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1.03 Understand the functions and disorders of the skeletal system 1.03 Understand the functions and disorders of the skeletal system What do you think? Understand the functions and disorders of the skeletal systems Essential Standards: • What are the functions of the skeletal system? • What are some disorders of the skeletal system? • How are skeletal disorders treated? • How does the skeletal system relate to the body’s systems of support and movement? Functions of the Skeletal System • Supports the body and provides shape • Protects internal organs • Movement and anchorage of muscles • Mineral storage (Calcium and phosphorus) • Hemopoiesis •206 bones in the body Functions of the Skeletal System • Discuss hemopoiesis • A biological process in which new blood cells are formed • 3 main types of cells: - Erythrocytes are red cells that carry oxygen - Leukocytes are white cells which function in prevention and recovery from disease - Thrombocytes or platelets, function in blood clotting What is MARROW: It is the place where new blood cells are produced. contains two types of stem cells: hemopoietic (which can produce blood cells) and stromal (which can produce fat, cartilage and bone). Red blood cells, platelets and most white blood cells arise in red marrow; some white blood cells develop in yellow marrow. Both types of bone marrow contain numerous blood vessels and capillaries. At birth, all bone marrow is red. BLOOD CELLS AND MARROW • White blood cells are formed in the yellow marrow and are called leukocytes • Red blood cells are formed in the red marrow and are called erythrocytes 7 Functions of the Skeletal System Which minerals are stored in the skeletal system? •Calcium Most abundant mineral Used in the heart, blood, muscles and nerves •Phosphorus Gives bones their hardness Filters out wastes in the kidneys and plays an essential role in how the body stores and uses energy Bones are made up of calcium phosphate, with inadequate nutrition, the body draws from these stores. CALCIUM • the bones and teeth accounting for about 99% of the total body stores • Under normal conditions, the composition of bone is relatively constant • Calcium is essential for maintaining the necessary level of bone mass to support the structures of the body • Calcium is also lost through normal bodily processes such as waste and the shedding of hair, fingernails, sweat and skin PHOSPHORUS • Gives bones their hardness • It filters out waste in the kidneys and plays an essential role in how the body stores and uses energy • Reduces muscle pain after a hard workout • Needed for the growth, maintenance, and repair of all tissues and cells, and for the production of the genetic building blocks DNA and RNA • Needed to help balance and use other vitamins and minerals including vitamin D, iodine, magnesium, and zinc PHOSPHORUS CON’T • Most people get plenty phosphorus in their diets, and is found in milk, grains and protein-rich food SKELETAL SYSTEM • Skeletal system provides anchorage for muscles so they pull effectively and bones act as levers for pulling • Ligaments and tendons work with bones • Ligaments connect bone to bone • Tendons connect muscle to bone Functions of the Skeletal System Types of movement Discuss the movement in these pictures. Functions of the Skeletal System • • • • Abduction and adduction Circumduction and rotation Flexion and extension Pronation and supination ABDUCTION & ADDUCTION • ABDUCTIONMovement away from the midline of the body • Lateral raisesmaking a “T” • ADDUCTIONmovement toward the midline of the body 15 CIRCUMDUCTION/ROTATION • CIRCUMDUCTION: 360 degree rotation • ROTATION: Twisting the arm; making a fist and trying to twist FLEXION/EXTENSION • FLEXION: Decreasing joint angle; biceps curl EXTENSION: Increasing joint angle; triceps- extend from elbow Dorsiflexion: Pointing to the toes upward Plantar Flexion: pointing the toes downward PRONATION/SUPINATION • PRONATION: from anterior facing to posterior facing; palm down • SUPINATION: from anterior facing; palm down Functions of the Skeletal System • Nothing more than a • Plays a major role in water-filled blob of protection – skull for tissue without it the brain, ribs protect internal • Creates a framework organs from impact. for muscles and organs to connect 19 Disorders of the Skeletal System Disorders of the Skeletal System • Arthritis • Define the term based on the meaning of its parts. arthr/o itis Inflammation of the joint At least 20 different types Disorders of the Skeletal System • Arthritis – Osteoarthritis: Degenerative joint disease – Occurs with aging; 80% of all Americans are affected – Articular cartilage degenerates – Bone spur formation at the joint - Joints enlarge and swell - Treated with NSAIDS & Celebrex Disorders of the Skeletal System • Arthritis – Rheumatoid arthritis- Chronic autoimmune disease - Affects connective tissue and joints - Thickening of the synovial membrane & joints become fused Disorders of the Skeletal System • Gout acute inflammation of a joint due to increase of uric acid crystals in the joint What makes it worse? Eating seafood, red meat, & drinking too much beer • Gout Disorders of the Skeletal System – Which joint is most often effected? The great toe What other joints might be affected? knee, ankle & foot – most often hand, wrist, fingers, & elbow- less often – How is gout treated? NSAIDS and fresh cherries GOUT • SYMPTOMS: pain (severe attacks), tenderness, redness, warmth, and swelling • Can affect several joints at once Disorders of the Skeletal System • Osteoporosis – Oste/o por/ous osis – Pourous bone disease – Low bone mass & deterioration of bone tissue • Osteoporosis – Why women get shorter: Bone loss occurs without symptoms: AKA: silent disease Loss of bone massworse with menopause Disorders of the Skeletal System Disorders of the Skeletal System • Osteoporosis – How is osteoporosis treated? – Calcium supplements, increase calcium in your diet and exercise Disorders of the Skeletal System • Rickets Soft bones due to a lack of calcification & deformities Primarily in the femur Pigeon-toed/bow leggedness - What causes rickets? Lack of vitamin D present – Who is most often effected? children Pigeon-Toed • Rickets Disorders of the Skeletal System – How is rickets treated? increase to sufficient levels of calcium, exposure to sun, vitamin D Disorders of the Skeletal System • Abnormal spinal curvatures Kyphosis Lordosis Scoliosis side to side or lateral curve of the spine hunchback, humped curvature of the thoracic area of the spine an exaggerated in ward curvature in the lumbar region of the spine above the sacrum Disorders of the Skeletal System • Trauma –Dislocation –Sprains –Strains –Fractures Skeletal System Trauma • Dislocation – displaced bone from proper position – Subluxation: partial or incomplete placement Skeletal System Trauma • Sprain: “twisted ankle” – A sprain is an injury to the ligaments around a joint. – Ligament stretches too far from joint Symptoms: joint pain (muscle pain), bruising, swelling, joint stiffness Treatment: RICE • Strain – an overstretching or overexertion of some part of the musculature – Can be due to strenuous activity – Can result in a tear as well – Symptoms: pain, bruising – Treatment: RICE Skeletal System Trauma • Fractures – Closed or simple – Bone is broken, does not pierce skin Skeletal System Trauma • Fractures – Open or compound Bone pierces skin Protrudes thru the skin Most serious Skeletal System Trauma • Fractures – Comminuted bone splintered and can become embedded in the surrounding tissue Skeletal System Trauma • Fractures – Greenstick bone is partly bent, yet does not separate simplest fracture Skeletal System Trauma • Trauma – How is a fracture treated? – Traction: weights to keep alignment Closed Reduction Manual placement: Casts Open reduction: bolts, screws, plates, & casts 41 RICE Treatment • R = REST – No weight bearing first 24 hours • I = ICE – Every 20 to 30 minutes every 2 or 3 hours for first 24 hours • C = COMPRESSION – Apply an elastic bandage • E= ELEVATION – As high as tolerated 1.03 Understand the functions and disorders of the skeletal system Essential Standards: • What are the functions of the skeletal system? • What are some disorders of the skeletal system? • How are skeletal disorders treated? • How does the skeletal system relate to the body’s systems of support and movement? 43 1.03 Understand the functions and disorders of the skeletal system The End 44