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Introduction:
Skeletal System
The skeletal system (bones
and joints), working interdependently with the skeletal
muscle system (voluntary or striated muscles),
provides basic functions that are essential to life:
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Protection: protects the brain
and internal organs
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Support: maintains upright posture
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Blood cell formation: hematopoiesis
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Mineral homeostasis
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Storage: stores fat and minerals.
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Leverage: A lever is a simple
machine that magnifies speed of movement or force. The levers
are mainly the long bones of the body and the axes
(fulcrum) are the joints where the bones meet.
Tissues: Bones, Cartilage, and Ligaments
A
living bone consists of three layers, all honeycombed with nerves
and blood vessels: 1) the periosteum,
or outside skin of the bone; 2) the hard compact
bone, supporting the weight of the body; and 3) spongy
bone (bone marrow). Spongy bone occurs at the ends of long
bones and is less dense than compact bone. The spongy bone of the femur,
humerus, and sternum contains red marrow, producing red blood
cells (which carry oxygen), white blood cells (which fight infection),
or platelets (that help stop bleeding). Yellow marrow, at the center,
is used to store fats.
A specialized form of connective
tissue, bone consists of both organic components (e.g. collagen)
and inorganic minerals (calcium, phosphorus, magnesium, potassium, and
sodium). The minerals calcium and phosphorus give bone its hardness, strength,
and rigidity to resist compressive forces. The collagen fibers impart flexibility.
Magnesium, sodium, potassium, and other trace elements act as "mortar"
bonding the calcium and phosphorous. The bone cells themselves are embedded
in a mineralized calcium "matrix" and collagen fibers.
Bone
continuously remakes itself: New bone is produced and old bone is removed.
Osteoblasts,
the cells responsible for making bone, maintain the balance of calcium
in the blood and bone. When this balance is disrupted, as in osteoporosis,
the removal of bone exceeds its production, making bone thin and brittle,
thus more easily fractured. The intestines, vitamin D, the kidney, parathyroid
gland, and sex and adrenal
hormones also play important roles in bone/calcium balance. In long
bone, illustrated above, growth occurs at the diaphysis side
(shaft) of the epiphyseal plate, thus increasing the length of the
shaft. Long bone growth stops when the hyaline cartilage stops reproducing
itself and fully converts to bone.
A
joint,
or articulation, is a union of two or more bones.
Ligaments
attach bone to bone, stabilizing and strengthening joints and determining
the range of motion. Cartilage, a gel-like substance high in proteoglycans,
provides protective cushioning. There are three types of cartilage: 1)
fibrocartilage
(found in intervertebral discs), 2) elastic
cartilage (found in the external ear and epiglottis), and 3) hyaline
cartilage. Hyaline (or articular) cartilage is
the most important cartilage: It serves as the "original" skeleton in the
embryo from which bones develop; it spurs growth of long bones; and it
lines and protects joints.
General Classifications of Bones
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Long Bones -- "longer than they
are wide:" clavicle, humerus, radius, ulna, femur, tibia, fibula, metatarsals,
metacarpals. Purpose: provide support and serve as the interconnected
set of levers and linkages that allow us to create movement. (formed
from hyaline/articular cartilage)
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Short Bones: carpals and tarsals:
consist mainly spongy bone covered with a thin layer of compact bone. Purpose:
allow movement, provide elasticity, flexibility, & shock absorption.
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Flat Bones: ribs, sternum
and scapula. Purpose: protect and provide attachment sites for muscles.
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Irregular Bones: skull,
pelvis, and vertebrae. Purposes: support weight, dissipate loads,
protect the spinal cord, contribute to movement and provide sites for muscle
attachment.
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Sesamoid Bones: a short bone
embedded within a tendon or joint
capsule, i.e. patella. Purpose: alter the angle of insertion of the
muscle.
Joints
Joints
are classifiied into three groups: 1) immovable (fibrous)
joints, e.g. skull bones; 2) slightly movable (cartilagenous) joints,
e.g. intervertebral discs; and 3) freely movable (synovial) joints,
e.g. limb joints. Synovial joints permit the greatest degree of flexibility
and have the ends of bones covered with a connective tissue (synovial membrane)
filled with joint (synovial) fluid.
A typical synovial joint,
seen at right, has four main featues:
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joint capsule -
the joint enclosure, reinforced by and strengthened with ligaments
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synovial membrane -
a continuous sheet of connective tissue lining the capsule; its cells produce
synovial fluid that lubricates the joint and prevents the two cartilage
caps on the bones from rubbing together
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synovial fluid - produced
by the synovial membrane, the fluid lubricates the joint. In the normal
joint, very little fluid (less than 5cc) exists in the cavity.
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hyaline (articular) cartilage
- where the bones actually "meet"
Human Skeleton
The average human adult
skeleton consists of 206 bones, attached to the muscles by tendons.
Babies are born with 270 soft bones - about 64 more than an adult. These
will fuse together by the age of twenty or twenty-five into the 206 hard,
permanent bones.
The skeleton has two main
parts: the axial skeleton and the
appendicular
skeleton. The axial skeleton consists of the skull, the spine, the
ribs and the sternum (breastbone) and includes 80 bones. The appendicular
skeleton, consisting of 126 bones, includes two limb girdles (the
shoulders and pelvis) and their attached limb bones.
Axial Skeleton
(80 bones)
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skull
- consiting of 1) the cranium (which encloses and protects the brain) and
2) the facial skeleton. The upper teeth are embedded in the maxilla;
the lower teeth, in the mandible.
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mandible
(jaw) - the only freely movable bone of the skull
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ribs,
sternum (breastbone) - comprising the "thorax"/thoracic cage,
protecting the heart and lungs
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vertebral
column - the "spine"
The
vertebral column (illustrated below and to the left) transmits the
body weight from the head, throax, and abdomen to the lower extremities
and encloses and protects the spinal cord. Each vertebra has essentially
the same basic components, with some variation based on location and allowed
movements.
The vertebral body
and the neural arch encircle the vertebral foramen. Stacked one
on top of the other, these foramina form the vertebral canal, where
the spinal cord resides.
Several structures strengthen
the attachments between vertebrae: 1) anterior longitudinal ligaments
in front of vertebral bodies and discs; and 2) posterior longitudinal
ligaments behind bodies and discs; 3) the compact bone of the disc
itself; 4) the interlocking hyaline cartilage surfaces
of the neural arch joints; and 5) the ligaments attaching spinous processes
to transverse processes.The intervertebral discs provide
shock absorption.

Test
yourself:
Name the bones of the skull
and the
vertebral column.
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The orientation of the neural
arch joints determines allowable motions: 1) the cervical spine
( )
to rotate, flex forward, flex sideways, and extend backward; 2) the thoracic
spine ( )
to rotate; and 3) the lumbar spine ( )
to flex forward, flex sideways, and extend backward. The sacrum
( )
has a dual character, being part of both the vertebral column and pelvis.
As such, it transmits the upper body weight to the lower exterminites.
Appendicular skeleton
(126 bones, 64 in the shoulders and upper limbs and 62 in the pelvis and
lower limbs)
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Upper
Extremity - The
arms (humerus - upper arm bone) are ultimately attached to the thorax,
via synovial joints, at the collarbone (clavicle)
and shoulder bone (scapula) (shoulder
joint). The scapula is attached to the thoracic cage only by muscles.
The elbow joint
unites the humerus with the two lower arm bones - the ulna and radius.
Three sets of joints connect the radius and ulna to the bones of the palm
(metacarpals), via the eight small wrist carpals. Further,
the knuckles (metacarpophalangeal, or MCP, joints) connect the metacarpals
to the proximal phalanx of the fingers. Each finger has 3 phalanges
(proximal, middle, distal), except the thumb which has only two.
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Lower
Extremity - The
pelvis transmits the upper body weight from the sacrum (at the sacroiliac
joint) to the legs. It begins as 3 hip bones (ilium, ischium,
and pubis) which fuse together when growth is completed. The hip
joint unites the pelvis to the thigh bone (femur); the knee
joint, which includes the knee cap (patella), links the femur
to the lower leg bones - the tibia and fibula. The ankle
joint links the lower leg bones to the talus. The body weight is
then transmitted to the heel (calcaneous) and to the balls of the
feet via the tarsal and metatarsal foot bones. The toes have
a phalangeal structure like the fingers.
Radiologic Anatomy
To Learn More
Web
resources:
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Acknowledgments:
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Joel DeLisa and Walter C. Stolov,
"Significant Body Systems," in: Handbook of Severe Disability, edited
by Walter C. Stolov and Michael R. Clowers. US Department of Education,
Rehabilitation Services Administration, 1981, pages 30-36.
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Catherine Parker Anthony and
Gary A. Thibodeau, Textbook of Anatomy & Physiology. St. Louis:
Mosby, 1983, pages 88-166.
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J. Crimando, Anatomy
and Physiology Tutorials (Maricopa)
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