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Parts of Appendicular Skeleton
pectoral girdle
• upper limb: arm (brachium) and forearm (antebrachium)
• upper limb: wrist and hand
• pelvic girdle
• lower limb: thigh and leg
• lower limb: ankle and foot
Pectoral Girdle contains
Clavicle and Scapula
Sternal End
Has a rough pyramid shape and articulates with the manubrium of the sternum
Acromial End
flat shape and articulates with the acromion of the scapula
Trapezoid ridge and conoid tubercle
located on the inferior side on the right clavicle. These are the sites of conoid and trapezoid ligament attachments that connect the clavicle to the scapula
Clavicle Fracture
Happens frequently, common in children, caused by indirect force from outstretched hand, weakest part
Anterior and posterior surfaces of scapula are called
Costal and dorsal sides
Scapula three edges
medial, lateral, superior borders
Scapula three points
superior, inferior, and lateral angles
Costal side of scapula contains the
Subscapular fossa
Subscapular fossa
broad surface on anterior side of scapulae. The subscapularis muscle covers this fossa
Acromion
a large posterior process that forms the bony shoulder tip, continuous with the spine
Coracoid Process
Smaller, anterior projection
Spine of scalpula
Ridge of bone on the posterior aspect of scapula
Supraspinous Fossa
the region of the scapula immediately superior to the scapular spine. The supraspinatus muscle is located here.
Infraspinous fossa
the region of the scapula immediately inferior to the scapular spine. The
infraspinatus muscle is located here.
Glenoid Cavity
found at a lateral angle, shallow cavity (cup-shaped) that articulates with the humerus
Upper limb bones
Humerus, radius, ulna
Head of humerus
the proximal epiphysis that fits into the glenoid cavity. This ball-like structure helps form the glenohumeral joint.
Anatomical Neck
Inferior and encircling the head where the proximal epiphysis (head) joins the diaphysis.
Greater tubercle
projection lateral to the anatomical neck
Lesser Tubercle
projection located inferior to the anatomical neck
Intertubercular sulcus or bicipital groove
depression located between the greater and lesser tubercle. Contains the tendon the long head of the biceps brachii muscle.
Surgical Neck
located distal to the greater and lesser tubercles at a narrowing in the diaphysis. Common site of fractures.
Shaft
Diaphysis area of humerus
Radial Groove
radial nerve and blood vessels pass through the groove
Deltoid tuberosity
on the lateral side halfway down the humerus; the deltoid muscle attaches here
Capitulum
rounded “little head”, articulates with the head of the radius
Trochlea
pulley-like structure, that is medial to the capitulum. Articulates with the trochlear notch of the ulna
Coronoid Fossa
depression right above the trochlea; accommodates coronoid process of the ulna
Medial Epicondyle
a more prominent bump on the medial side of the humerus. The ulnar nerve (i.e., the “funny bone”) can be stimulated by pressing the arm posterior to the medial epicondyle
Lateral Epicondyle
less prominent bump on the lateral side of the humerus
Olecranon Fossa
larger cavity on the posterior side of the humerus (distal end). Accommodates the olecranon of the ulna during extension of the elbow.
Ulna and Radius
Bones of forearm
Medial side of forearm (side of pinky finger)
Ulna location
Trochlear notch
The ulna's C-shaped proximal end
Coronoid process
the anterior-most tip of the trochlear notch, goes into the coronoid fossa of the humerus
Olecranon Process
posterior side of the ulna; ‘Point of the elbow’
Styloid process of ulna
on the distal end of the ulna
Laterally placed, on the same side as thumb
Radius location
Radial Head
disc-shaped head that articulates with the capitulum of the humerus
Radial neck
narrow structure between head and shaft
Radial tuberosity
medial projection (bump) on the distal head of the radius
Radial styloid process
bony projection on the distal end of radius
Carpal bones
8 bones, allows for multiple movements of the wrist
Carpal bone mneumonic device
Straight Line To Pinky, Here Comes The Thumb
Scaphoid Fracture
• The most frequently fractured carpal bone is scaphoid
• Often results from a fall on the palm
• Often misdiagnosed early
Carpal Tunnel Syndrome
• Anterior concave space formed by carpal bones and soft tissue structures
• What passes through here: Tendons (9 total) & tendon sheaths of flexor muscles & the median nerve
• A reduction of the size of the carpal tunnel or increasing in the size of the structure within the tunnel
• Median n. compression can cause paresthesias (tingling)
Metacarpals
• 5
• Bones of the palm of the hand
• Articulate with distal row of carpal bones and phalanges
• Roman numerals I-V are used to identify bones, I is the thumb, V is the little finger
Phalanges number
14
Proximal Phalanx
articulates with the head of the metacarpal
Distal Phalanx
At tip of finger
Middle phalanx
between proximal and distal phalanges
Thumb phalange number
2
• Support body weight
• Used for locomotion
• Maintain balance
Lower limb bones purpose
o Pelvic Girdle
o Thigh (femoral)
o Leg (crural)
o Foot
Lower limb bone regions
Left and right coxal bones
Make up the pelvic
Ilium, ischium, and pubis
Bones of the coxal bone
Acetabulum
a deep socket where the hip articulates with the head of the femur.
Obturator Foramen
space in os coxae, encircled by public and ischial rami
Ilium
Largest bone of hip, resembles elephant ears
Greater Sciatic notch
another structure that can be seen near the posterior inferior iliac spine. This is where the sciatic nerve will exit.
Iliac crest
Outer edge of ilium
Iliac spine
On the most anterior point of the iliac crest is a prominent projection called the anterior superior and inferior iliac spine and on the posterior point of the iliac crest are, the posterior superior and inferior iliac spines. These projections are important sites of attachment for thigh muscles
Ala
fan-shaped structure on the medial surface of ilium
Ischium
Forms bony lower portion of pelvis
Ischial Tuberosity
the most prominent feature of the ischium, often referred to as our "sit bones." Bears weight of the body in a sitting position.
Ischial Ramus
anterior to the ischial tuberosity, contributes to obturator foramen.
Ischial Spine
Triangular (point-like) structure posterior to the acetabulum.
Lesser sciatic notch
semicircular depression inferior to ischial spine
Pubic bones
Form the anterior and inferior portions of the pelvis
Pubis symphysis
the pubic bones meet here.
Pubic body
Thickest and most anterior portion of the bone
Pubic ramus
from the pubic body are two extending rods of bone; a superior pubic ramus and an inferior pubic ramus.
femur, patella, tibia, and fibula, as well as the bones of the foot.
Lower limb bones
Femur
Thigh’s only bone
Head
The proximal portion of the femur, articulates with the acetabulum of the coxal bone
Fovea Capitis
on the middle of the head of the femur is a pit, where a ligament connects the head to the acetabulum
Neck
Attaching the head of the femur to the rest of the bone
Linea Aspera
on the posterior side of the shaft, a raised feature runs the bone's length.
Greater trochanter
immediately distal to the neck. Laterally placed on femur and attachment side for gluteus medius and minimus muscles
Lesser trochanter
on femur’s posteromedial surface, gluteus muscle attachment site
Intertrochanteric Line
on the posterior side of the bone, travels between trochanters
Diaphysis of femur
Shaft of the femur
Nutriuent foramina of femur
in the middle of the linea aspera, the entrance area of the nutrient artery that supplies the femur
Medial condyle
oval structure on the medial, proximal end of the femur, articulates with medial condyle on the tibia
Lateral Condyle
oval structure on the posterior, lateral side, at the proximal end of the femur, articulates with lateral condyle on the tibia
Medial and lateral epicondyle
Superior to each condyle
Intercondylar Fossa
groove between condyles on the posterior side of the femur
Patellar Surface
smooth depression on the anterior surface. The patella articulates with it.
Patella
• Kneecap
• Large, triangular sesamoid bone
• Housed within the tendon of the quadriceps femoris muscle
• Allows tendon to glide more smoothly
• Protects knee joint
• Superior broad base
• Inferior pointed apex
• The articular surface on the posterior aspect
o Articulates with the patella surface of the femur
Tibia and Fibula
Compose lower leg
Medial and lateral condyle
flat surface on the proximal end of the tibia on the superior head
Intercondylar Eminence
separates medial and lateral condyles
Tibial tuberosity
on the anterior surface of the tibia, near the proximal condyle
Medial malleolus
large process near the distal end of the anterior crest curves. Palpated on the medial side of the ankle.
Head
knoblike structure posterior and inferior to tibia’s lateral condyle
Neck and shaft
Part of bone distal to the head
Lateral malleolus
extends laterally to the ankle joint, palpated on the lateral side of the ankle.
Fibular notch
at the distal lateral end of the tibia, where the fibula articulates with the tibia.