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INTRODUCTION TO OESTEOLOGY

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    Skeletal system

    Your bonesmanufacture bloodcells.

    Our bones are held by our muscles

    The smallest bonesare in our ears

    http://www.enchantedlearning.com/subjects/anatomy/skeleton/
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    Muscular system Muscles are bundles

    of cells and fibers. We have 600 major

    muscles. We have 240

    muscles that havespecific jobs

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    TMJ

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    Structure of Bone

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    Anatomy of a Long Bone

    Diaphysis Medullary Cavity Nutrient Art & Vein 2 Epiphyses Epiphyseal Plates Epiphyseal Art & Vein Periosteum

    Outer: Dense irregular CT Inner: Osteoblasts, osteoclasts Does not cover epiphyses Attaches to bone matrix via collagen fibers

    Endosteum Osteoblasts, osteoclasts Covers trabeculae, lines medullary cavity

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    Synovial Joint

    pg 215

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    Bursae & Tendon Sheaths Bursae : flat, fibrous sac

    w/synovial membranelining

    Tendon Sheaths:elongated bursae thatwraps around tendons

    3 Factors in JointStability: Muscle Tone Ligaments

    Fit of Articular Surface pg 219

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    Joint Shapes Hinge: cylindrical end of 1

    bone fits into trough shape ofother

    angular movement-1 plane (eg)elbow, ankle, interphalangal

    Plane : articular surface in flat

    plane Short gliding movement (eg) intertarsal, articular processes

    of vertebrae

    pg 224

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    Joint Shapes

    Condyloid : egg-shape articularsurface + oval concavity side-to-side, back+forth movement (eg) metacarpophalangeal (knuckle)

    Pivot : round end fits into ring of

    bone + ligament rotation on long axis (eg) prox. radius/ulna, atlas/dens

    pg 225

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    Anterior Skull

    frontal bonesupraorbital

    foramenzygomatic bone

    maxillary bone

    alveolar fossa

    infraorbit

    alforamen

    glabella

    mental foramenmandible

    mandibularsymphysis

    http://www.aboutskinsurgery.com/Patients/BeforeandAfter/Before-After-botox_glabella.htmlhttp://www.aboutskinsurgery.com/Patients/BeforeandAfter/Before-After-botox_glabella.html
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    Anterior Skull

    nasalboneperpendicularplate

    middle nasalconcha

    vomer bone

    superiororbital fissureinferior nasalconcha bone

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    Paranasal Sinuses

    frontal sinus

    ethmoidsinusmaxilary sinus

    sphenoid sinus

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    Craniumfrontal bone

    parietal bo

    occipital bon

    lambdoidalsuture

    sagittal suture

    coronal suture

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    Ventral Skullpalatine processpalatine bone

    vomer bone

    mastoid proce

    styloid process

    external occipitalprotuberance

    sphenoid bone

    temporalbone

    occipital bone

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    Occipital bone

    occipitalcondyle

    jugular

    foramen

    carotidcanal

    foramen magnum

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    Lateral Skull

    lacrimalbone

    temporalbone

    squamosalsuture

    mandibularcondyle

    In mandibularfossa

    xternal acoustic

    meatus

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    angle

    coronoidprocess

    zygomatic ar

    mastoid process

    styloid process

    sphenoidbone

    bodyramus

    mandibleLateral Skull

    sutura

    l bone

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    crista gallicribriborm plate

    intenalacoustic

    meatus

    greater wing lesser wing

    optic canalella turcica

    gular foramen

    InternalSkull

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    Hyoid bone

    temmporalmandibular

    joint

    externalacoustic

    meatus

    Hyoid +

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    ________ ________ ________Sagittal

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    Coronal

    Lambdoid

    Squamous

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    Overview of Skull Geography

    Facial bones form the anterior aspect

    The cranial bones enclose the brain

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    Vault

    The cranial vaultor calvaria formsthe superior,lateral, and

    posterior aspectsof skull

    The cranial baseforming theinferior aspect ofskull

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    Cranial Base Cranial base forms

    the skulls inferioraspect

    Three prominentridges divide the

    base into fossae The brain rests on

    these cranial fossae

    completely enclosed by the cranial vault The brain occupies

    the cranial cavity

    C i

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    Cranium

    The 8 cranial bones include; 2 parietal, 2 temporalfrontal, occipital, sphenoid, ethmoid

    Cranium is self- bracing allowing the bones to be

    thin, yet strong

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    O i i l b I l d k

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    Occipital bone - Int. landmarks

    Hypoglossal canal, Posterior cranial fossa

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    Temporal Bone

    Forms the infero-lateral aspects ofthe skull

    Parts of the cranial

    floor Divided into four

    regions; squamoustympanic,mastoid, and

    petrous-(int)

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    Temporal Bone - landmarks

    Zygomatic process Meets the

    zygomatic

    bone Forms thecheek

    Mandibular

    fossa Receives

    condyle ofmandible

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    Sphenoid bone

    Bone spanning thewidth of middlecranial fossa

    Articulates as

    central wedge of allcranial bones

    Consists of central body and three processes; greaterand lesser wingsand pterygoid

    process (pos. view)

    S h id l d k

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    Sphenoid - landmarks

    Sella turcica (enclosure for pituitary gland)

    Optic foramina (passage of optic nerves) Superior orbital fissure (Nerves III, IV, V enter orbit) Foramen rotundum & ovale (Cranial Nerve V to face)

    Foramen spinosum (Middle meningeal artery)

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    Ethmoid bone Forms most of the

    area between thenasal cavity &orbits of eyes

    Lies betweennasal bones &sphenoid

    Complex shape

    gives rise to nasalseptum, sinusesand cribiform

    plate

    E h id b l d k

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    Ethmoid bone - landmarks Cribiform plates

    Forms roof of nasalcavity

    Olfactory formina Olfactory nerves

    enter brain

    Crista galli Attachment of the

    dura mater whichsecures brain incavity

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    ll b

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    Maxillary bone Forms upper jaw

    and central portion of facialskeleton

    Fused medially Articulates with

    all facial bonesexcept mandible

    Upper dentition Forms 2/3 of

    hard palate of themouth

    Maxillarybone

    Zygomaticprocess

    ill b l d k

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    Maxillary bones - landmarks Alveolar margin

    Upper dentition Frontal process

    Forms lateralaspects of nose

    Zygomatic process

    Articulates with

    zygomatic bone Maxillary sinuses

    (Fig. 7.11)

    P l ti b

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    Palatine bones The horizontal

    plates forms the posterior portionof hard palate

    Vertical plateforms part of the

    posterolateralwall of nasalcavity and a small

    portion of orbit

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    Inferior Nasal Conchae Landmark

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    Inferior Nasal Conchae - Landmark

    The Inferiornasal conchae is

    just one of threein the nasal

    cavity Superior andmiddle conchaare on the

    Ethmoid bone

    Th O bi

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    The Orbits

    Paranasal sinuses

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    Paranasal sinuses Note positioning

    around nasalcavity

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    TMJ

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    TMJ

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    TMJ Capsule

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    Characteristics - Ligaments

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    Characteristics Ligaments Ligaments hold the

    vertebral column inan upright position The broad Anterior

    Longitudinal

    Ligament preventshyperextension and isquite strong

    The cord like

    PosteriorLongitudinalLigament preventshyperflexion and isrelatively weak

    Characteristics - Ligaments

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    Characteristics - Ligaments Ligaments

    also connectspecificvertebra andsupport disc

    position Supraspinos

    ligament Ligamentum

    flavum Interspinous

    ligament

    Intervertebral Discs

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    Intervertebral Discs Intervertebral discs are cushion like pads

    interposed between vertebra The discs provide elasticity and

    compressibility Compression flattens discs Discs are thickest in the cervical and lumbar

    to provide flexibility

    Characteristics - discs

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    Characteristics - discs Annulus fibrosus

    surrounds theouter margin Collagen fibers

    Nucleus pulposusis the semi fluidsubstance whichshifts under bodyweight & pressure

    Herniation of discHerniation

    of disk

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    Regional Characteristic: Cervical

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    Regional Characteristic: Cervical Body is oval, but wide

    side to side C3 - C7 Spinous process is

    short and bifid (split)except in C7

    Vertebral foramen istriangular

    Transverse processes

    contain foramina for blood vessels leadingto brain

    Cervical Vertebrae C1

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    Cervical Vertebrae C1

    Lateral masses articulates with the occipitalcondyles of the skull

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    Regional Characteristic: Cervical

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    Regional Characteristic: Cervical Spinous processes

    project directly posteriorly Superior facets

    directedsuperoposteriorly

    Inferior facetsdirected

    inferoanteriorly Flexion/extension,lateral flexion androtation

    Regional Characteristic: Thoracic

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    Regional Characteristic: Thoracic Body is larger than

    cervical; heart shaped Spinous process is

    long and sharp

    Vertebral foramen iscircular Transverse processes

    project posteriorly and bear facets for ribs

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    Sacral

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    Sacral Ala are fused remnants

    of transverse processesthat articulate with hip bones to form the sacroiliac joints of the pelvis

    Sacral promontory Center of gravity is 1 cm

    posterior of this point Transverse line are sites

    of vertebral fusion Sacral foramina transmit

    blood vessels and nerves

    Sacralpromontory

    Ala

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    Ribs

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    Tubercle of rib

    articulates withtransverse process Ligaments secure

    rib to transverse

    process Note how the

    transverse processesof thoracicvertebrae are angled

    posteriorly

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    *

    .

    * .* . * . *. . *

    -

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    The Skull: Fractures

    Another example of anegg shell fracture.

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