PED101: 2012

1. PED101: 2012 Unit One: Anatomy

2. Anatomical Directions

3. The anatomical position In order to explain the positioning of bones, organs, muscles and the like on the human body, anatomists have agreed on a standardised position for the human body in all cases. This is known as the anatomical position. Important things to note: • Standing • Feet together • Arms to side • Head, eyes and palms facing

4. Anterior Anterior: On the front of the body or limb. E.g. The chest is on the anterior of the body.

5. Posterior Posterior: On the back of the body or limb. E.g. The buttocks are on the posterior of the body.

6. Superior vs Inferior Superior: Above or on top of. Towards the top of the body (head). E.g. The cervical vertebrae are superior to the thoracic vertebrae. Superior Inferior: Below or beneath. Towards the bottom of the body (feet). E.g. Thoracic vertebrae are inferior to the cervical vertebrae. Inferior

7. Lateral vs Medial Lateral: Further away from the midline of the body. E.g. Little toe is on the lateral aspect of the foot. Lateral Lateral Medial Medial Medial: Nearer the midline of the body. E.g. The big toes is on the medial aspect of the foot.

8. Proximal vs Distal Distal: Further away from the body – usually refers to limbs. Towards the end of the limb. E.g. Wrist is distal to the elbow. Proximal Distal Proximal: Nearer the body – usually refers to limbs. Closer to the top of the limb. E.g. Elbow is proximal to the wrist joint.

9. The Skeleton

10. Video

11. The skeletal system As we just saw, the skeleton is divided into two sections: • Axial skeleton – consists of the central core of the body (head, ribs, spine & sternum) • Appendicular skeleton – encompasses all of the bones in the limbs (arms/legs, hands/feet, pelvis, scapula & clavicle)

12. Bone facts: • There are 206 bones in the human adult body • At birth, a human has over 300 bones but they fuse together as they develop through a process called ossification. • Adult human bones account for 14% of the body's total weight. • Your thigh bone (femur) is stronger than concrete.

13. Cranium Mandible Clavicle Scapula Sternum Humerus Ribs Vertebrae Radius Pelvis Ulna Carpals Metacarpals Phalanges Femur Patella Fibula Tibia Metatarsals Tarsals Phalanges

14. Joint movements

15. Flexion Bending or decreasing the angle between two bones. E.g. Arm bending at the elbow.

16. Flexion - Sequence of events

17. Extension • Straightening or increasing the angle between two joints. E.g. Hip – moving the leg backward. Knee – straightening the knee.

18. Inversion vs Eversion Inversion: Movement of the sole of the foot inward. Eversion: Movement of the sole of the foot outward.

19. Dorsiflexion vs Plantarflexion Dorsiflexion: Movement of the top of the foot upward, closer to the shin. Plantarflexion: Movement of the sole of the foot downward.

20. Abduction vs Adduction Abduction: Moving a limb or part of a limb awayfrom the midline of the body. E.g. Moving limbs outwards on a star jump. Remember: Aliens abduct people by taking them away. Adduction: Moving a limb or part of a limb towards the midline of the body. E.g. Bringing limbs back together in a star jump. Remember: ‘Add’ to the midline

21. Circumduction A combination of flexion, extension, abduction and adduction. E.g the armstroke in butterfly.

22. Rotation Twisting of a limb about its long axis. Eg. Turning to look over your shoulder

23. Pronation vs Supination Pronation: Movement of the hand into a palm down position. E.g. Turning a card face down. Supination: Movement of the hand into a palm-up position. E.g. Turning a card over in cards.

24. Medial and Lateral Rotation

25. Video task: In pairs you are to create a brief video (using your phone, own camera or a flip camera that your teacher will provide) to teach younger students about the following anatomical movements: • Flexion • Extension • Dorsiflexion • Plantarflexion • Adduction • Abduction • Circumduction • Rotation You will have one period in class to plan and film the movements, then one period in a computer lab to put your video together in Movie Maker. This will be used to teach students in the coming years if it is good enough so make sure you have a solid understanding of the concepts and present them in a clear and easy-to-understand way.

26. Joint Ligaments

27. Types of Joints

28. Types of Joints

29. Types of Joints

30. Anatomy of the Knee

31. Knee Joint http://www.arthroscopy.com/sp05001.htm

32. Knee Joint http://www.arthroscopy.com/sp05001.htm

33. Cross-Sectional View of Right Knee http://www.arthroscopy.com/sp05001.htm

34. Anatomy of the Shoulder

35. Hip Joint

36. Muscles

37. Muscle types There are three main types of muscles in the body. They are: • Skeletal (striated) • Smooth • Cardiac

38. Skeletal Muscle Skeletal (striated) muscles move your bones. These are the muscles that we can see and feel. Skeletal muscles attach to the bones through tendons. They come in pairs -- one muscle to move the bone in one direction and another to move it back the other way. Skeletal muscles are voluntary muscles. Meaning, that you think about contracting them and your nervous system tells them to do so. Seen from under the microscope, skeletal muscle fibers show a pattern of cross banding, which gives rise to the other name: striated muscle.

39. Smooth Muscle Smooth muscles are found in the internal organs (digestive system, blood vessels, bladder, airways and, the uterus). Smooth muscle has the ability to stretch and maintain tension for long periods of time. Smooth muscles move involuntarily. You do not have to think about movement for movement to occur.

40. Cardiac Muscle Cardiac muscle is found only in your heart. Cardiac muscle is also an involuntary muscle. It can stretch in a limited way, like smooth muscle, and contract with the force of a skeletal muscle. Cardiac muscle is a twitch muscle.

41. Skeletal, Smooth & Cardiac Muscles Skeletal Smooth Cardiac

42. Our muscles Trapezius Deltoid Pectoralis Major Triceps Biceps Latissimus Dorsi Gluteus Maximus Abdominals Hamstrings Iliopsoas Quadriceps Gastrocnemius Tibialis anterior Soleus

43. How muscles work Muscle create movement by pulling on bones. They are attached to bones via tough cords called tendons and most muscles reach from one bone to another across a joint. Fact: Muscles always pull, they NEVER PUSH

44. But.. Muscles can only pull, and not push so they need to work in pairs. While one muscle works (pulls) the other relaxes to allow the movement and control it smoothly. When it’s time to move in the other direction, they switch jobs. The muscle that is pulling is called the agonist, and the muscle that is relaxing is called the antagonist. (Relaxing) (Pulling)