Chapter 6 Lecture Slides Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Learning Outcomes • Functions of the Skeletal System 1. Describe the basic functions of the skeletal system. • Bone Structure 2. Describe the structure of a long bone. 3. Describe the microscopic structure of compact bone. Learning Outcomes • Bone Formation 4. Compare intramembranous and endochondral ossification . 5. Compare the functions of osteoblasts and osteoclasts. • Divisions of the Skeleton 6. Name the two divisions of the skeleton. 7. Describe the major surface features of bones. Learning Outcomes • Axial Skeleton 8. Identify the bones of the axial skeleton. 9. Compare the skull of an infant and an adult. 10. Compare cervical, thoracic, lumbar, and sacral vertebrae. • Appendicular Skeleton 11. Identify the bones of the appendicular skeleton. Learning Outcomes • Articulations 12. Compare immovable, slightly movable, and freely movable joints. • Disorders of the Skeletal System 13. Describe common disorders of bones. 14. Describe common disorders of joints. 6.1 Functions of the Skeletal System 1. 2. 3. 4. 5. Support Protection Attachment sites for skeletal muscles Blood cell production Mineral storage 6.2 Bone Structure • Bones are composed of a number of tissues – Bone tissue is the bulk of each bone • There are four basic types of bone based on shape – – – – Long bones Short bones Flat bones Irregular bones • Structure of a Long Bone – Epiphysis – Articular cartilage – Diaphysis – Medullary cavity – Endosteum – Epiphyseal disk – Periosteum • Spongy bone – Interior of small bones, skull bones, and epiphyses – Consists of trabeculae and spaces filled with red bone marrow – Reduces bone weight without reducing strength • Compact bone – Wall of diaphysis and surface of diaphysis – Tightly packed tissue with no spaces – Strong and gives supportive strength • Microscopic Structure – Bone cells lie inside lacunae – Compact bone • • • • • Osteons Osteonic canals Lamellae Foramen Canaliculi – Spongy bone • Lack osteons • Receive nutrients by diffusion through canaliculi 6.3 Bone Formation • Ossification is the process of bone formation during the 6th or 7th week of embryonic life • Two types of bone formation – Intramembranous ossification – Endochondral ossification • For both types of bone formation – Primitive connective tissue cells become osteoblasts – Osteoblasts deposit bone matrix around them – Once trapped in matrix, osteoblasts become osteocytes • Intramembranous Ossification – Forms most skull bones – Steps involved • Connective tissue membranes form at sites of future intramembranous bones • Some cells become osteoblasts • Osteoblasts deposit spongy bone beginning at center of bone • Osteoblasts form layer of compact bone atop the spongy bone • To produce the correct bone shape – Use osteoclasts to remove bone matrix – Use osteoblasts to reform new bone matrix • Endochondral Ossification – Forms most bones of the body – Example: long bones – Steps involved • Bones are preformed in hyaline cartilage • Primary ossification center forms in center of cartilage • Periosteal osteoblasts form a compact bone collar around primary ossification center • Cartilage in the primary center calcifies and chondrocytes die • Blood vessels and nerves penetrate the center, bring osteoblasts with them • Osteoblasts form spongy bone at the primary ossification center • Secondary ossification center forms in the epiphyses • Osteoclasts remove the spongy bone and form the medullary cavity • Bone continues to grow • At the end of the process, the epiphyseal plate separates the epiphyses from the diaphysis – Continued growth in diameter due to formation of compact bone beneath the periosteum – Continued growth in length takes place at the epiphyseal disk • Cartilage grows on the epiphyseal side • Cartilage is converted into bone on the diaphysis side – Osteoblasts and osteoclasts continually reshape the bone as it grows – Bone growth in length continues until age 25 • Epiphyseal plate is completely replaced by bone • Epiphyseal line is all that remains • Homeostasis of Bone – Bone is continually remodeled due to activity of osteoclasts and osteoblasts – Remodeling can be affected by • Physical activity • Dietary calcium intake • Age 6.4 Divisions of the Skeleton • Skeleton is divided into two divisions – Axial skeleton • Bones along the longitudinal axis of the body – Appendicular skeleton • Pectoral girdle and upper extremities • Pelvic girdle and lower extremities 6.5 Axial Skeleton • Skull – Divided into two segments • Cranium • Facial bones – Bones joined by sutures • Immovable joints – Several bones possess paranasal sinuses – Cranium • Frontal bone – Anterior part of cranium • Parietal bones – Sides and roof of cranium • Occipital bones – Posterior portion and floor of cranium • Temporal bones – Inferior to parietal bones on each side of the cranium – Temporomandibular joint • Sphenoid bone – Forms part of cranium floor, lateral posterior portions of eye orbits, lateral portions of cranium anterior to temporal bones • Ethmoid bone – Anterior portion of cranium, including medial surface of eye orbit and roof of nasal cavity – Nasal conchae – Facial Bones • Maxillae – Form upper jaw, anterior portion of hard palate, part of lateral walls of nasal cavity, floors of eye orbits – Maxillary sinus • Palatine bones – Form posterior portion of hard palate, lateral wall of nasal cavity • Zygomatic bones – Cheek bones – Also form floor and lateral wall of each eye orbit • Lacrimal bones – Medial surfaces of eye orbits • Nasal bones – Form bridge of nose • Vomer – In midline of nasal cavity – Forms nasal septum with the ethmoid bone • Inferior nasal conchae – Attached to lateral walls of nasal cavity • Mandible – Lower jawbone – Only movable skull bone – Hyoid bone • Found in anterior portion of neck, inferior to mandible • Does not articulate with any other bones • Used as attachment site for tongue muscles – The infant skull • Newborn skull is incompletely developed • Possess fontanels – Non-ossified areas – Allow for flexibility during birth and growth afterwards • Vertebral Column – Extends from skull to pelvis – Flexible and sturdy longitudinal support for trunk – Formed by 24 movable vertebrae, a sacrum, and a coccyx – Possess intervertebral discs • Shock absorbers – Possess four distinct curvatures • Structure of a Vertebra – All vertebrae have common features • • • • • Neural arch Vertebral foramen Spinous process Transverse process Superior and inferior articulating process • Intervertebral foramina – Cervical vertebrae • Support neck • Possess unique transverse foramen • Atlas: cervical vertebra 1 – Articulate occipital condyles of occipital bone – Supports head • Axis: cervical vertebra 2 – Possesses the odontoid process – Serves as a pivot point for axis – Thoracic vertebrae • Larger vertebra with longer spinous process then cervical vertebrae • Ribs articulate on the transverse processes and bodies – Lumbar vertebrae • Heavy, thick bodies to support greater stress and weight • Larger processes for attachment of back muscles – Sacrum • Five fused sacral bones • Forms posterior wall of pelvic girdle – Coccyx • Tailbone • Three to five fused rudimentary vertebrae • Thoracic Cage – Composed of • • • • Thoracic vertebrae Ribs Costal cartilages Sternum – Functions • Protection of internal organs • Support of upper body – Ribs • Attached to thoracic vertebrae • True ribs (#1-7) – Attached to sternum directly by costal cartilages • False ribs (#8-10) – Attach to costal cartilage of superior ribs • Floating ribs (#11-12) – Do not attach anteriorly, no costal cartilages – Sternum • Flat, elongated bone in the anterior midline of thoracic cage • Composed of three fused bones – Manubrium – Body – Xiphoid process 6.6 Appendicular Skeleton • Consists of – Pelvic girdle and upper extremity – Pelvic girdle and lower extremity • Composed of 126 individual bones • Pectoral Girdle – Composed of • Two clavicles • Two scapula – Clavicle • Articulates with sternum and scapula – Scapula • Located on each side of vertebral column • Held in place by muscles to allow free shoulder movement • Upper Extremity – Humerus • Articulates with scapula at the shoulder and ulna and radius at the elbow – Ulna • Medial bone in forearm • Bone does not move with hand rotation – Radius • Lateral bone in the forearm • Bone that rotates when the hand is rotated – Carpals • Wrist bones – Metacarpals • Bones of the palm of the hand – Phalanges • Bones of the fingers • Pelvic Girdle – Consists of • Two coxal bones • Sacrum – Forms a rigid, bony pelvis – The pelvic girdles of males and females have several structural differences – Coxal Bones • Formed by three fused bones – Ilium - Ischium -Pubis • Attachment site for the legs • Symphysis pubis • Lower Extremity – Femur • Thigh bone • Largest and strongest bone in the body – Patella • Kneecap • Sesamoid bone in tendon that extends anterior to knee – Tibia • Shinbone • Larger of the lower leg bones • Bears body weight – Fibula • Slender, lateral bone in lower leg – Tarsals • Ankle bones – Metatarsals • Bones of the instep – Phalanges • Toe bones 6.7 Articulations • An articulation is a joint or junction between two bones • Joints allow for varying degrees of movement • Three categories of joints – Immovable – Slightly movable – Freely movable • Immovable Joints (synarthrosis) – Bones are tightly joined and separated by thin fibrous connective tissue – No movement at the joint – Example: sutures • Slightly Movable Joints (amphiarthrosis) – Bones separated by layer of cartilage or fibrous connective tissue – Limited flexibility – Example: joints between vertebrae • Freely Movable Joints (diarthrosis) – Joints are freely movable – Structurally more complex – Several types of freely movable joints – Gliding Joints • Involve sliding of bones across each other • Example: carpal and tarsal bones – Condyloid Joints • Allow movement from side to side and back and forth • Example: between carpals and bones of forearm – Hinge Joints • Allow movement in one direction only • Example: knee and elbow joints – Saddle Joints • Ends of each bone are saddle shaped • Movement is side to side and back and forth • Example: joint between trapezium and metacarpal of thumb – Pivot Joints • Allow rotational movement • Example: atlas on the axis – Ball-and-Socket Joints • A rounded head of one bone fits into a concavity on another bone • Movement may be rotational or in any plane • Example: hip and shoulder joint – Movements at Freely Movable Joints • Movement is caused by contraction of muscles that span the joint • Movement depends upon joint type and location of muscle(s) involved 6.8 Disorders of the Skeletal System • Common disorders can be characterized as – Disorders of bones – Disorders of joints • Orthopedics – Branch of medicine that specializes in treating skeletal disease and abnormalities Disorders of Bones • Fractures: broken bones – Complete: The break is completely through the bone. – Compound: A broken bone pierces the skin. – Simple: A bone does not pierce the skin. – Comminuted: The bone is broken into several pieces. – Segmental: Only one piece is broken out of the bone. – Spiral: The fracture line spirals around the bone. – Oblique: The break angles across the bone. – Transverse: The break is at right angles to the long axis of the bone. – Incomplete: The bone is not broken completely through. – Green stick: The break is only on one side of the bone, and the bone is bowed. – Fissured: The break is a lengthwise split in the bone. • Osteomyelitis – Inflammation of bone and bone marrow due to bacterial infection • Osteoporosis – Weakening of bone due to loss of calcium salts – Common in older people, especially postmenopausal women – Caused by inactivity and decrease in hormone production • Rickets – Childhood disease – Due to deficiency of calcium salts in bones – Dietary deficiency in calcium or Vitamin D – Children have a bowlegged appearance Disorders of Joints • Arthritis – Characterized by inflammation, swelling, and pain – Rheumatoid arthritis • Most painful and crippling type • Result is ossification of joint, making it immovable • Auto-immune dissorder – Osteoarthritis • Most common type • Loss of articular cartilage makes movement restricted and painful • Bursitis – Inflammation of bursa • Dislocation – Displacement of bones forming the joint • Herniated disk – Intervertebral disc protrudes out beyond vertebrae – Caused by excessive pressure – May apply pressure to nerves • Spinal curvatures – Kyphosis (hunchback) • Excessive thoracic curvature – Lordosis (swayback) • Excessive lumbar curvature – Scoliosis • Abnormal lateral curvature • Sprain – Tearing or stretching of ligaments and tendons without dislocation