Anatomy & Physiology

Skeletal System

I.  Functions of the Skeletal System

A.  ______the body

B.  ______of vital organs

C.  Provide ______for movement

D.  ______storage (calcium & phosphate)

E.  ______cell formation

II.  Bone Structure

A.  Microscopic anatomy

1.  ______– complex series of canals & ______that run through the dense bone matrix and supply ______to the osteocytes (bone cells)

a.  ______(Haversian canal) – elongated cylinder that runs ______to the long axis of the bone. Arteries, veins, & nerves run through the osteons.

b.  ______– rings or layers of bone matrix.

c.  ______– space in the bony matrix where the osteocyte resides.

d.  ______– small channels that connect lacuna (and neighboring osteocytes) to each other and provide a means for passing nutrients & wastes between cells.

e.  Matrix composition – ______& ______

2.  Types of bone tissue

a.  ______bone – relatively solid part of bone. Make bones hard & strong. Usually found on the ______of the bone.

b.  ______bone – network of bony struts that form a “honeycomb” of flat bony pieces. Allows bones to be lightweight. Found on the ______of the bones.

1)  ______– interlocking plates or struts.

2)  ______(red or yellow) - fills the spaces between the trabeculae.

B.  Gross anatomy

1.  ______– expanded ends. Compact bone on the exterior. Spongy bone fills the interior. The joint surface of each epiphysis is covered with a layer of ______.

2.  ______– shaft of the bone. Composed of a thick layer of compact bone.

a.  ______– hollow shaft of the diaphysis. It is filled with marrow.

b.  ______on a bone is normally applied along the axis of the diaphysis.

3.  ______– tissue that fills the spaces of spongy bone & medullary canals.

a.  ______– ______tissue (blood cell forming).

1)  found in ______the spongy bone & medullary canals of ______

2)  found in the ______bones of ______.

b.  ______– fat. Found in the medullary canals of the ______bones of ______.

4.  ______cartilage – ______cartilage that covers the ends of bones & provides a smooth articulating surface between the two bones of a joint.

5.  ______– fibrous, tough, vascular layer that covers the outer surface of a bone.

a.  Actively involved in bone ______& ______.

b.  Allows attachment surface for tendons & ligaments.

6.  ______– covers the internal bone surface of the medullary canal. Similar to periosteum.

C.  Bone Development (______)

1.  Formation of bones from the hardening of ______cartilage models of the future bones.

2.  ______the process of bone formation. Has 2 phases.

a.  ______ossification

1)  Begins at the center of the ______of the hyaline “bone” around the ______month of development.

2)  A bone collar forms around the diaphysis of the hyaline model.

3)  Hyaline bone becomes ossified with ______.

4)  Ossification proceeds from the center of the diaphysis toward the two epiphyses.

5)  The hyaline bone continues to grow & elongate, thus preventing the ossification from reaching the epiphyses for ______years.

b.  ______ossification

1)  Around ______, both of the epiphyses begin calcifying the cartilage from the inside outward.

2)  Primary & secondary ossification usually finishes around ______years of age.

3)  The junction of P & S ossification forms a gagged line called the ______.

c.  Hyaline cartilage remains at the ends of the bones as ______cartilage.

D.  Bone Remodeling

1.  The continual breaking down of calcium salts by ______and the relaying of calcium salts by ______.

2.  We recycle _____% to _____% of our bones every week to repair and strengthen the bones and to maintain calcium balance in our blood.

E.  Hormonal effect on bone growth & remodeling

1.  ______gland – secretes the hormone ______, which stimulates ______& decreases blood calcium levels. Makes bones stronger.

2.  ______– secretes the hormone ______, which stimulates ______activity & increases blood calcium levels. This makes the bones weaker.

3.  Anterior Pituitary – secretes ______, which stimulates bone growth & elongation.

F.  Classification of bones

1.  ______– almost all bones of appendages

2.  ______– carpals & tarsals

3.  ______– ribs, scapula, cranial bones, sternum

4.  ______– vertebrae, coxal, facial

5.  ______– small bones with no bony attachments (E.g. patella)

III.  Skeletal System Disorders

A.  Bone Fractures

1.  ______– bone breaks cleanly, but does not penetrate the skin.

2.  ______– broken ends of the bone penetrate through the skin.

3.  ______– bone broken into many pieces & fragments.

4.  ______– bone is crushed inward.

5.  ______– broken bone ends forced into each other.

6.  ______– ragged break occurs when excessive twisting is applied to the bone.

7.  ______– bone breaks incompletely much like a green twig.

B.  Skeletal Disorders

1.  ______– decreased osteoblast activity due to the body’s inability to absorb calcium. Usually seen in the ______although exercise & proper calcium intake in middle years can delay the onset of this disorder. Factors that speed up the effects of osteoporosis are: ______. More often seen in ______.

2.  ______– Vit. _____ deficiency causes soft bones due to a reduction in calcium. Causes ______legs and other skeletal disformities.

3.  ______– excessive GH secretion ______closure of the epiphyseal plates. Results in a ______.

4.  ______– excessive GH secretion ______ closure of the epiphyseal plates. Results in ______.

IV.  Joints / Articulations

A.  General info

1.  Joints are ______.

2.  Three functional types: ______movable (synarthrosis); ______moveable (amphiarthrosis); ______moveable (diarthrosis)

B.  Synarthroses (______movable joints)

1.  Occur between bones that come in close contact with each other.

2.  A thin layer of fibrous connective tissue separates the bones.

3.  Examples are:

C.  Amphiarthroses (______moveable joints)

1.  Joints are limited to a few degrees of movement.

2.  Occur in areas where the bones are connected by disks of fibrocartilage or by thick ligaments.

3.  Examples are:

D.  Diarthroses (______moveable joints)

1.  Joints are able to move in ______directions and with ______degrees of movement.

2.  Bones have a layer of ______(hyaline) cartilage at the ends & are held together by ligaments.

3.  Articulating bones are separated by a fluid filled joint cavity – the ______cavity – that allows for substantial freedom of movement.

4.  The articular capsule is a double layers capsule that surrounds the ends of the bones with a protective fibrous layer and a inner synovial membrane.

5.  ______fluid is a slippery lubricant that fills the synovial joint.

6.  Synovial joints that bear greater weight (E.g. knee) contain ______pads & fluid filled sacs (______) also help to pad the joints from extrinsic wear.

E.  Types of freely moveable joints

1.  ______– most freely moveable type. Able to move in 3 planes. Ex: ______

2.  ______- nearly flat surfaces are able to glide over one another in 2 planes. Ex: ______.

3.  ______- oval surface of one bone fits on the complementary concave surface of the other bone. Ex:______.

4.  ______– convex surface of one bone fits into the concave surface of the other bone thus limiting them to 1 plane of movement.
Ex: ______.

5.  ______– cylindrical surface of one bone rotates within a ring formed by the other bone. Movement limited to rotation.
Ex: ______.

6.  ______– cones with both concave & convex shaped articular surfaces. Allows for a wide variety of movements. Only one example –

V.  Joint Disorders

A.  ______– chronic joint disorder due to the wearing down of the articular cartilage due to age. Often called “______” arthritis. Accounts for ______% of all arthritis.

B.  ______arthritis – autoimmune disease whereby the immune system attacks its own tissues and destroys the articular cartilage. Onset usually begins in the ______’s and can eventually lead to disfigurement and crippling.

C.  ______– the build up of ______crystals in the joints. The crystals are painful and can wear away at the articular cartilage.

D.  ______– inflammation of a bursa due to injury or excessive friction in a joint.

E.  ______– inflammation of the tendon sheaths of a joint due to overuse.