Human Skeletal System and Associated Structures *Note – for all paired bones, be sure to know left versus right I. Skull A. Identify the bones of the skull: Frontal (1) Parietal (2) Occipital (1) Temporal (2) Zygomatic (2) Maxilla (1) Nasal (2) Ethmoid (1) Sphenoid (1) Vomer (1) Palatine (2) Lacrimal (2) Mandible (1) (technically not a bone of the skull) B. Skull Structures: On each of the skull bones, identify the appropriate structures: 1) Frontal bone Glabella Frontal eminence Supraorbital notch (foramen) Supraorbital margin Superciliary arch Orbital surface Zygomatic process Frontal crest 2) Parietal bone Superior and inferior temporal lines Mastoid angle 3) Occipital bone External occipital protuberance Internal occipital protuberance Superior and inferior nuchal lines External occipital crest Internal occipital crest Occipital condyles Pharyngeal tubercle Condylar canal Foramen magnum Hypoglossal canal Jugular foramen (where occipital and temporal bones meet) 4) Zygomatic bone Temporal process (contributes to zygomatic arch) Zygomaticofacial foramen Orbital surface -1- 5) Temporal bone Mastoid process Squamous portion/part Zygomatic process (contributes to zygomatic arch) Articular tubercle Mandibular fossa External acoustic meatus Internal acoustic meatus Styloid process Stylomastoid foramen Carotid canal Petrous portion/part Mastoid notch/digastric groove Mastoid foramen 6) Sphenoid bone Greater wing Lesser wing Optic canal/foramen Orbital surface (of lesser and greater wings) Superior orbital fissure Inferior orbital fissure (where sphenoid and maxilla meet) Lateral pterygoid plate Medial pterygoid plate Pterygoid hamulus Jugum Anterior clinoid process Prechiasmatic groove Sella turcica Hypophyseal fossa (part of sella turcica) Tuberculum sellae (part of sella turcica) Dorsum sellae (part of sella turcica) Posterior clinoid process (part of sella turcica) Carotid groove Foramen rotundum Foramen ovale Foramen spinosum Foramen lacerum (where sphenoid and temporal bones meet) 7) Ethmoid bone Orbital plate Perpindicular plate Cribriform plate Crista galli Olfactory foramina Superior and middle nasal conchae 8) Lacrimal bone Fossa for lacrimal sac Nasolacrimal canal -2- 9) Maxilla Zygomatic process Orbital surface Frontal process Infraorbital foramen Anterior nasal spine Alveolar process Nasal surface Palatine process Incisive foramen/fossa 10) Palatine bone Orbital process Perpendicular plate (view on disarticulated skull) Horizontal plate/process Greater palatine foramen Posterior nasal spine 11) Mandible Body Angle Ramus Base Coronoid process Condylar process Head (part of condylar process) Neck (part of condylar process) Mental foramen Alveolar border/part Interalveolar septa Mandibular foramen Lingula Mandibular notch Mylohyoid groove Mylohyoid line Sublingual fossa Submandibular fossa Oblique line Mental protuberance 12) Other structures formed by more than one skull bone: Pterion Nasion Temporal fossa Inferior nasal conchae (often considered a separate facial bone rather than a structure) Anterior, middle, and posterior cranial fossas Coronal suture Lambdoidal suture Sagittal suture Squamousal suture -3- 13) Fissures/Foramina: Those you need to know are listed under the appropriate bone(s) above. You should know the cranial nerves that pass through the foramina/fissures (refer to plate 10 of Netter and Table 7.2 of Moore). 14) Sinuses – these will be most easily identified on x-ray films; however, you should be able to identify select sinuses on the disarticulated skull as well: Frontal Ethmoidal Sphenoid Maxillary 15) Auditory ossicles (bones of the middle ear): Malleus Incus Stapes II. Vertebrae A. Identify and describe the curvatures of the spine: Cervical Thoracic Lumbar Sacral Abnormal curvatures of the spine – define/describe: Scoliosis Kyphosis Lordosis B. Identify the vertebrae of the spinal column: Cervical Thoracic Lumbar Sacrum Coccyx C. Vertebral structures – on cervical, thoracic and lumbar vertebrae, identify the following structures: Body/centrum Vertebral canal/foramen Vertebral arch Spinous process (not on C1/atlas) Transverse process Pedicle Lamina Superior vertebral notch Inferior vertebral notch Intervertebral foramen (on articulated spinal column – formed by superior and inferior notches of adjacent vertebrae) Superior articular process and superior articular facet Inferior articular process and inferior articular facet -4- D. Specialized vertebral structures – identify the following structures on the appropriate vertebrae: 1) Cervical vertebrae: Atlas (C1) Lateral mass Superior articular surface (for occipital condyle) Inferior articular surface (for axis) Transverse foramen Anterior tubercle Posterior tubercle Articular facet for dens Anterior arch Posterior arch Axis (C2) Dens (odontoid process) Superior articular facet (for atlas) Inferior articular facet (for C3) Body Transverse foramen All remaining cervical vertebrae (C3-C7): Transverse foramen Distinguish C7 (vertebra prominens) from C3-C6 2) Thoracic vertebrae: Superior costal facet (demifacet) Inferior costal facet (demifacet) Transverse costal facet Distinguish T1 and T12 from other thoracic vertebrae 3) Lumbar vertebrae: Mammillary process Accessory process 4) Sacrum: Base Apex Dorsal versus pelvic surfaces Superior articular process and superior articular facet Lumbosacral articular surface Sacral canal Ala Sacral promontory Sacral hiatus Transverse ridges Anterior and posterior sacral foramina Auricular surface Lateral sacral crest (what structures fused to create this?) Intermediate sacral crest (what structures fused to create this?) Median sacral crest (what structures fused to create this?) Sacral cornu 5) Coccyx: Transverse process Coccygeal cornu -5- III. Thorax - Ribs and Sternum A. Ribs: True vs. false (and false floating) rib (articulated skeleton) Head Neck Tubercle Angle Body Superior articular facet Inferior articular facet Articular facet for transverse process of vertebra Costal groove First rib: Grooves for subclavian vein and artery Costochondral joints (articulated skeleton) Costal cartilage (articulated skeleton) Interchondral joints (articulated skeleton) B. Sternum: Manubrium Manubriosternal articulation (articulated skeleton) Body Xiphoid process (articulated skeleton) Costal notch Clavicular notch Sternoclavicular articulation (articulated skeleton) Sternocostal articulation (articulated skeleton) Jugular notch IV. Pectoral Girdle – Clavicle and Scapula A. Scapula: Costal surface Posterior surface Subscapular fossa Glenoid cavity Coracoid process Acromion (process) Spine of scapula Infraspinous fossa Suprasinous fossa Head of scapula Neck of scapula Suprascapular notch Deltoid tubercle of scapular spine Medial border Lateral border Superior angle Inferior angle Glenohumeral articulation (articulated skeleton) Acromioclavicular articulation (articulated skeleton) -6- B. Clavicle: Sternal end Sternal facet Acromial end Acromial facet Body/shaft Subclavian groove Conoid tubercle Trapezoid line V. Upper Limb A. Humerus: Head Anatomical neck Surgical neck Greater tubercle Crest of greater tubercle Lesser tubercle Crest of lesser tubercle Intertubercular groove/sulcus Deltoid tuberosity Radial groove Medial condyle Medial epicondyle Medial supracondylar ridge Lateral condyle Lateral epicondyle Lateral supracondylar ridge Radial fossa Coronoid fossa Capitulum Trochlea Groove for ulnar nerve Olecranon fossa Know bones of elbow joint B. Radius: Head Neck Radial tuberosity Anterior border Posterior border Interosseous border Styloid process Dorsal tubercle Articular surface for scaphoid bone Articular surface for lunate bone Groove for extensor pollicis longus muscle Groove for extensor digitorum and extensor indicis muscles Groove for extensor carpi radialis longus and brevis muscles Ulnar notch -7- C. Ulna: Olecranon Trochlear notch Ulnar tuberosity Radial notch Coronoid process Anterior border Interosseous border Posterior border Styloid process D. Bones of the hand: Carpal bones: Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate Hook of hamate Metacarpals I-V: Know numbering, as well as the dorsal surface, palmar surface, base, shaft and head of each Phalanges: Proximal phalanges Middle phalanges Distal phalanges Know dorsal surface, palmar surface, base, shaft, head and tuberosity (distal phal. only) of each Know bones of wrist joint VI. Pelvic Girdle – Sacrum and Coxal Bones A. Sacrum – covered previously under vertebral section B. Coxal Bone: Ilium: Iliac crest Anterior superior iliac spine Anterior inferior iliac spine Posterior superior iliac spine Posterior inferior iliac spine Gluteal surface Anterior, inferior, and posterior gluteal lines Iliac fossa Greater sciatic notch Arcuate line Auricular surface for sacrum Iliac tuberosity Ischium: Ischial spine Lesser sciatic notch Body Ischial tuberosity Ramus of ischium -8- Coxal bone (continued): Pubis: Pubic tubercle Superior pubic ramus Inferior pubic ramus Symphyseal surface Pectineal line (pecten pubis) Obturator crest Obturator groove Body Other structures of whole coxal bone: Obturator foramen Acetabulum Acetabular notch C. Pelvis Pubic angle Pelvic inlet Sacroiliac joint Greater (false) pelvis Lesser (true) pelvis Female vs. male pelvis VII. Lower Limb A. Femur Head Fovea Neck Body (shaft) Greater trochanter Lesser trochanter Intertrochanteric crest Intertrochanteric line Gluteal tuberosity Linea aspera Popliteal surface Patellar surface Adductor tubercle Lateral epicondyle Medial epicondyle Lateral condyle Medial condyle Intercondylar fossa Nutrient foramen (should be present on all long bones – easiest to see on femur) B. Tibia Lateral condyle Medial condyle Superior articular surfaces Intercondylar eminence Lateral intercondylar tubercle Medial intercondylar tubercle Tibial tuberosity Gerdy’s tubercle -9- Tibia (continued): Anterior border Interosseous border Medial border Medial malleolus Articular facet of medial malleolus Inferior articular surface Groove for tibialis posterior and flexor digitorum longus tendons Soleal line Nutrient foramen C. Fibula Apex Head Neck Anterior border Interosseous border Lateral malleolus Articular facet of lateral malleolus Malleolar fossa of lateral malleolus D. Knee Joint Patella Anterior cruciate ligament Posterior cruciate ligament Lateral meniscus Medial meniscus Fibular collateral ligament Tibial collateral ligament E. Bones of the foot: Tarsal bones: Calcaneus Tuberosity Body Talus Trochlea Cuboid Navicular Lateral, Intermediate, and Medial cuneiform bones Metatarsals I-V: Know numbering, as well as the base, shaft and head of each Phalanges: (sing = phalynx) Proximal phalanges Middle phalanges Distal phalanges Know base, shaft, head and tuberosity (distal phalanges only) of each Know bones of ankle joint - 10 -