Medical Terminology AHS 115 Skeletal System Functions • Support: body structure and shape • Protection for vital organs (brain, heart, etc.) • Movement for attached skeletal muscles – Tendons: attach muscle to bone – Ligaments: attach bone to bone • Mineral storage: calcium and phosphorus • Blood cell formation - hematopoiesis Types of Bone Compact Bone • • • • • • Very dense, stress bearing Haversian systems –basic unit of compact bone Lamellae: concentric cylinder shaped calcified structure Lacunae: small spaces containing tissue fluid Osteocytes: facilitate exchange of calcium between blood and bone Canaliculi: canals connecting the lacunae together and to the haversian canal which carries nutrients and wastes to and from the osteocytes Cancellous Bone • Light, spongy • Found at ends of long bones, ribs, sternum, hips, vertebrae, cranium • No haversian systems • Web-like arrangement • Highly vascular Classification of Bones Long bones • Found in the extremities • Act as levers • Includes: – Epiphysis • End of long bones • Covered with hyaline cartilage for articulation • Filled with cancellous bone – – – – – Diaphysis Shaft Covered with periosteum Medullary canal Compact bone • Examples: femur, tibia, fibula, humerus, radius, clavicle, metacarpals, phalanges Short Bones • Cube shaped • Allows flexible movement • Cancellous bone covered by compact bone • Examples: – Carpals – Tarsals Flat Bones • Protect vital organs and provide broad surface area for muscle attachment • Examples: – Cranial bones – Scapula – Sternum – Ribs Irregular Bones • Peculiarly shaped to provide support and protection, yet allow flexibility • Examples: – Vertebrae – Ear – Hyoid – Mandible Sesamoid Bones • Extra bones found in certain tendons • Example: – Patella Composition • Collagen: chief organic constituent (protein) • Inorganic calcium salts (Vitamin D essential for absorption of minerals i.e. calcium) • Deposition favored by – – – – a. Estrogen, testosterone b. Alkaline phosphatase c. Thyrocalcitonin d. Mechanical stress i.e. traction • Withdrawal favored by – a. Alkaline phosphatase – b. Parathormone – c. Inactivity Composition Cells • Osteoblasts: bone building, bone repairing cells in the periosteum • Osteocytes: mature bone cells within the bone matrix • Osteoclast: causes reabsorption of bone Periosteum • 1. Dense, fibrous membrane covering bone • 2. Contains blood vessels • 3. Essential for bone cell survival and bone formation • Cells that Aid in Bone Formation Osteoblast Builds new bone Mature bone cell Osteocyte Osteoclast Eats bone Bone Formation • Initially collagen fibers secreted by fibroblasts • Cartilage deposited between fibers • Skeleton fully formed by 2nd month of fetal development (all cartilage) • After 8th week of fetal development ossification (mineral matter deposited and replaces cartilage) begins • Childhood and adolescence: – ossification exceeds bone loss • Early adulthood thru middle age: – ossification equals bone loss • After age 35: – bone loss exceed ossification Fetal Skeleton 275 bones 12 weeks (6-9 inches long) Anatomy of Long Bone • Diaphysis – Shaft – Composed of compact bone • Epiphysis – Ends of bone composed mostly of spongy bone • Periosteum – outside covering of diaphysis • Endosteum – Lines medullary cavity • Arteries • Articular cartilage • Medullary cavity – Cavity inside the shaft – Contains yellow marrow (mostly fat) in adults Bone Marrow • Red bone marrow – Found in vertebrae, ribs, sternum, cranium, ends of humerus and femur – Produces: • Erythrocytes – red blood cells • Plateletes - thrombocytes – clotting cells • Some leukocytes – white blood cells • Yellow bone marrow – Found in medullary cavity of long bones – Fat storage Bone Marrow Yellow marrow • Medullary cavity of long bones • Fat storage Red marrow • Hematopoietic tissue • In all cancellous bone in children • In adults: cancellous bone of vertebrae, hips, sternum, ribs, cranial bones, proximal ends of femur and humerus • Forms RBCs, platelets, some WBCs, and destroys old RBCs and some foreign materials Divisions of the Skeletal System Axial Skeleton Forms the longitudinal axis of the body Divided into three parts: • Skull • Vertebral Column • Thorax Appendicular Skeleton • Composed of 126 bones • Includes bones of the: – Limbs (appendages) – Pectoral (shoulder) girdle – Pelvic (hip) girdle Joints Classification • Synarthrotic: immovable - cranium • Amphiarthrotic: limited movement i.e. pubic symphysis, vertebral joints, sacroiliac joint • Diarthrotic: freely movable – Gliding: bones of the wrist – Pivot: between radius and ulna – Ball and socket: hip – Hinge: elbow Immovable Joints Synarthrosis Slightly Movable Joint Ampharthrosis Freely Movable Diarthrosis Synovial Joint Movement Extension Flexion Rotation Adduction Abduction