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1 THE AXIAL SKELETON Chapter 7: pages 211-245 The Axial Skeleton – 80 bones segregated into three major regions (the skull, vertebral column, and bony thorax) THE SKULL Cranium is the portion of the skull that protects the brain. The skull also includes the facial bones. All bones of the skull (except for the mandible) are connected by sutures, which are saw-toothed connections (immovable joints) between the bones of the skull. CRANIUM The cranium has 8 bones. Parietal bones (2) – attachment of temporalis muscle sagittal suture – coronal suture – Frontal Bone – attachment of frontalis muscle supraorbital margin – supraorbital foramen – supraorbital notch – frontal sinus: frontal squama – lacrimal fossa – Occipital Bone – attachment of occipitalis muscle lambdoidal suture - foramen magnum – occipital condyles – external occipital protuberance – external occipital crest – hypoglossal canals – 2 Temporal bones (2) – attachment of temporalis muscle squamous sutures - external acoustic (auditory) meatus – zygomatic process (arch)– styloid process – mastoid process – stylomastoid foramen – jugular foramen – carotid canal (foramen lacerum) - condylar (mandibular) fossa - Sphenoid Bone – floor of cranium, unites facial & cranial bones sella turcica - hypophyseal fossa – sphenoid sinuses: foramen ovale – optic foramen – greater wings – lesser wings – 3 Ethmoid Bone crista galli - cribiform plates – olfactory faromina – superior and middle nasal concha – perpendicular plate - ethmoidal sinuses: 4 Paranasal sinuses – sinuses that are positioned around the nasal cavity o o o o frontal sinus sphenoid sinuses ethmoidal sinuses maxillary sinus Function – the sinuses lighten the skull, act as resonating chambers for speech, and produce mucus to moisten and clean inhaled air Infection – since the paranasal sinuses are so closely related to the nasal cavity they are commonly infected. A sinus infection can create discomfort in any of the paranasal sinuses. A build up of mucus changes the resonating ability of the sinuses and therefore changes our speech FACIAL BONES There are 14 facial bones. Mandible body – rami (ramus)– alveoli (alveolar process) - condylar process - coronoid process – mandibular foramen – mental foramen – mandibular angle – mandibular notch – mental protuberance – 5 Maxillae (2) – supports teeth of upper jaw as well as forms inferior orbital rim, hard palate, and lateral margins of nasal cavity palatine processes – infraorbital foramen – maxillary sinus: alveoli (alveolar process) - inferior orbital fissure – 6 Palatine Bones (2) – forms posterior hard palate Lacrimal Bones (2) – forms medial optic orbit Nasal bones (2) – forms bridge of nose Zygomatic bones (2) – forms orbit rim and lateral wall; zygomatic arch Zygomaticofacial foramen- Temoral process – Vomer Bone (Vomer = plow) – forms midline of nasal cavity with perpendicular plate of ethmoid bone Inferior Conchae (kong’ke) (2) – increase surface area of the nasal cavity 7 OTHER BONES ASSOCIATED WITH THE SKULL Hyoid Bone – not really part of the skull, but very closely associated; serves as a movable base for the tongue and an attachment point for neck muscles that raise and lower the larynx as we swallow Body – main portion greater cornua - larger horns lesser cornua – smaller horns Both cornua are sites of muscle attachment Auditory ossicles – bones in inner ear; Malleus, Incus, and Stapes Malleus – hammer Incus – anvil Stapes - stirrup Additional Individualized Bones - Sometimes tiny fragments of bone are separated from the major bones of the skull by sutures. These tiny bones are called Sutural Bones or Wormian Bones. Not all skulls have these bones, and for those that do, the number may vary between individuals. 8 THE FETAL SKULL Difference in proportions: The skull of an adult is 1/8 the length of the body. The skull of a fetus or newborn is ¼ the length of the body. In addition, an infant’s face is very small compared to the size of its cranium. When a baby is born, the skull is not completely formed. Fibrous membranes called fontanels connect the infant’s cranial bones creating “soft spots”. The fontanels allow the skull to be compressed slightly during childbirth and allow the brain to grow. The fontanels are replaced by bone within 22 to 24 months after birth. 9 THE VERTEBRAL COLUMN (SPINE) Consists of 26 irregular bones Before birth the spine consists of 33 separate vertebrae, but 9 of these fuse forming two composite bones called the sacrum and coccyx. The central cavity of the vertebral column contains the spinal cord which it surrounds and protects. The spinal cord continues into the sacrum as the sacral canal. The vertebrae are separated by intervertebral discs composed of fibrocartilage. Herniated or slipped discs can cause pressure to the spinal cord creating pain or numbness. SPINAL CURVATURES The vertebrae are connected and reinforced by ligaments in such a way that a flexible curved structure results. The spinal curvatures in the thoracic and sacral regions are referred to as primary curvatures because they are present when we are born. They can also be called accommodation curves, as they accommodate the abdominopelvic and thoracic viscera. The secondary curvatures include the cervical curvature and the lumbar curvature. These curvatures appear as a baby begins to raise its head and walk respectively. The secondary curves can also be called the compensation curves as they help shift the weight to allow for upright posture. All four curves are fully developed by age 10. Abnormal curvatures include: Kyphosis, Lordosis, and Scoliosis (page 232) 10 ANATOMY OF A VERTEBRA Vertebral Body or Centrum: Vertebral Arch: Vertebral Foramen: Transverse Processes: Spinous Process: Superior and Inferior Articular processes: Articular facet – Lamina – Pedicle – Intervertebral foramina – 11 3 DIVISIONS OF VERTEBRAE Cervical vertebrae – (C1-C7) Neck region. C1 is called the atlas and has no body. Articulates with the occipital condyles of the head. Allows the head to nod “YES”. (Greek mythology – Atlas holds the world on his shoulders). C2 is called the axis acts as a pivot for the rotation of the atlas. Allows your head to twist from side to side to indicate “NO”. Dens or Odontoid process – Transverse foramina – Thoracic vertebrae – (T1 – T12) Upper and middle back regions. Each articulates with one or more pairs of ribs Costal Facets – Transverse costal facets – Lumbar vertebrae – (L1 – L5) Lower back region. Bear the most weight. Larger body and smaller vertebral foramen. 12 SACRUM (sacral) AND COCCYX (coccygeal) Sacrum (5 fused bones, begin fusing after puberty and completely fused by age 25-30). Provides and extensive area for muscle attachment (thigh). sacral canal – sacral cornua – sacral hiatus – sacral foramina – median sacral crest – lateral sacral crests – auricular surface (sacroiliac joint) – sacral tuberosity – articular process – sacral promontory – 13 Coccyx (tailbone; 3-5 but typically 4 fused bones, fusing begins by age 26). Attachment site for number of ligaments and for a muscle that constricts the anal canal Coccygeal cornua – prominent laminae of the of the first coccygeal vertebrae 14 THE BONY THORAX Composed of the Ribs, Sternum, and Thoracic Vertebrae Characteristics: Provides a protective cage for the vital organs of the thoracic cavity (heart, lungs, thymus, and great blood vessels) Supports the shoulders and upper limbs Provides attachment points for major muscles of the neck, back, chest, and shoulders In addition, the spaces between the ribs are occupied by intercostal muscles, which lift and contract the thorax during breathing. STERNUM (breastbone) Is a typical flat bone and is divided into three parts (based on the fusion of three bones). : Manubrium – i. Jugular notch – Body of the sternum – Xiphoid Process- 15 RIBS There are 12 pairs of ribs True ribs: 7 pairs that are directly attached to the sternum by costal cartilages Costal Cartilages – connect ribs to sternum False ribs The remaining 5 pairs of ribs that either do not attach directly to the sternum or do not attach at all (includes the floating ribs) Ribs pairs 11 and 12 are called Floating Ribs because they lack sternal attachment Ribs increase in length from 1-7, then decrease in length from pair 8-12 The intercostal spaces (between ribs) are filled with intercostal muscles that aid in breathing. Rib Features: Vertebral end – the portion that contacts the vertebrae o Head (capitulum) – Inferior and superior articular facets – o Neck – o Tubercle – o Angle – Body – o Costal groove – Sternal Extremity (end) - 16 17 18 angle 19