APPENDICULAR SKELETON BONES TO KNOW 2 REVIEW a—scaphoid b—lunate c—triquetral d—pisiform a—hamate b—capitate c—trapezium d—trapezoid a—calcaneus b—talus c—navicular d—cuboid e—intermediate cuneiform f—lateral cuneiform g—medial cuneiform g f Pectoral Girdles (Shoulder Girdles) Figure 7.22a Clavicles (Collarbones) Figure 7.22b, c Scapulae (Shoulder Blades) Figure 7.22d, e Humerus of the Arm Figure 7.23 Bones of the Forearm Figure 7.24 Hand Figure 7.26a Pelvic Girdle • Formed by 2 hip bones (ossa coxae). • These are large and heavy bones attached securely to the axial skeleton. • The sockets (Acetabulums) that connect the thigh bones are deep and heavily reinforced by ligaments. • Most important function is: bearing the total weight of the upper body. • Reproductive organs, urinary bladder, and parts of the large intestine lie within. Hip Bones • Each hip bone is formed by the fusion of 3 bones: ilium, ischium, and the pubis. • Ilium- forms most of hip bone. When you rest your hands on your hips they are on your alae (wing like projection) – Iliac crest important for intramuscular injection sites. Hip Bones • Ischium- sit down bone – Greater sciatic notch: allows blood and the large sciatic nerve to pass from pelvis to thigh. Buttocks Injections should be far away from here. • Pubis- pubic bone – Obturator foramen: opening that allows blood vessels and nerves to pass into anterior thigh. – Pubic Symphysis: Pubic bones of each hip fuse to form cartilaginous joint Pelvic Girdle (Hip) obturator foramen Figure 7.27a Pelvis: Lateral View Figure 7.27b Ilium: Medial View Figure 7.27c Comparison of Male and Female Pelvic Structure Characteristic Female Male Bone thickness Lighter, thinner, and smoother Heavier, thicker, and more prominent markings Pubic arch/angle 80˚–90˚ 50˚–60˚ Acetabula Small; farther apart Large; closer together Sacrum Wider, shorter; sacral curvature is accentuated Narrow, longer; sacral promontory more ventral Coccyx More movable; straighter Less movable; curves ventrally Comparison of Male and Female Pelvic Structure Female Male Image from Table 7.4 Thigh • Femur- heaviest and strongest bone • Neck of femur is a common fracture site, especially in old age. • Head of femur articulates with the acetabulum of the hip bone Femur Figure 7.28b Leg bones • Two bones: Tibia and Fibia • Connected by interosseous membrane • Tibia= shinbone, larger and more medial – Medial and lateral condyles articulate with femur. – Kneecap ligaments attach to tibial tuberosity • Fibula – Takes no part in forming the knee joint. – Lateral malleous forms outer part of ankle Tibia and Fibula Figure 7.29 Foot • Composed of: tarsals, metatarsals, and phalanges. • 2 important functions: – Support our weight – Propel our bodies forward when we walk or run. Bones of feet • Tarsals- ankle bones – 7 bones total • Metatarsals- soles of the foot – 5 total • Phalanges- bones of the toes – 14 total (3 per toe except for the greater toe which only has 2) Tarsals • Body weight is carried mostly by the two largest: Calcaneus (heel bone) and talus (ankle bone) • Last 5 are: Navicular, medial cuneiform, intermediate cuneiform, lateral cuneiform, and cuboid. Metatarsus and Phalanges Figure 7.31a Tarsus Figure 7.31b, c Arches of Foot • 3 strong arches: 2 longitudinal and 1 transverse. • Ligaments which connect foot bones and tendons of foot muscles help hold foot bones firmly in arched position. • Weak arches= fallen arches or flat feet