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bony markings and formation
1. marking appears on bones where tendons, ligaments and fascia attach
2. other formations relate to joints, creates a passage of tendons
3. provision of increased leverage for movement
tuberosity - below are muscle and ligament attachment
large rounded projection, maybe rounded
crest
narrow ridge of bone; usually prominent
trochanter
very large, blunt, irregularly shaped process (only on femurs)
line
Narrow ridge of bone; less prominent than a crest
tubercle
small rounded projection or process
epicondyle
raised area on or above a condyle
spine
sharp, slender, often pointed projection
process
any bony prominence
head - below are projections to help form joints
bony expansion carried on a narrow neck
facet
smooth, nearly flat articular surface
condyle
rounded articular projection
ramus
armlike bar of bone
meatus - depressions and openings allowing blood vessels and nerves to pass
canal-like passageway
sinus
Cavity within a bone, filled with air and lined with mucous membrane
fossa
Shallow, basinlike depression in a bone, often serving as an articular surface
groove
furrow, formed by a blood vessel against the bone in development
fissure
Narrow, slitlike opening
foramen
Round or oval opening through a bone
endochondral ossification
how bones develop from hyaline cartilage
- replacement of cartilage with bone
- ongoing from 6 weeks to 25 years (faster as a child)
- cartilage is avascular and degenerates as bone formation progresses (growth outpaces the ability of cartilage to get oxygen)
joint classifications
synarthrosis (immoveable) and fibrous
amphiarthrosis (slightly moveable) and cartilaginous
diarthrosis (freely moveable) and synovial
fibrous joints
1. sutures in the skull - connected by dense, short fibres
2. syndesmoses - permit more movement than sutures (movement is based on length of fibres)
ex. antebrachial interosseous membrane
3. gomphoses - occurs between teeth and their sockets (tethers tooth in socket by connective tissue - periodontal ligament)
types of amphiarthroses
primary / temporary - cartilage is replaced by bone during development, producing synostosis (cartilage is replaced by bone)
synchondroses - bones are united by hyaline cartilage (ex. epiphyseal plate)
secondary / permanent - cartilaginous joint persists through adult life, permitting some movement throughout adulthood
symphyses - bones are united by fibrocartilage (collagen fibres resists tension / pulling apart) (ex. intervertebral disc)
diarhtrose / synovial joints
classified by shape of articulating surfaces and types of movement they permit
- specialized for mobility and enclosed by a joint capsule
fibrous capsule - enclosed the whole joint
synovial membrane - secretes synovial fluid
arthroscopy
minimally invasive surgical procedure to replace a joint
- arthroscope is a camera used to view the inside of the joint
origin
does not move during contraction
- proximal attachment
insertion
moves towards the origin during contraction
- distal attachment
where do muscle injuries occur?
at myotendious junction / complex
- muscle damage is bright spots on imaging
- connective tendon tissue creates a spot of vulnerability due to structural mismatch
sprain - damage to ligament
strain - muscular / tendinous damage
hamstrings example
hamstrings are vulnerable due to long length of muscle tendon junction
- 40% of non-contact sport injury
- don't heal well after injury
- brakes = eccentric contraction at maximal length
- hurdle jumpers are in a vulnerable movement (break at ischial tuberosity)
aponeuroses
flat sheets of muscles tendons that anchor the muscle to the skeleton and to deep fascia
muscle naming
most are named after attachments or movements (abductor digiti minimi)
named for their length (brevis -short, longus-long) (external, internal)
central nervous system vs parasympathetic
CNS - brain and spinal cord
PNS - cranial nerves, peripheral nerves, ganglia
plexus
collection of peripheral nerves with functionally related activity
cervical - neck, throat, phrenic n
brachial - pectoral girdle and upper limb
lumbar - anterior hips and thigh
sacral - glutes, posterior thigh, leg
spinal cord
shorter than spine, does not extend the full length of vertebral column
spinal nerves
contain both sensory and motor axons so sensory and motor deficits result from nerve injury
Hilton's laws
nerve supplying the muscles extending across and acting at a given joint not only supplies the muscle, but also innervates the joint capsule and skin overlying the muscle and distal to muscle
ex. musculotaneous nerve - biceps and brachiallis (flexion at the elbow)
- innervates forearm skin close to insertion and detects pain and proprioceptive input from elbow
muscle movements
- all muscles are innervated by multiple axons
- some muscles are innervated by multiple nerves
- some muscles are achieved by combined action of multiple muscles
paralysis
loss of function in a muscle or loss of movement
weakness or paresis
parietal loss of function in a muscle or partial loss of movement
numbness
loss of sensation (in a region of skin)
paresthesia
partial loss of sensation