The Skeletal System Chapter 5 The Skeletal System Parts of the skeletal system Bones Joints Cartilage Ligaments Divided into two divisions Axial Skeleton – torso and head Appendicular Skeleton - limbs Functions of the Bones Support of the body Protection of the soft organs Movement due to attached skeletal muscles Storage of Minerals and fats Blood cell formation Bones of the Human Body The skeleton has 206 bones Two basic types of bone tissue Compact bone Homogeneous Very dense and strong Spongy bone Small needle-like pieces of bone Many open spaces Purpose? Figure 5.2b Classification of Bones • Long Bones • Description? Examples? • Short Bones • Description? Examples? • Flat bones • Description? Examples? • Irregular Bones • Irregular shapes • Do not fit into any other bone classification category • Examples? Classification of Bones on the Basis of Shape Figure 5.1 Gross Anatomy of a Long Bone Diaphysis Shaft of the bone Composed primarily of _________ bone Epiphysis Ends of the bone Composed primarily of _________ bone Figure 5.2a Structures of a Long Bone Periosteum Outside covering of the diaphysis “Skin of the bone” Vascular Meaning? Multiple functions Sharpey’s fibers Secure periosteum to underlying bone Figure 5.2c Structures of a Long Bone Articular cartilage Covers external surfaces of epiphysis Hyaline cartilage Function? Figure 5.2a Structures of a Long Bone Medullary cavity Cavity of the shaft Contains yellow marrow (mostly fat) in adults Contains red marrow (for blood cell formation) in infants Figure 5.2a Structures of Long Bone Process – Projection from the bone Purposes Site of attachments for muscles Create joints Pathway for nerves, blood vessels Microscopic Anatomy of Bone Osteon (Haversian System) Bone is built around a “canal” Tube-like openings in the bone DQ - What would these canals be used for? Two types of Canals Central (Haversian) canal Run longitudinally in the bode Perforating (Volkman’s) canal Perpendicular to the Haversian Canal Microscopic Anatomy of Bone Figure 5.3 Microscopic Anatomy of Bone Lacunae Tiny cavities containing osteocytes (bone cells) Lamellae Rings around the central canal Sites of lacunae Figure 5.3 Microscopic Anatomy of Bone Canaliculi Tiny canals Radiate from the central canal to lacunae Not the same as Volkmann’s canal Purpose = diffusion Figure 5.3 Bone Cells 3 Types of Bone cells Osteocytes - Mature bone cell Osteoblast – Bone forming cell Osteoclast – Bone Destroying cell Break down bone matrix for remodeling and release of calcium Skeletal Functions • Support and Protection: • Bones create the shape of our body • Examples? • Bones provide a hard protective barrier around vital organs • Examples? • Movement: • Muscles attach to the bones across joints • Work like levers Skeletal Functions • Blood cell production: • Hematopoiesis – the process of forming blood cells • Not always in the bone marrow • As embryo develops, production is in the liver and spleen • Then switches to the marrow • 2 types of Marrow • Red • Yellow Hematopoiesis • Red marrow produces erythrocytes, leukocytes, and thrombocytes • Which is RBC? WBC? Platelets? • Red color is due to hemoglobin • Infants have mostly red marrow • Why would this be? • As aging occurs, most red marrow is replaced with yellow marrow • Yellow stores fat Storage of Minerals • Minerals account for about 70% of bone matrix • Calcium #1 • When blood calcium levels are low hormones stimulate osteoclasts to break down bone tissue • Why would they do this? • High blood calcuim levels stimulate osteoblasts to form bone Changes in the Human Skeleton In a fetus, the skeleton is primarily hyaline cartilage What happens to the cartilage as we develop? Replaced by bone Cartilage remains in isolated areas Where? Bone Growth and Development (Endochondral) Replacement of cartilage begins in the primary ossification center Occurs in the diaphysis What type of cell is active? Continues in secondary ossification sites in epiphysis Epiphyseal plate is created between primary and secondary ossification sites. You might know this by a different name Bone Growth and Development (Endochondral) • During this process the Medullary Cavity must be formed. • How is this done? • Growth Hormone (GH) and sex hormones control bone growth • DQ - When does bone growth stop? • When the primary and secondary ossification sites grow together, closing the epiphyseal plate. Long Bone Formation and Growth Figure 5.4a Long Bone Formation and Growth Figure 5.4b Bone Homeostasis • To stay healthy, bone is continually resorbed and deposited DQ - Why would this be? So old bone is broken down and new bone can be formed. Controlled by two factors Calcium levels in blood Stress on bones Example: Running If this process becomes unbalanced bones lose their mass and become weaker Classification of Fractures • Simple (aka closed) • Break does not penetrate the skin • Compound (aka open) • The Broken bone penetrates through the skin Types of fractures • Greenstick – • incomplete, only one side of bone • Transverse – • Complete break to right angle to lengthwise of long bone. Usually traumatic • Oblique • Rare. Break at an angle • Comminuted – • More than two fragments broken off. traumatic Types of fractures Types of fractures • Impacted – • Occurs after a fall, vertebral column compressed, and cracks • Pathologic • Disorder that weakens the bone, leading to a fracture • Stress • A bone becomes stressed from over use. • Can cause slight breaks Repair Bone fractures • Break causes blood vessels to rupture • What does this cause? • Osteoclasts will remove bone fragments • New vessels and Fibrocartilage form around break • Cartilage will be replaced by a bony callus • Cell types - osteoblasts Repair of fracture (Bone remodeling) • There is typically more bone produced at site of healing • Why would this be? • How does the bone get back to normal? • Osteoclasts will reshape to like original bone Skeletal Differences • Adult vs. Infant skull • Infant - face is small in comparison to cranial bones • How much of an adults length is made of the head? Infants? • Adults = about 1/8 Infants = about 1/4 • Fontanels - soft spots • What is the purpose of fontanels? • Provides room for the brain to grow Skeletal Disorders • Use your book to come up with a one sentences summary of each of the following disorders. Osteoarthritis Rheumatoid arthritis Gouty arthritis (Gout) Osteoporosis Scoliosis Kyphosis Lordosis Osteomyelitis – bacterial infection of the bone, causing pain and discomfort. • Paget disease – Bone remodeling is not balanced leading to abnormal and enlarged but brittle bones. • • • • • • • • Skeletal Disorders Due to poor posture, Helga has felt like she is constantly leaning forward. An X-ray reveals excessive flexion in the thoracic curvature. Kyphosis Jimbo was a four sport athlete in high school and has continued with high impact excercises. He has complained of stiffness in his knees. He has also started to develop bone spurs, which hinder movement. Osteoarthritis Skeletal Disorders Phoebe’s phalanges have fused together, so she is unable to flex his fingers. Her family has a history of this disorder and it is discovered that she has a high quantity of uric acid in her blood. Gouty Arthritis Whitney’s muscles in her lumbar region are excessively tight. This has caused the lumbar vertebrae to curve laterally towards the tightened muscles. Scoliosis Skeletal disorders Gertrude has experienced a dull pain in her lower back. An x-ray revealed a fracture of her L2, yet Gertrude does not recall any impact that may have caused the break. Osteoporosis Will-i-am experienced a compound fracture a week ago and the bones were reduced while on a hunting trip. He has since developed a fever and severe pain in the area of injury. It is suspected that he has a bacterial infection. Osteomyelitis Skeletal Disorders Mac has experienced pain in his bones. Through an x-ray it has been determined that his femur is misshapen. He has also been told by his doctor that he has a high alkaline phosphatase level in his blood. Paget’s Disease Marge’s joints have become swollen, reddened and tender. It has been very painful to move. This seems to to go away, but it keeps coming back. Rheumatoid Arthritis Joints • Every bone in the body articulates with another bone • Except the hyoid • Not all joints are movable. • Where would immovable joints be found? • 3 Types of Joints • Fibrous • Cartilaginous • Synovial Types of Joints • Fibrous • Immovable • Examples? • Cartilaginous • Both ends connected by cartilage • Immovable to limited movement • Examples? • Synovial • surrounded by joint cavity • Contain hyaline cartilage, ligaments, and synovial fluid • Examples? Knee injuries Torn ACL, MCL, PCL, LCL Types of synovial joints • Plane - no rotation – bones glide past one another • Example • Hinge - move on one axis – like a door hinge • Example • Pivot - rotation around an axis • Example • Condyloid - move on two axes • Example • Saddle – move on two axes • Example • Ball and socket - move in all axes • Example Types of Synovial Joints Based on Shape Types of Synovial Joints Based on Shape Figure 5.29d–f Motions • Flexion-Angle • Dorsiflexion – raising decreases foot to the shin • Extension - • Plantar flexion - • Rotation – Move • Elevation – raise a • Abduction - • Depression – lower a around an axis • Adduction • Circumduction - body part body part • Supination • Pronation -