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How many bones do humans have? • When you were born you had over 300 bones. As

you grew, some of these bones began to fuse together. The result? An adult has only 206 bones!

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Factoids: • The human hand has 27 bones; your face has 14!

• The longest bone in your body? Your thigh bone, the femur -- it's about 1/4 of your height. The smallest is the stirrup bone in the ear which can measure 1/10 of an inch.

• Did you know that humans and giraffes have the same number of bones in their necks? Giraffe neck vertebrae are just much, much longer!

• You have over 230 moveable and semi-moveable joints in your body.

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The Skeletal System

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Parts of the skeletal system

Bones (skeleton)

Joints

Cartilages

Ligaments (bone to bone)(tendon=bone to muscle)

Divided into two divisions

Axial skeleton- skull, spinal column

Appendicular skeleton – limbs and girdle

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Functions of Bones

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Support of the body

Protection of soft organs

Movement due to attached skeletal

muscles

Storage of minerals and fats

Blood cell formation

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Bones of the Human Body

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The skeleton has 206 bones

Two basic types of bone tissue

Compact bone

Homogeneous

Spongy bone

Small needle-like pieces of bone

Many open spaces Figure 5.2b

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Bones are classified by their

shape:

1. Long- bones are longer than they

are wide (arms, legs)

2. Short- usually square in shape,

cube like (wrist, ankle)

3. Flat- flat , curved (skull, Sternum)

4. Irregular- odd shapes (vertebrae,

pelvis)

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Classification of Bones on the

Basis of Shape

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.1

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Types of Bone Cells

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Osteocytes

Mature bone cells

Osteoblasts

Bone-forming cells

Osteoclasts

Bone-destroying cells

Break down bone matrix for remodeling and release of calcium

Bone remodeling is a process by both osteoblasts and osteoclasts

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Changes in the Human Skeleton

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

In embryos, the skeleton is primarily

hyaline cartilage

During development, much of this cartilage

is replaced by bone

Cartilage remains in isolated areas

Bridge of the nose

Parts of ribs

Joints

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Joints A joint, or articulation, is the place where

two bones come together.

• Fibrous- Immovable:connect bones, no movement. (skull and pelvis).

• Cartilaginous- slightly movable, bones are attached by cartilage, a little movement (spine or ribs).

• Synovial- freely movable, much more movement than cartilaginous joints. Cavities between bones are filled with synovial fluid. This fluid helps lubricate and protect the bones.

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The Synovial Joint

Slide 5.51 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.28

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Types of Synovial Joints Based on

Shape

Slide 5.52a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.29a–c

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Types of Synovial Joints Based on

Shape

Slide 5.52b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.29d–f

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Types of Joints

Hinge- A hinge joint allows extension and

retraction of an appendage. (Elbow, Knee)

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Ball and Socket- A ball and socket joint

allows for radial movement in almost

any direction. They are found in the hips

and shoulders. (Hip, Shoulder)

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Gliding- In a gliding or plane joint bones

slide past each other. Mid-carpal and mid-

tarsal joints are gliding joints. (Hands,

Feet)

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Saddle- This type of joint occurs when the

touching surfaces of two bones have both

concave and convex regions with the shapes

of the two bones complementing one other

and allowing a wide range of movement.

(Thumb)

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Bone Fractures A break in a bone

Types of bone fractures

Closed (simple) fracture – break that does not penetrate the skin

Open (compound) fracture – broken bone penetrates through the skin

Greenstick- frays, hard to repair, breaks like a green twig

Bone fractures are treated by reduction and immobilization

Realignment of the bone

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The Axial Skeleton

Slide 5.20a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Forms the longitudinal part of the body

Divided into three parts

Skull

Vertebral Column

Rib Cage

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The Axial Skeleton

Figure 5.6

This is the main body including the pelvis, thorax, and skull (excluding the arms and legs).

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The Skull

•8 sutured bones in cranium

•Facial bones: 13 sutured bones

1 mandible

Cranium

encases brain

attachments for muscles

sinuses

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Bones of the Skull

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.11

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Allows for

growth

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Paranasal Sinuses

Slide 5.25a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Hollow portions of bones surrounding

the nasal cavity

Figure 5.10

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The Hyoid Bone

Slide 5.26 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The only bone that

does not articulate

with another bone

Serves as a

moveable base for

the tongue, and

other muscle

attachments Figure 5.12

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Thorax • the bones of the thorax (ribs, sternum and thoracic

vertebrae) form a cage which protects many of the body's vital organs.

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The spine • Is divided into 5 main areas and each verebrae has a

letter and number. – Cervical vetebrae C1 - C7 the neck region. C1 is the

upper most vertebrae. (7 total)

– Thoracic vertabrae T1 - T12 vertebrae of the upper body or thorax. (12 total)

– Lumbar vertebrae L1 - L5 vertebrae of the lower back (5 total)

– Bones of the sacrum S1 - S5 vertebra within the pelvic girdle. These bones fuse together between ages 16 and 18. (5 fused into 1)

– The coccyx Co1 - Co4 The lower tip of the spine. These bones fuse together between ages 20 to 30. (4 fused into 1)

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Thoracic cage

ribs

thoracic Vertebrae

sternum

costal cartilages

•True ribs are directly

attached to the sternum

(first seven pairs)

•Three false ribs are

joined to the 7th rib

•Two pairs of floating ribs

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10A. Sacrum • 10B. Alae (wing like processes) • 10C. Sacral promontory • 10D. Sacral canal • 10E. Sacral foramina • 10F. Median sacral crest (remnant of spinous processes)

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13A. Clavicle

• 13B. Sternal end (meets with the sternal manubrium)

• 13C. Acrominal end (meets with the acromion process of the scapula)

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Parts of a rib. • 12A. Head • 12B. Neck • 12C. Tubercle (articulates with vertebrae) • 12D. Shaft • 12E. Costal groove (lodges intercostals nerves & blood

vessels)

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Parts of the ilium (ilium = “flank”). • 19A. Iliac crest 19B. Iliac fossa • 19C. Anterior superior iliac spine 19D. Anterior inferior iliac spine • 19E. Posterior superior iliac spine 19F. Posterior inferior iliac spine • 19G. Greater sciatic notch (passage for the thick sciatic nerve to the thigh) • 19H. Auricular surface (“ear-shape” – meets with the auricular surfaces of

the sacrum) • 19I. Acetabulum

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Parts of the ischium (purple) and pubic (red). • 20J. Ischial spine 20K. Ischial tuberosity (you sit on this) • 20L. Lesser sciatic notch 20M. Superior pubis ramus • 20N. Inferior pubis ramus • 20O. Symphysis pubic (a fibrocartilagenous disc that joins the two public

bones) • 20P. Pubic arch (forms an acute angle in males and a more open obtuse

angle in females to help widen the birth canal) • 20Q. Obturator foramen

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• O. Symphysis pubic (a fibrocartilagenous disc that joins the two public bones)

• P. Pubic arch (forms an acute angle in males and a more open obtuse angle in females to help widen the birth canal).

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Skeletal Regions: The Appendicular Skeleton

• Any appendage coming off of the Axial skeleton (Arms and Legs)

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The Proximal skeleton

• The femur and humerus (ie the bones proximal to the Axial skeleton)

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The Distal skeleton

• The lower legs (tibia, fibula, and feet bones) and lower arm (radius, ulna, and bones of the hand).

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Parts of the scapula. • 14A. Superior border 14B. Vertebral (medial) border • 14C. Axillary (lateral) border 14D. Superior angle • 14E. Inferior angle 14F. Glenoid cavity (humerus fits into this) • 14G. Spine 14H. Acromion process • 14I. Coracoid process (“corac” = beak like) • 14J. Supraspinous fossa 14K. Infraspinous fossa • 14L. Subscapular fossa

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Parts of the humerus. • 15A. Head • 15B. Anatomical neck • 15C. Surgical neck • 15D. Greater tubercle • 15E. Lesser tubercle • 15F. Intertubercular groove

(tendon of biceps muscle runs thru)

• 15G. Radial groove (marks route of radial nerve)

• 15H. Deltoid tuberosity (for insertion of deltoid muscle)

• 15I. Lateral epicondyle • 15J. Medial epicondyle (the

ulnar nerve runs behind this, causes “funny bone” sensation)

• 15K. Trochlea (articulates with trochlear notch of ulna)

• 15L. Capitulum (articulates with radius)

• 15M. Coronoid fossa • 16N. Olecranon fossa

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Parts of the ulna. • 16A. Trochlear (semilunar) notch 16B. Olecranon process (fits into olecranon fossa on humerus) • 16C. Coronoid process (fits into coronoid fossa on humerus) • 16D. Radial notch (where ulna articulated with the head of the radius) 16E. Head Parts of the radius. • 17A. Head 17B. Radial tuberosity (for insertion of biceps muscle)

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Bones of the hand.

• 18A. Carpals (8 total in each wrist)

• 18B. Metacarpals (5 total in each hand)

• 18C. Proximal phalange

• 18D. Middle phalange

• 18E. Distal phalange

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Parts of the femur. • 21A. Head • 21B. Neck • 21C. Greater

trochanter • 21D. Lesser

trochanter • 21E. Gluteal

tuberosity • 21F. Linea aspera

(“rough line”) • 21G. Medial

epicondyle • 21H. Lateral

epicondyle • 21I. Medial condyle • 21J. Lateral condyle

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Parts of the tibia. • 23A. Medial condyle 23B. Lateral condyle • 23C. Tibial tuberosity 23D. Medial malleolus Parts of the fibula. • 24A. Head 24B. Lateral malleolus

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Bones of the foot.

• 25A. Tarsals (there are 7 total tarsals)

• 25B. Calcaneus (“heel bone”)

• 25C. Talus (“ankle bone”)

• 25D. Metatarsals

• 25E. Proximal phalange

• 25F. Middle phalange

• 25G. Distal phalange

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Diseases and Conditions

of the Skeletal System

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Arthritis

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Bursitis • Inflammation of the Bursa (fluid filled

sac surrounding the joint).

• A bursa can become inflamed from injury, infection (rare in the shoulder), or due to an underlying rheumatic condition.

• Bursitis is typically identified by localized pain or swelling, tenderness, and pain with motion of the tissues in the affected area.

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Tendonitis • Sometimes the tendons become inflamed for

a variety of reasons, and the action of pulling

the muscle becomes irritating. If the normal

smooth gliding motion of your tendon is

impaired, the tendon will become inflamed

and movement will become painful. The most

common cause of tendonitis is overuse.

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Carpal Tunnel Syndrome

• Any condition that causes swelling or a change in position of the tissue within the carpal tunnel can squeeze and irritate the median nerve. Irritation of the median nerve in this manner causes tingling and numbness of the thumb, index, and the middle fingers, a condition known as "carpal tunnel syndrome."

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Osteoporosis

• Osteoporosis is a term that means "porous

bones." It is a skeletal disease affecting

women and men. Osteoporosis is a condition

in which bones have lost minerals especially

calcium making them weaker, more brittle,

and susceptible to fractures (broken bones).

Any bone in the body can be affected by

osteoporosis, but the most common places

where fractures occur are the back (spine),

hips, and wrists.

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Scoliosis • Scoliosis is an abnormal curvature of the

spine. If your child has scoliosis, the view

from behind may reveal one or more

abnormal curves.Scoliosis runs in families,

but doctors often don't know the cause. More

girls than boys have severe scoliosis. Adult

scoliosis may be a worsening of a condition

that began in childhood, but wasn't diagnosed

or treated. In other cases, scoliosis may result

from a degenerative joint condition in the

spine.

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Kyphosis • With kyphosis, your spine may look normal or

you may develop a hump. Kyphosis can occur

as a result of developmental problems;

degenerative diseases, such as arthritis of the

spine; osteoporosis with compression fractures

of the vertebrae; or trauma to the spine. It can

affect children, adolescents and adults.

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Lordosis

• A normal spine, when viewed from behind

appears straight. However, a spine

affected by lordosis shows evidence of a

curvature of the back bones (vertebrae) in

the lower back area, giving the child a

"swayback" appearance.

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Rickets

• Rickets is the softening and weakening of

bones in children, usually because of an

extreme and prolonged vitamin D

deficiency.

• Some skeletal deformities caused by

rickets may need corrective surgery.

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Gout

• Gout is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. When crystals form in the joints it causes recurring attacks of joint inflammation (arthritis). Chronic gout can also lead to deposits of hard lumps of uric acid in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones.

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Acromegaly

• Acromegaly is a serious condition that occurs when

the body produces too much of the hormones that

control growth. ・The hormone most often affected is

called growth hormone, or GH. Itハis produced by the

pituitary gland, a tiny organ at the base of the brain.・・Growth hormoneハpromotes growth of bone, cartilage,

muscle, organs, and other tissues.・・When there is

too much growth hormone in the body, these tissues

grow larger than normal. This excessive growth can

cause serious disease and even premature death.

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Spina Bifida • Spina bifida is a birth defect that involves the

incomplete development of the spinal cord or its coverings. The term spina bifida comes from Latin and literally means "split" or "open" spine.Spina bifida occurs at the end of the first month of pregnancy when the two sides of th embryo's spine fail to join together, leaving an open area. In some cases, the spinal cord or other membranes may push through this opening in the back. The condition is usually detected before a baby is born and treated right away.

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Talipes Equinovarus- “Clubfoot”

• Clubfoot is a deformity of the whole foot that is present at birth. There are several types of clubfoot that are jointly known as 'talipes', as the deformity is mostly in the talus (a bone in the ankle). The most common of the talipes is what is known as "talipes equino varus" - it is so common that the word clubfoot is commonly used to refer to this. In talipes equino varus, the child is born with the foot pointing down and twisted inwards at the ankle.

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Sarcoma

• Osteosarcoma-The most common type of

bone cancer. It arises in bone and is most

commonly found in children and

adolescents but a rare form occurs in

adults, particularly in patients who have

been cured of other cancers with radiation

therapy.

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Myeloma • Multiple myeloma is a cancer in which abnormal cells

collect in the bone marrow and form tumors. Sometimes

these abnormal cells (called myeloma cells) collect in

only one bone and form a single tumor known as a

plasmacytoma. However, in most cases, the myeloma

cells collect in many bones, forming several tumors and

causing other problems. When this happens, the disease

is called multiple myeloma.

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