locomotor system - pumcanatomy.sbm.pumc.edu.cn/mobile/files/pdf/regionalanatomy/lecture3.pdf ·...
TRANSCRIPT
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Locomotor System
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As framework
Introduction-constitution
Osteology-bones
skeletonArthrology-joints
As axis
Myology-muscles
As motivation
These functions are regulated by nervous system.Muscular
markings can provide the reference for the clinical practice,such
as incision,acupuncture and forensic medicine.
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General Introduction to the bone
Bone – 206 in adult, more than 206 in infancy,
1/5 body weight in adult,1/7in newborn.
Each bone is living organ, with hardness and elasticity
metabolism, growth & development, healing
After injured - repair and reconstruction
Many factors can affect the development of
the bone,such as age, heritage, nutrient,exercise
and etc.
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Appendicular skeleton
Classification of bones
According to position
Cranial bones
Bones of trunk
Yellow ones
Axial skeleton
Bones of the limbs
pink ones
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Classification of bone according to shape
1.
2.
3.
4.
5.
Long
Short
Flat
Irregular
Sesamoid
Short bone
Long bone
Flat bone
(Pneumatic
bone)
Irregular bone
Sesamoid
bone
ethmoid
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Epiphyseal line(after inadult)
Long bone
Epiphysis
Articular surface
(Articular cartilage)
Metaphysis
Diaphysis (shaft)
Medullary cavity
Epiphyseal cartilage
Located in limbs
1 body,2 ends (epiphysis)
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Epip
hy
seal line
Epip
hy
seal cartilage
Epiphyseal line
In adult
Epiphyseal cartilage
in child at 7 year old
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Flat bones:
Thin,lamella,such as rib,
skull,scapula etc
Irregular bones:
irregular or mixed shape,
e.g. vertebrae, pneumatic bones
Sesamoid bones:
develope within tendon
Sesamoid
bone
Flat
irregular
Classification of bone
Short bones:
cube-shaped seen in wrist
and ankle
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Bone marking Example
Linear elevation
line Sup.nuchal line of the occipital bone
Ridge The medial and lat. supracondylar ridges of
the humerus
crest The iliac crest of the hip bone
Rounded
elevation
tubercle Pubic tubercle
protuberance External occipital protuberance
tuberosity Greater &lesser tuberosities of the humerus
malleous Med.malleolus of the tibia,lat.malleolus of the
fibula
trochanter Greater and lesser trochanters of the femur
Meanings of bone markings Learn by yourself
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Bone marking Example
Sharp elevation
Spine of spinous process Ischial spine. spine of vertebra
Styloid process Styloid process of temporal bone
Expanded ends for
articulation
Head Head of humerus, head of femur
Condyle Med.and lat.condyles of femur
Epicondyle(a prominence
situated just above condyle)
Medial and lateral epicondyles of
femur
Small flat area for
articulation
Facet Facet on head of rib for articulation
with vertebral body
Meanings of bone markings Learn by yourself
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Bone marking Example
Fossa Olecranon fossa of humerus.
Acetabular fossa of hip bone
Depressions
Notch Greater sciatic notch of hip bone
Groove or sulcus Bicipital groove of humerus
Openings
Fissure Superior orbital fissure
Canal Carotid foramen of the maxilla
Meatus Exteranl acoustic meatus of
temporal bone
Meanings of bone markings Learn by yourself
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Bone
Structure of bone-summary
Compact bone:hard & denseSubstance
Spongy bone
Periosteum
Endosteum
Red bone marrow: cavity.hemopoiesis(blood making)
Yellow bone marrow: rich in fat
blood vessel (nutrient artery,nutrient foramen),
Nerve : sensory etc
Membrane
Bone
marrow
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1
2
4
6
Structure of bone
3
1-Articular cartilage
2-Epiphyseal line
3-Spongy bone
(trabeculae)
4-Conpact bone
5-Periosteum
6-Medullary cavity
7-Bone marrow(yellow)
8-Nutrient vessel
8
Fresh bone
5
7 4
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Arterial supply of the bone
Three types
Nutrient artery(shaft)Metaphyseal artery
Epiphyseal artery
If the bone lose the blood
supply,the necrosis will occur.
Different arteries interconnect
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Chemical component and physical
character of bone
Inorganic:calcium,phosphate etc.
Make bone with hardness & rigidity
Organic:collagen,protein polysaccharides
Make bone with elasticity & toughness
In child: organic : inorganic= 5:5
In adult: organic : inorganic= 3:7 just rightin the old: organic : inorganic= 2:8
As the age increases:
Organic decrease; but inorganic increase,hardness increase.In child: less fracture & easy to deform
In the old: easily fracture
Decalcified bone - remove inorganic- soft.Burned bone - remove organic- brittle.
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Support framework of the body
Protection- brain, spinal cord.vital internal organs
Movement
Hemopoiesis (Blood cell formation)
red bone marrow
Storage of fat - yellow bone marrow
Mineral and fat reservoir - Ca,P,K,etc
Function of the bone
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Arthrology
(Joint)
General description
of arthrology
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Synosteosis(骨性连结)
Suture(缝连结)Syndesmosis(韧带连结)
Gomphosis(嵌合)
Fibrous joint
Synarthrosis Cartilaginous(Immovable joints) joint
Synchondroses(软骨连结)
Synphysis(骨愈合)
Synovial jointsDiarthrosis
According to
Whether to move
(Freely movable joints)
According to number
of the movement taxi
Uniaxial joints
Biaxial joints
Multiaxial joints
Articulating bones joined by
Classification of joints
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Classification Structure Examples
Fibrous joints Articulating bones joined by
fibrous connective tissue
Sutures of the skull
Tibia –fibula and
radial ulna joints
Teeth in socket
Cartilaginous
joints
Articulating bones joined by
fibrocartilage or hyaline
cartilage
Intervertebral joints
Pubic symphysis
Sacroiliac joint
Epiphyseal plates
Synovial joints Joint capsule containing
synovial membrane and
synovial fluid
All freely moveable
joints;most of the joints
of the limbs
Classification of joints Learn it by yourself
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Synarthrosis - Fibrous joint
Fibrous joint- united by fibrous CT
serrature suture
Interspinal lig
Feature:
Without cavity
A little or no movement
Interverebral disc
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Symphysis by fibrous cartilageSynchondrosis
By hyaline cartilage
symphysis
pubis
Synarthrosis - Cartilaginous joints
The bones are united by cartilage
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Synarthrosis - synosteosis
In the aged,the bones are united by the ossification ofthe fibrous joint or synchondroses between them .e.g,
the synosteoses between the ilium, ischium and pubis
of the hip bones.
ilium
Pubis
Ischium
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Negative pressurecapsule
Diarthrosis -synovial joints
Essential structures
Articular surface:
Articular cartilage
Articular capsule
Fibrous membrane
Synovial membrane
Articular cavity
Synovial fluid
Synovial joints
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Accessory structures of synovial joints
Ligaments (lig.)
Extracapsular lig.
Intracapsular lig.
Articular disc
(meniscus)
21
3
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2 Synovial foldbursa
3 synovial bursa
Synovial fold
Accessory structures of synovial joints
Shoulder joint
(cut open)
1 Articular labrum
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Classification of synovial joints
Uniaxial joints (单轴关节)
Hinge joints (屈戌关节或滑车关节)
Trochoid (pivot) joints (车轴关节)
Biaxial joints(双轴关节)
Ellipsoid joints (球面关节)
Saddle joints(鞍状关节)
Multiaxial joints (多轴关节)
Ball-and-socket joints(球窝关节)
Plane joints (平面关节)
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The types of the
synoyial joints
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1 Coronal axis flexion and extension
2 Sagittal axis adduction and abduction
3.Vertical axis-rotation
Medial rotation (Pronation)
Lateral rotation (Supination)
Inversion & eversion
4. Three axis-Circumduction
5 Translation
Terms of joint movements
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Movements at synovial joints
Flexion Decreasing the angle between two bones
Extension Increasing the angle between two bones
Abduction Movement away from the midline of the body
Adduction Movement toward the midline
Rotation Movement of a bone around its own axis
Pronation Rotation of the forearm that results in the palm
directed backward
Supination The opposite rotation to pronation
Circumduction Circular,cone like movement of a body segment
Structural classification of joints and examples,
all synovial joints are freely movable
Learn it by yourself
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Flexion
Extension
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Abbductionabduction
Pronationsupination
eversioninversion
circumduction
Petrusion
Protrusion
Elevation
Depression
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1 Cranial bones 29
2 Bones of trunk 51
The bones of the human body
Axial bones
Appendicular bones
According to position
3 Bones of upper limbs 64
4 Bones of lower limbs 62
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CervicalThoracic
Lumbar
Sacrum
Coccyx
712
5
1
1
Bones of the trunk - 51
In adult
Vertebrae 26
Sternum 1
Rib 24
In childrenSacrum 5
Coccyx 4
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7 Process-2 Upper articular processes
2 Lower articular processes
2 Transverse processes
1 Spinous process
T 6
superior lateral
Lumbar Vertebrae
General feature of a typical vertebra
1 body,1 arch and 7 processes
1Vertebral body –ant.wall
1 Vertebral arch- post.wall
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Characteristics in cervical vertebrae
1-Transverse foramen: vertebral artery
2-Spinous processes: short & bifid small
3-Vertebral body:
4-Vertebral foramen: triangular
5-Transverse processes: short & bifid
6-Articular processes: horizontal
vertebral
artery
1
2
3
4
5
6
lateral
superior
3-6th cervical vertebrae
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Special cervical vertebrae-C1,C2,C7
C1 – Atlas; No Body & spinous process,ant.& post.arches
two lateral masses, groove for vertebral artery
C2 - Axis; Distinguished by dens,which articulates with dental
fovea of anterior arch of atlas.
C7 - Vertebra prominens :contains long and non-bifid spinous
process,it is visible with neck flexed,used as clinical landmark
C-1 superior C2-posterior C-7 superiorC3-6 superior
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Characteristics in thoracic vertebrae
T6
lateralsuperior
1-Superior & inferior costal fovea2-Transverse costal fovea
3-Articular processes: coronal position (sup. & inf.)
4-Spinous processes: long,downward obliquely
5-Vertebrae Body: heart-shape
6-Vertebral foramen:Smaller, round
1 2
3
4
5
61 3
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Lumbar vertebrae
3-Vertebrae body:
larger, kidney-shape
4-Vertebral foramen:
larger & triangular
5-Transverse processes:long
Larger size 4
2
1
1-Spinous processes: horizontally
2-Articular processes: sagittal
3
5
1
1
1
5
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Sacrum and coccyx
Posterior surface
1- Median sacral crest
2 - Post.sacral foramina
(4 pairs),
3 - Sacral hiatus
4 - Sacral cornu
Lateral part
5 - Auricular surface
6 - Sacral tuberosity
Posterior view
4
1
25
3
coccyx
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Base-upward
Anterior surface
1-Promontory,
2- Ant. sacral foramina
(4pairs)
Anterior view
1
2
Sacrum and coccyx
5 Sacral vertebrae fuse,
Apex-downward,
coccyx
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ManubriumBody of sternum
Xiphoid process
Sternum
stermum
Ant.view Ant.view Lat.view Ant.v lat.view
Three
portions
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Sternal angle
which connects 2nd costal
cartilage laterally,and lies
opposite lower border of
T4 posteriorly
Sternal angle is a importantlandmark indicating the order
of Rib in clinic
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Floating ribs
Ribs- 12 pairs
General featuresRibs 1 ~ 7 - true ribs
Ribs 8~10 - false ribs
Ribs11~12- floating ribs
True ribs
False ribs
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Costal angle
Costal
groove
Shaft
of rib
2nd rib 1st rib7th rib
of costal headCostal tubercle
Costal neck
Costal head
The structure of the ribs
Articular facet
Costal
cartilage
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The knowledge you have to master today
Institution and function of locomotor system
Classification & structure of bones
The essential structure & movement of synovial joint
Name,location & number of the bone of the trunk
The difference of different vertebral bone
The features of the sternum
The features of the ribs
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Systematic Anatomy
Locomotor system
Joints of the bones of the trunk
Cranial bone and their joints
Part 2
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Ant.view of thoracic cage
The joints of bones of the trunk
Lat.view
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Combination associated with vertebral body
1- Ant.longitudinal lig. ( from foramen magnum to the S1~S2 )
2- Post.longitudinal lig. (from C2 to sacrum)
3- Intervertebral disc (23).-between neighbouring vertebral body
1 2
3
3
Lat. viewPost.view
Body removedLat viewAnt. view
1
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fibrocartilage Lat. view
Annulusfibrosus
Nucleus
pulposus
Intervertebral disc
between vertebral bodiesProtrusion of nucleus
pulposus result in loweran inner soft, pulpy, back pain
highly elastic structure
Anulus fibrosus
an outer fibrous ring consisting of
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8
Function of ant.post longitudinal
lig. & vertebral disc
Ant.longitudinal lig.
Maintains stability of the intervertebral disc and
prevents hyperextension of the vertebral column
Post.longitudinal lig.
Prevents hyperflexion of the vertebral column and post.
protrusion of the discs
Intervertebral disc.
make the movement of vertebral column flexible
and make the vertebral column with elasticity.
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Ligaments associated with vertebral arch
Lat.view (half bodyAnt.view of vertebral canal 9
1-Yellow lig.(ligamenta flava) 2- Intertransverse lig.
3- Interspinal lig. 4- Supraspinous lig.
2
4
3
1
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Ligamentum
nuchae
Lat.view
Ant.Post.
Lig. & joints associated with vertebral arch
Ligamentum nuchae-Superspinous lig. in the neck
Zygapophysial joints-between sup. & inf. articular process
Scall.
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Intertransverse lig.
Interspinal lig.Ligaments associated
with vertebral arch
Supraspinal lig.
Joints between
Summary of Intervertebral combination
Ligaments,joints and intervertebral disc
Ant. longitudinal lig.
Combination associated.with vertebral body
Post. longitudinal lig
Yellow lig.
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The view of the spinal column as a whole
About 70cm in male adult, female (60cm) .
intervertebral discs =1/4 (column).After the
adult, length of column become shorter
(with age) .
Related bones are joined together by lig,
disc & joint between intervertebral arch.
Bones + joints
Lat.view Post.view Ant.view
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Post.view
Ant. and post. view of the spinal column
The vertebral increase in size from top
to bottom (because of increasing weight.)
At 2nd sacral vertebrae - become small.
Slightly convex backward
All the spinous process like a continuous
Crest,cervical spinous process is bifid.
spinous process of thoracic vertebrae are
Pointing to posterior downward sloping
Anterior view
Posterior view
Ant.view
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Four physiological curvature
1-Cervical curvature- convex forward
2-Thoracic curvature-convex backward
3-Lumbar curvature-convex forward
4-Sacral curvature- convex backward
Movement of the vertebral column
Flexion
Extension
Lateral flexion
Rotation
Lateral view of the spinal column
Lat.view
1
3
2
4
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Physical curvature of the spinal column
At birth-two curvature only
Thoracic C,Sacral C
When to begin to raise the head
Cervical C appear
When to begin to stand
Lumbar C appear
C-curvature
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Ant.view of thoracic cage
Thoracic cage
Composition
Bones+joints
Bone:
12 thoracic vertebrae,
12 pairs of ribs
costal cartilages, sternum.
Joint:
1-Sternocostal joints
2-Costotransverse joints
3-Costal head joint
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Thoracic cage
Sternoclavicular
joint
Sternocostal
articulations
Costal arch
infrasternalbetween costal cartilages 8, 9,
and 10 to form the costal arch angle
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Costovertebral joint
Costal head joint
Intervertebral disc
Costotransverse
articulation
Sup.view
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General features of thoracic cage
Roughly cone-shape,
Narrow above and broad below,
flattened from front-backwards,
Inlet of thorax
Bounded by upper border of manubrium,
first rib, and vertebra T1
Outlet of thorax
Bounded by T12,12th &11th ribs,
costal arch and xiphoid process
Infrasternal angle
Formed by the costal arch of both side
Intercostal spaces: lie between the ribs
Intercostal space
Function: protect the viscera and breathinginfrasternal
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Cranial bones and their articulations
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Skull
Cerebral
cranium
Facial
cranium
8 bones
15 bones
The skull is composed of 23 (don’t including 6
auditory bones) bones, which may be divided into
the cerebral cranium and facial cranium
Lateral view
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Unpaired bones
1-Frontal bone
2-Ethmoid bone
3-Sphenoid bone
4-Occipital bone
Paired bones
5-Temporal bone
1
4
5
6
3 4
Skull -Cerebral cranium
• Cerebral cranium (8) ―larger, upper andposterior part, houses and protects the brain
6-Parietal boneSup.view of
5 5
1 2 1
3
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3-Hyoid bone
Paired bones
4-maxilla
5-Nasal bone
6-Lacrimal bone
7-Zygomatic bone
8-Inferior nasal concha
9-Palatine bone
4
8
6 5
1
Bones of facial cranium (15) ―smaller, lower, and ant. part,
contains bones that surrounded the eye,
nose and mouth
Single bones
1-Mandible
2-Vomer
7
Skull – facial cranium
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Frontal bone
Frontal sinusSup. view
Ant. aspect
bottom aspect
Frontal bone
Forehead,
roof of nasal cavity
Frontal
bone
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Ethmoid
Bone
3
1
1 1
3-Crista galli
1-Ceribrifom plate
2-Pendicular plate
4-Ethemoidal labyrinth
42
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Foramen magnum
Occipital squama
Basilar part
Lateral parts
Inner outer
occipital
bone
Occipitalsquama
Occipital bone
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Body
Greater wing
Lesser wing
Sup.view
Of cranial base
Greater
wing
Sup.view
Lesserwing
Greater
wing
Sphenoid bone
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outerA
PFour parts
The Squamous
The Petrous
The Tympanic
The Mastoid process
Squamous
Inner view
Squamous
Mastoidprocess
Tympanic
5-Temporal bone
Temporal bone
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29
Parietal bones
Parietal bone
Parietal
bone
Form the roof of the cranium
Sagittal suture
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y
Mandible
body
Lateral view
outer
ramus
Angle of
mandible
Coronoid
processCondylar
Mandibular
notch
Mandibular
foramen
Mental spine
process
mandible
Neck ofmandible
Mentalforamen
Head of
mandible
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External surface of the skull base
Palatine bone(2)
Vomer(1)
Bony nasal septum
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Hyoid bone
Lat.view 34
Hyoid
bone
Nasal conchae exposedSagittal section (skull)
Inf.concha
Inf.concha bone
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Lateral
aspect
One body
Four processes
Sinus of maxilla
Medial aspect
1-Frontal process
2-Zygomatic process
3-Alveolar process
4-Palatine process
23
Maxilla -21
1
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Skull: ant.view-Right orbit
Inf.orbital fissure
Infraorbital groove
Orbital surface of maxilla
Post.ethmoidal foramen
Ant.ethmoidal
foramen
Orbital plate of
ethmoid bone
Lacrimal bone
Fossa for
lacrimal sac
Orbital process of
palaine bone
Orbital surface of frontal bone
Orbital surface of lesser
Wing of sphenoid bone
Sup. orbital fissure
Optic canal
(foramen)
Greater wing of
sphenoid bonec bone
Orbital surface of
zygomatic bone
Right orbital –ant view.
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The skull as a whole
Bones:
Frontal-1
Occipital-3
Parietal-2
Sutures:
A-Coronal
B-Sagittal
C-LambdoidSulcus for superior sagittal sinus
superior view Granular foveolaArterial grooves
Internal view
C
A
B
1
2
3
2
A
P
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Internal view of base of skull
At Base of skull
Forms three fossae
1-Anterior cranial fossa
2-Middle cranial fossa
3-Posterior cranial fossa
3
2
11
2
3
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Lateral view of the skull
1-External acoustic pore
2-Mastoid process
3-Zygomatic arch
4-Temporal fossa
Pterion
It is a “H”shape area where
four bone connected.
Features
Bone thin
Artery in deep (mid,meningeal a.)
After fracture,
bleeding –hematoma
(Violence hit)
Mid meningeal a.
12
3
Lateral view
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Paranasal sinusesFour pairs
Frontal sinus
Ethmoidal sinus
Maxillary sinus
Sphenoidal sinus
Function:
Lighten the weight of the skull
Enhance the resonance of the voice
Increase the temperature & humitidy of the air.
Opening of four paired
paranasal sinuses drain
to nasal cavity
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Paranasal sinuses
Frontal
sinus
Ant.view
Sphenoidalsinus
lat.wall of nasal cavity
Ethmoidalsinus
Maxillarysinus
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General characters of the skull at birth
Skull of newbornLateral view
Skull of newbornsuperior view
Facial cranium/the whole skull
1/8 at birth.1/4 at adult
Cranial frontanelles
unossified membrane between the
bones at the angles of parietal
1-Anterior fontanelle
closes 1~2 years old
2-Posterior fontanelle
closes at 2~3 mons
after birth
1
2
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Joints of skull
United joints, open large & intake, dislocation (lock jaw)
The joints of the skulll are divided into three type:
Sutures: coronal. sagittal suture, lambdoid
Cartilagenous: occipitosphenoid ,petrosphenod etc
Synovial joint: temporomandibular joint- important
Mandibular fossa and condylar process of the mandible
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Jaws slightly
opened
Jaws widely
opened
Joint capsule
Mandibular fosa of temporal bone
Articular disc
Articular tubercle
of temporal bone
Jaws closed
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Important contents today
Lig. & joints related to the bones of trunk.
Function,location & structure of Intervertebral disc.
Number,name,location of the cranial bone.
Identify the shape and location of each cranial bones.
What are bones to form the orbit?
Name,location and function of paranasal sinuses.
Where is pterion and what is its feature?
Where are ant.& post.fontanelle & when they close?
Master the shape structure of the mandible.
Master the structure of temporomandibular joint.