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Primary functions of the skeleton
Support and protect soft tissue, movement, blood cell production, mineral storage, fat storage
Connective tissues
A class of tissues made up of cells and a surrounding and supporting matrix
Periosteum
Connective tissue covering the outer surface of the bone, bound to bone by Sharpay’s fibres, outer fibrous layer for strength, inner osteogenic layer houses bone cells
Endosteum
Connective tissue lining the medullary cavity, also covers the trabeculae of cancellous bone, similar to inner osteogenic layer of periosteum, lack fibrous layer and is very fragile
Red marrow
Includes blood cells and blood cell precursers, supporting matrix is fragile
At birth all marrow is
Red
Yellow marrow
Largely made of adipose tissue, network of supportive tissues, lipid storage cells, can convert to red marrow if necessary
Cartilage
Connective tissue composed of matrix and cells that deposit and maintain
Hyaline cartilage
Ground substance and type 2 collagen fibres, chondrocytes in lacunae in matrix, covers most joint surfaces, makes up costal cartilages, many developing bones start this way
Fibrocartilage
Most of matrix is dense parallel bundles of type 1 collagen fibres, islands of cells surrounded by small amounts of matrix more similar to hyaline cartilage sit between large bundles, found in pubic symphysis, intervertebral discs, and menisci of knee
Fibrous joints
Bones joined directly by fibrous tissue
Cartilaginous joints
Bones are joined by cartilage
Symphysis
Subtype of cartilaginous joint, bones capped with hyaline cartilage and joined by fibrocartilage
Synovial joints
Highly mobile, bone surfaces coated by hyaline cartilage, synovial membranes surround joint cavity and secrete synovial fluid, joint capsule binds the joint together, ligaments guide and restrict movement
Collagen
Main structural protein
Type 1 collagen
Most abundant, about 90% of collagen, most collagen in dentine and fibrocartilage, rod like relatively rigid molecule made of 3 amino acid chains in triple helix, rich in hydroxyproline
Hydroxyapatite
Crystals of mineral are packed in an around the collagen fibres, deposited after fibrils are formed, provides strength and rigidity
Osteoblasts
Secrete osteoid, lay bone down
Osteoclasts
Resorb bone matrix by dissolving mineral portion and consuming protein portion
Osteocytes
Maintain bone matrix, originate as osteoblasts
How do osteocytes communicate
They occupy lacunae in amtrix with tunnels (canaliculi) connecting them, which processes (filopodia) run through so osteocytes can communicate
Osteoprogenitor cells
Stem cells important to bone growth and repair, found in endosteum and osteogenic layer of periosteum, very active in juveniles, can differentiate into osteoblasts or chondroblasts when needed
Woven bone
Immature bone, deposited rapidly, collagen fibres show random orientation, osteocytes arranged in irregular pattern
Lamellar bone
Well organized parallel layers, osteocytes spaced in between, regular arrangement provides strength
Cancellous bone
Trabeculae of bone surround spaces filled with red or yellow marrow, trabecular surfaces are lined with endosteum, osteocytes occupy lacunae within trabeculae, other bone cells are found on trabecular surfaces
Compact bone
Cortical or Haversian, longitudinal Haversian canal holds blood vessels, canal is surrounded by lamellae of bone, Bolkmann’s canals link Haversian canals, osteocytes sit in lacunae between lamellae, intersititial lamellae between osteons, circonferontial lamellae at periosteal surface
Shoulder
Only bony link between the arm and the rest of the skeleton is via the clavicle, functions as a strut holding arm out from torso and transferring weight from arm to torso, wide range of motion
Rotator cuff
Subscapularis, supraspinatus, infraspinatus, function to stabilize shoulder and move
Subscapularis
Arises from subscapular fossa
Supraspinatus
Arises from supraspinous fossa
Infraspinatus
Arises from infraspinous fossa
Muscles of the shoulder
Deltoideus and pectoralis
Deltoideus
Runs from clavicle and scapula to deltoid tuberosity on humeral shaft, abducts arm at the shoulder
Pectoralis major
Runs from anterior surface of clavicle, sternum, and costal cartilages of upper rubs to lateral groove of humerus, flexes and adduct humerus
Muscles of the elbow
Biceps brachii, triceps brachii, brachialis
Biceps brachii
Two heads, tendon of long head arises from supraglenoid tubercle of scapula and passes through bicipital sulcus of humerus
Triceps brachii
Three heads, long head runs from infraglenoid tubercle of scapula, other heads from humeral shaft, common insertion on olecranon of ulna
Brachialis
Originates from shaft of humerus, inserts on brachial tuberosity of ulna, flexes even when forearm is pronated
Anterior compartment
Houses muscles arising from medial epicondyle of humerus and anterior aspect of ulnar and radial shafts, flexes wrist and digits
Posterior compartment
Houses muscles arising from lateral epicondyle of the humerus and posterior aspect of ulnar and radial shafts, extend wrist and digits
Flexor retinaculum
Band of ligament from scaphoid and trapezium to pisiform and hamate, forms anterior border of carpal tunnel
Carpal tunnel
Holds tendons of flexors
Fibrous flexor sheaths of fingers
Anchored to ridges along sides of phalanges on palmar aspects, hold flexor tendons in position close to palmar aspect of phalanges
Dorsal interossei
Attached to dorsal aspect of metacarpals along their sides, and to bases of proximal phalanges, spread (abduct) the fingers, make u-shaped attachment marks on dorsal aspect of 2nd-5th shaft
Endochondral ossification
Begins as hyaline cartilage precurser, cartilage ramines at some spots until end of skeletal growth, chondrocytes m
Growth plate
An organized area in which cartilage grows and then transforms into bone, allows the longitudinal growth of bone
Regions of the growth plate
Resting zone, zone of proliferation, zone of hypertrophy, zone of calcification, zone of ossification
Epiphyseal line
When growth has cease and the plates transform into bone
Remodelling
Coordinated resorption and apposition of bone
Key sources of childhood physiological stress
Malnutrition and disease
Children with growth delay may show
Reduced body size for age, delays in skeletal development, delayed onset of puberty, delayed completion of skeletal growth
Catch up growth
If nutrition/health improves, growth will accelerate above normal rate for a while
Linear enamel hypoplasia
Transverse grooves or series of pits in the surface of the enamel, enamel laid down in layers by ameloblasts as tooth forms, systemic stress causes cessation of activity in a group of ameloblasts, tooth formation continues, may be lost later in adulthood if tooth is worn down by use
Estimation of stature used for
Forensic studies, bioarcheology
Living stature reflects
The total height of the feet, legs, hips, spine and skull
Stature begins to decline after
30
Primary functions of the pelvic girdle
Link between spine and lower limb, origin/insertion for torso and hip muscles, support of internal structure
Gluteal muscles
Gluteus minimus, gluteus medius, gluteus maximus
Gluteus minimus and gluteus medius
Run to greater trochanter of the femur, abduct the femur, maintain level pelvis while walking
Gluteus maximus
Runs to femur, a portion attaches to the gluteal line of the femur, extension of the femur, important for walking, climbing, running
Soft tissue structures of the knee
Menisci, cruciate ligaments, collateral ligaments
Menisci
Medial and lateral, run along edges of tibial condyles and build them up, crescent shaped, sit on top of articular cartilage, ends of crescents attach to bone of tibia in anterior and posterior intercondylar areas
Cruciate ligaments
Anterior and posterior, arise from intercondylar fossa of femur, insert on intercondylar areas of tibia
Collateral ligaments
Fibular and tibial, lateral and medial epicondyles of femur
Quadriceps femoris
Four heads running from os coxae and femoral shaft, unite in a tendon that attaches to the patella
Patella
Increases mechanical advantage, protects knee, larger lateral facet helps prevent lateral dislocation
Muscles of the ankle
Gastrocenmius and soleus
Gastrocnemius
Superficial, two heads attach to femur, attachment of medial head often visible as rough area on popliteal surface
Soleus
Runs under gastrocnemius, attaches to shaft of tibia and head of fibula, tibial attachment point is popliteal line
Achilles tendon
Lifts rear of calcaneus around fulcium of talcrural joint, entire foot lifts off ground to point of metatarso-phalangeal joint, frequent site of stress lesions
Flexor hallucis longis
Flexes ankle and first toe, tendons run in grooves on calcaneous and talus, runs between MT 1 sesamoids, which steady and protect the tendon
Arches
Aid in weight distribution, principal arch in longitudinal arch on medial aspect, from calcaneal tuberosity to head of first metatarsal, shape of arch is present in shape of bones, but maintained by ligaments and tendons
Plantar fascia
Strong superficial sheet of tendon on sole of foot, attached to calcaneal tuber and to fibrous sheaths of the phalanges of the toes
Bone turnover
Eventually all bone tissue in a bone will be replaced
Wolff’s law
Bones adapt to high stress by forming bone where stress is high and resorbing it where stress is low
Paleopathology
The study of illness, trauma, and other health issues in past individuals and populations using their physical remains
Anomaly
Any change in the remains that appear to be outside the range of normal variation
Lesion
An area of tissue that has been pathologically altered
Blastic lesion
Deposits excess bone, common cause is reaction of periosteum to bleeding or inflammation
Lytic lesion
Removal of bone, can be caused by pressure from products of infection
Mixed lesion
Shows blastic and lytic components
Active/recent lesions
Shows sharp edges, depositional bone present is woven
Perimortem lesions
Inflicted shortly before, at, or after death, shows no bone reaction
Fracture
Bone breaks under mechanical stress
Dislocation
Joint separates under mechanical stress
Joint diseases
Degenerative joint disease, traumatic and septic osteoarthritis, rheumatoid arthritis
Infectious diseases
Most leave no skeletal lesions or non-specific lesions
Metabolic diseases
Abnormalities of bone quality or quantity can be caused by dietary and hormonal problems
Dental diseases
Dental carries, periodontitis, abscessing
Enthesis
The point where a tendon, ligament, or joint capsule attaches to a bone
Fibrous enthesis
The ligament/tendon joins to the bone via fibrous connective tissue only, not useful for reconstructing past activity patterns
Fibrocartilaginous enthesis
The ligament/tendon attaches to the bone via a fibrocartilaginous transition zone, show dry bone changes that seem to be more clearly linked to activity
Osteoarthritis
Deterioration of articular cartilage, mechanical stress increases likelihood, as well as severity of lesion, show some links to activity