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SADDLEBACK/COASTLINE BONES STUDY GUIDE CLAVICLE 1. sternal extremity (end) –flat end 2. acromial extremity (end) –rounded end 3. conoid tubercle (“cone shaped”) –near round end SCAPULA Right or left scapula? 1. Superior border (superior margin) 2. Medial border (vertebral margin) 3. Lateral border (axillary margin) 4. Glenoid cavity (glenoid fossa) 5. Infraglenoid tubercle 6-7. inferior angle, superior angle 8. Scapular spine 9. Acromion process 10. Coracoid process (“hook shaped”) 11. Scapular notch (suprascapular notch) 12-14. supraspinous fossa, infraspinous fossa, subscapular fossa How to tell R and L Scapula: Hold the scapula by the spine and place the subscapular fossa behind you on top of your own shoulder blade (smooth side against your skin). The glenoid cavity should face laterally, not towards the vertebral column. HUMERUS. Right or left? 1. Head 2. Greater tubercle 3. Lesser tubercle 4. Intertubercular groove (bicipital groove) 5. Anatomical neck 6. Surgical neck 7. Deltoid tuberosity 8. Medial epicondyle 9. Lateral epicondyle 10. Capitulum 11. Trochlea 12. Supracondylar ridges (medial and lateral) 13. Coronoid fossa 14. Radial fossa 15. Olecranon fossa ULNA. Right or left? 1. Olecranon process 2. Coronoid process (“crow’s beak”) 3. Semilunar notch (trochlear notch) 4. Radial notch 5. Styloid process 6. Head How to tell R and L Humerus: Hold the humerus on the anterior surface of your arm with the olecranon fossa touching your skin (facing posteriorly). What direction is the head facing? It should be should face medially towards the body. How to tell R and L Ulna: Bend your elbow 90 degrees, then place the ulna on your forearm with the semilunar notch facing the ceiling. The radial notch should be on the thumb side, not the pinky side because the radius is on the thumb side. RADIUS 1. Head 2. Neck 3. Radial tuberosity 4. Styloid process 5. Ulnar notch 1 CARPALS 1. TRAPEZIUM (by the thumb) 2. TRAPEZOID (right beside thumb) 3. CAPITATE (base of 3rd met) 4. HAMATE (base of 4-5th mets) 5. TRIANGULAR (lateral-most) 6. PISIFORM (on palmar side, under triangular) 7. LUNATE (the one next to scaphoid) 8. SCAPHOID (the largest; near the thumb) Mnemonic for carpals: “Physical Therapy Lots of Studying, Time To Come Home”. Physical: pisiform Therapy: triangular Lots: lunate Studying: scaphoid Time: trapezium To: trapezoid Come: capitates Home: hamate METACARPALS; They are numbered metacarpal 1-5. PHALANGES: Proximal, intermediate, distal, (“distal phalanx of digit 1, 2, 3, 4, or 5”) SKULL Frontal bone 1. Coronal suture 2. Supraorbital foramen (supraorbital notch) 3. Superior orbital fissure 4. Inferior orbital fissure (actually, this is part of the sphenoid bone) Parietal bones 1. Sagittal suture 2. Squamous suture (squamosal suture) Occipital bone 1. Lambdoidal suture 2. Foramen magnum (for spinal cord and vertebral arteries) 3. Occipital condyles 4. Hypoglossal canal (for hypoglossal nerve) Temporal bones 1. External auditory meatus (eternal acoustic meatus) 2. Mandibular fossa 3. Zygomatic process (don’t write “zygomatic” since that is another bone) 4. Styloid process 5. Mastoid process 6. Squamous portion 7. Petrous portion (contains the ear ossicles/bones) 8. Jugular foramen (for jugular vein) 9. Internal auditory meatus (internal acoustic meatus for vestibulocochlear nerve) 2 Sphenoid bone 1. Sella turcica (where the pituitary gland sits) 2. Lesser wings 3. Greater wings 4. Optic foramen (for optic nerve) 5. Pterygoid processes (“wing-like”) 6. Foramen ovale (for trigeminal nerve) 7. Foramen spinosum 8. Foramen rotundum (for trigeminal nerve) 9. Carotid canal (for carotid artery; actually, this canal is part of the temporal bone) 10. Foramen lacerum Optic foramen Foramen lacerum Foramen rotundum Foramen ovale Foramen spinosum Internal auditory meatus Carotid canal Foramen magnum Jugular Foramen Ethmoid bone 1. Crista galli 2. Cribiform plate (area with holes in it for olfactory nerves) 3. Olfactory foramina (the holes in the cribiform plate) 4. Ethmoid sinuses 5. Perpendicular plate 6. Middle nasal conchae 3 Mandible 1. Ramus 2. angle 3. Body 4. Condylar process (mandibular condyle) 5. Mandibular notch 6. Coronoid process 7. Alveolar process 8. Mental foramen 9. Mandibular foramen Study Tip: Don’t get the conoid (“cone shaped”) tubercle of the clavicle mixed up with the coracoid (“hook shaped”) process of the scapula or the coronoid (“crow’s beak shaped”) process of the ulna and of the mandible! Scapula has a “c” and so does coraCoid. Ulna and Mandible have an “n” and so does coroNoid. BONES OF THE ORBIT Maxilla 1. Alveolar processes 2. Maxillary sinuses (skip) 3. Zygomatic process 4. Infraorbital foramen (for trigeminal nerve) 5. Incisive foramen Frontal bone Other skull bones: 1. Zygomatic bones 2. Nasal bones 3. Lacrimal bones 4. Palatine bones 5. Vomer bone Ethmoid bone Sphenoid bone FETAL SKULL 1. Anterior fontanel 2. Posterior fontanel 3. Sphenoid fontanel 4. Mastoid fontanel Zygomatic bone EAR BONES 1. Malleus (mallet shaped) 2. Incus (anvil shaped) 3. Stapes (stirrup shaped) Maxilla bone NOTE: Do not use the terms hammer, anvil, and stirrup on the exam! 4 Frontal bone Ethmoid bone Sphenoid bone Zygomatic bone Maxilla BONES OF THE ORBIT Superior orbit: Frontal bone Inferior orbit: Maxilla Lateral orbit: Zygomatic bone Medial orbit: Ethmoid Posterior orbit: Sphenoid The zygomatic arch (cheek area) consists of three bones: 1) Zygomatic bone 2) Zygomatic process of the temporal bone 3) Zygomatic process of the maxilla 5 CERVICAL VERTEBRAE 1. Spinous process 2. Transverse processes (skip) 3. Lamina 4. Pedicle (skip) 5. Body 6. Vertebral foramen 7. Transverse foramina ATLAS (Don’t just call it C-1) AXIS (Don’t just call it C-2) 1. Dens THORACIC VERTEBRAE 1. Spinous process 2. Transverse processes with articular facet 3. Lamina 4. Pedicle 5. Body 6. Vertebral foramen 7. Inferior articular processes 8. Superior articular processes LUMBAR VERTEBRAE 1. Spinous process 2. Transverse processes 3. Lamina 4. Pedicle 5. Body 6. Vertebral foramen 7. Inferior articular processes 8. Superior articular processes KNOW THE FOLLOWING ON A FULL SKELETON VERTEBRAL COLUMN: 1. Intervertebral foramina 2. Intervertebral disc SACRUM 1. Sacral canal 2. sacral foramina 3. median sacral crest 4. ala 5. Auricular surface (on the ala) 6. Sacral promontory (upper lip of sacrum on internal side) COCCYX 1. Apex 2. Base 6 STERNUM MANUBRIUM Jugular notch Clavicular notches Costal notches BODY Costal notches XIPHOID PROCESS RIBS: (Twelve ribs altogether) Know the following on a full skeleton only 7 TRUE RIBS 5 FALSE RIBS (2 of these ribs are the floating ribs) 2 FLOATING RIBS COSTAL CARTILAGES Know the following on a single rib 1. Head 2. Neck 3. Articular tubercle 4. Costal angle 5. costal groove How to tell true from false rib: A true rib inserts directly into the sternum (by way of its costal cartilage). A false rib’s costal cartilage inserts into the costal cartilage of the rib above it. Two of the false ribs are floating ribs that have no costal cartilages and do not insert into the sternum at all. HYOID BONE 1. Cornu LOWER EXTREMITY OS COXA: The fusion of 3 bones during childhood (ileum, ischium, and pubis): 1. Acetabulum 2. Obturator foramen ILIUM 1. Iliac crest 2. Iliac fossa 3. Anterior superior iliac spine 4. Anterior inferior iliac spine 5. Posterior superior iliac spine 6. Posterior inferior iliac spine 7. Greater sciatic notch ISCHIUM 1. Ischial spine 2. Ischial tuberosity 3. Lesser sciatic notch PUBIS 1. Pubic symphysis 2. Pubic arch 3. Pubic crest 7 FEMUR (right or left?) 1. Head 2. Neck 3. Greater trochanter 4. Lesser trochanter 5. Gluteal tuberosity 6. Medial condyle 7. Medial epicondyle 8. Lateral condyle 9. Intertrochanteric crest 10. Fovea capitis 11. Linea aspera 12. Popliteal fossa TIBIA (right or left?) 1. Lateral condyle 2. Medial condyle 3. Tibial tuberosity 4. Medial malleolus 5. Anterior crest 6. Intercondylar eminence 7. Fibular notch FIBULA 1. Head 2. Lateral malleolus How to tell R and L Femur: Place the femur on the anterior surface of your thigh, with the linea aspera touching your skin (facing posteriorly). What direction is the head facing? It should be should face medially towards the body. How to tell R and L Tibia: Place the tibia on the anterior surface of your leg with the tibial tuberosity facing anteriorly (not touching your leg). What side is the medial malleolus on? It should be medial, towards the midline of the body. How to tell head from malleolus on fibula: The head is flatter on top and the malleolus is pointy at the tip, and the malleolus has its smooth facet more on the side of the bone, instead of on the top. FOOT: TARSALS: 1. TALUS 2. CALCANEUS 3. NAVICULAR 4. CUBOID 5. CUNEIFORMS (MEDIAL, INTERMEDIATE, LATERAL) METATARSALS (1-5). The 5th metatarsal has a STYLOID PROCESS (add this to flashcards) PHALANGES (proximal, intermediate, distal) PATELLA 1. Apex 2. Base 3. Articular facet THE KNEE 1. patellar ligament (or patellar tendon) 2. quadriceps tendon 3. lateral collateral ligament (fibular collateral ligament) 4. medial collateral ligament (tibial collateral ligament) 5. lateral meniscus 6. medial meniscus 7. anterior cruciate ligament (ACL) 8. posterior cruciate ligament (PCL) 8 HISTOLOGY = “tissues” I. epithelia A. simple epithelia 1. simple squamous epithelium (kidney glomerulus) 2. simple cuboidal epithelium (kidney convoluted tubules) 3. simple columnar epithelium (small intestine) 4. pseudostratified epithelium (trachea) B. stratified epithelia 1. stratified squamous epithelia a. keratinized stratified squamous epithelium (dry skin) b. non-keratinized stratified squamous epithelium (moist skin) 2. stratified cuboidal epithelium (skin sweat gland) 3. stratified columnar epithelium (male urethra) 4. transitional epithelium (bladder) II. fibrous (proper) connective tissues A. loose fibrous/areolar connective tissue (upper dermis) B. adipose tissue (deep to dermis) C. reticular connective tissue (lymph nodes and spleen) D. dense regular fibrous connective tissue (tendons, ligaments) E. dense irregular fibrous connective tissue (joint capsules and lower dermis) III. special connective tissues A. cartilages 1. hyaline cartilage (joints, nose, trachea) 2. elastic cartilage (ear) 3. fibrocartilage (intervertebral discs, knee meniscus) B. bone tissues 1. compact bone (bone shafts: diaphysis) 2. spongy bone (bone ends: epiphysis) C. blood (in blood vessels) IV. muscle tissues A. skeletal (striated) muscle (muscle attached to bones) B. cardiac muscle (heart) C. smooth muscle (digestive organs) V. nervous tissue (brain, spinal cord, nerves) The structures in bold are not covered in Unit 1 9