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Functional Anatomy Section One: The Skeleton Functions of a Skeleton The skeleton performs 5 basic functions: FUNCTION EXPLANATION EXAMPLES MOVEMENT Where bones meet we form joints. In combination with muscles, we create movement. Bones move because of joints and muscles, e.g. elbow moved by biceps PROTECTION Provide protection to vital organs Scapula – lungs Skull – brain SUPPORT Give support for organs and tissue so they do not collapse. Spine supports the head and trunk STORAGE Minerals are stored in bones Storage of calcium and potassium SUPPLY Red and white blood cells are produced in bone marrow Femur produces red blood cells 1.3 Axial and Appendicular Skeleton All the bones of the skeleton are divided into two main groups. These are known as: 1. Axial Skeleton 2. Appendicular Skeleton AXIAL SKELETON Consists of those bones forming the central column of the body, i.e. spine, skull and ribcage. APPENDICULAR SKELETON Those bones that attach to the axial skeleton, i.e. shoulders, hips and the limbs. 1.4 Classification of Bones Bones are classified according to their shape. They fall into four basic categories: 1. Long bones 2. Short bones 3. Irregular bones 4. Flat bones Using the table, fill in the basic function of each type of bone and provide some examples of these. BONE CLASSIFICATION BASIC FUNCTION EXAMPLES Long* Production of red blood cells and white blood cells. Movement. Humerus, femur, radius and ulna Short Small of fine movements Carpals (wrist) Tarsals (ankle) Irregular Movement support and muscle attachment Face and vertebrae Flat Protection and attachment Shoulder blade and breastbone *The length is greater than width On the skeleton, colour the short, flat, long and irregular bones you can identify. What do you notice about the location of most of the flat bones? Why might this be? Located around the main organs, e.g. brain, heart. To give protection. What do you notice about the location of most of the long bones? Why might this be? Located in legs and arms. These are the regions of most joints and therefore movement. 1.5 Identifying Bones of the Skeleton As a pre-test, try naming as many bones as possible on the skeleton below. Use common or anatomical terms. Cranium (skull) Vertebrae – cervical (neck) Sternum (breastbone) Ribs (ribcage) Vertebrae – lumbar (lower back) Pelvis (hip) = Ilium, Ischium & Pubis Metacarpals (palm) Phalanges (fingers) Tibia (shin) Maxilla (face) Mandible (jaw) Clavicle (collarbone) Ulna (forearm) Scapula (shoulder blade) Humerus (upper arm) Radius (forearm) Femur (thigh) Fibula (shin) Patella (knee cap) Metatarsals (foot) Tarsal (heel) Phalanges (toes) Identify and explain the function of the following skeletal structures. A. Cranium 1. THE HEAD (common name = skull) Designed to protect the brain. Made up A B C of a number of inter-connecting bones. B. Maxilla (common name = face) Houses the eyes and sinuses. Protects these features against damage. C. Mandible (common name = jaw) Responsible for talking, chewing etc. 2. THE RIBCAGE Rib 3. THE CHEST Ribs (common name = ribs) 12 pairs in all. Designed to protect the heart and lungs A. Sternum (common name = breast bone Protects the heart and lungs. It is the bone pressed on in C.P.R. ) 4. THE SPINE Cervical vertebrae. These are small delicate bones responsible for neck movement. There are seven bones in all. Thoracic vertebrae. Allow ribs to attach to the spine hence there are 12 of them (one for each rib pair). Lumbar vertebrae. These are the largest of the vertebrae and are responsible for weight-bearing. There are five in all. The sacrum (upper) and coccyx (lower) are a series of fused (joined) bones that help form the pelvis. What do the shapes of the bones tell you about their function? Those that are larger have a roll in weight or load bearing e.g. lumbar and thoracic. Smaller ones are important for movement e.g. cervical. 5. THE SHOULDER A. Scapula blade ) B A (common name = shoulder Protects the lungs. Forms shoulder joint. B. Clavicle (common name = collarbone) Holds the shoulder in place. Easily broken. A. Humerus (common name = upper arm ) 6. THE ARM Prime function is movement. B. Radius (common name = Forearm ) Prime function is movement, always located A on thumb-side of forearm. C. Ulna (common name = forearm ) Prime function is movement. B D. Carpels (common name = wrist ) C Prime function is movement. D E F E. Metacarpels (common name = palms ) Prime function is movement. F. Phalanges (common name = Fingers ) Prime function is movement. 7. THE PELVIS A. Ilium (common name = pelvis) Protects intestines A B. Pubis ( common name = pelvis) Forms front of pelvis. Has to separate in childbirth. B C C. Ischium (common name = pelvis) Forms the ‘boney bum’. A. Femur (common name = thigh ) 8. THE LEG Largest bone in the body, responsible for support and movement. B. Patella (common name = knee cap ) Protects the knee joint. C. Tibia (common name = shin ) Support and movement. A ‘Thinner’ bone of leg. Support and movement. B E. Tarsels (common name = ankle) C Bones of the ankle and heel. Support and balance. D E D. Fibula (common name = shin) F. Metatarsels (common name = foot) Form the sole of the foot. Support and balance. F G G. Phalanges (common name = toes) Support, movement and balance. Functional Anatomy Section Two: Terms of Direction 2.2 The Anatomical Position In order to explain the positioning of bones, organs, muscles and the like on the human body, anatomists have agreed on a standardised position for the human body in all cases. This is known as the anatomical position. THE ANATOMICAL POSITION There are four key features to note: 1. Palms face forward 2. Body is upright 3. Thumbs point outward – so radius and ulna and uncrossed 4. Face is forward The terms of direction in the next section are all with respect to this position. Why is it important to always talk about the position of organs, bones and muscles in or on the human body with respect to the anatomical position? This enables everyone to talk from the same point of view regardless of their profession or level of expertise. 2.3 Anatomical Terms of Direction These refer to the position of parts of the body, or of one part with respect to another. Term Definition Examples Anterior On the FRONT of the body or limb 1. The chest is on the anterior of the body 2. The face is an anterior aspect of the head. Posterior On the BACK of the body or limb 1. The buttocks are on the posterior of the body 2. The calf muscles are on the posterior of the leg Superior Above or on top of 1. The cervical vertebrae are superior to the thoracic vertebrae 2. The thoracic vertebrae are superior to the lumbar vertebrae Term Definition Inferior Below or beneath Medial Examples 1. Thoracic vertebrae are inferior to the cervical vertebrae 2. The lumbar vertebrae are inferior to the thoracic vertebrae 1. Nearer the midline of the body Lateral Further away from the midline of the body The big toe is on the medial aspect of the foot 2. The little finger is on the medial aspect of the hand 1. Little toe is on the lateral aspect of the foot. 2. The thumb is on the lateral aspect of the hand Term Definition Distal Further away from the body. Usually refers to the limbs. Proximal Examples 1. Wrist is distal to the elbow 2. Elbow joint is distal to the shoulder joint 1. Nearer the body. Usually refers to the limbs. Elbow is proximal to the wrist joint 2. Shoulder joint is proximal to the elbow Face down A press-up is on the PRONE position Prone Supine Face up A sit-up is on the SUPINE position Term Definition Deep When a muscle is BENEATH another with respect to the skin surface Superficial On the surface of the body or limb Examples The ilio psoas is a deep muscle of the hip Iliopsoas Pectoralis major is a superficial muscle of the chest Pectoralis Major This exercise has shown that the terms of direction compliment each other. Complete the list below by placing the opposite term next to the one provided. Superior - Inferior Anterior - Posterior Proximal - Distal Medial - Lateral Deep Superficial Supine - Prone - Functional Anatomy Section Three: The Joints 3.2. Overview of Joint Types There are three broad categories of joint type in the body. They are classed according to the degree of movement possible. The three categories are: 1. Immovable Also known as fibrous joints 2. Slightly movable Also known as cartilaginous joints 3. Freely movable Also known as synovial joints We shall look at all these categories in turn. 3.3 Fibrous Joints These are non-movable joints. They are the result of tough fibrous tissue forming where the two bone ends meet. What is the function of a fibrous joint? To provide protection. Examples include: 1. Skull 2. Pelvis Fibrous joint 3.4 Cartilaginous Joint These are slightly-movable joints. They are the result of cartilage forming where the two bone meet. This gives a fair degree of resilience. What is the function of a cartilaginous joint? To act as shock absorbers. Examples include: 1. Invertebral discs Cartilaginous Joints 2. Ribs to sternum 3.Where pubic bones meet 3.5 Synovial Joint These are freely movable joints. The only limitation in range of movement is as a result of bone shape at the joint, and ligaments. What is the primary function of a synovial joint? To provide movement. All synovial joints follow the same basic structure as shown The key components of your illustration have important roles to play in maintaining the structure of the joint. 1. Join bone to bone for stability Ligaments 2. Capsule Provides stability and protection from infection 3. Cartilage Reduce wear and tear on bones 4. Synovial Fluid Lubricates the joint and provides shock absorption 5. Synovial Membrane Produces synovial fluid In some joints, for example the knee, there are pads of fat and/or discs of cartilage to further help absorb shock and reduce general ‘wear and tear’. 3.6 Types of Synovial Joints Synovial joints can be divided into six basic types. The types are governed by the type of movement or movements they allow. The six basic types are: 1.Gliding 2.Hinge 3.Pivot 4.Condyloid 5.Saddle 6.Ball and Socket 1. Gliding Definition: The bone surfaces are small and flat, or slightly concave and one bones slides over the other. Examples: 1. Carpals and tarsals 2. Ribs and vertebrae 3. Scapula and ribs Movements: Only slight movement is possible due to the restrictions of attached ligaments. Movements possible are: 1. side to side (abduction / adduction) 2. Back and forth (extension/flexion) 2. Hinge Definition: Two bones join in such a way that movement is possible only in one direction, usually at right angles to the bones. Examples: 1. Elbow 2. Knee 3. Ankle Movements: A uniaxial joint allowing movement in only one direction The only movement possible is: Back and forth (extension/flexion) 3. Pivot Definition: A joint constructed in such a way that rotation only is possible (usually about the long axis of the bone) Examples: 1. Atlas and axis of neck 2. Radius and humerous Movements: A uniaxial joint allowing movement in only one direction The only movement possible is: Rotation 4. Condyloid Definition: Also known as an ellipsoid joint. The bone ends make the shape of an ellipse. Examples: 1. Carpals and radius 2. Metacarpals and phalange Movements: A biaxial joint allowing movement in two main directions. The movements possible are: 1. Back and forth (extension/flexion) 2. Side to side (abduction/adduction) 3. Some Circumduction 5. Saddle Definition: The bone ends are shaped like a rider on a saddle Example: 1. Carpal/metacarpal of thumb Movements: A biaxial joint allowing movement in two main directions. Movements possible are: 1. side to side (abduction / adduction) 2. Back and forth (extension/flexion) 6. Ball and Socket Definition: A ball-shaped bone end fits into a socket or cupshaped bone. Examples: 1. Hip 2. Shoulder Movements: A multiaxial joint allowing movement in many directions around the joint. The movements possible are: 1. Back and forth (extension/flexion) 2. Side to side (abduction/adduction) 3. Rotation 4. Circumduction The shoulder joint is the most freely moving ball and socket joint we have. The illustration may help you with your answer. Why is the shoulder joint so freely moving? Because the socket is shallow. What do you suppose is the risk of such a freely moving joint? It is easy to dislocate. 3.7. Movements at Synovial Joints Just as we learnt a set of terms to describe the positioning of bones, muscles and organs in the body, so we have a set of terms to describe how joints move. Term Definition Flexion Bending or decreasing the angle between two bones Examples 1. Trunk Bending forwards (sideways – lateral flexion) 2. Shoulder Moving the arm forward 3. Arm Bending at the elbow 4. Wrist Bringing the palm towards the forearm 5. Hip Raising the thigh towards the trunk 6. Knee Bending at the knee Term Definition Extension Straightening or increasing the angle between two bones Examples 1. Trunk Straightening up 2. Shoulder Moving the arm backward 3. Arm Straightening the elbow 4. Wrist Straightening the wrist 5. Hip Moving the leg backward 6. Knee Straightening the knee Term Definition Abduction Moving a limb or part of a limb away from the midline of the body Adduction Moving a limb or part of a limb towards the midline of the body Circumduction A combination of flexion, extension, abduction and adduction. The movement of the limb resembles the shape of a cone Examples Moving outwards on a star jump Bringing the limbs back together in a star jump The arm stroke in Butterfly Term Definition Rotation Twisting of a limb about its long axis Supination Movement of the hand into a palm-up position Holding a bowl of soup Pronation Movement of the hand into a palmdown position tipping the soup out Examples Turning the head Twisting the trunk Turning a card over Turning a page in a book Turning a card face down Closing a book Term Definition Inversion Movement of the sole of the foot inward Eversion Movement of the sole of the foot outward Dorsi flexion Movement of the top of the foot upward, closer to the shin Plantar flexion Movement of the sole of the foot downward Examples Underarm Volley ball serve Frame Joint Bones at the joint Movement or Position A Knee Femur (thigh) & Tibia (shin) Flexion A Trunk (at hip) Pelvis (hip) & Femur Flexion A→D Right Shoulder Scapula (shoulder blade) & Humerus (upper arm) Flexion A→C Right Hip Pelvis (hip) & Femur Extension A→D Right Foot (at ankle) Tibia, Fibula (shin) & Tarsals (ankle) Plantarflexion A→D Right Knee Femur & Tibia Extension A→D Right Hand (at wrist) D Right Elbow Radius & Ulna (forearm) & Slight (flexion) Carpals (wrist) Radius, Ulna & Humerus Extension Functional Anatomy Section Four: The Muscles 4.2 Identifying Muscles Trapezius Deltoid Biceps Triceps Pectoralis Major Latissimus Dorsi Rectus Abdominus Gluteus Maximus Hamstrings Quadriceps Gastrocnemius 4.3 Guide to Individual Muscles [A] PRIME MOVERS OF THE TRUNK 1. Rectus adbominus: Location : A group of two muscles running lengthwise along the medial aspect of the abdomen. They are rather like two columns of muscle running up either side of the belly button. They run from the pubis (pelvis) to the cartilage of the 5th, 6th and 7th ribs. Movements: Rectus abdominus allows two basic movements. 1. Flexion of the trunk 2. Lateral flexion of the trunk Application: Typical sporting actions include: 1. Sit ups 2. Cartwheels 3. Pike in diving Rectus Abdominus [A] PRIME MOVERS OF THE TRUNK 2. Erector Spinae Group: Location : One of the main muscles located in the lower back and one of the few visible. It runs from the pelvis to the lumbar vertebrae. Movements: Erector spinae group allows two basic movements. They are: 1. Extension of the spine 2. Lateral flexion of the trunk Application Typical sporting actions include: 1. Straightening out from a pike 2. Rowing 3. Swimming (body position) Erector Spinae [B] PRIME MOVERS OF THE SHOULDER 1. Trapezius: Location : A large triangular muscle located on the posterior aspect of the body. It runs in a triangular shape from the base of the skull, the 7th cervical vertebrae and all the thoracic vertebrae, to the scapula and clavicle. 1. 2. 3. 4. Movements: Trapezius allows four basic movements. They are: Raise the head Pull the shoulders back Trapezius Raise the scapula Drop the scapula Application: Typical sporting actions include: 1. Pulling shoulder when throwing 2. Rowing 3. Looking up in basketball [B] PRIME MOVERS OF THE SHOULDER 2. Latissimus Dorsi: Location : Latissimus dorsi The broadest muscle of the back. It forms the back of the armpit. This is a large triangular muscle which covers the lumbar and lower thoracic region of the back. It runs from the lower thoracic and lumber regions, to the anterior aspect of the humerus Movements: Latissimus dorsi allows three basic movements. They are: 1. Adduction of the upper arm 2. Extension of the shoulder 3. Internal rotation of the shoulder How can latissimus dorsi allow internal rotation of the shoulder to occur if it is a muscle located on the back? Because it attaches to the humerus Application: Typical sporting actions include: 1. Recovery in breaststroke 2. Ten-pin bowling 3. Drawing arm back to punch [B] PRIME MOVERS OF THE SHOULDER 3. Deltoid: Location : A triangular shaped muscle located on the superior aspect of the shoulder i.e. above the shoulder joint It runs from the scapular and clavicle to attach at the humerus Deltoid Movements: Deltoid allows four basic movements. They are: 1. Flexion of the shoulder 2. Extension of the shoulder 3. Abduction of the arm 4. Rotation of the shoulder Application: Typical sporting actions include: 1. Throwing 2. Punching 3. Swimming [B] PRIME MOVERS OF THE SHOULDER 3. Pectoralis Major: Location : A large triangular muscle located on the chest. It runs from the clavicle, sternum and the 6th rib, to the humerus. Movements: Pectoralis major allows three basic movements. These are: 1. Flexion of the shoulder 2. Abduction of the arm Pectoralis major 3. Rotation (internal) of the shoulder Application: Typical sporting actions include: 1. Throwing 2. Punching 3. Press-ups [C] PRIME MOVERS OF THE ELBOW 1. Biceps Brachii: Location : A two-headed muscle (biceps) located on the anterior aspect of the humerus It runs from the scapular to the upper aspect of the radius Movements: Biceps allows two basic movements. They are: 1. Flexion of the elbow 2. Flexion of the shoulder Application: Typical sporting actions include: 1. Biceps curl 2. Rowing 3. Recovery in breaststroke Biceps Brachii [C] PRIME MOVERS OF THE ELBOW 1. Triceps Brachii: Location : A large muscle located on the posterior aspect of the humerus. It runs from the scapular, over the posterior aspect of the humerus, to the upper part of the ulna. Triceps Brachii Movements: Triceps allows two basic movements. These are: 1. Extension of the elbow 2. Extension of the shoulder Application: Typical sporting actions include: 1. Karate chop 2. Press-up 3. Punching [D] PRIME MOVERS OF THE WRIST 1. Flexor digitorum: Location : This is one of the main gripping muscles of the anterior aspect of the forearm. It runs mainly from the proximal aspect of the radius and ulna, over the anterior of the forearm, to attach to the fingers. Flexor digitorum Movements: Flexor digitorum has two basic movements. 1. Flex the fingers (make a fist) 2. Flex the wrist Application: Typical sporting actions include: 1. Punching 2. Hold a racquet 3. Wrist ‘dink; in a set shot (volleyball) [D] PRIME MOVERS OF THE WRIST 2. Extensor digitorum: Location : This is one of the muscles in direct opposition to the flexor digitorum. It is located on the posterior aspect of the forearm. It runs over the posterior of the forearm, to attach to the fingers. Movements: Extensor digitorum allows two basic movements. 1. Extend the fingers 2. Extend the wrist Application: Typical sporting actions : 1. Karate chop 2. Fending in tackling 3. Set shot in (volleyball) Extensor digitorum [E] PRIME MOVERS OF THE HIP AND KNEE 1. Illiopsoas: Location : This is a group of three muscles located deep inside the hip region. It runs from the lumbar vertebrae and pelvis to the upper femur. Movements: Illiopsoas allows one basic movement. This is: 1. Flexion of the hip Application: Typical sporting actions include: 1. Kicking 2. Running 3. Cycling [E] PRIME MOVERS OF THE HIP AND KNEE 2. Gluteus Maximus: Location : This is a the large fleshy muscle that makes up your backside. You are probably sitting on it right now! It is an extremely powerful muscle. It is located on the posterior aspect of the hip running from the ilium (pelvis), sacrum and coccyx to the upper third of the femur. Movements: Gluteus maximus allows three basic movements. 1. Extension of the leg 2. Abduction of the leg 3. External rotation of the leg (rotating outwards) Application: Typical sporting actions include: 1. Kicking 2. Running 3. Jumping [E] PRIME MOVERS OF THE HIP AND KNEE 3. Quadriceps: Location : This is a group of four (quad) muscles located on the anterior aspect of the thigh. The four muscles making up the quadriceps group are: 1. Rectus femoris 2. Vastus medialis 3. Vastus lateralis 4. Vastus intermedius (not shown) Movements: Quadriceps allows two basic movements. 1. Extension of the knee 2. Flexion of the hip Application: Typical sporting actions include: 1. Kicking The Vastus intermedius is not shown 2. Running because it lies under the Rectus femoris, so 3. Jumping is not visible. Consider the illustration. Label the muscles of the quadriceps group you can identify. Rectus femoris Vastus lateralis Vastus Medialis [E] PRIME MOVERS OF THE HIP AND KNEE 3. Hamstrings: Location : This is a group of three muscles located on the posterior aspect of the thigh. Since they are in direct opposition to the quadriceps and are generally weaker they are prone to injury. The three muscles making up the hamstrings group are: 1. Semitendinosus 2. Biceps femoris 3. Semimembranosis Movements: Hamstrings allows two basic movements. These are: 1. Extension of the hip 2. Flexion of the knee Application: Typical sporting actions include: 1. Kicking 2. Running 3. Jumping [F] PRIME MOVERS OF THE ANLKE 1. Gastroncnemius: Location : This is a the large fleshy muscle located on the posterior aspect of the lower leg. It runs from the distal aspect of the femur to the tarsal's (heel) via the Achilles tendon. Movements: Gastrocnemius allows two basic movements. These are: 1. Knee flexion 2. Plantar flexion Application: Typical sporting actions include: 1. Kicking 2. Pointing toes 3. Jumping [F] PRIME MOVERS OF THE ANLKE 2. Soleus: Location : This muscle lies beneath gastrocnemius and serves largely the same function. It shares the Achilles tendon with gastrocnemius. It runs from the proximal aspect of both tibia and fibula to the same position as gastrocnemius on the heel Movements: Soleus allows one basic movements. 1. Plantar flexion Application: Typical sporting actions include: 1. Kicking 2. Pointing toes 3. Jumping [F] PRIME MOVERS OF THE ANLKE 3. Tibialis anterior: Location : This muscle is located on the anterior aspect of the lower leg. It lies mainly over the tibia and can be felt running along its sharp edge. It runs from the proximal aspect of the tibia to the toes. Movements: Tibialis anterior allows two basic movements. 1. Dorsi flexion 2. Inversion Application: Typical sporting actions include: 1. Passing with the outside of the foot (soccer) 2. Kicking (recovery) 3. Rowing 4.4 Agonists and Antagonists When muscles create movement, they tend to work in pairs. When one muscle (or group), contracts to generate the movement, the opposing muscle (or group) relaxes. This is known as Reciprocal Inhibition. Each muscle in the pair is labelled as either the agonist or antagonist. Agonist: The muscle that produces the movement. Agonists are also referred to as prime movers. Why? Because they are the main muscle producing movement (prime = main). Antagonist: This muscle that opposes motion Consider the example of a bicep curl. The movement occurring at the elbow is flexion The agonist muscle would be biceps The antagonist muscle would be triceps The prime mover would be biceps When the person extends the arm i.e. to lower the weight: The agonist muscle would be triceps The antagonist muscle would be biceps What other role does the antagonist muscle play in the lowering of the weight? Controls the speed at which weight is lowered in order to help prevent injury.