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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
25-1
The Skeletal System
25-2
© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Learning Outcomes 1 Describe the parts of a long bone.
2 List the substances that make up bone tissue.
3 List the functions of bones.
4 Identify bones by their classifications.
5 Describe how long bones grow.
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Learning Outcomes (cont.)
6 List and describe the skeletal structures and one location of each structure.
7 List the bones of the skull, spinal column, rib cage, shoulders, arms, hands, hips, legs, and feet. Describe the location of each bone.
8 Define fontanels and explain their importance.
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Learning Outcomes (cont.)
9 Describe the three major types of joints and give examples of each.
10 Describe the structure of a synovial joint.
11 Describe the causes, signs and symptoms, and treatments of various diseases and disorders of the skeletal system.
25-5
© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Introduction
n Bones provide the body with structure and support
n 206 bones with joints and connective tissue
n Divisions n Axial – 80 bones
n Skull n Vertebral column n Rib cage
n Appendicular – 126 bones n Arms and legs n Pectoral girdle n Pelvic girdle
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Skeletal System
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Structure
n Bones contain various kinds of tissues, including n Osseous tissue n Blood vessels n Nerves
n Osseous tissue can appear compact or spongy
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Structure (cont.)
n Compact bone looks solid n Structures can be
observed with a microscope
n All bones are made up of both compact and spongy bone
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Structure (cont.)
n Classification by shape n Long bones – located primarily in the arms and legs
n Femur (thigh bone) n Humerus (upper arm bone)
n Short bones – small bones located in the wrists and ankles
n Carpals (wrist bones) n Tarsals (ankle bones)
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Structure (cont.)
n Flat bones – located in the skull and rib cage n Ribs n Frontal bone
n Irregular bones n Vertebrae n Bones of the pelvic girdle
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Structure: Gender Differences
n Male Skull n Larger and heavier
n Forehead shorter
n Face less round
n Jaw larger
n Mastoid processes more prominent
n Male pelvic bones n Heavier and thicker
n Obturator foramina and acetabula are larger and closer together
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
n Male pelvic cavity n Narrower and longer n Less roomy and more
funnel shaped
n Male sacrum n Narrower n Sacral promontory projects forward n Sacral curvature is less sharp posteriorly
n Male coccyx n Less movable
Bone Structure: Gender Differences (cont.)
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge Match bone to classification. ___ Humerus L. Long bones ___ Rib S. Short bones ___ Femur F. Flat bones ___ Pelvic bones I. Irregular bones ___ Carpals ___ Frontal bone ___ Vertebra ___ Tarsals
F L
I S
I F
S
L
ANSWER:
Very Good!
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Functions of Bones n Give shape to body parts
n Support and protect soft structures n Examples – brain, lungs, heart
n Allow body movement, because skeletal muscles attach to them n Allow for voluntary movement
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Functions of Bones (cont.)
n Red bone marrow of bone produces new blood cells – hematopoiesis
n Store calcium
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
ANSWER: Every cell in the body needs calcium, so the body must have a large supply readily available.
Why is it important for the bones to store calcium?
Correct!
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Growth n Ossification – process of bone
growth
n Intramembranous ossification n Bones begin as tough, fibrous
membrane n Bone-forming cells called
osteoblasts turn the membrane to bone (located in skull)
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Growth (cont.)
n Endochondral ossification n Bones begin as cartilage
models n Primary ossification center
n Bone formed in the diaphysis
n Secondary ossification center n Epiphyses turn to bone n Bones with some cartilage between an epiphysis and the
diaphysis will continue to grow
n Medullary cavity and spaces in cancellous bone form n Cells that form holes in bone are called osteoclasts
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Growth: Building Better Bones
n Teach healthy behaviors n Bone-healthy diet with calcium and vitamin D n Bone-health exercises
o Weight-bearing o Strength training
n Bone-healthy lifestyle o Avoid smoking o Avoid alcohol
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bone Growth (cont.)
n Bone tests n Bone density n Bone scans
o Diagnose causes of o Bone pain o Arthritis o Bone infections o Bone cancers
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge What are the two types of bone growth?
ANSWER: Intramembranous ossification, in which bones begin as tough membrane and are turned to bone by osteoblasts, and endochondral ossification, in which primary ossification occurs in the diaphysis of the of the bone and secondary ossification occurs in the epiphysis.
GOOD JOB!
25-22
© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bony Structures
n Rigid foundation
n Projections and processes for muscle and ligament attachment
n Depressions and hollows for articulations – the connection of bones at joints
n Openings for blood vessels and nerves
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bony Structures (cont.)
Term Definition
Condyle A rounded process that usually articulates with another bone
Crest A narrow, ridge-like projection
Epicondyle A projection situated above a condyle
Foramen An opening through a bone that is usually a passageway for blood vessels, nerves, or ligaments
Fossa A relatively deep pit or depression
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bony Structures (cont.)
Term Definition
Head An enlargement on the end of a bone
Process A prominent projection on a bone
Suture An interlocking line of union between bones
Trochanter A relatively large process
Tubercle A small, knoblike process
Tuberosity A knoblike process, usually larger than a tubercle
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Skull n Two bone types:
n Cranial – form the top, sides, and back of the skull
n Facial – form the face
“Soft spots” felt on an infant's skull are actually fontanels Ø Tough membranes that connect the
incompletely developed bones
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
Match the following:
___ Epicondyle A. A relatively deep pit or depression
___ Fontanels B. An interlocking line of union between bones
___ Fossa C. “Soft spots” felt on an infant’s skull
___ Process D. A knoblike process, usually larger than a tubercle
___ Suture E. A projection situated above a condyle
___ Tuberosity F. A prominent projection on a bone
C
A
F
B
D
E
ANSWER:
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Skull: Cranial Bones
n Frontal – anterior
n Parietal – top and most of the sides
n Occipital – back
n Temporal – form the lower sides of the skull
n Sphenoid and ethmoid bones – floor
n Ear ossicles are the smallest bones of the body n Malleus n Incus n Stapes
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Skull (cont.)
n Mandible – forms the lower jaw bone
n Maxillae – form the upper jawbone
n Zygomatic – form the prominence of the cheeks
n Nasal bones – fuse together to form the bridge of the nose
Click to see Skull
n Palatine – form the anterior portion of the palate
n Vomer – a thin bone that divides the nasal cavity
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Skull (cont.)
Can you name these bones of the skull?
Back
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
Match the bones of the skull:
___ Occipital A. Form the upper jawbone
___ Sphenoid B. A thin bone that divides the nasal cavity
___ Mandible C. Part of floor of skull
___ Maxillae D. Form the prominence of the cheeks
___ Zygomatic E. Back of skull
___ Vomer F. Lower jaw bone
C
F
A
D
B
E
ANSWER:
Very Good!
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Spinal Column
n 7 cervical vertebrae
n 12 thoracic vertebrae
n 5 lumbar vertebrae
n Sacrum
n Coccyx
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Spinal Column (cont.)
n Cervical vertebrae n Smallest and lightest n Located in the neck
region n First one is atlas n Second one is axis
n Thoracic vertebrae n Join the 12 pairs of ribs
n Lumbar vertebrae n Have very sturdy
structures
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Spinal Column (cont.)
n Sacrum n A triangular-shaped bone that consists of five fused
vertebrae n Coccyx
n A small, triangular-shaped bone made up of 3 to 5 fused vertebrae
n Considered unnecessary n More commonly called the tailbone
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
Identify the sections of the spinal column and give the number of vertebrae for each.
Thoracic – 12
Lumbar – 5 Sacrum – 5 fused
Coccyx – 3 to 5 fused
Cervical – 7 ANSWER:
Right!
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Rib Cage
n Sternum n Breastplate n Forms the front middle
portion of the rib cage n Joins with the clavicles
and most ribs n Xyphoid process
n Cartilaginous tip
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
The Rib Cage (cont.)
n 12 pairs of ribs n All are attached
posteriorly to thoracic vertebrae
n True n First seven pairs of ribs n Attach to sternum by
costal cartilage
n False n Rib pairs 8, 9, and 10 n Attach to the costal
cartilage of rib pair 7
n Floating n Rib pairs 11 and 12 n Do not attach anteriorly
to any structure
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
True or False:
___ The sternum forms the front middle portion of the rib cage. ___ The xyphoid process is a boney tip of the sternum. ___ The true ribs are the first five pairs of ribs. ___ False ribs attach to the costal cartilage of rib pair seven. ___ Floating ribs attach to the xyphoid process.
T
T
ANSWER:
F cartilaginous
F seven
F do not attach anteriorly to any structure.
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bones of the Shoulders, Arms, and Hands
n Shoulders – pectoral girdles n Clavicles n Scapulae
n Upper limb or arm bones n Humerus n Radius n Ulna
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Bones of the Shoulders, Arms, and Hands (cont.)
n Hand n 8 carpals per hand n 5 metacarpals per hand n 14 phalanges per hand
n 3 in each finger n 2 in each thumb
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge Match the following:
___ Clavicle A. Pectoral girdle
___ Radius B. Arm bones
___ Humerus C. Hands
___ Carpals
___ Scapula
___ Ulna
___ Phalanges
___ Metacarpals
A
BB
B
C
CC
A ANSWER:
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bones of the Hips, Legs, and Feet
n Hipbones n Coxal bones form
the pelvic girdle n Ilium n Ischium n Pubis
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bones of the Hips, Legs, and Feet (cont.)
n Bones of leg n Femur n Patella n Tibia n Fibula
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Bones of the Hips, Legs, and Feet (cont.)
n Bones of the foot n Tarsals n Metatarsals n Phalanges
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
Match the following:
A. Coxal bones B. Leg bones C. Foot bones
___ Tibia ___ Patella
___ Ilium ___ Ischium
___ Femur ___ Metatarsals
___ Pubis ___ Fibula
___ Calcaneus ___ Tarsals
B
B
B
A A
A
C
C
C
B
ANSWER:
Super!
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Joints n Junctions between bones n Classification based on
structure n Fibrous joints
n Connected together with short fibers
n Between cranial bones and facial bones
n Sutures – fibrous joints in the skull
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Joints
n Cartilaginous joints n Connected
together with a disc of cartilage
n Between vertebrae
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Joints n Synovial joints
n Covered with hyaline cartilage n Held together by a fibrous joint
capsule lined with synovial membrane
n Secretes synovial fluid so bones move easily against each other
n Freely movable n Bones are also held together through tough, cord-like
structures called ligaments
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
Match the following:
A. Fibrous joints B. Cartilaginous joints C. Synovial joints
____ Between cranial bones and facial bones
____ Covered with hyaline cartilage
____ Between vertebrae
____ Freely movable
____ Sutures in the skull A
B C
C
A
ANSWER:
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Common Diseases and Disorders
n Arthritis – general term meaning joint inflammation n Osteoarthritis – degenerative joint disease,
primarily of weight-bearing joints
n Rheumatoid Arthritis – chronic systemic inflammatory disease of smaller joints and surrounding tissues
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Common Diseases and Disorders (cont.)
n Bursitis – inflammation of a bursa (fluid-filled sac that cushions tendons)
n Carpal Tunnel Syndrome – overuse of wrist; the median nerve in the wrist becomes compressed
n Ewing’s Family of Tumors (EFT) – a group of tumors that affect different tissue types; primarily bone
n Gout – a type of arthritis; deposits of uric acid crystals in the joints
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Common Diseases and Disorders (cont.)
n Kyphosis – abnormal curvature of the spine (humpback)
n Lordosis – exaggerated inward curvature of the lumbar spine (swayback)
n Osteogenesis imperfecta – brittle-bone disease
n Osteoporosis – a condition in which bones thin (become porous) over time
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Common Diseases and Disorders (cont.)
n Osteosarcoma – a type of bone cancer that originates from osteoblasts, the cells that make bony tissue
n Paget’s disease – causes bones to enlarge and become deformed and weak
n Scoliosis – an abnormal S-shaped curvature of the spine
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Apply Your Knowledge
Osteosarcoma is a type of bone cancer that originates from osteoblasts, the cells that make bony tissue.
The doctor has told your patient that he has an osteosarcoma. What do you know about this disorder?
Nice Work!
25-54
© 2009 The McGraw-Hill Companies, Inc. All rights reserved
In Summary
n Skeletal system n Two divisions n Bone growth through ossification n Functions
n Supports the body n Protects internal organs n Attachment for muscles for movement n Stores minerals n Produces new blood cells by hematopoiesis
n Joined by three types of joints
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© 2009 The McGraw-Hill Companies, Inc. All rights reserved
Rigid, the skeleton of habit alone upholds the human frame.
~ Virginia Woolf