Unit 2 The skeletal system In this unit lBones of the human skeleton: medical and l Plural nouns of Latin origin l Describing bones l Adjectives describing anatomical position l Bone structure l Osteoporosis common names Warm-up Working in pairs, list the functions of the human skeleton. Listening Bones of the human skeleton Exercise 1 4 Listen and identify the bones in the picture below. 22 Ciecierska-Eng Physioterapy.indd 22 2011-09-01 12:34:55 Atlas Axis 7 cervical vertebrae 12 thoracic vertebrae 5 lumbar vertebrae Tail bone (coccyx) Wrist bones (carpals) Palm bones (metacarpals) Finger bones (phalanges) Ankle bone (talus) Foot bones (metatarsals) Toe bones (phalanges) Heel bone (calcaneus) Tarsals Skull (cranium) Jaw bone (mandible) Collarbone (clavicle) Shoulder blade (scapula) 12 pairs of ribs Breastbone (sternum) Humerus Ulna Radius Hip bone (os coxae) Sacrum Thigh bone (femur) Kneecap (patella) Shin bone (tibia) Calf bone (fibula) 23 Ciecierska-Eng Physioterapy.indd 23 2011-09-01 12:34:56 NOTE Over ninety per cent (90%) of technical terms in anatomy, surgery, clinical medicine and laboratory medicine are of Greek, Latin and Greco-Latin origin. Many of them have their English equivalents. The technical terms are used in the literature and between health professionals, but when you talk to patients, the rule is ‘English, please!’ Exercise 2 4 Listen and repeat technical and common names of the bones. Follow them in the picture. Vocabulary building Exercise 3 Complete the table giving medical and common names of the following bones. How many can you name without referring to the picture in Exercise 1? Can you remember more medical terms or more common names? Kość Medical English name Common name czaszka kość krzyżowa kość łokciowa kość piszczelowa kość promieniowa kość ramienna kość strzałkowa kość udowa kości śródstopia kości stępu kręgosłup 24 Ciecierska-Eng Physioterapy.indd 24 2011-09-01 12:34:56 łopatka mostek obojczyk paliczki rzepka żebra żuchwa Vocabulary axial skeleton kościec osiowy (głowy i tułowia) appendicular skeleton kościec kończyn thoracic cage (rib cage) klatka piersiowa extremities (limbs) kończyny shoulder girdle obręcz kończyny górnej Exercise 4 Read the description of the human skeleton adding the missing names of the bones, either common or technical. The skeleton of an adult human is formed by 206 bones. The bones are organised into two groups known as the axial skeleton and the appendicular skeleton. The axial skeleton includes the skull and the bones of the trunk (the vertebral column, rib cage and sternum, or 1……...…...). The skull is made up of eight bones which form the cranium and fourteen bones which make the skeleton of the face. The only movable bone is the 2….……..…. or lower jaw bone. The spinal column consists of 33 vertebrae. The rib cage (thoracic cage) is formed of twelve pairs of ribs with the top seven pairs of ribs attached directly to the 3………………. and known as true ribs. The next five pairs are called false ribs because they are not joined to the sternum directly. The 8th, 9th and 10th ribs are fused with the rib above, but the 11th and 12th, called floating ribs, are unattached in front. The appendicular skeleton consists of the bones of extremities (4……………..….) and the bones that attach them to the axial skeleton. The shoulder girdle is formed by the 5………………. or collarbones and the scapulae, or 6……..…… . It supports the upper limb attaching its skeleton to the axial skeleton. The bone of the upper arm is called the 7………….…. . The 8……………….. is the outer and shorter bone of the forearm. The other bone, inner and longer, is the 9…………..…… The wrist contains eight bones called the 10…………….., each hand is formed of five bones 25 Ciecierska-Eng Physioterapy.indd 25 2011-09-01 12:34:56 Vocabulary pelvic girdle obręcz kończyny dolnej flexible giętki, elastyczny tough twardy, wytrzymały framework szkielet brain mózg heart serce lungs płuca spinal cord rdzeń kręgowy viscus, pl. viscera narząd trzewny, trzewie bone marrow szpik kostny bloodstream krwiobieg (11……………….) and each set of 12……….….. has 14 bones known as phalanges. The pelvic girdle consists of the right hip bone and the left hip bone and connects the lower limbs to the axial skeleton. Each lower limb has four bones. These are the femur, or 13………….….. bone, the 14….............….., or kneecap, and two bones in the lower leg which are the tibia, or 15…..........….. bone and the fibula. The ankle contains seven bones (16…………….…..), the foot has five bones (17…………..….) and each set of 18….................... contains 14 bones. The bones are connected by joints (articulations) with tough bands of white fibrous connective tissue known as ligaments. Tendons, which are fibrous cords or bands attach the skeletal muscles to the bones. The skeleton, which is strong, movable and flexible, forms the framework of the body and is responsible for movement (locomotion). Its parts also protect soft tissues and internal organs. The skull protects the brain, the rib cage protects the heart and the lungs, the vertebral column protects the spinal cord and the pelvic bones give some protection to the viscera. In the bone marrow within bones blood cells are produced. The bones store calcium and other minerals which are released into the bloodstream when needed. Exercise 5 In the text above, what bones do these numbers refer to? Example: 1. There is only one (1) movable bone in the facial skeleton. It is the mandible, or lower jaw. 2. 2 7.8 3. 3 8.12 4. 4 9.14 5. 5 10.33 6. 7 11.206 NOTE: With many foreign nouns the original plural is used, with some it is either the original plural or the more recently introduced anglicised plural, e.g. one scapula but two scapulae or two scapulas. 26 Ciecierska-Eng Physioterapy.indd 26 2011-09-01 12:34:56 Listening Exercise 6 5 Listen and repeat the names of the bones with their plurals. singular calcaneus fibula humerus phalanx radius scapula sternum tibia ulna vertebrae original plural calcanei fibulae humeri phalanges radii scapulae sterna tibiae ulnae vertebrae regular English plural fibulas scapulas tibias ulnas Vocabulary building Exercise 7 Complete the table with appropriate nouns or adjectives. Noun Adjective axis bony cranial ulna tibial radial humerus femoral vertebra clavicular sternum patella rib costal coccygeal sacral 27 Ciecierska-Eng Physioterapy.indd 27 2011-09-01 12:34:56 Exercise 8 Complete the table with the names of the bones under appropriate heading. You may add your own examples. calcaneus sternum metatarsals metacarpals tarsal radius femur vertebra scapula humerus facial bones carpal bones patella vertebrae tibia Bone(s) short flat long sesamoid triangular irregular Exercise 9 Identify the bones described below. 1. A paired long slender curved bone which forms the front part of the shoulder girdle is called the clavicle, or collar bone. 2. A flat bone which forms the front part of the thoracic cage is known as ………………, or ………… . 3. The bone of the upper arm is named ………………… . 4. The outer and shorter of the two bones of the forearm is referred to as ……………… . 5. The small bone situated in front of the knee is called ………….., or ………………… . 6. The larger of the two bones of the lower leg is known as ……………., or …………… . 7. The eight bones which make up the wrist are named ……………… . 8. The five bones in the hand between the fingers and the wrist are referred to as …………. . 9. Bones in fingers and toes are called ………………………… . 10. One of the ring-shaped bones which form the spine is called …………… . 11. The longest, and the largest and strongest bone is the body is named …………., or ……… . 28 Ciecierska-Eng Physioterapy.indd 28 2011-09-01 12:34:56 Exercise 10 Make your own descriptions of these bones. Work in pairs. Take turns reading the descriptions to a partner, whose task is to guess what bone you have described. ulna fibula calcaneus metatarsals humerus patella Adjectives describing anatomical position Exercise 11 The adjectives below are used to describe the relative position of the body parts. Match each adjective (1–10) with its meaning (a–j). 29 Ciecierska-Eng Physioterapy.indd 29 2011-09-01 12:34:56 1. superior 2. inferior a. inside the body, further from the skin b.above another part, higher up than another part, closer to the head c. at the back, behind d. in front e.below another part, lower down, closer to the feet f. closer to a point of attachment g.towards or nearer to the midline of the body h. towards or nearer the side i. located on or near the surface j. farther away from the point of attachment 3. anterior 4. posterior 5. proximal 6. distal 7. medial 8. lateral 9. superficial 10. deep 1 2 3 4 5 6 7 8 9 10 c Exercise 12 Use the adjectives to describe the position of these parts/organs in relation to each other. 1. sternum/heart The sternum is anterior to the heart. The heart is posterior to the sternum. 2. vertebral column/sternum 3. wrist/elbow 4. muscles/skin 5. radius/ulna 6. fingers/wrist 7. chest/abdomen 30 Ciecierska-Eng Physioterapy.indd 30 2011-09-01 12:34:56