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363 Cards in this Set

  • Front
  • Back

How many regions is the skeleton divided into:



Name the regions:

2 regions



  • Axial skeleton
  • Appendicular skeleton

Axial Skeleton

forms the central supporting axis of the body;


Includes:



  • 22 bones -skull
  • 6 bones - auditory ossicles
  • 1 bone - hyoid bone
  • 26 bones - vertebral column -
  • 25 bones -thoracic cage ; ribs and sternum; - plus thoracic vertebrae

Appendicular Skeleton

includes the bones of the:



  • 60 bones - Upper Limb -
  • 4 bones - Pectoral Girdle -
  • 60 bones - Lower Limb -
  • 14 bones - Pelvic Girdle -

How many bones are in the skeleton?

206



At birth there are about 270, and even more bones form during childhood

Sesamoid Bones

  • extra bones
  • bones that form within some tendons in response to strain.
  • The patella (kneecap) is the largest of these.

What are the cranial Bones of the skull in the Axial Skeleton?

  • 1 - Frontal bone
  • 2 - Parietal bone
  • 1 - Occipital bone
  • 2 - Temporal Bone
  • 1 - Sphenoid Bone
  • 1 - Ethmoid


*the skull has 22 bones total, 8 cranial bones and 14 facial*

What are the Facial bones; part of skull; of the Axial Skeleton?

  • 2 - Maxilla
  • 2 - Palatine bone
  • 2 - Zygomatic bone
  • 2 - Lacrimal
  • 2 - Nasal Bone
  • 1 - Vomer
  • 2 - Inferior nasal concha
  • 1 - Mandible


*14 facial bones total*

What bones are in the auditory occicles?

  • 2 - Malleus - hammer
  • 2 - Incus - anvil
  • 2 - Stapes - stirrup
  • 1 - Hyoid - u shape


6 bones total

What bones make up the vertebral column?

  • 7 - Cervical vertebrae
  • 12 - Thoracic vertebrae
  • 5 - Lumbar vertebrae
  • 1 - Sacrum
  • 1 - Coccyx


Vertebral column has a total of 26 bones.

What bones make up the Thoracic Cage?

  • 24 - Ribs
  • 1 - Sternum


*plus 25 bones of thoracic vertebrae*

What bones make up the Pectoral girdle in the Appendicular Skeleton?

  • 2 - Scapula
  • 2 - Clavicle


*Pectoral Girdle total 4 bones*

What bones make up the Upper limbs?

  • 2 - Humerus
  • 2 - Radius
  • 2 - Ulna
  • 16 - Carpals
  • 10 - Metacarpals
  • 28 - Phalanges


*Upper Limbs total of 60 bones*

Hip Bones

2

What bones make up the Lower Limbs?

  • 2 - Femur
  • 2 - Patella
  • 2 - Tibia
  • 2 - Fibula
  • 14 - Tarsals
  • 10 - Metatarsals
  • 28 - Phalanges


*Lower Limbs have total of 60 bones*

What are the articulations of bones

Condyle - A rounded knob that articulates with another bone (occipital condyles of skull).



Facet - A smooth, flat, slightly concave or convex articular surface (articular facets of the vertebra)



Head - The prominent expanded end of a bone, sometimes rounded (head of femur)

What are the extensions and projections of bones?

Crest - a narrow ridge (iliac crest of pelvis



Epicondyle - expanded region superior to a condyle, (medial epicondyle of femur)



Protuberance - bony outgrowth or protruding part (chin)



Spine - sharp, slender, or narrow process (spines of mandible)



Trochanter - two massive processes unique to femur



Tuberosity - rough elevated surface (tibial tuberosity)

What are the Depressions of bones?

Fossa - shallow, broad, or elongated basin (mandibular fossa)



Sulcus - groove for a tendon, nerve or blood vessell (intertubercular sulcus of the humerus)

What are the Passages and cavities of the bones?

Canal - tubular passage or tunnel in a bone (auditory canal of the skull)



Fissure - slit through a bone (orbital fissure behind the eye)



Foramen - hole through a bone, usually round (foramen magnum of the skull)



Meatus - opening into a canal (external meatus of the ear)



Sinus - air filled space in a bone (frontal sinus of the forehead)

The Skull

  • the most complex part of the skeleton
  • composed of 22 bones or more
  • mostly connected by immovable joints called sutures.

Sutures

visible seams on the surface of the skull

Name the sutures of the skull?

Coronal suture
Sagittal suture
Lambdoid suture
  • Coronal suture
  • Sagittal suture
  • Lambdoid suture

Name the cavities of the skull?

  • Cranial Cavity - encloses brain, largest cavity
  • Orbits Cavity
  • Nasal Cavity
  • Oral (buccal) Cavity
  • Middle and inner ear Cavity
  • Paranasal Sinuses

Name the sinuses?

Sinuses are named for the in which they occur.



  • frontal sinuses
  • sphenoid
  • ethmoid
  • maxillary

Cranial Bones

those that enclose the brain



they compose the cranium (braincase)

Dura Mater

called a meninges


the thickest and toughest of the three in the skull.

Foramen Magnum

A large hole in the cranium where the spinal cord meets the brain.

Cranium

a rigid structure with a foramen magnum, where the spinal cord meets the brain.



consists of 2 major parts:



calvaria (skullcap) - not a single bone but dome of top of skull



base - floor of the cranial cavity

Frontal Bone

extends from the forehead back to prominent coronal suture, which crosses the crown of the head from right to left and joins the frontal bones to parietal bones.

Parietal bones

form most of the cranial roof and part of its walls.

Temporal Bones

forms the lower wall and part of the floor of the cranial cavity.

Occipital Bone

forms the rear of the skull and much of its base.

Sphenoid bone

a complex shape with a thick median body and outstretched greater and lesser wings.



Moth like shape.

Sella Turcica

in the body of the sphenoid bone, is a pair of sphenoid sinuses and have a saddlelike surface feature.



Has a deep pit called the hypophyseal fossa which houses the pituitary gland.

Ethmoid Bone

is an anterior cranial bone located between the eyes.



Three major portions:



perpendicular plate - thin median plate of bone that forms the superior 2/3 of nasal septum



cribriform plate - forms roof of nasal cavity; has a median blade called the crista galli, an attachment point for the duramater.



labyrinth - large mass on each side of perpendicular plate.

Facial Bones

  • do not enclose the brain but lie anterior to the cranial cavity.
  • support the orbital, nasal, and oral cavities, shape the face
  • provide attachment for the muscles of facial expression and mastication.

Maxillae

  • the largest facial bone.
  • form the upper jaw

Palate

  • forms the roof of the mouth and floor of nasal cavity.
  • consists of a bony hard palate - mostly formed by hard extensions of maxillae called palatine processes.
  • fleshy soft palate

The Palatine Bone

  • located in the posterior nasal cavity.
  • each has an L shape

Zygomatic Bones

  • form the angles of the cheeks.
  • extend about halfway to the ear

Lacrimal bones

  • form part of the medial wall of each orbit.
  • smallest bones of the skull. size of fingernail

Nasal Bones

  • form the bridge of the nose
  • support cartilages that shape its lower portion

Inferior nasal concha

  • the largest of the three conchae in the nasal cavity.
  • It is a separate bone

The Vomer

forms the inferior half of the nasal septum.



resemblance to the blade of a plow

The mandible

the strongest bone of the skull.



the only one that can move significantly.

Mandibular Condyles

an oval knob that articulates with the mandibular fossa of the temporal bone



forms the temporomandibular joint

Ramus

an anatomical branch, as in a nerve or in the pubis.



posterior portion of mandible

Hyoid Bone

a slender U shaped bone between the chin and larynx.

Fontanels

spaces between the unfused cranial bones.

How many fontanels are there and what are their names?

4 sites



  • Anterior (largest fontanel)
  • Posterior
  • Sphenoid (anterolateral)
  • mastoid (posterolateral)


*most fontanels ossify by the time an infant is 1 yr. old, the largest one, can still be palpated 18 - 24 after birth*

Vertebral column (spine)

  • physically supports the skull and trunk
  • allows for their movement
  • protects the spinal cord
  • absorbs stresses produced by walking, running,etc.
  • provides attachment for the limbs, thoracic cage, postural muscles


  • consists of 33 vertebra.

Beyond the age of 3 years, the vertebral column is slightly ______________, with four bends called the ____________________.

  • S - shaped


  • cervical - forms when infant begins to crawl and lift its head. (secondary curvature)
  • thoracic - Primary curvatures (from birth)
  • lumbar - as toddler begins walking (secondary curvature)
  • pelvic curvatures - Primary curvatures (from birth)

What is the most obvious feature of a a vertebra?

it is the body (centrum) - a mass of spongy bone and red bone marrow covered with a thin shell of compact bone.



weight bearing portion of vertebra

What are the characteristics of vertebra and are they all the same?

  • Spinous process
  • Lamina, Pedicle - Vertebral arch
  • Superior articular facet
  • Transverse process
  • vertebral foramen
  • Body


All vertebra have same characteristics

Thoracic Cage

  • consists of the thoracic vertebrae, sternum, and ribs.
  • forms a roughly conical enclosure for the lungs and heart
  • provides attachment for the pectoral girdle and upper limb.

Sternum (breastbone)

a bony plate anterior to the heart.



subdivided into three regions:



  • manubrium - broad superior portion, shaped like the knot of a necktie.
  • Sternal Angle - transverse ridge at the point where the sternum projects farthest forward
  • xiphoid process - provides attachment for some of the abdominal muscles.

The Ribs

  • 12 pair of ribs
  • attached at its posterior (proximal) end to the vertebral column and anterior (distal) sternum.
  • increase in length from 1 - 7.
  • smaller again through rib 12.
  • 1 - 7 - true ribs - connect to sternum
  • 8 - 12 - false ribs - lack independent cartilagionus connections to sternum

the Clavicle

  • slightly S-shaped
  • somewhat flattened from the upper to lower surface.
  • Superior surface smooth and rounded
  • inferior surface flatter and marked by grooves and ridges for muscle attachment
  • Medial (sternal end) - rounded hammerlike head
  • Lateral (acromial end) - markedly flattened

The scapula

  • named for its resemblance to a spade or shovel.
  • a triangular plate that posteriorly overlies ribs 2 through 7.
  • Glides across rib cage as arm and shoulder move


the three sides of the triangle are:


  • superior
  • medial (vertebral)
  • lateral (axillary) borders -

  1. acromion - platelike extension so the scapular spine, forms apex of shoulder
  2. coracoid process - like a bent finger, provides attachment for tendons of the biceps brachii and other muscles of the arm
  3. glenoid cavity - shallow socket that articulates with head of the humerus.

The Upper Limb

divided into four segments containing a total of 30 bones per limb:



  • Brachium (arm) - extends from shoulder to elbow
  • 1 bone, humerus
  • Antebrachium (forearm) - from elbow to wrist, 2 bones, radius and ulna
  • Carpus (wrist) - eight small carpal bones arranges in two rows.
  • Manus (hand) - contains 19 bones in two groups: 5 metacarpals, in palm; 14 phalanges, in fingers.

The Humerus

has a hemispherical head that articulates with the glenoid cavity of the scapula

The Radius

has a distinctive discoidal head at its proximal end.

The Ulna

at the proximal end of the ulna is a deep C shaped trochlear notch, posterior side of notch if formed by a prominent


olecranon - the bony point where you rest your elbow on a table.

The Carpal Bones (hands)

arranges in two rows of four bones each.



proximal row starting at the lateral (thumb side) are:



scaphoid


lunate


triquetrum


pisiform



distal row:



trapezium


trapezoid


capitate


hamate

Metacarpal Bones

Bones of the palm.

Phalanges

  • bones of the fingers.
  • Pollex (thumb)


Identified by:


proximal


middle


distal

Pelvic Girdle

consist of a complete ring composed o three bones:



2 - hip (coxal) bones


1 - sacrum



supports the trunk on the lower limbs and encloses and protects the viscera of the pelvic cavity - mainly the lower colon, urinary bladder, internal reproductive organs.



The Pelvis

The pelvis is a bowl-shaped structure composed of


  • 2 - hip (coxal) bones
  • 1 - sacrum

as well as their ligaments and muscles.

Adult hip bone forms by the fusion of three childhood bones. What are they?

  • Ilium - largest
  • ischium - inferoposterior portion of the hip bone
  • pubis - most anterior portions of the hip bone.

Lower Limb

adapted for weight bearing and locomotion



divided into 4 regions containing a total of 30 bones.



femoral region - thigh, from hip to knee, contains femur. patella, a sesmoid bone, at junction of femoral and crural regions.



crural region - leg proper, from knee to ankle, 2 bones, medial tibia, lateral fibula



tarsal region (tarsus, heal) - ankle, union of crural with the foot. tarsal bones treated as part of foot.



pedal region (pes) - foot, composed of:


7 - tarsal bones


5 - metatarsals


14 - phalanges (in toes).


Femur

the longest and strongest bone of the body



measuring about 1/4 of one's height.

Tibia

Thick strong on medial side


only weight bearing bone of the crural region

Fibula

slender lateral strut that helps to stabilize the ankle.

The Ankle and Foot

Tarsal bones of ankle are arranged in proximal and distal groups.



Calcaneus - forms the heel; largest tarsal bone



Hallux - great toe, contains only 2 bones



Metatarsals - I through V from medial to lateral.

C2 vertebra is called?

The Axis

C1 vertebra is called?

The Atlas

Which of these is not a paranasal sinus?


  • a. frontal
  • b. temporal
  • c. sphenoid
  • d. ethmoid
  • e. maxillary

B - Temporal

Which of these is a facial bone?


  • a. frontal
  • b. ethmoid
  • c. occipital
  • d. temporal
  • e. lacrimal


E - lacrimal

Which of these cannot be palpated on a living person?


  • a. the crista galli
  • b. mastoid process
  • c. zygomatic arch
  • d. superior nuchal line
  • e. hyoid bone

A - crista galli



All of the following are groups of vertebrae except for _______, which is a spinal curvature.


  • a. thoracic
  • b. cervical
  • c. lumbar
  • d. pelvic
  • e. sacral

E - sacral

Thoracic vertebrae do not have -


  • a. transverse foramina
  • b. costal facets
  • c. spinous processes
  • d. transverse processes
  • e. pedicles

A - transverse foramina

The tubercle of a rib articulates with


  • a. sternal notch
  • b. margin of the gladiolus
  • c. costal facets of two vertebrae
  • d. body of a vertebra
  • e. transverse process of a vertebrae

E - transverse process of a vertebrae

The disc-shaped head of the radus articulates with the ________ of the humerus


  • a. radial tuberosity
  • b. trochlea
  • c. capitulum
  • d. olecranon
  • e. glenoid cavity

C - capitulum

All of the following are carpal bones except the ___________, which is a tarsal bone.


  • a. trapezium
  • b. cuboid
  • c. trapezoid
  • d. triquetrum
  • e. pisiform

B - cuboid

The bone that supports your body weight when you are sitting down is?


  • a. acetabulum
  • b. pubis
  • c. ilium
  • d. coccyx
  • e. ischium

E - ischium

Which of these is the bone of the heel?


  • a. cuboid
  • b. calcaneus
  • c. navicular
  • d. trochlear
  • e. talus

B - calcaneus

Gaps between the cranial bones of an infant are called _____?

fontanels

The external auditory canal is a passage in the ____ bone.

Temporal bone

Bones of the skull are joined along lines called?

Sutures

The ______bone has greater and lesser wings and protects the pituitary gland

sphenoid bone

A herniated disc occurs when a ring called the _____ cracks.

anulus fibrosis

The transverse ligament of the atlas hold the _____ of the axis in place.

dens

The sacroiliac joint is formed where the ______ surface of the sacrum articulates with that of the ilium.

auricular

The _____ processes of the radius and ulna form bony protuberances on each side of the wrist.

Styloid processes

The thumb is also known as the _______ and the great toe is also know as the _________

Pollex ( thumb)


Hallux ( great toe)

The ________arch of the foot extends from the heel to the great toe.

medial longintudinal

True or False.....



not everyone has a frontal sinus





True






the pisiform bone and patella are both sesmoid bone.

true


Joint (articulation)

  • any point where two bones meet, whether or not the bones are movable at that interface.
  • typically derived from the names of the bones involved.

Example: glenohumeral joint - where glenoid cavity of scapula meets the humerus.



Four major categories:


Bony


Fibrous


Cartilaginous


Synovial

Arthrology

the science of joint structure, function, and dysfunction

Kinesiology

the study of musculoskeletal movement

Biomechanics

deals with a broad variety of movements and mechanical processes in the body, including the physics of blood circulation, respiration, and hearing.

Classification of Joints

Type of tissue or components:


1. Synostosis - Bone - Bone (no movement, cranial)


2. Synarthosis - Fibrous - bound by collagen, (sutures (fibers short), Gomphoses (fibers short), syndesmosis (longer fibers)more movable


3. Synchondroses - Cartilage (symphyses)


4. Synovial - (bone,fibrous, cartilage, fluid)

Sutures

are immobile or only slightly movable fibrous joints that closely bind the bones of the skull to each other.



classified as:


serrate - wavy lines (coronal, sagittal, lambdoid sutures)


lap (squamous suture) - overlapping beveled edges. (squamous suture between temporal and parietal bones.)


Plane (butt) sutures - have straight nonoverlapping edges. (between the palatine processes of the maxillae in roof of mouth.

Gomphoses

attachment of a tooth to its socket.

Syndesmosis

  • a fibrous joint at which two bones are bound by relatively long collagenous fibers.
  • More mobility.
  • an especially movable syndesmosis is between the shafts of the radius and ulna.
  • a less movable syndesmosis is the one that binds the distal ends of the tibia and fibula.

Cartilaginous Joints

also called an amphiarthrosis or amphiarthroidial joint.



two bones linked by cartilage.



two types of cartilagionous joints:


Synchondrosis


Symphyses -

Synchondrosis

- a joint in which the bones are bound by hyaline cartilage.



Example: temporary bone between the epiphysis and diaphysis of long bone.

Symphyses

two bones are jonied by fibrocartilage.



Example: pubic symphysis, the right and left pubic bones are joined by the cartilaginous interpubic disc. also the joint between the bodies of two vertebrae.

Synovial Joint

the most familiar type of joint.


Also called a diarthrosis or diarthrodial joint.



covered with articular cartilage, a layer of hyaline cartilage, 2 to 3 mm thick.


separated by a narrow space, joint (articular) cavity, containing a slippery lubricant called synovial fluid.



joint (articular) capsule encloses the cavity and retains fluid.


outer fibrous capsule, inner synovial membrane


Meniscus

a disk of cartilage between the articulating end of the bones in a joint that acts as a cushion .



a crescent-shaped fibrous cartilage between the bones at certain joints, esp at the knee.



Tendon

a strip or sheet of tough collagenous connective tissue that attaches a muscle to a bone.



often most important structures stabilizing a joint.

Ligament

collagenous connective tissue that attaches one bone to another.

Bursa

a fibrous filled sac filled with synovial fluid, located between adjacent muscles, where a tendon passes over a bone, or between bone and skin.



bursae cushion muscles, help tendons slide more easily over the joints.

Classes of Synovial Joints

Ball and socket joints - monaxial; scapula and head of humerus (humeroscapular)


Condylar (ellipsoid) joint - biaxial; meta carpal and phalanx. (metacarpophalangeal)


Saddle joint - biaxial; carpal bones (trapeziometacarpal)


Plane (gliding) joint - biaxial; carpal bones (intercarpal)


Hinge joint - monaxial; humerus and ulna (humeroulnar)


Pivot joint - monaxial; radius and ulna (radioulnar)

Flexion

a movement that decreases a joint angle.



Example: bending of elbow or knee.

Extension

a movement that straightens a joint and generally returns a body part to the zero position.

Abduction

is the movement of a body part in the frontal plane away from the midline of the body.



Example: moving the feet apart to stand spread- legged.

Adduction

is movement in the frontal plane back toward the midline.



**some joints can be hyperadducted, as when you stand with ankles crossed, or fingers crossed**

Hyperabduct

if you raise your arm high enough to cross slightly over the front or back of your head.

Elevation

movement that raises a body part vertically in the frontal plane.

Depression

lowers a body part in the same plane

Protraction

the anterior movement of a body part in the transverse (horizontal) plane.

Retraction

is posterior movement.



Example: your shoulder retracts when you reach in front of you to push a door open.

Circumduction

one end of an appendage remains fairly stationary the other end makes a circular motion.

Rotation

applies to any bone turning around a fixed axis.



In joint movements, a movement in which a bone spins on its longitudinal axis.

Supination

of the forearm is a movement that turns the palm to face anteriorly or upward; in anatomical position.

Pronation

causing the palm to face posteriorly or downward.

Lateral Flexion

tilting the head or trunk to the right or left of the midline

Right rotation or left rotation

when the chest or the face turns to the right or left of the forward-facing zero position.

Ulnar flexion

tilts the hand toward the little finger

radial flexion

tilts it toward the thumb

Dorsiflexion

a movement in which the toes are elevated as one might do in applying toenail polish.

Plantar Flexion

movement of the foot so the toes point downward

Inversion

a foot movement that tips the soles medially, somewhat facing each other

Eversion

a movement that tips the soles laterally, away from each other

Opposition

a movement of the thumb in which it touches any fingertip of the same hand

Reposition

Return to zero position

Temporomandibular jaw joint (TMJ)

is the articulation of the condyle of the mandible with the mandibular fossa of the temporal bone

Lateral Ligament

prevents posterior displacement of the mandible

sphenomandibular ligament

on the medial side of the joint extens from the sphenoid bone to the ramus of the mandible

glenohumeral joint


humeroscapular

shoulder joint; is where the hemispherical head of the humerus articulates with the glenoid cavity of the scapula

Glenoid Labrum

a ring of fibrocartilage around shoulder joint capsule

What tendons form the rotator cuff?

  • supraspinatus
  • infraspinatus
  • teres minor
  • subscapularis

Coxal Hip Joint

point where the head of the femur inserts into the acetabulum of the him bone.

tibiofemoral Knee joint

the largest and most complex diarthrosis of the body.



Primarily a hinge joint.

Meniscus

absorb the shock of the body weight jostling up and down on the knee and prevent the femur from rocking from side to side on the tibia

Talocrural ankle joint

includes two articulations:



  • a medial joint between the tibia and talus
  • a lateral joint between fibula and talus.
  • both are enclosed in joint capsule

Internal and external rotation of the humerus are made possible by a __________ joint.



a. pivot


b. condylar


c. ball and socket


d. saddle


e. hinge

C - ball and socket

which of the following is the least movable?



a. a diarthrosis


b. a synostosis


c. a symphysis


d. a synovial joint


e. a condylar joint

B - a synostosis

Which of the following movements are unique to the foot?



a. dorsiflexion and inversion


b. elevation and depression


c. circumduction and rotation


d. abduction and adduction


e. opposition and reposition

A - dorsiflexion and inversion

Which of the following joints cannot be circumducted?



a. carpometacarpal


b. metacarpophalangeal


c. glenohumeral


d. coxal


e. interphalangeal

E - interphalangeal

Which of the following terms denotes a general condition that includes the other four?



a. gout


b. arthritis


c. rheumatism


d. osteoarthritis


e. rheumatoid arthritis

C - rheumatism

In the adult, the ischium and pubis are united by?



a. a synchondrosis


b. a diarthrosis


c. a synostosis


d. an amphiarthrosis


e. a symphysis

C - amphiarthrosis

In a second-class lever, the effort _____



a. is applied to the end opposite the fulcrum


b. is applied to the fulcrum itself


c. is applied between the fulcrum and resistance


d. always produces an MA less than 1.0


e. is applied on one side of the fulcrum to move a resistance on the other side.

A - is applied to the end opposite the fulcrum

Which of the following joints has anterior and posterior cruciate ligaments?



a. the shoulder


b. the elbow


c. the hip


d. the knee


e. the ankle

D - the knee

To bend backward at the waist involves ______ of the vertebral column.



a. rotation


b. hyperextension


c. dorsiflexsion


d. abduction


e. flexion

B - hyperextension

The rotator cuff includes the tendons of all of the following muscles except?



a. the subscapularis


b. the supraspinatus


c. infraspinatus


d. the biceps brachii


e. the teres minor

D - the biceps brachii

The lubricant of a diarthrosis is called _____?

a synovial joint

A fluid-filled sac that eases the movement of a tendon over a bone is called a/an _______?

bursa

A ______ joint allows one bone to swivel on another.

pivot

________is the science of movement.

kinesology

The joint between a tooth and the mandible is called a/an ______

gomphosis

In a ______________suture, the articulating bones have interlocking wavy margins, somewhat like a dovetail joint in carpentry.

Serrate

In kicking a football, what type of action does the knee joint exhibit?

Extension

The angle through which a joint can move is called it _______?

Range of motion (ROM)

The menisci of the knee are functionally similar to the _______ of the temporomandibular joint.

articular disc

At the ankle, both the tibia and fibula articulate with what tarsal bone?

Talus

True or False?



More people get rheumatoid arthritis than osteoarthritis?

False




*Osteoarthritis occurs in almost everyone after a certain age; rheumatoid arthritis is less common

A doctor who treats arthritis is called a kinesiologist.

False



**A kinesiologist studies joint movements; a rheumatologist treats arthritis.

Synovial Joints are also known as synarthroses.

False



Synovial joints are diarthroses and amphiarthroses, but never synarthroses.

There is no meniscus in the elbow joint.

True

Reaching behind you to take something out of your hip pocket involves hyperextension of the shoulder.

True

The anterior cruciate ligament normally prevents hyperextension of the knee.

True

The femur is held tightly in the acetabulum mainly by the round ligament.

False



The round ligament is somewhat slack and probably does not secure the femoral head.

The knuckles are diarthroses

True

Synovial fluid is secreted by the bursae

False



**Synovial fluid is secreted by the synovial membrane of the joint capsule and fills the bursae.

Unlike most ligaments, the periodontal ligaments do not attach one bone to another

True

Muscular System


Skeletal Muscles

There are about 600 muscles in the human muscular system, which together account for about 40% of a person's body weight.



Skeletal Muscles are also called voluntary muscles.


The study of the muscular system is called?

Myology

What does the word "muscle" mean?

"little mouse"

What are the functions of the Muscles?

Movement



Stability



Control of body openings and passages



Heat production - the skeletal muscles produce as much as 85% of one's body heat, which is vital to the functioning of enzymes and all metabolism.



Glycemic Control - skeletal muscles absorb, store, and use a lare share of one's glucose and play a highly significant role in stabilizing its blood concentration.

Sizes of Muscles

  • Vastus - huge
  • maximus - large
  • longus - long
  • minimus - small
  • brevis - short

Muscle Tissue Characteristics are?

  • Responsiveness
  • Conductivity
  • Contractability
  • Extensibility
  • Elasticity

Types of Skeletal Muscle

Striation - a voluntary muscle



Smooth Muscle - Involuntary



Cardiac Muscle - autonomic

What are the connective tissues of muscle?

  • Endomysium - inside covers muscle fibers
  • Perimysium- Covers fasciles
  • Epimysium - surrounds entire muscle
  • Fascia - connective tissue that separates neighboring muscles.

Muscle Shapes

  • Fusiform muscle - biceps brachii
  • Parallel muscle - rectus abdominis
  • Triangular - Pectoralis major
  • Unipennate - Palmar interosseous
  • Bipennate - Rectus formis
  • Multipennate - Deltoid
  • Circular - Mouth/rectum

Muscle Compartment

a group of functionally related muscles enclosed and separated from others by connective tissue fascia.



a compartment also contains the nerves and blood vessels that supply the muscle group

What are the types of muscle attachments?

Indirect - the ;muscle ends conspicuously short of its bony destination, and the gap is bridged by a fibrous band or sheet called a tendon.



Direct - fleshy attachement; there is so little separation between muscle and bone to the naked eye, the red muscular tissue seems to emerge directly from the bone.


Example: margins of the brachialis.

Retinaculum

a band of connective tissue that muscles pass under.



Example: one of these covers each surface of the wrist like a bracelet.

Origin and Insertion

Origin - immovable; the bony site of attachement at the relatively stationary end of a bone.



Insertion - movable; the attachment site at its more mobile end.

What are the functional groups of muscles?

prime mover - agonist; the muscle that produces most of the force during a particular joint action.


**flexing elbow - agonist is the brachialis**



synergist - a muscle that aids the prime mover.


** biceps brachii aids brachialis**



antagonist - a muscle that opposes the prime mover; it relaxes to give the prime mover almost complete control over the action.


**triceps in antagonist for brachialis**



fixator - a muscle that prevents a bone from moving; so primary can move.


**the rhomboids that hold the scapula in place**

Intrinsic Muscle

is entirely contained within a particular region, having both its origin and insertion there.

Extrinsic Muscle

acts upon a designated region but has its origin elsewhere.

Innervation

refers to the identity of the nerve that stimulates the muscle.

Spinal Nerves

99% in the peripheral nervous system



Emerge through the intervertebral foramina,


Innervate muscles below the neck

Cranial Nerves

arise from base of brain, emerge through the skull foramina, and innervate muscles of the head and neck.

Muscular System Blood supply

receives about 1.24L of blood per minute at rest - which is about 1/4 of the blood pumped by the heart.



Working muscles have a great demand for glucose, fatty acids, and oxygen.

Muscles of Facial Expression

  • Frontalis - elevates eyebrows
  • Orbicularis Oculi - closes eye in blinking
  • Orbicularis Oris - closes lips, kissing
  • Zygomaticus - laughing, smiling
  • Buccinator - closes jaw, chewing
  • Risorius - laughing, horror

Glossus

has to do with tongue


Mouth

Temporalis

elevation, retraction, and lateral and medial excursion of the mandible



Innervates - mandibular nerve


origin - temporal lines/temporal fossa of cranium


insertion - coronoid process and anterior border of mandibular ramus

Masseter

Elevation of the mandible, with smaller roles in protraction, retraction and lateral medial excursion



Origin - Zygomatic arch


Insertion: lateral surface of mandibular ramus and angle.


Innervates - Mandibular nerve

Digastric

depresses mandible when hyoid is fixed; opens mouth widely, as ehen ingesting food or yawning; elevates hyoid when madible is fixed.



Origin - mastoid notch of temporal bone


Innervates - facial nerve, mylohyoid nerve

Geniohyoid

Hyoid has to do with neck.



depresses mandible when hyoid is fixed.

Sternocleidomastoid

Unilateral action tilts head slightly upward and toward the opposite side; looking over shoulder.



common action rotating head left or right.



Superficial neck muscle

Trapezius

Extends and laterally flexes neck



Superficial neck muscle

Diaphragm

prime mover of inspiration (2/3 of air intake); contracts in preparation for sneezing, coughing, crying, laughing, and weight lifting.



Innervation: Phrenic Nerve

External Intercostals

elevate and protract ribs 2-12, expanding thoracic cavity and creating a partial vacuum causing inflow of air.



Innervation : Intercostal nerves

Internal Intercostals

In inspiration, aids in elevating the ribs, expanding thoracic cavity; in inspiration.



Innervation: Intercostal nerves

Muscles of Anterior Abdominal Wall

External Abdominal Oblique - supports abdominal viscera against pull of gravity; stabilizes vertebral column during heavy lifting.



Internal Abdominal Oblique



Transverse Abdominal



Rectus Abdominis - flexes lumbar region of vertebral column, producing forward bending at the waist.

Muscles of the back

  • Sternocleidomastoid
  • Trapezius
  • Deltoid
  • Erector spinae
  • Erector spinae
  • Latissimus dorsi
  • Gluteus medius
  • Gluteus maximus

Erector Spinae

extension and lateral flexion of vertebral column.



group of muscles on each side of the spinal column is a large muscle mass that extends from the sacrum to the skull. These muscles are primarily responsible for extending the spinal column to maintain erect posture.

Pectoralis Minor

serratus anterior



draws scapula laterally and forward around the chest wall, rotates scapula, depresses apex of shoulder

Serratus Anterior

draws scapula laterally and forward around chest


protracts scapula


prime mover in all forward -reaching and pushing actions

Trapezius

stabilizes scapula and shoulder during arm movements


elevates and depresses apex of shoulder; rotates and retract scapula

Rhomboideus Minor and Rhomboideus Major

Retracts scapula and braces shoulder, fixes scapula during arm movements

Pectoralis Major

Flexes, adducts, and medially rotates humerus , as in climbing or hugging;


aids in deep inspiration.

Latissimus Dorsi

Adducts and medially rotates humerus;


extends the shoulder joint as in pulling on oars of boat

Deltoid

Anterior fibers flex and medially rotate arm; involved in swinging arm.

Teres Major

Extends and medially rotates humerus; contributes to arm swinging

Rotator Cuff Muscles are?

  • Supraspinatus
  • Infraspinatus
  • Teres Minor
  • Subscapularis

Flexion Muscles of forearm

Brachialis - prime mover of elbow flexion



Biceps Brachii - rapid or forceful supination of forearm; synergist in elbow flexion



Triceps Brachii - Extends elbow; long head extends and adducts humerus. primary extensor

Pollicis

means thumb

Minimi

fifth digit, pinkie

Primary flexor muscles of the hip

Iliacus - flexes thigh at hip when trunk is fixed;


Psoas

Gluteus Maximus

extends thigh at hip as in stair climbing

Muscles in Knee and leg

  • Quadriceps Femoris - straightens leg at knee
  • Rectus Femoris
  • Vastus Lateralis
  • Vastus Medialis
  • Vastus Intermedius
  • Sartorius - biggest muscle of body.

Hamstrings are composed of what muscles

  • Biceps Femoris
  • Semitendinosus
  • Semimembranosus


Antagonists to quadracep femoris muscle group

Gastrocnemius and Soleus

Plantar flexes foot



Antagonist is the tibilis anterior

Which of the following muscles is the prime mover in spitting out a mouothful of liquid?



a. platysma


b buccinator


c. risorius


d. masseter


e. palatoglossus

B - buccinator

Each muscle fiber has a sleeve of areolar connective tissue around it called?



a. the fascia


b. the endomysium


c. the perimysium


d. the epimysium


e. the intermuscular septum

B - endomysium

Which of these is not a suprahyoid muscle?



a. genioglossus


b. geniohyoid


c. stylohyoid


d. mylohyoid


e. digastric

A - genioglossus

Which of these muscles is an extensor of the neck?



a. external oblique


b. sternocleidomastoid


c. splenius capitis


d. iliocostalis


e. latissimus dorsi

C - splenius capitis

Which of these muscles of the pelvic floor is the deepest?



a. superficial transverse perineal


b. bulbospongiosus


c. ischiocavernosus


d. deep transverse perineal


e. levator ani

E - levator ani

Which of these actions is not performed by the trapezius?



a. extension of the neck


b. depression of the scapula


c. elevation of the scapula


d. rotation of the scapula


e. adduction of the humerus

E - adduction of the humerus

Both the hands and feet are acted upon by a muscle or muscles called:



a. the extensor digitorum


b. abductor digiti minimi


c. flexor digitorum profundus


d. abductor hallucis


e. flexor digitorum longus

B - abductor digiti minimi

Which of the following muscles does not extend the hip joint?



a. quadriceps femoris


b. gluteus maximus


c. biceps femoris


d. semitendinosus


e. semimembranes

A - quadriceps femoris

Both the gastrocnemius and _______muscles insert on the heel by way of the calcaneal tendon.



a. semimembranosus


b. tibialis posterior


c. tibialis anterior


d. soleus


e. plantaris

D - soleus

Which of following muscles raises the upper lip?



a. levator palpebrae superioris


b. orbicularis oris


c. zygomaticus minor


d. masseter


e. mentalis

C - zygomaticus minor

The _________of a muscle is the point where it attaches to a relatively stationary bone

Origin

A bundle of muscle fibers durrounded by perimysium is called a/an

fascicle

The ___ is the muscle that generates the most force in a given joint movement

Prime mover


agonist

The three large muscles on the posterior side of the thigh are commonly known as the ____ muscles.

hamstring

Connective tissue bands called _____ prevent flexor tendons of the forearm and leg from rising like bowstrings

flexor retinacula

A muscle that works with another to produce the same or similar movement is called a/an

synergist

The abdominal aponeuroses converge on a median fibrous band on the abdomen called the ____

linea alba

A circular muscle that closes a body opening is called a/an ______

sphincter muscle

A muscle somewhat like a feather, with fibers obliquely approaching its tendon from both sides, is called a/an ______ muscle.

bipennate

True or False.....



Cutting the phrenic nerves would paralyze the prime mover of respiration

True

The orbicularis oculi is a sphincter

True

The origin of the sternocleidomastoid muscle is the mastoid process of the skull

False



the mastoid process is its insertion

To push someone away from you, you would use the serratus anterior more than the trapezius

True

Curling the toes employs the quadratus plantae

True

The scalenes are superficial to the trapezius

False



The trapezius is superficial to the scalenes

Exhaling requires contraction of the internal intercostal muscles.

False



Normal exhalation does not employ these muscles.

Hamstring injuries often result from rapid flexion of the knee.

False



They result from rapid extension of the knee not flexion.

The tibialis anterior and tibialis posterior are synergists.

False



They are on opposite sides of the tibia and act as antagonists.

Muscle Cell definition

A muscle cell is essentially a device for converting the chemical energy of ATP into the mechanical energy of movement.

Universal Characteristics of Muscle

  • Responsiveness (excitability) - ready all the time
  • Conductivity - pass from one side to another
  • Contractility - contraction relaxtion
  • Extensibility - strectch then bounce back
  • Elasticity - stretched, recoils to shorter length

Skeletal Muscle

Skeletal muscle may be defined as voluntary striated muscle that is usually attached to one or more bones.



A skeletal muscle exhibits alternating light and dark transverse bands, or striations



extra ordinary length, skeletal muscle cells are usually called muscle fibers or myofibers.

The Muscle Fiber

the plasma membrane of a muscle fiber is called the sarcolemma.



its cytoplasm is called the sarcoplasm

Sarcolemma

plasma membrane in muscle fiber

Sarcoplasma

Cytoplasm of muscle fiber

Myofibrils

long protein cord in the cytoplasm...



each is a bundle of parallel protein microfilaments called myofilaments.

Myofiber

the muscle cells

Glycogen

carbohydrate in cytoplasm

myoglobin

red pigment, stores oxygen

myoblasts

stem cells that fuse in embryonic development to produce each fiber.

Satellite Cells

myoblasts that remain as unspecialized between the muscle fiber and endomysium

Sarcoplasmic Reticulum (SR)

forms a network around each myofibril

Terminal cisternae

dilated end-sacs which cross the muscle fiber from one side tot he other

Transverse (T) tubules

in the sarcolemma tubular infoldings which penetrate through the cell and emerge on the other side.

Triad

T tubule and the two terminal cisternae associated it.

Myofilaments

Thick filaments - made of several hundred molecules of a protein called myosin.



Thin filaments - composed of two intertwined strands of a protein called fibrous (F) acton.


Also another protein called tropomyosin, and this tropomyosin has a smaller calcium-binding protein called troponin bound to it.



Elastic Filaments - are made of a huge springy protein called titin.

Myosin + Acton

Contractile proteins;



they do the work of shortening the muscle fiber.

Tropomyosin + Troponin

Regulatory protein;



they act like a switch to determine when the fiber can contract and when it cannot.

Titin

  • protein
  • stabilizes thick filament,
  • prevents overstretching, and contributes to elastic recoil when the muscle relaxes.

Dystrophin

  • most important accessory protein
  • an enormous protein located between the sarcolemma and the outermost myofilaments.
  • Genetic defects in dystrophin are responsible for the disabling disease, muscular dystrophy.

Striations

Striated muscle has dArk "A bands" alternating


with lIghter "I bands".



A stand for anistropic


I stand for Isotropic.


*refers to the way the bands affect polarized light.

Striation Bands

  • A band ---- dark bands
  • I band ----- Lighter bands
  • H band -----Middle of A bands
  • M line ----- middle of H band
  • Z disc ----- Dark narrow disc between sarcomere

Sarcomere

the functional contractile unit of the muscle



each muscle contains



the distance from one Z disc to the next

Motor Neurons and Motor Units

Skeletal muscles are served by nerve cells called somatic motor neurons, whose cell bodies are in the brainstem and spinal cord.



Their axons, called somatic motor fibers lead to the skeletal muscles.

Motor Unit

Since the muscle fibers behave as a single functional unit, one nerve fiber and all the muscle fibers innervated by it are called a motor unit.



Effective muscle contraction usually requires the activation of several motor units at once.

Small Motor Units

where fine control is needed



fine movements of the eye and hand

Large Motor Units

where strength is more important .



powerful movements of the gluteal or quadriceps muscles.

Neuromuscular Junction

the point where a nerve fiber meets its target cell is called a synapse.



Then the target cell is a muscle fiber, the synapse is called a neuromuscular junction (NMJ), or motor end plate



Each terminal branch of the nerve fiber within the NMJ forms a separate synapse with muscle fiber.

Synaptic Knob

At each synapse, the nerve fiber ends in a bulbous swelling.

Synaptic cleft

A narrow space that separates the knob from directly touching the muscle fiber.

Schwann Cell

A cell that envelops the entire junction and isolates it from the surrounding tissue fluid.

Synaptic vesicles

spheroidal organells in the synaptic knob which are filled with a chemical acetycholine (ACh).


Acetylcholinesterase (AChE)

both the sarcolemma and that part of the basal lamina in the cleft contain this enzyme.



It breaks Acetylcholine down after it has stimulated the muscle cell.

Electrically excitable cells

because their plasma membranes exhibit voltage changes in response to stimulation muscle fiber and neurons are regarded as these type of cells

Polarized

Charged like a little battery

Depolarization

changing the plasma membrane briefly to a positive charge

Repolarization

When the plasma membrane turns negative again from the loss of the positive potassium ions.

Behavior of Skeletal Muscle Fibers

  • Excitation
  • Excitation-Contraction Coupling
  • Contraction
  • Relaxation

Rigor Mortis

the hardening of the muscles and stiffening of the body that begins 3 to 4 hours after death.

Threshold

minimum voltage necessary to generate an action potential in the muscle fiber and produce a contraction

Twitch

At threshold or higher, a stimulus thus causes a quick cycle of contraction and relaxation

Latent Period

a delay between the onset of the stimulus and the onset of the twitch

Recruitment



Multiple motor unit (MMU) summation

the process of bringing more motor units into play

Treppe

pattern of increasing tension with repetitive stimulation

Isometric contraction

contraction without a change in length

Isotonic Contraction

contraction with a change in length but no change in tension

Concentric contraction

a muscle shortens as it maintains tension

Eccentric Contraction

a muscle lengthens as it maintains tension

Muscle contraction

All muscle contraction depends on ATP and calcium; no other energy source can serve in its place.

ATP

the supply of it depends on the availability of oxygen and organic energy sources such as glucose and fatty acids.

Anaerobic fermentation

enables a cell to produce ATP in the absence of oxygen

Aerobic respiration

produces far more ATP and no lactic acid, but it requires a continual supply of oxygen.

Phosphate transfers



Immediate Energy

short, intense exercise, myoglobin in a muscle fiber supplies oxygen for a limited amount of aerobic respiration at the outset. These 2 enzymes produce ATP



Myokinase - transfers P1 from one ADP to another, converting to ATP


Creatine kinase - obtains P1 from a phosphate-storage molecule, creatine phosphate (CP)

Short term Energy

pathway from glycogen to lactic acid, called the glycogen-lactic acid system, produces enough ATP for 30 to 40 seconds of maximum activity.

Long term Energy

after 40 seconds the respiratory and cardiovascular systems "catch up" and deliver oxygen to the muscles fast enough for aerobic respiration to meet most of the ATP demand

Muscle fatigue

the progressive weakness and loss of contractility that results from prolonged use of the muscles.

Oxygen debt

the difference between the resting rate of oxygen consumption and the elevated rate following an exercise.

To make a muscle contract more strongly, the nervous system can activate more motor units. This process is called:


a. recruitment


b. summation


c. incomplete tetanus


d. twitch


e. treppe

A - recruitment

The functional unit of a muscle fiber is the ______, a segment from one Z disc to the next.


a. myofibril


b. I band


c. sarcomere


d. neuromuscular junction


e. striation

C - sarcomere

Before a muscle fiber can contract, ATP must bind to?


a. a Z disc


b. myosin head


c. tropomyosin


d. troponin


e. actin

B - myosin head

Before a muscle fiber can contract, Ca2 must bind to?


a. calsequestrin


b. myosin head


c. tropomyosin


d. troponin


e. actin

D - troponin

Which of the following muscle proteins is not intracellular?


a. actin


b. myosin


c. collagen


d. troponin


e. dystrophin

C. - collagen

Smooth muscle cells have ______, whereas skeletal muscle fibers do not.


a. sarcoplasmic reticulum


b. tropomyosin


c. calmodulin


d. Z discs


e. myosin ATPase

C - calmodulin

ACh receptors are found mainly in


a. synaptic vesicles


b. terminal cisternae


c. thick filaments


d. thin filaments


e. junctional folds



E - junctional folds

Single-unit smooth muscle cells can stimulate each other because they have:


a. a latch-bridge


b. diffuse junctions


c. gap junctions


d. tight junctions


e. cross-bridges

C - gap junctions

A person with a high VO2max


experiences less muscle fatigue during exercise than someone with a low VO2max.

Slow oxidative fibers have all of the following except what?


a. abundance of myoglobin


b. abundance of glycogen


c. high fatigue resistance


d. red color


e. high capacity to synthesize ATP aerobically

B - abundance of gylcogen

The minimum stimulus intensity that will make a muscle contract is called?

threshold

A state of prolonged maximum contraction is called?

complete tetanus

Parts of the sarcoplasmic reticulum called _____lie on each side of T tuble.

terminal cisternae

Thick myofilaments consist mainly the protein?

myosin

The neurotransmitter that stimulates skeletal muscle is _____?

acetycholine

Muscle contains an oxygen-binding pigment called?

myoglobin

The ______of skeletal muscle play the same rolse as dense bodies in the smooth muscle

Z disc

A state of continual partial muscle contraction is called?

muscle tone

_______is an end product of anaerobic fermentation that causes muscle fatigue.

lactic acid

True or False.......



Each motor neuron supplies just one muscle fiber.

False



A motor neuron may supply 1,000 or more muscle fibers; a motor unit consists of one motor neuron and all the muscle fibers it innervates.

To initiate muscle contraction, calcium ions must bind to the myosin heads

False




Calcium binds to troponin, not to myosin

Slow oxidative fibers are relatively resistant to fatigue.

True

Thin filaments are found in both the A bands and I bands of striated muscle.

True

Thin filaments do not change length when a muscle contracts.

True

Smooth muscle lacks striations because it does not have thick and thin myofilaments.

False



Thick and thin filaments are present but not arranged in a way that produces striations

If no ATP were available to a muscle fiber, the excitation stage of muscle action could not occur

True

For the first 30 seconds of an intense exercise, muscle gets mos of its energy from lactic acid

False



A muscle produces most of its ATP during this time by anaerobic fermentation, which generates lactic acid; it does not consume lactic acid

A muscle must contract tot he point of complete tetanus if it is to move a load

False



Under natural conditions, a muscle seldom or never attains a complete tetanus.

the hands have more phalanges than the feet

false -



each hand and foot has 14 phalanges

as an adaptation of pregnancy, the females's pelvis is deeper than the males.

false -



The female pelvis is wider and shallower than the male's.

there are more carpal bones that tarsal bones.

True

in a living person you can palpate the muscles in the infraspinous fossa but not those of the subscapular fossa?

True

the lumbar vertebrae do not articulate with any ribs and therefore do not have any transverse processes.

false-


The lumbar vertebrae have transverse processes but no transverse costal facets.

the most frequently broken bone is the humerus.

False



the most frequently broken bone is the clavicle

in strict anatomical terminology, the words arm and leg both refer to regions with only one bone.

false -


Arm refers to the region containing only the humerus; Leg refers to the region containing the tibia and fibula.

if you rest your chin on your hands and elbows on table, the olecranon of the ulna rests on the table.

True