chapter 7

Chapter 7: Axial Skeleton

View of a Skull, Leonardo da Vinci, c. 1489

Overview of Axial Skeleton

  • Key Components:

    • Divisions of the Skeletal System

    • Types of Bones

    • Bone Surface Markings

    • Bones of the Axial Skeleton

    • Skull

    • Hyoid Bone

    • Vertebral Column

    • Thorax

    • Disorders: Homeostatic Imbalances

Divisions of the Skeletal System

  • The human skeleton consists of 206 named bones grouped into two principal divisions:

    • Axial Skeleton

    • Appendicular Skeleton

  • Graphic Depiction: The axial skeleton is highlighted in blue, while the appendicular skeleton constitutes the remainder.

Axial Skeleton

  • Consists of 80 bones that lie around the longitudinal axis of the human body:

    • Skull bones

    • Auditory ossicles (ear bones)

    • Hyoid bone

    • Ribs

    • Sternum (breastbone)

    • Bones of the vertebral column

Appendicular Skeleton

  • Consists of 126 bones of the upper and lower limbs (extremities) and the bones forming the girdles that connect limbs to the axial skeleton.

Types of Bones

  • Each of the 206 named bones can be classified into one of 5 main categories based on anatomical characteristics:

    • Long Bones: Greater in length than in width; often slightly curved for weight bearing.

    • Examples: femur, tibia, fibula, humerus, ulna, radius, metacarpals, metatarsals, phalanges.

    • Short Bones: Cube-shaped, include the carpals and tarsals.

    • Flat Bones: Thin, composed of two nearly parallel plates of compact bone enclosing a layer of spongy bone.

    • Examples: cranial bones, ribs, sternum, scapulae, clavicles.

    • Irregular Bones: Complex shapes including vertebrae and some facial bones.

    • Sesamoid Bones: Vary in number; protect tendons from excessive wear.

    • Example: Patella.

    • Can develop fractures due to friction, tension, and stress.

  • Sutural Bones (Wormian Bones): Not considered one of the main types of bones; small extra bone plates located within the sutures of cranial bones.

    • Found as isolated examples; unusual but not rare.

Bone Surface Markings

  • Bones show specific surface markings adapted for particular functions:

    • Major Types of Surface Markings:

    • Depressions and Openings: Allow passage of blood vessels and nerves; form joints.

    • Processes: Projections or outgrowths that form joints; serve as attachment points for ligaments and tendons.

Specific Surface Markings

  • A process: Any bone projection, large or small.

  • Spinous Process: A slender projection from a vertebra.

  • Foramen: An opening in bone through which blood vessels and/or nerves pass.

    • Condyle: A large, round, articular bony process (e.g., Trochlea and Capitulum of the humerus).

    • Epicondyle: A bony protuberance above a condyle.

    • Fossa: A shallow depression in bone.

    • Tubercle: A small rounded projection.

    • Tuberosity: A large bony prominence that is not articular.

    • Meatus: A tube-like canal (e.g., external auditory meatus).

    • Trochanters: Two very large bony projections on the femur.

Bones of the Axial Skeleton

  • Comprises 80 bones including:

    • Skull

    • Auditory Ossicles

    • Hyoid Bone

    • Vertebral Column: Includes sacrum and coccyx.

    • Ribs

    • Sternum

Skull

  • Function: Protects and supports the brain and special sense organs.

  • Forms the large cranial cavity and several smaller cavities:

    • Nasal cavity

    • Orbits (eye sockets)

    • Paranasal sinuses

    • Small cavities housing organs involved in hearing and equilibrium.

Cranial Bones

  • Total: 8 Cranial Bones

    • Frontal bone (1)

    • Parietal bone (2)

    • Temporal bone (2)

    • Occipital bone (1)

    • Sphenoid bone (1)

    • Ethmoid bone (1)

Facial Bones

  • Total: 14 Facial Bones

    • Mandible (1)

    • Maxilla (2)

    • Zygomatic bones (2)

    • Nasal bones (2)

    • Lacrimal bones (2)

    • Palatine bones (2)

    • Inferior Nasal conchae (2)

    • Vomer (1)

Suture and Fontanels

  • Suture: An immovable joint between bones of the skull.

  • Fontanels: Soft, mesenchyme-filled spaces between cranial bones in babies that will become sutures in adults.

Paranasal Sinuses

  • Prominent in:

    • Frontal bone

    • Ethmoid bone

    • Sphenoid bone

    • Maxillae bones

  • Functions:

    • Lined with mucous membranes to humidify and warm the air.

    • Reduce weight in the skull.

    • Help resonate the sound of the voice.

Keystone Bone

  • The sphenoid bone is known as the "keystone" of the cranial floor because it articulates with all other cranial bones, holding them together.

Framework for Facial Muscles

  • The skull provides a framework for:

    • Attachment of muscles that move various parts of the head.

    • Attachment for muscles that produce facial expressions.

  • Facial bones provide the framework of the face and support entrances to the digestive and respiratory systems.

Hyoid Bone

  • Description: U-shaped bone that does not articulate with any other bone.

  • Function:

    • Supports the tongue.

    • Provides attachment for some tongue muscles and muscles of the pharynx and neck.

Vertebral Column

  • Composed of a series of bones called vertebrae.

  • Vertebrae Components:

    • Body (weight-bearing)

    • Vertebral arch (pedicle plus lamina)

    • Several processes containing articular surfaces and muscle attachment sites.

  • Cervical Vertebrae: 7 in the neck region (C1-C7).

  • Thoracic Vertebrae: 12 that articulate with the ribs (T1-T12).

  • Lumbar Vertebrae: 5 in the lower back (L1-L5).

  • Sacrum and Coccyx: Single bones resulting from the fusion of several vertebrae.

Vertebral Features

  • Each vertebra has:

    • A large central hole (vertebral foramen) for spinal cord passage.

    • Intervertebral foramen formed for exiting spinal nerves.

  • Intervertebral Discs: Tough fibrocartilage between adjacent vertebrae; absorbs shock and permits movement of the spine.

Normal Curvatures of the Spine

  • Viewed from the front, the vertebral column appears straight; viewed from the side, it has four slight bends (normal spinal curvatures).

  • Curvatures Described:

    • Cervical and lumbar curves: Convex (bulging out).

    • Thoracic and sacral curves: Concave (cupping in).

  • Primary Curves: Curvature matches that of the fetus.

Cervical Vertebrae

  • Atlas (C1): Holds up the head; named after Atlas in Greek mythology who supported the world.

  • Axis (C2): Provides pivot; allows head to turn on the neck.

  • Atlanto-Occipital Joint: Allows for nodding "yes."

  • Atlanto-Axial Joint: Allows for shaking head "no."

Thoracic Vertebrae and Ribs

  • Each of the 12 thoracic vertebrae articulate with a rib to form the posterior part of the thoracic cage.

Lumbar Vertebrae

  • Characteristics: Bear greater loads; stouter than cervical and thoracic vertebrae.

Sacrum and Coccyx

  • Sacrum: Starts as 5 separate vertebrae that fuse around age 17.

  • Coccyx (Tailbone): Starts as 4 separate vertebrae that begin to fuse between ages 20 and 30.

Thorax

  • Thoracic Cage: Skeletal portion of the thorax formed by:

    • Thoracic vertebrae

    • Sternum

    • Ribs and their costal cartilages

  • Functions:

    • Encloses and protects organs in thoracic and superior abdominal cavities.

    • Provides support for bones of the upper limbs.

    • Plays a role in breathing.

Sternum

  • Sternum (Breastbone): Located anteriorly in the center of the thoracic wall.

    • Consists of the manubrium, body, xiphoid process.

Ribs

  • Total: 12 pairs of ribs providing structural support to the thoracic cavity:

    • True Ribs (7 pairs): Attach directly to the sternum via costal cartilage.

    • False Ribs (5 pairs):

    • Pairs 8, 9, and 10 attach indirectly to sternum.

    • Pairs 11 and 12 are floating ribs; do not attach to the sternum.

Disorders: Homeostatic Imbalances

  • Herniated Disc: Occurs due to trauma or aging; results in the nucleus pulposus leaking out due to a tear in the annulus fibrosus.

  • Curvature Pathologies:

    • Scoliosis: Increased lateral curvature.

    • Kyphosis: Increased thoracic curve (bent forward).

    • Lordosis: Increased lumbar curve (bent backward).

  • Spina Bifida: Congenital defect in the vertebral column; laminae do not develop normally, varying in severity:

    • Spina Bifida Occulta: Minor form.

    • Severe Spina Bifida with Meningomyelocele: Cyst-like sac protrudes from the spinal column containing meninges, cerebrospinal fluid, and spinal cord/nerves.