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Ch.50 Structure and Function of the Musculoskeletal System

Musculoskeletal System Overview

  • Components:
    • Bone
    • Joints
    • Cartilage
    • Tendons and Ligaments
    • Skeletal Muscle

Bone Structure and Function

  • Primary Purposes of the Skeletal System:
    • Protects internal organs
    • Provides bony attachments for muscles and ligaments
    • Acts as rigid levers for functional movement
    • Stores minerals and marrow for blood cell production
  • Bone Characteristics:
    • Highly vascular and metabolically active throughout life
    • Composition:
    • Organic matrix (collagen & cellular components such as osteoblasts, osteocytes, osteoclasts)
    • Minerals (calcium, phosphorus)
    • Water
    • Types of Bone:
    • Cortical Bone: Dense and compact, resistant to compression
    • Cancellous Bone: Lighter, adapts to stress and external loads
  • Periosteum:
    • Fibrous membrane covering bones, highly vascular
    • Does not cover ends of bones
  • Functional Properties:
    • Can alter shape and density based on mechanical demands
    • Lack of stress can lead to demineralization

Response to Injury, Stress, and Aging

  • Wolff's Law:
    • Bone is strengthened where needed and resorbed when not
    • Imbalance of osteoclast and osteoblast activity can decrease bone mass
    • Aging and certain diseases can lead to reduced bone strength

Fracture Healing Process

  • Five stages of healing:
    1. Hematoma Formation (1 to 3 days)
    2. Fibrocartilage Formation (3 days to 2 weeks)
    3. Callus Formation (2 to 6 weeks)
    4. Ossification (3 weeks to 6 months)
    5. Consolidation/Remodeling (6 weeks to 1 year)

Joints and Their Functions

  • Definition: Articulation point between bones, allowing for movement
  • Types of Joints:
    • Synarthroses (immovable):
    • Fibrous (e.g., sutures in skull)
    • Cartilaginous (e.g., symphysis)
    • Diarthroses (movable): Synovial joints
  • Structure of Synovial Joints:
    • Joint capsule, synovial membrane, synovial fluid, hyaline cartilage
    • Types of movements:
    • Uniaxial (hinge, pivot)
    • Biaxial (condyloid, saddle)
    • Triaxial (ball-and-socket)

Articular Cartilage

  • Function:
    • Distributes loads, reduces friction, and allows movement
  • Composition:
    • >70% water, collagen fibers, proteoglycans
  • Properties:
    • Tolerates compression, needs lubrication to prevent breakdown

Tendons and Ligaments

  • Roles:
    • Tendons attach muscles to bones to facilitate movement
    • Ligaments connect bone to bone for stability
  • Composition:
    • Dense connective tissue with aligned collagen fibers

Skeletal Muscle

  • Importance:
    • Comprises 40% of body weight, key for movement and protection
  • Structure:
    • Made of muscle fibers grouped into bundles (fasciculi)
    • Surrounded by connective tissue: endomysium, perimysium, epimysium
  • Mechanics of Contraction:
    • Sliding filament theory: Myosin and actin interplay for muscle contraction, ATP and calcium are essential
  • Response to Activity:
    • Exercise enhances muscle strength, while lack of use leads to atrophy and reduced function

Summary

  • The musculoskeletal system is vital for movement, stability, and protection of the body, comprising bones, joints, cartilage, tendons, ligaments, and skeletal muscles, all working collaboratively to enable diverse functional capacities.