Anatomy Notes

Bone Surface Markings

  • Surface markings are critical due to the presence of blood vessels.
  • Blood vessels run through the body, such as ulnar vessels to the meninges, carpals, and metacarpals.
  • The location of blood vessels determines the placement of foramina, which are holes for nerves and blood vessels to pass through.
  • Ridges and projections facilitate muscle attachment to the bone.
  • Bone is foundational for blood vessels and nerves, essential for diagnosing clinical disorders.
  • Holes in bones, like the mental foramen (chin), are important, such as in root canals.
  • Spinal cord runs through vertebrae, with intervertebral foramen between vertebrae allowing spinal nerves to pass.
  • Bone marking is critical for features like ridges and valleys.

Bone Anatomy

  • Cross anatomy of a long bone must be understood both outside and inside.
  • Macroscopic anatomy includes the periosteum, compact bone, and spongy bone (with osteons).
  • Osteons contain osteocytes (bone cells) and inorganic material (lamellae).
  • Osteocytes communicate through cytoplasmic extensions called canaliculi.
  • Organic components are collagen fibers; inorganic components are minerals like calcium and phosphorus (hydroxyapatite).
  • Microscopic examination involves slides; chemical composition is tested by placing bones in an oven or acid.
  • Oven removes collagen fibers, making the bone brittle.
  • Acid removes inorganic substances, making the bone flexible like a rubber hose.

Skeletal Divisions

  • Two divisions: axial skeleton and appendicular skeleton.
  • Axial skeleton includes the skull.
  • Mandible is a key bone to identify.
  • Appendicular skeleton includes the humerus, radius, and ulna.
  • Radius is located towards the thumb, ulna towards the pinky.
  • A dime-like structure exists on top of the radius where it joins the humerus.
  • The ulna has a hook-like structure.
  • Carpals are in the wrist; the trapezium needs identification, in two rows.
  • Metacarpals and digits (with two phalanges in the thumb and three in other fingers) are important.
  • Clavicle, cervical vertebrae (atlas and axis - "yes" and "no" movement), thoracic and lumbar ribs, scapula, sternum, and costal cartilage are other components.
  • Two ribs are floating ribs; true ribs attach directly to the sternum.
  • Pelvic region includes pelvic (coxal) bones, forming the pelvic girdle.
  • The scapula and clavicle form the shoulder girdle; upper limbs extend from here.
  • Lower limbs include the femur (longest bone), tibia, and fibula (lateral side).
  • Malleolus (medial and lateral) are bumps on the tibia and fibula.
  • Calcaneus (heel bone), tarsals, and metatarsals are key structures in the foot.

Types of Bones

  • Bones can be long, short, irregular, or flat.
  • Identification is articulated or disarticulated with consideration of surface markings.

Bone Surface Features

  • Surface markings include elevation and projection.
  • Processes can be in the mandible (e.g., angle, ramus).
  • Procanter presents only in the female.
  • Tubercle comes only over here.
  • Greater and lesser tubercles are on the humerus.
  • Femur also shows phobia capitis and greater/lesser trochanters.

Using PAL (Practice Anatomy Lab)

  • Use Practice Anatomy Lab (PAL) for diagrams; find it in the textbook; access models and histology.
  • Instructions explain models, histology, skeletal, muscular, and nervous levels.
  • 3D models and animation can enhance practice.
  • PAL helps in learning the location of bones like the zygomatic and temporal bones.
  • The site shows superior, middle, and inferior concha for moisturizing and cleaning air.
  • Anterior views are essential for labs; learn to locate lateral and sagittal processes on skulls.
  • Skull isn't a single piece; babies have fontanels because cervical region of the uterus is small.
  • Sagittal suture is in the middle; external occipital protuberance (bump) can be felt.
  • Inferior view shows zygomatic bone, maxilla, and occipital condyle.
  • Sella turcica (sphenoid bone) houses the pituitary gland.
  • C<em>5C<em>{5} and C</em>6C</em>{6} articulation
  • Learn all models for upper and lower limbs.

Cartilage Types

  • Cartilage can be hyaline, elastic, or fibrocartilage.
  • Intervertebral discs are made of fibrocartilage.
  • Activity involves classifying bones (long, short, flat, irregular).

Bone Classification and Examples

  • Long bones are longer than wide; located in appendicular skeleton. Example; femur.
  • Short bones are cube-shaped; provide support and stability, little movement. Example: carpals in the wrist.
  • Flat bones are thin, protect internal organs and attach to muscles. Example cranial bones.
  • Irregular bones don't fit other categories. Example: patella.
  • Sesamoid bones (round bones) are sometimes listed as irregular bones. Example: patella.
  • Hinge joints (e.g., humerus) have an olecranon fossa; phobia capitates attach ligaments.
  • Cervical vertebrae have openings (canal) for vertebral artery supply to brain (essential).
    • External auditory meatus, middle ear, and internal

Cross Anatomy of Long Bone

  • Classify bone by proximal vs. distal ends, epiphysis, diaphysis.
  • Growth plate (epiphyseal plate) becomes epiphyseal line (done growing) around age 22-23.
  • Medullary cavity is in the center with endosteum lining.
  • Periosteum is outer lining made of Sharpey's fibers and connective tissue.
  • Compact bone surrounds spongy bone; osteons form structures.
  • Central canal contains blood vessels and nerves.
  • Osteocytes (bone cells) maintains in lacunae.
  • Canaliculi connect osteocytes.
  • Lamellae are bony layers; perforating (Volkmann’s) canals connect nutrient artery.

Long Bone Structure Video

  • Diaphysis: shaft of bone (compact and spongy bone tissue), rigid to withstand strong forces.
  • Epiphysis: mainly spongy bone tissue, contains red marrow (blood cell production).
  • Articular cartilage: smooth tissue where bones form joints, shock absorption, cushioning, minimizes friction (poor blood supply).
  • Periosteum: fibrous membrane covering bone (except articular cartilage), attachment for ligaments/tendons, bone formation/repair, nerve fibers (painful when bruised).
  • Medullary cavity: contains red marrow (childhood), replaced by yellow marrow (aging).
  • Endosteum: thin membrane lining medullary cavity, important in bone growth/repair.
  • Arteries and veins: well-supplied in bones.

Osteon Structures

  • Perforating (Volkmann’s) artery connects to central arteries within the osteon (central canal).
  • Osteons are cylindrical structures with concentric lamellae (layers of bone laid down).
  • Osteocytes present between lamellae, connected by canaliculi.
  • Overlapping fibers are also found within the lamellae.

Bone Chemical Composition

  • Organic components provide flexibility (collagen).
  • Inorganic components calcium phosphate, calcium carbonate, trace elements (magnesium, chloride, sulfate).
  • Stress causes osteons to become stronger and causes bone density to increase.
  • Estrogen (menopause) leads to osteoporosis.
  • Balanced diet (calcium intake) is critical until age 35.
  • Oven loses organic and acid loses inorganic components.

Skeleton Overview Video

  • Skeleton is the muscular skeletal system, most are paired on right and left sides of the body.
  • Axial skeleton protects and supports internal organs.
  • Appendicular skeleton acts with muscles for movements.
  • Axial skeleton divided into skull, vertebral column, and thorax.
  • Skull has cranial (frontal, parietal, occipital, temporal, zygomatic) and facial bones (maxillary, mandible).
  • Internal bones: sphenoid, ethmoid.
  • Vertebral column: cervical, thoracic, lumbar, sacrum, coccyx.
  • Thorax: sternum, costal cartilages, ribs and thoracic vertebrae.
  • Sternum consists of manubrium, body, xiphoid process.
  • Rib pairs: true ribs (direct attachment), false ribs (indirect attachment).
  • Appendicular skeleton consists of upper and lower limbs, connected to axial skeleton.
  • Upper extremity: humerus, radius, ulna, carpals, metacarpals, phalanges.
  • Upper limb attached to axial skeleton via pectoral girdle (scapula and clavicle).
  • Lower extremity femur (longest bone), tibia, fibula, tarsals, metatarsals, and phalanges.
  • Femur attachment to pelvis via hipbone (ilium, ischium, pubic bone).
  • Pelvic girdle forms bony pelvis to support vertebral column and lower limbs onto axial skeleton.

Skull Details

  • Eight cranial bones protect the brain, 14 facial bones form the skull structure and support the teeth.
  • Bones connected by sutures, with foramina for blood vessels and nerves.
  • Superficial view shows occipital, parietal, temporal, frontal, nasal, zygomatic, maxilla, mandible bones.
  • Internal view shows sphenoid, ethmoid, palatine, lacrimal, and vomer bones.
  • Sphenoid : depression known as the sella turcica, which houses the pituitary gland.
  • Ethmoid: the crista galli projects and supports the falx cerebri.
  • Nasolacrimal canal allows tears to nasla cavity.

Mandible Landmarks

  • Mandible connected at the temporal bone.
  • mandibular body and mandibular rami
  • Mandibular foramen are located on the medial
  • Mandibular body/ramus form the mandibular angle.
  • The mandibular foramen contain nerves/sensation from lowere teeth.
  • Mandibular condyle articulates with skull.
    • U notch called the mandibular notch
  • The mental foramina on teh anterior
  • Alveolar processes hold the teeth and contain and elevated ridges called, the Alveolar processes.

Sutures/Fontanels

  • Anterior and posterior fontanels exist in babies.
  • Sagittal, coronal sutures merge.
  • Fontanels fuse; closure at variable timeline (5-7).

vertebral Structure and Function

  • There are 33 total bone
  • Intervertebral discs absorb the shock and compression while allowing body movement.
  • The vertebral column is also divided into five general sections: cervical, thoracic. lumbar. sacral. coccyx.
  • Spinal nerves pass through intervertebral foramina.
  • vertebral arch, a body, and processes.
  • Processes for the facet joints that allow connection of the vertebrae, muscles connections and muscle attachment.

Vertebra Differentiation: Overview

  • Atlas (C1) allows head nodding "YES".
  • Dens/Odontoid process allows rotation.
  • Thoracic vertebrae hold rib cage, protect heart and lungs.
  • Lumbar vertebrae bear upper body weight, the largest.
  • Sacral vertebrae connect spine to hip bones, are fused vertebrae.
  • Coccyx (tailbone) provides pelvic floor.

Additional Vertebral features

  • Body and vertebrae arch support various part of the spine
  • Transverse/spinal arch supported by pedicles which connect the transverse process and the body
  • Intervertebral discs cushion the vertebrae.
  • During sleeping fluid is reabsorbed thus we are taller in the morning

Cervical Vertebrae

  • Have the vertebral artery that allows blood flow that is only on the cervical vertebrae
  • Anterior and posterior tubercle
  • Odontoid process for NO movement

Rib Cages and Ribs

  • True ribs connect to sternum.
  • False ribs have the indirect attachemnt to the sternum.
  • And those that are floating have no attachment
  • Acromion is measured for measurement of the shirts with muscles attachment
  • Trapezium

Humerus Features

  • It exists between the shoulder and the elbow.
  • Greater and Lesser tubercle and the attachment point and where it connects
  • There shoulder joint connection with the humeral head.
  • Neck is located a the top where the head exist.
    DeltoidPectorality

Carpals

  • It has two rows
  • Very important as an orthopedic. as they need to be known for medical purpose
  • The trapezium, two rows are very crt

Hip Bone Landmarks

  • Ilime, Ischium, Pubis where three bonnets of the hip come together.
  • Acetabelum or where the muscles for the femur connects.
  • Ischial tuberosity where muscles are at