The SKELETAL SYSTEM The skeletal system includes the bones of the skeleton, joint capsules, and other tissues that connect and stabilize the system such as cartilages and ligaments. The functions of the skeletal system include: (a) support of the body and its parts; (b) protection of various body structures; (c) leverage for the functioning of the muscular system; (d) storage of minerals and energy; and (e) blood cell production. Bones can be classified based on their shape and location. Long bones are, just as the name implies, longer than they are wide. Short bones are boxy in appearance. Flat bones are plate-like and relatively thin. There are also bones that do not fall into these categories; these are known as irregular bones. Sesamoid bones are round and flat and develop within tendons. Each bone has markings that distinguish it from other bones. These markings are used to identify the individual bones of the skeletal system. Below is a list of the various types of bone markings. Condyle: a large, rounded articular prominence Epicondyle: a prominence above a condyle Facet: a smooth, flat surface Foramen: an opening through which blood vessels, nerves, or ligaments pass. Fossa: a depression in or on a bone Groove or Sulcus: a furrow or elongated depression that accommodates a soft structure such as a blood vessel, nerve, or tendon. Head: a rounded articular projection supported on a constricted portion, the neck, of a bone Meatus: a tube-like passageway running within a bone Sinus: an air filled cavity within a bone Spine: a sharp, slender process Trochanter: a large projection found only on the femur Tuberosity: a large, rounded, usually roughened process Tubercle: a small rounded process The skeleton is divided into two major divisions: the axial skeleton and the appendicular skeleton. The axial skeleton consists of bones that form the central axis of the body. It consists of the skull, vertebral column, hyoid bone and rib cage. The appendicular skeleton contains the bones of the pectoral (or shoulder) girdle, upper extremities; the pelvic girdle and lower extremities. From the following list, be able to identify each bone and its parts, the articulations that the bone forms and the possible actions at freely movable and slightly movable joints. As you do this consult your text as a reference. THE APPENDICULAR SKELETON I. The Pectoral Girdle A. Clavicle: a long slender “S” shaped bone B. Scapula: a large triangular flat bone on the posterior part of thorax 1. spinous process: sharp ridge diagonal across posterior surface 2. acromion process: flattened expanded process projecting from lateral end of spinous process 3. coracoid process: projection on anterior surface at lateral end of superior border 4. glenoid fossa: inferior to acromion process and articulates with humeral head to form shoulder joint II. Arm A. Humerus: the single bone of the arm 1. head: rounded proximal end that articulates with glenoid fossa 2. capitulum: rounded knob that articulates with radius 3. trochlea: pulley-like surface that articulates with ulna 4. medial and lateral epicondyles: bony projections at distal 5. olecranon fossa: accommodates olecranon when forearm is extended 9 III. Forearm A. Ulna: medial bone of forearm 1. olecranon process: prominence of elbow at proximal end 2. trochlear notch: large curved area on anterior aspect; articulates with humeral trochlea 3. radial notch: curved lateral area allowing articulation of radial head 4. ulnar head: expanded distal end 5. styloid process: medial point at distal end B. Radius: lateral bone of forearm 1. head: disc-shaped proximal end 2. ulnar notch: at distal end allowing articulation of ulna 3. styloid process: lateral point at distal end IV. Wrist and Hand A. Carpals: the eight bones of wrist (know them as a group) B. Metacarpals: five bones that constitute palm of hand; identified as I, II, III, IV, and V, from lateral to medial C. Phalanges: bones of digits; each digit has a proximal and distal phalanx and each finger also has a middle phalanx V. Pelvic Girdle A. Coxal (or Innominate) Bone: hip bone which is formed by fusion of three separate bones during development 1. ilium: superior portion a. iliac crest: superior border b. greater sciatic notch: large indentation just inferior to the posterior point of iliac crest c. iliac fossa: smooth, slightly concave anteromedial surface 2. ischium: inferior, posterior portion a. ischial tuberosity: large roughened area on inferior most part of coxal bone; bares body weight during sitting b. obturator foramen: large round opening formed posteriorly by ischium and anteriorly by pubis 3. pubis: inferior, anterior portion 4. acetabulum: deep depression which receives head of femur to form hip joint The two coxal bones, with the sacrum and coccyx of the spine, form the pelvis, a bowllike structure. The broad flare of the pelvis is the greater (or false) pelvis while to narrow part is the lesser (or true) pelvis. These are separated by the pelvic brim. The superior opening of the pelvis, defined by the brim, is the pelvic inlet; the inferior opening is the pelvic outlet. Be able to distinguish a male from a female pelvis. VI. Thigh A. Femur: single bone of thigh 1. head: rounded proximal end that articulates with acetabulum of pelvis 2. neck: constricted “stem” just distal to head 3. greater trochanter: large projection on lateral aspect which points superiorly 4. lesser trochanter: large projection inferior and medial to greater trochanter 5. medial and lateral condyles: large rounded surfaces at distal end which articulate with tibia 6. intercondylar fossa: posterior groove between condyles 7. medial and lateral epicondyles: rough projections on either side of distal end just proximal to respective condyles B. Patella: sesamoid bone on anterior side of knee VII. Leg A. Tibia: larger, medial bone of leg 1. medial and lateral condyles: expanded area at proximal end which articulates with respective condyles of femur to form knee joint 2. tibial tuberosity: roughened area on anterior surface serving as a point of attachment for patellar ligament 10 3. medial malleolus: projection at distal end which articulates with foot’s tarsals to form part of ankle joint B. Fibula: smaller, lateral bone of leg 1. lateral malleolus: distal enlargment which articulates with foot’s tarsal to form ankle joint VIII. Ankle and Foot A. Tarsals: seven bones of ankle area of foot (know them as a group) B. Metatarsals: five bones of mid-foot; identified as I to V from medial aspect C. Phalanges: bones of toes; each toe has a proximal, middle and distal phalanx except the hallux which does not have a middle phalanx AXIAL SKELETON I. Cranium: portion of skull that encloses brain A. Frontal Bone: single anterior bone of cranium forming forehead and roof of orbits 1. frontal sinuses: cavities within frontal bone which are continuous with nasal cavity 2. coronal suture: joint that separates frontal bone from parietal bones B. Parietal Bone: paired bones posterior to frontal bone; constitute the greater portion of sides and roof of skull 1. sagittal suture: joint that separates left and right parietal bones 2. squamous suture: joint that separates parietal bone from temporal bone 3. lambdoid suture: joint that separates parietal bones from occipital bone C. Temporal Bones: paired bones inferior to parietal bones; constitute greater portion of inferior sides and floor of cranium 1. zygomatic process: projects from inferior area of flat portion; articulates anteriorly with zygomatic bone to form zygomatic arch 2. mandibular fossa: oval depression just inferior to base of zygomatic process; articulates with mandible 3. external auditory meatus: canal-like opening just posterior to mandibular fossa; serves as a passageway for sound waves to reach “eardrum” 4. internal auditory meatus: small opening inside cranium superior to jugular foramen; allows for passage of auditory nerve 5. mastoid process: rounded projection posterior to exteranl auditory meatus 6. styloid process: sharp projection from inferior surface 7. stylomastoid foramen: small opening between styloid and mastoid foramena 8. carotid canal: round smooth opening from inferior surface; allows passage of internal carotid artery 9. jugular foramen: opening just posterior to carotid canal with an irregular edge; allows passage of the internal jugular vein D. Occipital Bone: single posterior bone of cranium 1. foramen magnum: single large opening in floor of skull which allows passage of spinal cord 2. occipital condyles: oval processes on either side of foramen magnum; articulates with vertebral column 3. hypoglossal canal: at anterolateral edge of occipital condyles E. Ethmoid Bone: single bone in anterior part of cranial floor between orbits 1. cribiform plate: perforated horizontal plate in anterior floor of cranium; forms roof of nasal cavity; perforations allow passage of olfactory nerves 2. perpendicular plate: projects inferiorly in middle of bone, forming superior portion of nasal septum 3. superior and middle nasal conchae: thin scroll-like projections on either side of nasal septum; aid in warming and humidifying incoming air F. Sphenoid Bone: single bone that lies in middle portion of cranial floor 1. sella turcica: medial depression on superior surface; houses pituitary gland 11 2. greater and lesser wings: outstretched processes of sphenoid forming part of middle cranial and anterior cranial fossae, respectively 3. optic foramen: small round opening allowing passage of optic nerve 4. foramen rotundum: small round opening inferior to lesser wing 5. foramen ovalea: oval opening on floor of greater wing 6. sphenoid sinus: found in central portion of bone, just deep to sella turcica II. Facial Bones A. Nasal Bones: paired bones that meet in middle and superior portion of the nose form bridge of nose B. Lacrimal Bones: paired bones found posterior and lateral to (but not in direct contact with) nasal bones 1. lacrimal foramen: opening allowing passage of lacrimal duct to nasal cavity C. Zygomatic Bones: paired bones that form prominences of cheeks D. Maxillae: paired bones forming upper jaw; forms part of floor of orbit, lateral walls and floor of nasal cavity and most of hard palate 1. alveoli: sockets for teeth 2. palatine process: horizontal projections that form anterior two-thirds of hard palate 3. maxillary sinuses: cavity in each maxilla that opens into nasal cavity E. Palatine Bones: paired “L” shaped bones that form posterior one-third of hard palate F. Vomer: single triangular bone that forms inferior and posterior portions of nasal septum G. Inferior Nasal Conchae: paired scroll-like bones forming part of lateral wall of nasal cavity serving same functoin as superior and middle nasal conchae H. Mandible: the lower jaw 1. alveoli: sockets for teeth 2. body: curved horizontal portion 3. ramus: perpendicular portion on either side of body 4. condylar process: posterior branch of ramus ending in round mandibular condyle, which articulates with mandibular fossa 5. coronoid process: pointed anterior branch of ramus III. Hyoid Bone: single “U” shaped bone located between mandible and larynx; does not articulate with any other bone IV. Vertebral Column composed of a number of different bones known as vertebrae vertebral column is divided into five sections, each having a specific number of vertebrae all vertebrae have common characteristics vertebrae of each section have unique characteristics A. Common Characteristics 1. body (or centrum): thick disc-shaped anterior portion 2. vertebral foramen: opening through which the spinal cord passes 3. intervertebral foramen: opening formed by two articulating vertebrae allowing passage of single spinal nerve 4. transverse processes: paired processes on either side of a vertebra 5. spinous process: single process projecting posteriorly from the vertebra B. Cervial Vertebrae: there are seven cervical vertebrae 1. each transverse process has an opening called transverse foramen 2. spinous process is often branched 3. atlas: first vertebra; articulates with occipital bone superiorly; lacks a body and spinous process 4. axis: second vertebra; dens or odontoid process projects superiorly to articulate with anterior portion of vertebral foramen of atlas forming a pivot joint C. Thoracie Vertebrae: there are twelve thoracic vertebrae 1. transverse process has articulating surface for ribs called facets 2. body has superior and inferior articulating surfaces for ribs called demifacets 12 D. Lumbar Vertebrae: there are five lumbar vertebrae E. Sacral Vertebrae: four or five sacral vertebrae; these fuse into a single unit, the sacrum; articulates with posterior ilium of coxal bone F. Coccygeal Vertebrae: four or five coccygeal vertebrae fused into a single unit, the coccyx; extends from sacrum V. Thorax A. Sternum: flat, narrow bone located in median line of anterior thoracic wall 1. manubrium: superior portion with a depression on superior border 2. body or gladiolus: middle, larger portion 3. xiphoid process: inferior portion (used as a landmark for CPR) B. Ribs: twelve pairs of flat bones that make up thoracic wall; first seven rib pairs are vertebrosternal (or true) ribs because they have a direct anterior attachment to sternum through strips of hyaline cartilage; last five rib pairs are false ribs; of these, first three pairs attach to the cartilage of the seventh pair, called vertebrochondral ribs; last two pair are vertebral (or floating) ribs because they do not have an anterior attachment ARTICULATIONS and BODY MOVEMENTS I. Synarthrosis: also called immovable joints; most are fibrous joints. A. Suture: occurs between flat bones; united by sutural ligaments; no movement occurs. B. Gomphosis: cone-shaped process of teeth fastened in a bony socket by a peridontal ligament; no movement occurs. C. Synchondrosis: bones united by bands of hyaline cartilage; movement can occur during growth but not after occification occurs; found at growth plates. II. Amphiarthrosis: also called slightly moveable joints; a pad or disc of fibrocartilage is often present. A. Syndesmosis: bones bound by interossious ligament; flexible, may twist; found between radius and ulna; fibula and tibiaand B. Symphysis: articular surfaces separated by fibrocartilage. III. Diarthrosis: also called freely movable joints (don’t take the term to literally); most common type of joint in animals. A. Ball and Socket Joint: ball-shaped head of one bone articulates with the cup-shaped socket of another; allows flexion and extension; abduction and adduction; rotation; circumduction; found at the hip and shoulder. B. Hinge Joint: convex surface of a bone articulates with the concave surface of another; allows flexion and extension; found between phalanges of digits; trochlea of humerus and trochlear notch of ulna; between femoral and tibial condyles and between distal tibia-fibula and proximal tarsal. C. Gliding Joint: articulating surfaces are flat or slightly curved; allows a little movement in all directions; found between the carpals and between the tarsals; articular processes of vertebrae. The temporomandibular joint is a combination hinge and gliding joint. D. Pivot Joint: cylindrical surface of a bone articulates with ring bone and fibrous tissue; allows rotation; found between atlas and dens of axis; radial head and radial notch of ulna; ulnar notch of radius and ulnar head E. Ellipsoid (or Condyloid) Joint: oval shaped condyle of a bone or group of bones articulates with elliptical cavity of another; allows flexion and extension; abduction and adduction; circumduction; found between distal end metacarpals and proximal phalanges; between distal end of radius and the carpals 13 F. Saddle Joint: articulating surfases have both concave and convex regions which fit complimentary to one another; found between proximal end of metacarpal I and carpals The HUMAN KNEE I. Bones A. Femur: at proximal side. B. Tibia: at mediodistal side. C. Fibula: at laterodistal side. D. Patella: within patellar ligament. II. Ligaments A. Quadriceps Tendon: insertion of quadriceps femoris muscle of thigh; ends at patella. B. Patellar Ligament: continuation of quadriceps ligament; begins at patella; attaches to tibial tuberosity. C. Tibial and Fibular Collateral Ligaments: proximal ends attached to respective femoral epicondyles; distal end attached to respective bones. D. Anterior and Posterior Cruciate Ligaments: proximal end of both attached to posterior femur in intercondyler space; posterior cruciate attached distally on posterior tibia; distal side of anterior cruciate anteriorly between tibial condyles. III. Articular Pads: made of fibrocartilage A. Medial Meniscus: C-shaped ring. B. Lateral Meniscus: complete ring. IV. Movement: The knee is considered a hinge joint, allowing flexion and extension of the leg. However, it is a unique hinge joint in that there is slight rotation in one plane as one pushes off during walking and rotation in a different plain as one plants the foot to complete the step. 14