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Human Anatomy
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Chapter 2
Table of ContentsIntroduction
Terms and Concepts Worth Knowing– Anatomical Position
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– Directional Terms– Planes of the Body
The Musculoskeletal System– Bones– Joints– Muscles
Introduction: What is the Structure of My Body?
Human Anatomy: The study of the structures that make up the human body and how those structures
l t t h th
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relate to each other.
Structure determines function: The structures of the human body are well-designed for efficient movement.
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Terms and Concepts Worth Knowing
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Anatomical Position
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– Legs straight– Heels feet and great toes
– Palms facing forward and the thumbs outward
Description– Standing erect– Facing forward– Arms hanging at the sides
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Heels, feet and great toes parallel to each other
The starting reference point for describing the human bodyIt is universally accepted It is used in all anatomical descriptions
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Directional Terms
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Reminder:
All directional terms are based on the assumption that the body is in the
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anatomical position.
Lateral-Medial
– Lateral – Away from the midline of the body
Midline
LateralMedial
– Medial – Toward the midline
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– E.g., Your ears are lateral to your cheeks and your cheeks are medial to your ears
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Distal-Proximal
– Distal – Further from some specified region
– Proximal – Closer to some specified region
– E.g., With respect to the trunk, the hands are distal to the arms and the
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hands are distal to the arms and the arms are proximal to the hands.
– E.g., With respect to nerves and blood vessels, proximal also means "toward the origin" and distal means "away from the origin"
– E.g., The colon is the distal portion and stomach is the proximalportion of the digestive tract
Thigh is proximal to the leg
Leg is distal to the thighLeg is proximal to the foot
Foot is distal to the leg
Anterior-Posterior
– Anterior – In front of or front of your body
Anterior Skeleton
– Posterior – Behind or back of your body
– E.g., Your lips are anterior
Posterior Skeleton
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to your teeth and your teeth are posterior to your lips
– E.g., In the anatomicalposition, your palms arefacing anteriorly
Superior-Inferior
– Superior – AboveThe collar bone is superior to the rib cage
– Inferior – Below
– E.g., Your lips are i t hi d
The hip bone isinferior to the ribcage
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superior to your chin and your chin is inferior to your lips
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Supine– Lying on the back – E.g., Performing a
bench press
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Prone– Lying face down – E.g., Preparing to
perform a push-up
Planes of the Body
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Imaginary flat surfaces that divide the human body
They are used to:
Planes
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– divide the body for further identification of particular areas
– describe different movements or actions
Always refer to the body in the anatomical position
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Median plane or midsagittal plane
– A vertical plane that bisects the body into equal right and left halves
MedianPlane
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– Sagittal plane is any plane parallel to the median plane
Coronal plane or frontal plane
– A vertical plane that bisects the body into f t d b k
Coronal Plane
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front and back
– It is at right angles tothe median plane
Transverse plane or horizontal plane
– A horizontal plane that bisects the body into top and bottom
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into top and bottom
– It is at right angles to both the median and coronal planes
Transverse Plane
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Center of gravity– The point at which
the median, frontal,
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the median, frontal, and transverse planes intersect
Movements
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Movement around a joint may be around any one (or more) of three axes
X
Y
Z
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Most movements are found in pairs – for every movement, there is generally a movement that is opposite to it
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Flexion-ExtensionFlexion – reduces the angle between two bones at a jointExtension – increases the angle between two bones at a joint
Flexion
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Usually a sagittal plane movement
E.g., Biceps curl– Lifting the weight reduces the
angle at the joint = flexion– Lowering the weight increases the
angle at the join = extension Extension
Dorsiflexion-Plantar flexionModified flexion with respect to the ankle joint
Dorsiflexion – bringing Dorsiflexion
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the top of the foot toward the lower leg or shin
Plantar flexion –“planting” the foot
Plantar Flexion
Abduction-Adduction
Abduction
Abduction – moving a segment away from the midline of the body
Adduction – moving segment toward the midline of the body
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Frontal plane movement
E.g., The motions of the arms and legs during a jumping jack
Hint: – Abduct = “take away” from the midline– Adduct = “add” toward the midline Adduction
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CircumductionA cone of movement that does not include any rotation
Occurs when flexion-extension movements are combined with
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movements are combined with abduction-adduction movements
E.g., Tracing an imaginary circle in the air with your index finger – The tip of your finger represents
the base of the cone, while your knuckle forms the apex of this conical motion
Rotation
Turning a bone along its longitudinal axis
Medial rotation rotation
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Medial rotation – rotation toward the midline
Lateral rotation – rotation away from the midline
Pronation-supination
Movements related to the forearm and hand
Pronation – when the palm is P ti
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Pronation – when the palm is moved to face posteriorly
Supination – when the palm is moved to face anteriorly (Hint: you can hold a bowl of soup)
Pronation
Supination
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Inversion-Eversion
Movements related to the sole of the foot
Inversion – When the sole is
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turned inward (as when you "go over" on your ankle)
Eversion
Inversion
Eversion – When the sole is turned outward or away from the median plane of the body
The Musculoskeletal System
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The Bare Bones ofHuman Anatomy
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The function of the skeletal system is to:
– provide a supporting framework– protect body organs
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Bone is a living tissue complete with blood supply and nerves
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Bone
Bone Shape
The shapes of the bones allow them to perform specific functions more effectively
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effectively
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Short Bones:– Include bones of ankle (i.e., tarsals) and wrist
(i.e., carpals)– Serve as good shock absorbers
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Carpals
Tarsals
Long bones:
– Include femur of the thigh, humerus of the upper arm, and others
Femur Humerus
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– Any bone whose length greatly exceeds its diameter
– Provide levers for movement
Flat bones:
– Include bones of the skull, scapula, ribs, sternum, and clavicle
– Largely protect underlying organs
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Irregular Bones:– Include bones of your face and vertebrae– Bones that cannot be placed in other groups– Fulfill special functions
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Facial bones
Vertebrae
Sesamoid bones:– Includes the patella
Oval shape like a pea
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– Oval shape, like a pea, and found in tendons
Patella
Bone is very strong for its relatively light weightThe major components of bone are:
Bone CompositionCortical Bone
Spongy Bone
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of bone are:– Calcium carbonate– Calcium phosphate– Collagen– Water
Medullary (marrow) cavity
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Bone CompositionCalcium carbonate and calcium phosphate:– Make up 60 to 70 percent of bone weight– Provide much of the bone’s stiffness and resistance to pressing or
squeezing forces
Collagen (a protein):
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Collagen (a protein):– Gives bone its characteristic flexibility and contributes to its
ability to resist pulling and stretching forces – With aging, collagen is lost progressively and bone becomes
more brittle.
Water– Bone consists of much smaller proportion of water than other
body parts
Bone Classification
According to the degree of porosity, bone can be classified into two general categories:
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– Cortical bone (low porosity)
– Spongy or cancellous bone (high porosity)
Cancellous bone Compact Bone
Porosity High (Low mineral content and high collagen)
Low (High mineral content and low collagen)
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Cancellous bone Compact Bone
Porosity High (Low mineral content and high collagen)
Low (High mineral content and low collagen)
Structure Honey comb Compact
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Cancellous bone Compact Bone
Porosity High (Low mineral content and high collagen)
Low (High mineral content and low collagen)
Structure Honey comb Compact
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Characteristic Provides more flexibilitybut is not as stress resistant
Stiffer and can resist greater stress but less flexible
Cancellous bone Compact Bone
Porosity High (Low mineral content and high collagen)
Low (High mineral content and low collagen)
Structure Honey comb Compact
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Characteristic Provides more flexibilitybut is not as stress resistant
Stiffer and can resist greater stress but less flexible
Function Shock absorption due to its better ability to change shape
Withstanding stress in body areas that are subject to higher impact loads
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Cancellous bone Compact Bone
Porosity High (Low mineral content and high collagen)
Low (High mineral content and low collagen)
Structure Honey comb Compact
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Characteristic Provides more flexibilitybut is not as stress resistant
Stiffer and can resist greater stress but less flexible
Function Shock absorption due to its better ability to change shape are important
Withstanding stress in body areas that are subject to higher impact loads
Location e.g., vertebrae Long bones (e.g., bones of the arms and legs)
Effect of Fitness on BoneWhen bones are subjected to regular physical activity and habitual loads, they tend to become more dense and more mineralized– E.g., Right forearm bones of right-handed tennis
players are more dense than their left ones due to more
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players are more dense than their left ones due to more frequent use
Inactivity works in the opposite direction, leading to a decrease in weight and strength. – E.g., Loss of bone mass has been noted in bed-ridden
patients, inactive senior citizens, and astronauts
The Human Skeleton
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Skeleton
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Axial Skeleton
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Skull
Sternum
Ribs
Vertebral Column
Axial Skeleton
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Skull
Divided into two parts:
a) Calvaria
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a) Calvaria
b) Face
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a) Calvaria
Frontal BoneParietal Bone
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Temporal Bone
Occipital Bone
CalvariaMay be fractured in blows to the skull (e.g., being checked and hitting the skull on the ice in hockey)
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Temporal bone:– Most fragile of the calvaria bones – Overlies one of the major blood
vessels – If fractured and displaced internally
= medical emergency (picture)
b) Facial Bones
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Lacrimal Bone
Nasal Bone
Maxilla Bone
Mandible Bone
Zygomatic Bone
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Facial Bones
Often broken in contact sports due to rough impact
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Some fractures of the maxilla (upper jaw) can leave the lower face separated from the upper face
Vertebral Column7 Cervical Vertebrae (of the neck)
12 Thoracic Vertebrae (of the chest)
Lumbar vertebra, superior view
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Sacrum (mid-line region of buttocks)
Coccyx (4 or 5 fused vertebrae of the tail bone)
5 Lumbar Vertebrae (of the lower back)
Lumbar vertebra, lateral view
Vertebral Column
Vertebrae are arranged in a cylindrical column interspersed with fibrocartilaginous (intervertebral) discs
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Function:– Provides strong and flexible support for the body and
the ability to keep the body erect– The point of attachment for muscles of the back– Protects the spinal cord and nerves– Absorbs shock through the intervertebral discs without
causing damage to other vertebrae
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RibsTwelve pairs
Made up of :Bone
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– Bone– Cartilage, which strengthens the chest cage and
permits expansion
Curved and slightly twisted, making them ideal for protecting the chest area
RibsAll 12 pairs of ribs articulate with the twelve thoracic vertebrae posteriorlyClassified into three groups based on anterior attachment:– True ribs
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• 1-7• attach to both the vertebrae and the sternum
– False ribs • 8-10 • attach only to the sternum indirectly, through 7th rib
– Floating ribs• 11 and 12 • attach only to the vertebral column
The Ribs
Manubrium
Sternal BodyTrue Ribs
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Xiphoid Process
Costal Cartilages
(1-7)
False Ribs(8-10)
Floating Ribs(11-12)
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SternumMid-line breast bone The clavicles and ribs one to seven articulate with the sternum
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Sternum – comprised of the manubrium, sternal body, and xiphoid process
Appendicular Skeleton
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Consists of:1. The pectoral girdle (chest)
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Appendicular skeleton
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2. The upper limb
3. Pelvic girdle (hip)
4. The lower limb
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1.Pectoral Girdle
Consists of: – Scapula (shoulder blade) – Clavicle (collar bone)
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Allows the upper limb great mobilityThe sternoclavicular joint is the only point of attachment between the axial skeleton and the pectoral girdle
2. Upper LimbHumerus– The arm bone – Shoulder to elbow
R di d Ul
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Radius and Ulna– The forearm bones– Elbow to wrist– Radius is located on the thumb side
of the hand– When you pronate the forearm, the
radius is actually crossing over the ulna – try it yourself
Upper Limb
Carpals
MetacarpalsProximal Phalanx
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Phalanges
Middle PhalanxDistal
Phalanx
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3. Pelvic GirdleFormed by pair of os coxae (hip bones)
Supports the bladder and abdominal contents
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Attachment:– Posteriorly – join with the sacrum – Anteriorly – join to each other– Laterally – join to the head of thigh
bone (femur) in a cup-shaped acetabulum
4. Lower Limb
Femur – Thigh bone – From hip to knee
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Patella – Knee cap– Sesamoid bone in the tendon
of the quadriceps (thigh)muscles
Lower Limb
Tibia and Fibula– Leg bones– From knee to ankle– Tibia is medial and fibula is lateral
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Medial malleolus and Lateral malleolus– The distal ends of the tibia and
fibula, respectively– Commonly referred to as the "ankle
bones"– Can be easily palpated
Medialmalleolus
Lateralmalleolus
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Lower LimbTarsals– Ankle bones– Calcaneus or heel bone– Talus
Metatarsals
Calcaneus
Talus
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Metatarsals – 5 bones of the foot – Unite with the toes
Phalanges– Toe bones– Three per toe, except the big
toe – proximal, middle, and distal
Phalanges
Metatarsals
Tarsals
Joints of the Human BodyJoint Classification Naming Joints:
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Synovial Joints– Characteristics of
synovial joints– Types of synovial joints
– Pectoral Girdle– Upper Limb– Pelvic Girdle– Lower Limb
A joint is a point of connection between two bones
Strands of connective tissue and ligaments hold the bones together and ensure the stability of joints
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Joint ClassificationJoints are classified according to their motion capabilities:
– SynarthrosesImmo able
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• Immovable
– Amphiarthroses• Slightly movable
– Diarthroses• Allow the greatest amount of motion
Joint ClassificationJoints are further classified by the material that joins them:
– Fibrous joints• Allow no movement• E g sutures of the skull
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E.g., sutures of the skull
– Cartilaginous joints• Allow limited movement• E.g., intervertebral discs
– Synovial joints• Allow large range of movements• E.g., knee joint
Characteristics of Synovial JointsHyaline cartilage– A protective layer of dense white connective tissue that covers
the ends of the articulating bonesJoint cavitySynovial membrane– Covers joint cavity, except over the surfaces of the articular
cartilage
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cartilage– Secretes the lubrication fluid
Synovial fluid– Lubricates the joint
Capsule– May or may not have thickenings called intrinsic ligaments
Extrinsic ligaments– Support the joint and connect the articulating bones of the joint
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Types of Synovial Joints
There are three basic types of synovial joints:
– Unilateral (rotation about only one axis)
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Unilateral (rotation about only one axis)
– Biaxial joints (movement about two perpendicular axes)
– Multiaxial joints (movement about all three perpendicular axes)
Types of Synovial Joints
Synovial are further classified into:
1. Hinge Joint2 Pi t J i t
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2. Pivot Joint3. Condyloid Joint4. Saddle-shaped joint5. Ball and Socket Joint6. Plane Joint
1. Hinge (Ginglymus) Joint
Uniaxial
Has one articulating surface that is convex and
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surface that is convex, and another that is concave
E.g., humero-ulnar elbow joint, interphalangeal joint
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Pivot Joint
Uniaxial
One bone rotates around
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one axis
E.g., head of radius rotating against ulna
Condyloid (Knuckle) JointBiaxial (flexion-extension, abduction-adduction)The joint surfaces are usually ovalOne joint surface is an ovular convex shape, and the other is a reciprocally shaped concave surface
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p y pE.g., metacarpophalangeal joint
Saddle JointBiaxial (flexion-extension, abduction-adduction)
Th b t t th i itti
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The bones set together as in sitting on a horse
E.g., carpometacarpal joint of the thumb
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Ball and Socket JointMultiaxial (rotation in all planes)A rounded bone is fitted into a cup-like receptacleE h ld d hi j i t
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E.g., shoulder and hip joints
Plane (Gliding) JointUniaxial (permits gliding movements)The bone surfaces involved are nearly flatE.g., intercarpal joints and acromioclavicular joint
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acromioclavicular joint
Joints of the Pectoral Girdle
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Sternoclavicular JointConnects the clavicle to the sternumThe only joint connecting the pectoral girdle to the axial skeleton True synovial joint strengthened by an intracapsular disc and extrinsic ligaments
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intracapsular disc and extrinsic ligaments
Acromioclavicular JointUnites the lateral end of the clavicle with the acromion process of the scapula
Where shoulder separations often occur in
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sports such as hockey, baseball, and football
Glenohumeral JointConnects the upper limb and the scapulaTypical multiaxial jointWide range of movement at this jointCompromise = relative lack of stability
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p y
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Joints of the Upper Limb
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pp
Elbow JointThere are three joints at the elbow: – Humero-ulnar joint
• Medial• Between the trochlea of the humerus and the
olecranon process of the ulna
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olecranon process of the ulna– Humero-radial joint
• Lateral• Between the capitulum of the humerus and the head
of the radius– Radio-ulnar joint
• Between the radius and the ulna
Elbow Joint
Humerus
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Ulna
Radius
Humero-Radial Joint
Humero-Ulnar Joint
Radio-Ulnar Joint
Anterior View Posterior View
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Joints of The WristRadio-carpal joint– Between distal end of the radius and the carpals– Movements: Flexion-extension and abduction-
adduction
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Joints of the Hand
Intercarpal joints– Between the bones of the carpus– Gliding joints
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Carpometacarpal joint– Between carpals and metacarpals– The characteristics of
carpometacarpal joint of the thumb allows the range of movement necessary for opposition
Joints of the HandMetacarpophalangeal joints– Joints between metacarpals
and carpals– The knuckles – Movements: Flexion-
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– Movements: Flexion-extension and abduction-adduction
Interphalangeal joints– Joints between the phalanges – Permit flexion-extension
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Joints of the Pelvic Girdle
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Joints of the Pelvic Girdle
Hip Joint- Between the head of the femur
and the cup (acetabulum) of the hip bone (os coxae)
Lik th h ld j i t th hi
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– Like the shoulder joint, the hip joint is a:
• ball and socket joint
• multiaxial joint that allows flexion-extension, abduction-adduction, and circumduction
Hip JointUnlike the shoulder, the hip joint is very stableThe most stable synovial joint due to:– deepened socked (via lip or fibrocartilaginous
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labrum )– an intrinsic and very strong extrinsic ligaments
Dislocation in sports is not common, but can occur in car collisions Dislocate the head posteriorly or drive it through the posterior lip of the actetabulum
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Lower Limb Joints
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Lower Limb Joints
Knee JointTibiofemoral or knee joint
Incredible range of movement (flexion –extension)
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Knee Joint
The knee joint is relatively stable due to additional structural supports from: – Menisci
Sh k b bi fib il i di
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• Shock-absorbing fibrocartilaginous discs– Anterior and posterior cruciate ligaments
• Located in the center of the joint– Lateral and medial collateral ligaments
• Extend from the sides of the femur to the tibia and fibula
– Musculature that surrounds it
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Knee Joint
Movements:– Primary action is flexion-extension (e.g., squat
or jump)– When flexed medial and lateral rotation can
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When flexed, medial and lateral rotation can also occur
Ankle JointTalocrural or ankle jointIncludes several bones:
– Medial and lateral
Medial malleolus
Lateral malleolus
Talus
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malleoli of the tibia and fibula
– Head of the talus– Calcaneus (heel bone)
TalusCalcaneus
Foot and Toe JointsIntertarsal joints– Between tarsals– Transverse tarsal joint
• Between the proximal and distal row of tarsal bones• Movement: inversion-eversion of the sole of the foot
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Movement: inversion eversion of the sole of the foot• This action enables you to adjust to uneven ground when
walking or running
Tarsals
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Foot and Toes JointsAs in the hand, there are joints between the tarsal bones, metatarsals, and phalanges:
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– Tarsometatarsal– Metatarsophalangeal– Interphalangeal
• Strengthened by plantar ligaments, which aid in maintaining the arch of the foot
Tarsometatarsal
Metatarsophalangeal
Interphalangeal
Muscles of the Human
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Body
Over 600 muscles in the human body
Allow the skeleton to move
Both ends of a muscle must be attached to
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Both ends of a muscle must be attached to bone to create movement– Origin or proximal attachment: the attachment
closer to the center of the body – Insertion or distal attachment: the attachment
away from the center of the body
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Facial Muscles
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Various functions of the facial muscles: – Enable you to change expression and display
emotions visibly– Allow you to close your eyes and blink– Essential for opening and closing the mouth for:
• keeping food in the mouth• chewing
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• forming words
Tongue – Functions:
• allows you move food around in your mouth and get it to a position to be swallowed
• allows you to pronounce words and speak intelligibly
Neck Muscles
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Neck Muscles
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There are muscles posterior, lateral, and anterior to the neck or cervical region
Th l
Neck Muscles
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These muscles:– Maintain the position of the head on the 1st
cervical vertebra (atlas), i.e., they hold up our head
– Also permit a wide range of movement
Sternocleidomastoids
The most important anterior pair of muscles
M t
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Movements:– Acting together, they flex
the head toward the chest– Individually, each muscle
tilts the face up and toward the opposite side
Erector spinae musclesImportant posterior neck muscles
Attach to sacrum inferiorly and to the skull superiorly
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Maintain your erect position– Also called anti-gravity
muscles– When someone faints, these
muscle no longer function and the body falls face forward to the ground
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Trapezius, upper fibersImportant lateral neck muscles
Movements:– Acting alone tilt the head to the one side
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Acting alone, tilt the head to the one side– Together, assist in neck extension
Trapezius upper fibers
Muscles of the Pectoral Girdle
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Muscles of the Pectoral Girdle
Muscles acting to hold the pectoral girdle to the chest wall:
Anterior– Pectoralis Major– Pectoralis Minor– Subclavius
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– Serratus Anterior Posterior– Trapezius– Latissimus Dorsi– Levator Scapulae– Rhomboids Major– Rhomboids Minor
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Pectoral Girdle – Anterior
Pectoralis Major
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Pectoralis Minor
Serratus Anterior
Pectoral Girdle – Posterior
Trapezius (upper fibers)
Trapezius (middle fibers)
Rhomboids
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Teres Major
Trapezius (lower fibers)
Latissimus Dorsi
Rhomboids
Muscles that attach from the scapula to the humerus and act across the shoulder joint:
Anterior– Subscapularis
Posterior
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Posterior – Supraspinatus– Infraspinatus– Teres Minor– Teres Major
Lateral– Deltoid
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Subscapularis
Anterior Lateral
Deltoid (anterior fibers)
Deltoid (middle fibers)
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(middle fibers)
Deltoid (posterior fibers)
Superior and Posterior
Supraspinatus
Infraspinatus
Teres Minor
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Teres Minor
Combined with Subscapularis, these muscles are the rotator cuff muscles
Can be remembered by using the mnemonic
SSIT
Muscles of the Arm
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Anterior Compartment
Biceps Brachii– Attaches:
• proximally to distal part of humerus (short head)
Biceps Brachii
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• distally to proximal part of ulna (together with long head)
– Movements of the arm:• Flexor of the elbow joint • Supinator of the forearm
Biceps Brachii
Anterior Compartment
Brachialis– Attaches:
• proximally to the anterior surface of the humerus
Brachialis
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• distally to the coronoid process of the ulna
– Movements of the arm:• Powerful flexor of the elbow
joint• Works with the biceps brachii
Brachialis
Posterior Compartment
Triceps Brachii– Attaches:
• proximally to humerus (medial and lateral head)
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and lateral head)• distally to the olecranon process
of the ulna (together with long head)
– Movement of the arm:• Elbow extensor
Triceps
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Muscles of the Forearm
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Forearm muscles act on the elbow, wrist, and digits (fingers)
Flexor-pronator group – Attached to the medial epicondyle of the
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humerus
Extensor-supinator – Attached to the lateral epicondyle of the
humerus
Flexors of the forearm
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Anterior View Posterior View
Extensors of the forearm
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Muscles of the Pelvic Girdle
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Anterior Muscles
Iliopsoas
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Posterior and Lateral MusclesGluteals – Include 3 muscles:
• Gluteus maximus– Largest of the three
muscles– Principal extensor of the
hi
Gluteus Medius
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hip• Gluteus medius and
minimus– Assist in hip extension– Abduct the hip
Lateral or external rotators of the hip– Six little muscles
Gluteus Maximus
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Thigh Muscles
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g
Pectineus
Adductor Brevis
Adductor Longus
Medial Compartment
Pectineus GracilisAdductors:
Adductor longus
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Adductor Magnus
Gracilis
– Adductor longus– Adductor brevis– Adductor magnus
Primary action: adduct the thigh toward the midline
Anterior CompartmentQuadriceps– Rectus femoris– Vastus lateralis– Vastus intermedius– Vastus medialis
Sartorius
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Sartorius– Lies anterior to the quads– Used to sit cross-legged
Primary knee extensors Sartorius and Rectus femoris also aid in flexion of the hip
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Rectus Femoris (cut)
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Posterior Compartment Hamstrings composed of three muscles:– Biceps femoris (2 heads)– Semitendinosus– Semimembranosus
Long Head
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Attach:– proximally to the ischial tuberosity – distally, biceps femoris to the head
of the fibula and semitendinosus and semimembranosus to the tibia
Primary flexors of the kneeAlso extend the hip
Short Head of Biceps Femoris
Long Head of Biceps Femoris
Semitendinosus
Semimembranosus
Leg Muscles
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Leg Muscles
Anterior CompartmentTibialis anteriorExtensor hallucis longus (deep)Extensor digitorum (deep)Arise from:
– anterolateral surface of the tibia– interosseous membrane between the tibia and
the fibulaanterior surface of the fibula
Tibialis Anterior
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– anterior surface of the fibulaCross anterior to the ankle jointAttach distally to:
– medial side of the foot– distal phalanges of the digits
Movements:– Primary dorsiflexors of the ankle– Extensors of the toes– Tibialis anterior further inverts the foot– Peroneus tertius assists in eversion
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Lateral CompartmentPeroneus longusPeroneus brevisAttach proximally to the lateral surface of the tibiaP b hi d h l l
Peroneus Longus
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Pass behind the lateral malleolusAttach distally to the footMovements:– Plantar flexors – Evert the sole of the foot
Peroneus Brevis
Posterior CompartmentSuperficial group– Gastrocnemius
• has two proximal heads • attaches proximally to the
medial and lateral epicondyles of the distal femur
Gastrocnemius
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– Soleus • attaches proximally to
proximal ends of tibia and fibula
– Gastrocnemius and soleus come together to form the Achilles tendon
– Principal plantar flexors of the ankle
Soleus
Achilles Tendon
Posterior Compartment
Deep group
P i l i fl i f th t
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– Primary role is flexion of the toes
– Assist in plantar flexion of the ankle
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Muscles of the Abdomen
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ObliquesExternal obliqueInternal oblique Transversus abdominisReach from the vertebral column, ribs, and hip bone posteriorlyMeet in the midline anteriorly through rectus abdominis
External obliqueInternal oblique
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through rectus abdominisFunctions:
– Lateral bending of the abdomen
– Rotation of the abdomen – Extension of the abdomen
during forced inspiration– Allow the development of a
pregnant uterus– Contract to help expel fecal
contents from the rectum
Transversus abdominis
Rectus AbdominisPaired midline muscles
Powerful flexor of the anterior abdominal wall
Rectus Sheath
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Strengthening of the abdominal muscles is a very important part of back therapy, because the abdominals act to support the back
Rectus Abdominis
Linea alba
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SummaryHuman anatomy deals with the structures that make up the human body (structure determines function)The bones, joints, and muscles that make up the musculoskeletal system allow numerous movements to occur, with varying degrees of:
Motion capabilities
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– Motion capabilities– Strength– Flexibility
Bones provide the structural framework necessary for supportMuscles supply the powerJoints supply the mechanism that allows human movement to occur
Discussion Questions1. Describe the anatomical position and discuss its relationship to the
directional terms of the body.2. What are the four major planes that bisect the body? Provide an example of
a movement that occurs in each plane.3. Define three types of movement and give an example of each.4. Name the three types of muscle. How do slow twitch and fast twitch fibbers
differ?
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5. Differentiate among agonists, antagonists, and synergists. What role is played by the fixators?
6. Which synovial joints allow the greatest amount of movement? The least?7. Outline the components and roles of the axial and appendicular skeletons.8. What structures present at the knee provide additional support to this joint? 9. What type of joint is the knee?10. What muscles are primarily responsible for maintaining an upright posture?11. The posterior group of leg muscles are commonly called the hamstrings.
What three muscles combine to form the hamstrings? What role do they play?