The skin is composed of three layers:
Epidermis – Superficial layer, made of keratinized stratified squamous epithelium.
Dermis – Deep layer, contains blood vessels, nerves, and glands.
Hypodermis (Subcutaneous Tissue) – Not part of the skin; adipose tissue for insulation and shock absorption.
Stratum Basale – Deepest layer; mitotic cells (actively dividing).
Contains melanocytes (produce melanin) and Merkel cells (sensory receptors).
Stratum Spinosum – Several layers of keratinocytes, connected by desmosomes for strength.
Stratum Granulosum – Cells begin to die, produce keratohyalin granules (for waterproofing).
Stratum Lucidum – Only in thick skin (palms, soles); transparent layer.
Stratum Corneum – Outermost layer, made of dead keratinized cells; provides protection.
Protection – Chemical, physical, and biological barriers.
Temperature Regulation – Sweating, blood vessel dilation/constriction.
Cutaneous Sensation – Touch, pain, temperature receptors.
Metabolic Functions – Vitamin D production.
Blood Reservoir – Stores 5% of body’s blood.
Excretion – Removes salts & wastes through sweat.
Basal Cell Carcinoma – Most common, least dangerous; originates in stratum basale.
Squamous Cell Carcinoma – Can spread, originates in stratum spinosum.
Melanoma – Most dangerous, arises from melanocytes.
ABCD Rule: Asymmetry, Border irregularity, Color variation, Diameter >6mm.
Compact Bone – Dense outer layer, strong, made of osteons.
Spongy Bone – Honeycomb-like structure with trabeculae filled with marrow; reduces weight while maintaining strength.
Long Bones – Longer than wide (e.g., femur, humerus).
Short Bones – Cube-shaped (e.g., wrist, ankle).
Flat Bones – Thin, curved (e.g., sternum, skull bones).
Irregular Bones – Complex shapes (e.g., vertebrae, hip bones).
Bone markings serve as attachment points for muscles & ligaments, help form joints, or allow passage of blood vessels & nerves.
Tuberosity – Large rounded projection.
Crest – Narrow ridge of bone.
Trochanter – Large, irregular projection (only on femur).
Line – Narrow ridge of bone.
Tubercle – Small rounded projection.
Epicondyle – Raised area on or above a condyle.
Spine – Sharp, slender projection.
Process – Any bony prominence.
Head – Bony expansion on a narrow neck.
Facet – Smooth, nearly flat surface.
Condyle – Rounded articular projection.
Ramus – Armlike bar of bone.
Fissure – Narrow slit-like opening.
Foramen – Round or oval opening through a bone.
Notch – Indentation at an edge.
Other bone markings
Meatus: Canal-like passageway
Sinus: Bone cavity, filled with air and lined with mucous membrane
Fossa: Shallow basinlike depression in a bone, often serving as an articular surface
Newborns: Found in medullary cavities and spongy bone.
Adults: Located in flat bones (sternum, hip bones) and heads of femur & humerus.
Organic Components (35%) – Cells (osteocytes, osteoblasts, osteoclasts) and collagen fibers (strength & flexibility).
Inorganic Components (65%) – Calcium phosphate (hydroxyapatite crystals) provide hardness.
Endochondral Ossification – Forms most bones, replaces hyaline cartilage.
Intramembranous Ossification – Forms flat bones (e.g., skull, clavicle).
Controlled by:
Hormones (PTH & Calcitonin).
Mechanical Stress (Wolff’s Law) – Bones grow in response to stress.
Fracture Healing Stages:
Hematoma formation.
Fibrocartilaginous callus formation.
Bony callus formation.
Bone remodeling.
Osteomalacia & Rickets – Soft, weak bones due to calcium or vitamin D deficiency.
Osteoporosis – Bone resorption exceeds deposit, leading to fragile bones.
Risk Factors: Older age, postmenopause, lack of exercise, smoking.
Prevention: Calcium, vitamin D, weight-bearing exercise.
Paget’s Disease – Excessive, unorganized bone growth, weak bones in spine, pelvis, skull.
Cervical (C1-C7) → 7 Vertebrae (Breakfast)
Thoracic (T1-T12) → 12 Vertebrae (Lunch)
Lumbar (L1-L5) → 5 Vertebrae (Dinner)
Talus
Calcaneus
Navicular
Medial cuneiform
Intermediate cuneiform
Lateral cuneiform
Cuboid
Scaphoid
Lunate
Triquetrum
Pisiform
Trapezoid
Trapezius
Capitate
Hamate