Chapter 5 - The Skeletal System 1. Introduction a. The adult skeleton is composed of _____________________________ bones. b. The skeletal system is subdivided into 2 divisions: i. __________________________________ Skeleton ii. __________________________________ Skeleton c. The Skeletal system includes _____________________________________________ _____________________________________________________________________________. 2. Bones: An Overview a. Functions of the Bones i. Support – ____________________________________________________________ _______________________________________________________________________. ii. Protection – _________________________________________________________. iii. Movement – _________________________________________________________ _______________________________________________________________________. iv. Storage – ____________________________________________________________ _______________________________________________________________________. v. Blood Cell Formation – This process is also called _______________________________________________ and occurs within the _______________________________________________________ certain bones. b. Classification of Bones i. There are 2 basic types of bones: 1. Compact Bone = _______________________________________________ 2. Spongy Bone = _________________________________________________ __________________________________________________________________ ii. Bones are classified into 4 groups according to shape: 1. Long Bones – __________________________________________________ __________________________________________________________________ 2. Short Bones – __________________________________________________ __________________________________________________________________ 3. Flat Bones – ___________________________________________________ __________________________________________________________________ __________________________________________________________________ 4. Irregular Bones – ______________________________________________ __________________________________________________________________ 3. Structure of a Long Bone a. Diaphysis i. ____________________________ of the bone ii. Makes up most of the bone’s length and is composed of _________________________________________________. b. Periosteum i. Fibrous connective tissue membrane ii. ________________________________________________________ the diaphysis c. Epiphyses i. ________________________________________________ – proximal and distal ii. Consists of a thin layer of compact bone that encloses an area filled with spongy bone d. Articular Cartilage i. Covers the ___________________________________________________________ ii. It provides a smooth, slippery surface that ________________________ ________________________________________________________________________ e. Medullary Cavity i. The cavity of the shaft that is primarily a storage area for _______________________________________ tissue ii. Also known as the ___________________________________________________ 4. Bone Formation, Growth, and Remodeling a. The skeleton is formed from two of the strongest and most supportive tissues in the body – ______________________________________________________. b. In embryos, the skeleton is primarily made of ___________________________ _____________________________, but in the young child most of the cartilage has been replace by _______________________________. c. Ossification – process of _____________________________________________ and involves 2 phases: i. The hyaline cartilage is completely covered with bone matrix by bone-forming cells called __________________________________________. ii. The hyaline cartilage is digested away, opening a medullary cavity within the newly formed bone. d. Bones are always changing and are remodeled in response to changes in 2 factors: i. ______________________________________________ in the blood 1. If blood calcium levels are too low, __________________________ (bone-destroying cells) break down bone matrix and release _____________________________ into the blood. 2. If blood calcium levels are too high, calcium is deposited in bone matrix as ________________________________________________. ii. The pull of ____________________________________________________ on the skeleton. e. Bone remodeling is essential if bones are to retain normal proportions and strength during long-bone growth as the body increases in size and weight. 5. Bone Fractures a. Bones are susceptible to fractures, or _________________, all through life. b. During youth, most fractures result from exceptional trauma that twists or smashes the bone. In old age, bones thin and weaken, and fractures occur more often. c. 2 common types of fractures: (refer to page 123 for others) i. Simple (closed) Fracture = __________________________________________ ________________________________________________________________________ ii. Compound (open) Fracture = ________________________________________ ________________________________________________________________________ d. Fractures are treated by ___________________________________ – realignment of the broken bone ends 6. Axial Skeleton a. Forms the ____________________________________________________ of the body b. Divided into 3 parts: i. Skull – formed by 2 sets of bones: 1. Cranium – encloses and protects the ________________________; made up of several smaller bones: (pages 126-127) a. Frontal Bone – ___________________________________________ b. Parietal Bones – _________________________________________ c. Temporal Bones – _______________________________________ d. Occipital Bone – _________________________________________ e. Sphenoid Bone – _________________________________________ ____________________________________________________________ f. Ethmoid Bone – __________________________________________ ____________________________________________________________ 2. Facial Bones – hold the eyes in position and allow the facial muscles to show our feelings (page 129) a. Maxillae – ________________________________________________ b. Palatine Bones – _________________________________________ ____________________________________________________________ c. Zygomatic Bones - ______________________________________ d. Lacrimal Bones – ________________________________________ ____________________________________________________________ e. Nasal Bones – ___________________________________________ f. Vomer Bone – ____________________________________________ ____________________________________________________________ g. Inferior Conchae – _______________________________________ ____________________________________________________________ h. Mandible – _______________________________________________ ____________________________________________________________ 3. Fetal Skeleton – The skull of a fetus or newborn infant is different from an adult skull. When a baby is born, its skeleton is unfinished. The skull also has regions that have yet to be converted to bone which are called ___________________________________. These are also known as the “_______________________________________.” ii. Vertebral Column (page 131) 1. Extends from the ______________________________________________ 2. Formed from ________________ irregular bones 3. Running through the central cavity of the vertebral column is the ________________________________ 4. The vertebrae are separated by pads of cartilage ______________________________________________________________ – cushion the vertebrae 5. The spinal cord curves and forms an _________________________ ___________________________________ 6. Abnormal Spinal Curvatures (page 132) a. _________________________________ b. _________________________________ c. _________________________________ 7. Three main types of vertebrae: a. Cervical Vertebrae i. Identified as _______________________________________ ii. Form the ___________________________________________ b. Thoracic Vertebrae i. Identified as _______________________________________ ii. Larger than ________________________________________ c. Lumbar Vertebrae i. Identified as _______________________________________ ii. Where most of the stress on the vertebral column occurs 8. Sacrum - Formed by the _______________________________________ 9. Coccyx – Formed by the fusion of 3 to 5 tiny vertebrae; also known as the human “__________________________________” iii. Bony Thorax – also known as the thoracic cage (page 135) 1. Sternum a. Also known as the _______________________________________ b. A flat bone and the result of the fusion of 3 bones: i. ________________________________________ ii. ________________________________________ iii. ________________________________________ 2. Ribs a. ________________ pairs b. Males DO NOT have one rib less than females!! c. 3 types of ribs: i. True Ribs – _________________________________________ ______________________________________________________ ii. False Ribs – ________________________________________ ______________________________________________________ iii. Floating Ribs – _____________________________________ ______________________________________________________ 7. Appendicular Skeleton a. Composed of _____________ bones of the ___________________________ and __________________________________________________________________ girdles b. Bones of the Shoulder Girdle (page 139) i. Clavicle – also known as the ________________________________________ ii. Scapula – also known as the ________________________________________ c. Bones of the Upper Limbs (page 140 - 141) i. Arm – formed by a single bone = _________________________________ ii. Forearm – 2 bones: 1. ___________________________ – on the _______________________ side 2. ___________________________ – on the _______________________ side iii. Hand – 3 sets of bones: 1. Carpals – _______________________________________________________ 2. Metacarpals – __________________________________________________ 3. Phalanges – ____________________________________________________ d. Bones of the Pelvic Girdle (page 142) i. Formed by 2 coxal bones called ____________________________________ ii. Each hip bone is formed by the fusion of 3 bones: 1. _____________________________ 2. _____________________________ 3. _____________________________ iii. Differences between the male and female pelvis: 1. The female pelvis is ___________________________________________ 2. The female bones are _________________________________________ 3. The female sacrum is _________________________________________ e. Bones of the Lower Limbs (page 144 – 145) i. Thigh – formed by a single bone = __________________________________ ii. Leg – 2 bones: 1. Tibia – __________________________________________________________ 2. Fibula – ________________________________________________________ iii. Foot – 3 sets of bones: 1. Tarsals – _______________________________________________________ 2. Metatarsals – __________________________________________________ 3. Phalanges – ____________________________________________________ 8. Joints a. Also called _____________________________________________ b. 2 main functions: i. ________________________________________________________________________ ii. ________________________________________________________________________ c. Classified in 2 ways: i. Functionally ii. Structurally d. Functional Classification – focuses on the _______________________________ _____________________________ allowed by the joint i. _____________________________________________ Joint ii. _____________________________________________ Joints iii. _____________________________________________ Joints e. Structural Classification – focuses on the type of _______________________ i. Fibrous Joints – bones are united by _______________________________ ii. Cartilaginous Joints – bones are united by _________________________ iii. Synovial Joints – joint cavity contains ______________________________ f. Types of Synovial Joints Based on Shape: i. Plane Joint – _________________________________________________________ ________________________________________________________________________ ii. Hinge Joint – _________________________________________________________ ________________________________________________________________________ iii. Pivot Joint – _________________________________________________________ ________________________________________________________________________ iv. Condyloid Joint – ____________________________________________________ ________________________________________________________________________ v. Saddle Joint – _______________________________________________________ ________________________________________________________________________ vi. Ball-and-Socket Joint – ______________________________________________ ________________________________________________________________________ g. Inflammatory Disorders of Joints: i. Arthritis 1. Inflammation of the ___________________________________ 2. Most ________________________________________________ in the U.S. 3. Symptoms = ___________________________________________________ ii. Osteoarthritis 1. Most common type of ______________________________________ 2. Chronic degenerative condition that affects the _____________ iii. Rheumatoid Arthritis 1. __________________________________________________ disorder 2. Affects more _____________________________________________ 3. The body’s immune system attempts to _____________________ ________________________ iv. Gout 1. ____________________________________ accumulates in the blood and may be deposited as ______________________________________ in the soft tissues of joints 2. Usually affects the _______________________________________