Introduction to Anatomy Understanding Anatomy It’s the foundation of many health care professions An ATC needs to have an excellent understanding of anatomy in order to determine what structures have been injured They also need to understand what constitutes normal movements in order to design appropriated rehabilitation and strength conditioning programs Anatomical position There is a particular alignment of the body which all medical professionals use as a standard Refers to an erect stance, arms at the sides, and palms facing forward. The body moves in relation to 3 planes Frontal-cuts body in half from front to back Sagittal-cuts body in half from left to right Transverse-cuts body in half from top to bottom Common Medical Terms of Location Anterior-refers to the front of the body Posterior-refers to the back of the body Ex. Anterior aspect of the lower leg means the front of the leg was injured Ex. If the back of the knee hurts, it’s the posterior aspect of the knee Medial –towards the middle (sagittal plane) Lateral-towards the outside (sagittal plane) Common Medical Terms of Location Proximal-means toward an attachment (such as where the limb attaches to the trunk) Distal-means away from the attachment The knee is distal to the hip Superior-refers to one point or structure being higher than another Ex. The shoulder is proximal to the elbow The knee is superior to the ankle Inferior-refers to one point being lower than another The pelvis is inferior to the ribs Common Medical Terms of Location Dorsal-refers to the posterior aspect of the foot or hand Ventral-refers to the anterior aspect of the foot or hand Superficial-means close to the body’s surface Deep-means away from the body’s surface Bones Bones have 3 primary functions Protect vital organs and structures from trauma Bones are stiff structures that are acted on by muscles to create movement Bones are metabolically active; the produce blood cells and store minerals **bones also protect the nerves and blood vessels that travel alongside them Skeleton Made up of approximately 206 bones and an astounding number of muscles The skeleton is categorized into 2 parts: Axial skeleton-spine, thorax, skull Appendicular-bones of the extremities Types of Bones Long (like the femur) At the end of each long bone is an area where growth occurs Called the epiphysis (growth plate) Vulnerable to injury during adolescence Short (like the metacarpals) Flat (like the scapula) Irregular (like the vertebra) Cartilage Covers the ends of long bones and can be found between bones. Functions of cartilage: Join structures (example: the ribs and sternum) Absorb shock Permit smooth bone movement Muscles Contractions allow the body to: accelerate, decelerate, stop movement Help maintain normal postural alignment **muscles produce heat as well Ligaments and Tendons Both are composed of connective tissue Tendons attach muscle to bone Transmit the force that a muscle exerts Ligaments connect bones Help form joints Classification of Joints Diarthrodial (aka synovial joints) Consist of a joint capsule, synovial membrane, hyaline cartilage, and ligaments Examples are hinge joints (elbow and knee) and multiaxial or ball-and-socket joints (shoulder and hip) Classification of Joints Amphiarthrodial-have cartilage attaching 2 bones together Aka cartilaginous joints Example is where the ribs join the sternum Classification of Joints Synarthrodial-held together by tough connective tissue and are basically immovable Aka fibrous joints This type of joint joins the bones of the skull and the tibia and fibula of the lower leg Movement terminology Flexion-a bending movement around a joint in a limb away from its straightened position Extension-astraightening movement around a joint to restore it to anatomical position Abduction-movement away from the midline of the body Adduction-movement toward the midline of the body Movement terminology Pronation-a movement that turns the palm of the hand downward as if it were emptying a bowl of soup Supination-a movement that turns the palm of the hand upward as if it were holding a bowl of soup Inversion-a movement that turns the sole of the foot inward, toward the midline of the body Eversion-a movement that turns the sole of the foot outward, away from the midline of the body Movement terminology Protraction-movement of the scapulas away from one another Retraction-when the scapulas are moved or pulled together Rotation-the spinning or turning movement of a bony segment around an axis Circumduction-movement of a limb in a circular pattern