THE AXIAL SKELETON CRANIAL BONES FACIAL BONES BONES OF THE VERTEBRAL COLUMN BONES OF THE THORACIC CAGE THE APPENDICULAR SKELETON BONES OF THE SHOULDER GIRDLE BONES OF THE UPPER LIMB BONES OF THE PELVIC GIRDLE BONES OF THE LOWER LIMB Cranial Bones Comments Landmarks Supra orbital foramina (notches): allow the supraorbital arteries and nerves to pass Glabella: The smooth portion between the orbits Supraorbital margin: Thickened superior margins of the orbits under the eyebrow that provide protection to the eyes. Coronal suture: where the frontal bone articulates with the parietal bones. Frontal (1) view Forms forehead; superior part of orbits and anterior cranial fossa; contains sinuses Parietal (2)view Forms the most superior and lateral aspects of the skull. Occipital (1)view Foramen magnum: Allows the brain stem to leave the cranium Occipital condyles: Articulates with the atlas (first vertebra) Forms the posterior aspect and External occipital protuberance and nuchal most of the base of the skull. lines: sites of muscle attachments like the trapezius. Lambdoid suture: where the occipital bone articulates with the parietal bones. Temporal (2)view Zygomatic process: helps to form the zygomatic arch External auditory (acoustic) meatus: Canal Forms the inferolateral aspects leading from the external ear to the eardrum. of the skull and were named Styloid process: Attachment site for the hyoid after the latin word temporum, bone and several neck muscles meaning time. Grey hairs, a Mastoid process: Attachment site for muscles such sign of times passing, usually as the sternoclcleidomastoid, longissimus and develop first in the temple area. splenius. Mandibular fossa: Articular point of the mandibular condyles. Squamous suture: where the temporal bone Left and right bones are separated by the sagittal suture. 1 articulates with the parietal bone. Sphenoid (1)view Lesser wing: Forms part of the floor of the anterior cranial fossa Greater wing: Seen on both the inside and outside Butterfly-shaped and often of the skull, and forming part of the middle cranial called keystone of the cranium fossa. because it articulates with all Optic foramen (canal): allows passage of the optic other cranial bones. Forms part nerves to the eyes. of the orbit Sella Turcica: Named because it looks like a "Turk's saddle" Forming a snug seat for the pituitary gland. Ethmoid (1)view Cribriform plate: helps form the anterior cranial fossa. The plate is punctured with tiny holes that A very delicate bone that helps allow passage to nerve filaments of the olfactory to form the anterior cranial nerve (cranial nerve #1) fossa; forms part of the nasal Crista galli: Latin meaning "rooster's comb". septum and the lateral walls and Attachment site of the dura mater which helps roof of the nasal cavity; secure the brain in the cranial cavity. contributes to the medial wall Perpendicular plate: forms the superior part of the of the orbit nasal septum, which divides the nasal cavity into right and left halves. Malleus (hammer) (2) Incus (anvil)(2) Stapes (stirrup)(2) The three smallest bones in the body; known as the ear ossicals; found in the tympanic cavity; involved in sound transmission Sutures view "Seams" occurring only between bones of the skull Facial Bones Comments Mandible (1) Coronal suture: where the parietal bones meet the frontal bone anteriorly Sagittal suture: where the right and left parietal bones meet superiorly at the cranial midline Squamous (or squamosal) suture: where the parietal and temporal bone meet on the lateral aspect of the skull Lambdoidial suture: Where the parietal and the occipital bone meet posteriorly Landmarks Mandibular condyle: Articulates with the temporal bones (mandibular fossa) in freely The largest and strongest bone of movable joints of the jaw the face that makes up the lower Coronoid processes: insertion points for the jaw temporalis muscle Mandibular notch: between the mandibular condyles and coronoid processes. 2 Mental foramen: allows for nerves and blood vessels to pass to the skin of the chin and lower lip (located on the body of the mandible) Mental protuberance (or mandibular symphysis): is the line of fusion of the two mandibular bones during infancy Mandibular foramen: permits the nerves that are responsible for sensation of the teeth in the lower jaw; Dentists inject this area to numb the teeth. Located on the ramus of the mandible. Maxilla (2) Keystone bones of the face; form the upper jaw and parts of the hard palate, orbits, and nasal cavity walls Infraorbital foramen: allows passage of the infraorbital nerve to skin of face Palatine processes: form the anterior part of the bony roof of the mouth (hard palate) Zygomatic (2) commonly called the "cheek Temporal process: helps form the zygomatic bone"; form the cheek and part of arch by connecting with the zygomatic process of the orbit the temporal bone Nasal (2) Thin, rectangular bones that are fused together to form the bridge of the nose Lacrimal (2) Form part of the medial orbit Lacrimal foramen (or fossa): houses the wall; allows tears to drain from lacrimal sac, which helps to drain tears into the the eye surface to the nasal cavity nasal cavity Palatine (2) Forms the posterior part of the bony roof of the mouth (hard palate) and a small part of the nasal cavity and orbit walls Vomer (1) Slender and plow-shaped; forms part of the nasal septum; best viewed on the inferior aspect of the skull Hyoid (1) Though not really part of the skull, the hyoid lies just inferior to the mandible in the anterior neck. The hyoid bone is the only bone of the body that does not articulate directly with any other bone. The hyoid bone acts as a base for the tongue and has neck muscle attachments that raise and lower the larynx during swallowing and speech. 3 Vertebrae Cervical (7) Thoracic (12) Lumbar (5) Sacrum (1) Comments Landmarks Transverse process: lateral projection on each side Transverse foramen: opening for blood vessels The body is small; spinous and nerves process is short, bifid and projects Spinous process: project posteriorly, C2-6 have directly posteriorly; Transverse bifid (notched) spinous processes processes contain foramina; has Vertebral foramen: opening for spinal cord. the greatest range of movement of Body: thick disk-shaped anterior portion all regions of spine. C-1 and C-2 Lamina: portion between the spinous process are known as Atlas and Axis. and the and transverse process The axis has a unique feature Pedicle: portion between body and transverse called the Dens or Odontoid process process. Superior articular process: articulates with the vertebrae above it Inferior articular process: articulates with the vertebrae below it All articulate with the ribs Transverse process: bear facets for ribs (except T11 and T12) Spinous process: sharper, slopes downward Vertebral foramen: Body: bear demifacets (half facets)for ribs Lamina: Pedicle: same as for cervical Superior articular process: Inferior articular process: Largest of the vertebrae; thicker bodies; blunted spinous process Transverse process: Spinous process: thicker, blunted Vertebral foramen: Body: Lamina: Pedicle: Superior articular process: Inferior articular process: five fused vertebrae; shapes the posterior wall of the pelvis Base: superior part, from ala to ala, has body Ala: similar to the transverse process of the vertebrae, upper sides Superior articular process: articulates with the L5 of the vertebral column Auricular (or articulating) surface: on the sides, articulates with the ilium (sacroiliac joint) Sacral canal: opening for spinal cord Sacral foramina: allows passage of nerves and blood vessels Medial sacral crest: fused spinous processes of the sacral vertebrae (posterior side) Transverse lines: site of vertebral fusion 4 (anterior) Coccyx (3-5 fused) Often known as the tail bone, slight support given for organs of the pelvis THE THORACIC CAGE Comments Landmarks Sternum (1) Commonly called the "breastbone" ; Results from the fusion of three bones: the manubrium, the body, and the xiphoid process Jugular (or sternal) notch: top, on manubrium Clavicular notches: on manubrium Costal notches: on the body Sternal angle: the sternal angle is a handy reference point for finding the second rib Ribs (12 pairs) Sternal end: flat end, attaches to costal cartilage Body (or shaft): main part of the rib 1-7 are called true ribs because Intercostal groove: inner surface of body, they attach directly to the inferior. sternum. 8-10 are called false Angle: where body curves ribs because they indirectly attach Tubercle: Knob like projection where the neck to the sternum. 11and 12 ribs are joins the body called floating ribs because they Neck: just lateral to the head have no anterior attachment Head: posterior, attaches to vertebrae Articular facets: two on head , one on tubercle Shoulder Girdle Bones Comments Landmarks Clavicle (2)view Clavicles ("little keys") more commonly called the collarbones act as braces to hold the scapulae and arms out laterally. The curves of the clavicle increase the chances that if fractured, the clavicle will collapse anteriorly, away from the subclavian artery. Sternal end: Cone shaped end that attaches to the manubrium (sternum) Acromial end: Flattened lateral end that attaches to the scapula Conoid tubercle: small "lump" on inferior side, lateral Costal tuberosity: roughened "lump" on sternal end Scapula (2)view Medial Border: closest to the vertabrae also called the vertebral border Scapula derives from a word Lateral Border: closest to the arm pit also called meaning spade or shovel since in the axillary border ancient times the scapula of an Superior Border: On top animal was used for digging. Angles: superior and inferior Commonly known as the Subscapular fossa: on the anterior side of the shoulder blades scapula. Attachment site for the subscapularis muscle 5 Supraspinous fossa: Superior to the spine of the scapula. Attachment site for the supraspinatus muscle Infraspinous fossa: inferior to the spine of the scapula. Attachment site for the infraspinatus muscle Glenoid fossa (cavity): Articulated with the head of the humerus Scapular spine: Posterior side of the scapula Acromion process: Meaning "point of the shoulder" attaches to the acromial end of the clavicle Coracoid process: insertion for the pectoralis minor,and origin for the coracobrachialis and short head of the biceps brachii. Supra glenoid tubercle: attachment site for the long head of the biceps brachii Infra glenoid tubercle: Attachment site for the long head of the triceps brachii Suprascapular notch: area for nerve passage Humerus (2)view The largest and longest bone of the upper limb that articulates with the scapula, radius and ulna. Head: proximal hemispherical end that fits into the glenoid cavity of the scapula Anatomical neck: immediately inferior to the head Greater tubercle: Large bump inferior and lateral to the anatomical neck Lesser tubercle: Smaller bump medial to the greater tubercle Intertubercular (bicipital) groove: Space between the two tubercles where the tendon of the long head of the biceps brachii passes Surgical neck: distal to the tubercles. Most frequently fractured part of the humerus Deltoid tuberosity: midway down the shaft on the lateral side. This V-shaped area is the attachment site for the deltoid muscle Medial and lateral supracondylar ridges: Flattened ridges on the distal end Medial and Lateral Epicondyles: most medial and lateral projections at the distal end Trochlea: the medial condyle of the humerus, articulates with the ulna Capitulum: the lateral condyle of the humerus, articulates with the radius Coronoid fossa: on the anterior surface superior to the trochlea Olecranon fossa: on the posterior surface that allows the olecranon process of ulna to move 6 freely Radial fossa: Smallest fossa on the anterior humerus superior to the capitulum Bones of the upper limb Comments Landmarks Radius (2) Head: thin round proximal(superior) end Neck: narrow area below head Radial tuberosity: roughened projection inferior to the head. Insertion point for the biceps muscle Ulnar notch: distal end where the radius articulates with the ulna Styloid process: pointy projection on the distal end (can be felt at your wrist) Ulna (2) ul'nah: "elbow" on the proximal end looks like the end of a monkey wrench Olecranon process: Large proximal end that makes the pointy bump on the posterior part of your elbow Coronoid process: projection distal to the trochlear notch Trochlear notch: concave area between the two processes Radial notch: small depression on the proximal lateral side where the radius articulates Head: Smaller distal knoblike end of shaft Styloid process: pointy projection on the distal end Carpals:(2 each) navicular, lunate, triquetral, pisiform, trapezium, trapezoid, capitate, hamate Navicuular bone is also called the Scaphoid bone. There are eight carpal bones, four in each row. Hook of Hamate: anterior hooked end of the An easy way to remember these is hamate the saying "Sarah Left The Party To Take Chuck Home" Metacarpals: (10) These small long bones form the palm of the hand and are not named, but instead are numbered 1 to 5 from the thumb to little finger Phalanges:(28) Bones of the Pelvic Base: Proximal end Shaft: middle Head: (knuckles) Distal end Each hand contains 14 miniature long bones called Phalanges. Each finger has three phalanges, distal middle and proximal. The thumb has no middle phalanx Comments Landmarks 7 Girdle Ilium (2)view Iliac crest: When you rest your hands on your hips you are resting them on the iliac crests Anterior superior iliac spine: Attachment site for the sartorius and tensor fascia latae muscles The ilium is part of the os Anterior inferior iliac spine: Attachment site for coxae (hip bone). The female the rectus femoris muscle pelvis tends to be wider, Posterior superior iliac spine: shallower, lighter, and rounder Posterior inferior iliac spine: to accommodate child bearing Greater sciatic notch: This allows passage for the sciatic nerve Auricular surface: This means ear-shaped. This is were the ilium articulates with the sacrum Iliac fossa: Anterior internal surface of the iliac Ischium (2)view Ischial tuberosity: Attachment site for the hamstring muscles. Ischial spine: Projects medially into the pelvic Posterior inferior portion of cavity the os coxae. This is the bone Obturator foramen: Opening where nerves and that you sit on, or "seat" bone blood vessels pass through Ramus of ischium: Connects with the inferior ramus of the pubis Pubis (2)view Superior ramus: upper portion or bridge Inferior ramus: lower, joins with ramus of ishium Pubic crest and tubercle: Attachment site for muscles of the abdomen Anterior inferior portion of the Symphysis pubis: Not really a bony landmark, in os coxae fact it is a fibrocartilage disk between the two pubic bones Pubic arch: When the two pubic bones a put together the inferior portion forms an inverted Vshaped arch Acetabulumview Not really a bone; in fact it is a landmark of the hip socket where the ilium, ischium and pubis fuse together. Tea cup. Bones of the Lower Limb Comments Femur: (2)view Head: Ball-like end Fovea capitis: Small pit on the head where a ligament secures the femur to the acetabulum The largest, longest, strongest Neck: Just below the head of the femur, weakest bone in the body part of the femur Greater Trochanter: Attachment site for the vastus lateralis and gluteus minimus Landmarks 8 Lesser trochanter: attachment site for muscles Intertrochanteric line: Anterior line that connects the greater and lesser trochanters Intertrochanteric crest: Posterior crest that connects the greater and lesser trochanters Linea aspera: Line that runs up the posterior shaft of the femur, attachment site for muscles Medial and lateral condyles: Articulates with the tibia Medial and lateral epicondyles: Site for muscle and ligament attachments Intercondylar fossa (notch): Attachment site for the cruciate ligaments Patellar surface: Anterior smooth portion Popliteal surface: Posterior, distal aspect of the femur Patella: (2)view This is a sesamoid bone contained in the quadriceps tendon that improves the leverage of the thigh muscles Tibia: (2)view view Fibula: (2)view view Tarsals: (2 each) talus, calcaneus, navicular, first cuneiform, second These are the bones in your cuneiform, third ankle. cuneiform, and cuboid Anterior surface: Rounded convex portion Articular surface: Posterior side that has two concave indentations for the femoral condyles Medial and lateral condyles: Conacave part of the tibia that articulates with the femoral condyles Intercondylar eminence: Projection that separates the tibial condyles Tibial tuberosity: Attachment site for the quadriceps muscles Anterior crest: "Shin" Medial malleolus: Prominent bump at the ankle Fibular facet: proximal end just below the lateal tibial condyle. This is were the fibular head articulates Fibular notch: Part of the distal tibiofemoral joint Head: Proximal end Shaft: Lateral malleolus: Prominent bump at the ankle on the outside Malleolar fossa: This landmark will help identify left or right fibula since it is on the distal end and always faces posterior in anatomical position The talus articulates with the tibia and fibula and is known as the "ankle bone." The calcaneus is just inferior to the talus and is commonly known as the "heel bone" view 9 Metatarsals: (10)view Phalanges: (28)view These small long bones form the mid foot and are not named, but instead are numbered 1 to 5 from the medial side to the lateral Each foot contains 14 miniature long bones called Phalanges. These are the bones in your toes. Base: Proximal end Shaft: middle Head: Distal end Each toe has three phalanges: distal, middle, and proximal. The big toe has no middle phalanx 10