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Dr. M Farrukh Shahzad
BSPT, PPDPT
Isra University,
Islamabad Campus
IIRS DPT 1st Semester (General
Anatomy)
Topics of Discussion
SKELETAL SYSTEM
AXIAL SKELETON
APPENDICULAR SKELETON
BONES
COMPOSITION OF BONES
FUNCTIONS OF BONES
STRUCTURE OF BONE
COMPACT BONE
CANCELLOUS OR SPONGY BONE
BONE MARROW
PERIOSTEUM
ENDOSTEUM
CLASSIFICATION OF BONES
IRREGULAR BONES
PNEUMATIC BONES
SESAMOID BONES
WORMIAN OR SUTURAL BONES
BONE MARKINGS
OSSIFICATION
BLOOD SUPPLY OF BONE
VENOUS AND LYMPHATIC SUPPLY
NERVE SUPPLY
CARTILAGE
CLASSIFICATION
DEVELOPMENTAL CLASSIFICATION
HISTOLOGICAL CLASSIFICATION
ACCORDING TO REGION
ACCORDING TO SHAPE & SIZE (LONG,
SHORT, FLAT, IRREGULAR)
SKELETAL SYSTEM
The
SKELETAL SYSTEM
Axial skeleton
Appendicular skeleton
It consists of
It consists of.
Bones of upper limb
Pectoral girdle
Humerus
Radius Ulna
Hand bones
Bones of lower limb
Pelvic girdle
Femur
Tibia Fibula
Bones of foot
BONES
Composition of bones
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Functions of bones
Bones have ten main functions:
Protection
Bones can serve to protect internal organs, such as the
skull protecting the brain or the ribs protecting the
heart and lungs.
Shape
Bones provide a frame to keep the body supported.
Blood production
The marrow, located within the medullary cavity of
long bones and the cancellous bone, produces blood
cells.
Mineral storage
Bones act as reserves of minerals important for the
body, most notably calcium and phosphorus.
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Movement
Bones, skeletal muscles, tendons, ligaments and joints
function together so that individual body parts or the
whole body can be manipulated in three-dimensional
space.
Acid-base balance
Bone buffers the blood against excessive pH changes by
absorbing or releasing alkaline salts.
Detoxification
Bone tissues can also store heavy metals and other
foreign elements, removing them from the blood and
reducing their effects on other tissues. These can later be
gradually released for excretion.
Sound transduction
Bones are important in the mechanical aspect of hearing.
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Bones
Bones
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STRUCTURE OF BONE
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Compact bone
It forms the outer shell of bone. It is thicker at the
shaft of a long bone and thinner at the ends of a
long bone. The compact bone of the body or shaft
is known as cortical bone and surrounds the
medullary cavity. Compact bone provides strength
for weight bearing.
Compact bone is surrounded by periosteum and
lined by endosteum. It has a lot of connective
tissue fibers [collagen fibers], are arranged in
layers. They form connective tissue sheets called
lamellae. Between adjacent lamellae osteocytes
[bone cells] are embedded.
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Anatomy)
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Cancellous or spongy
bone
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Bone marrow
At birth all of the marrow is of the red type and is a factory for
making blood cells and blood platelets. This activity is known as
heamopoiesis.With the passage of time, the amount of red marrow
decreases and is replaced by yellow marrow which has no power of
haemopoiesis. This change begins in the distal parts of limbs and
gradually involves proximal parts.
By young adult life, the limb bones contain red marrow only at their
cancellous ends. The bones that contain red marrow throughout life
are
Ribs
Sternum
Vertebrae
Skull bones
Hip bone
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Anatomy)
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Periosteum
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Endosteum
It
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CLASSIFICATION OF
BONES
I. MEMBRANOUS BONES.
These bones develop through Intra membranous
ossification. Intra membranous ossification is a
process of conversion of embryonic mesenchyme
directly into bone. The process is seen in the
embryo. It is a rapid process.
Membranous bones include
a. Bones of the vault of the skull
b. Bones of the face
c. Clavicle
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2. HISTOLOGICAL CLASSIFICATION.
(According to structure / architecture)
COMPACT BONE.
It forms the outer shell of the shaft of long bones & vertebrae.
i.
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4. According to shape & size
(Long, short, flat, irregular)
Long bone
Short bone
Long bones
These are usually tubular in shape and
found in the limbs. They are vertically
placed in human body. Their length is
greater than the breadth. They act as
levers for muscles. Their length varies
from bones of fingers (phalanges) to
thigh
bones.
DPT 1st
Semester (General
The anterior aspect ofIIRS
right
humerus
is
Anatomy)
shown. Humerus is a long bone. It is
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Short bones
These bones are not long. They are short.
They are irregular. They resemble cubes.
These are found only in the wrist (carpus)
and ankle (tarsus). They have 6 surfaces (like
a cube) out of which 4 or less are articular
(i.e. take part in the formation of joints) the
remaining 2 or more are free for attachments
of ligaments and entry of blood vessels.
They do not have medullary cavity. They
have spongy bone inside with compact bone
forming outer shell.
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FLAT BONES
These resemble sandwiches. They have thin outer layers of
compact bone separated by a layer of spongy (cancellous)
bone between them. Most of skull bones, sternum, scapula
and parts of many other bones belong to this group.
In flat bones of the skull particularly calvaria (bone forming
the roof of skull), spongy bone containing marrow is known
as diploe, which appears some years after birth and splits
each flat bone into two layers. The outer and inner layers of
compact bone are called tables in the flat skull bones while
diploe is in the center. The diploe of spongy bone is
sandwiched between outer and inner tables of compact
bone.
Other flat bones (sternum, scapula, ilium of hipbone) are
also like flat skull bones. They also have two layers of
compact bone and spongy layer is sandwiched between
them.
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Anatomy)
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Posterior surface of
sternum. Sternum
is a flat bone.
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Anterior aspect
of right scapula
shown. Scapula
is a flat and
irregular bone.
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Irregular bones
These are irregular shaped
bones. Most of the facial
bones (maxilla and zygomatic
bone) are irregular shaped.
Other examples are vertebrae,
scapulae and hipbones. All of
them consist of cancellous
bone covered with compact
bone of variable thickness.
Vertebrae are irregular bones
but they are symmetrical
bones. We can classify
irregular bones into two
subcategories.
1. Symmetrical bones Vertebrae
are good example
2. Asymmetrical bones Scapula,
hipbone, maxilla
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Pneumatic bones
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Sesamoid
bones
These are so named because they
resemble sesame seeds.
They are usually present where
tendons glide over bones.
The largest sesamoid bone in human
body is patella (knee-cap). It is found
in the tendon of Quadriceps femoris.
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Anatomy)
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They appear to alter the line of pull of a tendon
(patella in Quadriceps femoris) or help to prevent
friction (as in peroneus longus tendon moving
over cuboid bone).
Other sesamoid bones are found in the tendons of
Adductor pollicis
Flexor pollicis brevis
Flexor hallucis brevis
A sesamoid bone not associated with a tendon is
fabella, found in the lateral head of
gestrocnemius muscle.
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Right Patella.
Anterior view.
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Wormian or sutural
bones
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BONE MARKINGS
Normally bone appears smooth in three main
areas.
1. Where it is covered by articular cartilage (i.e.
cartilage on the surface of bone taking part in
forming a synovial joint).
2. Where it is subcutaneous (covered only by skin).
3. Where it gives fleshy attachment to muscle.
The bone is rough where it gives attachments to
ligaments, aponeurosis and tendons.
The bone has grooves for blood vessels.
The bones have foramina where arteries, veins and
nerves pass through these foramina.
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Lateral view of
skull showing
superior and
inferior temporal
lines.
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2. Condyle:
It is a rounded
articular area.
Example.
Condyles of mandible
Condyles of femur
3. Epicondyle:
It is a raised area
above the condyle.
Example.
Epicondyles of
humerus.
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Anatomy)
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4. Crest:
It is the ridge of a bone.
Example.
Iliac crest and
Pubic crest in hip
bone.
Intertrochanteric
crest in femur.
Medial crest in fibula.
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Anatomy)
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5. Groove:
It is an elongated depression in the bone.
Example.
Infraorbital groove in the orbital cavity.
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6. Facet:
It is a flat area, usually
covered with cartilage,
where bones join each
other.
Example.
Costal facets on
vertebral bodies and
transverse processes Superior aspect of first cervical
to articulate with ribs. vertebra (atlas). Look at the
superior
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(General
articular
facets. They articulate
Anatomy)
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with overlying skull.
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7. Fossa:
It is a depressed area in the
bone.
Example.
Anterior cranial fossa,
middle cranial fossa and
posterior cranial fossa in skull.
Temporal fossa of skull.
Incisive fossa in palate.
Supraspinous fossa of the
scapula.
Iliac fossa in hip bone.
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8. Foramen:
It is a hole in the
bone.
Example.
Foramen magnum in
occipital bone for
medulla oblongata.
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9. Malleolus:
It is a rounded process projecting from the end of a bone.
Example.
Medial malleolus of tibia.
Lateral malleolus of fibula.
10. Notch:
It is an indentation at the edge of a bone.
Example.
Greater sciatic notch,
lesser sciatic notch and
acetabular notch in hip bone.
Trochlear notch and radial notch in ulna.
11. Protuberance:
It is a projection of bone.
Example.
External occipital protuberance and internal occipital protuberance in skull.
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Lateral view of
skull. External
occipital
protuberance have
been marked and
labeled.
Interior of base of
skull. Look at the
internal occipital
protuberance.
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Anatomy)
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12. Spine:
It is a thorn like
process from the
bone.
Example.
Spine of scapula.
Dorsal aspect of right
scapula is shown. Look at
the spine of scapula and
coracoid process.
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Anatomy)
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13. Process:
It is a spine like part
projecting from the bone.
Example Anterior clinoi
process and posterior
clinoid process in skull.
Styloid process on the
base of skull. Coronoid
process of mandible.
Spinous process and
transverse processes of a
vertebra.
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Anatomy)
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14. Trochanter:
It is a large blunt raised area
of a bone.
Example.
Greater trochanter and
lesser trochanter of femur.
15. Tubercle:
It is a small raised area on the
surface of bone.
Example.
Anterior and posterior
tubercles of atlas.
Greater tubercle and lesser
tubercle of humerus.
Superior
aspect of first
cervical vertebra (atlas).
Look at the anterior and
IIRS DPT 1st Semester (General
Anatomy)
posterior tubercles.
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16. Tuberosity:
It is large rounded elevation of a bone.
Example.
Greater tuberosity and lesser
tuberosity of humerus.
Gluteal tuberosity on femur.
Tibial tuberosity on tibia.
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Anatomy)
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OSSIFICATION
The formation of bone during the fetal stage
occurs by two processes:
Intramembranous ossification
Intramembranous ossification mainly occurs
during formation of the flat bones of the skull; the
bone is formed from mesenchyme tissue. The
steps in intramembranous ossification are:
Development of ossification center
Calcification
Formation of trabeculae
Development of periosteum
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Endochondrial ossification
Endochondral ossification, on the other hand,
occurs in long bones, such as limbs; the bone is
formed from cartilage. The steps in endochondral
ossification are:
Development of cartilage model
Growth of cartilage model
Development of the primary ossification center
Development of medullary cavity
Development of the secondary ossification center
Formation of articular cartilage and epiphyseal
plate
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Anatomy)
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Nutrient artery:
Usually one (or two) artery enters the shaft
obliquely through an opening called nutrient
foramen, which leads into a nutrient canal.
In upper limbs, the direction is towards
elbow joint, whereas in lower limbs, it is
away from the knee joint.
So remember this formula to the elbow I
go, from the knee I flee.
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Anatomy)
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Nerve supply
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Cartilage
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Cartilage
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The
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CLASSIFICATION
There are 3 types of cartilage; hyaline, elastic, and
fibrocartilage.
Hyaline Cartilage.
It is homogenous, bluish-white and translucent in appearance.
It forms temporary cartilage model, from which bones
develop.
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Fibrocartilage.
It is like white fibrous tissue, but contains small
islands of chondrocytes and ground substance
between collagen bundles.
It is found in
Intervertebral discs joining adjacent surfaces of vertebral
bodies
Articular discs in wrist joints, sternoclavicular joints and
temporomandibular joints.
As a labrum or rim deepening the sockets of shoulder or
hip joints
As semliunar cartilages (menisci) in knee joints
In the plate and disk which unites pubic bones at
symphysis pubis.
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Anatomy)
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Elastic cartilage.
It has bundles of yellow elastic fibers.It
is found in
external ear
auditory tube
epiglottis
cuneiform cartilages of larynx.
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End
Thanks!
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Anatomy)
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