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    Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

    Chapter 7Anatomy of Bones

    and Joints

    Bone Trabeculae

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    General Considerations of Bones

    Average adult skeleton has 206 bones (Figure 7.1)

    Bones are paired or unpaired

    Most anatomical terms used to describe the featuresof bones are based on the relationship between thebones and associated ligaments, muscles, joints,nerves, and blood vessels (Table 7.1) Processes

    Surfaces

    Holes The skeleton is divided into the axial and

    appendicularskeletons

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    Fig 7.1

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    Tab. 7.1

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    Axial Skeleton

    The axial skeleton forms the upright axis of thebody

    Consists of

    Skull Auditory ossicles

    Hyoid bone

    Vertebral column

    Thoracic cage (rib cage)

    Protects the brain, the spinal cord, and the vital

    organs housed within the thorax

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    Axial Skeleton

    Skull Composed of 22 bones

    The braincase protects the brain Paired parietal and temporal bones, and the unpaired

    frontal, occipital, sphenoid, and ethmoid bones The facial bones protect the sensory organs of the

    head and serve as muscle attachment sites The 14 facial bones are the maxilla (2), zygomatic (2),

    palatine (2), lacrimal (2), nasal (2), inferior nasal concha

    (2), mandible (1), and vomer (1) bones The mandible and maxillae hold the teeth, and the

    auditory ossicles that function in hearing, arelocated inside the temporal bones

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    Axial Skeleton

    Skull (External view) Parietal bones

    Joined at the midline by the sagittal suture

    Joined to the frontal bone by the coronal suture

    Joined to the occipital bone by the lambdoid suture

    Joined to the temporal bone by the squamoussuture

    The external occipital protuberance is an

    attachment site for an elastic ligament

    Nuchal lines are the points of attachment forneck muscles

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    Fig 7.2

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    Fig 7.3

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    Axial Skeleton

    Skull (Lateral view) The external acoustic meatus transmits sound

    waves toward the eardrum

    Neck muscles attach to the mastoid process,which contains mastoid air cells

    The temporal lines are attachment points ofthe temporalis muscle

    The zygomatic arch, from the temporal andzygomatic bones forms a bridge across theside of the skull

    The mandible articulates with the temporal

    bone

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    Fig 7.4

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    Fig 7.5

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    Axial Skeleton

    Skull (Anterior view) The orbits contain the eyes

    The nasal cavity is divided by the nasalseptum

    Sinuses within bone are air-filled cavities The paranasal sinuses, which connect to the nasal

    cavity, are the Frontal sinus

    Sphenoidal sinus

    Maxillary sinuses

    Ethmoidal labyrinth

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    Fig 7.6

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    Fig 7.7

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    Fig 7.8

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    Fig 7.9

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    Fig 7.10

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    Axial Skeleton

    Skull (Inferior surface) Spinal cord and brain are connected through

    the foramen magnum

    Occipital condyles are points of articulationbetween the skull and the vertebral column

    Blood reaches the brain through the internal

    carotid arteries, which pass through the

    carotid canals, and the vertebral arteries,which pass through the foramen magnum

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    Axial Skeleton

    Skull (Inferior surface) Most blood leaves the brain through the

    internal jugular veins, which exit through the

    jugular foramina Styloid processes provide attachment points

    for three muscles involved in movement of the

    tongue, hyoid bone, and pharynx

    The hard palate separates the oral cavity fromthe nasal cavity

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    Fig 7.11

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    Axial Skeleton

    Skull (Superior view inside the cranialcavity)

    The crista galli is a point of attachment for one

    of the meninges The olfactory nerves extend into the roof of

    the nasal cavity through the olfactory foramina

    of the cribriform plate

    The sella turcica is occupied by the pituitary

    gland

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    Tab. 7.2

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    Tab. 7.3

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    Fig 7.12

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    Axial Skeleton

    The hyoid bone,which floats in

    the neck, is the

    attachment sitefor throat and

    tongue muscles

    Fig 7.13

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    Axial Skeleton

    Vertebral Column Provides flexible support and protects the spinal

    cord

    The vertebral column has four major curvatures: Cervical

    Thoracic

    Lumbar

    Sacral/CoccygealAbnormal curvatures are

    lordosis (lumbar)

    kyphosis (thoracic)

    scoliosis (lateral)

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    Fig 7.14

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    Fig 7.15

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    Axial Skeleton

    Vertebral Column (Vertebra) Consists of a body, a vertebral arch, and various

    processes Part of the body and vertebral arch (pedicle and lamina) form

    the vertebral foramen, which contains and protects the spinal

    cord The transverse and spinous processes are points of muscle

    and ligament attachment

    Vertebrae articulate with one another through the superiorand inferior articular processes

    Spinal nerves exit through the intervertebral foramina Adjacent bodies are separated by intervertebral disks

    Fibrous outer covering (annulus fibrosus)

    Gelatinous interior (nucleus pulposus)

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    Fig 7.16

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    Tab. 7.4

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    Axial Skeleton

    Vertebral Column Components All seven cervical vertebrae have transverse

    foramina, and most have bifid spinous processes

    The 12 thoracic vertebrae have attachment sites forribs and are characterized by long, downward-pointing spinous processes

    The five lumbar vertebrae have thick, heavy bodiesand processes. Their superior articular facets facemedially and their inferior articular facets face laterally

    The sacrum consists of five fused vertebrae andattaches to the coxal bones to form the pelvis

    The coccyx consists of four fused vertebrae attachedto the sacrum

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    Fig 7.17

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    Fig 7.18

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    Tab.

    7.4(Contd.)

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    Tab. 7.5

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    Page

    160.a

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    Page

    160.b

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    Axial Skeleton

    Thoracic Cage The thoracic cage (consisting of the ribs, their

    associated costal cartilages, and the sternum)protects the thoracic organs and changes volumeduring respiration

    Twelve pairs of ribs attach to the thoracic vertebrae Seven pairs oftrue ribs

    Five pairs offalse ribs

    Two pairs of false ribs are floating

    The sternum is composed of the Manubrium

    Body

    Xiphoid process

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    Fig 7.19

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    Fig 7.20

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    Appendicular Skeleton

    Consists of the bones of the upperandlower limbs and the girdles by which they

    are attached to the body

    Pectoral girdle: upper limbs Pelvic girdle: lower limbs

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    Appendicular Skeleton

    Pectoral Girdle Consists of the scapulae and clavicles

    Scapula Articulates with the humerus (at the glenoid cavity)

    and the clavicle (at the acromion) Attachment site for shoulder, back and arm

    muscles

    Clavicle

    Holds the shoulder away from the body and allowsmovement of the scapula, resulting in freemovement of the arm

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    Fig 7.21

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    Fig 7.22

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    Fig 7.23

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    Appendicular Skeleton

    Upper Limb The arm bone is the humerus

    Articulates with the scapula (head), the radius(capitulum), and the ulna (trochlea)

    Sites of muscle attachment are the greater andlesser tubercles, the deltoid tuberosity, and theepicondyles

    The forearm contains the ulna and radius

    The ulna and radius articulate with each other andwith the humerus and wrist bones

    The wrist ligaments attach to the styloid processesof the radius and ulna

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    Fig 7.24

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    Fig 7 25