Anatomy & Physiology Skeletal System I. Functions of the Skeletal System A. ____________________ the body B. ____________________ of vital organs C. Provide ________________________for movement D. ____________________ storage (calcium & phosphate) E. ____________________ cell formation II. Bone Structure A. Microscopic anatomy 1. _________________________________ – complex series of canals & _________________________________ that run through the dense bone matrix and supply _________________________ to the osteocytes (bone cells) a. ___________________ (Haversian canal) – elongated cylinder that runs _____________________to the long axis of the bone. Arteries, veins, & nerves run through the osteons. b. ______________________ – rings or layers of bone matrix. c. _______________________– space in the bony matrix where the osteocyte resides. d. ______________________ – small channels that connect lacuna (and neighboring osteocytes) to each other and provide a means for passing nutrients & wastes between cells. e. Matrix composition – ________________________ & ________________________ 2. Types of bone tissue a. _________________________ bone – relatively solid part of bone. Make bones hard & strong. Usually found on the _________________________________ of the bone. b. _________________________ bone – network of bony struts that form a “honeycomb” of flat bony pieces. Allows bones to be lightweight. Found on the _______________________ of the bones. 1) ____________________________ – interlocking plates or struts. 2) ________________________ (red or yellow) - fills the spaces between the trabeculae. B. Gross anatomy 1. __________________________ – expanded ends. Compact bone on the exterior. Spongy bone fills the interior. The joint surface of each epiphysis is covered with a layer of ___________________________________________. 2. __________________________ – shaft of the bone. Composed of a thick layer of compact bone. a. _______________________________________ – hollow shaft of the diaphysis. It is filled with marrow. b. _____________________ on a bone is normally applied along the axis of the diaphysis. 3. _______________________ – tissue that fills the spaces of spongy bone & medullary canals. a. ___________ – ____________________________ tissue (blood cell forming). 1) found in __________ the spongy bone & medullary canals of ___________________ 2) found in the ____________ bones of ____________________. b. __________________ – fat. Found in the medullary canals of the _________________ bones of _____________________. 4. _________________________ cartilage – ______________________cartilage that covers the ends of bones & provides a smooth articulating surface between the two bones of a joint. 5. __________________________ – fibrous, tough, vascular layer that covers the outer surface of a bone. a. Actively involved in bone ___________________ & _____________________. b. Allows attachment surface for tendons & ligaments. 6. _________________________ – covers the internal bone surface of the medullary canal. Similar to periosteum. C. Bone Development (__________________________) 1. Formation of bones from the hardening of _______________________ cartilage models of the future bones. 2. ____________________________ the process of bone formation. Has 2 phases. a. _____________________ ossification 1) Begins at the center of the ___________________ of the hyaline “bone” around the _______ month of development. 2) A bone collar forms around the diaphysis of the hyaline model. 3) Hyaline bone becomes ossified with ________________________. 4) Ossification proceeds from the center of the diaphysis toward the two epiphyses. 5) The hyaline bone continues to grow & elongate, thus preventing the ossification from reaching the epiphyses for __________________ years. b. __________________________ ossification 1) Around ___________________, both of the epiphyses begin calcifying the cartilage from the inside outward. 2) Primary & secondary ossification usually finishes around _______ years of age. 3) The junction of P & S ossification forms a gagged line called the _______________________________________. c. Hyaline cartilage remains at the ends of the bones as ____________________________ cartilage. D. Bone Remodeling 1. The continual breaking down of calcium salts by _____________________________ and the relaying of calcium salts by _________________________________. 2. We recycle _____% to _____% of our bones every week to repair and strengthen the bones and to maintain calcium balance in our blood. E. Hormonal effect on bone growth & remodeling 1. ____________________ gland – secretes the hormone ______________________, which stimulates _________________________ & decreases blood calcium levels. Makes bones stronger. 2. __________________________ – secretes the hormone _______________________, which stimulates _________________________ activity & increases blood calcium levels. This makes the bones weaker. 3. Anterior Pituitary – secretes ______________________________, which stimulates bone growth & elongation. F. Classification of bones 1. ____________________ – almost all bones of appendages 2. ____________________ – carpals & tarsals 3. ____________________ – ribs, scapula, cranial bones, sternum 4. ____________________ – vertebrae, coxal, facial 5. ____________________ – small bones with no bony attachments (E.g. patella) III. Skeletal System Disorders A. Bone Fractures 1. _____________________ – bone breaks cleanly, but does not penetrate the skin. 2. _____________________ – broken ends of the bone penetrate through the skin. 3. _____________________ – bone broken into many pieces & fragments. 4. _____________________ – bone is crushed inward. 5. _____________________ – broken bone ends forced into each other. 6. _____________________ – ragged break occurs when excessive twisting is applied to the bone. 7. __________________________ – bone breaks incompletely much like a green twig. B. Skeletal Disorders 1. _________________________ – decreased osteoblast activity due to the body’s inability to absorb calcium. Usually seen in the __________________ although exercise & proper calcium intake in middle years can delay the onset of this disorder. Factors that speed up the effects of osteoporosis are: _____________________________________________________________________ _______________________________________________________________. More often seen in ________________________. 2. ___________________ – Vit. _____ deficiency causes soft bones due to a reduction in calcium. Causes __________________ legs and other skeletal disformities. 3. ___________________ – excessive GH secretion ___________________closure of the epiphyseal plates. Results in a _________________________________________. 4. ___________________ – excessive GH secretion ___________________ closure of the epiphyseal plates. Results in ___________________________________________. IV. Joints / Articulations A. General info 1. Joints are __________________________________________________________. 2. Three functional types: ______movable (synarthrosis); ______________________ moveable (amphiarthrosis); _____________________ moveable (diarthrosis) B. Synarthroses (________movable joints) 1. Occur between bones that come in close contact with each other. 2. A thin layer of fibrous connective tissue separates the bones. 3. Examples are: C. Amphiarthroses (____________________ moveable joints) 1. Joints are limited to a few degrees of movement. 2. Occur in areas where the bones are connected by disks of fibrocartilage or by thick ligaments. 3. Examples are: D. Diarthroses (______________________ moveable joints) 1. Joints are able to move in ________________ directions and with ______________ degrees of movement. 2. Bones have a layer of ___________________ (hyaline) cartilage at the ends & are held together by ligaments. 3. Articulating bones are separated by a fluid filled joint cavity – the ___________________ cavity – that allows for substantial freedom of movement. 4. The articular capsule is a double layers capsule that surrounds the ends of the bones with a protective fibrous layer and a inner synovial membrane. 5. _____________________ fluid is a slippery lubricant that fills the synovial joint. 6. Synovial joints that bear greater weight (E.g. knee) contain __________________________ pads & fluid filled sacs (__________________) also help to pad the joints from extrinsic wear. E. Types of freely moveable joints 1. _______________________________ – most freely moveable type. Able to move in 3 planes. Ex: ___________________________________________ 2. ________________________________ - nearly flat surfaces are able to glide over one another in 2 planes. Ex: ________________________________________. 3. _________________________ - oval surface of one bone fits on the complementary concave surface of the other bone. Ex:_______________________________________________. 4. __________________________ – convex surface of one bone fits into the concave surface of the other bone thus limiting them to 1 plane of movement. Ex: _____________________________________________________. 5. __________________________ – cylindrical surface of one bone rotates within a ring formed by the other bone. Movement limited to rotation. Ex: _____________________________________________. 6. __________________________ – cones with both concave & convex shaped articular surfaces. Allows for a wide variety of movements. Only one example – V. Joint Disorders A. _________________________ – chronic joint disorder due to the wearing down of the articular cartilage due to age. Often called “_________________________” arthritis. Accounts for _______% of all arthritis. B. ________________________ arthritis – autoimmune disease whereby the immune system attacks its own tissues and destroys the articular cartilage. Onset usually begins in the _______’s and can eventually lead to disfigurement and crippling. C. _____________________________ – the build up of ___________________ crystals in the joints. The crystals are painful and can wear away at the articular cartilage. D. ________________________ – inflammation of a bursa due to injury or excessive friction in a joint. E. ________________________ – inflammation of the tendon sheaths of a joint due to overuse.