YGOLOISYHP DNA YMOTANA THE SKELETAL SYSTEM BY: SUE S. KALINAWAN, RN MAN YGOLOISYHP SYSTEM. EXPLAIN THE FUNCTIONS OF THE SKELETAL SYSTEM. DEFINE TERMS RELATED TO SKELETAL SYSTEM. DESCRIBE THE ANATOMIC STRUCTURES AND PHYSIOLOGIC MECHANISMS/ PROCESSES/ SYSTEMS INVOLVED IN SKELETAL SYSTEM, PREDICT THE CONSEQUENCES OF ANATOMICAL AND/OR PHYSIOLOGICAL ALTERATIONS YMOTANA LIST THE COMPONENTS OF THE SKELETAL DNA MODULE OBJECTIVES INTRODUCTION One of the most iconic symbols of the human form, the skeleton, is essential for our day-to-day activities. Sitting, standing, walking, picking up a pencil, and taking a breath all involve the skeletal system. Besides helping the body move and breathe, the skeleton is the structural framework that gives the body its shape and protects the internal organs and soft tissues. Although the skeleton consists of the mineralized material left after the flesh and organs have been removed and is often associated with death, it is composed of dynamic, living tissues that are able to grow, adapt to stress, and undergo repair after injury. YGOLOISYHP THE SKELETAL SYSTEM DNA BONES AND BONE TISSUE 02 GROSS ANATOMY 03 JOINTS AND MOVEMENT YMOTANA 01 YGOLOISYHP ORGAN PROTECTION BODY MOVEMENT MINERAL STORAGE BLOOD CELL PRODUCTION YMOTANA BODY SUPPORT DNA FUNCTIONS OF THE SKELETAL SYSTEM BONE ANATOMY and elastic cartilage bone matrix, bone cells, woven and lamellar bone, spongy and compact bone bone shapes, long bone structure, structure of flat, short and irregular bones YMOTANA BONE HISTOLOGY hyaline cartilage, fibrocartilage, DNA CARTILAGE YGOLOISYHP ASSOCIATED TERMS FOR BONES AND BONE TISSUES YGOLOISYHP ASSOCIATED TERMS FOR BONES AND BONE TISSUES DNA BONE GROWTH BONE REMODELLING Intramembranous Ossification, Endochondral Ossification Bone Length, Growth at Articular Cartilage, Bone Width, Factors affecting Bone Growth Mechanical Stress and Bone Strength YMOTANA BONE DEVELOPMENT YGOLOISYHP ASSOCIATED TERMS FOR BONES AND BONE TISSUES DNA CALCIUM HOMEOSTASIS EFFECTS OF AGING TO THE SKELETAL SYSTEM Hematoma formation, Callus formation, Callus ossification, Bone remodeling Bones play an important role in regulating blood Ca2+ levels. Osteoporosis YMOTANA BONE REPAIR YGOLOISYHP DNA FIGURE 1. HYALINE CARTILAGE Photomicrograph of hyaline cartilage covered by perichondrium. Chondrocytes within lacunae are surrounded by a cartilage matrix. YMOTANA CARTILAGE YGOLOISYHP DNA FIGURE 2. EFFECTS OF CHANGING THE BONE MATRIX (a) Normal bone. (b) Demineralized bone, in which collagen is the primary remaining component, can be bent without breaking. (c) When collagen is removed, mineral is the primary remaining component, making the bone so brittle that it is easily shattered. YMOTANA BONE MATRIX (c) Photomicrograph of an osteocyte in a lacuna with cell extensions in the canaliculi. Osteoclasts are massive, multinucleated cells that secrete acid and proteindigesting enzymes, which degrade bone. These cells then transport the digested matrix from the bone into the extracellular fluid. YMOTANA (b) Osteoblasts have produced bone matrix and are now osteocytes. FIGURE 4. OSTEOCLAST STRUCTURE DNA (a) On a preexisting surface, such as cartilage or bone, the cell extensions of different osteoblasts join together. YGOLOISYHP FIGURE 3. OSSIFICATION BONE CELLS YGOLOISYHP COMPACT AND SPONGY BONE DNA YMOTANA FIGURE 5. SPONGY BONE (a) Beams of bone, the trabeculae, surround spaces in the bone. In life, the spaces are filled with red or yellow bone marrow and blood vessels. (b) Transverse section of a trabecula. FIGURE 6. COMPACT BONE (a) Photomicrograph of an osteon. (b) Compact bone consists mainly of osteons, which are concentric lamellae surrounding blood vessels within central canals. The outer surface of the bone is formed by circumferential lamellae, and bone between the osteons consists of interstitial lamellae. YGOLOISYHP BONE SHAPES DNA YMOTANA FIGURE 7. BONE SHAPES YGOLOISYHP TABLE 1. GROSS ANATOMY OF A LONG BONE DNA YMOTANA YGOLOISYHP BONE DEVELOPMENT DNA YMOTANA FIGURE 8. INTRAMEMBRANOUS OSSIFICATION Endochondral ossification has formed bones in the diaphyses of long bones. FIGURE 9. BONE FORMATION IN A FETUS The ends of the long bones are still cartilage at this stage of development. YMOTANA Intramembranous ossification occurs at ossification centers in the flat bones of the skull. DNA Eighteen-week-old fetus showing intramembranous and endochondral ossification. YGOLOISYHP BONE DEVELOPMENT (b) Zones of the epiphyseal plate, including newly ossified bone. (c) New cartilage forms on the epiphyseal side of the plate at the same rate that new bone forms on the diaphyseal side of the plate. Consequently, the epiphyseal plate remains the same thickness but the diaphysis increases in length. YMOTANA (a) Radiograph and drawing of the knee, showing the epiphyseal plate of the tibia (shinbone). Because cartilage does not appear readily on x-ray film, the epiphyseal plate appears as a black area between the white diaphysis and the epiphyses. DNA FIGURE 10. EPIPHYSEAL PLATE YGOLOISYHP BONE GROWTH YGOLOISYHP BONE GROWTH DNA YMOTANA FIGURE 11. BONE GROWTH IN WIDTH Bones can increase in width by the formation of new osteons beneath the periosteum. HORMONES Growth hormone Thyroid hormone Reproductive hormone YMOTANA FACTORS AFFECTING BONE GROWTH Vitamin C DNA Vitamin D YGOLOISYHP NUTRITION YGOLOISYHP BONE REMODELING DNA The epiphysis enlarges and the diaphysis increases in length as new cartilage forms and is replaced by bone during remodeling. The diameter of the bone increases as a result of bone growth on the outside of the bone, and the size of the medullary cavity increases because of bone reabsorption. YMOTANA FIGURE 12. REMODELING OF A LONG BONE YGOLOISYHP BONE REPAIR DNA YMOTANA FIGURE 13. BONE REPAIR (a) On the top is a radiograph of the broken humerus of author A. Russo’s granddaughter, Viviana Russo. On the bottom is the same humerus a few weeks later, with a callus now formed around the break. (b) The steps in bone repair. YGOLOISYHP CLASSIFICATION OF BONE FRACTURES DNA YMOTANA YGOLOISYHP TABLE 3. DISEASES AND DISORDERS OF THE SKELETAL SYSTEM DNA YMOTANA YGOLOISYHP EFFECTS OF AGING ON THE SKELETAL SYSTEM DNA YMOTANA YGOLOISYHP GROSS ANATOMY OF THE SKELETAL SYSTEM DNA AXIAL SKELETON APPENDICULAR SKELETON The Complete Skeleton Skull, Hyoid Bone, Vertebral Column, Rib Cage Pectoral Girdle and Upper Limb, Pelvic Girdle and Lower Limb YMOTANA ANATOMY OVERVIEW YGOLOISYHP DNA YMOTANA THE COMPLETE SKELETON YGOLOISYHP DNA YMOTANA THE COMPLETE SKELETON YGOLOISYHP DNA YMOTANA THE COMPLETE SKELETON YGOLOISYHP TABLE 4. ANATOMICAL TERMS FOR BONE FEATURES DNA YMOTANA YGOLOISYHP THE SKULL DNA YMOTANA YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA BONES OF THE RIGHT ORBIT cavity with the nasal septum removed. YMOTANA (b) Right lateral nasal wall as seen from inside the nasal DNA (a) Nasal septum as seen from the left nasal cavity. YGOLOISYHP BONES OF THE NASAL CAVITY YGOLOISYHP DNA YMOTANA INFERIOR VIEW OF THE SKULL Protects the spinal cord, THE VERTEBRAL COLUMN Allows spinal nerves to exit the spinal cord, Provides a site for muscle attachment, and Permits movement of the head and trunk. YMOTANA head and trunk, DNA Supports the weight of the YGOLOISYHP FIVE MAJOR FUNCTIONS YGOLOISYHP DNA Cervical vertebrae (ver′tĕ-brē) THE VERTEBRAL COLUMN 12 thoracic vertebrae 5 lumbar vertebrae, 1 sacral bone, and 1 coccygeal (kok-sij′ē-ăl) bone YMOTANA FIVE REGIONS YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA THE RIB CAGE YGOLOISYHP DNA YMOTANA BONES OF THE PECTORAL GIRDLE AND UPPER LIMBS YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA BONES OF THE THE PELVIC GIRDLE AND THE LOWER LIMBS YGOLOISYHP DNA YMOTANA YGOLOISYHP DNA YMOTANA True and False Pelvises in Males and Females (a) In a male, the pelvic inlet (red dashed line) and outlet (blue dashed line) are small and the subpubic angle is less than 90 degrees. The true pelvis is shown as blue. The false pelvis is shown as natural bone color. (b) In a female, the pelvic inlet (red dashed line) and outlet (blue dashed line) are larger and the subpubic angle is 90 degrees or greater. (c) Midsagittal section through the pelvis to show the pelvic inlet (red arrow and red dashed line) and the pelvic outlet (blue arrow and blue dashed line). YGOLOISYHP DNA YMOTANA RIGHT FEMUR YGOLOISYHP RIGHT DNA PATELLA YMOTANA TIBIA and FIBULA YGOLOISYHP DNA YMOTANA BONES OF THE FOOT YGOLOISYHP JOINTS AND MOVEMENT DNA TYPES OF MOVEMENT RANGE OF MOTION EFFECTS OF AGING TO JOINTS Fibrous, Cartilaginous, Synovial Gliding, Angular, Circular, Special, Combination Diseases and Disorders YMOTANA CLASSES OF JOINTS YGOLOISYHP DNA according to the bones or portions of bones that join together JOINTS Joints are classified structurally as fibrous, cartilaginous, or synovial, according to the major connective tissue type that binds the bones together and whether a fluid-filled joint capsule is present. YMOTANA Joints, or articulations, are commonly named YGOLOISYHP TABLE 5. FIBROUS AND CARTILAGINOUS JOINTS DNA YMOTANA YGOLOISYHP DNA YMOTANA SUTURES YGOLOISYHP DNA STRUCTURE OF SYNOVIAL JOINT YMOTANA GENERAL YGOLOISYHP SYNOVIAL JOINTS saddle hinge pivot ball-and-socket, and ellipsoid YMOTANA plane DNA SIX TYPES: Abduction and Adduction CIRCULAR Rotation Pronation and Supination Circumduction YMOTANA TYPES OF MOVEMENT Flexion and Extension DNA ANGULAR YGOLOISYHP GLIDING Excursion Opposition and Reposition Inversion and Eversion COMBINATION YMOTANA TYPES OF MOVEMENT Protraction and Retraction DNA Elevation and Depression YGOLOISYHP SPECIAL MOVEMENTS SPRAIN YMOTANA DISLOCATION DNA RANGE OF MOTION PASSIVE ROM YGOLOISYHP ACTIVE ROM Elbow Joint Hip Joint Knee Joint Ankle Joint and Arches of the Foot YMOTANA SELECTED JOINTS DNA Shoulder Joint YGOLOISYHP Temporomandibular Joint (TMJ) Rheumatoid arthritis Gout Lyme disease Bursitis, Bunion, Tendinitis YMOTANA DISEASES AND DISORDERS DNA Degenerative joint disease (osteoarthritis) YGOLOISYHP Arthritis YGOLOISYHP DNA RECAP 01 Introduction YMOTANA RECAP OF TODAY'S CLASS RECAP 02 Bones and Bone Tissue RECAP 03 RECAP 04 Gross Anatomy Joints and Movement YGOLOISYHP DNA YMOTANA THANK YOU! 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