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A&PI Chapter 07

Chapter 07

Chapter 7

The Skeletal System: The Axial Skeleton

 

Lecture Outline

INTRODUCTION

      Familiarity with the names, shapes, and positions of individual bones helps to locate other organs and to understand how muscles produce different movements due to attachment on individual bones and the use of leverage with joints.

      The bones, muscles, and joints together form the musculoskeletal system.

Chapter 7
The Skeletal System:
The Axial Skeleton

      Axial Skeleton

   80 bones

   lie along longitudinal axis

   skull, hyoid, vertebrae, ribs, sternum, ear ossicles

      Appendicular Skeleton

   126 bones

   upper & lower limbs and pelvic & pectoral girdles

DIVISIONS OF THE SKELETAL SYSTEM

      The axial skeleton consists of bones arranged along the longitudinal axis of the body. The parts of the axial skeleton, composed of 80 bones, are the skull, hyoid bone, vertebral column, sternum, and ribs (Figure 7.1).

      The appendicular skeleton comprises one of the two major divisions of the skeletal system.It consists of 126 bones in the upper and lower extremities (limbs or appendages) and the pectoral (shoulder) and pelvic (hip) girdles, which attach them to the rest of the skeleton.

Types of Bones

      5 basic types of bones:

   long = compact

   short = spongy except surface

   flat = plates of compact enclosing spongy

   irregular = variable

   sesamoid = develop in tendons or ligaments (patella)

      Sutural bones = in joint between skull bones

BONE SURFACE MARKINGS

      There are two major types of surface markings.

   Depressions and openings participate in joints or allow the passage of soft tissue.

   Processes are projections or outgrowths that either help form joints or serve as attachment points for connective tissue.

      Table 7.2 describe the various surface markings along with examples of each.

 Bone Surface Markings
from Table 7.2

       Foramen = opening

       Fossa = shallow depression

       Sulcus = groove

       Meatus = tubelike passageway or canal

       Condyle = large, round protuberance

       Facet = smooth flat articular surface

       Trochanter = very large projection

       Tuberosity = large, rounded, roughened projection

       Learning the terms found in this Table will simplify your study of the skeleton.

SKULL

      The skull, composed of 22 bones, consists of the cranial bones (cranium) and the facial bones (face) (Figures. 7.3 through 7.8).

      General Features

   The skull forms the large cranial cavity and smaller cavities, including the nasal cavity and orbits (eye sockets).

   Certain skull bones contain mucous membrane lined cavities called paranasal sinuses.

   The only moveable bone of the skull, other than the ear ossicles within the temporal bones, is the mandible.

   Immovable joints called sutures hold the skull bones together.

The Skull

       8 Cranial bones

    protect brain & house ear ossicles

    muscle attachment for jaw, neck & facial muscles

       14 Facial bones

    protect delicate sense organs -- smell, taste, vision

    support entrances to digestive and respiratory systems

The 8 Cranial Bones

Frontal
Parietal (2)
Temporal (2)
Occipital

Frontal Bone

       Forehead, roof of orbits,  & anterior cranial floor

       Frontal suture gone by age 6 (metopic suture)

       Supraorbital margin and frontal sinus

       A “black eye” results from accumulation of fluid and blood in the upper eyelid following a blow to the relatively sharp supraorbital margin (brow line).

cranial bone functions

      They protect the brain.

   Their inner surfaces attach to membranes that stabilize the positions of the brain, blood vessels, and nerves.

   The outer surfaces of cranial bones provide large areas of attachment for muscles that move the various parts of the head.

   Facial bones form the framework of the face and protect and provide support for the nerves and blood vessels in that area.

      Cranial and facial bones together protect and support the special sense organs.

Parietal & Temporal Bones

       Parietal

    sides & roof of cranial cavity

       Temporal

    temporal squama

    zygomatic process forms part of arch

    external auditory meatus

    mastoid process

    styloid process

    stylomastoid foramen(VII)

    mandibular fossa (TMJ)

    petrous portion (VIII)

 

Temporal and Occipital bones

      Temporal

   carotid foramen
(carotid artery)

   jugular foramen
(jugular vein)

      Occipital

   foramen magnum

   occipital condyles

   external occipital protuberance attachment for ligamentum nuchae

   superior & inferior nuchal lines

Sphenoid bone

      Base of skull

      Pterygoid processes are attachment sites for jaw muscles

Sphenoid in Anterior View

      Body is a cubelike portion holding sphenoid sinuses

      Greater and lesser wings

      Pterygoid processes

Sphenoid from Superior View

      Lesser wing & greater wing

      Sella turcica holds pituitary gland

      Optic foramen

 

Ethmoid Bone

       The ethmoid bone forms part of the anterior portion of the cranial floor, the medial wall of the orbits, the superior portion of the nasal septum, and most of the superior side walls of the nasal cavity. It is a major superior supporting structure of the nasal cavity (Figures 7.11, 7.13).

       Crista galli attaches to the membranes that cover the brain

Ethmoid bone

      Lateral masses contain ethmoid sinuses

      Perpendicular plate is upper part of nasal septum

      Superior & middle nasal concha or turbinates

   filters & warms air

14 Facial Bones

Nasal (2)                             Maxillae (2)          Zygomatic (2)

Mandible (1)                       Lacrimal (2)          Palatine (2)

Inferior nasal conchae (2)                                 Vomer (1)

Maxillary bones

      Floor of orbit, floor of nasal cavity or hard palate

      Maxillary sinus

      Alveolar processes hold upper teeth

      Cleft palate is lack of union of maxillary bones

Zygomatic Bones

      Cheekbones

      Lateral wall of orbit along with sphenoid

      Part of zygomatic arch along with part of temporal

Lacrimal and Inferior Nasal Conchae

      Lacrimal bones

   part of medial wall of orbit

   lacrimal fossa houses lacrimal sac

      Inferior nasal concha or turbinate (not part of ethmoid)

Mandible

      Body, angle & rami

      Condylar & coronoid processes

      Alveolar processes for lower teeth

      Mandibular & mental foramen

TMJ

      The mandible articulates with the temporal bone to form the temporomandibular joint (Figure 7.4).

      Temporomandibular joint (TMJ) syndrome is dysfunction to varying degrees of the temporomandibular joint. Causes appear to be numerous and the treatment is similarly variable.

Palatine & Vomer

      Palatine

   L-shaped : one end is back part of hard palate, other end is part of orbit (see previous picture)

      Vomer

   posterior part of nasal septum

Nasal Septum

      The nasal septum is a vertical partition that divides the nasal cavity into right and left sides (Figure 7.11).

      A deviated nasal septum is a lateral deflection of the septum from the midline, usually resulting from improper fusion of septal bones and cartilage.

Nasal Septum

      Divides nasal cavity into left and right sides

      Formed by vomer, perpendicular plate of ethmoid and septal cartilage

      Deviated septum does not line in the midline

   developmental abnormality or trauma

The orbits (eye sockets)

      The orbits contain the eyeballs and associated structures and are formed by seven bones of the skull (Figure 7.12).

      Five important foramina are associated with each orbit

Bones of the Orbit

   Roof is frontal and sphenoid

   Lateral wall is zygomatic and sphenoid

   Floor is maxilla, zygomatic and sphenoid

   Medial wall is maxilla, lacrimal, ethmoid and sphenoid

   Orbital fissures and optic foramen

Foramina of the Skull

      Table 7.4 describes major openings of skull

      In which bone would you find the following and what is their function?

   foramen magnum

   optic foramen

   mandibular foramen

   carotid canal

   stylomastoid foramen

 

Unique Features of the Skull

Sutures

      Sutures are immovable joints found only between skull bones and hold skull bones together.

      Sutures include the coronal, sagittal, lamboidal,and squamous sutures, among others (Figures 7.4, 7.6).

Sutures

      Lamboid suture unites parietal and occipital

      Sagittal suture unites 2 parietal bones

Sutures

      Coronal suture unites frontal and both parietal bones

      Squamous suture unites parietal and temporal bones

Paranasal Sinuses

      Paranasal sinuses are cavities in bones of the skull that communicate with the nasal cavity.

   They are lined by mucous membranes and also serve to lighten the skull and serve as resonating chambers for speech.

   Cranial bones containing the sinuses are the frontal, sphenoid, ethmoid, and maxillae.

   Sinusitis occurs when membranes of the paranasal sinuses become inflamed due to infection or allergy.

Paranasal Sinuses

      Paired cavities in ethmoid, sphenoid, frontal and maxillary

      Lined with mucous membranes and open into nasal cavity

      Resonating chambers for voice, lighten the skull

      Sinusitis is inflammation of the membrane (allergy)

Paranasal Sinuses

      Paired cavities in ethmoid, sphenoid, frontal and maxillary

      Lined with mucous membranes and open into nasal cavity

      Resonating chambers for voice, lighten the skull

      Sinusitis is inflammation of the membrane (allergy)

Fontanels

      Fontanels are dense connective tissue membrane-filled spaces between the cranial bones of fetuses and infants. They remain unossified at birth but close early in a child’s life (Figure 7.14).

   The major fontanels are the anterior, posterior, anterolaterals, and posterolaterals .

      Fontanels have two major functions.

   They enable the fetal skull to modify its size and shape as it passes through the birth canal.

   They permit rapid growth of the brain during infancy.

Fontanels of the Skull at Birth.

      Dense connective tissue membrane-filled spaces
(soft spots)

      Unossified at birth but close early in a child's life.

 

 

 

 

HYOID BONE

      The hyoid bone is a unique component of the axial skeleton because it does not articulate with any other bones.

      The hyoid bone consists of a horizontal body and paired projections, the lesser and greater horns. (Figure 7.15)

Hyoid Bone

   U-shaped single bone

   Articulates with no other bone of the body

   Suspended by ligament and muscle from skull

   Supports the tongue & provides attachment for tongue, neck and pharyngeal muscles

VERTEBRAL COLUMN

      The vertebral column, along with the sternum and ribs, makes up the trunk of the skeleton.

      The 26 bones of the vertebral column are arranged into five regions: cervical, thoracic, lumbar, sacral, and coccygeal (Figure 7.16a).

Vertebral Column

      Backbone or spine built of 26 vertebrae

      Five vertebral regions

   cervical  vertebrae (7) in the neck

   thoracic vertebrae ( 12 ) in the thorax

   lumbar vertebrae ( 5 ) in the low back region

   sacrum (5, fused)

   coccyx (4, fused)

 

Intervertebral Discs

      Between adjacent vertebrae absorbs vertical shock

      Permit various movements of the vertebral column

      Fibrocartilagenous ring with a pulpy center

Normal Curves of the Vertebral Column

      The four normal vertebral curves are the cervical and lumbar (anteriorly convex curves) and thoracic and sacral (anteriorly concave curves) (Figure 7.16b).

      Between adjacent vertebrae, from the first cervical (atlas) to the sacrum, are intervertebral discs that form strong joints, permit various movements of the vertebral column, and absorb vertical shock (Figure 7.16d).

   In the fetus, there is only a single anteriorly concave curve (Figure 7.16c).

   The cervical curve develops as the child begins to hold his head erect.

   The lumbar curve develops as the child begins to walk.

   All curves are fully developed by age 10.

Normal Curves of the Vertebral Column

Vertebrae

      Parts of a typical vertebra include a body, a vertebral arch, and several processes (Figure 7.17).

Typical Vertebrae

      Body

   weight bearing

      Vertebral arch

   pedicles

   laminae

      Vertebral foramen

      Seven processes

   2 transverse

   1 spinous

   4 articular

      Vertebral notches

Intervertebral Foramen & Spinal Canal

      Spinal canal is all vertebral foramen together

      Intervertebral foramen are 2 vertebral notches together

Regions of the Vertebral Column

Cervical Region

      There are 7 cervical vertebrae (Figure 7.18a).

   The first cervical vertebra is the atlas and supports the skull (Figure 7.18a, b).

   The second cervical vertebra is the axis, which permits side-to-side rotation of the head (Figure 7.18a, c).

   The third to sixth correspond to the structural patterns of the typical cervical vertebrae (Figure 7.18d).

   The seventh called the vertebra prominens is somewhat different (Figure 7.18)

Typical Cervical Vertebrae (C3-C7)

       Smaller bodies but larger spinal canal

       Transverse processes

    shorter, with transverse foramen for vertebral artery

       Spinous processes of C2 to C6 often bifid

       1st and 2nd cervical vertebrae are unique - atlas & axis

Atlas & Axis (C1-C2)

      Atlas -- ring of bone, superior facets for occipital condyles

   nodding movement at atlanto-occipital joint signifies “yes”

      Axis -- dens or odontoid process is body of atlas

    pivotal movement at atlanto-axial joint signifies “no”

Thoracic Region

      There are 12 thoracic vertebrae (Figure 7.19).

      These vertebrae articulate with the ribs.

Thoracic Vertebrae
(T1-T12)

      Larger and stronger bodies

      Longer transverse & spinous processes

      Facets or demifacets on body for head of rib

      Facets on transverse processes (T1-T10) for tubercle of rib

 

Lumbar Region

      There are 5 lumbar vertebrae (Figure 7.20).

      They are the largest and strongest vertebrae in the column.

      Table 7.4 summarizes the major structural differences among the cervical, thoracic, and lumbar vertebrae.

Lumbar Vertebrae

      Strongest & largest

      Short thick spinous & transverse processes

   back musculature

Sacrum

      The sacrum is formed by the union of 5 sacral vertebrae (Figure 7.21a) and serves as a strong foundation for the pelvic girdle.

      Table 8.1 shows the differences between the male and female sacrum.

Sacrum

      Union of 5 vertebrae (S1 - S5) by age 30

   median sacral crest was spinous processes

   sacral ala is fused transverse processes

      Sacral canal ends at sacral hiatus

      Auricular surface & sacral tuberosity of SI  joint

 

Coccyx

      The coccyx is formed by the fusion of 4 coccygeal vertebrae (Figure 7.21).

      Caudal anesthesia (epidural block), frequently used during labor (in childbirth), causes numbness in the regions innervated by the sacral and coccygeal nerves (approximately from the waist to the knees).

Coccyx

      Union of 4 vertebrae (Co1 - Co4) by age 30

      Caudal or epidural anesthesia during delivery

   into sacral hiatus anesthetize sacral & coccygeal nerves

   sacral and coccygeal cornu are important landmarks

THORAX

      The term thorax refers to the entire chest.

      The skeletal part of the thorax (a bony cage) consists of the sternum, costal cartilages, ribs, and the bodies of the thoracic vertebrae (Figure 7.22).

      The thoracic cage encloses and protects the organs in the thoracic and superior abdominal cavities. It also provides support for the bones of the shoulder girdle and upper limbs.

Thorax

Thorax

   Bony cage flattened from front to back

   Sternum (breastbone)

   Ribs

   1-7 are true ribs (vertebrosternal)

   8-12 are false ribs (vertebrochondral)

   11-12 are floating

   Costal cartilages

   Bodies of the thoracic vertebrae.

Sternum

      The sternum is located on the anterior midline of the thoracic wall.

      It consists of three parts: manubrium, body, and xiphoid process (Figure 7.22).

Sternum

      Manubrium

   1st & 2nd ribs

   clavicular notch

      Body

   costal cartilages of 2-10 ribs

      Xiphoid

   ossifies by 40

   CPR position

   abdominal mm.