SKELETAL AND ARTICULAR SYSTEMS:
BOWE STRUCTURE
CH: Use ght ue foe ©, tan coor fr, vary light coer for Eand F, yoo fr | and red for J
(1) Tha ttle "od marrow” s nat fo be coleed a the red marow inthis bones ot shown, having
been replaced by yellow marow during alr. Ony pate he yew marow inte medulary
avi shown. Lave tha avy (6) a encolered 2) Color te vertoel Ba hs ght which
represents the eiphyale (A) end te clpayai(8) ef fe long bone,
 
 
   
Bone is Iving, vascular structure, composed of organic tissue (cel, bers. extracel:
lular mattx, vessels, nerves—about 35% ofa bore’s weight and mineral (calcium
hyoronyapatite—about 65% of a Bones weight), Bone functions as @ suppert structure,
site o attachment for skeletal muscle, igaments, tendons, an joint capsules, a
‘Source of calum, and a significant ste of blood call development (hematopoiesis) for
the entre body. Here we show a long bone, spectically the femur, the Bone othe thigh,
SPIPWYSISs
‘The epiphysis isthe end a along bone or any part of a bone separated from the main
‘body of an immature bone by cartilage tis formed trom a secondary site of osstica-
tion Its largely cancellous bone, and ts articulating surface Is ined wih 3-6 mm of
hyaline (arcu) cartage. The epiphysis Is suppled by vessels trom tne joint capsule.
DIAPHYSISe
“Tho Glapysis i the shat or central pat of along bone. Ithas a martow-ilad cavity
(rmedulary cavity) suroundea by compact bone which Is lined externally by periosteum
‘and internally by andosteum (not shown}. The dlaphysts is formed from one or more
primary sites cf osstcaton and is supplied by one or more nuent arteries,
ARTIGULAR CARTILAGE <
‘Aticular catlage is emocth, slippery, porous, mallesble, nsenstve, and bloodless; It
isthe only remaining evidence of an aduit bones carilaginovs past. itis massaged by
‘movement, parmiting absorption o! synovial tid, oxygen, and nutiens. articular
(hyaline) cartlage is elso nourished by vessels from the subchondral bone. Bones
‘ofa eynovial joint make physical contac at ther cartiaginaus ends. The degenerative
process of atts volves the breakdown and fsrilation of articular cartage,
PERIOSTEUM >
Periosteum isa fibrous, cell, vascular, and highly sensitive fe support sheath for
‘bone, providing nutient blood for bone cells anc! a source of osteoprogenite cells
throughout if, it does not cover articular cartlage.
CANCELLOUS (SPONGY): BOWE e
CCancallous (pong) bone consists of interwoven beams (trabeculae) of bone Inthe
eplphyeee of lng bones, the bodies ofthe verlabrae, and other bones wihout caves,
‘The spaces among the trabeculae ara filed with red or yellow martow and blood vee
sels, Cancellous bone forms 2 dynamic aticed truss capable of mechanical alteration
(reorientation, construction, destruction) in response tothe stresses of weight, postural
change, and muscle tension.
GOMPACT BOWGr
‘Compact bone ls dense bone characterized In long bones by microscopic hollow cin
{ere of bone (naversian systems) interwoven wih non-cylindtcal tamale of bone It
forms the tout walls ofthe claphyeis of lng bones an the inner outer surface of
ther bones wnere there I ro articular carllage—e.g., he flat Bones ofthe skull Blood
vse reach the bane cela by a sytem of integrated canals.
MEDULLARY CAVITYe:-
‘The macuilary eaiy isthe cavity ofthe dlaphysie. contains marrow redin tne young,
turing to yellow in many ‘ong bones In maturty. iis lined by endosteal isu (hin
connective tseue with many esteoprogenitor cel)
BED, MARROW.
Fed marrow isa red, gelatinous substance composed of red and white blood calls
ina variety of developmental fxm (hematopoletic issue) and specialized cepilaries
{Ginusokds) enmesned'in reticular aue. in adit, red marrow is generally limited to
the sternum, vertebrae, 18, hip Benes, clavices, and cranial bones.
YELLOW MARROW,
Yellow marrow i aly connective isaue that Is not productive of blood cel. replaces
ed marrow in the epiphyses and medullary caviles of long bones, and cancelous
bone of other bones.
WUTHIENT ARTERY. /ORANCHES -
“The nutrient artery isthe principal artery and major supplier of oxygen and rsrients to
the shaft or body ofa bone: its branches snake through the labyrinthine canals of tne
haversian systems and other tubular cavities of bones.
 
 
 
 
 
 
20
0012, 168
[ANTERIOR VIEW
(Uettemur
Creal secon thous proximal elon
 
“Gnd sasclon of redsary Cay
       
yet
on
foramen |
 
 
SacSKELETAL AND ARTICULAR SYSTEMS
21
AVIAL /APPENDIGULAR SUELETON
‘ON: Use Sah but contrasting colors for A and
(1) Cole the axa skoiton (A in al ee views,
‘Bp not coo the spaces between the rs (necostal,
(21 Cole the darker, ullned appencicua skeleton (8)
(3) Cole the srowe Kenting Bone shapettosscaton
CLASSIFICATION
OF BOWES...
2OWG-
SHORT.
PLAT.
IRREGULAR
SESAMOID
 
    
 
BAL
SBELSTOMs
‘The exal skeleton, the principal supportive
‘stucture ofthe body, i viene slong is
‘adian longludinal ss It Includes the skull,
vertebrae, sternum, ribs, and hyoid bons. Much
ofthe mabilty ofthe tors is due to the multiple
‘aticulations throughout the vertebral column,
QAPPEUDIGULAR
SRELETOW
‘The apponsieuar skeleton includes the pectoral
and peivic girdles and the bones ofthe rms,
forearms, wists, hands, thighs, logs, end eet.
Tha joints ofthe appencicular skeleton make
pssble a considerable degree o freedom for
the upper and lower limbs. Fractures and
lalocations are more common inthis part ofthe
skeleton, but mote serious Inthe axial skeleton,
‘ones have a verity of shapes and dely classification by shape; yet such a classica
tion historically exists. Long bones are clearly longer in one axls than in another they
are characterized by @ medullary cavity, a hollow diaphysis of compact bone, and at
least wo epipnyses—e.g, femur, phalanx. Shor! bones are roughly cube-shapedt they
fare predominantly cancellous bone wih a thin coriex of compact Bone and have no
cavily—e.9,, carpal and tarsal bones, Fl bones (cranial bones, scepulee, ribs) are
{generally more fat than ound, and iregular Bones (vertebrae) have two or moee dif
‘nt shapes. Bones not specifically long or shot this later category Sesamoid Bones
‘are developed in tendons (8g, patellar tendon); they are mostly bone, often mixed
‘with fibrous tissue and cartilage. They have e carilaginous articular suriace facing en
ariouar eurface ofan adjacent bone; they may be part of synovial joint enshesthed
‘within the fforous joint eansule, The structures are ganeraly pea-sized and are most
‘commonly found In certain iondons/joint capsules in hands and feet, and occasionally
In other aticuir sites ofthe upper and lower limos. The largest isthe patel, inte
‘tated i te tendon of quadriceps femaris. Sesamoid bones resist friction and com.
pression, enhance joint movement, and may assis lace! eicultion,SKELETAL AND ARTICULAR SYSTEMS
CLASSIFICATION OF JOINTS
Bones are connected atolnis(ariculatons) All bones move at joins. Joints are func
tionally classifiad as immovabie (aynartroses), party movable (amphiathroses) or
freely movable (diartwoses) The structural classifcation of jolts is given below.
BIBROUS DOIWT:-
(OMMOVABLE: /PARTLY MOVABLE,
Fibrous joints (eynarthroses) are those In which ie articulating bones are connected
by fibrous tissue. Sutures ofthe skul are essentially immovable fovous joni, espe
claly after having ossfed wih age. Teeth in their sockets are fixe fibrous joints
{gomphoses). Syndesmoses are party movable fibrous joins, such as the
interossecus igements betwean ones othe forearm or te Bones of the leg.
CARTILAGINOVS IOIWT-.
OMMOVABLEs/ PARTLY MOVABLE:
Caritaginousjont (eynchendroses) are essentially immovable joints seen during
‘glowi2.9., grown (spiphyeeal) plates (a2e Plate 168). Flrocartlaginovs joints
{amphiartvoses) are party mavadie—eg, he interverigral disc. Symphyses also
fre parly movable librocartlagious joins, as between the pubic bones (symphysis
Dubie) and the manubrium and body of the sternum (sternal angle).
SYWOVIAL IOIWT (CREELY MOVABLE).
ARTICULATING BOUESc:-
ARTICULARB CARTILAGE >
SYUOVUAL MEMERAVS=
SYMOVIAL CAVITY FLUID).
IOWNT CAPSULE s
BURSA CAPSULE
COLLATERAL LIGAMENT: +
 
 
bony archtactue. They are characterized by articulating
Capped with arioular cartilage and are enclosed ina igement-eitorced, sensitive,
fibrous (jit) ogpeut nd internaly wit 2 vascular synovial membrane hat
secretes a lubricating fuld within tha caviy. The synovial membrane does not cover
articular cartilage. A ibrous issue~ined synovial sac o lid (bursa) oft exists
Between moving structures cutsie the jin, as between tendon and bone. Bursae
faclitate friavon-ree movement; eon may induce pain inflammation (urs).
TYPES SYWOWAL JOINTS :-
    
‘alrand-scket jit are best Seen athe
‘shoulder Noverans in all drooton ao porited
es fesen, exonle, adduction, abductor,
internal an extern otao, and cecurducon
Aexionfeonson. The ane, erpalengeal, snd
bow fherouiar) jis ae hinge ons
BOVOT.
Ses
oe sound & peg: 0.0.
{he Cr vertebra oles about te dene C2, 2
‘ounded humeral eaulum on wei he aca
eed pots (tats),
SLLIPSOID.
ANY
Whi Sak
toiaion ergy exolded-o.9, the bicondyia kes,
temporomancibul, and racicarpal writ) js
 
 
  
22
     
  
     
IDEALIZED SYNOVIAL,
JOINT AND BURSA
SADDLB«
[By ee if
any) ’ amp
atthe base of he thumb haa tvs concave
fing surteoes, poring el rotons butt
   
ee.
(Cs
Ging ont (69. te facet jos o the vertebrae,
the acromioclavicul, nttearpl, and irtrtarsal
Jpn) has general st arteSKELETAL AND ARTICULAR SYSTEMS 23
TERMS OF MOVEMEWTS
(ON: Color the arome pointing othe oints demonstrating the
‘etous movernensof the body. Iverion (A) and sversion(L)
   
2.
‘movernants occur among bones of the foot, not at the ankie, (on, ‘I
Y Of fipmoue
EXTEUSION, coe sree
DORSIFLERIOM» \ me
FLSLOOMe | \Se
PLANTAR FLSRIOM> Bremaos
ADDUSTION: Wea
QBOUCTION- Koa
CIVEVMBUSTIONs 4
ROTATIOM: | |
SUPIMATION: ima
CRO VATION, PORTION
ee [Sess
GVERBSION. ane
Movernents of bones occur at ins, Terms ol movemont are
therefore applicable to joins, not Bones (Hexion of the humerus |
‘would break ht) Ranges of motion are limited by the bony
‘architecture ofa joint, related igaments, and the muscles
Crossing that oi [tis fom the anatomical poston that spe-
ait 18 of mavemant can be clearly delineated end
anges of motion measure.
FE
Syl So
  
  
 
  
Shee
‘ C} Ss
 
 
Extension of jlnt sto generally straighten I nthe anatoml
‘cal postion, mast joints re In relaxed extension (nevi). In
felation fo the anatomical position, moveronts of extension are
Sirected in the saaital plane, Extreme, even abnormal exter
Sion is ealleg hyperextension, At the ankle and walt jlns,
extension Ie termed dossitxion,
Flexion of jin Isto bend it or decrease the angle between
the Bones ofthe joint. Movements o lexion are inthe sagital
plane, At the ankle jit, Hexion i also called plantar flexion,
   
 
Acddction ofa joint moves @ bone toward the min ofthe
body (ri the ease ofthe fingers or toa, toward the micine of
the Nand or foot) In elation to the anatomical poston, move=
ments of adduction are directed in the corona pian,
[Anauetion ofa Joint movas a bone away fom the midline of the
body (or nand or foc). Movements of abduction are drectectin
the coranal pian.
 
  
Circumducton Is @ crcular movement, permited at ball and
socket, condyar, and sedcle Joints, characterized by flexion,
‘2bdueton, extension, and eduction dona in sequence,
Rotation ofa joint ist turn the moving bone about Is exis.
Boiation tower te body i Internal or aca rotation; cition
‘away tom the body is extemal or lateral rotation.
‘Supination is external atti ofthe reciohumeal joint. nthe
foot, supination inves ing the medial aspect ofthe fot
all. In the
pect ofthe foo
Inversion tins the soe ofthe foot inward so thatthe mec
bbordar ofthe footie elevated.
 
 
 
  
Pronation I Intemal rotation ofthe rad
foot, pronation Involves rising the lterl
 
Everson tuns the sole of the foot outware so that its lateral
border is slovatedSKELETAL AND ARTICULAR SYSTEMS _
GOWES OF THE SKULL (4)
BERAMIAL +
OCCIPITAL: 2 PARIETAL:
24
FRONTAL:
BTEMPORAL GTHMOID: SPHENOIDr
96 FARCIAL+
BMAGRL. VOMER. 2 LACRIMAL:
B2YEGOMATIC, 2 PALATINE: BMARILLA
MANDIGLE ZIMESRIOR WASAL CONCHA”
‘ON: Save ine bghtet color or he snallost baras are he Highest cols
forthe largest (1) Cob one bona nas many iw as appears belore
{gelngon otha nen (2) There ate some very argh bones calor nthe
 
 
‘The skulls composed of cranial bones (arming @ vault for the brain) and fatal
bones (aving origin tothe muscles of facial expression and providing butesses
protecting the bran). Ex¢0p forthe temporemandouler joint (a synovial jin), all
Bones are connected by generally immovable fibrous sutures
‘The orbit is composed of saven bones, has three significant fissures/canals, and
ismome tote eve and related muscles, nerves, and vessel. The most delicate of
xtornal nose is largely catlagi+
   
the skull bones is atthe meclat orbital wal
nous and i therefore not par ofthe bony sk
tnkatompot
‘oan
SUPERIOR VIEW
cxtis and inthe lower pat ofthe posterior vow ofthe sal. Study these
tes caretly bere coloring fo determine tha color boundaries (3) Oo net
‘oo the Garand areas ne ois and nasal cay in the anterior lw
 
Corona
    
       
 
  
   
  
ingeromandbusroiet
J) Peraiowcorss arena
Cheomoora bene, MATERA
Lamedota-|
tera
 
 
Lateran
esac nites Sepa
POSTERIOR VIEWSKELETAL AND ARTICULAR SYSTEMS 25
BOWES OF THE SKULL (2)
CRAMIALS; OGCINITAL, PARIGTAL. FRONTAL:
TEMPORAL ETUMOID: SPHEVOID-
FACIALS: MAGAL. VOMER, SYGOMATIG, PALATINE.
MABILLA. INFERIOR WASAL COUGHAn
Impression of ranches of
Ica moningeal artery
    
    
 
fete ofthe sl ntti toi
la Tr io visualize tose fossae
Inthe lager view
ore spe
Ira uttory mies