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    The Human Bones As lectured by Bien Nillos, MD

    Reference: Grays Anatomy

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    Do what you love. Know your own bone; gnaw abury it, unearth it, and gnaw it still. - Henry DaviThoreau

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    Introduction to Bones

    Th ere are 206 bonesVertebral Bones 26

    Skull 22Hyoid Bone 1Ribs and Sternum 25

    Upper Extremities 64Lower Extremities 62

    Auditory Ossicles 6* Patella (kneecap) is included

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    F our Classes of Bonesclavicle,humerus, radius,ulna, femur,tibia, fibula,metacarpals,metatarsals,

    phalanges

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    F our Classes of Bones

    S h ort BonesCarpals

    T arsalsPatella &sesamoid bones

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    F our Classes of BonesF lat Bones

    occipital, parietal,frontal, nasal, lacrimal,vomer, scapula,Pelvic bonessternum, ribs,according to some,

    th e patella

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    F our Classes of Bones

    Irregular Bonesvertebr,sacrum, coccyx,temporal, sphenoid,ethmoid, zygomatic,maxilla, mandible,palatine, inferior nasal

    concha, and hyoid.

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    Bone Markings: Projections vsDepressions

    Projections or processes grow out of th

    eboneDepressions or cavities indent t h e bone

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    ProjectionsCondyle rounded articular Head - bony expansion on anarrow neckF

    acet - smooth

    , nearly flatarticular surfaceRamus Armlike bar of bone

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    Crest: Narrow ridge (Line: smaller t h an a

    crest)Epicondyle: Raised area on or above a

    condyleT ubercle: Small rounded projectionT uberosity: large rounded or roug h enedprojectionT roc h anter: very large, blunt projectionSpine: S h arp, pointed projection

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    Depressions

    Meatus canal or tubelikeF ossa s h allow basin

    F issure narrow, slit-like openingSinus cavity wit h in a bone (air-filled)F oramen round or oval opening

    Sulcus or groove, or furrow; a s h allowdepression

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    The Skeleton: Axialvs. Appendicular

    Axial Vertebral column,skull, ribs and sternum

    Appendicular upper and lower extremities,s h oulder and pelvicgirdles

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    Vertebral Column

    flexuous and flexible column,formed of a series of bonescalled vertebrae.cervical, thoracic, lumbar,sacral, and coccygeal7 in th e cervical region, 12 inth e t h oracic, 5 in t h e lumbar,5 in t h e sacral, and 4 in t h ecoccygeal.

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    W hat is a vertebra

    an anterior segment, t h e body, and aposterior part, t h e vertebral or neural

    arch; th

    ese enclose a foramen, th

    e vertebralforamenvertebral arc h consists of a pair of pedicles and a pair of lamin, andsupports seven processes(four articular, two transverse, andone spinous )

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    Atlas and Axis and VertebraProminens

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    The Thoracic Vertebra

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    The Lumbar Vertebra

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    The Thorax

    osseo-cartilaginous cage, containing andprotecting t h e principal organs of respirationand circulation.conical in s h ape, being narrow above andbroad below, flattened from before backward,and longer be h ind t h an in front

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    Boundaries of the ThoracicCage

    Posterior surface - twelve t h oracic vertebrand t h e posterior parts of t h e ribs

    Anterior surface - t h e sternum and costalcartilages, flattened or slig h tly convex, andinclined from above downward and forwardLateral surface - t h e ribs, separated fromeac h oth er by t h e intercostal spaces (11 innumber)

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    Upper Opening (t h oracic inlet) - first t h oracicvertebra be h ind, t h e upper margin of t h e sternum infront, and t h e first rib on eit h er side

    Lower Opening (t h oracic outlet) - t h e 12 th th oracicvertebra be h ind, by t h e 11 th and 12 th ribs at t h esides, and in front by t h e cartilages of t h e 10 th , 9 th ,8 th , and 7 th ribs, w h ich ascend on eit h er side and

    form an angle, t h e subcostal angle, into t h e apexof w h ich th e xip h oid process projects

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    The Sternum (Breast Bone)

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    4. Identify

    5. Identify

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    6 -10. Identify whether Long,Short, F lat or Irregular Bones

    6. Sacrum7 . 5 th Metatarsal

    8. Scapula9. Atlas10. 12 th rib

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    The E xtremities

    The shoulder girdle or girdle of thesuperior extremity is formed by t h escapulae and claviclesTh e pelvic girdle or girdle of the inferior extremity is formed by t h e h ip bones, w h ich articulate wit h eac h oth er in front, at t h e

    symp h ysis pubis

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    The Clavicle

    anterior portion of t h e s h oulder girdle. It is a longbone, curved somew h at like t h e italic letter f (or S), and placed nearly h orizontally at t h e upper and

    anterior part of t h e t h orax, immediately above t h efirst ribarticulates medially wit h th e manubrium sterni, andlaterally wit h th e acromion of t h e scapula

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    The Scapula

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    forms t h e posterior part of t h e s h oulder girdle.It is a flat, triangular bone, wit h TW O (2)surfaces, T HREE (3) borders, and T HREE(3) angles

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    VEN T RAL Surface - subscapular fossaDORSAL Surface - subdivided into two

    unequal parts by th

    e spinesupraspinatous fossa smaller of t h e two,broader at its vertebral t h an at its h umeral end; itsmedial two-t h irds give origin to t h e Supraspinatus

    infraspinatous fossa - muc h larger

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    Th e spine is aprominent plate of bone,wh ich crosses obliquelyth e medial four-fift h s of th e dorsal surface of t h escapula at its upper part,and separates t h esupra- from t h einfraspinatous fossa

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    Th e acromionforms t h e summit of th e s h oulder, and isa large, somew h attriangular or oblongprocess, flattened

    from beh

    ind forward,projecting at firstlateralward, andth en curving forwardand upward, so asto over h angth e glenoid cavity

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    The Humerus

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    Radius andUlna

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    The HandCarpalsMetacarpalsP h alanges

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    Scap h oid (Navicular) T rapezium (G. Multangular)Lunate T rapezoid (L. Multangular)

    T riquetrium ( T riangular) CapitatePisiform Hamate

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    EN D O F PART T W O

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    Q uiz on Part Two

    1. Angle formed by t h e union of t h e scapulas lateralborder and medial border

    2. Angle formed by t h e union of t h e scapulassuperior border and lateral border

    3. Angle formed by t h e union of t h e scapulas medialborder and superior border

    4. Divides t h e scapula into supraspinatous fossa andinfraspinatous fossa

    5-6. Th e Glenoid fossa is formed by t h e union of w h attwo borders of t h e scapula?

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    7 .

    8 .

    9.

    10.

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    Mnemonics for the Tarsals

    T all Californian Navy Medical Interns LayCuties

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    The Human Bones As lectured by Bien Nillos, MDReference: Grays Anatomy

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    The Hip Bone

    large, flattened, irregularly s h aped bone,constricted in t h e center and expanded aboveand belowmeets its fellow on t h e opposite side in t h emiddle line in front, and toget h er t h ey formth e sides and anterior wall of t h e pelvic cavity

    consists of t h ree parts: t h e ilium,ischium, and pubis

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    Th e union of t h e t h ree parts takes place inand around a large cup-s h aped articular cavity, t h e acetabulum, wh ich is situatednear t h e middle of t h e outer surface of t h e

    bone.

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    Ilium superior, broad, extends upward fromth e acetabulumIsc

    hium lowest, strongest portionPubis extends medialward, downward from

    th e acetabulum, meets midline, forms t h eanterior portion of t h e pelvis

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    Th e Pelvis is divided by an oblique planepassing t h roug h th e prominence of t h esacrum, t h e arcuate and pectineal lines, andth e upper margin of t h e symp h ysis pubis, intoth e greater and t h e lesser pelvis. Th ecircumference of t h is plane is termed

    th

    e linea terminalis or pelvic brim

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    The Greater or F alse Pelvis ( pelvis major ). Th egreater pelvis is t h e expanded portion of t h e cavitysituated above and in front of t h e pelvic brim. It isbounded on eit h er side by t h e ilium; in f ront it isincomplete, presenting a wide interval between t h eanterior borders of t h e ilia, w h ich is filled up in t h efres h state by t h e parietes of t h e abdomen; be h indis a deep notc h on eit h er side between t h e ilium and

    th

    e base of th

    e sacrum.It supports t

    he intestines,and transmits part of t h eir weig h t to t h e anterior wall

    of th e abdomen.

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    The Lesser or True Pelvis ( pelvisminor ). Th e lesser pelvis is t h at part of t h epelvic cavity w h ich is situated below andbe h ind t h e pelvic brim. Its bony walls aremore complete t h an t h ose of t h e greater pelvis. F or convenience of description, it is

    divided into an inlet bounded by th

    e superior circumference, and outlet bounded by t h einferior circumference, and a cavity.

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    The Superior Circumference. Th esuperior circumference forms t h e brim of t h epelvis, t h e included space being calledth e superior aperture or inlet .formed laterally by t h e pectineal and arcuatelines, in front by t h e crests of t h e pubes, and

    be h ind by t h e anterior margin of t h e base of th e sacrum and sacrovertebral angle

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    Three Principal DiametersThe anteroposterior or conjugatediameter extends from t h e sacrovertebral angle toth e symp h ysis pubis; its average measurement isabout 110 mm. in t h e female.Th e transverse diameter extends across t h egreatest widt h of t h e superior aperture, from t h emiddle of t h e brim on one side to t h e same point onth e opposite; its average measurement is about 135mm. in t h e female.Th e oblique diameter extends from t h e iliopectinealeminence of one side to t h e sacroiliac articulation of th e opposite side; its average measurement is about125 mm. in t h e female.

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    The Lower Circumference. Th e lower circumference of t h e pelvis is very irregular;th e space enclosed by it is namedth e inferior aperture or outletbounded be h ind by t h e point of t h e coccyx,and laterally by t h e isc h ial tuberosities

    Th e diameters of t h e outlet of t h e pelvis aretwo, antero-posterior and transverse

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    Th e antero-posterior diameter extends fromth e tip of t h e coccyx to t h e lower part of t h epubic symp h ysis; its measurement is from 90to 115 mm. in t h e female.Th e transverse diameter, measuredbetween t h e posterior parts of t h e isc h ial

    tuberosities, is about 115 mm. in t h e female.

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    In t h e erect posture, t h epelvis is placed obliquelywith regard to t h e trunk: t h eplane of t h e superior aperture forms an angle of from 50 to 60, and t h at of th e inferior aperture one of about 15 wit h th e h orizontalplane. Th e pelvic surface of th e symp h ysis pubis looksupward and backward, t h e

    concavity of th

    e sacrum andcoccyx downward andforward

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    The F emur

    StrongestLongest

    Almost cylindricalIn t h e erect postureit is not vertical

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    Patella

    flat, triangular bone, situated on t h e front of t h eknee-joint. It is usually regarded as a sesamoidboneserves to protect t h e front of t h e joint, and increasesth e leverage of t h e Q uadriceps femoris by makingit act at a greater angle

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    Shin Bones: Tibia and F ibulaTh e Tibia articulates wit h th e F emur (upper leg) and t h e T alus (Ankle). Th isbone carries all t h e bodys weig h t. It isth e main bone of t h e lower leg and canbe found on t h e more medial side of t h eleg. Alth oug h th is bone runs parallel to t h eT ibia, t h e F ibula doesnt actually carrymuc h weig h t. Instead, it acts as astabilizer. Its inferior end (Lateral

    Malleolus) is th

    e bone th

    at sticks out onth e outside of t h e ankle. Th e F ibula canbe found on t h e lateral side (outside) of th e lower leg.

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    The Bones of the F oot

    T arsalsMetatarsals

    Ph

    alanges

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    EN D O F LE CTUR E ON BO NE S

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