Musculoskeletal 1

\]]]Terminology

Projections of Bone
  • Process - a bony projection; %%ex. mastoid process%%
  • Tubercle - a small rounded projection
  • Tuberosity - usually a rough, elevated area of a bone
  • Trochanter - a large rounded projection
  • Condyle - rounded articular projection; %%ex. occipital condyles%%
  • Crest - a ridge of bone; %%ex. iliac crest%%

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Holes or Depression in bone
  • Foramen - round or oval opening through bone, typically for blood vessels or nerves; ex:
  • Foramina - small holes; ex: olfactory foramina
  • Fissure - a narrow, slit-like opening; %%ex. superior orbital fissure of the sphenoid%%
  • Notch - an indentation or large groove
  • Fossa - a shallow depression; %%ex. mandibular fossa%%

Skull

Joints of Skull
  • Cranial Sutures
      * Coronal
      * Lambdoid
      * Squamous
      * Sagittal
  • Temporomandibular Joint (TMJ)
Bones of Skull

Cranial bones:

  • Frontal
  • Parietal (2)
  • Occipital ^^(foramen magnum, occipital condyles)^^
  • Temporal (2) ^^(external acoustic meatus, mastoid process, styloid process, mandibular fossa)^^
  • Sphenoid ^^(greater wings, lesser wings, sella turcica, superior orbital fissure, optic canal)^^
  • Ethmoid ^^(cribriform plate, olfactory foramina, crista galli)^^

Facial Bones:

  • Nasal (2)
  • Maxilla ^^(alveolar margins, palatine process)^^
  • Lacrimal (2)
  • Zygomaticus (2)
  • Inferior nasal concha (2)
  • Palatine (2)
  • Vomer
  • Mandible ^^(body, ramus, angle, mandibular condyles, alveolar margins)^^
Muscles of Skull
  • Buccinator - @@deeper cheek@@
  • Depressor labii inferioris - @@pulls lip corners down@@
  • Frontalis - @@forehead wrinkles, eyebrows@@
  • Occipitalis - @@back of the head@@
  • Galea Aponeurotica - aponeurosis (pearlywhite,tough,fibrousconnectivetissue)(pearly-white, tough, fibrous connective tissue) of the head
  • Levator labii superioris - @@pulls lip corners up@@
  • Masseter - @@extends from angle of Mandible to Zygomatic@@
  • Mentalis - @@chin muscles@@
  • Orbicularis Oculi - @@circular muscle, surrounds eyes@@
  • Orbicularis Oris - @@circular muscle, surrounds lips@@
  • Genioglossus - @@tongue@@
  • Risorius - @@pulls lips corners laterally@@
  • Sternocleidomastoid - @@origin: sternum & clavicle; insertion: mastoid process@@
  • Temporalis - @@Superficial to Temporal bone, helps with chewing@@
  • Trapezius - @@extends from neck to shoulder to lower ribs, triangular@@
  • Zygomaticus - @@pulls lip corners to Zygomatic@@

Remaining Axial Skeleton

Hyoid
  • between chin and larynx, not attached to any other bones
  • this is what’s fractured in strangulation
Articulated Vertebral Column (pgs. 83-85, of Lab Manual)
  • Cervical Vertebrae (7)
      * identify atlas and axis, C1 & C2
      * defined by %%transverse foramen%%
      * extends from occipital to clavicle
  • Thoracic Vertebrae (12)
      * one for each rib to attach to
  • Lumbar Vertebrae (5)
      * significantly %%larger%% than cervical vertebrae
      * reasonable, because these bear much more weight
  • Sacrum
      * Sacral Region - pelvis attaches here
      * 5 bones %%fused together%%
  • Coccyx
      * aka, %%tailbone%%
      * 3-5, typically 4, bones fused together
  • Vertebra Structure
      * two @@transverse processes@@ (thoracic ones connect to ribs)
      * @@spinous process@@ protrudes posteriorly
      * @@body@@ provides origin and insertion for intervertebral discs
      * @@intervertebral discs@@ are fibrous ligaments between vertebrae
      * the center, @@vertebral foramen,@@ houses the spinal cord
Bony Thorax
  • Sternum
      * Manubrium ^^(creates provides the V-shaped indention at the base of your neck)^^
      * Body ^^(ribs 2-7 connect here)^^
      * Xiphoid process ^^(triangular end, diaphragm attaches here)^^
  • True ribs are 1-7, connect ^^directly^^ to the sternum
  • False Ribs are 8-12, and 11-12 are ^^floating^^ ribs
Muscles of the Trunk
muscledefinition
diaphragminternal muscle that is %%prime mover for inhalation%%
external intercostalsmuscle that %%elevates ribs%% that assists inhalation; %%increases size of thoracic cavity%%
internal intercostalsmuscle that depresses and retracts ribs for %%forced expiration%%; %%decreases size of thoracic cavity%%
rectus abdominis%%flexes waist%%, as in %%sit-ups%%; compresses abdominal viscera for urination, defecation, childbirth, and vomiting
external oblique%%most superficial muscle%% located on %%lateral abdomen%%; produces twisting at the waist and compresses abdominal viscera
internal oblique%%middle muscle layer%% on %%lateral abdomen;%% produces twisting at the waist and compresses abdominal viscera
transverse abdominis%%deepest muscle layer on lateral abdomen%%; compresses abdominal viscera

Movements of Synovial Joints Chart

name of movementdefinitioneveryday usage
Elevation@@raising@@ a body partclosing your mouth, high knees
Depression@@lowering@@ a body partopening your mouth, putting your foot down
Flexion@@bending@@ motion in which the angle between two bones is decreasedbowing, “are my shoes untied?”
Extension@@straightening@@ motion in which the angle between two bones increasessitting up straight
Abductionmovement of a limb @@away from the midline@@ of the bodyflying on the titanic, arms out
Adductionmovement of a limb @@towards the midline@@ of the bodystanding at attention
Rotationmovement of a bone @@around its longitudinal@@ axisshaking your head “No”
Circumductionmovement in which the @@distal@@ end of a bone moves in a @@circular@@ motion while the proximal end remains stablemoving your arms in large circles
Pronation@@turning palms down@@
Supination@@turning palms up@@
Inversionmovement of the @@foot inward@@ (medially)
Eversionmovement of the @@foot outwards@@ (laterally)
Dorsiflexionflexion in a dorsal (up/back) directionbending your hand or foot upwards
Plantar Flexionstraightening the @@foot,@@ downwardspointe work, or Michael Jackson

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