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musculoskeletal system
An integrated body system consisting of bones, joints, and muscles.
orthopedics
The branch of medicine that deals with the preservation and restoration of the skeletal system, articulations, and associated structures.
axial skeleton
80 bones; consists of the skull bones, auditory ossicles, hyoid bone, ribs, sternum, vertebrae and sacrum
appendicular skeleton
126 bones; consists of the bones of the upper and lower extremities and the bones forming the girdles
girdles
bones connecting the limbs to the axial skeleton
long bones
greater length than width, consist of diaphysis and epiphyses, slightly curved for strength. mostly compact bone tissue with spongy bone tissue in the epiphyses
short bones
somewhat cube-shaped and nearly equal in length and width. mostly spongy bone tissue with a thin surface of compact bone tissue
flat bones
thin, composed of two compact bone plates enclosing a layer of spongy bone. provide protection and extensive areas for muscle attachment
irregular bones
complex shapes and do not fit into any other categories
sesamoid bones
Small bone usually found in tendons that develops where there is considerable friction, tension, and physical stress; numbers vary from person to person. protection of tendons from excessive wear and tear.
long bone examples
femur, tibia, fibula, humerus, ulna, radius, phalanges
short bone examples
carpal and tarsal bones
flat bone examples
cranial cavity bones, sternum, ribs
irregular bone examples
vertebrae, hip bones, certain facial bones, calcaneus
sesamoid bone examples
kneecaps
sutural bones
classified by location, small flat bones in joints between certain cranial cavity bones. number varies by individual
surface markings
structural features adapted for specific functions
depressions and openings
allows the passage of soft tissues (blood vessels, nerves, ligaments, tendons) or form joints
processes
projections or outgrowths that either help form joints or serve as attachment points for connective tissue
Fissure
Narrow slit between adjacent parts of bones through which blood vessels or nerves pass.
ex. Superior orbital fissure of sphenoid bone
Foramen
Opening through which blood vessels, nerves, or ligaments pass.
ex. Optic canal of sphenoid bone
Fossa
shallow depression.
ex. coronoid fossa of humerus
sulcus
furrow along the bone surface that accomodates blood vessel, nerve, or tendon
ex. intertubercular sulcus of humerus
meatus
tubelike opening
ex. external acoustic meatus of temporal bone
condyle
large, round protuberance with a smooth articular surface at end of bone
ex. lateral condyle of femur
facet
smooth, flat, slightly concave or convex articular surface
ex. superior articular facet of vertebra
head
usually rounded articular projection supported on neck (constricted portion) of bone
ex. head of femur
crest
prominent ridge or elongated projection
ex. iliac crest of hip bone
epicondyle
typically roughened projection above condyle
ex. medial epicondyle of femur
line (linea)
long, narrow ridge or border (less prominent than crest)
ex. linea aspera of femur
spinous process
sharp, slender projection
ex. spinous process of vertebra
trochanter
very large projection
ex. greater trochanter of femur
tubercle
variably-sized rounded projection
ex. greater tubercle of humerus
tuberosity
variably-sized projection that has a rough, bumpy surface
ex. ischial tuberosity of hip bone
skull
The skeleton of the head consisting of the cranial cavity bones and facial bones. contains 22 bones
cranial cavity bones
frontal bone, two parietal bones, two temporal bones, occipital bone, sphenoid bone, and ethmoid bone
facial bones
forms anterior part of the skull, 14 bones. two nasal bones, two maxillae, two zygomatic bones, mandible, two lacrimal bones, two palatine bones, two inferior nasal concha bones, and vomer.
frontal bone
forms the forehead, roofs of the orbits, and most of the anterior part of the cranial base.
partietal bones
forms the greater portion of the sides and roof of the cranial cavity.
temporal bones
forms the inferior lateral aspects of the cranial cavity and part of the cranial base.
mastoiditis
infection of the mastoid bone behind the ear. painful inflammation
occipital bone
forms the posterior part of the cranial cavity and most of the cranial base
sphenoid bone
lies at the middle part of the cranial base. “keystone” of the cranial base, resembles a butterfly
ethmoid bone
delicate bone located in the anterior part of the cranial base medial to the orbits and is spongelike in appearance. anterior to the sphenoid and posterior to the nasal bones. major supporting structure of the nasal cavity
Temporomandibular Joint Dysfunction (TMJ)
characterized by dull pain around ear, tender jaw muscles, clicking noise when opening/closing mouth. caused by improperly aligned teeth, grinding teeth, trauma to the head, arthritis, etc. treatment involves moist heat or ice, soft foods and pain relievers
Deviated septum
occurs when the septum does not run along the midline of nasal cavity. caused by trauma to the nose or developmental abnormality. may lead to infection, inflammation, congestion, headaches and nosebleeds. may require surgery to fix
nasal bones
small, flattened, rectangular-shaped bones that form the bridge of the nose. protects the upper entry to the nasal cavity and provides attachment for a couple thin muscles of facial expression. the bones that form the resting place for the bridge of glasses
lacrimal bones
thin and roughly resemble a fingernail in size and shape. posterior and lateral to the nasal bones and form a part of the medial wall of each orbit. each contain a lacrimal fossa, a vertical tunnel formed with the maxilla that houses the lacrimal sac, a structure that gathers tears and passes them into the nasal cavity
palatine bones
L-shaped, form the posterior portion of the hard plate, part of the floor and poserolateral wall of the nasal cavity, and a small portion of the floors of the orbits.
inferior nasal concha bones
inferior to the middle nasal conchae of the ethmoid bone. scroll-like bones that form a part of the inferior lateral walls of the nasal cavity and project into the nasal cavity. increases the surface area of the nasal cavity and help swirl and filter before it passes into the lungs.
cleft palate
incomplete fusion of the horizontal plates of the palatine bones
Vomer
roughly triangular bone that forms the inferior part of the nasal septum.
maxillae
unites to form the upper jawbone. form part of the floors of the orbits, part of the lateral walls and floor of the nasal cavity, and most of the hard palate. contains a large maxillary sinus that empties into the nasal cavity
hard palate
the bony roof of the mouth, formed by the palatine processes of the maxillae and horizontal plates of the palatine bones. separates the nasal cavity from the oral cavity
zygomatic bones
commonly called cheekbones. form the prominences of the cheeks and part of the lateral wall and floor of each orbit. The temporal process of the zygomatic bone projects posteriorly and articulates with the zygomatic process of the temporal bone to form the zygomatic arch
mandible
lower jawbone; is the largest, strongest facial bone. the only movable skull bone other than the auditory ossicles. consists of a curved, horizontal portion, the body, and two perpendicular portions, the rami.
mental foramen
inferior to the second premolar tooth
mandibular foramen
on the medial surface of each ramus
mandibular canal
runs obliquely to the ramus and anteriorly to the body. inferior alveolar nerves and blood vessels pass here and are distributed to the mandibular teeth
nasal septum
A vertical partition composed of bone (perpendicular plate of ethmoid and vomer) and septal nasal cartilage (hyaline cartilage), covered with a mucous membrane, separating the nasal cavity into left and right sides.
orbits
The bony, pyramidal‐shaped cavity of the skull that holds the eyeball
foramen/foramina
openings for blood vessels, nerves, ligaments
coronal suture
unites the frontal bone and both parietal bones
sagittal suture
unites the two parietal bones on the superior midline of the skull
lambdoid suture
unites the two parietal bones to the occipital bone.
squamous sutures
unites the parietal and temporal bones on the lateral aspects of hte skull
carotid canal
Petrous portion of temporal bone
Internal carotid artery, sympathetic nerves for eyes.
hypoglossal canal
Superior to base of occipital condyles
Hypoglossal (XII) nerve, branch of ascending pharyngeal blood vessel.
infraorbital foramen
Inferior to orbit in maxilla
Infraorbital nerve and blood vessels, branch of maxillary branch of trigeminal (V) nerve.
jugular foramen
Posterior to carotid canal between petrous portion of temporal bone and occipital bone
Internal jugular vein; glossopharyngeal (IX), vagus (X), and accessory (XI) nerves.
lacerum foramen
Bounded anteriorly by sphenoid bone, posteriorly by petrous portion of temporal bone, medially by sphenoid and occipital bones
Branch of ascending pharyngeal artery.
magnum foramen
Occipital bone
Medulla oblongata and its membranes (meninges), accessory (XI) nerve, vertebral and spinal arteries.
mandibular foramen
Medial surface of ramus of mandible
Inferior alveolar nerve and blood vessels.
mastoid foramen
Posterior border of mastoid process of temporal bone
Emissary vein to transverse sinus, branch of occipital artery to dura mater.
mental foramen
Inferior to second premolar tooth in mandible
Mental nerve and vessels.
cribriform foramen
Cribriform plate of ethmoid bone
Olfactory (I) nerve.
optic canal
Between superior and inferior portions of small wing of sphenoid bone
Optic (II) nerve, ophthalmic blood vessels.
ovale foramen
Greater wing of sphenoid bone
Mandibular division of trigeminal (V) nerve.
rotundum foramen
Junction of anterior and medial parts of sphenoid bone
Maxillary division of trigeminal (V) nerve.
stylomastoid foramen
Between styloid and mastoid processes of temporal bone
Facial (VII) nerve, stylomastoid blood vessels.
supraorbital foramen
Supraorbital margin of orbit in frontal bone
Supraorbital nerve and blood vessels.
paranasal sinuses
A mucus‐lined air cavity in a skull bone that communicates with the nasal cavity; located in the frontal, maxillary, ethmoid, and sphenoid bones.
sinusitis
inflammation of the mucous membrane of one or more paranasal sinuses. may be caused by microbial infection, allergic reactions, nasal polyps, or a severely deviated septum.
fontanels or “soft spots”
A mesenchyme-filled space where bone formation is not yet complete, especially between the cranial cavity bones of an infant’s skull.
anterior fontanel
largest fontanel, located at the midline among the two parietal bones and the frontal bone, and is roughly diamond-shaped. It usually closes 18 to 24 months after birth.
posterior fontanel
located at the midline among the two parietal bones and the occipital bone. Because it is much smaller than the anterior fontanel, it generally closes about 2 months after birth.
anterolateral fontanels
located laterally among the frontal, parietal, temporal, and sphenoid bones, are small and irregular in shape. Normally, they close about 3 months after birth.
posterolateral fontanels
located laterally among the parietal, occipital, and temporal bones, are irregularly shaped. They begin to close 1 to 2 months after birth, but closure is generally not complete until 12 months.
hyoid bone
unique component of the axial skeleton; does not articulate with any other bone. it is suspended from the styloid processes of the temporal bones by ligaments and muscle. supports the tongue and provides attachment sites for some tongue muscles and those of the neck and pharynx. consists of lesser horns and greater horns
vertebral column
The 26 vertebrae of an adult and 33 vertebrae of a child; encloses and protects the spinal cord and serves as a point of attachment for the ribs and back muscles. Also called the backbone, spine, or spinal column.
number of vertebrae
7 cervical (neck) 12 thoracic, 5 lumbar, 1 sacrum, 1 coccyx
coccyx
four fused bones at the inferior end of the vertebral column in a triangular shape. fuse between the ages of 20 and 30. the tailbone
sacrum
consists of 5 fused vertebrae. triangular bone. begins to fuse age 16-18 and is complete by 30. serves as strong foundation for the pelvic girdle. female is shorter, wider, and more curved than male
primary curves
curves of the spine, the thoracic and sacral curves. these retain the original curvature of the embryonic vertebral column
secondary curves
the cervical and lumbar curves; these begin to form later, several months after birth, and finish forming by age 10. may be progressively lost in old age
abnormal curves
kephosis, lordosis, and scoliosis
intervertebral discs
A pad of fibrous cartilage located between the bodies of two vertebrae. accounts for 25% of the height of the vertebral column
vertebral body
the thick, disc shaped anterior portion of the vertebra; the weight bearing portion. superior and inferior surfaces are roughened for the attachment of cartilaginous intervertebral discs. The anterior and lateral surfaces contain nutrient foramina
vertebral arch
two short, thick processes, the pedicles, project posteriorly from the vertebral body and then unite with the flat laminae to form this.
vertebral foramen
vertebral body and vertebral arch surround the spinal cord to form this. contains the spinal cord, adipose tissue, areolar connective tissue, and blood vessels