thoracic vertebrae articulates with a pair of ribs.
Identify the features of the scapula
Scapular spine, acromion process, coracoid process, glenoid cavity, supraspinous fossa, infraspinous fossa, subscapular fossa.
Scapula: Describe the scapular spine
The scapular spine is a horizontal line of protruding bone along the posterior side of the scapula.
Scapula: Describe the acromion process
The acromion process is a bulbous end found at the lateral side of the scapular spine.
Scapula: Describe the coracoid process
The coracoid process is a protrusion similar in appearance to the acromion process, but on the anterior side of the scapula.
Scapula: Describe the glenoid cavity
The glenoid cavity is a groove situated between the acromion and coracoid processes.
Scapula: Describe the supraspinous fossa
The supraspinous fossa is a shallow indentation superior to the scapular spine on the posterior side.
Scapula: Describe the infraspinous fossa
The infraspinous fossa is a shallow indentation inferior to the scapular spine on the posterior side.
Scapula: Describe the subscapular fossa
The subscapular fossa is a shallow indentation inferior to the scapular spine on the anterior side.
List the proximal and distal features of the humerus
Proximal end: head, surgical neck, anatomical neck, greater tubercle, lesser tubercle, intertubercular groove, deltoid tuberosity
Distal end: olecranon fossa, coronoid fossa, radial fossa, capitulum, trochlea, medial epicondyle, lateral epicondyle.
Humerus: Describe the head, surgical neck, and anatomical neck
- The head of the humerus is a the rounded side of the proximal end, and is pointed medially.
- The surgical neck is the thinner area below the anatomical neck of the proximal end of the humerus where the humerus is cut during amputations.
- The anatomical neck is located just inferior to the head of the humerus on the proximal end; it is where the head of the humerus ends.
Humerus: Describe the greater tubercle and lesser tubercle
The greater tubercle is a small, rounded projection that is located on the lateral side of the humerus on the proximal end.
The lesser tubercle is a small, rounded projection that is located on the medial side of the humerus on the proximal end.
Humerus: Describe the intertubercular groove
The intertubercular groove is located between the greater and less tubercles, and is an indentation in the bone on the proximal end.
Humerus: Describe the deltoid tuberosity
The deltoid tuberosity is the only feature of the humerus located on the diaphysis, and is the attachment site for the deltoid muscle.
Humerus: Describe the olecranon fossa
The olecranon fossa is a large indentation located on the posterior distal end of the humerus.
Humerus: Describe the coronoid fossa and the radial fossa
- The coronoid fossa is a small indentation located on the medial anterior side of the distal end.
- The radial fossa is a small indentation (smaller than the coronoid fossa) located on the lateral anterior side of the distal end.
Humerus: Describe the capitulum
The capitulum is a rounded portion of the lateral anterior side of the distal end that articulates with the head of the radius, and is just inferior to the radial fossa.
Humerus: Describe the trochlea
The trochlea is a rounded portion of the medial anterior side of the distal end that articulates with the trochlear notch of the ulna, and is just inferior to the coronoid fossa.
Humerus: Describe the medial and lateral epicondyles
- The medial epicondyle is a rounded articular projection that the pronator teres and some ligaments attach to, and is located on the medial side of the distal end.
- The lateral epicondyle is a rounded articular projection that ligaments attach to, and is located on the lateral side of the distal end.
List the proximal and distal features of the radius
Proximal end: head, neck, radial tuberosity
Distal end: ulnar notch.
Describe the proximal features of the radius
The head is a round, circular part of the radius at the proximal end.
The neck is located just below the head of the radius at the proximal end.
The radial tuberosity is an elevated portion of the radius on the diaphysis located near the proximal end.
Radius: Describe the ulnar notch
The ulnar notch is a notch located on the distal end of the radius, and is where the ulna and radius articulate.
List the proximal and distal features of the ulna
Proximal end: olecranon process, coronoid process, trochlear notch, radial notch.
Distal end: styloid process.
Ulna: Describe the olecranon process
The olecranon process is a large, bony projection located on the posterior side of the ulna on the proximal end.
Ulna: Describe the coronoid process
The coronoid process is a large, bony projection located on the anterior side of the ulna on the proximal end; it is barely visible from the posterior view.
Ulna: Describe the trochlear notch and the radial notch
The trochlear notch is a large notch on the proximal end of the ulna that articulates with the humerus.
The radial notch is a large notch on the lateral anterior side of the proximal end of the ulna, and articulates with the radius.
Ulna: Describe the styloid process
The styloid process is a smaller bony projection on the distal end of the ulna.
Carpals: Describe the scaphoid, trapezium, and lunate bones.
- The scaphoid bone is just proximal to the trapezium.
- The trapezium is proximal to the thumb and superior to the scaphoid bone.
- The lunate is located directly lateral to the scaphoid bone, and is inferior to the IV metacarpal.
Bones of the hand: Describe the metacarpals and phalanges
- Metacarpals: 5 bones labeled as I, II, III, IV, and V; the I metacarpal is located just inferior to the pollux.
- Phalanges: proximal, middle, and distal in each finger; proximal and distal phalanx in thumb.
The _____ is immediately superior to the coccyx
Sacrum
List the features of the coxal bone
Acetabulum, ilium (iliac crest, auricular surface, greater sciatic notch), ischium (ischial tuberosity, obturator foramen), and pubis (pubic symphysis).
Coxal bone: Describe the acetabulum
The acetabulum is located on either lateral side of the anterior coxal bone, and is where the head of the femur articulates.
Coxal bone: Describe the ilium and its features
- The ilium is the biggest and most superior portion of the coxal bone; located on either lateral side on both the posterior and anterior sides of the coxal bone.
- The iliac crest is located mostly on the anterior side of the ilium, and is where the ilium “folds over”
- The auricular surface is the rough surface located on the lateral side of the coxal bone, and is superior to the greater sciatic notch.
- The greater sciatic notch is located just inferior to the auricular surface.
Coxal bone: Describe the ischium and its features
- The ischium is located on the lateral side of the coxal bone, and is lateral to the pubis and inferior to the ilium.
- The ischial tuberosity is a rough, elevated area located on the lower anterior lateral side of the coxal bone.
- The obturator foramen is a large hole in the ischium and pubis of the coxal bone that allows nerves and blood vessels to pass through it.
Coxal bone: Describe the pubis and its features
- The pubis is located on the medial side of the coxal bone, and is medial to the ischium and inferior to the ilium.
- The pubis symphysis is the most medial feature of the coxal bone, and is where the pubic bones articulate.
List the proximal and distal features of the femur
Proximal end: head, neck, greater trochanter, lesser trochanter
Distal end: lateral condyle, medial condyle, lateral epicondyle, medial epicondyle.
Femur: Describe the head and neck
- The head of the femur is a round bulbous end located on the proximal end of the femur, and is where it articulates with the acetabulum.
- The neck of the femur is located just below the head on the proximal end.
Femur: Describe the greater and lesser trochanters
- The greater trochanter is a large, rounded projection located on the posterior side of the proximal end of the femur, and is superior to the lesser trochanter.
- The lesser trochanter is a large, rounded projection located on the posterior side of the proximal end of the femur, and is inferior to the greater trochanter.
Femur: Describe the lateral and medial condyles.
- The lateral condyle is a rounded articular projection located on the lateral distal end of the femur; it is inferior to the lateral epicondyle and visible from both the anterior and posterior views.
- The medial condyle is a rounded articular projection located on the medial distal end of the femur; it is inferior to the medial epicondyle and visible from both the anterior and posterior views.
Femur: Describe the lateral and medial epicondyles
- The lateral epicondyle is a rounded projection located on the lateral distal end of the femur; it is superior to the lateral condyle and visible from both the anterior and posterior views.
- The medial epicondyle is a rounded projection located on the medial distal end of the femur; it is superior to the medial condyle and visible from both the anterior and posterior views.
List the proximal and distal features of the tibia
Proximal end: articular surface of medial and lateral condyles, anterior border
Distal end: medial malleolus
Tibia: Describe the articular surfaces of the lateral and medial condyles
- The articular surface of the medial condyle is located on the medial side of the proximal end of the tibia; it is more visible from the posterior view.
- The articular surface of the lateral condyle is located on the lateral side of the proximal end of the tibia; it is more visible from the posterior view.
Tibia: Describe the anterior border
The anterior border is the vertical ridge on the anterior side of the tibia’s diaphysis.
Tibia: Describe the medial malleolus
The medial malleolus is located on the medial side of distal end of the tibia, and is a bony hook-shaped process.
List and describe the features of the fibula
Fibula: Lateral malleolus
The lateral malleolus is located on the lateral side of the distal end of the fibula, and is a slightly curved process.
Tarsals: Describe the talus and calcaneus
The talus is a large bone that is the most proximal bone of the foot.
The calcaneus is a large bone located distally to the talus.
Describe the metatarsals and phalanges
- Metatarsals (5 bones): The metatarsals are numbered I-V, with the metatarsal I located just proximally to the hallux’s phalangeal bones.
- Phalanges (proximal, middle, and distal in each toe; proximal and distal phalanx in hallux)
Compare the anatomy of the male and female pelvic girdles and explain the functional significance of the differences.
- Male pelvic girdle: heavier and thicker with larger acetabula closer to each other.
- Female pelvic girdle: wider and shallower, tilted more forward, and adapted to the needs of pregnancy and childbirth, larger pelvic inlet (brim) and outlet for passage of infant’s head.
- These differences are important because the female pelvic girdle needs to be adapted to allow for an infant’s head to pass through it during child birth.
Explain what joints are and what functions they serve.
A joint, or articulation, is defined as any point where two bones meet, whether or not the bones are movable at that interface.
Name the four major structural categories of joints
- Bony (synostoses)
- Cartilaginous (amphiarthroses)
- Fibrous (synarthroses)
- Synovial (diarthroses)
Describe bony (synostoses) joints
Immobile; when the gap between two bones ossifies (becomes one bone). Examples: Left and right mandibular bones in infants, cranial sutures in elderly, attachment of first rib and sternum with old age.
Describe cartilaginous (amphiarthroses) joints and list the two kinds
A slightly movable joint; two types are symphyses and syndesmoses
Describe fibrous (synarthroses) joints and list the three different kinds
- Type of joint which permits very little or no movement. Bones are bound by collagen fibers that emerge from one bone and penetrate into the other.
- Three kinds of fibrous joints: Sutures, gomphoses, and syndesmoses
Describe synovial (diarthrosis) joints
Freely movable joints (has a joint capsule)
Describe the three types of fibrous joints and give an example of each.
- Sutures: Immobile or slightly mobile; uses short collagen fibers. Ex: sagittal suture of the skull.
- Gomphoses: Attachment of a tooth to its socket; the tooth is held in place by fibrous periodontal ligament (collagen). This allows the tooth to move a little under the stress of chewing. Ex: teeth.
- Syndesmoses: Two bones are bound by long collagen fibers. Example of a very mobile syndesmosis: interosseus membrane joining radius to ulna (allows supination & pronation). An example of a less mobile syndesmosis: joint between tibia to fibula
Describe the two types of cartilaginous joints and give an example of each
1) Synchondrosis: bones joined by hyaline cartilage.
Examples: Epiphyseal plates in children (temporary joints), first rib attachment to sternum (other costal cartilages joined to sternum by synovial joints).
2) Symphysis: two bones joined by fibrocartilage
Examples: Pubic symphysis, bodies of vertebrae joined by intervertebral discs
Identify and describe the anatomical components of a typical synovial joint.
1) Articular cartilage (usually 2 or 3 mm thick)
-Absorbs shock and made of hyaline cartilage
2) Joint (articular) cavity
3) Synovial fluid: slippery lubricant in joint cavity
-Rich in albumin and hyaluronic acid
-Gives it a viscous, slippery texture like raw egg whites and nourishes articular cartilage and removes waste
-Makes movement of synovial joints almost friction free
4) Joint (articular) capsule
-Outer fibrous capsule: continuous with periosteum
-Inner, cellular, synovial membrane:
fibroblast-like cells that secrete synovial fluid and macrophages that remove debris from the joint cavity
Explain the beneficial effects of exercise on articular cartilage.
- Exercise warms synovial fluid; it becomes less viscous, more easily absorbed by cartilage
- Cartilage then swells; becomes a more effective cushion
- Repetitive compression and decompression of cartilage (during exercise) moves synovial fluid in and out of the cartilage like a sponge.
- Oxygen and nutrients are brought to chondrocytes; wastes are taken away
- Without exercise, cartilage deteriorates more rapidly from inadequate nutrition and waste removal
- A warm-up period before vigorous exercise helps protect cartilage from undue wear and tear
Define range of motion (ROM)
Defined as the degrees through which a joint can move. An aspect of joint performance; a physical assessment of a patient’s joint flexibility
List and describe the factors that determine range of motion
1) Shape of the articular surfaces
- Elbow: olecranon of ulna fits into olecranon fossa of humerus
2) Strength and tautness of ligaments and joint capsules
- Stretching of ligaments increases range of motion
- Double-jointed means people have very long or slack ligaments.
3) Action of the muscles and tendons
- Nervous system monitors joint position and muscle tone
- Muscle tone: state of tension maintained in resting muscles