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HUMAN ANATOMY 101 Sports Medicine II Mrs. Marr OBJECTIVES! • Review of major bones, muscles, ligaments and terminology • Identify and name major muscles • Identify and name major bones • Identify and name major ligaments • Correctly define and use common anatomical terminology Basic Structural Levels HUMAN BODY Heart Integumentary Systems Brain Organs Liver Tissues Lungs Cells Skeletal Respiratory Muscular ANATOMICAL TERMINOLOGY • The standard reference body position is called “anatomical position”. All things we discuss in class refer to the body in this position Postures and Direction of Movement • Supine – Someone in the supine position is lying on his or her back. • Prone – Someone in the prone position is lying face down Postures and Direction of Movement • Right Lateral Recumbent – The Right lateral recumbent, or RLR, means that the patient is lying on their right side. • Left Lateral Recumbent – The left lateral recumbent, or LLR, means that the patient is lying on their left side. Postures and Direction of Movement • Fowler's Position – A person in the Fowler's position is sitting straight up or leaning slightly back. Their legs may either be straight or bent. • Trendelenberg Position – A person in the Trendelenberg position is lying supine with their head slightly lower than their feet. PLANES In anatomy, a body plane is an imaginary flat surface that is used to define a particular area of anatomy. We usually use the umbilicus as a point of reference PLANES FRONTAL (or coronal) separates the body into Anterior and Posterior parts MEDIAN (or midsagittal) separates body into Right and Left parts HORIZONTAL (transverse or Cross-Section) separates the body into Superior and Inferior parts SAGITTAL any plane parallel to the median plane – Parasagittal planeLongitudinal section that divides the body in unequal left and right sections Terms of Relation or Position Directional Terms- paired terms, each indication opposite directions. There are different terms when relating to humans and other animals Superior (closer to the head) Inferior (closer to the feet) reference point -- horizontal plane Medial (lying closer to the midline) Lateral (lying further away from the midline) reference point -- sagittal plane Terms of Relation or Position Posterior (dorsal) closer to the posterior surface of the body Anterior (ventral) closer to the anterior surface of the body – reference point -- frontal or coronal plane Proximal- closer to the origin of a structure Distal- further away from the origin of a structure – reference point -- the origin of a structure Terms of Relation or Position Superficial or Deep reference point -- surface of body or organ Median- midline reference point -- along the midsagittal or median plane Intermediate -between two other structures Terms of Relation or Position External or Internal refers to a hollow structure (external being outside and internal being inside) Supine - face or palm up when lying on back Prone- face or palm down when lying on anterior surface of body Terms of Relation or Position Cephalad- toward the head (higher in position) Caudad- toward the tail (feet- lower in position) Regional Terms Regional Terms-refer to special areas of the body Cervical- refer to the neck Palmar- the anterior surface of the hand; the posterior surface of the hand is the dorsal surface Regional Terms Thoracic- the portion of the body between the neck and the abdomen that is commonly referred to as the chest or thorax Dorsum- the top of the foot Plantar- the sole of the foot Regional Terms Axilla (armpit)- the depression on the inferior surface of the attachment of the upper limb and the body trunk Arm- the portion of the upper limb between the shoulder and the elbow Forearm- the potion of the upper limb between the elbow and the wrist Regional Terms Groin (inguinal region)- the junction of the thigh with the abdominal wall Thigh- the portion of the lower limb between the hip and knee Leg- the portion of the lower limb between the knee and ankle Low Back o Lumbar- the portion of the back between the thorax and the pelvis o Sacral- the lower portion of the back, just superior to the buttocks MUSCLE CONTRACTION Postures and Direction of Movement • Flexion – Flexion is to bend at a joint, or to reduce the angle Flexion increasing angle with frontal plane. • Extension – Extension is to straighten at a joint, or to increase the angle, for example, from 90 degrees to 180 degrees. Extension decreasing angle with frontal plane Postures and Direction of Movement • Abduction – Abduction is movement away from the midline, or to abduct. Abduction moving away from the sagittal plane • Adduction – Adduction is movement toward the midline, or to add. Adduction toward the sagittal plane Terms of Movement Protraction moving forward along a surface Retraction backward along a surface Terms of Movement Elevation raising a structure (Shoulder Shrugs) Depression lowering a structure Terms of Movement Medial Rotation movement around an axis of a bone Lateral Rotation movement around an axis of a bone Postures and Direction of Movement • Supination – Supination is to rotate the forearm so that the palm faces forward. Supination placing palm forward (in anatomical position) • Pronation – Pronation is to rotate the forearm so that the palm faces backward. Pronation placing palm backward (in anatomical position) Postures and Direction of Movement • Medial/ Lateral Rotation is at the Tibia (knee Joint)- not Inversion/ Eversion which occurs at the Ankle Joint Terms of Movement Circumduction-combined movements of flexion, extension, abduction, adduction medial and lateral rotation (circumscribe a cone) Opposition- bringing tips of fingers and thumb together as in picking something up Abdomen Before getting into the nitty gritty of the abdomen, keep in mind that you want to be able to use your knowledge to project the anatomy onto the surface of the abdomen. You will want to be able to visualize the relative positions of abdominal organs as they lie within the abdomen. Clinicians might use several different ways of subdividing the surface of the anterior abdominal wall but I will only present two of them here. By subdividing the surface into regions, one person can tell another person exactly where to look for possible problems. Abdominopelvic area is divided into four quadrants : Right Upper Right Lower Left Upper Left Lower 1.upper left quadrant ULQ 2.lower left quadrant LLQ 3.upper right quadrant URQ 4.lower right quadrant LRQ These quadrants are developed by dropping a vertical line down the middle of the sternum MSP and a horizontal line across and through the umbilicus TUP 1. 2. 3. 4. 5. 6. 7. 8. 9. The abdominal cavity can also be divided into nine regions to make it easier to identify organs Right hypochondriac Epigastric Left hypochondriac Right lumbar Umbilical Left lumbar Right iliac (inguinal) Hypogastric Left iliac (inguinal) 1. 2. 3. 4. 5. 6. 7. 8. 9. 9 abdominal regions: right hypochondriac RH epigastric E left hypochondriac LH right lumbar RL umbilical U left lumbar LL right iliac RI hypogastric H left iliac LI These regions are formed by two vertical planes and two horizontal planes. The two vertical planes are the lateral lines LLL and RLL. These lines are dropped from a point half way between the jugular notch and the acromion process. The two horizontal planes are the transpyloric plane TPP and the transtubercular plane TTP. The tubercles are the tubercles of the iliac crests. Body Cavities Body cavities- lined with membranes and contains fluid that surrounds structures within the cavities. Dorsal (posterior) Cavity- contains the cranial cavity (brain) and spinal cavity (spinal cord) Ventral (anterior) Cavity- thoracic cavity – consists of the pericardial (heart) and pleural (left & right lungs) cavities Abdominopelvic cavity- consists of the abdominal (stomach, spleen, liver, gall bladder, pancreas, small & large intestines) and pelvic cavity, “true pelvis", bladder, rectum, female internal reproductive organs). QUESTIONS / COMMENTS? What will you have to know… Skeletal System • You should be able to locate and identify the following bones in the human body. – – – – – – – – – – – – – – – Skull Nasal bone Zygomatic arch Mandible Maxilla Cervical vertebrate Clavicle Scapula Thoracic vertebrate Ilium Pubis Coccyx Patella Fibula Metatarsals - Ribs - Talus - Xyphoid process - Phalanges - Sternum - Lumbar vertebrate - Humerus - Ulna - Radius - Carpals - Metacarpals - Phalanges - Ischium - Sacrum - Femur - Tibia - Calcaneus - Tarsals Muscular System • You should be able to locate and identify the following muscles or muscle groups: Trapezius Anterior Tibialis Biceps Brachii Triceps Brachii Deltoid Sternocleidomastoid Gluteus Maximus Semitendonosis Vastus Medialis Vastus Lateralis Semimembranosis Biceps Femoris Vastus Intermedius Gastrocnemius Soleus Rectus Abdominus External Obliques Serratus Anterior Latissimus Dorsi Achilles Tendon Supraspinatus Infraspinatus Teres Minor Subscapularis Rectus Femoris Major Ligaments • You should be able to locate and identify the following ligaments: – – – – – – – – Acromioclavicular Lig. Sternoclavicular Lig. Ulnar Collateral Lig. Radial Collateral Lig. Glenohumeral Lig. Annular Lig. Coracoclavicular Lig. Anterior Cruciate Lig. - Iliofemoral Lig. - Medial Collateral Lig. - Lateral Collateral Lig. - Anterior Talofibular Lig. - Deltoid Lig. - Posterior Talofibular Lig. - Posterior Cruciate Lig. Posterior View Spin ous Proc ess (C7) Spine of the Scapula Paraspinals s u i z Infraspinatus e p a r T id o t l e D Rhomboids Teres Major/Minor Latis s Dors imus i Spinous Process (T12) Anterior View of the Thorax Cla vic le Sternocleidomastoid Trapezius Acromion SC Joint Pe ct or al is M aj or d i o lt e D Sternum Latissimus Dorsi Serratus Anterior Oblique Rectus Abdominis a b l A a e n Li Hamstrings (Semiteninosus,Semimembranosus, Biceps Femoris) Illiac Crest Greater Trochanter (Femur) Hip Flexors (Illopsoas, Rectus Femoris,Tensor Faciae Latae Pectineus,Gracilis, Sartorius) Quadriceps (Rectus Femoris,Vastus Lateralis, Vastus Intermedius, Vastus Medialis) Groin/Anterior Thigh (Adductors, Pectineus, Gracilis) Pectineus Rectus Femoris Sartorius Gluteus Medius Gluteus Maximus Adductor Magnus Vastus Lateralis Adductor Longus Tensor Faciae Latae Gracilis Gracilis Vastus Lateralis Biceps Femoris Semiteninosus Vastus Medialis Semimembranosus Lateral Femoral Condyle Lateral Joint Line Fibular Head Tibialis Anterior Popiteal Fossa Patella Medial Joint Line Patellar Tendon Tibia Gastrocnemius Extensor Digitorum Achilles Tendon Extensor Hallucis Longus Peroneus Medial Malleolus Lateral Malleolus Calcaneus Plantar Fascia