Anatomy & Physiology Honors Unit 2: Protection, Support & Movement Chapters 6 – 8: Skeletal System CLE3251.2.1: IDY the structures of the skeletal system and show the relationship between these structures and their functions. CLE3251.2.2: Investigate the physiological mechanisms that allow the skeletal system to function. Objectives: Distinguish between the different types of bones. Describe the physiological mechanisms involved in bone development, growth, and repair. Compare and contrast the axial and appendicular skeletons using a graphic organizer. The skeletal system includes: bones, cartilages, ligaments, and other connective tissues that stabilize or interconnect the bones. Section 6.1: Five Primary Functions of the skeletal system 1. Structural support for attachment of soft tissues and organs 2. Storage of minerals and lipids in bone and yellow marrow 3. Blood cell production in red marrow, which fills the internal cavities of many bones 4. Protection of soft tissues and organs a. Rib cage – heart and lungs b. Skull – brain c. Vertebrae – spinal cord d. Pelvis – digestive and reproductive organs 5. Leverage that can change the magnitude and forces generated by skeletal muscles Section 6.2: Bone classifications Bones are classified in two ways: 1. Bone structure and shape: a. Long bones – arm, forearm, thigh, leg, palms, soles, fingers and toes b. Flat bones – roof of skull, sternum, ribs, scapulae – provide protection for underlying soft tissues and offer extensive surface area for the attachment of skeletal muscles c. Sutural bones – (AKA Wormian bones) small, flat, irregularly shaped bones between the flat bones of the skull d. Irregular bones – have complex shapes with short, flat, notched, or ridged surfaces –spinal vertebrae, pelvic bones, several skull bones e. Short bones – carpal bones (wrists) and tarsal bones (ankles) f. Sesamoid bones – small, flat bones somewhat shaped like a sesame seed – found in almost 26 different locations of the body, usually near joints of knees, hands, and feet – kneecaps (sesamoid patellae 2. Bone markings / surface features: a. Elevations and projections i. Process – any projection or bump ii. Ramus – An extension of a bone making an ankle with the rest of the structure b. Processes formed where tendons or ligaments attach i. Trochanter – a large, rough projection ii. Tuberosity – a smaller rough projection iii. Tubercle – a small rounded projection iv. Crest – A prominent ridge v. Line – a low ridge vi. Spine – a pointed or narrow process c. Processes formed for articulation with adjacent bones i. Head – expanded articular end of an epiphysis, separated from the shaft by a neck ii. Neck – a narrow connection between the epiphysis and the diaphysis iii. Condoyle – a smooth rounded articular process iv. Trochlea – a smooth grooved articular process shaped like a pulley v. Facet – a small, flat articular surface d. Depressions i. Fossa – a shallow depression ii. Sulcus – a narrow groove e. Openings i. Foramen – rounded passageway for blood vessels or nerves ii. Canal or meatus – passageway through the substance of a bone iii. Fissure – an elongated cleft iv. Sinus or antrum – chamber within a bone, normally filled with air Diaphysis: an extended tubular shaft Epiphysis: an expanded area at the ends of a bone Section 6.5: Ossification and appositional growth are mechanisms of bone formation and enlargement Osteogenesis: the physical process of bone formation and growth Ossification: the process of replacing other tissues with bone Calcification: the deposition of calcium salts that occurs during ossification Osseous tissue is highly vascular, because growing bones require an extensive blood supply. Section 6.7: Exercise, hormones, and nutrition affect bone development and the skeletal system If you don’t use it, you will lose it! The stresses applied to bones during physical activity are essential to maintaining bone strength and bone mass. Degenerative changes in the skeleton occur after relatively brief periods of inactivity. Normal bone growth and maintenance also depend on the following nutritional and hormonal factors: A constant dietary source of calcium and phosphate salts, and smaller amounts of magnesium, fluoride, iron, and manganese Calcitrol (synthesized in the kidneys) for calcium and phosphate ion absorption Vitamin C stimulates osteoblast differentiation – Scurvy is a loss of bone mass and strength Vitamins A (stimulates osteoblast activity), K and B₁₂ (required for protein synthesis in bone) Growth hormone and thyoxine for bone growth and protein synthesis At puberty, sex hormones (estrogens in females and androgens in males) for bone ossification and maturation The skeletal system is unique in that it persists after life, providing clues to the sex, lifestyle, and environmental conditions experienced by the individual. Not only do the bones reflect the physical stresses placed on the body, but they also provide clues concerning the person’s health and diet, including features that are characteristic to hormonal deficiencies. Section 6.9: Bone fractures Classifications of bone fractures: 1. Simple fractures (AKA Closed) – completely internal, and can only be seen on x-rays because they do not involve a break in the skin; usually relatively simple to treat, because the surrounding tissues keep the broken ends of the bone aligned 2. Compound fractures (AKA Open) – project through the skin and are obvious on inspection; also more dangerous due to the possibility of infection or incontrollable bleeding. 3. Transverse fracture: involves a break at right angles to the long axis of a bone 4. Comminuted fracture: involves a shattering of the affected bone(s) 5. Pott fracture – occurs at the ankle and affects both bones of the leg 6. Spiral fractures – produced by twisting stresses that spread along the length of the bone 7. Displaced fractures – produce new and abnormal bone arrangements 8. Nondisplaced fractures – retain the normal alignment of the bones or fragments 9. Colles fracture – a break in the distal portion of the radius, typically as a result of reaching out to cushion a fall 10. Greenstick fracture – when only one side of the bone shaft is broken, and the other is bent; generally occurs in children, whose long bones have not fully ossified 11. Epiphyseal fracture – tends to occur where the bone matrix is undergoing calcification; if not treated promptly and correctly, these fractures can permanently stop growth at site of fracture 12. Compression fracture – occur in vertebrae subjected to extreme stresses, such as falling down Chapter 7 – The Axial skeleton Section 7.1: Axial Skeleton contains 80 bones Axial skeleton – the collection of bones that form the longitudinal axis of the body, containing 80 bones (roughly 40% of the bones in the human body. Components of the axial skeleton: Skull – 8 cranial bones and 14 facial bones Auxiliary skull – 6 auditory ossicles and the hyoid bone Vertebral column – 24 vertebrae, sacrum, coccyx Thoracic cage – sternum and 24 ribs Section 7.2: Skull bones Occipital Cranial Bones Forms much of the posterior and inferior surfaces of the cranium Maxillae / Maxillary Parietal Forms part of the superior and lateral surfaces of the cranium Palatine Frontal Forms the anterior portion of the cranium and the roof of the orbis (eye sockets). Mucus secretions of the frontal sinuses within this bone help flush the surfaces of the nasal cavities Form part of both the lateral walls of the cranium and the zygomatic arches Form the only articulations with the mandible Surround and protect the sense organs of the inner ear Are attachment sites for muscles that close the jaws and move the head Forms part of the floor of the cranium, unites the cranial and facial bones, and acts as a cross brace that strengthens the sides of the skull. Mucous secretions of the sphenoidal sinuses help clean the surfaces of the nasal cavities. Forms the anteromedial floor of the cranium, the roof of the nasal caviy, and part of the nasal septum and medial orbital wall. Mucous secretions from a network of sinuses, or ethmoidal air cells flush the surfaces of the nasal cavities Nasal Temporal Sphenoid Ethmoid Facial Bones Support the upper teeth and form the inner orbital rim, the upper jaw, and most of the hard palate. Largest facial bones Form the posterior portion of the hard palate and contribute to the floor of each orbit Support the superior portion of the bridge of the nose Vomer Forms the inferior portion of the bony nasal septum Inferior nasal conchae Creates turbulence in air passing through the nasal cavity and increases the epithelial surface area to promote warming and humidification of inhaled air Zygomatic Contributes to the rim and lateral wall of the orbit and form part of the zygomatic arch Lacrimal Form part of the medial wall of the orbit Forms the lower jaw Mandible Section 7.6: The Vertebral Column (Spine) has four spinal curves 1. The cervical curve – at the neck (C1 – C7) 2. Thoracic – upper back (T1 – T12) 3. Lumbar – Lower back (L1 – L5) 4. Sacral – sacral bone and coccyx Vertebrae – provides a column of support for the body, bearing the weight of the head, neck, and trunk, and ultimately transferring the weight to the appendicular skeleton of the lower limbs; also protects the spinal cord and helps maintain an upright body position Sacrum – vertebrae that begin fusing shortly after puberty, and protects the reproductive, digestive, and urinary organs, and attaches the axial skeleton to the pelvic girdle of the appendicular skeleton Section 7.7: Five Vertebral regions 1. Cervical – 7 bones a. The Atlas (C1) holds up the head and articulates with the occipital condyles of the skull; named after Atlas in Greek mythology who holds the world on his shoulders, allowing the head to make “yes” movements (nodding). b. The Axis (C2) is fused to the atlas forming a pivot point called the dens; The “earth” rotates on its axis, allowing us to make “no” movements (sideways movements). 2. Thoracic – 12 bones – provides bony support to the walls of the thoracic cavity a. Ribs (AKA Costae) – elongated, curved, flattened bones that originate on or between the thoracic vertebrae and end in the wall of the thoracic cavity i. True ribs – vertebrosternal ribs – first seven pairs that are connected to the sternum by separate cartilage extensions (costal cartilages) ii. False ribs – vertebrochondral ribs - Ribs # 8-12 do not attach directly to the sternum iii. Floating ribs – vertebral ribs - #s 11-12 because they have no connection to the sternum, but attached only to the vertebrae and muscles of the body wall b. Sternum – breastbone that forms in the anterior midline of the thoracic wall 3. Lumbar – 5 bones 4. Sacral – protects reproductive, digestive, and urinary organs, and attached the axial skeleton to the pelvic girdle of the appendicular skeleton 5. Coccygeal – provides an attachment site for ligaments and muscles that constricts anal opening TIP: to remember the number of bones in the first three spinal curves, think about mealtimes. You eat breakfast at 7 am, lunch at 12, and dinner at 5 pm. Chapter 8 – The Appendicular Skeleton Appendicular skeleton: includes the bones of the limbs and the supporting elements (girdles) that connect them to the trunk; standing, walking, writing, turning pages, eating, dressing, shaking hands, waving, etc.; allows you to manipulate objects and move from place to place There are four major segments of the appendicular skeleton: 1. Pectoral girdle (4 bones) – shoulder girdle 2. Upper limbs (60 bones) 3. Pelvic girdle (2 bones) 4. Lower limbs (60 bones) Section 8.1: The pectoral girdle attaches to the upper limbs and consists of the clavicles and scapulae The pectoral girdle: shoulder girdle that consists of 2 S-shaped clavicles (collarbones) and 2 broad, flat scapulae (shoulder blades) Section 8.2: The upper limbs are adapted for freedom of movement In anatomical descriptions, the term “arm” only refers to the proximal portion of the upper limb (from shoulder to elbow), not to the entire limb. Humerus – the bone of the arm, or brachium, which extends from the scapula to the elbow Ulna – in the anatomical position, the ulna lies medial to the radius of the forearm. Radius – the lateral bone of the forearm Carpal bones – wrist that contains 8 bones that form two rows, one with four proximal carpal bones and the other with four distal carpal bones Metacarpal bones – 5 bones in the hand that articulate with the distal carpal bones and support the hand Distally, the metacarpal bones articulate with the proximal finger bones. Each hand has 14 phalanges (finger bones). The thumb, or pollex, has two phalanges (proximal and distal), while each of the other fingers have three phalanges (proximal, middle, and distal). Section 8.3: The pelvic girdle attaches to the lower limbs and consists of two coxal bones The pelvic girdle: consists of two coxal (hip) bones; because they must withstand the stresses involved in weight bearing and locomotion, the bones of the pelvic girdle are more massive than those of the pectoral girdle, and the bones of the lower limbs are more massive than those of the upper limbs. The pelvis: consists of the two coxal bones, the sacrum, and the coccyx The Female pelvis is somewhat different from a male, resulting from adaptations for childbirth, and variations in body size and muscle mass. In females: The pelvis is generally smoother and lighter and has less prominent markings An enlarged pelvic outlet A broader pubic angle (the inferior angle between the pubic bones), greater than 100⁰ Less curvature on the sacrum and coccyx, which in males arcs into the pelvic outlet A wider more circular pelvic inlet A relatively broad pelvis that does not extend as far superiorly (a “low pelvis”) Ilia that project farther laterally, but do not extend as far superior to the sacrum These adaptations are related to the support of the weight of the developing fetus and uterus, and the passage of the newborn through the pelvic outlet during delivery. Section 8.4: The lower limbs are adapted for locomotion and support Femur: the longest and heaviest bone in the body; articulates with the coxal bone at the hip joint and with the tibia at the knee joint. Patella: a large sesamoid bone that forms within the tendon of the quadriceps femoris (a group of muscles that extend the knee Tibia: (shinbone) the large medial bone of the leg Fibula: parallels the lateral border of the tibia Tarsal bones: (ankle) consists of 7 bones of the ankle Metatarsal bones: five long bones that form the distal portion of the foot The phalanges (toe bones) have the same anatomical organization as the fingers. The toes contain 14 phalanges. The hallux (big toe) has two phalanges (proximal, distal) and the other four toes have three phalanges each (proximal, middle, distal). Section 8.5: Sex differences in the human skeleton Region and Feature Skull General appearance Forehead Sinuses Cranium Mandible Teeth Pelvis General appearance Pelvic inlet Iliac fossa Ilium Angle inferior to pubic symphysis Sacrum Coccyx Other Skeletal Elements Bone weight Bone markings Male (compared with female) Female (compared with male) Heavier, tougher More sloping Larger About 10% larger on average Larger, more robust Larger Lighter, smoother More vertical Smaller About 10% smaller Smaller, lighter Smaller Narrower, more robust, rougher Heart shaped Deeper More vertical; extends farther superior to sacroiliac joint Under 90⁰ Long, narrow triangle with pronounced sacral curvature Points anteriorly Broader, lighter, smoother Oval to round shaped Shallower Less vertical; less extension superior to sacral articulation 100⁰ or more Broad, short triangle with less curvature Points inferiorly Heavier More prominent Lighter Less prominent