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The Skeletal System: The Appendicular Skeleton Contents: 1. Introduction 2. Pectoral Girdle 3. Upper extremity 4. Pelvic Girdle 5. Comparison of male and female pelvis 6. Comparison between pectoral & pelvic girdles 7. Lower extremity 8. Disorders. 1. Introduction: . Appendicular skeleton mainly facilitates movement. . it includes bone of upper extremity, lower extremity, pectoral girdle & pelvic girdle. 2. Pectoral girdle: -Consists of Clavicle & Scapula - Clavicle articulates with Sternum at Sternoclavicular joint - Scapula articulates with Clavicle at Acrominoclavicular joint - Scapula articulates with Humerus at Glenohumoral joint. 2a. Clavicle 9The coller bone): Lie at the superior and anterior part of thorax Ti is S shaped , convex anteriorly 2b. Scapula ( Shoulder blade) - Articulates with clavicle & humerus - Situated at the superior and posterior part of thorax. - Has following parts: spine, acromion, glenoid cavity, scapular notch, medial & lateral border. 3. Upper extremity ( Limb) a. consists of 30 bones. Humerus, Radius, Ulna, Caroal bones, Metacarpal bones and Phalanges. b. Humerus: Articulates proximally with Scapula and distally with Radius and Ulna. c. Radius and Ulna: -Ulna located at the medial sapect of forearm - Radius latarally - Both articulates with Humerus at elbow joint and with carpal bones at the wrist joint d. Carpal & Metacarpal bones & Phalanges: - 5 metacarpal bones are located in the palm of each hand - There are 14 phalanges in each hand: 3 in each finger & 2 in each thumb 4. Pelvic Girdle ( Hip) a. Consists of 2 Hip bones b. Each Hip bone consists of 3 bones, viz: -The Ilium - The Ischium - The Pubis c. True and False pelvis: - together with Sacrum & Coccyx 2 Hip bones form Pelvis - True ( Lesser) and False (Greater) pelvis are anatomcal subdivisions of Pelvis 5. Male and Female Pelvis: Comparison - Male bones are larger and heavier -Muscle attachments points are well-defined in the bones of male pelvis - Pelvic girdles of female are wider and has a larger pelvic outlet to facilitate child birth 6. Pectoral and Pelvic girdle: a comparison: -Pectoral girdle does not directly articulate with vertebral column , the pelvc girdle does - Pectoral girdles sockets are shallow and show maximum mivements 7. Lower extremity ( Limb) a. each limb consists of 30 bones Femur, Tibia, Fibula, Tarsal, Metatarsal, Patella & Phalanges b. Femur: (Thigh bone) -Largest and heaviest bone of the body - Articulates with Hip bone and the Tibia c. Patella: (Knee Cap) - It is seseamoid in shape & located anterior to knee joint - Maintain position of the tendon when knee is bent & increase leverage of knee joint d. Tibia and Fibula: -Tibia is also called Shin bone. Situted medially at the leg - Fibula is parallel and lateral to Tibia. It does not participate in the weight bearing process e. Tarsal and Metatarsal and Phalanges: - seven tarsal bones constitute ankle and share weight associate with walking - Five Metatersal are contained in the foot - Arrangement of phalanges is same as in hand f. Arches of the foot: -There are 2 non-rigid arches that enable foot to support the weight of the body, provide ideal distribution of body weight & provide leverage while walking - Transverse and longitudinal (medial & lateral) arches. - Abnormal foot: caused by decline, elevation or rotation of the medial longitudinal arches i. ii. iii. Flat foot: due excessive weight & weak supporting tissue Claw foot: caused by atrophy of muscle of foot Club foot: Inherited deformity. Foot twisted. 8. Disorders: Hip fracture: associated with break of hip joint. Head, neck or trochanteric region of Femur are common sites. Require surgical treatment