Cranium, Thorax and Spine

advertisement

Cranium, Thorax and Spine

Cranium & Skull

The difference?

The Skull are all the bones of the head (including jawbone)

The Cranium are all the bones of the head (excluding jawbone).

The Skull has 22 total bones

8 Cranial bones

The ones that enclose the brain

14 Facial bones

The ones that make up the face

All the bones of the skull are fused together

They are called suture jts.

Except for the jaw (mandible) which has a movable jt.

Vocabulary

To rue (v)- to regret (normally used with “the day” after it).

To laud (v)- to praise someone

To deride (v)- to ridicule; make fun of

To abate (v) – to lessen the intensity

To glower (v)- to scowl; to meanly stare at someone.

To gesticulate (v)- to overuse gestures while speaking

To glean (v)- to collect information bit by bit.

Cranium

There are 8 bones that protect the brain

Parietal Bone (Left and Right)

They are the largest of the cranial bones

They are the most superior and posterior

Temporal Bone (Left and

Right)

It is the most lateral

It is the bone that houses the ear cavity

It is the bone that the jaw bone (mandible) articulates with

Occipital Bone

It is the most posterior

It articulates with the cervical spine

Cranium (cont)

Frontal Bone (forehead) (1)

It is the most anterior

Sphenoid Bone

(1)

It sits on the base (or bottom) of the skull

The Ethmoid bone

(1)

It is a a facial bone but part of it punctures its way through the frontal bone.

The Base of the skull is made up of the

Occipital bone (posterior)

Temporal and sphenoid

(middle)

Frontal (anterior)

Sphenoid bone

Fontanelle-

Squishy opening of cranium in babies before bones fuse together.

Facial Bones (14)

The facial bones do not hold the brain.

Maxilla bone

It is your upper lip bone and around your nose

Your upper teeth are attached to them

Mandible bone

Jaw bone

Your lower teeth are attached to them

It articulates c the temporal bone at the TMJ (temporo-mandibular jt)

Zygoma bone (aka Buccal bone)

It is your cheek bone

Nasal Bone

Small bone at the bridge of nose

The Rest of nose is cartilage

Facial Bones (14)

Other Facial Bones

Ethmoid bone

Bone of your nasal cavity and eye socket

Part of it pierces through frontal bone to anchor the

 brain.

Palatine (2)

 bone that makes up the back top of your mouth

Lacrimal (2) “tear” bone

Bone of your inner eye

Vomer

Inferior Nasal Concha

Part of nasal cavity

It has a bunch of tunnels whose job is to warm up air to 1 degree of room temperature.

Identify parts of the skull

Sinuses

Four sets of air-filled cavities in cranium

Maxillary Sinus (2)

One behind each cheek

Ethmoid (2)

They are behind the nose

Sphenoid (2)

They are behind the ethmoid sinuses

Frontal (1)

It is in the forehead

Purpose of sinuses

To lessen the weight of the facial bones.

Cranium

The Orbit and

Socket

The orbit is the opening of the eye socket.

The socket of the remainder of the cavity which holds the eyeball.

Orbit/Socket is made up of 8 bones

Zygoma on the inferior

Frontal on the superior

Sphenoid/Ethmoid on the posterior

Lacrimal on the medial

Holds lacrimal ducts to allow us to cry

Blow out fx

Fx to zygoma; eyeball falls into maxillary sinus or falls out of orbit.

Suture Lines

Suture Lines are the borders between cranial bones

Sagittal suture

Separates the two parietal bones on top of head

Coronal suture

Separates parietal and frontal bones

Lamboidal suture

Separates parietal and occipital bones.

Squamosal suture

Separates parietal and temporal bones.

The Bregma

The point on the top of your head where the coronal suture meets the sagittal suture

The Lambda

The point of the back of the head where the sagittal suture meets the squamosal suture.

bregma lambda

Spine

Otherwise known as The

Vertebrae or Spinal

Column

It is 24 individual vertebrae with intervertebral discs between each one

Cervical (7)-Neck

Thoracic (12)- Chest

Lumbar (5) – Lower Back

Spine also includes

Sacrum (1)-Pelvis

Coccyx (1)-Tailbone

Vertebrae

All vertebrae are made up of 2 parts

Body- Main part of spine in which the discs sit on

Arch- Posterior part that encloses the spinal cord

Spinous Process- part of vertebrae you can touch

Zygapophyseal Joint- Joint b/t two vertebrae on the arch.

Discs

Between each of the 24 vertebrae are cushy discs above and below it

Made of cartilage

Serves as shock absorber

Compression fractures

Sometimes disc will rupture or herniate

Pain due to disc touching the spinal cord or other nerves

Also called sciatica

Cervical Spine “C-spine”

7 Neck bones

Cervical 1-Cervical 7 (C1-C7)

Articulate with occipital bone of cranium

C1 is called the Atlas

Where C1 articulates with the occipital bone, it is called the

Atlanto-occipital joint

Allows us to nod

C2 is called the Axis

C1-C2 joint allows us to turn our heads

C-spine vertebrae are the smallest, weakest of all vertebrae

Thoracic Spine “T-spine”

There are 12 thoracic vertebrae

Each T-spine vertebrae articulates with a pair of ribs

It makes up the posterior section of the thorax

Lumbar Spine “L-spine”

L-spine are the5 lower back vertebrae

Biggest, strongest of all vertebrae

Must likely part of spine to have a rupture disc

Sacrum and Coccyx

Most inferior part of spine (vertebrae)

Sacrum- 5 vertebrae fused together

It Forms posterior section of pelvic cavity

Coccyx – 4 vertebrae fused together

Otherwise known as tailbone

Pelvis Bones

Pelvis onnects the spine to the legs

Holds the organs of the guts

Made up of three bones that fuse together at your age

The Ilium-Top aspect

Iliac crest

Most suporior part of bone you can touch

The Pubic- bone of genital area

The Ischium- bone of butt area

Acetabulum-Cavity that femur fits into

Pubic Symphisis- Cartilage in the pubic region that connects the left and right sides of pelvis

The pelvis articulates with the Sacrum on the posterior side.

They are called the SI joints (sacroiliac jts)

Open Book Fx- Pubic bones are separated and pelvis looks like an open book.

Thorax

The Thorax (or thoracic cage) consists of which bones?

Sternum

12 Thoracic Vertebrae

Ribs

Which connect vertebrae to sternum

Sternum (Breastbone)

Protects the heart

Made up of 3 sections

Manubrium

Part of sternum that articulates with collar bone (clavicle)

Body

Most ribs connect here

Xiphoid Process

Bony tip at end

Ribs

12 pairs of ribs (24 total ribs)

Articulate with T-spine in the back and sternum in the front

12 T-spine vertebrae=12 ribs

3 sections

Ribs 1-7 are True Ribs

They connect directly with sternum

Ribs 8-10 are False Ribs

They don’t connect directly with

 sternum

They connect through the rib cartilage

Ribs 11-12 are Floating Ribs

They don’t connect to sternum at all

They are short and stubby

Note: most ribs do not touch the sternum directly.

It is their cartilage that touches.

CARTILAGE

Vertebral discs

Pubic Symphisis

Rib Cartilage

Nose and Ears

Ends of all bones

Abbreviations

 a= before

 p= after

RR= Respiratory Rate

UA= Urine Analysis

 c/o= complaints of

 r/o= rule out

Dx= diagnosis

Total Bones

27 hand bones X 2= 54

26 feet bones X 2= 52

22 Cranial bones 22

10 Upper Extremity bones 10

8 Lower Extremity bones 8

24 vertebrae 24

5 fused Sacrum, 4 fused Coccyx 9

24 ribs + Sternum 25

Fused pelvis 2= 206!!

Quiz

Know major bones of cranium and facial bones. What is the orbit?

How many C-spine, T-spine, L-spine vertebrae? Atlas, Axis, which does what?

The 3 Parts of pelvis and sternum

The 3 rib sections (true, false, floating)

2 parts of a vertebrae

Bonus: Name the minor facial bones

Download