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Skeletal System, Axial and Appendicular Skeleton, and Articulations: Study Notes

스터디 가이드 - 스마트 노트

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Introduction to the Skeletal System and the Axial Skeleton

Types of Cartilage

The skeletal system contains three main types of cartilage, each with distinct locations and functions:

  • Hyaline cartilage: Most abundant; found in articular surfaces, costal cartilages, nose, trachea, and larynx.

  • Elastic cartilage: Contains elastic fibers; found in the ear and epiglottis.

  • Fibrocartilage: Highly compressible; found in intervertebral discs, pubic symphysis, and menisci.

Example: The meniscus in the knee is made of fibrocartilage, providing shock absorption.

Bone Classification and Structure

Bones are classified by shape and structure:

  • Long bones: Longer than wide (e.g., femur, humerus)

  • Short bones: Cube-shaped (e.g., carpals, tarsals)

  • Flat bones: Thin, flattened (e.g., sternum, skull)

  • Irregular bones: Complex shapes (e.g., vertebrae, hip bones)

  • Sesamoid bones: Embedded in tendons (e.g., patella)

Structure of a Long Bone:

  • Diaphysis: Shaft

  • Epiphysis: Ends

  • Articular cartilage: Covers joint surfaces

  • Periosteum: Outer covering

  • Endosteum: Inner lining

  • Medullary cavity: Contains marrow

  • Compact bone: Dense outer layer

  • Spongy bone: Internal network

  • Microscopic structure: Osteon (Haversian system), lamellae, canaliculi, lacunae, central canal, perforating (Volkmann's) canals

Example: The femur is a long bone with a diaphysis and two epiphyses.

Bone Composition

  • Inorganic salts: Mainly hydroxyapatite (calcium phosphate)

  • Organic matrix: Collagen fibers and proteins

Formula:

The Axial Skeleton

Skull: Cranial Bones (8 bones total)

  • Frontal bone: Supraorbital foramen, coronal suture

  • Parietal bone (paired): Sagittal suture

  • Temporal bone (paired): Squamous suture, external acoustic meatus, zygomatic process, mastoid process, mandibular fossa, styloid process, carotid canal, jugular foramen

  • Occipital bone: Lambdoid suture, foramen magnum, occipital condyles, external occipital protuberance

  • Sphenoid bone: Sella turcica

  • Ethmoid bone: Cribriform plate, crista galli

Skull: Facial Bones (14 bones total)

  • Mandible: Body, ramus, condylar process, coronoid process, mandibular foramen, alveolar margin

  • Maxilla (paired): Infraorbital foramen, alveolar margin

  • Palatine bone (paired): Hard palate only

  • Zygomatic bone (paired)

  • Nasal bone (paired)

  • Vomer bone

  • Inferior nasal conchae (paired)

  • Paranasal sinuses: Frontal, ethmoid, sphenoid, maxillary

  • Hyoid bone: Not attached to other bones; supports tongue

Vertebral Column

  • Vertebra (typical): Body, vertebral foramen, transverse process, spinous process, articular processes, intervertebral foramen

  • Cervical vertebrae (7 total): Transverse foramen, bifid spinous process

  • Atlas (C1): No spinous process

  • Axis (C2): Odontoid process (dens)

  • Thoracic vertebrae (12 total): Heart-shaped body, downward spinous process, articulate with ribs

  • Lumbar vertebrae (5 total): Block-like body, short spinous process

  • Sacrum: Median sacral crest, sacral foramina, sacral canal, sacral hiatus

  • Coccyx: Tailbone

Bony Thorax

  • Sternum: Manubrium, body, xiphoid process, jugular notch

  • Ribs: 1-7 vertebrosternal, 8-12 vertebrochondral (11-12 are floating), costal cartilage

The Appendicular Skeleton

Upper Appendicular Bones: Shoulder Girdle

  • Clavicle

  • Scapula: Spine, acromion, coracoid process, glenoid cavity, supraspinous fossa, infraspinous fossa, subscapular fossa, borders (lateral, medial, superior), superior & inferior angles

Upper Appendicular Bones: Upper Extremity

  • Humerus: Head, anatomical neck, greater & lesser tubercles, intertubercular sulcus, trochlea, capitulum, olecranon fossa, radial fossa, deltoid tuberosity

  • Radius: Head, neck, styloid process, radial tuberosity

  • Ulna: Olecranon process, coronoid process, trochlear notch, styloid process

  • Carpals (8): Scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, hamate

  • Mnemonic: "Stop Letting Those People Touch The Cadaver's Hand" (proximal row: scaphoid, lunate, triquetrum, pisiform; distal row: trapezium, trapezoid, capitate, hamate)

  • Metacarpals: 1-5

  • Phalanges: 14 (3 per finger, 2 in thumb)

Lower Appendicular Bones: Pelvic Girdle

  • Coxal bone: Formed from ilium, ischium, pubis

  • Ilium: Iliac crest, iliac fossa, auricular surface, anterior superior/inferior spine, posterior superior/inferior iliac spine, greater sciatic notch

  • Ischium: Ischial tuberosity, ischial spine, lesser sciatic notch

  • Pubis: Pubic symphysis, pubic arch, pubic tubercle, inferior ramus, obturator foramen, acetabulum

  • Male vs. Female pelvis: Female pelvis is wider, shallower, with a larger pelvic inlet and outlet

Lower Appendicular Bones: Lower Extremity

  • Femur: Head, fovea capitis, neck, greater & lesser trochanters, linea aspera, lateral & medial condyles, intercondylar fossa, patella surface

  • Tibia: Medial & lateral condyles, tibial tuberosity, anterior border, medial malleolus

  • Fibula: Head, lateral malleolus

  • Tarsals (7): Talus, calcaneus, navicular, cuboid, medial/intermediate/lateral cuneiform

  • Metatarsals: 1-5

  • Phalanges: 14 (3 per toe, 2 in big toe)

Articulations and Body Movements

Classification of Joints

Joints are classified structurally and functionally:

  • Structural: Fibrous, Cartilaginous, Synovial

  • Functional: Synarthroses (immovable), Amphiarthroses (slightly movable), Diarthroses (freely movable)

Fibrous Joints

  • Sutures: Skull bones

  • Gomphosis: Tooth in socket

  • Syndesmosis: Ligament connection (e.g., distal tibiofibular joint)

Cartilaginous Joints

  • Synchondrosis: Hyaline cartilage (e.g., epiphyseal plate)

  • Symphysis: Fibrocartilage (e.g., pubic symphysis, intervertebral discs)

Synovial Joints

  • Types: Plane, Hinge, Pivot, Condyloid, Saddle, Ball and Socket

  • Structures: Joint cavity, articular cartilage, ligaments, bursae, menisci, articular capsule (with synovial membrane)

Joint Movements

  • Flexion vs. Extension: Decreasing vs. increasing joint angle

  • Abduction vs. Adduction: Moving away from vs. toward midline

  • Rotation: Movement around axis

  • Circumduction: Circular movement

  • Inversion vs. Eversion: Sole of foot inward vs. outward

  • Dorsiflexion vs. Plantar Flexion: Foot upward vs. downward

  • Pronation vs. Supination: Palm down vs. palm up

Joint Disorders

  • Sprain: Ligament injury

  • Strain: Muscle/tendon injury

  • Dislocation: Bone displaced from joint

Difference between Tendon and Ligament:

  • Tendon: Connects muscle to bone

  • Ligament: Connects bone to bone

Table: Joint Classification

Structural Type

Functional Type

Example

Fibrous

Synarthrosis

Suture (skull)

Cartilaginous

Amphiarthrosis

Symphysis (pubic symphysis)

Synovial

Diarthrosis

Shoulder joint

Additional info: Academic context and definitions have been expanded for clarity and completeness.

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