Chapter 08
Lecture Outline
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1
Introduction
• Many organs are named for their relationships to
nearby bones
• Understanding muscle movements also depends on
knowledge of skeletal anatomy
• Positions, shapes, and processes of bones can
serve as landmarks for clinicians
8-2
Overview of the Skeleton
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Skull
Pectoral
girdle
• Axial skeleton is
colored beige
Parietal bone
Frontal bone
Occipital bone
Maxilla
Mandible
Mandible
Clavicle
Clavicle
Scapula
Scapula
– Forms central
supporting axis of
body
– Skull, vertebrae,
sternum, ribs,
sacrum, and hyoid
Sternum
Humerus
Thoracic Ribs
cage
Costal cartilages
Vertebral column
Pelvis
Hip bone
Sacrum
Ulna
Radius
Coccyx
• Appendicular
skeleton is colored
green
Carpus
Metacarpal
bones
Phalanges
–
–
–
–
Femur
Patella
Fibula
Tibia
Figure 8.1
Metatarsal bones
Tarsus
Phalanges
(a) Anterior view
Pectoral girdle
Upper extremity
Pelvic girdle
Lower extremity
8-3
(b) Posterior view
Bones of the Skeletal System
• Number of bones
– 206 in typical adult skeleton
• Varies with development of sesamoid bones
– Bones that form within tendons (e.g., patella)
• Varies with presence of sutural (wormian) bones in
skull
– Extra bones that develop in skull suture lines
– 270 bones at birth, but number decreases with fusion
8-4
Anatomical Features of Bones
• Bone markings—ridges, spines, bumps,
depressions, canals, pores, slits, cavities, and
articular surfaces
• Ways to study bones
– Articulated skeleton: held together by wire
and rods, shows spatial relationships between
bones
– Disarticulated bones: taken apart so their
surface features can be studied in detail
8-5
Anatomical Features of Bones
8-6
Anatomical Features of Bones
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Lines
Crest
Sinuses
Foramen
Fovea
Head
Meatus
Crest
Trochanters
Process
Condyle
Spine
Head
Tubercle
Alveolus
Foramen
Tuberosity
(a) Skull (lateral view)
Line
Process
Fossae
Spine
Epicondyles
Fossae
Condyles
(b) Scapula (posterior view)
Figure 8.2
(c) Femur
(posterior view)
(d) Humerus
(anterior view)
8-7
The Skull
• Expected Learning Outcomes
– Distinguish between cranial and facial bones.
– Name the bones of the skull and the anatomical
features.
– Identify the cavities in the skull and in some of its
individual bones.
– Name the principal sutures that join the bones of the
skull.
– Describe some bones that are closely associated with
the skull.
– Describe the development of the skull from infancy
through childhood.
8-8
The Skull
• Skull—most complex part of skeleton
• 22 bones joined together by sutures (immovable
joints)
• Several cavities—cranial cavity (brain case),
orbits (eye sockets), nasal cavity, oral (buccal)
cavity, middle- and inner-ear cavities, and
paranasal sinuses
8-9
The Skull
• Foramina—holes that allow passage for nerves and blood
vessels
• Paranasal sinuses—frontal, sphenoid, ethmoid, maxillary
– Lined by mucous membrane and are air-filled
– Act as chambers that add resonance to the voice; lighten the skull
8-10
The Skull
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Cranial cavity
Ethmoid
air cells
Frontal bone
Ethmoid bone
Orbit
Superior
Nasal
conchae
Middle
Zygomatic
bone
Inferior
Maxilla
Maxillary
sinus
Vomer
Nasal cavity
Oral
cavity
Mandible
Figure 8.7
8-11
Cranial Bones
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Frontal lobe
Anterior cranial
fossa
Temporal lobe
Middle cranial
fossa
Cerebellum
Posterior cranial
fossa
Posterior cranial fossa
Middle cranial fossa
Anterior cranial fossa
(a) Superior view
(b) Lateral view
Figure 8.9
• Cranium (braincase)
– Meninges (membranes) separate brain from bones
• Dura mater is thickest membrane
– Consists of two parts: calvaria (skullcap) and cranial base
8-12
Cranial Bones
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Frontal lobe
Anterior cranial
fossa
Temporal lobe
Middle cranial
fossa
Cerebellum
Posterior cranial
fossa
Posterior cranial fossa
Middle cranial fossa
Anterior cranial fossa
(a) Superior view
Figure 8.9
(b) Lateral view
• Base is divided into three basins that comprise the cranial floor
– Anterior cranial fossa holds the frontal lobe of the brain
– Middle cranial fossa holds the temporal lobes of the brain
– Posterior cranial fossa contains the cerebellum
• 8 cranial bones: 1 frontal, 2 parietal, 2 temporal, 1 occipital,
1 sphenoid, 1 ethmoid
8-13
The Frontal Bone
• Forms forehead and part of
the roof of the cranium
• Coronal suture—posterior
boundary of frontal bone
• Supraorbital margin—ridge
of bone deep to eyebrow
• Supraorbital foramen
provides passage for nerve,
artery, and vein
• Glabella—smooth area
above root of the nose
• Contains frontal sinus
Figure 8.3
8-14
The Parietal Bones
• Form most of cranial roof and
part of its lateral walls
• Bordered by four sutures
Figure 8.4a
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Anterior
–
–
–
–
Sagittal: between parietal bones
Coronal: at anterior margin
Lambdoid: at posterior margin
Squamous: at lateral border
• Two temporal lines for
attachment of the temporalis
muscle
Frontal bone
Coronal suture
Parietal bone
Sagittal suture
Sutural bone
Parietal foramen
Lambdoid suture
Figure 8.6
Occipital bone
Posterior
8-15
The Temporal Bones
Figure 8.4a
• Temporal bone: lateral wall and
part of floor of cranial cavity
• Four parts: squamous, tympanic,
mastoid, and petrous
• Squamous part
– Encircled by squamous suture
– Zygomatic process
– Mandibular fossa
• Tympanic part
– External auditory meatus
– Styloid process
• Mastoid part
– Mastoid process
– Mastoid notch
– Mastoid foramen
– Stylomastoid foramen
8-16
The Temporal Bones
(Continued)
• Petrous part
Figure 8.5b
– Part of cranial floor
– Separates middle from posterior
cranial fossa
– Houses middle- and inner-ear
cavities
– Receptors for hearing and
balance
– Internal auditory meatus—
opening for CN VIII
(vestibulocochlear nerve)
– Carotid canal
– Jugular foramen
8-17
The Temporal Bones
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Squamous suture
Squamous part
Mastoid part
Zygomatic process
Mandibular fossa
Mastoid notch
Mastoid process
Styloid process
External acoustic
meatus
Tympanic part
(a) Lateral surface
Squamous suture
Squamous part
Petrous part
Zygomatic
process
Internal acoustic
meatus
Mastoid process
Styloid process
(b) Medial surface
Figure 8.10
8-18
The Occipital Bone
• Rear and base of skull
• Foramen magnum opening for
spinal cord
• Basilar part—thick median plate
• Occipital condyles—knobs
resting on spinal column
– Condylar canal, posterior to
occipital condyle (only present in
some people)
• Hypoglossal canal transmits
hypoglossal nerve (CN XII)
• External occipital protuberance
for nuchal ligament
• Superior and inferior nuchal
lines for neck muscle attachment
Figure 8.5a
8-19
The Sphenoid Bone
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Lesser wing
Dorsum sellae
Greater wing
Superior orbital
fissure
Foramen
rotundum
Body
Foramen ovale
• Body
• Greater wing
Lateral pterygoid plate
Medial pterygoid plate
Pterygoid processes
(b) Posterior view
Figure 8.11b
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• Lesser wing
• Optic canal
Diploe (spongy bone)
Frontal bone
Cribriform plate
of ethmoid bone
Crista galli
Cribriform foramina
Sphenoid bone
Optic foramen
Foramen rotundum
Foramen ovale
Foramen spinosum
Internal acoustic
meatus
Jugular foramen
Sella turcica
• Anterior
clinoid
processes
Temporal bone
Petrous part of
temporal bone
Parietal bone
Foramen magnum
Groove for
venous sinus
Hypoglossal canal
Occipital bone
• Superior
orbital fissure
• Sella turcica
(b) Superior view of cranial floor
Figure 8.5b
8-20
The Sphenoid Bone
• Foramen
rotundum
• Foramen ovale
Figure 8.11a
• Foramen
lacerum
• Posterior nasal
apertures or
choanae
• Medial and
lateral pterygoid
plates
• Sphenoid sinus
Figure 8.5b
8-21
The Sphenoid Bone
Figure 8.4b
8-22
The Sphenoid Bone
Figure 8.5a
8-23
The Ethmoid Bone
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Cribriform
plate
Cribriform
foramina
Crista galli
Orbital plate
Superior
nasal concha
Ethmoidal
cells
Middle
nasal concha
Perpendicular
plate
Figure 8.12
• Located between eyes
• Contributes to medial
wall of orbit, walls and
roof of nasal cavity, and
nasal septum
• Perpendicular plate
forms superior two-thirds
of nasal septum
• Cribriform plate forms
roof of nasal cavity
• Crista galli: blade,
attachment for dura
• Cribriform (olfactory)
foramina
• Labyrinth forms lateral
masses
- Ethmoidal cells
- Orbital plate
8-24
The Ethmoid Bone
Figure 8.14
8-25
The Ethmoid Bone
Figure 8.4b
• Superior and middle nasal conchae—scroll-like plates that
project into the nasal fossa
• Along with an inferior concha (a separate bone), these
plates occupy most of the nasal cavity, create turbulence
of airflow, and help humidify air
8-26
The Ethmoid Bone
Figure 8.13
8-27
Facial Bones
• Facial bones (14)—skull bones anterior to the cranial
cavity (do not enclose brain)
–
–
–
–
Support teeth
Give shape to face
Form part of orbital and nasal cavities
Provide attachments for muscles of facial expression and
mastication
2 maxillae
2 palatine bones
2 zygomatic bones
2 lacrimal bones
2 nasal bones
2 inferior nasal conchae
1 vomer
1 mandible
8-28
The Maxillae
• Largest facial bones
• Forms upper jaw and meets at
median intermaxillary suture
– Alveolar processes: bony points
between teeth
– Alveolus: sockets that hold teeth
– Cleft palate and cleft lip occur
when the two maxillae fail to join
at the suture
Figure 8.3
8-29
The Maxillae
Figure 8.5a
8-30
The Maxillae
(Continued)
• Forms inferomedial wall of orbit
– Infraorbital foramen
– Inferior orbital fissure
• Forms most of the hard palate
–
–
–
–
Forms roof of mouth and floor of nasal cavity
Palate allows us to chew while breathing
Palatine process
Incisive foramen
8-31
The Maxillae
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Sphenoid
sinus
Frontal
sinus
Ethmoid
sinus
Maxillary
sinus
Figure 8.8
Figure 8.8
• Maxillary sinus fills maxillae bone
• Larger in volume than frontal, sphenoid, and
ethmoid sinuses
8-32
The Palatine Bones
• L-shaped bones
• Form posterior
portion of the hard
palate
• Part of lateral nasal
cavity wall
• Part of the orbital
floor
• Greater palatine
foramina
Figure 8.13
8-33
The Palatine Bones
Figure 8.5a
8-34
The Zygomatic Bones
• Form angles of
cheekbones and part
of each lateral orbital
wall
• Zygomaticofacial
foramen
Figure 8.4a
• Zygomatic arch is
formed from temporal
process of zygomatic
bone and zygomatic
process of temporal
bone
8-35
The Lacrimal Bones
• Form part of medial
wall of each orbit
• Smallest bone of
skull
• Lacrimal fossa
houses lacrimal sac
Figure 8.4a
– Tears collect in sac
and drain into nasal
cavity
8-36
The Nasal Bones
• Form bridge of nose
• Support cartilages
that shape lower
portion of the nose
• Often fractured
Figure 8.3
8-37
The Inferior Nasal Conchae
• Inferior nasal concha
is largest of three
conchae in the nasal
cavity
– It is separate from the
other conchae that are
parts of the ethmoid
bone
Figure 8.13
8-38
The Vomer
• Inferior half of the
nasal septum
– Inferior to perpendicular
plate of ethmoid
• Supports cartilage
that forms anterior
part of nasal septum
Figure 8.4b
8-39
The Mandible
• Strongest bone of skull
– Only one to noticeably move
• Supports lower teeth
– Alveolar processes between teeth
• Provides attachments for muscles
of expression and mastication
• Mental symphysis—joint at midline
– Ossifies in early childhood
– Mental protuberance—point of chin
• Mental foramen on anterolateral
surface
Figure 8.15
– For nerves and vessels of chin
• Mandibular foramen on medial
surface
– For nerves and vessels of lower teeth
8-40
The Mandible
• Major parts
– Body: supports teeth
– Ramus: articulates with cranium
– Angle—where body meets ramus
• Features of ramus
Figure 8.15
– Condylar process with
mandibular condyle that articulates
with temporal bone forming TMJ
(temporomandibular joint)
– Coronoid process for temporalis
muscle
– Mandibular notch between
processes
8-41
Bones Associated with the Skull
• Auditory ossicles
– Three in each middle-ear cavity
– Malleus, incus, and stapes
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• Hyoid bone
– Slender U-shaped bone
between chin and larynx
– Does not articulate with any
other bone
– Suspended from styloid
process of skull
– Body and greater and lesser
horns (cornua)
– Fractured hyoid bone is
evidence of strangulation
Styloid process
Stylohyoid muscle
Hyoid
Lesser horn
Larynx
Greater horn
Body
Figure 8.16
8-42
The Skull in Infancy and Childhood
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Coronal
suture
Frontal
bone
Parietal bone
Sphenoid
fontanel
Lambdoid
suture
Nasal
bone
Squamous
suture
Maxilla
Occipital bone
Zygomatic
bone
Mastoid
fontanel
Temporal bone
Mandible
Sphenoid
bone
(a) Lateral view
• Fontanels—spaces between
unfused cranial bones
– Contain fibrous membrane
– Allow shifting of bones during
birth and growth of brain
– Anterior, posterior,
sphenoid (anterolateral), and
mastoid (posterolateral)
fontanels
Frontal bone
• Two frontal bones fuse by age
6 (metopic suture)
Anterior fontanel
Sagittal suture
Parietal
bone
• Skull approaches adult size
by 8 or 9 years of age
Posterior fontanel
(b) Superior view
Figure 8.17
8-43
The Vertebral Column and
Thoracic Cage
• Expected Learning Outcomes
– Describe the general features of the vertebral column
and those of a typical vertebra.
– Describe the structure of the intervertebral discs and
their relationship to the vertebrae.
– Describe the special features of vertebrae in different
regions of the vertebral column, and discuss the
functional significance of the regional differences.
– Describe the anatomy of the sternum and ribs and
how the ribs articulate with the thoracic vertebrae.
8-44
General Features of the
Vertebral Column
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• Functions of spine
– Supports skull and trunk and allows
for their movement
– Protects spinal cord
– Absorbs stresses of movements
– Provides attachments for limbs,
thoracic cage, and postural muscles
• 33 vertebrae with intervertebral
discs between most of them
– Discs account for about one-quarter
of spine’s 71 cm length (on average)
– Discs compress a bit during the day
due to pressure of body weight
Anterior view
Posterior view
Atlas (C1)
Axis (C2)
Cervical vertebrae
C7
T1
Thoracic vertebrae
T12
L1
Lumbar vertebrae
L5
S1
Sacrum
S5
Coccyx
Figure 8.18
Coccyx
8-45
General Features of the
Vertebral Column
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Anterior view
• Five vertebral groups
–
–
–
–
7 cervical in the neck
12 thoracic in the chest
5 lumbar in lower back
5 fused sacral at base
of spine
– 4 fused coccygeal
• Variations in number
of vertebrae occur in 1
in 20 people
– Generally in the number
of fused vertebrae in
inferior part of spine
Posterior view
Atlas (C1)
Axis (C2)
Cervical vertebrae
C7
T1
Thoracic vertebrae
T12
L1
Lumbar vertebrae
L5
S1
Sacrum
S5
Coccyx
Figure 8.18
Coccyx
8-46
General Features of the
Vertebral Column
• Primary curvature: spine
exhibits one continuous Cshaped curve at birth (convex)
– This persists as the curvature of
the thoracic and pelvic spine
• With crawling and walking,
secondary curvatures
develop in cervical and lumbar
areas (concave)
– Vertebral column is S-shaped
beyond the age of 3 years
Figure 8.20
8-47
General Features of the
Vertebral Column
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C1
Cervical curvature
C7
T1
Thoracic curvature
T12
L1
• S-shaped vertebral column
with four normal
curvatures
– Cervical
– Thoracic
– Lumbar
– Pelvic
Lumbar curvature
L5
S1
Pelvic curvature
Figure 8.19
8-48
Abnormal Spinal Curvatures
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• Abnormalities result from
disease, paralysis of trunk
muscles, poor posture,
pregnancy, or congenital
defects
• Scoliosis—abnormal lateral
curvature
(a) Scoliosis
(b) Kyphosis
(“hunchback”)
Key
Normal
Pathological
Figure 8.21
(c) Lordosis
(“swayback”)
–
–
–
–
Most common
Usually in thoracic region
Particularly of adolescent girls
Developmental abnormality in
which the body and arch fail to
develop on one side of the
vertebrae
8-49
Abnormal Spinal Curvatures
• Kyphosis (hunchback)—exaggerated thoracic
curvature
– Usually from osteoporosis, also osteomalacia or spinal
tuberculosis, wrestling or weight lifting in young boys
• Lordosis (swayback)—exaggerated lumbar
curvature
– From pregnancy or obesity
8-50
General Structure of Vertebra
• Body (centrum)
– Spongy bone (with red
marrow) covered with a shell
of compact bone
– Weight-bearing portion
– Rough surfaces enhance
attachment of intervertebral
discs
• Vertebral foramina
– Collectively form vertebral
canal for spinal cord
• Vertebral arch
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Posterior
Spinous process
Lamina
Superior articular
facet
Vertebral
arch
Transverse
process
Pedicle
Vertebral foramen
Body
Anterior
Figure 8.22a
– Pedicle: pillar-like
– Lamina: plate-like
• Spinous process
– Projects from arch
– Bump that is visible under
skin
8-51
General Structure of Vertebra
• Transverse process
– Extends laterally from point
where pedicel and lamina
meet
• Superior articular
processes
– Project upward from one
vertebra and meets
inferior articular
processes from the
vertebra above
• Facets
– Flat articular surfaces
covered with hyaline
cartilage
Figure 8.23a
8-52
General Structure of Vertebra
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• Intervertebral foramen
Superior articular
process of L1
Inferior vertebral
notch of L1
L1
Intervertebral
foramen
Superior vertebral
notch of L2
L2
Spinous process
Intervertebral disc
L3
Inferior articular
process of L3
(b) Left lateral view
– Opening between pedicles
of two adjoining vertebrae
– Passageway for spinal
nerves
– Inferior vertebral notch in
the pedicle of the upper
vertebra
– Superior vertebral notch
in the pedicle of the lower
vertebra
Figure 8.23b
8-53
Intervertebral Discs
• Intervertebral discs (23)
– Pad consisting of:
• Nucleus pulposus—inner
gelatinous mass
• Anulus fibrosus—outer ring of
fibrocartilage
–
–
–
–
Bind vertebrae together
Support weight of the body
Absorb shock
Herniated disc (“ruptured” or
“slipped” disc) puts painful
pressure on spinal nerve or
spinal cord
Figure 8.22b,c
8-54
Regional Characteristics of Vertebrae
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Superior views
Lateral views
Spinous process
Lamina
Superior articular facet
Transverse foramen
Transverse process
Body
Spinous process
(a) Cervical vertebrae
Figure 8.25a
Inferior articular process
•
•
•
•
Cervical vertebrae (C1-C7) are small and light
Bifid or forked spinous processes in C2 to C6
Small body and large vertebral foramen
Transverse foramen in each short transverse process
– Provides passage for vertebral artery and vertebral vein
• C1 = atlas; C2 = axis
• C7 = vertebra prominens—prominent spinous process
8-55
Cervical Vertebrae
• Atlas (C1)
Figure 8.24a
– Supports the head
– Has no body; consists of
delicate ring around large
vertebral foramen
– Lateral masses
• Superior articular facets
articulate with occipital
condyles forming atlanto–
occipital joint; allows
nodding “yes”
• Inferior articular facets
articulate with C2
– Anterior and posterior arches
• Anterior and posterior
tubercles
8-56
Cervical Vertebrae
• Axis (C2)
Figure 8.24b
– Allows head rotation gesturing
“no”
– Dens or odontoid process—
prominent knob on its
anterosuperior side
• Fuses with axis by age 3 to 6
years
• Projects into vertebral
foramen of the atlas
• Held in place by a
transverse ligament
– Atlantoaxial joint: between
atlas and axis
8-57
Atlas and Axis Articulation
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Axis of rotation
Dens
Atlas
Transverse
ligament
Axis
Figure 8.24c
(c) Atlantoaxial joint
8-58
The Thoracic Vertebrae
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Spinous process
Lamina
Transverse costal facet
Superior articular facet
Transverse process
Superior costal facet
Transverse costal facet
Inferior costal facet
Body
Inferior articular facet
(b) Thoracic vertebrae
Figure 8.25b
Spinous process
• 12 thoracic vertebrae (T1–T12)
– Correspond to the 12 pairs of ribs attached to them
• Spinous processes pointed and angled sharply downward
• Have larger body than cervical, but smaller than lumbar
• Superior and inferior costal facets for attachment of ribs
– On body as small, smooth, slightly concave spots
• Transverse costal facets at end of each transverse process T1–T10
– Provide second point of articulation for ribs 1–10
8-59
The Lumbar Vertebrae
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Spinous process
Superior articular facet
Superior articular process
Transverse process
Pedicle
Body
(c) Lumbar vertebrae
Figure 8.25c
Spinous process
Inferior articular facet
• Five lumbar vertebrae (L1–L5)
• Thick, stout body
• Blunt, squarish spinous process
• Superior articular processes face medially
– Lumbar region resistant to twisting movements
8-60
The Sacrum
• Sacrum—bony plate that forms
posterior wall of pelvic cavity
• Five separate sacral vertebrae
Superior articular
process
(S1–S5) begin fusing around
age 16 and complete fusion by
Sacral
promontory
age 26
• Anterior surface
– Smooth and concave
– Four transverse lines indicate
regions of fusion
– Four pairs of large anterior
sacral (pelvic) foramina
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Ala
S1
S2
Transverse lines
S3
Anterior sacral
foramina
S4
S5
Coccyx
Co2 Co1
Co3
Co4
(a) Anterior view
Figure 8.26a
• Allow passage of nerves and
arteries to pelvic organs
– Sacral promontory—ridge
jutting from front of S1
8-61
The Sacrum
(Continued)
Figure 8.26b
• Posterior surface very rough
– Median sacral crest—fusion of
spinous processes
– Lateral sacral crests—fusion of
transverse processes
– Posterior sacral foramina—four
pairs of openings for nerves to
gluteal region and lower limbs
• Sacral canal runs vertically through
sacrum and ends as sacral hiatus
– Contains spinal nerve roots
• Auricular surface is part of sacroiliac
(SI) joint formed with hip bone
• Superior articular processes on S1;
articulates with L5
• Alae—pair of large, wing-like extensions
lateral to the superior articular
processes
8-62
The Coccyx
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Superior articular
process
Sacral canal
Median
sacral crest
Auricular
surface
Lateral sacral
crest
Posterior sacral
foramina
Sacral hiatus
Horn
Transverse
process
Coccyx
(b) Posterior view
Figure 8.26b
• Coccyx—usually consists
of four small vertebrae
(Co1–Co4); sometimes five
• Fuse into single,
triangular bone by age 20
to 30
• Horns (cornua) on Co1
– Serve as attachment points
for ligaments that bind
coccyx to sacrum
• Fractured during difficult
childbirth or by hard fall
• Provides attachment for
muscles of the pelvic
floor
8-63
The Thoracic Cage
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Sternoclavicular joint
Sternum:
Acromioclavicular joint
T1
1
Pectoral girdle:
Clavicle
Scapula
Suprasternal notch
Clavicular notch
Manubrium
2
Angle
3
Body
4
True ribs (1–7)
5
Xiphoid process
6
7
Costal cartilages
11
8
False ribs (8–12)
Floating ribs
(11–12)
12
9
10
T12
L1
Costal margin
Figure 8.27
• Thoracic cage consists
of thoracic vertebrae,
sternum, and ribs
• Encloses lungs and heart
– Also provides some
protection of spleen, liver
kidneys
• Provides attachment for
pectoral girdle and upper
limbs
• Broad base, narrower
apex
• Rhythmically expanded
by respiratory muscles
to draw air into lungs
• Costal margin—inferior
border of thoracic cage
formed by arc of lower ribs
8-64
The Sternum
• Sternum (breastbone)—bony plate anterior to the heart
• Divided into three regions
– Manubrium
• Broad superior portion
• Suprasternal (jugular) notch
• Clavicular notches—articulate with clavicle
– Body (gladiolus)
• Longest part of sternum
• Sternal angle—point where body joins manubrium
• Ribs attach along scalloped lateral margins
– Xiphoid
• Inferior point of sternum
• Attachment for some abdominal muscles
• CPR (cardiopulmonary resuscitation) should avoid pressure against
the xiphoid to avoid internal bleeding
8-65
The Ribs
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Sternoclavicular joint
Sternum:
Acromioclavicular joint
T1
1
Pectoral girdle:
Clavicle
Scapula
Suprasternal notch
Clavicular notch
Manubrium
2
Angle
3
Body
4
True ribs (1–7)
5
Xiphoid process
6
7
Costal cartilages
11
8
False ribs (8–12)
Floating ribs
(11–12)
• 12 pairs of ribs
12
9
10
T12
L1
Costal margin
- Posterior (proximal)
ends attached to
vertebral column
- Most ribs’ anterior
(distal) ends attached
to sternum
• Costal cartilages
(made of hyaline
cartilage) attach rib
to sternum
Figure 8.27
8-66
The Ribs
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Tubercle
Neck
Head
Superior Inferior
Angle
Articular facet
for transverse
process
Articular facets
for vertebral bodies
Costal groove
Shaft
Figure 8.28b
(b) Ribs 2–10
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Superior
articular
facet
Transverse
costal facet
for rib 6
• Head—portion of rib that
articulates with bodies of
thoracic vertebrae
– Superior and inferior articular
facets
• Neck—narrow portion distal
to the head
• Tubercle—wider, rough
area distal to the neck
– Articulates with transverse
costal facet of vertebra
Tubercle
Superior
costal
facet
for rib 6
Neck
T6
(b) Superior view
Rib 6
Head
Figure 8.29b
8-67
The Ribs
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Tubercle
Neck
Head
Superior Inferior
Angle
Articular facet
for transverse
process
Articular facets
for vertebral bodies
• Angle—lateral curve of
rib
• Shaft—long, gentle
sloping, blade-like portion
of rib
– Costal groove on inferior
margin of shaft
Costal groove
Shaft
(b) Ribs 2–10
Figure 8.28b
8-68
The Ribs
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Inferior costal
facet of T5
Vertebral
body T5
Superior articular
facet of rib 6
Vertebral
body T6
Inferior articular
facet of rib 6
Superior costal
facet of T6
Rib 6
(a) Anterior view
Superior
articular
facet
Transverse
costal facet
for rib 6
Tubercle
Superior
costal
facet
for rib 6
T6
Neck
Head
Rib 6
Figure 8.29
8-69
(b) Superior view
The Ribs
• True ribs (ribs 1–7)
– Each is directly connected to
sternum
• False ribs (ribs 8–12)
Figure 8.27
– Lack independent
connections to sternum
– Floating ribs (ribs 11–12)
• Do not have cartilaginous
connection to sternum or
higher costal cartilages
• Do not have tubercles or
attachments to transverse
processes of vertebra
8-70
The Pectoral Girdle and
Upper Limb
• Expected Learning Outcome
– Identify and describe the features of the clavicle,
scapula, humerus, radius, ulna, and bones of the
wrist and hand.
8-71
The Pectoral Girdle
• Pectoral girdle (shoulder girdle) supports the arm
• Consists of two bones on each side of the body
– Clavicle (collarbone) and scapula (shoulder blade)
• Clavicle articulates medially to the sternum and
laterally to the scapula
– Sternoclavicular joint
– Acromioclavicular joint
• Scapula articulates with the clavicle and the humerus
– Glenohumeral joint: shoulder joint
– Easily dislocated due to loose attachment
8-72
The Clavicle
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Sternal
end
Acromial
end
Conoid tubercle
(a) Superior view
Conoid tubercle
Sternal
end
Acromial
end
(b) Inferior view
•
•
•
•
•
•
Figure 8.30
Clavicle—S-shaped, somewhat flattened bone
Sternal end—hammer-like head
Acromial end—flattened
Conoid tubercle—rough bump near acromial end
Braces shoulder, keeps arm away from midline
Frequently fractured
8-73
The Scapula
• Scapula—named for resemblance to a shovel
• Triangular plate that posteriorly overlies ribs 2
to 7
– Three sides: superior, medial, and lateral borders
– Three angles: superior, inferior, and lateral angles
• Suprascapular notch—conspicuous notch on
superior border
– Provides passage for a nerve
• Spine—transverse ridge on posterior surface
– Supraspinous fossa: indentation superior to the spine
– Infraspinous fossa: broad surface inferior to the spine
8-74
The Scapula
• Subscapular fossa—concave, anterior surface of
scapula
• Lateral angle of scapula has three main features
– Acromion: plate-like extension of the spine
• Forms apex of the shoulder
• Articulates with clavicle—sole point of attachment of
scapula and upper limb to the rest of the skeleton
– Coracoid process: shaped like a bent finger
• Provides attachment for tendons of biceps brachii and
other arm muscles
– Glenoid cavity: shallow socket that articulates with the
head of the humerus
• Helps form glenohumeral joint
8-75
The Scapula
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Superior
border
Suprascapular
notch
Superior angle
Acromion
Acromion
Supraspinous
fossa
Coracoid
process
Glenoid
cavity
Lateral
angle
Spine
Subscapular
fossa
Infraspinous
fossa
Lateral
border
Medial
border
Inferior angle
(a) Anterior view
(b) Posterior view
Figure 8.31
8-76
The Upper Limb
• Upper limb is divided into four regions containing
a total of 30 bones per limb
– Brachium (arm proper): extends from shoulder to elbow
• Contains only 1 bone—humerus
– Antebrachium (forearm): extends from elbow to wrist
• Contains 2 bones—radius and ulna
– Carpus (wrist)
• Contains 8 small bones arranged in two rows
– Manus (hand)
• 19 bones in two groups
– 5 metacarpals in palm
– 14 phalanges in fingers
8-77
The Humerus
• Proximal end
– Hemispherical head
that articulates with
the glenoid cavity of
scapula
– Anatomical neck
– Greater and lesser
tubercles and deltoid
tuberosity
– Intertubercular
sulcus holds biceps
tendon
– Surgical neck
Figure 8.32
8-78
The Humerus
• Distal end
– Rounded capitulum
articulates with head of
radius
– Trochlea articulates
with ulna
– Lateral and medial
epicondyles
– Lateral and medial
supracondylar ridges
– Olecranon fossa holds
olecranon process of
ulna
– Coronoid fossa
– Radial fossa
Figure 8.32
8-79
The Radius
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Olecranon
Olecranon
Trochlear notch
Radial notch
of ulna
Head of
radius
Neck of
radius
Coronoid process
Ulnar tuberosity
Head of
radius
Neck of
radius
Radial
tuberosity
Ulna
Radius
Interosseous
borders
Interosseous
membrane
Ulnar notch
of radius
Head of ulna
Styloid process
Styloid
process
Articular facets
(a) Anterior view
Figure 8.33
Styloid
process
• Radius
– Head: disc-shaped, allows
for rotation during pronation
and supination
• Superior surface
articulates with
capitulum on humerus
• Side of disc spins on
radial notch on ulna
– Neck
– Radial tuberosity for
biceps muscle
– Styloid process can be
palpated near thumb
– Ulnar notch
accommodates head of
ulna
(b) Posterior view
8-80
The Ulna
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Olecranon
Olecranon
Trochlear notch
Radial notch
of ulna
Head of
radius
Neck of
radius
Head of
radius
Coronoid process
Neck of
radius
Ulnar tuberosity
Radial
tuberosity
Ulna
Radius
Interosseous
borders
– Ligament attaches radius to
ulna along interosseous
margin of each bone
Ulnar notch
of radius
Head of ulna
Styloid process
Styloid
process
Articular facets
(a) Anterior view
– Trochlear notch articulates
with trochlea of humerus
– Olecranon: bony point at
back of elbow
– Coronoid process
– Radial notch holds head of
radius
– Styloid process
• Interosseous membrane
Interosseous
membrane
Styloid
process
• Ulna
(b) Posterior view
Figure 8.33
8-81
The Carpal Bones
• Eight bones form wrist
– Allow movements of flexion, extension, abduction,
and adduction
• Two rows (four bones each)
– Proximal row: scaphoid, lunate, triquetrum, and
pisiform
• Pisiform is a sesamoid developed by age 9 to12 in
tendon of flexor carpi ulnaris muscle
– Distal row: trapezium, trapezoid, capitate, and
hamate
8-82
The Right Wrist and Hand
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Distal phalanx II
Middle phalanx II
Key to carpal bones
Distal row
Proximal row
Proximal phalanx II
IV
Head
Phalanges
Body
III
Distal
phalanx I
II
V
Base
I
Proximal
phalanx I
Head
Metacarpal
bones
Body
First
metacarpal
Base
Carpal
bones
Hamulus of hamate
Hamate
Pisiform
Triquetrum
Lunate
(a) Anterior view
Trapezoid
Trapezium
Carpal
Capitate
bones
Scaphoid
Figure 8.34a
8-83
The Metacarpal Bones and the
Phalanges
• Metacarpals—bones of the palm
– Metacarpal I proximal to base of thumb
– Metacarpal V proximal to base of little finger
– Proximal base, body, and distal head
• Phalanges—bones of the fingers
– Thumb or pollex has two phalanges
• Proximal, distal phalanx
– Fingers have three phalanges
• Proximal, middle, distal phalanx
8-84
The Right Wrist and Hand
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Distal phalanx II
Middle phalanx II
Key to carpal bones
Distal row
Proximal row
Proximal phalanx II
IV
Head
Phalanges
Body
III
Distal
phalanx I
II
V
Base
I
Proximal
phalanx I
Head
Metacarpal
bones
Body
First
metacarpal
Base
Carpal
bones
Hamulus of hamate
Hamate
Pisiform
Triquetrum
Lunate
(a) Anterior view
Trapezoid
Trapezium
Carpal
Capitate
bones
Scaphoid
Figure 8.34a
8-85
The Pelvic Girdle and
Lower Limb
• Expected Learning Outcomes
– Identify and describe the features of the pelvic girdle,
femur, patella, tibia, fibula, and bones of the foot.
– Compare the anatomy of the male and female pelvic
girdles and explain the functional significance of the
differences.
8-86
The Pelvic Girdle
• Pelvic girdle—a ring
composed of three
bones
– Two hip (coxal) bones,
also called ossa coxae or
innominate bones
– One sacrum (also part of
vertebral column)
• Pelvis—the pelvic girdle
plus ligaments and
muscles that line the
pelvic cavity and form its
floor
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Iliac
crest
Iliac
fossa
Base of
sacrum
Ilium
Sacroiliac joint
Anterior
superior
iliac spine
Pelvic surface
of sacrum
Anterior inferior
iliac spine
Pelvic inlet
Spine
Coccyx
Acetabulum
Ischium
Body
Interpubic
disc
Ramus
Pubis
Obturator
foramen
Superior ramus
Inferior ramus
Body
Pubic symphysis
(a) Anterosuperior view
Figure 8.35a
8-87
The Pelvic Girdle
• Sacroiliac joint—joins
coxal bone to vertebral
column
– Auricular surface of
ileum to auricular
surface of sacrum
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Iliac
crest
Iliac
fossa
Base of
sacrum
Ilium
Sacroiliac joint
Anterior
superior
iliac spine
Pelvic surface
of sacrum
Anterior inferior
iliac spine
Pelvic inlet
Spine
Coccyx
Acetabulum
Ischium
Body
• Pubic symphysis—the
interpubic disc (of
fibrocartilage) joins
pubic bones anteriorly
Interpubic
disc
Ramus
Pubis
Obturator
foramen
Superior ramus
Inferior ramus
Body
Pubic symphysis
(a) Anterosuperior view
Figure 8.35a
8-88
The Pelvic Girdle
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Iliac
crest
Iliac
fossa
Base of
sacrum
Ilium
Sacroiliac joint
Anterior
superior
iliac spine
Pelvic surface
of sacrum
Anterior inferior
iliac spine
Pelvic inlet
Spine
Coccyx
Acetabulum
Ischium
Body
Interpubic
disc
Ramus
Pubis
Obturator
foramen
Superior ramus
Inferior ramus
Body
Pubic symphysis
(a) Anterosuperior view
Figure 8.35a
Figure 8.35b
•
•
•
•
Greater (false) pelvis—between flare of the hips
Lesser (true) pelvis—narrower and below
Pelvic brim—round margin that separates the two
Pelvic inlet—opening circumscribed by brim that infant’s
head must pass during birth
• Pelvic outlet—lower margin of the lesser pelvis
8-89
The Pelvic Girdle
• Three distinct features
of hip bone
– Iliac crest: superior crest
of hip
– Acetabulum: hip socket
– Obturator foramen:
large hole below
acetabulum
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Ilium
Ischium
Pubis
Iliac crest
Anterior gluteal
line
Inferior gluteal
line
Anterior superior
iliac spine
Posterior gluteal
line
Posterior superior
Iliac spine
Posterior inferior
Iliac spine
Anterior
r
inferior
iliac spine
Greater sciatic notch
Body of ilium
• Each adult hip bone is
formed by the fusion
of three childhood
bones: ilium,
ishchium, pubis
Acetabulum
Superior ramus
of pubis
Ischial spine
Body of pubis
Lesser sciatic notch
Body of ischium
Inferior ramus
of pubis
Ischial tuberosity
Obturator foramen
Ramus of ischium
(a) Lateral view
Figure 8.36a
8-90
• Ilium
–
–
–
–
–
The Pelvic Girdle
Largest bone in hip
Extends from iliac crest to center of the acetabulum
Anterior and posterior superior spine
Anterior and posterior inferior spines
Greater sciatic notch and iliac fossa
• Ischium
–
–
–
–
–
Inferioposterior portion of hip
Heavy body with prominent spine
Lesser sciatic notch
Ischial tuberosity
Ramus
• Pubis (pubic bone)
– Most anterior portion of the hip bone
– Body, superior, and inferior ramus
8-91
The Pelvic Girdle
Figure 8.37
• Male—heavier and thicker
• Female—wider and shallower, and adapted to the needs
of pregnancy and childbirth, larger pelvic inlet and outlet
for passage of infant’s head
8-92
The Pelvic Girdle
8-93
The Lower Limb
• Lower limb divided into four regions containing 30
bones per limb
– Femoral region (thigh): extends from hip to knee region
• Contains femur and patella
– Crural region (leg proper): extends from knee to ankle
• Contains medial tibia and lateral fibula
– Tarsal region (tarsus): ankle—the union of the crural
region with the foot
• Tarsal bones are considered part of the foot
– Pedal region (pes): foot
• Composed of 7 tarsal bones, 5 metatarsals, and 14 phalanges in
the toes
8-94
The Femur
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Fovea capitis
Greater trochanter
Greater trochanter
Head
Neck
Intertrochanteric crest
Intertrochanteric line
Lesser trochanter
Spiral line
Gluteal tuberosity
Linea aspera
Shaft
Medial supracondylar line
Lateral supracondylar
line
Popliteal surface
Lateral epicondyle
Medial epicondyle
Lateral epicondyle
Patellar surface
Lateral condyle
Intercondylar fossa
Medial condyle
Base of patella
Articular facets
Apex of patella
(a) Anterior view
(b) Posterior view
Figure 8.38
• Longest and strongest bone
of the body
• Hemispherical head articulates
with acetabulum of pelvis
– Fovea capitis: pit in head of
femur for attachment of a
ligament
• Greater and lesser
trochanters for muscle
attachment
• Intertrochanteric crest—thick
ridge on posterior surface that
connects the trochanters
• Intertrochanteric line—more
delicate ridge on anterior
surface that connects
trochanters
8-95
The Femur
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Fovea capitis
Greater trochanter
Greater trochanter
Head
Neck
Intertrochanteric crest
Intertrochanteric line
Lesser trochanter
Spiral line
Gluteal tuberosity
Linea aspera
Shaft
• Linea aspera—ridge on
posterior of the shaft
• Spiral (pectineal) line and
gluteal tuberosity
• Medial and lateral condyles
and epicondyles found
distally
Medial supracondylar line
Lateral supracondylar
line
Popliteal surface
Lateral epicondyle
Medial epicondyle
Lateral epicondyle
Patellar surface
• Intercondylar fossa
Lateral condyle
Intercondylar fossa
Medial condyle
Base of patella
Articular facets
Apex of patella
(a) Anterior view
• Patellar and popliteal
surface
(b) Posterior view
Figure 8.38
8-96
The Patella
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Fovea capitis
Greater trochanter
Greater trochanter
Head
Neck
Intertrochanteric crest
Intertrochanteric line
Lesser trochanter
Spiral line
Gluteal tuberosity
Linea aspera
Shaft
Medial supracondylar line
Lateral supracondylar
line
Popliteal surface
Lateral epicondyle
Medial epicondyle
Lateral epicondyle
Patellar surface
Lateral condyle
Intercondylar fossa
Medial condyle
Base of patella
Articular facets
Apex of patella
(a) Anterior view
(b) Posterior view
Figure 8.38
• Patella—triangular
sesamoid bone embedded
in tendon of knee
• Cartilaginous at birth
– Ossifies at age 3 to 6 years
• Base—broad, superior
portion
• Apex—pointed, inferior
portion
• Articular facets—shallow,
posterior portion
• Quadriceps tendon
extends from front of thigh
to patella
– Continues as the patellar
ligament from patella to tibia
8-97
Tibia
• Tibia—thick, medial, leg bone
– Only weight-bearing bone of
the crural region
– Medial and lateral condyles
• Flat surfaces that articulate
with condyles of femur
– Intercondylar eminence—
ridge separating condyles
– Tibial tuberosity—
attachment of patellar
ligament, a continuation of
quadriceps tendon
– Anterior border—sharp,
angular
– Medial malleolus—bony
knob on inside of ankle
Figure 8.39
8-98
The Fibula
• Fibula—slender, lateral strut
that helps stabilize ankle
• Does not bear any body
weight
• Head—proximal end
– Apex—point of the head
• Lateral malleolus—distal
expansion, bony knob on
lateral side of ankle
• Joined to tibia by
interosseous membrane
Figure 8.39
8-99
The Ankle and Foot
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Distal phalanx I
Distal
phalanx V
Proximal phalanx I
Middle
phalanx V
Proximal
phalanx V
Metatarsal
I
II
III
IV
V
Medial cuneiform
Intermediate cuneiform
Lateral cuneiform
Navicular
Cuboid
Talus
Calcaneus
Trochlear surface
of talus
Key to tarsal bones
Distal
group
Tuberosity of calcaneus
(a) Superior (dorsal) view
Figure 8.40a
Proximal group
• Tarsal bones—in ankle
– Differ from carpal bones due to
load-bearing role of the ankle
• Calcaneus—largest tarsal bone
– Forms heel
– Distal portion is point of
attachment for calcaneal
(Achilles) tendon
• Talus is most superior tarsal bone
– Forms ankle joint with tibia and
fibula
– Sits upon calcaneus and
articulates with navicular
• Proximal row of tarsal bones
– Talus, calcaneus, navicular
• Distal row of tarsal bones
– Medial, intermediate, lateral
cuneiforms and cuboid
8-100
The Ankle and Foot
• The rest of the foot bones
resemble the hand bones
in name and arrangement
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
• Metatarsals
Distal phalanx I
Distal
phalanx V
Proximal phalanx I
– Metatarsal I is proximal to the
great toe (hallux)
– Metatarsal V is proximal to the
little toe
– Proximal base, intermediate
shaft, and distal head
Middle
phalanx V
Proximal
phalanx V
Metatarsal
I
II
III
IV
V
Medial cuneiform
Intermediate cuneiform
Lateral cuneiform
Navicular
Cuboid
Talus
• Phalanges
Calcaneus
Trochlear surface
of talus
Key to tarsal bones
Distal
group
Tuberosity of calcaneus
(a) Superior (dorsal) view
Figure 8.40a
Proximal group
– Two in great toe
• Proximal and distal phalanx
– Three in all other toes
• Proximal, middle, distal
phalanx
8-101
The Ankle and Foot
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Thumb
Future
thumb
Elbow
Knee
Future
great toe
(a) Seven weeks
Great toe
(b) Eight weeks
Figure 8.41
• Rotation of upper and lower limbs in opposite directions
–
–
–
–
Starts seventh week of embryonic development
Largest digit medial in foot and lateral in hand
Each limb rotates about 90° in opposite directions
Rotation also explains why elbow flexes posteriorly and knee flexes
8-102
anteriorly
The Ankle and Foot
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Medial
longitudinal arch
Transverse
arch
Lateral
longitudinal
arch
Figure 8.42a
(a) Inferior (plantar) view
• Sole of foot is not flat on
ground
• Three springy arches absorb
stress
– Medial longitudinal arch
• From heel to hallux
• Formed from the
calcaneus, talus, navicular,
cuneiforms, and
metatarsals I and III
• Lateral longitudinal arch
– From heel to little toe
– Includes calcaneus, cuboid,
and metatarsals IV and V
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The Ankle and Foot
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
• Transverse arch
Medial
longitudinal arch
Transverse
arch
Lateral
longitudinal
arch
– Across middle of foot
– Includes the cuboid,
cuneiforms, and proximal
heads of metatarsals
– Arches held together by
short, strong ligaments
• Pes planus (flat feet)—
excessive weight,
repetitious stress, or
congenital weakness
Figure 8.42a
(a) Inferior (plantar) view
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Skeletal Adaptations for Bipedalism
• Humans are only animals habitually bipedal
– 3.6-million-year-old human footprints indicate upright
walking
• Adaptations
– Strong, springy foot arches
– Great toe not opposable
– Femurs angle inward so knees are closer together—
erect posture requires less muscular effort
– Viscera supported in bowl-shaped pelvis
– Insertions of gluteal muscles differ from other
primates
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Skeletal Adaptations for Bipedalism
Figure 8.43a,b
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Skeletal Adaptations for Bipedalism
Figure 8.43c,d,e
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Skeletal Adaptations for Bipedalism
Figure 8.43f
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