The Appendicular Skeleton • Composed of 126 bones – Limbs (appendages) – Pectoral girdle – Pelvic girdle Cranium Skull Facial bones Clavicle Thoracic cage (ribs and sternum) Scapula Sternum Rib Humerus Vertebral column Vertebra Radius Ulna Sacrum Carpals Phalanges Metacarpals Femur Patella Tibia Fibula Tarsals Metatarsals Phalanges (a) Anterior view Figure 5.8a Cranium Bones of pectoral girdle Clavicle Scapula Upper limb Rib Humerus Vertebra Radius Ulna Carpals Bones of pelvic girdle Phalanges Metacarpals Femur Lower limb Tibia Fibula (b) Posterior view Figure 5.8b The Pectoral (Shoulder) Girdle • Composed of two bones – Clavicle—collarbone • Articulates with the sternum medially and with the scapula laterally – Scapula—shoulder blade • Articulates with the clavicle at the acromioclavicular joint • Articulates with the arm bone at the glenoid cavity • These bones allow the upper limb to have exceptionally free movement Acromioclavicular Clavicle joint Scapula (a) Articulated right shoulder (pectoral) girdle showing the relationship to bones of the thorax and sternum Figure 5.23a Posterior Sternal (medial) end Acromial (lateral) end Anterior Superior view Acromial end Sternal end Anterior Posterior Inferior view (b) Right clavicle, superior and inferior views Figure 5.23b Suprascapular notch Coracoid process Superior angle Acromion Glenoid cavity at lateral angle Spine Medial border Lateral border (c) Right scapula, posterior aspect Figure 5.23c Acromion Coracoid process Suprascapular notch Superior border Superior angle Glenoid cavity Lateral (axillary) border Medial (vertebral) border Inferior angle (d) Right scapula, anterior aspect Figure 5.23d Bones of the Upper Limbs • Humerus – Forms the arm – Single bone – Proximal end articulation • Head articulates with the glenoid cavity of the scapula – Distal end articulation • Trochlea and capitulum articulate with the bones of the forearm Greater tubercle Lesser tubercle Head of humerus Anatomical neck Intertubercular sulcus Deltoid tuberosity Radial fossa Coronoid fossa Capitulum (a) Medial epicondyle Trochlea Figure 5.24a Head of humerus Anatomical neck Surgical neck Radial groove Deltoid tuberosity Medial epicondyle Olecranon fossa Trochlea Lateral epicondyle (b) Figure 5.24b Bones of the Upper Limbs • The forearm has two bones – Ulna—medial bone in anatomical position • Proximal end articulation – Coronoid process and olecranon articulate with the humerus – Radius—lateral bone in anatomical position • Proximal end articulation – Head articulates with the capitulum of the humerus Trochlear notch Olecranon Head Neck Radial tuberosity Coronoid process Proximal radioulnar joint Radius Ulna Interosseous membrane Ulnar styloid process Radial styloid process (c) Distal radioulnar joint Figure 5.24c Bones of the Upper Limbs • Hand – Carpals—wrist • Eight bones arranged in two rows of four bones in each hand – Metacarpals—palm • Five per hand – Phalanges—fingers and thumb • Fourteen phalanges in each hand • In each finger, there are three bones • In the thumb, there are only two bones Distal Phalanges (fingers) Middle Proximal Metacarpals (palm) 4 3 2 5 1 Trapezium Hamate Trapezoid Carpals Pisiform (wrist) Triquetrum Scaphoid Capitate Lunate Ulna Radius Figure 5.25 Bones of the Pelvic Girdle • Formed by two coxal (ossa coxae) bones • Composed of three pairs of fused bones – Ilium – Ischium – Pubis • Pelvic girdle = 2 coxal bones, sacrum • Bony pelvis = 2 coxal bones, sacrum, coccyx Bones of the Pelvic Girdle • The total weight of the upper body rests on the pelvis • It protects several organs – Reproductive organs – Urinary bladder – Part of the large intestine lliac crest Sacroiliac joint llium Coxal bone (or hip bone) Sacrum Pubis Pelvic brim Coccyx Ischial spine Acetabulum Pubic symphysis Ischium Pubic arch (a) Figure 5.26a IIium Ala IIiac crest Posterior superior iliac spine Anterior superior iliac spine Posterior inferior iliac spine Anterior inferior iliac spine Greater sciatic notch Acetabulum Ischial body Body of pubis Ischial spine Pubis Ischial tuberosity Ischium Ischial ramus (b) Inferior pubic ramus Obturator foramen Figure 5.26b Gender Differences of the Pelvis • The female inlet is larger and more circular • The female pelvis as a whole is shallower, and the bones are lighter and thinner • The female ilia flare more laterally • The female sacrum is shorter and less curved • The female ischial spines are shorter and farther apart; thus the outlet is larger • The female pubic arch is more rounded because the angle of the pubic arch is greater False pelvis Inlet of true pelvis Pelvic brim Pubic arch (less than 90°) False pelvis Inlet of true pelvis Pelvic brim Pubic arch (more than 90°) (c) Figure 5.26c Bones of the Lower Limbs • Femur—thigh bone – The heaviest, strongest bone in the body – Proximal end articulation • Head articulates with the acetabulum of the coxal (hip) bone – Distal end articulation • Lateral and medial condyles articulate with the tibia in the lower leg Neck Head Intertrochanteric line Lesser trochanter Lateral condyle Patellar surface (a) Figure 5.27a Head Lesser trochanter Gluteal tuberosity Intercondylar fossa Medial condyle (b) Greater trochanter Intertrochanteric crest Lateral condyle Figure 5.27b Bones of the Lower Limbs • The lower leg has two bones – Tibia—Shinbone; larger and medially oriented • Proximal end articulation – Medial and lateral condyles articulate with the femur to form the knee joint – Fibula—Thin and sticklike; lateral to the tibia • Has no role in forming the knee joint Intercondylar eminence Medial condyle Tibial tuberosity Lateral condyle Head Proximal tibiofibular joint Interosseous membrane Anterior border Fibula Tibia Distal tibiofibular joint Medial malleolus Lateral malleolus (c) Figure 5.27c Bones of the Lower Limbs • The foot – Tarsals—seven bones • Two largest tarsals – Calcaneus (heel bone) – Talus – Metatarsals—five bones form the sole of the foot – Phalanges—fourteen bones form the toes Phalanges: Distal Middle Proximal Tarsals: Medial cuneiform Intermediate cuneiform Navicular Metatarsals Tarsals: Lateral cuneiform Cuboid Talus Calcaneus Figure 5.28 Arches of the Foot • Bones of the foot are arranged to form three strong arches – Two longitudinal – One transverse Medial longitudinal arch Transverse arch Lateral longitudinal arch Figure 5.29