Skeletal System & Articulations What Is Osteoporosis? • Loss of bone density. – Due to low hormone levels. – Occurs prematurely due to extreme weight loss. – Results in low estrogen levels. Tortora Pages: 113 What Is Osteology? • Study of bone structure & treatment of bone disorders. Tortora Pages: 114 Functions of the Skeletal System • • • • • • Support Protection Assisting in movement Mineral homeostasis Production of blood Triglyceride storage Dancing Skeleton Tortora Pages: 114 Types of Bones • Long bones – Longer than wide – Slightly curved – Compact and spongy bone – Ex - Radius, ulna, femur. Tortora Pages: 114 Types of Bones • Flat bones – Thin – Composed of two plates compact bone. – Spongy bone in between. • Ex: cranium, ribs, scapula. Tortora Pages: 114 Types of Bones • Short bones – Cubed shaped – Mostly spongy bone. – Surface of compact bone • Ex: wrist (carpals) & ankles (tarsals) Tortora Pages: 114 Types of Bones • Irregular bones – No consistant shape. – Varies in compact and spongy bone. • Ex: Vertebrae Tortora Pages: 114 Types of Bones • Others • Sutural bones – Small bones found in joints between bones of skull. • Sesamoid bones – Bones located in tendons. – Vary in number. • Ex: Patellas Tortora Pages: 114 Macroscopic Structure of Bone • • • • • • • • Diaphysis Epiphysis Metaphysis Epiphyseal plate Articular cartilage Periosteum Medullary cavity Endosteum Tortora Pages: 115 Histology • Consists of 4 types of connective tissue. – – – – Cartilage Bone Bone marrow periosteum Histology • Bone consists of: – loosely spaced cells. – Matrix • 25% water • 50% mineral salts • 25% collagenous fibers. Histology • Bone contains 4 types of cells: – Osteoprogenitor • Give rise to other cells. – Osteoblasts • Bone forming cells. – Osteocytes • Mature bone maintaining cells – Osteoclasts • Bone breakdown Pages: 98 - 100 Macroscopic Structure of Bone Articular cartilage Monday 10/28 Pages: 98 - 100 Microscopic Structure of Bone • Compact bone – Gives strength – Covers spongy bone. – Composed of osteons (Haversian systems) Monday 10/28 Pages: 98 - 100 Exhibit 6.1 Quiz 1. What two of the following minerals make the bone matrix hard? A) Calcium B) Iron C) Zinc D) ATP E) Phosphorus 2. Which vitamin controls the activity, distribution, and coordination of osteoblasts and osteoclasts? A) Vitamin E B) Vitamin A C) Vitamin C D) Vitamin D 3. General purpose growth hormone that causes growth in all tissues including bone. A) HGH B) Estrogens C) Parathyroid hormone D) Calcitonin E) Thyroxine Exhibit 6.1 Quiz 4. Which vitamin helps maintain the bone matrix and whose deficiency leads to decrease in collagen? A) Vitamin E D B) Vitamin A C) Vitamin C D) Vitamin 5. Which hormone promotes bone formation by inhibiting osteoclasts? A) HGH B) Estrogens C) Parathyroid hormone D) Calcitonin E) Thyroxine Exhibit 6.1 Quiz 1) 2) 3) 4) 5) A,E B A C D Macroscopic Structure of Bone • Spongy bone – Contains trabeculae – Formed from collagenous fibers – Reduces weight – Maintains strength Tortora Pages: 98 - 100 Ossification • Process by which bone forms. • Starts during the 6th or 7th week of life. Tortora Pages: 102-104 Ossification • Intramembraneous ossification: • Starts as a membrane shaped like a bone. – Ex: skull, mandible, clavicle Tortora Pages: 102-104 Ossification • • • • Endochondral ossification: Starts with hyaline cartilage. Forms most bones. Ex: femur, tibia, humerus, etc. Tortora Pages: 102-104 Ossification • Step #1 – Cartilage model of bone develops. – Surrounded by a perichondrium. Tortora Pages: 102-104 Ossification • Step #2 – – – – – Cartilage model grows. Cartilage begins to calcify. Cartilage cells start to die. Nutrient artery grows into cartilage model. Osteoblasts in perichondrium start ossification Tortora Pages: 102-104 Ossification • Step #3 – – – – Primary ossification occurs. Forms collar around shaft of bone. Osteoblasts create new bone. Medullary canal created by action of osteoclasts. Tortora Pages: 102-104 Ossification • Step #4 – – – Secondary ossification starts in the ends of the bone. Occurs about the time of birth Growth is outward from the center of the epiphysis towards the outside of the bone Tortora Pages: 102-104 Ossification • • • • Cartilage remains at ends of the bone (articular cartilage) Epiphyseal plate is last to ossify. Ends growth. Remodeling is only change possible afterwards. Tortora Pages: 102-104 Homeostasis • • Bone replaces itself throughout life. Referred to as remodeling. Tortora Pages: 104-106 Bone Surface Markings • Depressions and openings – – Foramen Fossa Tortora Pages: 107-108 Bone Surface Markings • Processes that form joints – Condyle – Head – • Knuckle-like process • Rounded projection, supported by constricted portion of bone. Facet • Smooth, flat surface Tortora Pages: 104-106 Bone Surface Markings • Processes that connect to ligaments and other connective tissue. – Tuberosity – Spinous process – Trochanter – Crest • • • • Large rouned area. Slender projection Large blunt projection ridge Tortora Pages: 104-106 Male/female Differences 1. General Structure – – Male: Heavy/thick Female: Light/thin – – Male: Less than 90 Female: Greater than 90 2. Pubic Arch 3. Obturator Foramen – – Male: Round Female: Oval Tortora Pages: 132-133 Articulations • Gravity mandates a stiff and rigid skeleton. • Movement requires flexibility. • Flexibility created by articulations (joints) Tortora Page: 156 Articulations • • Structure determines function. Movement is determined by – – – – Structure of bones forming the joint. The flexibility of connective tissue connecting the bones. Position of ligaments, tendons, and muscles. Hormones Tortora Page: 157 Structural Classification • • • Fibrous: bones connected with fibrous connective tissue. • EX: tibia - fibula • EX: Ribs - sternum • EX: knee, elbow, hip. Cartilaginous: Bones connected by cartilage. Synovial: Joint surrounded by synovial membrane. Tortora Pages: 157-160 Classification of Synovial Joints • • Gliding Joints – Surfaces are flat – Side to side motion – Ex; Between carpals, tarsals. Hinge Joint – – – Convex surface concave surface. Single plane movement EX: knee Tortora Pages: 160-163 Classification of Synovial Joints • Pivot Joint – – – • Rounded or pointed with ring-like structure. Rotation movement EX: atlas - axis, radius ulna. Condyle Joint – – – Oval shaped depression Side to side movement, back and forth movement. Radius - carpals Tortora Pages: 160-163 Classification of Synovial Joints • Saddle Joint – • Ball and Socket Joint – – – • Metacarpaland carpal of thumb. Rounded end - cup like depression. Movement in three planes. EX: Hip and shoulder. Condyloid – Ex: radius and wrist bones. Tortora Pages: 160-163 Structures of a Synovial Joint • • • Tortora Pages: 164-165 Synovial cavity Articular cartilage Articular capsule – – – – Fibrous capsule (outer) Ligaments Synovial membrane (inner) Synovial fluid ATC Surgery ATC Animation Saddle Structures of a Synovial Joint • • • Tortora Pages: 164-165 Accessory ligaments – Lie outside the articular capsule. Articular discs (menisci) Bursae Knee Structure Meniscus Repair Surgery Saddle MOVEMENT AT SYNOVIAL JOINTS Classification of Joints • • Tortora Pages: 157-160 Structural classification – – – Fibrous Cartilaginous Synovial – – – Synarthrosis Amphiarthrosis Diarthrosis Functional Classification Osteoarthritis Basic Anatomical Position • Standing erect – Toes forward – Head facing forward. – Hands at side. – Palms facing forward. Tortora Pages 160-163 Basic Anatomical Position • • Structural classification – – – Fibrous Cartilaginous Synovial – – – Synarthrosis Amphiarthrosis Diarthrosis Functional Classification Tortora Pages 160-163 Categories of Movement • Gliding – Flat bones form joint • Back and forth • Side to side • Angular – Increase or decrease in angle of bones. • Rotation – A bone rotates on long axis • Special Movewment Tortora Pages 160-163 Angular Movements • Flexion – Reducing angle of joint – Extension • Increasing angle of joint – Hyperextension • Beyond basic anatomical position Tortora Pages 160-163 Angular Movements • Abduction – Movement away from midline of body. • Adduction – Movement towards midline of body. Tortora Pages 160-163 Angular Movements • Circumduction – Moving distal end of arm or leg in a circle. • Ex: shoulder – hip Tortora Pages 160-163 Special Movements • Inversion – Lifting of medial side of foot so that soles face each other. • Eversion – Lifting of lateral side of foot so that sole faces outward. Tortora Pages 160-163 Special Movements • Pronation – Movement of hand such that palm faces backward. • Supination – Movement of palm such that it faces forward. Tortora Pages 160-163 Special Movements • Dorsiflexion – Bending foot in the superior direction Plantar Flexion Bending of foot in the inferior direction Tortora Pages 160-163 Synovial Joint Movements • • • • • Flexion Vs Extension Abduction Vs Adduction Circumduction Elevation Vs Depression Supination Vs Pronation Tortora Pages: 160-163