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Chapter 19: The Skeleton. Chapter Objectives. Axial skeleton and appendicular skeleton. Formation of bone tissue. The structure of a long bone. Suture, symphysis and synovial joint. Roots pertaining to the skeleton. Main disorders that affect the skeleton and joints.
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Chapter Objectives • Axial skeleton and appendicular skeleton. • Formation of bone tissue. • The structure of a long bone. • Suture, symphysis and synovial joint. • Roots pertaining to the skeleton. • Main disorders that affect the skeleton and joints. • Common methods to diagnose & treat disorders of the skeleton. • Abbreviations used in relation to the skeleton.
The Skeletal System Axial Skeleton Appendicular skeleton Shoulder girdle Arms Hands Pelvic girdle Legs Feet Skull Spinal column Thorax
Axial Skeleton • Consists of: • Skull • Cranial bones (8) • Facial bones (14) • Spinal column • Cervical vertebrae (7) • Thoracic vertebrae (12) • Lumbar vertebrae (5) • Sacrum vertebrae (5 fused into 1) • Coccyx vertebrae (4 or 5 fused into 1)
Axial Skeleton (cont’d) • Thorax • Ribs (12 pair) • True ribs (pairs 1-7) • False ribs (pairs 8-12) • Floating ribs (pairs 11 & 12) • Sternum
Appendicular Skeleton • Attached to axial skeleton • Consists of: • Shoulder girdle • Clavicle • Scapula
Appendicular Skeleton (cont’d) • Arm bones • Humerus • Radius • Ulna • Carpals • Metacarpals • Phalanges
Appendicular Skeleton (cont’d) • Pelvis • 2 pelvic bones • Formed of 3 fused bones • Ilium • Ischium • pubis
Appendicular Skeleton (cont’d) • Leg bones • Femur • Patella • Tibia • Fibula • Tarsals • Metatarsals • Phalanges
Bone Formation • Bones formed from cartilage • Ossification begins at birth and continues through adulthood • Three types of bone cells • Osteoblasts = cells that produce bone • Osteocytes = mature bone cells • Osteoclasts = involved in breakdown of bone tissue • Resorption = process of destroying bone for absorption into circulation
Structure of Long Bone • Diaphysis = shaft of compact bone tissue • Yellow bone marrow located inside medullary cavity • Epiphysis = ends of spongy bone tissue • Contains red bone marrow • Covered by thin layer of cartilage
Structure of Long Bone (cont’d) • Metaphysis = region between diaphysis and epiphysis • Contains epiphyseal plate (growth region) • Periosteum = thin layer of fibrous tissue covering outside of bone • Nourishes and protects bone • Generates new bone cells for growth and repair
Joints • Known as articulations • Classified by amount of movement they allow • Suture = immoveable joint • Held together by fibrous connective tissue • Symphysis = slightly moveable joint • Connected by fibrous cartilage • Synovial joint = freely moveable joint • Allow for wide range of movements
Joints (cont’d) • Synovial fluid contained within diarthrotic cavity • Protects joint by cushioning and lubricating • Produced by synovial membrane • Ligaments connect articulating bones • Stabilize and strengthen synovial joints
Clinical Aspects of the Skeleton • Orthopedics = study of diseases of skeletal and muscular systems • Detection: radiographs, CT, MRI, changes in blood levels of calcium and alkaline phosphatase
Clinical Aspects of the Skeleton (cont’d) • Infections • Osteomyelitis = inflammation of bone • Caused by pus-forming bacteria • Tuberculosis • May spread to bone, especially long bones, wrist, and ankle bones • If in spine, called Pott disease
Clinical Aspects of the Skeleton (cont’d) • Fractures • Break in bone • Usually caused by trauma • Effects depend on: • Location • Severity • Closed fracture (skin not broken) • Open fracture (accompanied by skin wound)
Fracture Treatment • Reduction of fracture • Realignment of broken bone • Closed - no surgery required • Open - requires surgery for proper positioning • Healing phase • Splint or cast often needed • Bone immobilized • Traction