1 chapter 8 lecture outline see powerpoint image slides for all figures and tables pre-inserted into...
TRANSCRIPT
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Chapter 8Chapter 8
Lecture Lecture OutlineOutline
See PowerPoint Image SlidesSee PowerPoint Image Slides
for all figures and tables pre-inserted intofor all figures and tables pre-inserted into
PowerPoint without notes.PowerPoint without notes.
Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Overview of the SkeletonOverview of the Skeleton
Regions of the skeletonRegions of the skeleton• axial skeleton = central axisaxial skeleton = central axis• appendicular skeleton = limbs and appendicular skeleton = limbs and
girdlesgirdles Number of bonesNumber of bones
• 206 in typical adult skeleton206 in typical adult skeleton varies with development of sesamoid bones varies with development of sesamoid bones
(patella)(patella) Classification of ossicles on the earClassification of ossicles on the ear
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Surface Features of BonesSurface Features of Bones
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Axial and Appendicular SkeletonAxial and Appendicular Skeleton
Axial skeleton in Axial skeleton in tantan• skull, vertebrae, skull, vertebrae,
sternum, ribs, sternum, ribs, sacrum and hyoidsacrum and hyoid
Appendicular Appendicular skeleton in greenskeleton in green• pectoral girdlepectoral girdle• upper extremityupper extremity• pelvic girdlepelvic girdle• lower extremitylower extremity
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Major Skull CavitiesMajor Skull Cavities
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The SkullThe Skull
22 bones joined together by sutures22 bones joined together by sutures Cranial bones surround cranial cavityCranial bones surround cranial cavity
Facial bones support teeth and form Facial bones support teeth and form nasal cavity and orbitnasal cavity and orbit
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Cranial FossaCranial Fossa
3 basins that comprise the cranial floor or base3 basins that comprise the cranial floor or base• anterior fossa holds the frontal lobe of the brainanterior fossa holds the frontal lobe of the brain• middle fossa holds the temporal lobes of the middle fossa holds the temporal lobes of the
brainbrain• posterior fossa contains the cerebellumposterior fossa contains the cerebellum
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Frontal BoneFrontal Bone Forms forehead and Forms forehead and
part of the roof of part of the roof of the craniumthe cranium
Forms roof of the Forms roof of the orbitorbit
Contains frontal Contains frontal sinussinus
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Parietal BoneParietal Bone
Cranial roof and part Cranial roof and part of its lateral wallsof its lateral walls
Bordered by 4 Bordered by 4 suturessutures
Temporal lines of Temporal lines of temporalis muscletemporalis muscleTemporal lines
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Temporal BoneTemporal Bone Lateral wall and part Lateral wall and part
of floor of cranial of floor of cranial cavitycavity
zygomatic processzygomatic process mandibular fossa and mandibular fossa and
TMJTMJ
external auditory external auditory meatusmeatus
styloid processstyloid process mastoid processmastoid process
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Petrous Portion of Temporal BonePetrous Portion of Temporal Bone
Part of cranial floorPart of cranial floor
Houses middle and Houses middle and inner ear cavitiesinner ear cavities
• internal auditory meatusinternal auditory meatus
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Right Temporal Bone Right Temporal Bone
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Openings in Temporal BoneOpenings in Temporal Bone
Carotid canalCarotid canal
Jugular foramenJugular foramen• Created by temporal Created by temporal
and occipital bone and occipital bone “joint”“joint”
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Occipital BoneOccipital Bone
Foramen magnum holds Foramen magnum holds spinal cordspinal cord
Skull rests on atlas at Skull rests on atlas at occipital condylesoccipital condyles
External occipital External occipital protuberance for nuchal protuberance for nuchal ligamentligament
Nuchal lines mark neck Nuchal lines mark neck musclesmuscles
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Sphenoid BoneSphenoid Bone
Lesser wingLesser wing Greater wingGreater wing Body of sphenoidBody of sphenoid Medial and lateral Medial and lateral
pterygoid processespterygoid processes
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Sphenoid BoneSphenoid Bone Body of the sphenoidBody of the sphenoid
• sella turcica contains sella turcica contains hypophyseal fossahypophyseal fossa
• houses pituitary glandhouses pituitary gland Lesser wingLesser wing
• optic foramen optic foramen Greater wing Greater wing
Foramen ovaleForamen ovale
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Sphenoid BoneSphenoid Bone
Sphenoid sinusSphenoid sinus
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Ethmoid BoneEthmoid Bone
Lateral walls and roof nasal Lateral walls and roof nasal cavitycavity
Cribriform plate and crista galliCribriform plate and crista galli Ethmoid air cells form ethmoid Ethmoid air cells form ethmoid
sinussinus Perpendicular plate forms part Perpendicular plate forms part
of nasal septumof nasal septum Concha (turbinates) on lateral Concha (turbinates) on lateral
wallwall
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Ethmoid BoneEthmoid Bone
Superior and middle conchaSuperior and middle concha
Perpendicular plate of Perpendicular plate of nasal septumnasal septum
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Maxillary BonesMaxillary Bones
Forms upper jawForms upper jaw• alveolar processes are bony pointsalveolar processes are bony points
between teethbetween teeth• alveolar sockets hold teethalveolar sockets hold teeth
Forms inferomedial wall of orbitForms inferomedial wall of orbit• infraorbital forameninfraorbital foramen
Forms anterior 2/3’sForms anterior 2/3’sof hard palateof hard palate• incisive foramenincisive foramen• cleft palate cleft palate
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Locations of Paranasal SinusesLocations of Paranasal Sinuses
Maxillary sinus fills maxillae boneMaxillary sinus fills maxillae bone Other bones containing sinuses are frontal, Other bones containing sinuses are frontal,
ethmoid and sphenoid.ethmoid and sphenoid.
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Palatine BonesPalatine Bones
L-shaped boneL-shaped bone Posterior 1/3 of the Posterior 1/3 of the
hard palate hard palate Part of lateral nasal Part of lateral nasal
wallwall Part of the orbital Part of the orbital
floorfloor
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Zygomatic BonesZygomatic Bones
Forms angles of the Forms angles of the cheekbones and part cheekbones and part of lateral orbital wallof lateral orbital wall
Zygomatic arch is Zygomatic arch is formed from formed from temporal process of temporal process of zygomatic bone and zygomatic bone and zygomatic process of zygomatic process of temporal bonetemporal bone
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Lacrimal BonesLacrimal Bones
Form part of medial Form part of medial wall of each orbitwall of each orbit
Lacrimal fossaLacrimal fossa
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Nasal BonesNasal Bones
Forms bridge of Forms bridge of nose and supports nose and supports cartilages of nosecartilages of nose
Often fractured by Often fractured by blow to the noseblow to the nose
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Inferior Nasal ConchaeInferior Nasal Conchae
A separate boneA separate bone Not part of ethmoid Not part of ethmoid
like the superior and like the superior and middle concha or middle concha or turbinatesturbinates
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VomerVomer
Inferior half of the Inferior half of the nasal septumnasal septum
Supports cartilage Supports cartilage of nasal septumof nasal septum
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Only movable bone Only movable bone • TMJ joint between mandibular fossaTMJ joint between mandibular fossa
and condyloid processand condyloid process Attachment of muscles of Attachment of muscles of
masticationmastication
Mandibular foramenMandibular foramen Mental foramenMental foramen
MandibleMandible
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Ramus, Angle and Body of Ramus, Angle and Body of MandibleMandible
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Auditory ossiclesAuditory ossicles• malleus, incus, and malleus, incus, and
stapesstapes Hyoid boneHyoid bone
• suspended from suspended from styloid process of styloid process of skull by muscle skull by muscle and ligamentand ligament
Bones Associated With SkullBones Associated With Skull
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Skull in Infancy and ChildhoodSkull in Infancy and Childhood
Spaces between Spaces between unfused bones called unfused bones called fontanelsfontanels• filled with fibrous filled with fibrous
membranemembrane• allow shifting of bones allow shifting of bones
during birth and growth during birth and growth of brain of brain
Skull reaches adult size Skull reaches adult size by 8 or 9by 8 or 9
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The Vertebral ColumnThe Vertebral Column
33 vertebrae and 33 vertebrae and intervertebral discs of intervertebral discs of fibrocartilagefibrocartilage
Five vertebral groupsFive vertebral groups
• 7 cervical in the neck7 cervical in the neck• 12 thoracic in the chest12 thoracic in the chest• 5 lumbar in lower back5 lumbar in lower back• 5 fused sacral 5 fused sacral • 4 fused coccygeal 4 fused coccygeal
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Newborn Spinal CurvatureNewborn Spinal Curvature
Spine exhibits one Spine exhibits one continuous C-continuous C-shaped curveshaped curve
Known as primary Known as primary curvature curvature
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Adult Spinal CurvaturesAdult Spinal Curvatures
S-shaped vertebral S-shaped vertebral column with 4 column with 4 curvaturescurvatures
Secondary curvatures Secondary curvatures develop after birthdevelop after birth• lifting head as it begins lifting head as it begins
to crawl develops to crawl develops cervical curvaturecervical curvature
• walking upright walking upright develops lumbar develops lumbar curvaturecurvature
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Abnormal Spinal CurvaturesAbnormal Spinal Curvatures From disease, From disease,
posture, paralysis posture, paralysis or congenital defector congenital defect
Scoliosis from lack Scoliosis from lack of proper of proper development of one development of one vertebraevertebrae
Kyphosis is from Kyphosis is from osteoporosisosteoporosis
Lordosis is from Lordosis is from weak abdominal weak abdominal musclesmuscles
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General Structure of VertebraGeneral Structure of Vertebra
Body Body Vertebral foramen Vertebral foramen
form vertebral canalform vertebral canal Neural arch Neural arch
• 2 lamina2 lamina• 2 pedicles2 pedicles
ProcessesProcesses• spinous, transverse spinous, transverse
and articularand articular
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Intervertebral Foramen and DiscsIntervertebral Foramen and Discs Intervertebral Intervertebral
foramenforamen• passageway for nervespassageway for nerves
Intervertebral discsIntervertebral discs• bind vertebrae bind vertebrae
togethertogether• absorb shockabsorb shock• gelatinous nucleus gelatinous nucleus
pulposus surrounded pulposus surrounded by anulus fibrosus (ring by anulus fibrosus (ring of fibrocartilage)of fibrocartilage)
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Typical Cervical VertebraeTypical Cervical Vertebrae
Small body and larger vertebral foramenSmall body and larger vertebral foramen Transverse process short with transverse Transverse process short with transverse
foramen for protection of vertebral arteriesforamen for protection of vertebral arteries Bifid or forked spinous process in C2 to C6Bifid or forked spinous process in C2 to C6
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The Unique Atlas and AxisThe Unique Atlas and Axis Atlas (C1) supports the Atlas (C1) supports the
skullskull• ring surrounding large ring surrounding large
vertebral foramenvertebral foramen anterior and posterior archanterior and posterior arch no vertebral bodyno vertebral body
Axis (C2)Axis (C2)• dens or odontoid process is dens or odontoid process is
held in place inside the held in place inside the vertebral foramen of the vertebral foramen of the atlas by ligamentsatlas by ligaments
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Atlas and Axis ArticulationAtlas and Axis Articulation
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Typical Thoracic VertebraeTypical Thoracic Vertebrae
Larger body than cervical but smaller than lumbarLarger body than cervical but smaller than lumbar Spinous processes pointed and angled downwardSpinous processes pointed and angled downward
Rib attachmentRib attachment• costal facets on vertebral body and at ends of transverse costal facets on vertebral body and at ends of transverse
processes for articulation of ribsprocesses for articulation of ribs
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Lumbar VertebraeLumbar Vertebrae
Thick, stout body and blunt, squarish Thick, stout body and blunt, squarish spinous processspinous process
Superior articular processes face mediallySuperior articular processes face medially• lumbar region resistant to twisting movementslumbar region resistant to twisting movements
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Sacrum (Anterior View)Sacrum (Anterior View)
5 sacral vertebrae 5 sacral vertebrae fuse by age 26fuse by age 26
Ala and Sacral Ala and Sacral prominenceprominence
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Sacrum (Posterior View)Sacrum (Posterior View)
Median sacral crestMedian sacral crest Lateral sacral crestLateral sacral crest Posterior sacral Posterior sacral
foraminaforamina
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CoccyxCoccyx
Single, small boneSingle, small bone• 4 vertebrae fused by 304 vertebrae fused by 30• Co1 to Co4Co1 to Co4
Fractured by fall or Fractured by fall or during childbirthduring childbirth
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Thoracic CageThoracic Cage
Consists of thoracic Consists of thoracic vertebrae, sternum and vertebrae, sternum and ribsribs
Protects many organsProtects many organs Rhythmically expanded Rhythmically expanded
by respiratory muscles by respiratory muscles to draw air into the to draw air into the lungslungs
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Rib StructureRib Structure Flat blade called a shaftFlat blade called a shaft
• inferior margin has costal inferior margin has costal groove for nerves and vesselsgroove for nerves and vessels
Proximal head and tubercle Proximal head and tubercle are connected by neckare connected by neck
ArticulationArticulation• head with body of vertebraehead with body of vertebrae• tubercle with transverse tubercle with transverse
processprocess
Tubercle Head
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Numbered Rib ArticulationsNumbered Rib Articulations
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True and False RibsTrue and False Ribs
True ribs (1 to 7) True ribs (1 to 7) attach to sternum attach to sternum with hyaline with hyaline cartilage cartilage
False ribs (8-12)False ribs (8-12)• 11-12 are floating 11-12 are floating
and not attached to and not attached to sternumsternum
12 pairs of ribs in 12 pairs of ribs in both sexesboth sexes
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Pectoral GirdlePectoral Girdle Attaches upper extremity to the bodyAttaches upper extremity to the body Scapula and clavicleScapula and clavicle Clavicle attaches medially to the Clavicle attaches medially to the
sternum and laterally to the scapulasternum and laterally to the scapula• sternoclavicular jointsternoclavicular joint• acromioclavicular jointacromioclavicular joint
Scapula articulates with the humerusScapula articulates with the humerus• humeroscapular or shoulder jointhumeroscapular or shoulder joint• easily dislocated due to loose attachmenteasily dislocated due to loose attachment
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ClavicleClavicle
S-shaped bone, flattened dorsoventrally S-shaped bone, flattened dorsoventrally Sternal end rounded -- acromial end flattenedSternal end rounded -- acromial end flattened
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ScapulaScapula
Coracoid process = muscle attachmentCoracoid process = muscle attachment Subscapular, infraspinous and supraspinous fossaSubscapular, infraspinous and supraspinous fossa Glenoid fossa = socket for head of humerusGlenoid fossa = socket for head of humerus
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Scapular FeaturesScapular Features
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Upper LimbUpper Limb
Brachium (arm) = humerusBrachium (arm) = humerus Antebrachium (forearm) = radius and Antebrachium (forearm) = radius and
ulna (radius on thumb side)ulna (radius on thumb side) Carpus (wrist) = 8 small bones(2 rows)Carpus (wrist) = 8 small bones(2 rows) Manus (hand) = 19 bones(2 groups)Manus (hand) = 19 bones(2 groups)
• 5 metacarpals in palm5 metacarpals in palm• 14 phalanges in fingers14 phalanges in fingers
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HumerusHumerus
Anatomical neckAnatomical neck Greater and lesser tubercles Greater and lesser tubercles
and deltoid tuberosityand deltoid tuberosity Intertubercular groove holds Intertubercular groove holds
biceps tendonbiceps tendon Trochlea articulates with ulna Trochlea articulates with ulna Olecranon fossa holds Olecranon fossa holds
olecranon process of ulnaolecranon process of ulna Forearm muscles attach to Forearm muscles attach to
medial and lateral medial and lateral epicondyles epicondyles
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Ulna and RadiusUlna and Radius RadiusRadius
• head head articulates with capitulum articulates with capitulum
• radial tuberosityradial tuberosity UlnaUlna
• olecranon and trochlear olecranon and trochlear notch notch
Interosseous membraneInterosseous membrane• ligament attaches radius to ligament attaches radius to
ulna along interosseous ulna along interosseous margin of each bonemargin of each bone
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Carpal BonesCarpal Bones
Form wristForm wrist
2 rows 2 rows • proximal row = proximal row =
scaphoid, lunate, scaphoid, lunate, triquetrum and triquetrum and pisiformpisiform
• distal row = distal row = trapezium, trapezoid, trapezium, trapezoid, capitate and hamatecapitate and hamate
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Metacarpals and PhalangesMetacarpals and Phalanges
Phalanges are Phalanges are bones of the bones of the fingersfingers
Metacarpals are Metacarpals are bones of the palmbones of the palm
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Sesamoid BoneSesamoid Bone
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Pelvic GirdlePelvic Girdle
Girdle = 2 hip bonesGirdle = 2 hip bones Pelvis = girdle and sacrumPelvis = girdle and sacrum
Anteriorly, pubic bones are Anteriorly, pubic bones are joined by pad of joined by pad of fibrocartilage to form pubic fibrocartilage to form pubic symphysissymphysis
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Pelvic Inlet and OutletPelvic Inlet and Outlet
False and true pelvis separated at pelvic False and true pelvis separated at pelvic brimbrim
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Os Coxae (Hip Bone)Os Coxae (Hip Bone) Acetabulum is hip joint Acetabulum is hip joint
socketsocket IliumIlium
• iliac crest and iliac fossailiac crest and iliac fossa PubisPubis
• body, superior and inferior body, superior and inferior ramusramus
IschiumIschium• ischial spineischial spine• ischial ramus joins inferior ischial ramus joins inferior
pubic pubic ramusramus
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Comparison of Male and Comparison of Male and FemaleFemale
Female lighter, shallower pubic arch( >100 degrees), Female lighter, shallower pubic arch( >100 degrees), and pubic inlet round or ovaland pubic inlet round or oval
Male heavier, upper pelvis nearly vertical, Male heavier, upper pelvis nearly vertical, coccyx more vertical, and pelvic inlet heart-shapedcoccyx more vertical, and pelvic inlet heart-shaped
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Femur and Patella (Kneecap)Femur and Patella (Kneecap)
Nearly spherical head and Nearly spherical head and constricted neckconstricted neck• ligament to fovea capitisligament to fovea capitis
Greater and lesser Greater and lesser trochanterstrochanters
Posterior ridge called linea Posterior ridge called linea asperaaspera
Medial and lateral condyles Medial and lateral condyles and epicondyles found and epicondyles found distallydistally
Patella = triangular Patella = triangular sesamoidsesamoid
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TibiaTibia
Broad superior head with Broad superior head with 2 flat articular surfaces2 flat articular surfaces
medial and lateral condylesmedial and lateral condyles
• roughened anterior roughened anterior surface palpated below surface palpated below patellapatella(tibial tuberosity)(tibial tuberosity)
• distal expansion = medial distal expansion = medial malleolus malleolus
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FibulaFibula
Does not bear any Does not bear any body weightbody weight
Head = proximal Head = proximal endend
Lateral malleolus = Lateral malleolus = distal expansiondistal expansion
Joined to tibia by Joined to tibia by interosseous interosseous membranemembrane
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The Ankle and FootThe Ankle and Foot Tarsal bones are shaped and Tarsal bones are shaped and
arranged differently from carpal arranged differently from carpal bones due to load-bearing role of bones due to load-bearing role of the anklethe ankle
Talus is most superior tarsal boneTalus is most superior tarsal bone• forms ankle joint with tibia and forms ankle joint with tibia and
fibulafibula• sits upon calcaneus and articulates sits upon calcaneus and articulates
with navicularwith navicular Calcaneus forms heel (achilles Calcaneus forms heel (achilles
tendon)tendon) Distal row of tarsal bonesDistal row of tarsal bones
• cuboid, medial, intermediate and cuboid, medial, intermediate and lateral cuneiformslateral cuneiforms
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The FootThe Foot
Remaining bones of foot Remaining bones of foot are similar in name and are similar in name and arrangement to the handarrangement to the hand
Metatarsal I is proximal to Metatarsal I is proximal to the great toe (hallux)the great toe (hallux)• base, shaft and headbase, shaft and head
PhalangesPhalanges• 2 in great toe2 in great toe
proximal and distalproximal and distal
• 3 in all other toes3 in all other toes proximal, middle and distalproximal, middle and distal