Professor Odom
Levels of Organization
2
Learning Objectives
Describe and Understand the Axial and Appendicular Skeleton
Identify the bones and bony structures of the skull, the cranial suture lines, the cranial fossae, and the openings in the skull
Discuss the vertebral column and regional variations in its bony components and curvatures
Be able to compare and contrast each segment of vertebrae
Describe the components of the thoracic cage
Identify key features for each axial and appendicular bones
Identify the features of the pelvis and explain how these differ between the adult male and female pelvis
Axial Skeleton: Overview
80 bones in the axial skeleton
Cephalic
Cranial (8)
Facial (14)
Auditory Ossicles (6)
Hyoid (1)
Thoracic Cage
Ribs (24)
True Ribs (14 total)
False Ribs (6 total)
Floating (4 total)
Sternum (1)
Vertebral Column
Vertebrae
Cervical (7)
Thoracic (12)
Lumbar (5)
Sacrum (1)
Coccyx (1)
This is more for overview, they don’t need to know the specific numbers for everything, EXCEPT true false and floating ribs
True-1-7
False-8-10
Float-11,12
7
Real-Quick-Review True or False
1. Bone growth occurs between the diaphysis and the epiphysis in the epiphyseal line
2. When growth is complete, the epiphyseal plate becomes the epiphyseal line
3. Hyaline cartilage is the least abundant throughout the body
4. The ribs would be classified as axial skeleton
False, plate
True
False, most abundant
True
8
Axial Skeleton: Cephalic: Cranial
Frontal
Sphenoid
Ethmoid
Temporal
Parietal
Occipital
Know and be able to identify each of these bones
KNOW THESE REALLY WELL
9
Axial Skeleton: Cephalic: Facial
Palantine
Know and be able to identify each of these bones
KNOW THESE REALLY WELL
The bones of the skull are the only things from these two slides that they’ll need to know for their quiz, but they WILL need to know foramina and other bone markings for their practical. A study guide will be posted next weekend with details regarding which bones/bone markings they need to know for the practical.
10
Foramen of Skull
Foramen of Sphenoid Bone
Axial Skeleton: Hyoid
Floats at the level of cervical vertebrae 3
Does not articulate other bones
Attached by ligaments from styloid and hangs like a swing
Serves as attachment site for other muscles
Cornu=horn
It exists
There’s not a whole lot they need to know about the hyoid—really just the three things in red.
13
Axial Skeleton: Vertebral Column Anatomical Shape
Concave
Concave
Convex
Convex
Axial Skeleton: Vertebral Column Pathologic Shape
Scoliosis: Abnormal lateral curvature
Kyphosis: exaggerated thoracic curvature
Lordosis: exaggerated lumbar curvature
Mention pathologies associated with spinal column—kyphosis, lordosis, scoliosis
15
Anatomy of Individual Vertebrae
Vertebral Body
Vertebral Arch
Pedicle – (pillars)
Lamina – (arch)
Vertebral Foramen (opening/hole)
Spinous process (Process = projection)
Transverse processes
Anatomy of Individual Vertebrae
Vertebral Body
Vertebral Arch
Pedicle – (pillars)
Lamina – (arch)
Vertebral Foramen (opening/hole)
Spinous process (Process = projection)
Transverse processes
Axial Skeleton: Vertebrae:
C1-C7 vertebrae
C1=atlas
C2=axis
Dens
C7=vertebral prominens
Identifying Characteristics
Large vertebral foramina
Transverse Foramen
Bifid spinous process
Vertical angle
Small body
Transverse Foramen
Bifid Spinous Process
Cervical
Elephant
They need to know C1 and C2 as well as their common names, Atlas and Axis
They need to know it is C7 they can easily palpate on themselves and others
Spend some time on the different types of vertebra, they’ll need to know how to identify each kind
18
Axial Skeleton: Vertebrae:
T1-T12
Identifying Characteristics
Medium size body
Costal facets that articulate with ribs
Vertically angled spinous process
Thoracic
Giraffe
19
Axial Skeleton: Vertebrae:
L1-L5
Identifying Characteristics
Large bodies
Small vertebral foramina
More horizontal spinous process
Triangular vertebral foramen
Lumbar
Giraffe
20
Difference between Vertebrae
Difference between Vertebrae
Axial Skeleton: Vertebrae:
Sacrum is 5 fused vertebrae
S1 – S5
Base of Sacrum
Median Sacral Crest
Superior Articular Facet
Sacrum
Giraffe
23
Axial Skeleton: Vertebrae:
Coccyx aka “tailbone”
Consists of 3-5 fused vertebrae
Anchors spinal cord
Coccyx
Giraffe
24
Intervertebral Discs
intervertebral disc is a fibrocartilaginous pad that fills the gap between adjacent vertebral bodies
anulus fibrosus is the tough, fibrous outer layer of the disc. It forms a circle (anulus = “ring” or “circle”) and is firmly anchored to the outer margins of the adjacent vertebral bodies. Inside is the
nucleus pulposus, consisting of a softer, more gel-like material. It has a high water content that serves to resist compression and thus is important for weight bearing.
Herniated Disc
Herniation can happen when the Nucleus pulposus buldges through the annular layer
This can cause a pinched nerve
Important Ligaments of Vertebral Column
Supraspinous ligament is located on the posterior side of the vertebral column, where it interconnects the spinous processes of the thoracic and lumbar vertebrae. This strong ligament supports the vertebral column during forward bending motions. In the posterior neck, where the cervical spinous processes are short, the supraspinous ligament expands to become the nuchal ligament (nuchae = “nape” or “back of the neck”). The nuchal ligament is attached to the cervical spinous processes and extends upward and posteriorly to attach to the midline base of the skull, out to the external occipital protuberance. It supports the skull and prevents it from falling forward.
Important Ligaments of Vertebral Column
Anterior longitudinal ligament – lies anterior to vertebral body. It serves to resist excess backward bending of the vertebral column.
Posterior longitudinal ligament – lies posterior to the vertebral body and anterior to the spinal cord.
Ligamentum flavum (“yellow ligament”). This consists of a series of short, paired ligaments, each of which interconnects the lamina regions of adjacent vertebrae. It lies posterior to the spinal cord.
Real-Quick-Review Fill-In-The-Blank
1. C1 and C2 are also called the ________ and the __________
2. From the side, a ________ vertebra looks like a giraffe
3. From the side, a _________ vertebra looks like a moose
4. From the side, a _________ vertebra looks like an elephant
Atlas, Axis
Thoracic
Lumbar
Cervical
29
Axial Skelton: Thoracic Cage Anatomy of Sternum
Thoracic cage protects vital thoracic organs
Sternum is three fused bones
Manubrium, Body, and Xiphoid
Axial Skelton: Thoracic Cage Anatomy of Rib
Head- lies posterior and articulates with the sup/inf costal facets of thoracic vertebrae
Neck- lies between the head and tubercle
Articular facet of tubercle articulates with costal facet of transverse process
Costal groove- runs inferiorly and protects blood vessels and nerves
Angle of the rib- is the greatest curvature of the rib, just after the tubercle
Axial Skelton: Thoracic Cage
Ribs attach to the sternum via the costal cartilages
True Ribs 1-7
False Ribs 8-12
False Floating ribs are 11,12
Counting Ribs
1
2
3
4
5
6
7
{
True
Ribs
7 True Ribs on R side, so how many total?
14
8
9
10
11
12
}
False
Ribs
Floating Ribs
5 False Ribs on L side, so how many total?
10
How many of those are “floating”?
4
Axial Skeleton Review
Consists of:
Skull
Frontal
Sphenoid
Ethmoid
Parietal
Occipital
Temporal
Nasal
Lacrimal
Zygomatic
Maxilla
Mandible
Palatine
Vertebral Column
Cervical
Thoracic
Lumbar
Sacral
Coccyx
Laryngeal Skeleton, Hyoid
Thoracic Cage
Sternum
Manubrium
Body of Sternum
Xiphoid Process
Ribs
True
False
Floating
Appendicular Skeleton: Overview
Appendicular Skeleton (126)
Pectoral Girdle
Clavicles (2)
Scapula (2)
Upper Limbs
Humerus (2)
Radius (2)
Ulna (2)
Carpals (16)
Metacarpals (10)
Phalanges (28)
Pelvic Girdle
Os coxae (2)
Lower Limbs
Femur (2)
Patella (2)
Tibia (2)
Fibula (2)
Tarsals (14)
Metatarsals (10)
Phalanges (28)
Just an overview
37
Pectoral Girdle
Consists of:
Clavicle
Scapula
Pectoral Girdle: Clavicle
Orientation: The flat sternal end points medially, the acromial curve points anteriorly, and the conoid tubercle points inferiorly.
AC Joint: Acromion process and articulation of the clavicle
Help them learn to orient, since they’ll need to be able to differentiate right from left on the practical. They’re usually pretty nervous about this at first, but if you just calm them down and show them what to look for, they’ll see that it IS possible and it won’t seem quite so intimidating. 😉
39
Pectoral Girdle: Scapula
Orientation: The glenoid cavity faces laterally and the spine projects posteriorly. Coracoid process is more anterior than the acromial process.
Upper Limb: Arm: Humerus
Orientation: Head is directed medially while deltoid tuberosity is angled laterally. Olecranon fossa is located posteriorly.
Upper Limb: Forearm: Radius & Ulna
Orientation: The ulna is medial while the radius is lateral. The radial tuberosity is directed medially and rough surface on distal end is posterior. The ulnar styloid process is medial while the radial styloid is lateral. Trochlear notch faces anteriorly.
Radius rotates over the ulna
Upper Limb: Hand: Overview
Components of the Hand (from proximal to distal) :
Carpals (wrist)
Metacarpals (palm)
Phalanges (fingers)
Radius leads to the thumb while the ulna leads to the pinky.
Upper Limb: Hand: Carpals
Carpals – Greek Word for Wrist (think carpentry):
Scaphoid
Lunate
Triquetrum
Pisiform
Hamate
Capitate
Trapezoid
Trapezium
So
Long
To
Pinky,
Here
Comes
The
Thumb
Upper Limb: Hand: Carpals
So
Long
To
Pinky,
Here
Comes
The
Thumb
Carpals – Greek Word for Wrist (think carpentry):
Scaphoid
Lunate
Triquetrum
Pisiform
Hamate
Capitate
Trapezoid
Trapezium
Upper Limb: Hand: Metacarpals
Numbered (1-5) beginning laterally:
Phalange
Phalange
Phalange
Phalange
Phalange
Upper Limb: Hand: Phalanges
Numbered (1-5) beginning laterally:
Phalange
Phalange
Phalange
Phalange
Phalange
Each phalange has:
Proximal
Middle
Distal
**Only exception is 1st phalange, has proximal & distal (no middle)
Name the bone:
1
2
3
4
5
Answers:
Scaphoid
1st Metecarpal
5th Metecarpal
3rd middle phalynx (phalange)
1st proximal phalynx (phalange)
Capitate
6
Appendicular Skeleton: Overview
Appendicular Skeleton (126)
Pectoral Girdle
Clavicles (2)
Scapula (2)
Upper Limbs
Humerus (2)
Radius (2)
Ulna (2)
Carpals (16)
Metacarpals (10)
Phalanges (28)
Pelvic Girdle
Os coxae (2)
Lower Limbs
Femur (2)
Patella (2)
Tibia (2)
Fibula (2)
Tarsals (14)
Metatarsals (10)
Phalanges (28)
Just an overview
49
Pelvic Girdle: Os Coxae
The Os coxae is formed by the fusion of three bones:
Ilium
Ischium
Pubis
Orientation: Acetabulum is directed laterally, ischial spine points posteriorly, and connection of pubic bones at pubic symphysis is located anteriorly.
Pelvic Girdle: Os Coxae
The Os coxae is formed by the fusion of three bones:
Ilium
Ischium
Pubis
Orientation: Acetabulum is directed laterally, ischial spine points posteriorly, and connection of pubic bones at pubic symphysis is located anteriorly.
Important Ligaments of Pelvic Girdle
The pelvic girdle is held tightly to the axial skeleton via four major ligament:
Anterior sacrospinous ligament
Posterior sacrospinous ligament
Sacrospinous ligament
Sacrotuberous ligament
**This is different from the Pectoral girdle, which is highly mobile and attached via muscle
Important Foramen of Os Coxae
Greater sciatic foramen is formed by the greater sciatic notch, the sacrum, and the sacrospinous ligament.
Lesser sciatic foramen is formed by the lesser sciatic notch, the sacrospinous and the sacrotuberous ligaments.
Obturator Foramen is formed by the articulation of the pubic bone and the ischium.
Greater and Lesser Pelvis
Greater Pelvis / False Pelvis lies superior to the pelvic inlet
Large and small Intestines, sigmoid colon
Divided by Pelvic Inlet/Outlet & Pelvic Brim
The Pelvic Brim is the boarders of the pelvic inlet and outlet
The Pelvic Inlet is the area within the pelvic brim looking from a superior view
Lesser Pelvis / True Pelvis lies between the pelvic inlet and outlet
Urinary bladder, reproductive organs, rectum
54
Greater and Lesser Pelvis
Greater Pelvis / False Pelvis lies superior to the pelvic inlet
Large and small Intestines, sigmoid colon
Divided by Pelvic Inlet/Outlet & Pelvic Brim
The Pelvic Brim is the boarders of the pelvic inlet and outlet
The Pelvic Inlet is the area within the pelvic brim looking from a superior view
The Pelvic Outlet is the area within the pelvic brim looking from a inferior view
Lesser Pelvis / True Pelvis lies between the pelvic inlet and outlet
Urinary bladder, reproductive organs, rectum
55
Greater and Lesser Pelvis
Greater Pelvis / False Pelvis lies superior to the pelvic inlet
Large and small Intestines, sigmoid colon
Divided by Pelvic Inlet/Outlet & Pelvic Brim
The Pelvic Brim is the boarders of the pelvic inlet and outlet
The Pelvic Inlet is the area within the pelvic brim looking from a superior view
The Pelvic Outlet is the area within the pelvic brim looking from a inferior view
Lesser Pelvis / True Pelvis lies between the pelvic inlet and outlet
Urinary bladder, reproductive organs, rectum
56
Differences Male vs Female Pelvis
Female pelvis | Male pelvis | |
Pelvic weight | Bones of the pelvis are lighter and thinner | Bones of the pelvis are thicker and heavier |
Pelvic inlet shape | Pelvic inlet has a round or oval shape | Pelvic inlet is heart-shaped |
Lesser pelvic cavity shape | Lesser pelvic cavity is shorter and wider | Lesser pelvic cavity is longer and narrower |
Subpubic angle | Subpubic angle is greater than 80 degrees | Subpubic angle is less than 70 degrees |
Pelvic outlet shape | Pelvic outlet is rounded and larger | Pelvic outlet is smaller |
False Pelvis Depth | False pelvis is more shallow | False pelvis is deeper |
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Lower Limb: Thigh: Femur
Orientation: Head is directed medially while greater trochanter is directed laterally. The intercondylar fossa is located posteriorly while patellar surface is anterior.
Lower Limb: Knee: Patella
Orientation: The apex is the inferior most feature. Posterior medial facet is smaller than lateral facet.
Lower Limb: Leg: Tibia & Fibula
Orientation: Fibula is lateral while the tibia is medial
Fibular malleolus is lateral while Tibial malleolus is medial. Tibial tuberosity is anterior.
Lower Limb: Foot:
The Foot has three components (from proximal to distal):
Tarsals
Metatarsals
Phalanges
Lower Limb: Foot: Tarsals
Tarsals
Talus
Calcaneus
Navicular
Medial Cuneiform
Intermediate Cuneiform
Lateral Cuneiform
Cuboid
Tiger
Cubs
Need
MILC
Help them learn to orient. Mnemonic start on the top of the foot with the talus, below it to the calcaneus, and then moves clockwise towards the big toe and around to the little toe.
63
Lower Limb: Foot: Metatarsals
Numbered (1-5) beginning medially:
Phalange
Phalange
Phalange
Phalange
Phalange
Lower Limb: Foot: Phalanges
Numbered (1-5) beginning medially:
Phalange
Phalange
Phalange
Phalange
Phalange
Each phalange has:
Proximal
Middle
Distal
**Only exception is 1st phalange, has proximal & distal (no middle)
Name the Bone
Navicular
Talus
Calcaneus
Lateral cuneiform
1st Proximal Phalynx (Phalange)
5th Distal Phalynx (Phaleange)
1
2
3
4
5
6
Congratulations you’ve now learned the entire Axial and Appendicular Skeleton!