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Anatomy & Physiology
Chapter 9: Skeletal System
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Introduction
Skeletal tissues form bones—the
organs of the skeletal system
The relationship of bones to each
other and to other body structures
provides a basis for understanding the
function of other organ systems
The adult skeleton is composed of
206 separate bones
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Divisions of the Skeleton
(Figure 9-1; Table 9-1)
Axial skeleton—the 80 bones of the
head, neck, and torso; composed of 74
bones that form the upright axis of the
body and six tiny middle ear bones
Appendicular skeleton—the 126 bones
that form the appendages to the axial
skeleton; the upper and lower
extremities
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Axial Skeleton
Skull—made up of 28 bones in two
major divisions: cranial bones and facial
bones (Figures 9-2 to 9-7; Table 9-3)
Cranial bones
Frontal bone (Figure 9-8, C)
Forms the forehead and anterior part
of the top of the cranium
Contains the frontal sinuses
Forms the upper portion of the orbits
Forms the coronal suture with the two
parietal bones
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Axial Skeleton
Cranial bones (cont)
Parietal bones (Figure 9-8, A)
Form the bulging top of the cranium
Form several sutures: lambdoid
suture with the occipital bone;
squamous suture with the temporal
bone and part of the sphenoid; and
coronal suture with the frontal bone
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Axial Skeleton
Cranial bones (cont)
Temporal bones (Figure 9-8, B)
Form the bulging top of the cranium
Form several sutures: lambdoid suture with the
occipital bone; squamous suture with the
temporal bone and part of the sphenoid; and
coronal suture with the frontal bone
Occipital bone (Figure 9-8, D)
Forms the lower, posterior part of the skull
Forms immovable joints with three other cranial
bones and a movable joint with the first cervical
vertebra
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Axial Skeleton
Cranial bones (cont)
Sphenoid bone (Figure 9-8, E)
A bat-shaped bone located in the
central portion of the cranial floor
Anchors the frontal, parietal, occipital,
and ethmoid bones and forms part of
the lateral wall of the cranium and part
of the floor of each orbit (Figure 9-7)
Contains the sphenoid sinuses
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Axial Skeleton
Cranial bones (cont)
Ethmoid bone (Figure 9-8, F)
A complex, irregular bone that lies
anterior to the sphenoid and posterior
to the nasal bones
Forms the anterior cranial floor, medial
orbit walls, upper parts of the nasal
septum, and sidewalls of the nasal
cavity
The cribriform plate is located in the
ethmoid
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Axial Skeleton
Skull (cont)
Facial bones (Table 9-4)
Maxilla (upper jaw) (Figure 9-8, H)
Two maxillae form the keystone of
the face
Maxillae articulate with each other
and with the nasal, zygomatic, inferior
concha, and palatine bones
Forms parts of the orbital floors, roof
of the mouth, and floor and sidewalls
of the nose
Contains maxillary sinuses
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Axial Skeleton
Facial bones (cont)
Mandible (lower jaw) (Figure 9-8, M)
Largest, strongest bone of the face
Forms the only movable joint of the
skull with the temporal bone
Zygomatic bone (Figure 9-8, I)
Shapes the cheek and forms the
outer margin of the orbit
Forms the zygomatic arch with the
zygomatic process of the temporal
bones
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Axial Skeleton
Facial bones (cont)
Nasal bone (Figures 9-8, L and 9-10)
Both nasal bones form the upper part
of the bridge of the nose, whereas
cartilage forms the lower part
Articulates with the ethmoid, nasal
septum, frontal bone, maxillae, and
the other nasal bone
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Axial Skeleton
Facial bones (cont)
Lacrimal bone (Figure 9-8, K)
Paper-thin bone that lies just posterior
and lateral to each nasal bone
Forms the nasal cavity and medial
wall of the orbit
Contains a groove for the
nasolacrimal (tear) duct
Articulates with the maxilla, frontal,
and ethmoid bones
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Axial Skeleton
Facial bones (cont)
Palatine bone (Figure 9-8, J)
Two bones form the posterior part of
the hard palate
Vertical portion forms the lateral wall
of the posterior part of each nasal
cavity
Articulates with the maxillae and the
sphenoid bone
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Axial Skeleton
Facial bones (cont)
Inferior nasal conchae (turbinates)
Form the lower edge projecting into the
nasal cavity and form the nasal meatus
Articulate with ethmoid, lacrimal, maxillary,
and palatine bones
Vomer bone (Figure 9-8, G)
Forms the posterior portion of the nasal
septum
Articulates with the sphenoid, ethmoid,
palatine, and maxillae
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Axial Skeleton
Eye orbits (Figure 9-7)
Right and left eye orbits
Contain eyes, associated eye
muscles, lacrimal apparatus,
blood vessels, and nerves
Thin and fragile orbital walls
separate orbital structures from
the cranial and nasal cavities and
paranasal sinuses
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Axial Skeleton
Fetal skull (Figure 9-11)
Characterized by unique anatomical
features not seen in adult skull
Fontanels or “soft spots” (4) allow
the skull to “mold” during the birth
process and also allow for rapid
growth of the brain (Table 9-5)
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Axial Skeleton
Fetal skull (cont)
Permits differential growth or appearance of
skull components over time
Face—smaller proportion of total cranium at
birth {1/8} than in adult {½}
Head at birth is {¼} the total height; at
maturity about {1/8} body height
Sutures appear with skeletal maturity (Table
9-5)
Paranasal sinuses—change in size and
placement with skeletal maturity (Figure 9-9)
Appearance of deciduous and, later,
permanent teeth
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Axial Skeleton
Hyoid bone (Figure 9-12)
U-shaped bone located just above the
larynx and below the mandible
Suspended from the styloid processes
of the temporal bone
Only bone in the body that articulates
with no other bones
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Axial Skeleton
Vertebral column (Figure 9-13)
Forms the flexible longitudinal axis
of the skeleton
Consists of 24 vertebrae plus the
sacrum and coccyx
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Axial Skeleton
Vertebral column (cont)
Characteristics of the vertebrae (Figure 9-14; Table 9-6)
All vertebrae, except the first, have a flat, rounded body
anteriorly and centrally, a spinous process posteriorly, and
two transverse processes laterally
All but the sacrum and coccyx have a vertebral foramen
Second cervical vertebrae has an upward projection, the
dens, to allow rotation of the head
Seventh cervical vertebra has a long, blunt spinous
process
Each thoracic vertebra has articular facets for the ribs
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Axial Skeleton
Vertebral column (cont)
Vertebral column as a whole articulated
with the head, ribs, and iliac bones
Individual vertebrae articulate with each
other in joints between their bodies and
between their articular processes
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Axial Skeleton
Sternum (Figure 9-15)
Dagger-shaped bone in the middle of the
anterior chest wall made up of three
parts:
Manubrium—the upper handle part
Body—middle blade part
Xiphoid process—blunt cartilaginous
lower tip, which ossifies during adult
life
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Axial Skeleton
Sternum (cont)
Manubrium articulates with the clavicle
and first rib
Next nine ribs join the body of the
sternum, either directly or indirectly, by
means of the costal cartilages
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Axial Skeleton
Ribs (Figures 9-15 and 9-16)
Twelve pairs of ribs, with the vertebral
column and sternum, form the thorax
Each rib articulates with the body and
transverse process of its corresponding
thoracic vertebra
Ribs 2 through 9 articulate with the body of
the vertebra above
From its vertebral attachment, each rib
curves outward, then forward and downward
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Axial Skeleton
Ribs (cont)
Rib attachment to the sternum:
Ribs 1 through 8 join a costal
cartilage that attaches it to the
sternum
Costal cartilage of ribs 8 through 10
joins the cartilage of the rib above
to be indirectly attached to the
sternum
Ribs 11 and 12 are floating ribs
because they do not attach even
indirectly to the sternum
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Appendicular Skeleton
Upper extremity (Table 9-7)
Consists of the bones of the shoulder girdle,
upper and lower parts of the arm, wrist, and
hand
Shoulder girdle (Figure 9-17)
Made up of the scapula and clavicle
Clavicle forms the only bony joint with
the trunk, the sternoclavicular joint
At its distal end, the clavicle articulates
with the acromion process of the
scapula
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Appendicular Skeleton
Upper extremity (cont)
Humerus (Figures 9-18 and 9-19)
The long bone of the upper part of the arm
Articulates proximally with the glenoid
fossa of the scapula and distally with the
radius and ulna
Ulna
The long bone found on the little finger side
of the forearm
Articulates proximally with the humerus
and radius and distally with a
fibrocartilaginous disk
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Appendicular Skeleton
Upper extremity (cont)
Carpal bones (Figure 9-20)
Eight small bones that form the wrist
Carpal bones are bound closely and firmly by
ligaments and form two rows of four carpals each
Proximal row is made up of the pisiform,
triquetrum, lunate, and scaphoid
Distal row is made up of the hamate, capitate,
trapezoid, and trapezium
The joints between the radius and carpal bones
allow wrist and hand movements
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Appendicular Skeleton
Upper extremity (cont)
Metacarpal bones
Form the framework of the hand
The thumb metacarpal forms the
most freely movable joint with the
carpal bones
Heads of the metacarpal bones (the
knuckles) articulate with the
phalanges
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Appendicular Skeleton
Lower extremity
Consists of the bones of the hip, thigh, leg,
ankle, and foot (Table 9-8)
Pelvic girdle is made up of the sacrum and the
two coxal bones bound tightly by strong
ligaments (Figure 9-21)
A stable circular base that supports the trunk
and attaches the lower extremities to it
Each coxal bone is made up of three bones that
fuse together (Figure 9-22):
Ilium—largest and uppermost
Ischium—strongest and lowermost
Pubis—anterior most
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Appendicular Skeleton
Lower extremity (cont)
Femur—longest and heaviest bone in the
body (Figure 9-23)
Patella—largest sesamoid bone in the body
Tibia
The larger, stronger, and more medially and
superficially located of the two leg bones
Articulates proximally with the femur to form
the knee joint
Articulates distally with the fibula and talus
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Appendicular Skeleton
Lower extremity (cont)
Fibula
The smaller, more laterally and
deeply placed of the two leg
bones
Articulates with the tibia
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Appendicular Skeleton
Lower extremity (cont)
Foot (Figures 9-24 and 9-25)
Structure is similar to that of the hand with
adaptations for supporting weight
Foot bones are held together to form spring
arches
Medial longitudinal arch is made up of
the calcaneus, talus, navicular,
cuneiforms, and medial three metatarsal
bones
Lateral longitudinal arch is made up of
the calcaneus, cuboid, and fourth and
fifth metatarsal bones
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Skeletal Differences Between
Men and Women
Male skeleton is larger and heavier
than female skeleton
Pelvic differences (Figure 9-26; Table
9-9)
Male pelvis—deep and funnel-shaped
with a narrow pubic arch
Female pelvis—shallow, broad, and
flaring with a wider pubic arch
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Cycle of Life: The Skeletal System
Changes in the skeleton begin at
fertilization and continue over a lifetime;
changes can be positive or negative
Incompletely ossified skeleton in children
provides the resiliency needed to
withstand stress without breaking easily
Dense bone structure in young and
middle adulthood permits bearing heavy
loads
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Cycle of Life: The Skeletal System
In later adulthood, reduced bone
density makes fractures more likely
and causes changes in posture and
overall height
Details of aging effects are found in
Mechanisms of Disease section
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The Big Picture: Skeletal System
Skeletal system is a good example of
increasing structural hierarchy in the body
Skeletal tissues grouped into discrete organs—
bones
Skeletal system consists of bones, blood vessels,
nerves, and other tissues grouped to form a
complex operational unit
Integration of skeletal system with other body
organ systems permits homeostasis to occur
Skeletal system more than a collection of
individual bones—it represents a complex and
interdependent functional unit of the body
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