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Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

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Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino
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Page 1: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Skeletal System

PA 544

Clinical Anatomy

Dr. Tony Serino

Page 2: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Skeletal System

• Composed of mineralized CT and their supporting structures including: bone, cartilage, ligaments, tendons, and bursae

• Functions: support, protection, homeostasis (specifically Ca++ regulation) and hempoiesis

Page 3: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

General Osteology Composition

• Cells –originate from mesechyme (undifferentiated mesodermal cells)

• Extracellular Matrix– Ground substances: water, salts, cementing

substances, glycoproteins– Fibers: collagen and elastin

Page 4: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Cartilage

• Avascular CT

• Appositional and interstitial growth possible

Chondroblast

Chondrocyte

Perichondrium

Lacuna

Matrix

Page 5: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Hyaline Cartilage

Page 6: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Elastic Cartilage

Page 7: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Fibrocartilage

Page 8: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Cartilage in Adult

Page 9: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Bone

• Heavily mineralized CT

• Highly vascular

• Principle storage area of Calcium

• Provides strength and structural support to body

Page 10: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Long Bone Anatomy

Fig. 6.3

Page 11: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Compact vs. Spongy Bone

Trabeculae

Page 12: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Bone Histology

Fig. 6.5

Page 13: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Haversian System Lamellae

Page 14: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Ossification

• Development of bony tissues

• First bone to form is woven (premature) bone

• This is eventually replace by mature bone (compact or spongy bone)

• Two methods for creating bones:– Intramembraneous (bone replaces mesoderm

membrane)– Endochondral (bone replaces an intervening cartilage

model)

Page 15: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Intramembranous Ossification(membrane bone)

Page 16: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Endochondral Ossification(replacement bone)

Page 17: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Epiphyseal (Growth) Plate

• Reserve Cartilage (distal perichondrium)

• Proliferating Cartilage(Growth zone)

• Hypertrophic zone(Transforming zone)

• Calcified matrix(Osteogenic zone)

Page 18: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Epiphyseal Plate

Page 19: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.
Page 20: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Fracture Healing

Page 21: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Osteoporosis

Normal Osteoporotic

Page 22: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Divisions of Skeletal System

Axial Skeleton

Fig. 7.1

Page 23: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Appendicular Skeleton

Fig. 7.21

Page 24: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Types of Bones

Long Bones

Page 25: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Short Bones

Page 26: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Flat Bones

Page 27: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Irregular bones

Page 28: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Sesamoid Bones

Page 29: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Accessory Bones:Wormian (Sutural) Bones and other supernumerary bones

Results from failure of separate ossifications centers to fuse (common in foot and hand)

Heterotropic bones –arise in soft tissue where bones not normally present

Page 30: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Articulations• Functional Classifications

– Synarthrotic (immovable)– Amphiarthrotic (slightly movable)– Diarthrotic (movable)

• Structural Classification– Fibrous –held by fibrous tissue– Cartilaginous –held by cartilage– Synovial –synovial cavity within joint

Page 31: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Suture (synarthrotic, fibrous joint)

Found in bones of skull

Page 32: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Gomphosis (synarthrotic, fibrous)

Ligament cemented to tooth surface

Page 33: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Syndesmoses (amphiarthrotic, fibrous)

Page 34: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Synchondroses (Synarthrotic, cartilaginous)

Epiphyseal Plate

Page 35: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Synchondroses (synarthrotic, cartilaginous)

Page 36: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Symphyses (amphiarthrotic, cartilaginous)

Includes pubic symphysis

Page 37: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Synovial = diarthrotic joints• The synovial

membrane filters the blood to create synovial fluid

• This fluid lubricates and nourishes the joint

• Some joints may have an additional wedge of cartilage within the joint (menisci)

Fig. 8.3

Page 38: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Bursae and Tendon sheaths

Page 39: Skeletal System PA 544 Clinical Anatomy Dr. Tony Serino.

Arthritis


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