ANAPHY (MIDTERM) SKELETAL SYSTEM 1.) Functions of Bones a. Support- Bones provide a framework that supports the body and cradles its soft organs. b. Protection- The fused bones of the skull protection the brain. c. Movement- Skeletal muscles, which attach to bones by tendons, use bones as levers, to move the body and its parts. d. Mineral and growth factors storage- Bones is reservoir for minerals, mostly importantly calcium and phosphate. e. Blood cell Formation- Most blood cell formation, or hematopoiesis occurs in the marrow cavities of certain bones. 4.) Bone Structure 4.1 Bone Tissue 1. Osteocytes (cells) are found in the matric of calcium phosphate, calcium carbonate and collagen. 2. Compact Bone- contains haversian system. 3. Spongy bone- without haversian systems but red bone marrow is present. 4. Articular cartilage- which is smooth and found on joint surface. 5. Periosteum- made of fibrous connective tissue membrane which anchors tendons and ligaments and contain blood vessels that enter the bone. 4.2 Gross structure of a typical long bone 2.) Bone Development and Growth Ossification is the process of bones formation. Ossification begins during the sixth or seven week of embryonic life. 2 types of ossification: 1.) Intramembranous- bones forms directly on or within loose fibrous connective tissue membrane. 2.) Endochondral- bone form within the hyaline cartilage. 3.) Factors that affect bone growth and maintenance a. Heredity- genes contribute to genetic potential for height. b. Nutrition- part of the bone matrix includes calcium, phosphorus and protein. c. Hormones- concerned with cell division, protein synthesis, calcium metabolism and energy production. d. Exercise or stress- weight bearing bones must bear weight or they will lose calcium and become brittle. Disaphysis (shaft) of a long bone Medullary cavity- within the diaphysis. Endosteum- a thin layer of connective tissue that lines the medullary cavity. Epiphysis- either end of the diaphysis consisting of spongy bone surrounded by compact bone. Epiphyseal plate- separates the diaphysis and epiphysis. Epiphyseal line- replaces the plate when the bone growth is completed. Periosteum- a dense regular connective tissue covers the bone and is the site of tendon-muscle attachment and diameter bone growth(widening) 6.1 Skull 4.3 Bone Surface Markings These are structural features visible on the surfaces of bones. Two major types: 1.) Depression and Openings – form a joints or allow the passage of soft tissues such as blood vessels, nerves, ligaments, and tendons. 2.) Process – are projections or outgrowths that form joints or attachment points for connective tissue such ligaments and tenonds. 5. Classification of Bones a. Long – arms, legs; shaft is the diaphysis (compact bone) with marrow cavity containing yellow bone marrow (fat); ends are epiphyses (spongy bone) b. Short – wrists, ankles (spongy bone covered with compact bone). c. Flat – ribs, pelvic bone, cranial bones (spongy bone covered with compact bone). d. Irregular – vertebrae, facial bones (spongy bone covered with compact bone). 6.) Divisions of the Skeletal System -The adult human skeleton contains of 206 named bones. These bones are grouped into two principal divisions; axial skeleton (80 bones) and appendicular skeleton (126 bones). 6.1 Axial Skeleton The axial skeleton forms the longitudinal axis of the body. Its principal subdivision are the skull, vertebral column, and bony thorax. It provides support and protection. a. Cranium The cranium forms the vault and base of the skull, which protect the brain, eyes and ears. The eight bones of the cranium include the paired parietal and temporal bones and the single frontal, occipital, ethmoid and sphenoid bones. Frontal bone – forms the forehead. Parietal bone – extend to the side of skull Occipital bones – curves to form the base of the skull. Temporal – located on the sides. Sphenoid – complete sides and contributes to orbits. Ethmoid – part of the orbital wall and contributes to nasal septum. The immovable joints between these bones are called sutures. 6.1.1.1 Sutures Are joints in the cranium The names reflects on bones they unite. These are the following sutures; sagittal, lambdoid and squamous. 6.1.1.2 Fontanels Are soft spots in the cranium of the newborn There are also six large membranous are called fontanels (“soft spots”), that permit the skull to undergo changes in shape (molding) during childbirth. These also permit rapid growth of the brain during infancy. Ossification of these fontanels is normally complete by 20 to 24 months. The major fontanels are the anterior, posterior, anterolateral and posterolateral. 6.1.2 Facial bones The facial skeleton provides openings for the respiratory and digestive passages and attachment points for facial muscles. The facial bones make up the face (maxillae, palatine, mandible, zygomatic, lacrimal, vomer, nasal, and inferior nasal concha) a. mandible – the lower jaw. b. maxillae – the upper jaw and anterior portion of the hard palate. c. palatine bones – posterior portion of the hard palate and floor of the nasal cavity. d. zygomatic bones – checkbones. e. lacrimal bones – lies between ethmoid and maxilla bones. f. nasal bones – form bridge of nose. g. vomer – helps from nasal septum. 6.1.2.1 Paranasal sinuses Air cavities in the maxillae, frontal, sphenoid and ethmoid bones. They lighten the skull and provide resonance for voice. 6.2 Ear Ossicles (malleus, incus, stapes) -Three auditory bones in each middle ear cavity transmit vibrations for the hearing process. 6.3 Hyoid bone -supports in the neck by ligaments. -serves as an attachment point for tongue and neck muscles. 6.4 Vertebral column - include 24 movable vertebrae; 7 cervical, 12 thoracic and 5 lumbar and the sacrum and coccyx. -The vertebrae support trunk and head, encloses and protects the spinal cord in the vertebral canal. -Discs of fibrous cartilage absorb shock between the bodies of adjacent vertebrae, also permit slight movement. -The primary curvatures of the vertebral column are the thoracic and sacral; the secondary curvatures are the cervical and lumbar. - Curvatures increases spine flexibility. - consists of one clavicle and one scapula. The pectoral girdles girdles attach the upper limbs to the axial skeleton. 6.5 Rib Cage or Thoracic Cage The bones of the thoracic cage include the 12 pairs, the sternum, and the thoracic vertebrae. The thoracic cage protects the organs of the thoracic cavity and upper abdominal organs from mechanical injury and is expanded to contribute to inhalation. 6.5.1 Sternum - consist of manubrium, body and xiphoid process 6.5.2 All ribs articulate with thoracic vertebrae. Vertebro-Sternal Rib/True Ribs (first seven pairs) articulate directly with sternum(breast bone) by means of costal cartilage. Vertebro-Chondral Rib/False Rib (next three pairs) articulate with 7th costal cart. Floatin Ribs (last two pairs) do not articulate with the sternum. 7. Appendicular Skeleton The appendicular skeleton consists of the bones of the pectoral and pelvic girdles and the limbs. (extremities) It allows mobility for manipulation and locomotion. 7.1 Pectoral Girdle 7.1.1 Clavicles (collarbone) -The clavicles hold the scapulae laterally away from the thorax. The sternoclavicular joints are the only attachment points of the pectoral girdle to the axial skeleton. 7.1.2 Scapulae - The scapulae articulate with the clavicles and with the humerus bones of the arms. 7.2 Upper Extremities (upper limbs) -Each upper limb consists of 30 bones and is specialized for mobility. 7.2.1 Arm/Forearm/Hand Composed solely of the humerus (upper arm) articulates with the scapula and the ulna (elbow). The forearm is composed of the radius and ulna articulate with one another and with carpals; The hand consists of the carpals(wrists), metacarpals(hand) Phalanges (fingers) !! A strong pelvis floor helps you to maintain a good bladder and bowel control. It is also important in good sexual functions. 7.4 Lower extremities (lower limb) -Bone of the lower extremities provide frameworks of the thigh, leg and foot. 7.4.1 Femur a. the single bone of the thigh. b. the largest, longest, strongest bone of the body. 7.3 Pelvic Girdle it is a heavy structure specialized for weight bearing, is composed of two hip bones that secure the lower limbs to the axial skeleton. Each hip bone consists of three bones: ilium, ischium and pubis. The acetabulum occurs at the point of fusion. 7.4.2 Patella a. a triangular sesamoid bone enclosed in the (quadriceps) tendon that secures the anterior thigh muscles to the tibia. b. protects the knee joint anteriorly and improves the leverage of the thigh muscles acting across the knee. Pelvic Structure and childbearing. The male pelvis is deep and narrow with larger, heavier bones than those of the female. The female pelvis, which forms the birth canal, is shallow and wide 7.4.5 Ankle and Foot a. The ankle and foot consist of the tarsal, metatarsal and five phalanges. 7.4.3 Tibia a. The tibia is located on the medial side of the leg. b. It has medial and lateral condyles, tibial tuberosity, anterior crest, medial malleolus. c. It articulates with the talus of the ankle. 8. Joints or Articulations Joints are sites where bones meet. Their functions are to hold bones together and to allow various degrees of skeletal. !! not all skeletal has the same movement * Cavity – space in the bone. 7.4.4 Fibula a. It is located on the lateral side of the tibia. b. It has a head and lateral malleolus that articulates with the ankle but does not bear body weight. 8.1 Classification based on a. Amount of movement Synarthrosis – immovable. Amphiarthrosis – slightly movable. Diarthrosis – freely movable. b. Joints are classified structurally as fibrous, cartilaginous, or synovial. Fibrous Joints – occur where bones are connected by fibrous tissue; no joint cavity is present. Nearly all fibrous joints are synarthrotic. In cartilaginous Joints – the bones are united by cartilage; no joint cavity is present. All synovial Joints (strengthen the bones) – have a joint cavity enclosed by a fibrous capsule lined with synovial membrane and reinforced by ligaments; articulating bone ends covered with articular cartilage; and synovial fluid in the joint cavity. 8.2 Structure of Synovial Joints – all diarthroses have similar structure. Articulatar Cartilage – smooth on joint surface. Joint Capsule – strong fibrous connective tissues steath (membrane) that encloses the joint. Synovial Membrane – lines the joint capsule; secretes synovial fluid that prevents friction. Bursae – sacs (storage) of synovial fluid that permit tendons to slide easily across joints. 8.3 Movements Allowed by Synovial Joints The insertion (movable attachment) moves toward the origin (immovable attachment). Three common types of movements can occur when muscles contract across joints; a. gliding movements b. angular movements (which include flexion, extension, abduction, adduction, and circumduction). c. rotation The six major categories of synovial joints are a. plane joints (nonaxial movement). b. hinge joints (uniaxial) c. pivot joints (unaxial) d. rotation (permitted) e. condlyd joints (biaxial with angular movements in two planes) f. saddle joints (biaxial, like condyloid joint, but with freer movement) g. ball-and-socket joins (multiaxial and rotational movement) 9. Common Bone and Joint Disorders Sprains – involve stretching or tearing of joint ligaments. Dislocations – involve displacement of the articular surfaces of bones. Bursitis and Tendonitis – are inflammations of a bursa and tendon steath, respectively. Arthritis – is joint inflammation or degeneration accompanied by stiffness, pain, and swelling. Acute forms generally result from bacterial infection. Chronic forms include osteoarthritis, rheumatoid arthritis and gouty arthritis. Osteoarthritis – is a degenerative condition most common in the aged. Rheumatoid Arthritis – the most crippling arthritis, is an autoimmune disease (it attacks its own cells) involving severe inflammation of the joints. Gouty Arthritis (gout) – is a joint inflammation caused by the deposit of urate salts in soft joint tissue. Fracture – is cracking or breaking of a bone. Slipped disc – is herniation of the nucleus pulposus of an intervertebral disc. Kyphosis – is an exaggeration of the lumbar curve of the vertebral column. Scoliosis – is a lateral bending of the vertebral column. Osteomyelitis – is an infection of the bone, usually caused by Staphylococcus aureus. Rickets and Osteomalacia – are disorders in which bones fail to calcify. MUSCULAR SYSTEM 1. An overview of Muscle Tissue Skeletal Muscle – attached to and moves the bony skeleton voluntarily. Cardiac muscle – forms the walls of the heart. Smooth muscles – in the walls of hollow organs. 2. Muscle Functions – Muscles moves internal and external body parts, maintain posture, stabilize joints, generate heat, and protect some visceral organs Motion. (maintain body posture) contraction of skeletal muscles produces body movements as walking, writing, breathing and speaking. Posture and body, support – The muscular system lends form and support to the body and helps to maintain posture in opposition to gravity. Heat Production - All cells release heat as an end product of metabolism. 3. Organ System Involved in Movement 1. Muscular – moves the bones. 2. Skeletal – bones are moved, at their joints, by muscles. 3. Nervous – Transmits impulses to muscles to cause contraction. 4. Respiratory – exchanges O2 and CO2 between the air and blood. 5. Circulatory – transports O2 to muscles and removes CO2. 4. Functional Characteristics of Muscles Tissue -Special functional characteristics of muscles include excitability, contractility, extensibility, elasticity and tonicity. 1. Excitibility – ability to receive and respond to stimulus. 2. Contractility – ability to shorten (forcibly) 3. Extensibility – ability to be stretched when relaxed. 4. Elasticity – ability to resume to its resting length. 5. Tonicity – The ability to be partially contracted (posture) 5. Skeletal Muscle Tissue - Connective Tissue component connective tissue coverings of skeletal muscle. a. Perimysium – coarser fibrous membrane covering bundles of muscle fibers. b. Endomysium – Thin connective tissue covering muscles to a bone. Tendon – cord of dense fibrous tissue attaching a muscle to a bone. Aponeurpses – fibrous or membranous sheet connecting a muscle & the part it moves. 6. Microscopic Anatomy of a Muscle fiber The major cells of skeletal muscle tissue are termed muscle fibers. Each muscle fiber has 100 or more nuclei because it arises from fusion of many myoblasts. The sarcolemma is a muscle fiber’s plasma membrane; it surrounds the sarcoplasms. T tubules are invaginations of the sarcolemma. Each muscle fiber contains hundreds of myofibrils, the contractile elements of skeletal muscle. Sarcoplasmic Reticulum surrounds each myofibrils. Within a myofibril are thin and thick filaments, arranged in compartments called sarcomere. The overlapping of thick and thin filaments produces striations. Myofibrils are built from three types of proteins: a. Contractile proteins (myosin for the thick filament, and actin for the thin filaments) b. Regulatory proteins (troponin, tropomyosin) which parts of the thin filament. c. Structural proteins (titin, myomesin and dystropin) 7. Contraction and Relaxation of Skeletal Mus. a. Polarization (resting potential) When the muscle fiber is relaxed, the sarcolemma has a (+) charge outside and a (-) charge inside. Na ions are more abundant outside the cell and K ions are more abundant inside the cell. The Na and K pumps maintain these relative conceptions on either side of the sarcolemma. b. Depolarization This process is started by a nerve impulse. Acetylcholine released by the axon terminal makes the sarcolemma very permeable to Na_ions, which enter the cell and cause a reversal of charge to (-) outside and (+) inside. The depolarization spread along the entire sarcolemma and initiates the contraction process. 8. Sliding Filament Mechanism Depolarization stimulates a sequence of events that enables myosin filaments to pull thee actin filaments to the center of the sarcomere, which shortens. All of the sarcomeres in a muscle fiber contract in response to a nerve impulses; the entire cell contracts. Tetanus is a sustained contractions bought about by continuous nerve impulses; all our movements involve tetanus. 9. Types of Muscle Contractions 1. Simple Muscle twitch: It is the response of a muscle to single brief threshold stimulus. 2. Summation: It occurs when two stimuli when each is capable of causing a muscle to contract, follow each in rapid succession. 3. Staircase (treppe) effect: It occurs when series of stimuli are applied. 4. Tetanus: It is caused by continuous stimuli. There is a little bit relaxation. 10. Muscle Arrangement Antagonistic muscle have opposite functions. A muscle pulls when it contracts, but exerts no force when it relaxes and it cannot push. Synergistic muscles have the same function and alternate as the prime mover depending on the position of the bone to be moved. The frontal lobes of the cerebrum generates the impulses necessary for contraction of skeletal muscles. The cerebellum regulates coordination. 11. Muscle tone This is the state of slight contraction present in muscles. The alternate fibers contract to prevent muscle fatigue. This is regulated by the cerebellum. Good tone helps maintain posture, produces 25% of body heat (at rest), and improved coordination Isotonic exercise involves contraction with movement; improves tone and strength and Improves cardiovascular and respiratory efficiency (aerobic) Concentric contraction- muscle exerts force while shortening Eccentric contraction- Muscle exerts force while lengthening. Isometric contraction occur when muscle tension produces neither shortening nor lengthening; improves tone and strength but its not aerobic. 12. Energy Sources for Muscle Contraction Muscle fibers have three sources for ATP production a. creatine phosphate b. anaerobic cellular respiration c. aerobic cellular respiration Creatine Phosphate is a secondary energy source;is broken down to creatine + phosphate + energy. The energy is used to synthesize more ATP. Glycogen is the most abundant energy source and is first broken down to glucose. Glucose is broken down in cell respiration: Glucose + O2 CO2 + H2O + ATP + heat 13. Effect of Exercise on Muscles Regular aerobic exercise results in increased efficiency, endurance, strength, and resistance to fatigue of skeletal mus. Resistance exercises causes skeletal muscle hypertrophy and large gains in skeletal muscle strength, Immobilization of muscles leads to muscle weakness and severe atrophy. 14. Criteria for Naming Skeletal Muscle Criteria Example Direction of Superior rectus (of contractile fibers Rectus = straight Oblique = diagonal Transverse = across eyeball), rectus abdominate. Location in body Over bones Between bones Frontalis, occipitals, sunscapularis, Intercostals Relative size Maximus = large Minimus = small Major = greater Minor = lesser Longus = long Brevis = short Gluteus maximus Gluteus minimus Zygomaticus major Zygomaticus minor Palmaris longus Peroneus brevis Shape Deltoid = triangular Orbicularis = circular Teres = long and round Number of points of attachment Biceps = 2 heads Triceps = 3 heads Quadriceps = 4 heads Biceps brachii Triceps femoris Quadriceps femoris Type of action Flexion Extension Elevation Depression Abduction Adduction Supination Pronation Tension Location of the muscle’s origin and insertion Flexor carpi radialis Extensor carpi radialis longus Levator ani, levator scapulae Depressor labii inferiorus Abductor pollicus longus Adductor pollicus brevis Supinator Pronator teres Tensor fasciae latae Sternocleidomastoid muscle 15. Skeletal Muscle Groups a. Muscles of the head Frontalis Mintalis Obricularis oculi Buccinator Zygomaticus Platysma Risorius Sternocleidomastoid Orbicularis Scalenes Muscles Acting on shoulder and upper limbs Deltoid Brachioradialis Triceps bracii Extensor pollicis brevis Biceps brachii Aconeus Brachialis Muscles of chewing and swallowing Muscles acting on the hip and lower limbs Pectoralis minor Pectoralis major Buccinator Adductors Hamstrings Gracilis grastrocenmius Quadriceps femoris soleus Gluteus maximus plantaris Muscle of the chest Muscles of the back Pectoralis minor Pectoralis major Serratus anterior Erector spinae Trapezius Latissimus dorsi Muscle of respiration Muscles of the Abdomen Diaphragm Rectus abdominis Transverse abdominis Internal oblique External oblique 16. Sites for Intramuscular Injections - The common sites are the gluteus medius (buttocks), value laterals (the lateral thigh), and deltoid (shoulder). 17. Abnormalities and disorders in skeletal muscle function 1. Hypertrophy – a phenomenon is which forceful muscular activity causes muscles size to increases. 2. Atrophy – a phenomenon in which disuse of muscle causes the muscle size to decrease. 3. Rigor mortis – state of contracture of all muscle of the body after death. 4. Muscle cramps – spasmodic, involuntary contraction occurring during strenuous muscular activity. 5. Muscle Fatigue – physiological inability of the muscle to contract. 6. Tremor – a rhythmic, involuntary, purposeless contraction that produces a quivering or shaking movement. 7. Myasthenia gravis – an autoimmune disorder that causes chronic, progressive damage of neuromuscular junction. 8. Muscular dystrophy – a group of inherited muscle destroying diseases that cause progressive degeneration of skeletal muscle fiber. 9. Tetanus – caused by Clostridium tetani, which produces a toxin that causes painful muscle spasms. The jaw muscles are affected first. 10. Torticollis (wryneck) – persistent contraction of sternocleidomastoid muscle, drawing a head to one side and distorting the face. NERVOUS SYSTEM 1. Overview of the nervous system 1.1 Structure of the Nervous System The structures that make up the nervous system brain, 12 pairs of cranial nerves, spinal cord, 31 pairs of spinal nerves, ganglia, enteric plexus and sensory receptors. 1.2 Functions of the Nervous System 1. Detect changes and feel sensation (sensory function). 2. Initiate responses to changes (motor function). 3. Organization and store information (intergrative function). 1.3 Organizations of the Nervous System The nervous system is divided anatomically into the central nervous system (brain and spinal cord) and the peripheral nervous system (cranial and spinal nerves). The major functional divisions of the nervous system are the sensory (afferent) division, which conveys impulses to the CNS, and the motor (efferent) division, which convey impulses from the CNS. The efferent division includes the somatic (voluntary) system, which serves, skeletal muscles, and the autonomic (involuntary) systems, which innervates smooth and cardiac muscle and glands. 2. Nerve Tissue - The nervous tissue consists of neurons (nerve cells) and neuroglia. 2.1 Neuron It is the basic structural and functional unit of the nervous system. It is composed of the following parts: cell body, dendrites, and axon. A. Neuron cell body contains the nucleus; cell bodies are in the CNS B. Axon carries impulses away from the cell body. C. Dendrites carry impulses toward the cell body. 2.1.1 Types of Neurons – nerve fibers A. Sensory – carry impulses from receptors to the CNS, may be somatic (from skin, skeletal muscle, joints) or visceral (from internal organs). B. Motor – carry impulses from the CNS to effectors; may be somatic (to skeletal muscle) or visceral (to smooth muscle, cardiac muscle, or glands) Visceral motor neurons make up the autonomic nervous system. C. Interneurons – entirely within the CNS. 2.2 Neuroglia Oligodendrocytes in CNS from the myelins. Microglia phagocytize pathogens and damaged cells. Astrocytes contribute to the bloodbrain barrier. Ependymal cells line the ventricles of the brain and central canal of the spinal cord; form CSF and assist in its circulation. 3. Generation and transmission of impulses 3.1 Neurons have two major physiological properties: 1. The ability to respond to stimuli and convert them into nerve impulse 2. The ability to transmit the impulse to the other neurons, muscles, or glands. 3.2 The nerve impulse propagation State or Event Polarization (The neurons is not carrying an electrical impulse) Depolarization (generated by stimulus) Propagation of the impulse from point of stimulus Repolarization (immediately follows depolarization) Description Neuron membrane has a (+) charge outside and a (-) charge inside. Na+ ions are more abundant outside the cell. K+ ions and negative ions are more abundant inside the cell. Sodium and Potassium pumps maintain these ion concentration. Neuron membrane becomes very permeable to Na+ ions, which rush into the cell. The neuron membrane then has a (-) charge outside and a (+) charge inside. Depolarization of part of the membrane makes adjacent membrane very permeable to Na+ ions, and subsequent depolarization, which similarly affects the next part of the membrane, and so on. The depolarization continues along the membrane of the neuron to the end of the axon. Neuron membrane becomes very permeable to K+ ions, which rush out of the cell. This restore the (+) charge outside and (-) charge inside by the membrane. The Na+ ions are returned outside and the K+ ions are returned inside by the sodium and potassium pumps. The neuron is now able to respond to another stimulus and generate another impulse. 4. Anatomy and function of the spinal cord 4.1 Location and protection of the spinal cord a. Location: within vertebral canal; extends from the foramen magnum to the disc between the 1st and 2nd lumbar vertebrae. b. Protection: The spinal cord is protected by the vertebral column, meninges, cerebrospinal fluid and denticulate ligaments. 4.2 External and Internal anatomy a. External: white matter is the myelinated axons and dendrites of interneurons b. Cross-section: internal H-shaped gray matter contains cell bodies of motor neurons and interneurons; 4.3 Functions: transmits impulses to and from the brain (ascending tracts carry sensory impulses to the brain; descending tracts carry motor impulses away from the brain), and integrates the spinal cord reflexes.