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Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

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Page 1: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Skeletal System

PA 544

Clinical Anatomy

Dr. Tony Serino

Page 2: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Skeletal System

• Composed of mineralized CT and their supporting structures including: bone, cartilage, ligaments, tendons, and bursae

• Functions: support, protection, homeostasis (specifically Ca++ regulation) and hempoiesis

Page 3: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

General Osteology Composition

• Cells –originate from mesechyme (undifferentiated mesodermal cells)

• Extracellular Matrix– Ground substances: water, salts, cementing

substances, glycoproteins– Fibers: collagen and elastin

Page 4: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Cartilage

• Avascular CT

• Appositional and interstitial growth possible

Chondroblast

Chondrocyte

Perichondrium

Lacuna

Matrix

Page 5: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Hyaline Cartilage

Page 6: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Elastic Cartilage

Page 7: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Fibrocartilage

Page 8: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Cartilage in Adult

Page 9: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Bone

• Heavily mineralized CT

• Highly vascular

• Principle storage area of Calcium

• Provides strength and structural support to body

Page 10: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Long Bone Anatomy

Fig. 6.3

Page 11: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Compact vs. Spongy Bone

Trabeculae

Page 12: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Bone Histology

Fig. 6.5

Page 13: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Haversian System Lamellae

Page 14: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Ossification

• Development of bony tissues

• First bone to form is woven (premature) bone

• This is eventually replace by mature bone (compact or spongy bone)

• Two methods for creating bones:– Intramembraneous (bone replaces mesoderm

membrane)– Endochondral (bone replaces an intervening cartilage

model)

Page 15: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Intramembranous Ossification(membrane bone)

Page 16: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Endochondral Ossification(replacement bone)

Page 17: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Epiphyseal (Growth) Plate

• Reserve Cartilage (distal perichondrium)

• Proliferating Cartilage(Growth zone)

• Hypertrophic zone(Transforming zone)

• Calcified matrix(Osteogenic zone)

Page 18: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Epiphyseal Plate

Page 19: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino
Page 20: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Fracture Healing

Page 21: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Osteoporosis

Normal Osteoporotic

Page 22: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Divisions of Skeletal System

Axial Skeleton

Fig. 7.1

Page 23: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Appendicular Skeleton

Fig. 7.21

Page 24: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Types of Bones

Long Bones

Page 25: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Short Bones

Page 26: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Flat Bones

Page 27: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Irregular bones

Page 28: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Sesamoid Bones

Page 29: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Accessory Bones:Wormian (Sutural) Bones and other supernumerary bones

Results from failure of separate ossifications centers to fuse (common in foot and hand)

Heterotropic bones –arise in soft tissue where bones not normally present

Page 30: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Articulations• Functional Classifications

– Synarthrotic (immovable)– Amphiarthrotic (slightly movable)– Diarthrotic (movable)

• Structural Classification– Fibrous –held by fibrous tissue– Cartilaginous –held by cartilage– Synovial –synovial cavity within joint

Page 31: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Suture (synarthrotic, fibrous joint)

Found in bones of skull

Page 32: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Gomphosis (synarthrotic, fibrous)

Ligament cemented to tooth surface

Page 33: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Syndesmoses (amphiarthrotic, fibrous)

Page 34: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Synchondroses (Synarthrotic, cartilaginous)

Epiphyseal Plate

Page 35: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Synchondroses (synarthrotic, cartilaginous)

Page 36: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Symphyses (amphiarthrotic, cartilaginous)

Includes pubic symphysis

Page 37: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Synovial = diarthrotic joints• The synovial

membrane filters the blood to create synovial fluid

• This fluid lubricates and nourishes the joint

• Some joints may have an additional wedge of cartilage within the joint (menisci)

Fig. 8.3

Page 38: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Bursae and Tendon sheaths

Page 39: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino

Arthritis