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THE SKELETAL SYSTEM: THE APPENDICULAR SKELETON A. PECTORAL GIRDLE What is the pectoral girdle? The pectoral (shoulder) girdles attach the bones of the upper extremities to the axial skeleton. Each girdle consists of a clavicle and a scapula. Describe the clavicle. The clavicle (collarbone) forms the anterior component of the pectoral girdle. It articulates medially with the manubrium of the sternum at the sternoclavicular joint and articulates laterally with the acromion of the scapula at the acromioclavicular joint. What is the function of the clavicle? The clavicle receives forces from the upper extremity and transfers them to the axial skeleton. As the only attachment of the upper extremity to the axial skeleton, excessive forces, such as falling on one’s outstretched arms, causes all force to be moved into the clavicle. As a result, this is the most broken bone in the body. Describe the scapula. The scapula is the posterior component of the pectoral girdle. It is freely positioned over the upper posterior rib cage by complex muscular attachments. There are no bony attachments between the scapula and the axial skeleton. What is the glenoid fossa? The glenoid fossa or cavity, inferior to the acromion of the scapula, is a shallow depression that receives the head of the humerus, forming the glenohumeral joint. What is the function of the scapula? 55 In addition to forming the posterior portion of the pectoral girdle and giving rise to the shoulder joint, the broad and flattened surfaces of the scapula provide extensive areas for attachment of those muscles which move the shoulder joint. Why is it important that the pectoral girdle have only a single attachment to the axial skeleton? The pectoral girdles have no articulations with the vertebral column and are attached to the axial skeleton only by the sternoclavicular joints. Because of this, as well as the muscular attachments, the pectoral girdles are not very stable. However, lack of stability allows the shoulder joint to have free movements and thus allows it to move in all directions. B. IDENTIFY THE BONES OF THE UPPER EXTREMITIES Identify the bones of the upper extremities and the major functions of the elbow-just pictures. humerus radius and ulna trapezium, trapezoid, capitate, hamate (distal row of carpals, lateral to medial) scaphoid, lunate, triquetrum, pisiform (proximal row of carpals, lateral to medial) 5 metacarpals (I – V) phalanges C. PELVIC GIRDLE Describe the pelvic girdle. The pelvic (hip) girdle consists of two hipbones (coxal bones or os coxae), in association with the sacrum and coccyx of the vertebral column. What is the purpose? It provides a strong and stable support for the lower extremities, on which the weight of the body is carried. 56 Name the joints that form the pelvic girdle. The coxal bones are united to each other anteriorly at the pubic symphysis and posteriorly at the right and left sacroiliac joints. Name the components of the os coxa. Each of the two coxal bones of the adult is a composite of three bones seen in the neonate: 1) superior ilium, 2) inferior and anterior pubis, 3) inferior and posterior ischium. What is the acetabulum? The area where the three bones meet and fuse forms a deep lateral fossa, called the acetabulum, which serves as the socket for articulation with the head of the femur. Describe each of the following: Pelvis -- Together with the sacrum and coccyx, the two coxal bones form the basin-like structure called the pelvis. Pelvic brim -- The superior and inferior portions of the pelvis are separated from each other by a plane that connects the sacral promontory posteriorly and the pubic symphysis anteriorly. The circumference of this plane is the brim. False pelvis -- The portion of the pelvis above the pelvic brim is known as the greater (false) pelvis. True pelvis -- The portion of the pelvis below the pelvic brim is known as the lesser (true) pelvis. Pelvic inlet -- The superior opening of the lesser pelvis is called the pelvic inlet. Pelvic outlet -- The inferior opening of the lesser pelvis is called the pelvic outlet. Pelvic axis -- The pelvic axis is an imaginary line passing through the lesser pelvis at right angles to the center of the planes of the pelvic inlet and outlet. This represents the course taken by a child’s head at birth as he or she passes through the birth canal. D. FEMALE VS. MALE PELVIS 57 List the structural adaptations of the female pelvis for childbirth that makes it different from the male pelvis. In females, the: 1. false pelvis is shallower 2. pelvic inlet is larger and more oval 3. pubic arch is greater than a 90 degree angle 4. ilia are less vertical, being more flared laterally 5. iliac fossae are shallower 6. iliac crest is less curved 7. acetabulum is smaller, related to size of the head of the female femur (weight bearing comparing to males) 8. obturator foramen is more oval E. IDENTIFY THE BONES OF THE LOWER EXTREMITIES Identify bones of the lower extremities and the major features of the knee. --just pictures femur patella tibia and fibula talus, calcaneus, navicular, cuboid, medial cuneiform, intermediate cuneiform, lateral cuneiform 5 metatarsals (I-V) 14 phalanges F. ARCHES OF THE FOOT Describe the following: Medial longitudinal foot arch -- The medial (inner) longitudinal arch begins at the calcaneus, rises to the talus, then descends through the navicular, cuneiforms, and the head of the first three metatarsals. Lateral longitudinal foot arch -- The lateral (outer) longitudinal arch begins at the calcaneus, rises to the cuboid, then decreases through the heads of the metatarsals IV and V. Transverse foot arch -- The transverse arch is formed by the navicular, three cuneiforms, and the five metatarsals, and passes from medial to lateral. What are their functions? 58 The arches allow the foot to bear the weight of the body, provide ideal distribution of weight across the hard and soft tissues of the foot, and provide leverage while walking. They are not rigid, but rather yield then spring back when the weight is removed. 59