Lecture Note Human Anatomy and Fisiologi(Skeletal System)

8/17/2019 Lecture Note Human Anatomy and Fisiologi(Skeletal System)

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CHP 3 – SKELETAL SYSTEM

Function of the Skeletal System

Humans are vertebrates, animals having a vertabral column or backbone. They rely on a sturdyinternal frame that is centered on a prominent spine. The human skeletal system consists of bones,cartilage, ligaments and tendons and accounts for about 20 percent of the body weight.

The living bones in our bodies use oxygen and give off waste products in metabolism. They containactive tissues that consume nutrients

require a blood supply and change shape or remodel in response to variations in mechanical stress.

ones provide a rigid frame work, known as the skeleton, that support and protect the soft organs ofthe body.

The skeleton supports the body against the pull of gravity. The large bones of the lower limbs supportthe trunk when standing.

The skeleton also protects the soft body parts. The fused bones of the cranium surround the brain tomake it less vulnerable to in!ury. "ertebrae surround and protect the spinal cord and bones of the ribcage help protect the heart and lungs of the thorax.

ones work together with muscles as simple mechanical lever systems to produce body movement.

ones contain more calcium than any other organ. The intercellular matrix of bone contains largeamounts of calcium salts, the most important being calcium phosphate.

#hen blood calcium levels decrease below normal, calcium is released from the bones so that therewill be an adequate supply for metabolic needs. #hen blood calcium levels are increased, the excesscalcium is stored in the bone matrix. The dynamic process of releasing and storing calcium goes onalmost continuously.

Hematopoiesis, the formation of blood cells, mostly takes place in the red marrow of the bones.

$n infants, red marrow is found in the bone cavities. #ith age, it is largely replaced by yellow marrowfor fat storage. $n adults, red marrow is limited to the spongy bone in the skull, ribs, sternum, clavicles,vertebrae and pelvis. %ed marrow functions in the formation of red blood cells, white blood cells andblood platelets.

Structure of one Tissue

There are two types of bone tissue& compact and spongy. The names imply that the two types of differ in density, or how tightly the tissue is packed together. There are three types of cells that contribute tobone homeostasis. 'steoblasts are bone(forming cell, osteoclasts resorb or break down bone, andosteocytes are mature bone cells. )n equilibrium between osteoblasts and osteoclasts maintainsbone tissue.

Com!act one

*ompact bone consists of closely packed osteons or haversian systems. The osteon consists of acentral canal called the osteonic +haversian canal, which is surrounded by concentric rings +lamellae

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of matrix. etween the rings of matrix, the bone cells +osteocytes are located in spaces calledlacunae. -mall channels +canaliculi radiate from the lacunae to the osteonic +haversian canal toprovide passageways through the hard matrix. $n compact bone, the haversian systems are packedtightly together to form what appears to be a solid mass. The osteonic canals contain blood vesselsthat are parallel to the long axis of the bone. These blood vessels interconnect, by way of perforatingcanals, with vessels on the surface of the bone.

S!on"y #Cancellous$ one

-pongy +cancellous bone is lighter and less dense than compact bone. -pongy bone consists ofplates +trabeculae and bars of bone ad!acent to small, irregular cavities that contain red bonemarrow. The canaliculi connect to the ad!acent cavities, instead of a central haversian canal, toreceive their blood supply. $t may appear that the trabeculae are arranged in a hapha ard manner, butthey are organi ed to provide maximum strength similar to braces that are used to support a building.The trabeculae of spongy bone follow the lines of stress and can realign if the direction of stresschanges.

one %e&elo!ment an' (ro)th

The terms osteogenesis and ossification are often used synonymously to indicate the process of boneformation. /arts of the skeleton form during the first few weeks after conception. y the end of theeighth week after conception, the skeletal pattern is formed in cartilage and connective tissuemembranes and ossification begins.

one development continues throughout adulthood. ven after adult stature is attained, bonedevelopment continues for repair of fractures and for remodeling to meet changing lifestyles.'steoblasts, osteocytes and osteoclasts are the three cell types involved in the development, growthand remodeling of bones. 'steoblasts are bone(forming cells, osteocytes are mature bone cells andosteoclasts break down and reabsorb bone.

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There are two types of ossification& intramembranous and endochondral.

*ntramem+ranous

$ntramembranous ossification involves the replacement of sheet(like connective tissue membraneswith bony tissue. ones formed in this manner are called intramembranous bones. They includecertain flat bones of the skull and some of the irregular bones. The future bones are first formed asconnective tissue membranes. 'steoblasts migrate to the membranes and deposit bony matrixaround themselves. #hen the osteoblasts are surrounded by matrix they are called osteocytes.

En'ochon'ral ,ssification

ndochondral ossification involves the replacement of hyaline cartilage with bony tissue. 1ost of thebones of the skeleton are formed in this manner. These bones are called endochondral bones. $n thisprocess, the future bones are first formed as hyaline cartilage models. uring the third month afterconception, the perichondrium that surrounds the hyaline cartilage 3models3 becomes infiltrated withblood vessels and osteoblasts and changes into a periosteum. The osteoblasts form a collar ofcompact bone around the diaphysis. )t the same time, the cartilage in the center of the diaphysisbegins to disintegrate. 'steoblasts penetrate the disintegrating cartilage and replace it with spongybone. This forms a primary ossification center. 'ssification continues from this center toward the endsof the bones. )fter spongy bone is formed in the diaphysis, osteoclasts break down the newly formedbone to open up the medullary cavity.

The cartilage in the epiphyses continues to grow so the developing bone increases in length. 4ater,usually after birth, secondary ossification centers form in the epiphyses. 'ssification in the epiphysesis similar to that in the diaphysis except that the spongy bone is retained instead of being brokendown to form a medullary cavity. #hen secondary ossification is complete, the hyaline cartilage istotally replaced by bone except in two areas. ) region of hyaline cartilage remains over the surface ofthe epiphysis as the articular cartilage and another area of cartilage remains between the epiphysisand diaphysis. This is the epiphyseal plate or growth region.

one (ro)th

ones grow in length at the epiphyseal plate by a process that is similar to endochondral ossification.The cartilage in the region of the epiphyseal plate next to the epiphysis continues to grow by mitosis.The chondrocytes, in the region next to the diaphysis, age and degenerate. 'steoblasts move in andossify the matrix to form bone. This process continues throughout childhood and the adolescent yearsuntil the cartilage growth slows and finally stops. #hen cartilage growth ceases, usually in the earlytwenties, the epiphyseal plate completely ossifies so that only a thin epiphyseal line remains and thebones can no longer grow in length. one growth is under the influence of growth hormone from theanterior pituitary gland and sex hormones from the ovaries and testes.

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ven though bones stop growing in length in early adulthood, they can continue to increase inthickness or diameter throughout life in response to stress from increased muscle activity or to weight.The increase in diameter is called appositional growth. 'steoblasts in the periosteum form compactbone around the external bone surface. )t the same time, osteoclasts in the endosteum break downbone on the internal bone surface, around the medullary cavity. These two processes togetherincrease the diameter of the bone and, at the same time, keep the bone from becoming excessivelyheavy and bulky.

Classification of ones

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Lon" ones

The bones of the body come in avariety of si es and shapes. The four principal types of bones are long,short, flat and irregular. ones thatare longer than they are wide arecalled long bones. They consist of along shaft with two bulky ends orextremities. They are primarilycompact bone but may have a largeamount of spongy bone at the endsor extremities. 4ong bones includebones of the thigh, leg, arm, andforearm.

Short ones

-hort bones are roughly cubeshaped with vertical and hori ontaldimensions approximately equal.They consist primarily of spongybone, which is covered by a thinlayer of compact bone. -hort bonesinclude the bones of the wrist andankle.

Flat ones

5lat bones are thin, flattened, and usually curved. 1ost of the bones of the cranium are flat bones.

*rre"ular ones

ones that are not in any of the above three categories are classified as irregular bones. They areprimarily spongy bone that is covered with a thin layer of compact bone. The vertebrae and some ofthe bones in the skull are irregular bones.

)ll bones have surface markings and characteristics that make a specific bone unique. There areholes, depressions, smooth facets, lines, pro!ections and other markings. These usually representpassageways for vessels and nerves, points of articulation with other bones or points of attachmentfor tendons and ligaments.

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%i&isions of the Skeleton

The adult human skeleton usually consists of 206 named bones. These bones can begrouped in two divisions& axial skeleton and appendicular skeleton. The 70 bones of theaxial skeleton form the vertical axis of the body. They include the bones of the head,vertebral column, ribs and breastbone or sternum. The appendicular skeleton consists of826 bones and includes the free appendages and their attachments to the axial skeleton.The free appendages are the upper and lower extremities, or limbs, and their attachmentswhich are called girdles. The named bones of the body are listed below by category.

)xial -keleton +70 bones

Skull (28)*ranial ones

• /arietal +2

• Temporal +2

• 5rontal +8

• 'ccipital +8

• thmoid +8

• -phenoid +8

5acial ones

• 1axilla +2

• 9ygomatic +2

• 1andible +8

• :asal +2

• /latine +2

• $nferior nasalconcha +2

• 4acrimal +2

• "omer +8

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Au'itory,ssicles

• 1alleus +2

•

$ncus +2

• -tapes +2

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Hyoid (1)

Vetebral Column

• *ervicalvertebrae +;

• Thoracicvertebrae +82

• 4umbar vertebrae +<

• -acrum +8

• *occyx +8

Thoracic Cage

• -ternum +8

• %ibs +2=

)ppendicular -keleton +826 bones

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Pectoral girdles

• *lavicle +2

• -capula +2

U er !"tremity

• Humerus +2

• %adius +2

• >lna +2

• *arpals +86

• 1etacarpals+80

• /halanges +27

Pel#ic $irdle

• *oxal,innominate, or hip bones +2

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%o&er !"tremity

• 5emur +2

• Tibia +2

• 5ibula +2

• /atella +2

• Tarsals +8=

• 1etatarsals+80

• /halanges+27

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Articulations

)n articulation, or !oint, is where two bones come together. $n terms of the amount of movement theyallow, there are three types of !oints& immovable, slightly movable and freely movable.

Synarthroses

-ynarthroses are immovable !oints. The singular form is synarthrosis. $n these !oints, the bones comein very close contact and are separated only by a thin layer of fibrous connective tissue. The suturesin the skull are examples of immovable !oints

Am!hiarthroses

-lightly movable !oints are called amphiarthroses. The singular form is amphiarthrosis. $n this type of !oint, the bones are connected by hyaline cartilage or fibrocartilage. The ribs connected to the sternumby costal cartilages are slightly movable !oints connected by hyaline cartilage. The symphysis pubis isa slightly movable !oint in which there is a fibrocartilage pad between the two bones. The !ointsbetween the vertebrae and the intervertebral disks are also of this type.

%iarthroses

1ost !oints in the adultbody are diarthroses, orfreely movable !oints.The singular form isdiarthrosis. $n this typeof !oint, the ends of theopposing bones arecovered with hyaline

cartilage, the articularcartilage, and they areseparated by a spacecalled the !oint cavity.The components of the

!oints are enclosed in adense fibrous !ointcapsule. The outer layer of the capsule consistsof the ligaments thathold the bones together.The inner layer is thesynovial membrane that

secretes synovial fluidinto the !oint cavity forlubrication.

ecause all of these !oints have a synovial membrane, they are sometimes called synovial !oints.

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Skeletal System- .nit /e&ie)

Here is what we have learned from this unit&

• The human skeleton is well adapted for the functions it must perform. 5unctions of bonesinclude support, protection, movement, mineral storage, and formation of blood cells.

• There are two types of bone tissue& compact and spongy. *ompact bone consists of closelypacked osteons, or haversian system. -pongy bone consists of plates of bone, calledtrabeculae, around irregular spaces that contain red bone marrow.

• 'steogenesis is the process of bone formation. Three types of cells, osteoblasts, osteocytes,and osteoclasts, are involved in bone formation and remodeling.

•

$n intramembranous ossification, connective tissue membranes are replaced by bone. Thisprocess occurs in the flat bones of the skull. $n endochondral ossification, bone tissuereplaces hyaline cartilage models. 1ost bones are formed in this manner.

• ones grow in length at the epiphyseal plate between the diaphysis and the epiphysis. #henthe epiphyseal plate completely ossifies, bones no longer increase in length.

• ones may be classified as long, short, flat, or irregular. The diaphysis of a long bone is thecentral shaft. There is an epiphysis at each end of the diaphysis.

• The adult human skeleton usually consists of 206 named bones and these bones can begrouped in two divisions& axial skeleton and appendicular skeleton.

• The bones of the skeleton are grouped in two divisions& axial skeleton and appendicularskeleton.

• There are three types of !oints in terms of the amount of movement they allow& synarthroses+immovable , amphiarthroses +slightly movable , and diarthroses +freely movable .

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Lecture Note Human Anatomy and Fisiologi(Skeletal System)

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