AXIAL SKELETON HUMAN SKELETON

Puzzle Piece 5: Axial Skeleton Human Skeleton

  • Adult human skeleton has 206 bones.

    • Children have more bones since some fuse during childhood and adolescence.

  • Skeleton divided into two main parts:

    • Axial Skeleton:

    • Bones in the vertical central axis of the body.

    • Includes:

      • Cranial bones (encase the brain):

      • Paired bones: parietal bones, temporal bones.

      • Unpaired bones: sphenoid bone, ethmoid bone, occipital bone, frontal bone.

      • Facial bones.

      • Ear ossicles.

      • Hyoid bone.

      • Vertebral column (spine).

      • Thoracic cage (rib cage).

    • Appendicular Skeleton:

    • Bones in the upper and lower limbs.

    • Includes bones that connect limbs to the axial skeleton.

  • Witty Tip:

    • Axial skeleton = main axis bones of the body.

    • Appendicular skeleton = all limb bones + connection bones.

Bone Function and Structure

  • Each bone has a specific function determined by its size, shape, and strength.

    • Bones in lower back and limbs are thicker and stronger to support body weight.

  • Surface markings (bone features) provide clues about function:

    • Prominent attachment points indicate areas for strong muscle attachment.

    • Smaller markings suggest attachment for weaker muscles.

  • Witty Tip 1:

    • Strong muscles need larger gripping areas to hold on during contraction.

  • Witty Tip 2:

    • Learn bone names and features; understand bone structure vs. function for better skeletal anatomy comprehension.

Axial Skeleton

  • Composed of 80 bones.

    • Includes:

    • Cranial bones.

    • Facial bones.

    • Ear ossicles.

    • Hyoid bone.

    • Vertebral column.

    • Thoracic cage.

Cranial Bones

  • Encases the brain.

  • 8 cranial bones:

    • Paired bones: parietal bones, temporal bones.

    • Unpaired bones: sphenoid bone, ethmoid bone, occipital bone, frontal bone.

  • Witty Tip 1:

    • Cranial bones = PEST OF 211:

    • 2 Parietal bones.

    • 1 Ethmoid bone.

    • 1 Sphenoid bone.

    • 2 Temporal bones.

    • 1 Occipital bone.

    • 1 Frontal bone.

  • Witty Tip 2:

    • Paired means right and left (like shoes).

    • Unpaired means singular; no pair.

  • Sutures: narrow bands of dense irregular connective tissue between cranial bones:

    • Coronal suture: separates frontal bone from parietal bones.

    • Sagittal suture: separates right and left parietal bones.

    • Lambdoid suture: separates occipital bone from parietal bones.

    • Squamous suture: separates temporal bone from adjacent bones.

  • Witty Tip 1: Coronal suture is like a crown on Miss Universe's head.

  • Witty Tip 2: Lambdoid suture resembles the Greek letter lambda.

  • Witty Tip 3: Squamous suture is flat like a scale.

  • Witty Tip 4: Sutures are fibrous joints comprised of dense irregular connective tissue, providing strength in multiple directions.

Bone Features and Associations

  • Critical to associate bone features with their respective bones to avoid confusion.

  • Witty Tip:

    • Use full names like "infraorbital foramen of maxilla" when studying bone features for automatic recall.

Frontal Bone

  • Forms the forehead (anterior aspect of cranium) and part of bony orbits.

  • Bone features:

    • Supraorbital foramen: hole above each orbit allowing passage of nerves and vessels.

    • Frontal sinus: air pocket space; inflammation leads to frontal sinusitis.

    • Classified as pneumatized bone due to the frontal sinus.

  • Witty Tip:

    • “Foramen” means hole; “supra” means superior; “orbital” means bone orbit. Therefore, supraorbital foramen = hole above bony orbit.

  • Categorized as a flat bone and pneumatized bone.

Parietal Bones

  • Found posterior to the frontal bone and anterior to the occipital bone.

  • Right and left parietal bones form sides (lateral) and roof (superior) of the cranium.

  • Separated by the sagittal suture.

Occipital Bone

  • Forms back (posterior) and base of cranium.

  • Classified as flat bone.

  • Bone features:

    • Foramen magnum: large hole for brainstem passage.

    • Occipital condyle: smooth rounded surface articulating with C1 (atlas).

    • Hypoglossal canal: below the tongue, pathway for structures reaching underneath.

    • Located superior to occipital condyle.

    • Jugular foramen: shared with temporal bone, passageway for internal jugular artery and cranial nerves IX, X, XI.

  • Witty Tip: The jugular foramen is at the cranium's base between occipital and temporal bones.

Temporal Bone

  • Forms sides (lateral) and base of cranium.

  • Described as irregular bone.

  • Distinct features:

    • Mastoid process: bump behind ear.

    • Styloid process: sharp pointy process.

    • Zygomatic process: connects with zygomatic bone.

    • Mandibular fossa: articulates with mandible's smooth rounded surface.

    • External acoustic meatus: canal facing external for hearing.

    • Internal acoustic meatus: canal related to hearing and equilibrium within cranium.

    • Carotid canal: base of cranium for internal carotid artery.

    • Jugular foramen: features shared with occipital bone, behind carotid canal.

  • Witty Tip: Arteries and veins often run parallel, e.g., carotid artery parallels the jugular vein.

Modern Example:

  • The mandibular fossa articulates with mandibular condyle of mandible, forming temporomandibular joint (TMJ) crucial for jaw movement.

Sphenoid Bone

  • An irregular bone that touches all other cranial bones (nickname: “Keystone”).

  • Comprises superior and posterior parts of bony orbit.

  • Bone features:

    • Sella turcica: houses the pituitary gland.

    • Foramina (Rotundum, Ovale, Spinosum): passageways for branches of CN V (trigeminal nerve).

    • Optic canal: passageway for CN II (optic nerve).

    • Superior orbital fissure.

    • Inferior orbital fissure.

  • Witty Tip: Don’t confuse foramen (short) with fissure (elongated).

  • Foramina are holes; fissures are long openings.

Ethmoid Bone

  • An irregular and pneumatized bone with ethmoid air cells.

  • Contributes to bony orbit and superior/middle nasal conchae.

  • Forms nasal septum with vomer bone.

  • Bone features:

    • Crista galli: anchors brain anteriorly (resembles rooster crest).

    • Cribriform plate: for passage of CN I (olfactory nerve).

    • Superior and middle nasal conchae: aid in air swirling in nasal cavity.

    • Perpendicular plate: upper nasal septum aspect (with vomer below).

    • Ethmoid sinus: air pocket leading to potential inflammation (ethmoid sinusitis).

Facial Bones

  • 14 facial bones in total:

    • Unpaired bones: mandible, vomer.

    • Paired bones: inferior nasal concha, maxilla, palatine, zygomatic, nasal, lacrimal.

Mandible Bone

  • Unpaired, irregular bone; only movable bone in face.

  • Forms the lower jaw and houses lower teeth.

  • Bone features:

    • Mental foramen: passage for CN V (trigeminal nerve) branch.

    • Mandibular foramen: another branch of CN V.

    • Mandibular condyle: articulates with mandibular fossa of temporal bone (TMJ).

Inferior Nasal Concha

  • Paired, irregular bone forming a bump in the nasal cavity.

  • Not part of the ethmoid bone.

Vomer Bone

  • Unpaired, flat bone forming inferior nasal septum.

    • Triangular shape with a small anterior view area.

    • Perpendicular plate of ethmoid forms majority of anterior nasal septum.

Maxilla Bone

  • Paired, irregular and pneumatized bone with maxillary sinuses.

  • Forms part of the bony orbit and floor of nasal cavity;

    • Houses upper teeth and makes largest part of hard palate.

    • Bone feature:

    • Infraorbital foramen: hole below bony orbit for CN V passage.

Palatine Bone

  • Paired, irregular bone forming tiny part of bony orbit.

    • Forms posterior hard palate (roof of mouth).

    • Transverse palatine suture lies between maxilla and palatine bones.

Zygomatic Bone

  • Paired, irregular bone (cheekbone) forming part of bony orbit.

    • Bone feature:

    • Temporal process: connects zygomatic bone with temporal bone, forming zygomatic arch.

Lacrimal Bone

  • Paired, flat bone forming medial bony orbit.

    • Provides lacrimal fossa and nasolacrimal canal for tears.

    • Witty Tip:

    • "Lacrima" means tears, positioned where tears flow.

Nasal Bone

  • Paired, flat bone forming the bridge of the nose.

    • Witty Tip:

    • Glasses rest on nasal bones.

Hyoid Bone

  • Unpaired, irregular, U-shaped bone in the upper neck.

  • Features: greater and lesser horns.

    • Unique: Only bone not connected to any other bone.

  • Supports movement controlled by muscles used in talking and swallowing; suspended by muscles attached above (suprahyoid) and below (infrahyoid).

Ear Ossicles

  • Paired, irregular bones found in the middle ear (smallest bones in the body).

    • Include: malleus, incus, stapes.

    • Responsible for amplifying sound waves.

  • Witty Tip: As ear ossicles are in the middle ear, they are part of the axial skeleton.

Anatomy of the Vertebral Column

  • Composed of vertebrae:

    • Cervical vertebrae: 7 vertebrae.

    • Thoracic vertebrae: 12 vertebrae.

    • Lumbar vertebrae: 5 vertebrae.

    • Sacrum: 5 fused sacral vertebrae.

    • Coccyx: 3-5 fused coccygeal vertebrae.

  • Witty Tip:

    • Understand vertebrae order with mnemonic; 7 cervical = “ce,” 12 thoracic = “th,” 5 lumbar = “five.”

  • Curves:

    • Four natural curves: cervical, thoracic, lumbar, sacral/coccygeal.

    • Purpose: Increase flexibility, strength, shock absorption.

    • Abnormal curvatures:

    • Scoliosis: abnormal lateral curve.

    • Kyphosis: excessive upper thoracic bend.

    • Lordosis: excessive lumbar curvature.

Common Features of Cervical, Thoracic, and Lumbar Vertebrae

  • Specific vertebrae features include:

    • Spinous process: always posterior.

    • Body (centrum): always anterior.

    • Transverse process: sticks out to sides.

    • Vertebral foramen: hole in vertebra center.

    • Articular facets: used in vertebrae articulation.

  • Witty Tip:

    • Spinous processes are smooth when feeling the back.

    • The body faces anteriorly, making it close to the body center.

    • Witty Tip: A process that sticks out is termed a "process"; 'transverse' means horizontal. Thus, transverse process sticks out horizontally.

  • Vertebra alignment: formed by the vertebral column; intervertebral disks between adjacent bodies.

  • Aligned vertebral foramina create the vertebral canal for the spinal cord.

    • Spinal nerves emerge from the cord through holes between two vertebrae (intervertebral foramen).

Cervical Vertebrae

  • 7 cervical vertebrae (C1 to C7): located in cervical (neck) region.

  • Unique features include:

    • C1 (atlas): No spinous process/body. Articulates with occipital condyles at the atlanto-occipital joint allowing for “yes” head motion.

    • C2 (axis): has odontoid process (dens) articulating with C1 for “no” movement.

    • No intervertebral disc between C1 and C2.

  • Specific features of cervical vertebrae:

    • Bifid spinous process (all except C7).

    • Transverse foramen for vertebral blood vessels.

  • Witty Tips:

    • Bifid spinous process: "bi" means two.

    • C7 has the largest spinous process, significant for landmarking.

Thoracic Vertebrae

  • 12 thoracic vertebrae (T1 to T12): located at thorax level.

  • Forms thoracic cage with ribs/sternum, featuring indentations for rib articulation.

  • Features include:

    • Superior costal facet, inferior costal facet, transverse costal facet for rib connections.

  • Witty Tip: Ribs articulate with thoracic vertebrae having heads and tubercles.

Bone Features of Thoracic Vertebrae

  • Head of rib articulates with body of thoracic vertebra via costal facets.

  • Tubercle of rib articulates with transverse process via transverse costal facet.

  • T9 to T12 have variations in coastal facets' position.

Lumbar Vertebrae

  • 5 lumbar vertebrae (L1 to L5): located in lumbar region.

  • Characterized by large bodies to support upper body weight.

  • Exhibit common features: spinous processes, superior/inferior articular facets, transverse processes.

Sacrum

  • Triangular bone fusing five sacral vertebrae.

  • Articulation: superior articular facets with inferior articular facets of L5 vertebra.

  • Sacral canal: formed by aligned fused sacral vertebral foramina.

  • Median sacral crest: fusion result from spinous processes.

  • Sacral hiatus: located at sacral canal end; passageway for spinal nerves.

  • Sacral foramina: holes for spinal nerve passageways.

  • Sacral ala: articulates with hip bone, forming superior part of sacroiliac joint.

Coccyx

  • Formed by fusion of three to five coccygeal vertebrae.

  • Articulates with sacrum; may bear weight when sitting.

Thoracic Cage

  • Composed of ribs, sternum, and costal cartilages.

  • Each rib has a head, neck, and tubercle at its sternal end.

  • Includes 12 pairs of ribs attached to thoracic vertebrae.

  • Witty Tip: 12 thoracic vertebrae = 12 pairs of ribs (6 on each side).

Ribs Types

  • Vertebrosternal ribs (7 pairs):

    • Ribs 1-7 connect directly to sternum (true ribs).

  • Vertebrochondral ribs (3 pairs):

    • Ribs 8-10 connect to sternum via additional cartilage (false ribs).

  • Vertebral ribs (2 pairs):

    • Ribs 11-12 don’t connect to sternum (floating ribs).

  • Witty Tip 1: Rib names indicate their connections; vertebrosternal at vertebra/sternum; which is true, and vertebrochondral (false) have extra cartilage.

  • Witty Tip 2: Remembering only 2 pairs of floating ribs leads to understanding the total distribution of ribs.

Sternum (Breastbone)

  • Comprised of three parts:

    • Manubrium: top part, resembles “M.”

    • Body: longest part.

    • Xiphoid process: inferior aspect, resembles “X.”

  • Notches and articulations:

    • Clavicular notch: articulate with clavicle.

    • Suprasternal notch (Jugular notch): top part between clavicular notches.

    • Sternal angle: junction of manubrium with body.

  • Witty Tip: Suprasternal notch and sternal angle serve as valuable landmarks for medical examinations.

    • Suprasternal notch aids in neck/thorax locating for procedures (e.g., tracheostomy).

    • Sternal angle identifies second ribs and provides positioning reference for the heart's base.

Please be aware: All 'Witty Tips' sections and any associated visual cues (such as emojis/smiley faces) are considered examinable material.

  • Adult human skeleton has 206 bones.

    • Children have more bones since some fuse during childhood and adolescence.

  • Skeleton divided into two main parts:

    • Axial Skeleton:

    • Bones in the vertical central axis of the body.

    • Includes:- Cranial bones (encase the brain):

      • Paired bones: parietal bones, temporal bones.

      • Unpaired bones: sphenoid bone, ethmoid bone, occipital bone, frontal bone.

      • Facial bones.

      • Ear ossicles.

      • Hyoid bone.

      • Vertebral column (spine).

      • Thoracic cage (rib cage).

    • Appendicular Skeleton:

    • Bones in the upper and lower limbs.

    • Includes bones that connect limbs to the axial skeleton.

  • Witty Tip:

    • Axial skeleton = main axis bones of the body.

    • Appendicular skeleton = all limb bones + connection bones.

Bone Function and Structure

  • Each bone has a specific function determined by its size, shape, and strength.

    • Bones in lower back and limbs are thicker and stronger to support body weight.

  • Surface markings (bone features) provide clues about function:

    • Prominent attachment points indicate areas for strong muscle attachment.

    • Smaller markings suggest attachment for weaker muscles.

  • Witty Tip 1:

    • Strong muscles need larger gripping areas to hold on during contraction.

  • Witty Tip 2:

    • Learn bone names and features; understand bone structure vs. function for better skeletal anatomy comprehension.

Axial Skeleton

  • Composed of 80 bones.- Includes:

    • Cranial bones.

    • Facial bones.

    • Ear ossicles.

    • Hyoid bone.

    • Vertebral column.

    • Thoracic cage.

Cranial Bones
  • Encases the brain.

  • 8 cranial bones:

    • Paired bones: parietal bones, temporal bones.

    • Unpaired bones: sphenoid bone, ethmoid bone, occipital bone, frontal bone.

  • Witty Tip 1:

    • Cranial bones = PEST OF 211:

    • 2 Parietal bones.

    • 1 Ethmoid bone.

    • 1 Sphenoid bone.

    • 2 Temporal bones.

    • 1 Occipital bone.

    • 1 Frontal bone.

  • Witty Tip 2:

    • Paired means right and left (like shoes).

    • Unpaired means singular; no pair.

  • Sutures: narrow bands of dense irregular connective tissue between cranial bones:

    • Coronal suture: separates frontal bone from parietal bones.

    • Sagittal suture: separates right and left parietal bones.

    • Lambdoid suture: separates occipital bone from parietal bones.

    • Squamous suture: separates temporal bone from adjacent bones.

  • Witty Tip 1: Coronal suture is like a crown on Miss Universe's head.

  • Witty Tip 2: Lambdoid suture resembles the Greek letter lambda.

  • Witty Tip 3: Squamous suture is flat like a scale.

  • Witty Tip 4: Sutures are fibrous joints comprised of dense irregular connective tissue, providing strength in multiple directions.

Bone Features and Associations

  • Critical to associate bone features with their respective bones to avoid confusion.

  • Witty Tip: - Use full names like "infraorbital foramen of maxilla" when studying bone features for automatic recall.

Frontal Bone
  • Forms the forehead (anterior aspect of cranium) and part of bony orbits.

  • Bone features:

    • Supraorbital foramen: hole above each orbit allowing passage of nerves and vessels.

    • Frontal sinus: air pocket space; inflammation leads to frontal sinusitis.

    • Classified as pneumatized bone due to the frontal sinus.

  • Witty Tip:

    • “Foramen” means hole; “supra” means superior; “orbital” means bone orbit. Therefore, supraorbital foramen = hole above bony orbit.

  • Categorized as a flat bone and pneumatized bone.

Parietal Bones
  • Found posterior to the frontal bone and anterior to the occipital bone.

  • Right and left parietal bones form sides (lateral) and roof (superior) of the cranium.

  • Separated by the sagittal suture.

Occipital Bone
  • Forms back (posterior) and base of cranium.

  • Classified as flat bone.

  • Bone features:

    • Foramen magnum: large hole for brainstem passage.

    • Occipital condyle: smooth rounded surface articulating with C1 (atlas).

    • Hypoglossal canal: below the tongue, pathway for structures reaching underneath.

    • Located superior to occipital condyle.

    • Jugular foramen: shared with temporal bone, passageway for internal jugular artery and cranial nerves IX, X, XI.

  • Witty Tip: The jugular foramen is at the cranium's base between occipital and temporal bones.

Temporal Bone
  • Forms sides (lateral) and base of cranium.

  • Described as irregular bone.

  • Distinct features:

    • Mastoid process: bump behind ear.

    • Styloid process: sharp pointy process.

    • Zygomatic process: connects with zygomatic bone.

    • Mandibular fossa: articulates with mandible's smooth rounded surface.

    • External acoustic meatus: canal facing external for hearing.

    • Internal acoustic meatus: canal related to hearing and equilibrium within cranium.

    • Carotid canal: base of cranium for internal carotid artery.

    • Jugular foramen: features shared with occipital bone, behind carotid canal.

  • Witty Tip: Arteries and veins often run parallel, e.g., carotid artery parallels the jugular vein.

Modern Example:

  • The mandibular fossa articulates with mandibular condyle of mandible, forming temporomandibular joint (TMJ) crucial for jaw movement.

Sphenoid Bone
  • An irregular bone that touches all other cranial bones (nickname: “Keystone”).

  • Comprises superior and posterior parts of bony orbit.

  • Bone features:

    • Sella turcica: houses the pituitary gland.

    • Foramina (Rotundum, Ovale, Spinosum): passageways for branches of CN V (trigeminal nerve).

    • Optic canal: passageway for CN II (optic nerve).

    • Superior orbital fissure.

    • Inferior orbital fissure.

  • Witty Tip: Don’t confuse foramen (short) with fissure (elongated).

  • Foramina are holes; fissures are long openings.

Ethmoid Bone
  • An irregular and pneumatized bone with ethmoid air cells.

  • Contributes to bony orbit and superior/middle nasal conchae.

  • Forms nasal septum with vomer bone.

  • Bone features: - Crista galli: anchors brain anteriorly (resembles rooster crest).

    • Cribriform plate: for passage of CN I (olfactory nerve).

    • Superior and middle nasal conchae: aid in air swirling in nasal cavity.

    • Perpendicular plate: upper nasal septum aspect (with vomer below).

    • Ethmoid sinus: air pocket leading to potential inflammation (ethmoid sinusitis).

Facial Bones

  • 14 facial bones in total: - Unpaired bones: mandible, vomer.

    • Paired bones: inferior nasal concha, maxilla, palatine, zygomatic, nasal, lacrimal.

Mandible Bone
  • Unpaired, irregular bone; only movable bone in face.

  • Forms the lower jaw and houses lower teeth.

  • Bone features: - Mental foramen: passage for CN V (trigeminal nerve) branch.

    • Mandibular foramen: another branch of CN V.

    • Mandibular condyle: articulates with mandibular fossa of temporal bone (TMJ).

Inferior Nasal Concha
  • Paired, irregular bone forming a bump in the nasal cavity.

  • Not part of the ethmoid bone.

Vomer Bone
  • Unpaired, flat bone forming inferior nasal septum.- Triangular shape with a small anterior view area.

    • Perpendicular plate of ethmoid forms majority of anterior nasal septum.

Maxilla Bone
  • Paired, irregular and pneumatized bone with maxillary sinuses.

  • Forms part of the bony orbit and floor of nasal cavity;- Houses upper teeth and makes largest part of hard palate.

    • Bone feature:

    • Infraorbital foramen: hole below bony orbit for CN V passage.

Palatine Bone
  • Paired, irregular bone forming tiny part of bony orbit.- Forms posterior hard palate (roof of mouth).

    • Transverse palatine suture lies between maxilla and palatine bones.

Zygomatic Bone
  • Paired, irregular bone (cheekbone) forming part of bony orbit.- Bone feature:

    • Temporal process: connects zygomatic bone with temporal bone, forming zygomatic arch.

Lacrimal Bone
  • Paired, flat bone forming medial bony orbit.- Provides lacrimal fossa and nasolacrimal canal for tears.

    • Witty Tip:

    • "Lacrima" means tears, positioned where tears flow.

Nasal Bone
  • Paired, flat bone forming the bridge of the nose.- Witty Tip:

    • Glasses rest on nasal bones.

Hyoid Bone
  • Unpaired, irregular, U-shaped bone in the upper neck.

  • Features: greater and lesser horns.- Unique: Only bone not connected to any other bone.

  • Supports movement controlled by muscles used in talking and swallowing; suspended by muscles attached above (suprahyoid) and below (infrahyoid).

Ear Ossicles

  • Paired, irregular bones found in the middle ear (smallest bones in the body).

    • Include: malleus, incus, stapes.

    • Responsible for amplifying sound waves.

  • Witty Tip: As ear ossicles are in the middle ear, they are part of the axial skeleton.

Anatomy of the Vertebral Column

  • Composed of vertebrae:

    • Cervical vertebrae: 7 vertebrae.

    • Thoracic vertebrae: 12 vertebrae.

    • Lumbar vertebrae: 5 vertebrae.

    • Sacrum: 5 fused sacral vertebrae.

    • Coccyx: 3-5 fused coccygeal vertebrae.

  • Witty Tip:

    • Understand vertebrae order with mnemonic; 7 cervical = “ce,” 12 thoracic = “th,” 5 lumbar = “five.”

  • Curves:

    • Four natural curves: cervical, thoracic, lumbar, sacral/coccygeal.

    • Purpose: Increase flexibility, strength, shock absorption.

    • Abnormal curvatures:

    • Scoliosis: abnormal lateral curve.

    • Kyphosis: excessive upper thoracic bend.

    • Lordosis: excessive lumbar curvature.

Common Features of Cervical, Thoracic, and Lumbar Vertebrae

  • Specific vertebrae features include:

    • Spinous process: always posterior.

    • Body (centrum): always anterior.

    • Transverse process: sticks out to sides.

    • Vertebral foramen: hole in vertebra center.

    • Articular facets: used in vertebrae articulation.

  • Witty Tip:

    • Spinous processes are smooth when feeling the back.

    • The body faces anteriorly, making it close to the body center.

    • Witty Tip: A process that sticks out is termed a "process"; 'transverse' means horizontal. Thus, transverse process sticks out horizontally.

  • Vertebra alignment: formed by the vertebral column; intervertebral disks between adjacent bodies.

  • Aligned vertebral foramina create the vertebral canal for the spinal cord.

    • Spinal nerves emerge from the cord through holes between two vertebrae (intervertebral foramen).

Cervical Vertebrae

  • 7 cervical vertebrae (C1 to C7): located in cervical (neck) region.

  • Unique features include:

    • C1 (atlas): No spinous process/body. Articulates with occipital condyles at the atlanto-occipital joint allowing for “yes” head motion.

    • C2 (axis): has odontoid process (dens) articulating with C1 for “no” movement.

    • No intervertebral disc between C1 and C2.

  • Specific features of cervical vertebrae:

    • Bifid spinous process (all except C7).

    • Transverse foramen for vertebral blood vessels.

  • Witty Tips:

    • Bifid spinous process: "bi" means two.

    • C7 has the largest spinous process, significant for landmarking.

Thoracic Vertebrae

  • 12 thoracic vertebrae (T1 to T12): located at thorax level.

  • Forms thoracic cage with ribs/sternum, featuring indentations for rib articulation.

  • Features include:

    • Superior costal facet, inferior costal facet, transverse costal facet for rib connections.

  • Witty Tip: Ribs articulate with thoracic vertebrae having heads and tubercles.

Bone Features of Thoracic Vertebrae
  • Head of rib articulates with body of thoracic vertebra via costal facets.

  • Tubercle of rib articulates with transverse process via transverse costal facet.

  • T9 to T12 have variations in coastal facets' position.

Lumbar Vertebrae

  • 5 lumbar vertebrae (L1 to L5): located in lumbar region.

  • Characterized by large bodies to support upper body weight.

  • Exhibit common features: spinous processes, superior/inferior articular facets, transverse processes.

Sacrum

  • Triangular bone fusing five sacral vertebrae.

  • Articulation: superior articular facets with inferior articular facets of L5 vertebra.

  • Sacral canal: formed by aligned fused sacral vertebral foramina.

  • Median sacral crest: fusion result from spinous processes.

  • Sacral hiatus: located at sacral canal end; passageway for spinal nerves.

  • Sacral foramina: holes for spinal nerve passageways.

  • Sacral ala: articulates with hip bone, forming superior part of sacroiliac joint.

Coccyx

  • Formed by fusion of three to five coccygeal vertebrae.

  • Articulates with sacrum; may bear weight when sitting.

Thoracic Cage

  • Composed of ribs, sternum, and costal cartilages.

  • Each rib has a head, neck, and tubercle at its sternal end.

  • Includes 12 pairs of ribs attached to thoracic vertebrae.

  • Witty Tip: 12 thoracic vertebrae = 12 pairs of ribs (6 on each side).

Ribs Types
  • Vertebrosternal ribs (7 pairs):

    • Ribs 1-7 connect directly to sternum (true ribs).

  • Vertebrochondral ribs (3 pairs):

    • Ribs 8-10 connect to sternum via additional cartilage (false ribs).

  • Vertebral ribs (2 pairs):

    • Ribs 11-12 don’t connect to sternum (floating ribs).

  • Witty Tip 1: Rib names indicate their connections; vertebrosternal at vertebra/sternum; which is true, and vertebrochondral (false) have extra cartilage.

  • Witty Tip 2: Remembering only 2 pairs of floating ribs leads to understanding the total distribution of ribs.

Sternum (Breastbone)

  • Comprised of three parts:

    • Manubrium: top part, resembles “M.”

    • Body: longest part.

    • Xiphoid process: inferior aspect, resembles “X.”

  • Notches and articulations:

    • Clavicular notch: articulate with clavicle.

    • Suprasternal notch (Jugular notch): top part between clavicular notches.

    • Sternal angle: junction of manubrium with body.

  • Witty Tip: Suprasternal notch and sternal angle serve as valuable landmarks for medical examinations.

    • Suprasternal notch aids in neck/thorax locating for procedures (e.g., tracheostomy).

    • Sternal angle identifies second ribs and provides positioning reference for the heart's base.