Skeletal system Flashcards

1
Q

what are the components of the skeletal system?

A

Bones and joints and their associated cartilage

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2
Q

What is the function of the skeletal system

A

-Support and protection
-Surface for muscle attachment
-Aids body movement
-Houses cells that produce blood cells -Stores minerals and lipids

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3
Q

what is a bone? what is it composed of?

A

Very dense connective tissue, it is composed of water (10%), Organic tissue (30%) and inorganic salts (60%).

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4
Q

What is the axial skeleton and what forms it?
How many bones does it consist of?

A

-Bones that form the upright axis of thebody:
-Skull, hyoid bone, bones of the vertebral column, sternum and ribs
-Consists of 80 bones

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5
Q

what are the main bones of the axial skeleton?

A

Skull
– Cranial bones
– Facial bones
Spine
– Cervical
– Thoracic
– Lumbar
– Sacral
– Coccygeal
* Ribs
* Sternum

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6
Q

What is the appendicular skeleton?

A

Bones that are appended to the axialskeleton.
* Upper and lower extremities, including the shoulder and hip girdles.
* Consists of 126 bones (Note the sesamoidbones are excluded in the count with theexception of the patella and the pisiform)

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7
Q

what are the five classifications of bone?

A
  • Long- not to do with the size of the bone but what it contains.
  • Short
  • Flat
  • Irregular
  • Sesamoid
    In addition to the 5 classification there are variations known as Accessory ossicles
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8
Q

What are long bones?

A

-Consist of a cylindrical diaphysis (shaft) of compact bone with two expanded ends (epiphyses).
-These bones provide a large surface area for attachment of muscle to enable articulation.
-Bones that are classified as long are:
Humerus, femur, radius, ulna, tibia, fibula, phalanges, metacarpals, metatarsals, clavicles

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9
Q

Short (spongy bone).

A

-Consist of cancellous bone covered with a thin layer of compact bone.
-These bones vary considerably in shape, but are many considered to be cuboidal.
-Bones that are classified as short are:
-The tarsal and carpal bones
-The exception is the pisiform which is a carpal bone and is a sesamoid bone.

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10
Q

Flat

A

-Consist of a thin layer of compact bone enclosing a layer of cancellous bone. Found where protection of underlying organs or the need for space for muscle attachment is the greatest need.
These bones have a large surface area compared to their depth.
-Bones that are classified as flat are:
-Vault of the skull, scapula, ribs and sternum

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11
Q

irregular

A

-Consist of cancellous bone surrounded by a layer of compact bone. Bones in this classification vary considerably in their size and shape.
-Bones that are classified as irregular are:
-Vertebrae, facial bones, Sphenoid, Ethmoid, mandible, Auditory ossicles, Hyoid bone, and hip bones (innominate).
-Have features that are not consistent.

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12
Q

Sesamoid

A

-Nodules of bone that ossify within a tendon at a point of friction.
-The purpose of sesamoid bones is to protect muscle and tendons from wear and provide a channel for their movement as they glide over the bony surface.
-Main sesamoid bone is the patella (knee cap). Other sesamoid bones exist in the foot and hand, mainly related to the great toe and thumb, but others can be located within the hand and foot also pisiform.
-indicating protection- which is why it’s a form of flat bone.

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13
Q

Accessory ossicles

A

-These are normal variants that are unfused secondary ossification centres remaining separate from the bone.
-These can be located throughout the body.
-look for radio-opaque line surrounding it.

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14
Q

what are the 4 main structures of long bone

A
  • Periosteum- outside the bone
  • Cortical or Compact
  • Cancellous, Spongy or Trabecular
  • Endosteum- inside the bone
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15
Q

Periosteum

A

-Fibrous membrane or layer.
-Covers the external surface of bone
-The periosteum consists of two layers:
-Outer fibrous layer
-Inner vascular layer

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16
Q

function

A

*Protective outer covering of bone
*Provides attachment for muscles, tendons and ligaments.
*Contains blood vessels, that provide blood supply to the bone
*Forms new bone by means of osteoblasts found in the inner layer of the periosteum.

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17
Q

Cortical or Compact Bone

A

*Dense and ivory like.
*Approximately 80% of bone is of the cortical type. Mixture of strength and stability.
*Has strength, present in the cortex of diaphysis. Covers the cancellous bone.
*Cortical bone consists of irregularly spaced overlapping cylindrical units these are microscopic and known as Haversian systems or osteons.

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18
Q

Cancellous, spongy or trabecular

A

*similar in structure to compact bone
*bone marrow is found between trabeculea.
*generally found at the ends of long bones, vertebral bodies and flat bone.
*Trabeculea form the internal support structure of the bone. Approximately 20% of bone is of the trabecular type.
*site of greatest bone turnover
*Cancellous bone has a spongy texture
*Provides large spaces for blood forming cells to occupy.
bone is used where lightness, strength and area are required

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19
Q

Endosteum

A

*Connective tissue
*covers the trabeculae of spongy bone in the marrow cavities and lines the canals that pass through compact bone.
*Like the periosteum the endosteum contains osteoblasts and osteoclasts.

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20
Q

Bone Marrow

A

*Soft pulpy substance, composed of connective tissue and cells. Located in the cavity of long bones and in spaces between the trabaculae of all bones.
*Two kinds
-Red bone marrow- Red bone marrow is for haemopoiesis ie blood forming
-Yellow bone marrow- Later in life after the age of 7 haemopoietic tissue replace by fat hence yellow bone marrow.

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21
Q

Bone development- Ossification

A

*Cartilagenous or membranous precursors are later changed to bone through the process of Ossification
*Ossification can occur in:
Hyaline cartilage (intracartilaginous or endochondral ossification)
or
membrane (intramembranous ossification).
Most bones ossify in cartilage but some do ossify in membrane. Processes are identical to one another.

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22
Q

Primary ossification centre

A

area where bone development starts. In long bone this is the shaft and is termed the diaphysis

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23
Q

Secondary ossification centres:

A

occur later in bone development and are usually related to features of bone. In long bone occur at the ends. This is termed the epiphysis
Attached to diaphysis by cartilage.

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24
Q

Metaphysis

A

The epiphysis is separated from the diaphysis by the metaphysis. The is the a cartilaginous part and remains until growth cease through the union of the diaphysis and the epiphysis. Known as the growth plate.
Cartilage is not visible on X-ray images

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25
Q

what are the three types of bone cells?

A

*Osteoclasts-absorbs bone
*Osteoblasts- forms bone/ lay bone down.
*Osteocytes- Mature bone cell. If it dies it will be absorbed by osteoclasts.

26
Q

Give 5 examples of skeletal differences.

A

*Gender. Male skeletons are heavier and have a higher bone density. Female pelvis larger/wider than a males.
*Age- young you lay more bone down, older- more bone being absorbed. Bone density reaches its peak at around 30, then it starts to decline. Childrens bones wont have fused yet.
*Ethnic and genetic differences.- afro/Caribbean background- higher bone density compared to Caucasian people. Asian individuals have a lower bone density compared to Caucasian.
*Physical activity.- exercise builds up your bone, and increases bone density.
*Diet.

27
Q

what are joints?

A

*Where two (or more) bones (or cartilage and bone) meet
*They are considered a weak part of the skeleton; structure aims to resist forces

28
Q

what are the two main functions of joints?

A

– Movement and flexibility
– Stability/attachment between bones

29
Q

what are the 3 types of joints?

A

– Fibrous joints
– Cartilaginous joints
– Synovial

30
Q

what are solid joints?

A

Bones are connected by either:
–Dense fibrous connective tissue: Fibrous joints
–Cartilage (mainly fibrocartilage): Cartilaginous joints
–Function predominantly for strength/support
*Movement much more restricted than synovial joints

31
Q

what are 3 fibrous joints

A

– Sutures; -mainly found in skull
– Gomphoses; -teeth
– Syndesmoses;- holds bones together

32
Q

what are sutures?

A

*Only occur in the skull
*Individual skull vault bones linked by strong connective tissue called sutural ligaments (sharpey’s fibres)
*Interlocking ‘teeth’ give added strength
*Wider in young children resulting in ‘soft spots called fontanelles which fuse in first year
*allow minimal movement and changing shape of skull until age of approximately 20; birth and growth
*becoming more fixed and immoveable and fuse by 6th decade

33
Q

what are Gomphoses?

A

*Occur between the teeth (not bone) and mandible bone
-Short collagen fibres in periodontal ligament join the tooth root and bone socket in mandible
*very minimal movement; over time
*ligaments hold the tooth in the socket

34
Q

whats a syndemoses?

A
  • band
    variable but minimal movement
    Bones Held together by interosseous ligament/ membrane
    Examples include:
    distal tibia/fibula
    Distal radius/ulna
    Ligamentum flavum in spine
35
Q

what is a cartilaginous joints

A

*Amphi-arthro-ses; both sides-joint movement
*Virtually no / minimal movement
*Bones joined by layer of cartilage (fibro- or hyaline cartilage)
*Permanent joints all in midline

36
Q

2 types of cartilaginous joints

A

– Primary: Synchondrosis
– Secondary: Symphysis

37
Q

Cartilaginous joints -Synchondroses: permenant

A

*Connected by hyaline cartilage
*No/very minimal movement
Permanent:
-sterno-costal joint of 1st rib
-Sacro-coccygeal joint

38
Q

Sychondroses: temporary

A

between metaphysis and physeal (growth) plates of a growing long bone (no movement)
Joint between:
Metaphysis/diaphysis and epiphysis of long bone
primary and secondary ossification centres
No movement
Allows increase in bone length; endochondral ossification
Fuses with skeletal maturity

39
Q

What are some of the main feautures of synovial joints?

A
  • Main classification of joints; where most movement occurs
  • Movement varies according to type of synovial joint
  • Highly specialised according to required function
40
Q

what is the basic structure of a synovial joint?

A

–End of bones covered by protective layer of articular (hyaline) cartilage
–Space in between layers of cartilage filled with synovial fluid
–Bones joined by Surrounding fibrous capsule continuous with periosteum
–Capsule lined by synovial membrane which secretes lubricating fluid

41
Q

what does hyaline cartilage prevent?

A

bone on bone contact and reduces friction.

42
Q

where can you find the sybnovial membrane?

A
  • Lines inner part of joint capsule enclosing joint cavity between edges of hyaline cartilage
  • Does not cover articulating surfaces ( where cartilage is present).
43
Q

what is the purpose of synovial sheaths

A

to reduce friction between extra-articular structures such as tendon/bone, skin/bone, muscle/bone etc tec snd prevent damage

44
Q

what is the synovial fluid and what are some of its roles.

A
  • Viscous fluid produced by synovial membrane
  • Fills joint cavities within synovial membrane and forms very thin layer between articular cartilages
  • Roles include:
    – Friction reduction
    – Shock absorption; becomes more viscous the more pressure it undergoes
    – Nutrient/waste diffusion to cartilage (avascular)
    – Removal of microbes / particles debris from degeneration of cartilage
45
Q

what is a fibrous capsuke?

A
  • Dense fibrous connective tissue external to synovial membrane
46
Q

what is the role of ligaments?

A

– Add to strength of fibrous capsule
– More ligaments, more stability
– Minimal elasticity; prone to tearing under severe strain
– Muscles/tendons:
– Muscle tone most important to joint stability

47
Q

What is menisci (articular discs)

A

*Fibrocartilage discs within larger joints; knee
*Intra-capsular (articular) structures

48
Q

what are the roles of menisci?

A

– Increase concavity / joint surface of articulating bones (stability)
– Additional shock absorption
– Provide additional support on certain movements (increase range)
* May be prone to injury

49
Q

Name some types of synovial joints

A
  • Synovial condylar/ Ellipsoid joint
  • Synovial ball and socket joint
  • Synovial saddle joint
  • Synovial plane/ Gliding joint
  • Synovial pivot joint
  • Synovial hinge joint
50
Q

what is Synovial condylar/ellipsoid joint and what are some examples?

A
  • biaxial; movement in two directions/axes at right angles
  • Rounded (condyloid) surface sites within cup-shaped (concave) surface
  • Movement varies but may include all directions
    Examples include:
    – wrist joint (radio-carpal)
    – Metacarpo-phalangeal joints (MCPJ)
    – Metatarso-phalangeal joints (MTPJ)
    – Temporo-mandibular joint (TMJ)
51
Q

what is a Synovial ball and socket joints

A

*multiaxial; movement in more than two directions/axes
*Ball (head) of one bone sits within deep socket of other bone
*Wide range of movement
*Allows flexion, extension abduction, adduction, rotation, and circumduction

52
Q

what are some examples of ball and socket joints.–

A

– Hip joint
– Shoulder joint

53
Q

what is a synovial saddle joint?

A

*biaxial; movement in two directions/axes
*Articular surfaces like person sitting on a saddle
*Allows flexion, extension, abduction, adduction and rotation

54
Q

give an example of a synovial saddle joint?

A

–Ankle joint
–Sterno-clavicular joint (SCJ)
–First (Thumb) carpo-metacarpal joint (cmcJ)

55
Q

What is a synovial plane/gliding joint

A

*Uniaxial; movement in one direction/axis
*Articular surface flat/slightly curved
*Allows gliding only
*Least movement of all synovial joints
*Often Work in groups (eg foot, spine)

56
Q

give examples of plane/ gliding joint

A

– Sacro-iliac joint (SIJ)
– Proximal tibio-fibular joint
– Acromio-clavicular joint (acj)
– Inter - Carpal / tarsal joints
– Vertebral facet joints

57
Q

what is a synovial pivot joint

A

*uniaxial; movement in one direction/axis
*Allows rotation only
*Long process on one bone sits within hole/arch of other bone/ligament.

58
Q

give some examples of synovial pivot joint

A

– Proximal radio-ulna joint
– Distal radio-ulna joint
– Atlanto-axial joint

59
Q

what is a synovial hinge joint?

A

*Uniaxial; movement in one direction/axis
*Allows flexion / extension
*Articular surfaces fit like door hinge

60
Q

give some examples of a synovial hinge joint

A

– Elbow joint
– Inter-phalangeal joints