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Anatomical Position
- Reference point
- Palm facing forwards and thumbs out to side
Sagittal Plane
Splits body into left and right halves
- Flexion and extension
- Terms used: medial and lateral
Frontal (coronal) Plane
Splits the body into front and back halves
- ADDuction and ABDuction
- Terms used: anterior and posterior
Transverse Plane
Splits the body into upper and lower halves
- Rotation
- Terms used: superior and inferior
Superior
Structure closer to head
- transverse plane
Inferior
Closer to feet
- on transverse plane
Cranial/cephalid
Closer to head (when referring to structures on trunk)
Caudal
Closer to buttocks (used when referring to structures on trunk)
Posterior
Structure closer to the back
- Frontal plane
Anterior
Structure closer to the front
- Frontal plane
Dorsal
Posterior and refers to the back (used for trunk)
Ventral
Anterior and refers to belly (used for trunk)
Medial
Structure closer to midline/center of body
- sagittal plane
Lateral
Structure further away from midline/center of body
- sagittal plane
Distal
Structure further away from trunk/midline (used for extremities)
Proximal
Structure closer to trunk (used for extremities)
Superficial
Structure closer to the surface
Deep
Structure deeper in the body
Extension
Straightens a joint
Flexion
Bends a joint
Adduction
Brings limb medially towards the body (only in extremities)
Abduction
Moves limb laterally away from midline (only in extremities)
Medial (internal) Rotation
Limb turns in towards midline (hip/shoulder joints)
Lateral (external) Rotation
Limb turns away from midline (hip/shoulder joints)
Circumduction
Combination of flexion, extension, abduction, adduction (cone-shaped movement)
Supination
Pivot forearm upwards (palm up)
Pronation
Pivot forearm downwards (palm down)
Opposition
Thumb crosses palm towards pinkie
Inversion
Elevates foot's medial side (feet turn in)
Eversion
Elevate foot's lateral side (feet turn out)
Plantar Flexion
Points foot to ground
Dorsiflexion
Points foot upwards
Protraction (protrude)
Structure moves anteriorly (only in scapula)
Retraction (retreat)
Structure moves posteriorly (only in scapula)
Evevation
Structure moves superiorly (only in jaw and scapula)
Depression
Structure moves inferiorly (only in jaw and scapula)
Connective Tissue
Comprised of fibers with widely dispersed cells (fibroblasts)
Components of CT
- Water
- Collagen fibers
- Ground substance
- Elastin fibers
- Fibroblasts
Dense Regular CT
- Tendons and Ligaments
- Lined in parallel bundles
- Resists tensile loads in one direction
Dense Irregular CT
- Joint capsules and fascia
- Arranged in wavy bundles
- Resist forces in multiple directions
Loose CT
- Investing fascia of all structures
- Subcutaneous tissue
Collagen
- Most common CT
- Tough and non-elastic (does not stretch)
Collagen: Type 1
- Resists tensile forces
- Ex: skin, tendons, bones, meniscus, and annulus
Collagen: Type 2
- Resists compressive forces
- Ex: hyaline cartilage, nucleus pulposus
Elastin
Fibers that nay be stretched
Fascia
- Arranged in sheaths
- Fluid is found between layers (allows free movement)
Superficial CT
- Loose CT
- Surrounds and protects structures
- Often contains fat
- Helps prevent spread of infection/disease
Deep CT
- Dense irregular CT
- Separates muscles in leg into compartments
Perimysium
Thin fascia that surrounds individual muscle fibers
Bursa
- CT that forms and creates a pocket of fluid
- Between muscles and tendons, or muscle and bones
Tendons
- Dense regular CT
- Connect muscle to bone
Aponeurotic Tendon/Aponeurosis
- Broad flat tendon expansion for attachment to a large area
- Ex: Palm of hand, sole of foot
Ligaments
- Dense regular CT
- Connects bone to bone
Cartilage
- Supportive framework for soft tissue
- Resists permanent deformation
- Largely aneural and avascular
- Gets nutrition by diffusion and pumping of fluids through its substance
Hyaline/Articular Cartilage
- smooth and glassy
- covers weight-bearing ends of bone surfaces
- Minimal shock absorption
Composition of Hyaline Cartilage
Water (60-87%), collagen (10-30%), Proteoglycans (3-10%)
Superficial (Tangential) Zone
- Top layer of articular cartilage
- Deformable
- Helps distribute loads
Immediate Zone
Deformable open meshwork of randomly oriented fibers
Deep Zone
- Tight meshwork of closely packed collagen attached firmly to underlying bone
- Very stiff
Fibrocartilage
- Supports, limits, and directs movement
- Secondary stabilizer
Fibrocartilage Examples
Intervertebral disks, menisci of knee, and pubic symphysis
Elastic Cartilage
Very flexible and largely avascular
Elastic Cartilage Examples
Ear and nose
Bone Functions
- Protects vital structures
- Supports body
- Provides mechanical basis for movement
- Blood cell development in marrow
Bone Structure
- Fibrous CT in a solid matrix
- Fibrous materials for resilience
- Minerals for hardness and rigidy
Cortical/Compact Bone
- Forms outer surfaces of all bone
- Can withstand high tensile and compressive strength
- Fractures at about 2% strain
Spongy/Trabecular Bone
- Thin plates forming trabeculae
- Finer bones
- Strength depends on density of trabeculae
- Fractures at about 7% strain
Osteopenia/Osteoporosis
- Atrophy from inside out
- Bending bones causes charged particles to gather on the concavity and convexity
- Load bearing is only way to bend bones
Axial Skeleton
Skull, vertebrae, ribs and sternum
Appendicular Skeleton
Limbs, shoulder girdle, pelvic girdle
Long Bone
Longer than they are wide
Long Bone Example
Femur
Short Bone
Equal height and width
Short Bone Example
Carpal and tarsals
Flat Bone
Have gentile curves
Flat Bone Examples
Skull and pelvis
Irregular Bone
Irregular shape
Irregular Bone Examples
Vertebrae and facial bones
Sesamoid Bone
Round/oval nodules found in tendon that help reduce friction and allows for greater force
Sesamoid Bone Examples
Patella, pisiform, sesamoids of foot
Ipsilateral Effects
On same side
Contralateral Effects
Effects on opposite side
Contralateral Movement
Moving to opposite side
Unilateral Movement
Only on one side
Bilateral Movement
Both sides
Epi-
Upon, besides, attached to
Facets
Elevations on bones w/ articulations associated with
Condyle
Elevation of some kind
Epicondyle
Elevation off an elevation
Diaphysis
Shaft
Epiphysis
Ends of shaft of bone
Metaphysis
Narrowed end between epiphysis and diaphysis
Heterotopic Ossification
Abnormal bony growth in soft tissue and results in limited movement
Bone Atrophy
Decrease in bone mass from aging and lack of exercise
Bone Hypertrophy
Increase in bone mass from strength training
Cardiac Muscle
- Involuntary muscle tissue found only in the heart
- Smooth and skeletal muscle
- Cells are interconnected
Smooth Muscle
Involuntary muscle found inside internal organs of the body
Skeletal Muscle
About 50% of body weight and 50% of body's metabolism
Muscle Fibers
Muscle cell that is innervated by a single anterior horn cell
Epimysium
Surrounds entire muscle