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Exercise Science Section 2: The Skeletal System An Introduction to Health and Physical Education Ted Temertzoglou Paul Challen ISBN 1-55077-132-9 Role of the Skeleton t Protection t Framework t Attachments for muscles t Storehouse for essential nutrients t The body needs calcium for vital operations, such as controlling muscular contractions, blood clotting, transmission of nerve impulses and other utterly essential tasks t Blood-cell formation t Bone marrow transplants (Stem cells) ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Osteoporosis ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the Role of the Skeleton t Protection t Framework t Attachments for muscles t Storehouse for essential nutrients t The body needs calcium for vital operations, such as controlling muscular contractions, blood clotting, transmission of nerve impulses and other utterly essential tasks t Blood-cell formation t Bone marrow transplants (Stem cells) ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Bone Marrow and Stem Cell Transplant • • • What Is a Blood and Marrow Stem Cell Transplant? A blood and marrow stem cell transplant is a procedure that replaces a person's faulty stem cells with healthy ones. Stem cells are found in bone marrow, a spongy tissue inside the bones. Stem cells develop into the three types of blood cells that the body needs: – – – • • • • Red blood cells, which carry oxygen throughout the body White blood cells, which fight infections Platelets (PLATE-lets), which help the blood clot Small numbers of stem cells also are found in the blood and in the umbilical cord (the cord that connects a fetus to its mother's placenta). Another type of stem cell, called an embryonic (em-bre-ON-ik) stem cell, can develop into any type of cell in the body. These cells aren't found in bone marrow. Doctors use stem cell transplants to treat people who have: Certain cancers, such as leukemia (lu-KE-me-ah). The high doses of chemotherapy and radiation used to treat some cancers can severely damage or destroy bone marrow. A transplant replaces the stem cells that the treatment destroyed. ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Bone Marrow and Stem Cell Transplant ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Bone Marrow and Stem Cell Transplant • • • What the Recipient Experiences Bone marrow transplant is a difficult procedure to go through. Usually the person receives high doses of chemotherapy and/or radiation to eliminate whatever bone marrow he/she has left and make room for the new marrow transplant. Once this is done, the new stem cells are put into the person intravenously, like a blood transfusion. The stem cells will then find their way to the bone and start to grow and produce more cells (called engraftment). Serious problems can occur during the time that the bone marrow is gone or very low. Infections are common, as is anemia, and low platelets in the blood can cause dangerous bleeding internally. Recipients often receive blood transfusions to treat these problems while they are waiting for the new stem cells to start growing. ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. About Bone … t Composed of 50% water and 50% t t t t organic and inorganic material Elements include: phosphorous, zinc, calcium, magnesium, fluorine, iron, chlorine Resists compression and tension Bound by joints (through ligaments) Muscles attach to bone (through tendons) to produce movement ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Axial vs. Appendicular Skeleton t The axial skeleton consists of 80 bones: v 26 vertebral column v 1 hyoid v 22 skull v 6 auditory v 24 ribs t The appendicular skeleton consists of 126 bones: v 64 upper extremity v 62 lower extremity Axial (80) + Appendicular (126) = 206 bones ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Five Types of Bones t Long v Found in arms and legs t Short v Found in wrists and ankles t Flat v Bones of the skull t Irregular v Bones of the vertebrae t Sesamoid v Wrapped within tendons (patella) ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Anatomy of a Long Bone Cartilage Periosteum Medullary cavity Compact bone or Cortical Bone (cortex) Cancellous bone (Spongy Bone) Epiphysis Diaphysis Epiphysis ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Shin Splints – Medial Tibial stress syndrome is a common injury that affects athletes who engage in running sports or basic activities such as cross country, football, or hiking. This condition is characterized by pain in the lower part of the leg between the knee and the ankle. MTSS injuries are caused by repeated trauma to the connective muscle tissue surrounding the tibia. Ignoring this injury may result in more serious condition such as a stress fracture ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Simple Fracture ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the Green Stick Fracture ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the Compound Fracture ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the Comminuted Fracture ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the Stress Fracture ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the Drum Stick Bone Lab ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the Human Skeleton ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Anterior view Human Skeleton ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Posterior view The Skull – Anterior View Frontal bone Parietal bone Temporal bone Nasal bone Zygomatic bone Maxilla Mandible ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. The Skull – Lateral View Frontal bone Parietal bone Temporal bone Zygomatic bone Occipital bone Maxilla Nuchal line Mastoid process External auditory meatus Mandible ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. The Vertebral Column – Lateral View Atlas Axis Cervical region Seventh cervical vertebra Intervertebral disk Thoracic region Twelfth thoracic vertebra First lumbar vertebra Lumbar region Fifth lumbar vertebra Sacral and coccygeal region Sacrum Coccyx ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Thoracic Cage – Anterior View First thoracic vertebra Manubrium Seven true ribs Body Xiphoid process Three false ribs Two floating ribs ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required text book. Sternum Thoracic Cage – Posterior View Clavicle Scapula ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Scapula – Anterior View Acromion process Coracoid process Glenoid cavity Subscapular fossa Lateral border Medial border Inferior angle ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Scapula – Lateral View Coracoid process Acromion Supraglenoid tubercle Glenoid fossa Infraglenoid tubercle Subscapular fossa Lateral border Inferior angle ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Scapula – Posterior View Coracoid process Scapular notch Superior angle Acromion process Supraspinous fossa Glenoid cavity Infraglenoid tubercle Scapular spine Infraspinous fossa Lateral border Medial border ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Humerus – Anterior View Head Greater tubercle Lesser tubercle Intertubercular (bicipital) groove Deltoid tuberosity Shaft Capitulum Radial fossa Coronoid fossa Medial epicondyle Lateral epicondyle Trochlea ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Humerus – Posterior View Head Shaft Deltoid tuberosity Olecranon fossa Lateral epicondyle Medial epicondyle Trochlea ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Ulna – Anterior View Olecranon Olecranon process Coronoid process Trochlear (semilunar) notch Radial notch of ulna Ulna tuberosity Styloid process of ulna ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Radius – Anterior View Head Radial tuberosity Styloid process of radius ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Left Hand – Anterior View Carpals (proximal) Ulna Scaphoid bone Lunate bone Triquetrum bone Pisiform bone Radius Hamate bone Capitate bone Trapezoid bone Trapezium bone Carpals (distal) Metacarpals Sesamoid bone Proximal phalax (of thumb) Distal phalanx (of thumb) Phalanges (Digits) Proximal phalanx (of finger) Middle phalanx (of finger) Distal phalanx (of finger) ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Pelvis (Male) – Anterior View Crest of ilium Sacrum Sacroiliac joint Ilium Anterior superior iliac spine Anterior inferior iliac spine Os coxae Pubis Acetabulum Ischium Obturator foramen Superior ramis of pubis Symphysis pubis Inferior ramis of pubis ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Pelvis (Male) – Posterior View Fifth lumbar vertebra Sacrum Posterior superior iliac spine Posterior inferior iliac spine Ischial spine Ischial tuberosity Coccyx ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required text book. Right Femur – Anterior View Head Greater trochanter Neck Intertrochanteric line Lesser trochanter Shaft Adductor tubercle Lateral epicondyle Patellar groove Medial epicondyle Medial condyle ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Right Femur – Posterior View Head Greater trochanter Neck Intertrochanteric crest Gluteal tuberosity Lesser trochanter Pectineal line Linea aspera Shaft Adductor tubercle Medial epicondyle Intercondylar fossa Lateral epicondyle Lateral condyle Medial condyle ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Right Fibula and Tibia – Anterior View Intercondylar eminence Lateral condyle of tibia Head Medial condyle of tibia Tibial tuberosity Intercondylar eminence Lateral condyle Medial condyle Fibula Anterior crest Tibia Lateral malleolus Medial malleolus ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Tibial tuberosity Right Foot – Superior View Calcaneus Talus Tarsals Cuboid Metatarsals Navicular Medial cuneiform Intermediate cuneiform Lateral cuneiform Proximal phalanx Phalanges (Digits) Middle phalanx Distal phalanx Proximal phalanx (of great toe) Distal phalanx (of great toe) ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Bone Formation and Remodelling t Ossification (bone formation ) takes two forms: v Compact bone (begins as cartilage): Osteoblasts discharge osteoid into which minerals are deposited to form the hardened material recognized as bone v Cancellous bone (begins as fibrous membranes): Osteoblasts release osteoid into membrane which forms a sponge-like bundle of fibres Cancellous bone formation develops outward from these centres in the membrane t Bone remodelling has two main phases: v Osteoclasts release acids and enzymes to remove old bone v Osteoblasts deposit new tissue ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Epiphyseal Plates and Lines t Epiphyseal plates (growth plates) v Occur at various locations at the Epiphyseal line epiphyses of long bones v Growth possible t Epiphyseal lines v Occur when epiphyseal plates have fused or come together v Growth not possible Epiphyseal plate ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Types of Fractures t Stress fracture – most difficult to detect t Simple fracture – no separation (hairline fracture) t Compound fracture – bone breaks into separate pieces t Comminuted fracture – bone shatters into many pieces Simple fracture Compound fracture ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Comminuted fracture Effects of Aging – Skeletal System t Remodelling declines from fourth decade onward v Process of bone remodelling reverses – resorption occurs v Results in a 5–0% loss in bone mass per subsequent decade v Affects overall calcium levels in the body t Osteoporosis (low bone mass and deterioration of the bone tissue) may result from resorption v Leads to bone fragility v Increased susceptibility to bone fractures t Preventative measures include: v Balanced diet rich in calcium and vitamin D, and a healthy lifestyle v Weight-bearing exercises v Bone density testing and medication when appropriate ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. Jeopardy Skeletal System t First person to yell out the answer quickest wins t TEAM WITH THE MOST POINTS WIN ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook. ©Thompson Educational Publishing, Inc. 2003. All material is copyright protected. It is illegal to copy any of this material. This material may be used only in a course of study in which Exercise Science: An Introduction to Health and Physical Education (Temertzoglou/Challen) is the required textbook.