Anatomy & Physiology 34A Lecture Chapter 7 – The Skeletal System: Appendicular Skeleton Pectoral (shoulder) & Pelvic (hip) girdles plus the arms and legs I. _____________ (shoulder) Girdles - attaches bones of the upper appendages (arms) to the axial skeleton; consists of two bones: A. ___________ (collarbone) - S-shaped bone that articulates with the sternum manubrium on its sternal end and with the scapular acromion on its posterior acromial end with _________ tubercle B. ____________ (shoulder blade) - triangular-shaped bone that articulates with the humerus head within the __________ cavity 1. Posterior side has the scapular _________, above which is the supraspinous fossa and below which is the infraspinous fossa, and the ______________ process 2. 3. Anterior side has the subscapular fossa and ________ process 4. Lateral side has the ___________ border, glenoid cavity with supraglenoid & infraglenoid tubercles; medial side is the ___________ border Superior end has the superior border & angle and suprascapular _______; pointed bottom is the inferior angle II. Upper Extremities (arm bones) extend from the pectoral girdles A. Brachium (arm) = __________ - articulates with the __________ proximally and the radius and ulna distally 1. Proximal end - consists of head, anatomical & surgical necks, greater and lesser ______________, between which is the intertubercular (______________) groove 2. Distal end - anterior side consists of the lateral epicondyle, ___________ (art. with radius), above which is the radial fossa, epicondylar ridges, medial epicondyle, _____________ (art. with ulna), above which is the coronoid fossa. Posterior side has ______________ fossa 3. Between proximal and distal ends is the radial groove and ____________ tuberosity B. Antebrachium (forearm) 1. _________ - on little finger (medial) side of arm a. Proximal end has _________ notch (with coronoid process) that art. with humerus and radial notch that art. with radius, _____________ process forms elbow b. 2. Distal end has ulna head with __________ process; art. with wrist carpals ___________ - on thumb (lateral) side of arm a. Proximal end has disc-shaped head that art. with humerus capitulum and ulnar radial notch; radial (___________) tuberosity is attachment site for ________ tendon b. Distal end has ________ process (lateral) and ulnar notch (medial) that art. with the ulna 2 C. ____________ (wrist bones) - 8 bones in 2 rows 1. Proximal row, lateral to medial: ___________, ________, ___________, (art. with distal radius & ulna) and __________ 2. Distal row, lateral to medial: _____________, _____________, ___________, ____________ (art. with metacarpals I-V) 3. Carpal _________ - formed by the pisiform, hamate, scaphoid, trapezium, and flexor retinaculum ligament. Median _______ passing through tunnel may become compressed, leading to carpal tunnel _______________. D. ______________ - 5 bones in palm of hand, numbered I (thumb) through V (little finger). E. _____________ (fingers) - 14 bones. Proximal, medial, and distal bones for each finger, excluding the medial phalanx of the ______ (thumb). III. Pelvic (hip) Girdle A. Pelvis consists of 2 _________ (hip) bones, sacrum, and coccyx; serves as attachment for lower limbs to trunk, supports vertebral column and viscera. B. The ossa coxae are united anteriorly at the pubic ____________ and attach to the __________ posteriorly C. Three bones compose each coxal bone: the _________, _______, and _______, which are fused at the acetabulum (hip socket) and surround the obturator foramen (closed by fibrous membrane) 1. 2. Major _______ landmarks include a. Lateral - illiac crest, anterior & posterior, superior & inferior spines, greater ______ notch, anterior, posterior, and inferior __________ lines b. Medial - same as above, except for gluteal lines, plus the iliac tuberosity, _____________ surface, and arcuate line Major ________ (seat bone) landmarks include the ishial spine & tuberosity, lesser ________ notch, and inferior ishial ramus 3. Major _______ landmarks include the superior & inferior rami, pubic tubercle & crest, and _______________ surface D. Everything above the _________ line (pelvic brim) is called the _______ pelvis, whereas below the line is the _____ pelvis; above the brim is the pelvic ______, below the brim is the pelvic ______ E. Sex-related _____________ in the pelvis 1. 2. 3. 4. Male pelvis is _________ than the female pelvis Male pelvic inlet is ______-shaped, female’s is oval or _______ Male pelvic outlet is narrower, female’s is ________ Male pubic arch angle is _______, female’s is about ___ 3 IV. Lower Extremities (leg bones) A. Upper leg 1. _________ (thigh bone) - longest, thickest bone in body a. Proximal end has head & fovea capitus that art. with the ___________, femur neck, greater and lesser ___________, intertrochanteric line (front) & crest (back) b. Distal end has medial and lateral ___________ that art. with tibia, medial & lateral epicondyles; ______ surface (front) & intercondylar fossa (back) are between the condyles c. Body of femur has the gluteal tuberosity and ___________ 2. B. ____________ (knee cap) - patellar ____________ attaches patella to the tibial tuberosity Lower leg (crural region) 1. 2. _________ (shinbone) - larger of 2 lower leg bones a. Proximal end has medial & lateral condyles that art. with femur, intercondylar eminence, medial & lateral epicondyles, and the tibial _____________ b. c. Anterior ________ forms the sharp shin __________ - smaller of 2 bones a. b. 3. Distal end has medial _________ (inner ankle bone), which art. with talus bone of ankle Proximal end has fibula head, art. with tibia lateral condyle Distal end has lateral ___________ (outer ankle bone), art. with talus _________ - 7 ankle bones, include: ______ (ankle), _________ (heel), _____ (bet. calcaneous, 4th and 5th metatarsal), ________ (bet. talus and cuneiforms), and 1st (medial), 2nd (intermediate), and 3rd (lateral) ____________ 4. _______________ - 5 foot bones numbered from I (medial) to V (lateral) 5. _____________ - 14 toe bones in proximal, medial, and distal arrangement like fingers, no medial bone in big toe (________)