CHAPTER 7: SKELETAL SYSTEM Bone Physiology and Joints Human Skeleton • Adult skeleton is composed of 206 bones (babies have 300). • Two divisions: – Axial Skeleton – bones that form the longitudinal axis of the body – Appendicular skeleton – bones of the limbs and girdles • Skeletal system includes bones, joints, cartilages, and ligaments Functions of Bones 1. Support – internal framework of body 2. Protection – protects soft organs 3. Movement – muscles attached by tendons 4. Storage – minerals and fat 5. Blood cell formation – marrow cavities Classification of Bones • Two basic types of bone tissue: – Compact Bone: dense, looks smooth, homogenous – Spongy Bone: composed of small needlelike pieces of bones and lots of open space Types of Bones • Long bone – ex. Include humerus, femur • Short bone – examples include tarsals and carpals • Flat bone – include frontal, ribs, and scapula • Irregular bone – include vertebrae, mandible, ear bones Long Bone Structure • Diaphysis is hollow, shaft like portion composed of compact bone • The diaphysis is covered and protected by a fibrous connective tissue membrane – the periosteum. Long Bone Structure • Epiphyses are at ends of long bone and made up of a spongy or cancellous bone • Articular cartilage is thin hyaline cartilage that covers surface of epiphyses to decrease friction at joints Long Bone Structure • The cavity of the shaft is storage for adipose • Called yellow marrow or medullary cavity. • Red marrow is found in infants in this area and in flat bones of adults (makes blood cells). • Projections and depressions mark bones Bone Markings Bone Markings Microscopic Structure of Bone • Mainly calcified matrix of calcium salts with collagenous fibers • Matrix of compact bone is made of thousands of structures called haversian systems (osteons) The Haversian System (Osteon) • Lamellae – concentric, cylinder-shaped rings of calcified matrix • Lacunae – microscopic spaces containing bone cells osteocytes • Canaliculi – tiny canals radiating from lacunae, connecting them with haversian canal • Haversian canal – extends lengthwise through center of each system; contains blood and lymph vessels Bone Formation - Ossification • Skeleton pre-formed in hyaline cartilage models • Endochondral ossification is a process that replaces hyaline cartilage with true bones • Most change into bone but not complete until age 25 • Osteoblasts within membranous layers form bone tissue Resorption • Resorption is the process of breaking down bone • Osteoclasts – bone destroying cells, release Ca2+ into blood. • When calcium levels are too high, calcium is deposited in bone matrix as calcium salts Joseph Merrick • Lived 1862 – 1890 in England • Known as the “Elephant Man” due to his deformities • Thought to be either Proteus Syndrome or Neurofibromatosis • Caused great enlargement of bone and surrounding tissue • Died due to a dislocation of the neck (strain from head weight) Merrick Skeleton Bone Growth and Resorption • Epiphyseal plate – site of growth in length, by thickening of hyaline cartilage followed by ossification • Disk located between diaphysis and epiphysis • Growth in diameter – medullary cavity enlarged by osteoclasts destroying bone added around bone by osteoblasts Bone Growth (con’t.) • Opposing forces of bone formation go on throughout life • Youth: Formation > resorption • Young adult: balance • Age 35-40+: Resorption greater causing weaker bones Bone Fractures and Repair • Fracture is any break of a bone • Simple – skin remains unbroken • Compound – skin is broken • Effective healing requires alignment and immobilization • Reduction – proper set or alignment of fracture • Osteomyelitis – bone infection Steps in Bone Repair 1. Blood escapes from ruptured blood vessels – forms hematoma 2. Spongy bone and fibrocartilage form in damaged areas 3. A bony callus replaces fibrocartilage 4. Osteoclasts remove excess Bone Diseases • Osteoarthritis (OA) – chronic degenerative condition that affects articular cartilage. Aging – Cartilage softens and exposed bones thicken, restricting movement • Rheumatoid Arthritis (RA) – autoimmune disease affecting synovial joints. Cause unknown. – Thicken into pannus which erodes articular cartilage • Osteoporosis – bone-thinning disease – 50% of women, 20% of men Vertebral Disorders • Either congenital or developmental from disease, poor posture or unequal muscle pull on the spine Joints of the Skeletal System • Articulations are joints between two bones. • They hold bones together but also permit movement between them. • Can be classified by degree of movement or by type of tissue holding them together Classification based on Movement • Synarthrosis – nonmovable joints • Amphiarthroses – slightly movable joints • Diarthoses – freely movable joints Classification based on Tissue • Fibrous joints – united by fibrous tissue. – Syndesmosis – long fibers of conn. Tissue • Includes joints between distal ends of radius and ulna; tibia and fibula • Cartilaginous joints – united by cartilage. – Example: pubic symphysis of pelvis • Synovial joints – joints united by synovial membrane Synarthrotic Joints Sutures – between flat bones Gomphosis – roots of teeth to maxilla and mandible Amphiarthrotic Joints – slight movement Synchondrosis – growth plate Symphysis – pad of cartilage Diarthrotic – The Synovial Joint • Articular cartilage covers the ends of long bones • A joint capsule, strengthened by ligaments holds bones together • Synovial membrane lines inside of joint capsule Menisci and Bursae Menisci – divides some joints into compartments Bursae – between skin and bony projections; cushion and aid in movement of tendons Types of Synovial Joints • Ball-and-socket – shoulder and hip • Allow greatest variety of movement Condyloid • Includes joint between metacarpals and phalanges • Allow a wide variety of movement Gliding • Articular surfaces are nearly flat • Movements are sliding back and forth • Include tarsals and carpals Hinge • Include elbow and knee • Permits movement in only one plane Pivot • Found at proximal ends of radius and ulna • Permits rotational movement Saddle • Found between metacarpal and carpal of thumb • Allows variety of movements Types of Movements • • • • • • Flexion – decrease angle Extension – return from flexed position Abduction – move away from midline Adduction – move toward midline Rotation – pivoting bone on central axis Circumduction – moving distal end of bone in a circle causing entire bone to circle • Supination – turning palm out • Pronation – turning palm in More Movements • Inversion – turning sole inward • Eversion – turning sole outward • Protraction – moving body part forward • Retraction – reverse of protraction • Elevation – moving part upward • Depression – moving part downward