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Chapter 5 The Skeletal System Lecture Presentation by Patty Bostwick-Taylor Florence-Darlington Technical College © 2015 Pearson Education, Inc. The Skeletal System Two subdivisions of the skeleton 1. Axial skeleton 2. Appendicular skeleton Parts of the skeletal system Bones (skeleton) Joints Cartilages Ligaments © 2015 Pearson Education, Inc. Functions of Bones Support the body Protect soft organs Skull and vertebrae protect brain and spinal cord Rib cage protects thoracic cavity organs Attached skeletal muscles allow movement Store minerals and fats Calcium and phosphorus Fat in the internal marrow cavity Blood cell formation (hematopoiesis) © 2015 Pearson Education, Inc. Bones of the Human Body The adult skeleton has 206 bones Two basic types of bone tissue 1. Compact bone Dense, smooth, and homogeneous 2. Spongy bone Small needle-like pieces of bone Many open spaces © 2015 Pearson Education, Inc. Figure 5.1 Flat bones consist of a layer of spongy bone sandwiched between two thin layers of compact bone. Spongy bone Compact bone © 2015 Pearson Education, Inc. Classification of Bones Bones are classified on the basis of shape, as: Long Short Flat Irregular © 2015 Pearson Education, Inc. Figure 5.2 Classification of bones on the basis of shape. (a) Long bone (humerus) (b) Irregular bone (vertebra), right lateral view © 2015 Pearson Education, Inc. (c) Flat bone (sternum) (d) Short bone (talus) Classification of Bones Long bones Typically longer than they are wide Shaft with heads situated at both ends Contain mostly compact bone All of the bones of the limbs (except wrist, ankle, and kneecap bones) are long bones Examples: Femur Humerus © 2015 Pearson Education, Inc. Classification of Bones Short bones Generally cube-shaped Contain mostly spongy bone Include bones of the wrist and ankle Sesamoid bones are a type of short bone that form within tendons (patella) Examples: Carpals Tarsals © 2015 Pearson Education, Inc. Classification of Bones Flat bones Thin, flattened, and usually curved Two thin layers of compact bone surround a layer of spongy bone Examples: Skull Ribs Sternum © 2015 Pearson Education, Inc. Classification of Bones Irregular bones Irregular shape Do not fit into other bone classification categories Examples: Vertebrae Hip bones © 2015 Pearson Education, Inc. Anatomy of a Long Bone Diaphysis Shaft Makes up most of bone’s length Composed of compact bone Periosteum Outside covering of the diaphysis Fibrous connective tissue membrane Perforating (Sharpey’s) fibers secure periosteum to underlying bone © 2015 Pearson Education, Inc. Figure 5.3a The structure of a long bone (humerus of arm). Articular cartilage Proximal epiphysis Spongy bone Epiphyseal line Periosteum Compact bone Medullary cavity (lined by endosteum) Diaphysis (a) © 2015 Pearson Education, Inc. Distal epiphysis Figure 5.3c The structure of a long bone (humerus of arm). Endosteum Yellow bone marrow Compact bone Periosteum Perforating (Sharpey’s) fibers Nutrient arteries (c) © 2015 Pearson Education, Inc. Anatomy of a Long Bone Epiphysis Ends of the bone Composed mostly of spongy bone enclosed by thin layer of compact bone Articular cartilage Covers the external surface of the epiphyses Made of hyaline cartilage Decreases friction at joint surfaces © 2015 Pearson Education, Inc. Figure 5.3b The structure of a long bone (humerus of arm). Articular cartilage Spongy bone (b) © 2015 Pearson Education, Inc. Compact bone Anatomy of a Long Bone Epiphyseal plate Flat plate of hyaline cartilage seen in young, growing bone Causes lengthwise growth of a long bone Epiphyseal line Remnant of the epiphyseal plate Seen in adult bones © 2015 Pearson Education, Inc. Figure 5.3a The structure of a long bone (humerus of arm). Articular cartilage Proximal epiphysis Spongy bone Epiphyseal line Periosteum Compact bone Medullary cavity (lined by endosteum) Diaphysis (a) © 2015 Pearson Education, Inc. Distal epiphysis Anatomy of a Long Bone Marrow (medullary) cavity Cavity inside the shaft Contains yellow marrow (mostly fat) in adults Contains red marrow for blood cell formation in infants In adults, red marrow is situated in cavities of spongy bone and epiphyses of some long bones © 2015 Pearson Education, Inc. Bone Markings Surface features of bones Sites of attachments for muscles, tendons, and ligaments Passages for nerves and blood vessels Categories of bone markings Projections or processes—grow out from the bone surface Terms often begin with “T” Depressions or cavities—indentations Terms often begin with “F” © 2015 Pearson Education, Inc. Table 5.1 Bone Markings (1 of 3). © 2015 Pearson Education, Inc. Table 5.1 Bone Markings (2 of 3). © 2015 Pearson Education, Inc. Table 5.1 Bone Markings (3 of 3). © 2015 Pearson Education, Inc. Microscopic Anatomy of Compact Bone Osteocytes are situated within cavities known as lacunae Lacunae are arranged in concentric rings called lamellae Lamellae are rings situated around the central (Haversian) canal © 2015 Pearson Education, Inc. Figure 5.4a Microscopic structure of compact bone. Spongy bone Osteon (Haversian system) Lamellae Perforating (Volkmann’s) canal Blood vessel continues into medullary cavity containing marrow Blood vessel Compact bone Central (Haversian) canal Perforating (Sharpey’s) fibers Periosteum Periosteal blood vessel (a) © 2015 Pearson Education, Inc. Microscopic Anatomy of Bone Central (Haversian) canal Opening in the center of an osteon Runs lengthwise through bone Carries blood vessels and nerves Osteon (Haversian system) A unit of bone containing central canal and matrix rings © 2015 Pearson Education, Inc. Figure 5.4b Microscopic structure of compact bone. Lamella Osteocyte (b) © 2015 Pearson Education, Inc. Canaliculus Lacuna Central (Haversian) canal Figure 5.4c Microscopic structure of compact bone. Osteon Interstitial lamellae Lacuna Central (Haversian) canal (c) © 2015 Pearson Education, Inc. Microscopic Anatomy of Bone Canaliculi Tiny canals Radiate from the central canal to lacunae Form a transport system connecting all bone cells to a nutrient supply Perforating (Volkmann’s) canal Canal perpendicular to the central canal Carries blood vessels and nerves © 2015 Pearson Education, Inc. Bone Components Organic parts of the matrix make bone flexible Calcium salts deposited in the matrix make bone hard © 2015 Pearson Education, Inc. Bone Formation and Growth Ossification Process of bone formation Occurs on hyaline cartilage models or fibrous membranes Long bone growth involves two major phases © 2015 Pearson Education, Inc. Figure 5.5 Stages of long-bone formation in an embryo, fetus, and young child. Articular cartilage Hyaline cartilage Spongy bone New center of bone growth Epiphyseal plate cartilage Medullary cavity Bone starting to replace cartilage © 2015 Pearson Education, Inc. Growth in bone width Invading Growth blood in bone vessels length New bone forming Bone collar Hyaline cartilage model In an embryo New bone forming Epiphyseal plate cartilage In a fetus In a child Bone Formation and Growth Two major phases of ossification in long bones 1. Osteoblasts Bone-forming cells Cover hyaline cartilage model 2. Enclosed cartilage is digested away, opening up a medullary cavity © 2015 Pearson Education, Inc. Bone Formation and Growth By birth, most cartilage is converted to bone except for two regions in a long bone: 1. Articular cartilages 2. Epiphyseal plates New cartilage is formed continuously on external face of these two cartilages Old cartilage is broken down and replaced by bony matrix © 2015 Pearson Education, Inc. Figure 5.6 Growth and remodeling of long bones. Bone growth Bone grows in length because: 1 Cartilage grows here. 2 Cartilage is replaced by bone here. 3 Cartilage grows here. 4 Cartilage is replaced by bone here. © 2015 Pearson Education, Inc. Bone remodeling Growing shaft is remodeled as: Articular cartilage Epiphyseal plate 1 Bone is resorbed here. 2 Bone is added by appositional growth here. 3 Bone is resorbed here. Bone Formation and Growth Bones grow in length and width Appositional growth Growth in diameter Controlled by hormones such as growth hormone Epiphyseal plates are converted to bone during adolescence Growth in length ends © 2015 Pearson Education, Inc. Bone Remodeling Bones are lengthened until growth stops Bones are remodeled throughout life in response to two factors: 1. Blood calcium levels 2. Pull of gravity and muscles on the skeleton © 2015 Pearson Education, Inc. Bone Remodeling Parathyroid hormone (PTH) Released when blood calcium levels are low Activates osteoclasts (bone-destroying cells) Osteoclasts break down bone and release calcium ions into the blood Hypercalcemia (high blood calcium levels) prompts calcium storage to bones © 2015 Pearson Education, Inc. Bone Fractures Fracture: break in a bone Types of bone fractures Closed (simple) fracture: break that does not penetrate the skin Open (compound) fracture: broken bone penetrates through the skin © 2015 Pearson Education, Inc. Bone Fractures Bone fractures are treated by reduction and immobilization Closed reduction: bones are manually coaxed into position by physician’s hands Open reduction: bones are secured with pins or wires during surgery © 2015 Pearson Education, Inc. Repair of Bone Fractures Hematoma (blood-filled swelling) is formed Fibrocartilage callus forms Cartilage matrix, bony matrix, collagen fibers splint the broken bone Bony callus replaces the fibrocartilage callus Osteoblasts and osteoclasts migrate in Bone remodeling occurs in response to mechanical stresses © 2015 Pearson Education, Inc. Figure 5.7 Stages in the healing of a bone fracture. Hematoma External callus Internal callus (fibrous tissue and cartilage) 1 Hematoma forms. © 2015 Pearson Education, Inc. 2 Fibrocartilage callus forms. New blood vessels Bony callus of spongy bone Healed fracture Spongy bone trabecula 3 Bony callus forms. 4 Bone remodeling occurs. Common Types of Fractures Comminuted: bone breaks into many fragments Compression: bone is crushed Depressed: broken bone portion is pressed inward Impacted: broken bone ends are forced into each other Spiral: ragged break occurs when excessive twisting forces are applied to a bone Greenstick: bone breaks incompletely © 2015 Pearson Education, Inc. Table 5.2 Common Types of Fractures. © 2015 Pearson Education, Inc. The Axial Skeleton Forms the longitudinal axis of the body Divided into three parts 1. Skull 2. Vertebral column 3. Bony thorax © 2015 Pearson Education, Inc. Figure 5.8a The human skeleton. Skull Cranium Facial bones Clavicle Thoracic cage (ribs and sternum) Vertebral column Sacrum Scapula Sternum Rib Humerus Vertebra Radius Ulna Carpals Phalanges Metacarpals Femur Patella Tibia Fibula (a) Anterior view © 2015 Pearson Education, Inc. Tarsals Metatarsals Phalanges Figure 5.8b The human skeleton. Cranium Bones of pectoral girdle Clavicle Scapula Rib Humerus Vertebra Radius Ulna Carpals Upper limb Bones of pelvic girdle Phalanges Metacarpals Femur Lower limb Tibia Fibula (b) Posterior view © 2015 Pearson Education, Inc. The Skull Two sets of bones 1. Cranium bones enclose the brain 2. Facial bones Hold eyes in anterior position Allow facial muscles to express feelings Bones are joined by sutures Only the mandible is attached by a freely movable joint © 2015 Pearson Education, Inc. The Skull 8 cranial bones protect the brain 1. 2. 3. 4. 5–6. 7–8. © 2015 Pearson Education, Inc. Frontal bone Occipital bone Ethmoid bone Sphenoid bone Parietal bones (pair) Temporal bones (pair) The Skull There are 14 facial bones. All are paired except for the single mandible and vomer. 1–2. 3–4. 5–6. 7–8. 9–10. 11–12. 13. 14. Maxillae Zygomatics Palatines Nasals Lacrimals Inferior nasal conchae Mandible Vomer © 2015 Pearson Education, Inc. Figure 5.9 Human skull, lateral view. Coronal suture Frontal bone Parietal bone Sphenoid bone Temporal bone Ethmoid bone Lambdoid suture Lacrimal bone Squamous suture Occipital bone Nasal bone Zygomatic process Zygomatic bone Maxilla External acoustic meatus Mastoid process Alveolar processes Styloid process Mandibular ramus © 2015 Pearson Education, Inc. Mandible (body) Mental foramen Figure 5.11 Human skull, inferior view (mandible removed). Maxilla (palatine process) Hard palate Palatine bone Zygomatic bone Temporal bone (zygomatic process) Maxilla Sphenoid bone (greater wing) Foramen ovale Vomer Mandibular fossa Carotid canal Styloid process Mastoid process Temporal bone Jugular foramen Occipital condyle Parietal bone Foramen magnum Occipital bone © 2015 Pearson Education, Inc. Figure 5.12 Human skull, anterior view. Coronal suture Frontal bone Parietal bone Nasal bone Sphenoid bone Ethmoid bone Lacrimal bone Zygomatic bone Maxilla Superior orbital fissure Optic canal Temporal bone Middle nasal concha of ethmoid bone Inferior nasal concha Vomer Mandible Alveolar processes © 2015 Pearson Education, Inc. The Hyoid Bone Closely related to mandible and temporal bones The only bone that does not articulate with another bone Serves as a movable base for the tongue Aids in swallowing and speech © 2015 Pearson Education, Inc. Figure 5.14 Anatomical location and structure of the hyoid bone. Greater horn Lesser horn Body © 2015 Pearson Education, Inc. The Fetal Skull The fetal skull is large compared to the infant’s total body length Fetal skull is 1/4 body length compared to adult skull, which is 1/8 body length Fontanels are fibrous membranes connecting the cranial bones Allow skull compression during birth Allow the brain to grow during later pregnancy and infancy Convert to bone within 24 months after birth © 2015 Pearson Education, Inc. Figure 5.15a The fetal skull. Frontal bone Anterior fontanel Parietal bone Posterior fontanel (a) © 2015 Pearson Education, Inc. Occipital bone Figure 5.15b The fetal skull. Parietal bone Posterior fontanel Occipital bone Mastoid fontanel © 2015 Pearson Education, Inc. Anterior fontanel Sphenoidal fontanel Frontal bone Temporal bone Vertebral Column (Spine) Vertebral column provides axial support Extends from skull to the pelvis 26 single vertebral bones are separated by intervertebral discs 7 cervical vertebrae are in the neck 12 thoracic vertebrae are in the chest region 5 lumbar vertebrae are associated with the lower back © 2015 Pearson Education, Inc. Vertebral Column (Spine) 9 vertebrae fuse to form two composite bones Sacrum formed by the fusion of 5 vertebrae Coccyx (tailbone) formed by the fusion of 3 to 5 vertebrae © 2015 Pearson Education, Inc. Figure 5.16 The vertebral column. Anterior 1st cervical vertebra (atlas) 2nd cervical vertebra (axis) Posterior Cervical curvature (concave) 7 vertebrae, C1 – C7 1st thoracic vertebra Transverse process Spinous process Thoracic curvature (convex) 12 vertebrae, T1 – T12 Intervertebral disc Intervertebral foramen 1st lumbar vertebra Lumbar curvature (concave) 5 vertebrae, L1 – L5 Sacral curvature (convex) 5 fused vertebrae Coccyx 4 fused vertebrae © 2015 Pearson Education, Inc. Vertebral Column (Spine) Primary curvatures Spinal curvatures of the thoracic and sacral regions Present from birth Form a C-shaped curvature as in newborns Secondary curvatures Spinal curvatures of the cervical and lumbar regions Develop after birth Form an S-shaped curvature as in adults © 2015 Pearson Education, Inc. Figure 5.17 The C-shaped spine typical of a newborn. © 2015 Pearson Education, Inc. Figure 5.18 Abnormal spinal curvatures. (a) Scoliosis © 2015 Pearson Education, Inc. (b) Kyphosis (c) Lordosis Vertebral Column (Spine) Parts of a typical vertebra Body (centrum) Vertebral arch Pedicle Lamina Vertebral foramen Transverse processes Spinous process Superior and inferior articular processes © 2015 Pearson Education, Inc. Figure 5.19 A typical vertebra, superior view. Posterior Vertebral arch Lamina Transverse process Spinous process Superior articular process and facet Pedicle Vertebral foramen Body Anterior © 2015 Pearson Education, Inc. Figure 5.20a Regional characteristics of vertebrae. (a) ATLAS AND AXIS Transverse process Posterior arch Anterior arch Superior view of atlas (C1) Transverse process Spinous process Facet on superior articular process Dens Body Superior view of axis (C2) © 2015 Pearson Education, Inc. Figure 5.20b Regional characteristics of vertebrae. (b) TYPICAL CERVICAL VERTEBRAE Spinous process Vertebral foramen Facet on superior articular process Superior view Superior articular process Spinous process Transverse process Body Transverse process Facet on inferior articular process Right lateral view © 2015 Pearson Education, Inc. Figure 5.20c Regional characteristics of vertebrae. (c) THORACIC VERTEBRAE Spinous process Vertebral Transverse foramen process Facet on superior Facet articular for rib process Body Facet on Superior view superior Body articular process Facet on Costal facet transverse Spinous for rib process process Right lateral view © 2015 Pearson Education, Inc. Figure 5.20d Regional characteristics of vertebrae. (d) LUMBAR VERTEBRAE Spinous process Vertebral Transverse foramen process Facet on superior articular process Body Superior view Superior articular process Spinous process © 2015 Pearson Education, Inc. Body Facet on inferior articular process Right lateral view Figure 5.21 Sacrum and coccyx, posterior view. Sacral canal Ala Superior Auricular articular surface process Body Median sacral crest Sacrum Posterior sacral foramina Coccyx © 2015 Pearson Education, Inc. Sacral hiatus The Bony Thorax Forms a cage to protect major organs Consists of three parts 1. Sternum 2. Ribs True ribs (pairs 1–7) False ribs (pairs 8–12) Floating ribs (pairs 11–12) 3. Thoracic vertebrae © 2015 Pearson Education, Inc. Figure 5.22a The bony thorax (thoracic cage). T1 vertebra Jugular notch Clavicular notch Manubrium Sternal angle Body Xiphisternal joint Xiphoid process True ribs (1–7) False ribs (8–12) L1 vertebra (a) © 2015 Pearson Education, Inc. Floating ribs (11, 12) Intercostal spaces Costal cartilage Sternum Figure 5.22b The bony thorax (thoracic cage). T2 T3 T4 Jugular notch Sternal angle Heart T9 (b) © 2015 Pearson Education, Inc. Xiphisternal joint The Appendicular Skeleton Composed of 126 bones Limbs (appendages) Pectoral girdle Pelvic girdle © 2015 Pearson Education, Inc. Figure 5.8a The human skeleton. Skull Cranium Facial bones Clavicle Thoracic cage (ribs and sternum) Vertebral column Sacrum Scapula Sternum Rib Humerus Vertebra Radius Ulna Carpals Phalanges Metacarpals Femur Patella Tibia Fibula (a) Anterior view © 2015 Pearson Education, Inc. Tarsals Metatarsals Phalanges Figure 5.8b The human skeleton. Cranium Bones of pectoral girdle Clavicle Scapula Rib Humerus Vertebra Radius Ulna Carpals Upper limb Bones of pelvic girdle Phalanges Metacarpals Femur Lower limb Tibia Fibula (b) Posterior view © 2015 Pearson Education, Inc. The Pectoral (Shoulder) Girdle Composed of two bones that attach the upper limb to the axial skeletal 1. Scapula 2. Clavicle Pectoral girdle (2) Light, poorly reinforced girdle Allows the upper limb a great deal of freedom © 2015 Pearson Education, Inc. Figure 5.23a Bones of the shoulder girdle. Acromioclavicular joint Clavicle Scapula (a) Articulated right shoulder (pectoral) girdle showing the relationship to bones of the thorax and sternum © 2015 Pearson Education, Inc. Figure 5.23b Bones of the shoulder girdle. Sternal (medial) end Posterior Acromial (lateral) end Superior view Acromial end Anterior Anterior Sternal end Posterior Inferior view (b) Right clavicle, superior and inferior views © 2015 Pearson Education, Inc. Figure 5.23c Bones of the shoulder girdle. Coracoid process Suprascapular notch Superior angle Spine Acromion Glenoid cavity at lateral angle Medial border Lateral border (c) Right scapula, posterior aspect © 2015 Pearson Education, Inc. Figure 5.23d Bones of the shoulder girdle. Acromion Suprascapular notch Superior border Superior angle Coracoid process Glenoid cavity Lateral (axillary) border Medial (vertebral) border Inferior angle (d) Right scapula, anterior aspect © 2015 Pearson Education, Inc. Bones of the Upper Limbs Humerus Forms the arm Single bone Proximal end articulation Head articulates with the glenoid cavity of the scapula Distal end articulation Trochlea and capitulum articulate with the bones of the forearm © 2015 Pearson Education, Inc. Figure 5.24a Bones of the right arm and forearm. Greater tubercle Lesser tubercle Head of humerus Anatomical neck Intertubercular sulcus Deltoid tuberosity (a) © 2015 Pearson Education, Inc. Radial fossa Coronoid fossa Medial epicondyle Capitulum Trochlea Figure 5.24b Bones of the right arm and forearm. Head of humerus Anatomical neck Surgical neck Radial groove Deltoid tuberosity Medial epicondyle (b) Trochlea © 2015 Pearson Education, Inc. Olecranon fossa Lateral epicondyle Bones of the Upper Limbs The forearm has two bones 1. Ulna—medial bone in anatomical position Proximal end articulation Coronoid process and olecranon articulate with the humerus 2. Radius—lateral bone in anatomical position Proximal end articulation Head articulates with the capitulum of the humerus © 2015 Pearson Education, Inc. Figure 5.24c Bones of the right arm and forearm. Trochlear notch Olecranon Head Neck Radial tuberosity Coronoid process Proximal radioulnar joint Radius Ulna Interosseous membrane (c) © 2015 Pearson Education, Inc. Radial styloid process Ulnar styloid process Distal radioulnar joint Bones of the Upper Limbs Hand Carpals—wrist 8 bones arranged in two rows of 4 bones in each hand Metacarpals—palm 5 per hand Phalanges—fingers and thumb 14 phalanges in each hand In each finger, there are 3 bones In the thumb, there are only 2 bones © 2015 Pearson Education, Inc. Figure 5.25 Bones of the right hand, anterior view. Distal Phalanges (fingers) Middle Proximal Metacarpals (palm) Carpals (wrist) 4 3 2 5 1 Hamate Trapezium Pisiform Triquetrum Trapezoid Scaphoid Capitate Lunate Ulna Radius © 2015 Pearson Education, Inc. Bones of the Pelvic Girdle Formed by 2 coxal (ossa coxae) bones Composed of three pairs of fused bones 1. Ilium 2. Ischium 3. Pubis Pelvic girdle 2 coxal bones, sacrum Bony pelvis 2 coxal bones, sacrum, coccyx © 2015 Pearson Education, Inc. Bones of the Pelvic Girdle The total weight of the upper body rests on the pelvis Pelvis protects several organs Reproductive organs Urinary bladder Part of the large intestine © 2015 Pearson Education, Inc. Figure 5.26a The bony pelvis. Iliac crest Sacroiliac joint Ilium Coxal bone (or hip bone) Sacrum Pubis Pelvic brim Coccyx Ischial spine Acetabulum Ischium (a) © 2015 Pearson Education, Inc. Pubic symphysis Pubic arch Figure 5.26b The bony pelvis. Ilium Ala Posterior superior iliac spine Posterior inferior iliac spine Greater sciatic notch Ischial body Iliac crest Anterior superior iliac spine Anterior inferior iliac spine Acetabulum Body of pubis Ischial spine Pubis Ischial tuberosity Ischium (b) Ischial ramus © 2015 Pearson Education, Inc. Inferior pubic ramus Obturator foramen Gender Differences of the Pelvis The female’s pelvis: Inlet is larger and more circular Pelvis as a whole is shallower, and the bones are lighter and thinner Ilia flare more laterally Sacrum is shorter and less curved Ischial spines are shorter and farther apart; thus, the outlet is larger Pubic arch is more rounded because the angle of the pubic arch is greater © 2015 Pearson Education, Inc. Figure 5.26c The bony pelvis. False pelvis Inlet of true pelvis Pelvic brim Pubic arch ) (less than 90° False pelvis Inlet of true pelvis Pelvic brim (c) © 2015 Pearson Education, Inc. Pubic arch ) (more than 90° Bones of the Lower Limbs Femur—thigh bone The heaviest, strongest bone in the body Proximal end articulation Head articulates with the acetabulum of the coxal (hip) bone Distal end articulation Lateral and medial condyles articulate with the tibia in the lower leg © 2015 Pearson Education, Inc. Figure 5.27a Bones of the right thigh and leg. Neck Head Intertrochanteric line Lateral condyle Patellar surface © 2015 Pearson Education, Inc. (a) Lesser trochanter Figure 5.27b Bones of the right thigh and leg. Greater trochanter Head Lesser trochanter Intertrochanteric crest Gluteal tuberosity Intercondylar fossa Medial condyle (b) © 2015 Pearson Education, Inc. Lateral condyle Bones of the Lower Limbs The lower leg has two bones 1. Tibia—shinbone; larger and medially oriented Proximal end articulation Medial and lateral condyles articulate with the femur to form the knee joint 2. Fibula—thin and sticklike; lateral to the tibia Has no role in forming the knee joint © 2015 Pearson Education, Inc. Figure 5.27c Bones of the right thigh and leg. Intercondylar eminence Medial condyle Lateral condyle Head Tibial tuberosity Proximal tibiofibular joint Interosseous membrane Anterior border Fibula Tibia Distal tibiofibular joint Lateral malleolus © 2015 Pearson Education, Inc. (c) Medial malleolus Bones of the Lower Limbs The foot Tarsals—7 bones Two largest tarsals Calcaneus (heel bone) Talus Metatarsals—5 bones form the sole of the foot Phalanges—14 bones form the toes © 2015 Pearson Education, Inc. Figure 5.28 Bones of the right foot, superior view. Phalanges: Distal Middle Proximal Tarsals: Medial cuneiform Intermediate cuneiform Navicular Metatarsals Tarsals: Lateral cuneiform Cuboid Talus Calcaneus © 2015 Pearson Education, Inc. Joints Joints are articulations Two or more bones meet Functions of joints Hold bones together Allow for mobility Two ways joints are classified Functionally Structurally © 2015 Pearson Education, Inc. Functional Classification of Joints Synarthroses Immovable joints Amphiarthroses Slightly movable joints Diarthroses Freely movable joints © 2015 Pearson Education, Inc. Structural Classification of Joints Fibrous joints Generally immovable Cartilaginous joints Immovable or slightly movable Synovial joints Freely movable © 2015 Pearson Education, Inc. Fibrous Joints Bones united by fibrous tissue Types Sutures Immobile Syndesmoses Allow more movement than sutures but still immobile Example: Distal end of tibia and fibula Gomphosis Immobile © 2015 Pearson Education, Inc. Cartilaginous Joints Bones connected by fibrocartilage Types Synchrondrosis Immobile Symphysis Slightly movable Example: Pubic symphysis, intervertebral joints © 2015 Pearson Education, Inc. Synovial Joints Articulating bones are separated by a joint cavity Synovial fluid is found in the joint cavity Four distinguishing features of synovial joints 1. 2. 3. 4. Articular cartilage Articular capsule Joint cavity Reinforcing ligaments © 2015 Pearson Education, Inc. Synovial Joints Bursae—flattened fibrous sacs Lined with synovial membranes Filled with synovial fluid Not actually part of the joint Tendon sheath Elongated bursa that wraps around a tendon © 2015 Pearson Education, Inc. Synovial Joints Types of synovial joints based on shape: Plane joint Hinge joint Pivot joint Condylar joint Saddle joint Ball-and-socket joint © 2015 Pearson Education, Inc. Figure 5.31 General structure of a synovial joint. Acromion of scapula Ligament Joint cavity containing synovial fluid Bursa Ligament Articular (hyaline) cartilage Tendon sheath Synovial membrane Fibrous layer of the articular capsule Tendon of biceps muscle Humerus © 2015 Pearson Education, Inc. Figure 5.32a Types of synovial joints. Nonaxial Uniaxial Biaxial Multiaxial (f) (a) Plane joint (b) (c) (a) (e) (d) © 2015 Pearson Education, Inc. Figure 5.32b Types of synovial joints. Humerus Ulna Nonaxial Uniaxial Biaxial Multiaxial (f) (b) (c) (a) (e) (d) © 2015 Pearson Education, Inc. (b) Hinge joint Figure 5.32c Types of synovial joints. Nonaxial Uniaxial Biaxial Multiaxial Ulna Radius (f) (c) Pivot joint (b) (c) (a) (e) (d) © 2015 Pearson Education, Inc. Figure 5.32d Types of synovial joints. Nonaxial Uniaxial Biaxial Multiaxial (f) (b) (c) (a) (e) (d) © 2015 Pearson Education, Inc. Metacarpal Phalanx (d) Condylar joint Figure 5.32e Types of synovial joints. Carpal Metacarpal #1 Nonaxial Uniaxial Biaxial Multiaxial (f) (e) Saddle joint (b) (c) (a) (e) (d) © 2015 Pearson Education, Inc. Figure 5.32f Types of synovial joints. Nonaxial Uniaxial Biaxial Multiaxial (f) Head of humerus (b) (c) Scapula (f) Ball-and-socket joint (a) (e) (d) © 2015 Pearson Education, Inc. Inflammatory Conditions Associated with Joints Bursitis—inflammation of a bursa, usually caused by a blow or friction Tendonitis—inflammation of tendon sheaths Arthritis—inflammatory or degenerative diseases of joints Over 100 different types The most widespread crippling disease in the United States Initial symptoms: pain, stiffness, swelling of the joint © 2015 Pearson Education, Inc. Clinical Forms of Arthritis Osteoarthritis (OA) Most common chronic arthritis Probably related to normal aging processes Rheumatoid arthritis (RA) An autoimmune disease—the immune system attacks the joints Symptoms begin with bilateral inflammation of certain joints Often leads to deformities © 2015 Pearson Education, Inc. Figure 5.33 X-ray image of a hand deformed by rheumatoid arthritis. © 2015 Pearson Education, Inc. Clinical Forms of Arthritis Gouty arthritis (gout) Inflammation of joints is caused by a deposition of uric acid crystals from the blood Can usually be controlled with diet More common in men © 2015 Pearson Education, Inc. Developmental Aspects of the Skeletal System Fontanels Allow brain growth and ease birth passage Present in the skull at birth Completely replaced with bone within 2 years after birth © 2015 Pearson Education, Inc. Developmental Aspects of the Skeletal System Growth of cranium after birth is related to brain growth Increase in size of the facial skeleton follows tooth development and enlargement of the respiratory passageways. © 2015 Pearson Education, Inc. Figure 5.34 Ossification centers in the skeleton of a 12-week-old fetus are indicated by the darker areas. Lighter regions are still fibrous or cartilaginous. Frontal bone of skull Mandible Parietal bone Occipita bone Clavicle Scapula Radius Ulna Humerus Femur Tibia Ribs Vertebra Hip bone © 2015 Pearson Education, Inc. Skeletal Changes Throughout Life Fetus Long bones are formed of hyaline cartilage Flat bones begin as fibrous membranes Flat and long bone models are converted to bone Birth Fontanels remain until around age 2 © 2015 Pearson Education, Inc. Skeletal Changes Throughout Life Adolescence Epiphyseal plates become ossified, and long bone growth ends Size of cranium in relationship to body 2 years old—skull is larger in proportion to the body compared to that of an adult 8 or 9 years old—skull is near adult size and proportion Between ages 6 and 11, the face grows out from the skull © 2015 Pearson Education, Inc. Figure 5.35a Differences in the growth rates for some parts of the body compared to others determine body proportions. Human newborn (a) © 2015 Pearson Education, Inc. Human adult Figure 5.35b Differences in the growth rates for some parts of the body compared to others determine body proportions. Newborn (b) © 2015 Pearson Education, Inc. 2 yrs. 5 yrs. 15 yrs. Adult Skeletal Changes Throughout Life Curvatures of the spine Primary curvatures are present at birth and are convex posteriorly Secondary curvatures are associated with a child’s later development and are convex anteriorly Abnormal spinal curvatures (scoliosis and lordosis) are often congenital © 2015 Pearson Education, Inc. Figure 5.18 Abnormal spinal curvatures. (a) Scoliosis © 2015 Pearson Education, Inc. (b) Kyphosis (c) Lordosis Skeletal Changes Throughout Life Osteoporosis Bone-thinning disease afflicting 50 percent of women over age 65 20 percent of men over age 70 Disease makes bones fragile, and bones can easily fracture Vertebral collapse results in kyphosis (also known as “dowager’s hump”) Estrogen aids in health and normal density of a female skeleton © 2015 Pearson Education, Inc. Figure 5.36 Osteoporosis. © 2015 Pearson Education, Inc. Figure 5.37 Vertebral collapse due to osteoporosis. Age 40 © 2015 Pearson Education, Inc. Age 60 Age 70