SlideShare uma empresa Scribd logo
1 de 74
Introduction to
Muscloskeletal system
Dr.AMMAR JAWAD
MBChB, MPH
Musculoskeletal System
• The musculoskeletal system is the organ system
that gives us the ability to move (locomotion).
The primary functions of this system include:
Skeletal System
Functions:
1. Support
 The bones of the legs, pelvic, and vertebral column
support the weight of the erect body.
 The mandible (jawbone) supports the teeth.
 Other bones support various organs and tissues.
2. Protection
 The bones of the skull protect the brain.
 Ribs and sternum (breast bone) protect the lungs and
heart.
 Vertebrae protect the spinal cord.
Skeletal System
3. Movement
 Skeletal muscles use the bones as levers to move the
body.
4. Reservoir for minerals and adipose tissue
 99% of the body’s calcium is stored in bone.
 85% of the body’s phosphorous is stored in bone.
5. Hematopoiesis
 All blood cells are made in the marrow of certain bones.
 6. Triglyceride Storage
 Yellow bone marrow
 Triglycerides stored in adipose cells
 Serves as a potential chemical energy reserve
• 7. Heat generation
• The musculoskeletal system is comprised up of
the following tissues:
▫ Muscles
▫ Bones
▫ Cartilage, Ligaments, Tendons
▫ Joints
Muscles
Anatomy and Physiology
• Muscles
▫ Skeletal, smooth, and cardiac
• Joints
▫ The junction between two or more bones
• Tendons
▫ Cord-like structures that attach muscles to the
periosteum of the bone
▫ Attachments of the muscle
 Origin and insertion
Anatomy and Physiology
• Ligaments
▫ Fibrous tissue connecting two adjacent, freely
movable bones
• Cartilage
▫ Firm, dense type of connective tissue
• Bursae
▫ Small sac filled with synovial fluid
▫ Reduces friction between areas
Musculoskeletal System
•Ligaments connect
bone-to-bone or
reinforce joints--they
are made up of
tendinous tissue as
well
•E.g. knee ligaments
Ligaments
Tendons
• Tendons are calble-like fibrous tissues that connect
muscle-to-bone, functioning simply to transmit forces
Joints
Copyright 2010, John
Wiley & Sons, Inc.
Joints
• Points where bones meet
• Classifications
▫ Structurally: by their anatomy
 Fibrous, cartilaginous, or synovial
▫ Functionally: by the degree of movement they
permit
 Immovable, slightly movable, and freely movable
Structural Classification
• Based on what is between bones:
▫ Space (or not)
▫ Type of connective tissue present
• Types
▫ Fibrous joints - no cavity, just dense irregular
connective tissue
▫ Cartilaginous joints - no cavity, bones held
together by cartilage
▫ Synovial joints - have synovial cavity, dense
irregular tissue of articular capsule, and often
ligaments
Functional Classification
• Based on degree of movement they permit
• Types
▫ Synarthrosis: immovable
 Pelvis, sutures, teeth
▫ Amphiarthrosis: slightly movable
 Epiphyseal plate, tibia-fibula, vertebrae, pelvic
symphysis
▫ Diarthrosis: freely movable
 Most joints of the body
 All diarthrotic joints are synovial
Fibrous Joints
• Suture (synarthrosis)
▫ Joined by thin layer of dense fibrous connective
tissue
▫ Example: between bones of skull
• Syndesmosis
▫ Greater distance between bones and greater amount
of dense irregular connective tissue
▫ Examples
 Distal tibia to distal fibula (amphiarthrosis)
 Gomphosis (synarthrosis): tooth root in socket
(alveolar process) of mandible or maxilla
Fibrous Joints
• Interosseous membrane (amphiarthrosis)
▫ Has greater amount of dense irregular connective
tissue
▫ Examples: extensive membranes between shafts
of some long bones
 Radius-ulna
 Tibia-fibula
Fibrous Joints
Fibrous Joints
Fibrous Joints
Cartilaginous Joints
• Synchondrosis (synarthrosis)
▫ Cartilage connects two areas of bone
▫ Example
 Epiphyseal (growth) plate connecting epiphysis and
diaphysis of long bone (synarthrosis)
• Symphysis (amphiarthrosos)
▫ Cartilage connects two bones, but a broad disc of
fibrocartilage is present also
▫ Examples: pubic symphysis and intervertebral discs
Copyright 2010, John
Wiley & Sons, Inc.Cartilaginous Joints
Cartilaginous Joints
▫ Synovial
 Most complex joints
 Allow a large degree of relative motion between
articulating bones
 Surrounded by a fibrous capsule (synovial capsule)
 Hip, knee, elbow, ankle, etc.
Musculoskeletal System
Synovial fluid:
The joint capsule secretes whitish fluid that
works like oil in a machine, lubricating the joint
surfaces to reduce friction to promote smooth
operation and extend joint life.
Synovial Joints: Structure
• Synovial cavity: space containing fluid
• Articular cartilage
▫ Covers ends of bones, absorbs shock
• Articular capsule
▫ Inner layer: synovial membrane that secretes
synovial fluid (reduces friction, supplies nutrients)
▫ Outer layer: dense, irregular connective tissue
Synovial Joints: Structure
• In some cases synovial joints include:
▫ Ligaments (either inside or outside of joint cavity)
▫ Menisci (cartilage discs)
▫ Articular fat pads
▫ Bursae
 Sacs made of synovial membranes containing fluid
 Located where friction can occur
 Examples: between skin-bone, tendons-bones,
muscles-bones, ligaments-bones
Copyright 2010, John
Wiley & Sons, Inc.Synovial Joints: Structure
Copyright 2010, John
Wiley & Sons, Inc.Knee Joint
Joints (Factors Affecting Contact and Range
for Motion at Synovial Joints)
• Range of motion (ROM)
▫ Refers to the range, measured in degrees of a circle,
through which the bones of a joint can be moved
• Factors contribute to keeping the articular
surfaces in contact and affect range of motion:
▫ Structure or shape of the articulating bones
 Shape of bones determines how closely they fit together
▫ Strength and tension of the joint ligaments
 Ligaments are tense when the joint is in certain positions
 Tense ligaments restrict the range of motion
Joints (Factors Affecting Contact and Range for
Motion at Synovial Joints)
▫ Arrangement and tension of the muscles
 Muscle tension reinforces the restraint placed on a joint by its
ligaments , and thus restricts movement
▫ Contact of soft parts
 The point at which one body surface contacts another may limit
mobility
 Movement be restricted by the presence of adipose tissue
▫ Hormones
 Flexibility may also be affected by hormones
 Relaxin increases the flexibility of the pubic symphysis and
loosens the ligaments between the sacrum and hip bone toward
the end of pregnancy
▫ Disuse
 Movement may be restricted if a joint has not been used for an
extended period
Bone and cartilage
Cartilage: Connective tissue
•Chondroblasts lay down the
matrix,
•become chondrocytes when
surrounded by extra cellular
matrix
•Chondrocytes do not mitose
•Poor healing
•On aging, cartilage becomes
calcified
•Less flexible
•Not bone
Elastic: More flexible, e.g., ear
• Hyaline
▫ usually in the joints
Fibrocartilage
Resists compression—IV Disk,
menisci
Types (shapes) of Bones
•Long
▫ Femur
•Short
▫ Carpal
•Sesamoid
▫ Patella
•Flat
▫ Scapula
•Irregular
▫ Vertebra
40
Bone
• Bone classification
There are 206 bones in the human body.
• Skeleton system classified into two groups:
A. Axial skeleton
 Forms long axis of the body.
 Includes the bones of the skull, vertebral column, and rib
cage.
 These bones are involved in protection, support, and
carrying other body parts.
41
Skeletal System
B. Appendicular skeleton
 Bones of upper & lower limbs and the girdles (shoulder
bones and hip bones) that attach them to the axial
skeleton.
42
Skeletal System
• Basic Bone Structure
• Bones are organs composed of hard living tissue providing structural support to the
body.
• It is a hard matrix of calcium salts deposited around protein fibers. Minerals make
bone rigid and proteins (collagen) provide strength and elasticity.
Bones are organs. Thus, they’re composed of multiple tissue types. Bones are
composed of:
▫ Bone tissue (osseous tissue).
▫ Fibrous connective tissue.
▫ Cartilage.
▫ Vascular tissue.
▫ Lymphatic tissue.
▫ Adipose tissue.
▫ Nervous tissue.
Types of Osseous Tissue
1. Compact Bone
1. Dense, found in the walls, or cortex
2. Spongy or Cancellous Bone
1. Network of struts and thin plates (trabeculae)
3. Marrow
1. Red and Yellow
44
Skeletal System
• Bone Matrix:
▫ Consists of organic and inorganic components.
▫ 1/3 organic and 2/3 inorganic by weight
▫ Organic component consists of several materials that
are secreted by the osteoblasts:
45
Skeletal System
• Inorganic component of bone matrix
▫ Consists mainly of two components :
1. Calcium phosphate.
2. Calcium hydroxide.
▫ These 2 salts interact to form a compound called
hydroxyapatite.
▫ Bone also contains smaller amounts of magnesium,
▫ fluoride, and sodium.
▫ These minerals give bone its characteristic hardness and the
ability to resist compression.
46
Skeletal System
• Long Bone Structure
• Shaft plus 2 expanded ends.
• Shaft is known as the diaphysis.
▫ Consists of a thick collar of compact bone surrounding a
central marrow cavity
• Expanded ends are epiphyses
▫ Thin layer of compact bone covering an interior of spongy
bone.
▫ Joint surface of each epiphysis is covered with a type of
hyaline cartilage known as articular cartilage.
47
49
Skeletal System
• The external surface of the entire bone except for the joint
surfaces of the epiphyses is covered by a double-layered
membrane known as the periosteum.
▫ Periosteum is richly supplied with nerve fibers, lymphatic vessels and
blood vessels.
 These enter the bone of the shaft via a nutrient foramen.
▫ Periosteum is connected to the bone matrix via strong strands of
collagen
50
Skeletal System
• Internal bone surfaces are covered with a delicate
connective tissue membrane known as the
endosteum.
▫ Covers the spongy bone in the marrow cavities and
lines the canals that pass through compact bone.
▫ Contains both osteoblasts and osteoclasts.
Typical (Long) Bone Structure
Internal Organization of a Typical Bone
Osteon = Functional unit of bone
1. Compact Bone
• Osteon = functional unit of
bone
• The mineral matrix is
hydroxyapatite
• Osteoblasts lay down the
matrix in layers (lamellae)
▫ Become osteocytes when
surrounded by EC matrix
▫ Lacunae
• Osteoclasts break
down bone
2. Spongy Bone
• No osteons
• Lacy network of
struts called
trabeculae reinforce
the bone
• Covered by
endosteum
3. Marrow
• Red Marrow
▫ Active
▫ Blood Precursors
• Yellow Marrow
▫ Inactive
▫ Mostly fat
58
Skeletal System
• Bone marrow is a general term for the soft tissue
occupying the medullary cavity of a long bone,
the spaces amid the trabeculae of spongy bone,
and the larger haversian canals.
 Red bone marrow looks like blood but with a thicker
consistency.
 It consists of a delicate mesh of reticular tissue saturated
with immature red blood cells and scattered adipocytes.
59
Skeletal System
Bone Marrow
60
Skeletal System
• In a child, the medullary cavity of nearly every
bone is filled with red bone marrow.
• In young to middle-aged adults, the long bones
are filled with fatty yellow bone marrow.
▫ Yellow marrow no longer produces blood, although in
the event of severe or chronic anemia, it can transform
back into red marrow
• In adults, red marrow is limited to the axial
skeleton, pelvic girdle, and proximal heads of the
humerus and the femur.
61
Skeletal System
• Bone tissue is a type of connective tissue consist of
cells and a big amount of extra-cellular matrix.
• Bone cells:
• Osteogenic cells
▫ Undergo cell division; the resulting cells develop
into osteoblasts
Osteoblasts
Bone-building cells.
Synthesize and secrete collagen fibers and other organic components of
bone matrix.
Initiate the process of calcification.
Found in both the periosteum and the endosteum
63
The blue arrows indicate the
osteoblasts. The yellow arrows indicate
the bone matrix they’ve just secreted.
64
Skeletal System
Osteocytes
 Mature bone cells.
 Osteoblasts that have become trapped by the secretion of
matrix.
 No longer secrete matrix.
 Responsible for maintaining the bone tissue.
67
Skeletal System
Osteoclasts
▫ Huge cells derived from the fusion of as many as 50
monocytes (a type of white blood cell).
▫ Cells that digest bone matrix – this process is called
bone resorption and is part of normal bone growth,
development, maintenance, and repair.
▫ Concentrated in the endosteum.
Bone Development
• Osteogenesis (ossification): is the process of bone tissue formation.
• In embryos this leads to the formation of the bony skeleton.
• In children and young adults, ossification occurs as part of bone
growth.
• In adults, it occurs as part of bone re-modeling and bone repair.
Formation of the Bony Skeleton
• Before week 8, the human embryonic skeleton is made of
fibrous membranes and hyaline cartilage.
• After week 8, bone tissue begins to replace the fibrous
membranes and hyaline cartilage.
▫ The development of bone from a fibrous membrane is called intra-
membranous ossification.
▫ Plates of Bone e.g. skull
▫ The replacement of hyaline cartilage with bone is known as endo-
chondral ossification.
• Long Bones
Bone Circulation
P M S 1  Intro (Updated)

Mais conteúdo relacionado

Mais procurados (20)

Joints in skeletal system
Joints in skeletal systemJoints in skeletal system
Joints in skeletal system
 
Anatomy and physiology of a bone
 Anatomy and physiology of a bone Anatomy and physiology of a bone
Anatomy and physiology of a bone
 
Bone tissue
Bone tissueBone tissue
Bone tissue
 
Cartilage and joints
Cartilage and jointsCartilage and joints
Cartilage and joints
 
LT4.2 Skeletal System
LT4.2 Skeletal SystemLT4.2 Skeletal System
LT4.2 Skeletal System
 
Bones and cartilages
Bones and cartilagesBones and cartilages
Bones and cartilages
 
Histo – bone
Histo – boneHisto – bone
Histo – bone
 
Joints
JointsJoints
Joints
 
Bone
BoneBone
Bone
 
Gross structure of adult long bone
Gross structure of adult long boneGross structure of adult long bone
Gross structure of adult long bone
 
Skeletal physiology 101
Skeletal physiology 101Skeletal physiology 101
Skeletal physiology 101
 
Structure of long bone
Structure of long boneStructure of long bone
Structure of long bone
 
Lecture 1 (introduction to bone)
Lecture 1 (introduction to bone)Lecture 1 (introduction to bone)
Lecture 1 (introduction to bone)
 
General Osteology by Dr. Rahul Singh Thakur
General Osteology by Dr. Rahul Singh ThakurGeneral Osteology by Dr. Rahul Singh Thakur
General Osteology by Dr. Rahul Singh Thakur
 
Lecture bone structure & markings
Lecture bone structure & markingsLecture bone structure & markings
Lecture bone structure & markings
 
Bone tissue
Bone tissueBone tissue
Bone tissue
 
Skeletal physiology
Skeletal physiologySkeletal physiology
Skeletal physiology
 
General osteology
General osteologyGeneral osteology
General osteology
 
Long bone
Long boneLong bone
Long bone
 
Skeletal system dr. noura
Skeletal system dr. nouraSkeletal system dr. noura
Skeletal system dr. noura
 

Destaque

P M S 2 Fractures And Healing
P M S 2  Fractures And  HealingP M S 2  Fractures And  Healing
P M S 2 Fractures And Healing
Ariff Anuar
 

Destaque (7)

PMS 1 intro
PMS 1 introPMS 1 intro
PMS 1 intro
 
P M S 2 Fractures And Healing
P M S 2  Fractures And  HealingP M S 2  Fractures And  Healing
P M S 2 Fractures And Healing
 
Hematopoiesis
HematopoiesisHematopoiesis
Hematopoiesis
 
What's Next in Growth? 2016
What's Next in Growth? 2016What's Next in Growth? 2016
What's Next in Growth? 2016
 
The Six Highest Performing B2B Blog Post Formats
The Six Highest Performing B2B Blog Post FormatsThe Six Highest Performing B2B Blog Post Formats
The Six Highest Performing B2B Blog Post Formats
 
The Outcome Economy
The Outcome EconomyThe Outcome Economy
The Outcome Economy
 
32 Ways a Digital Marketing Consultant Can Help Grow Your Business
32 Ways a Digital Marketing Consultant Can Help Grow Your Business32 Ways a Digital Marketing Consultant Can Help Grow Your Business
32 Ways a Digital Marketing Consultant Can Help Grow Your Business
 

Semelhante a P M S 1 Intro (Updated)

1. Unit - 7- Skeleton anatomy by Thiru murugan
1. Unit - 7- Skeleton anatomy by Thiru murugan1. Unit - 7- Skeleton anatomy by Thiru murugan
1. Unit - 7- Skeleton anatomy by Thiru murugan
thiru murugan
 
1 GNM anatomy Unit -13 - Skeletal system.pptx
1 GNM anatomy Unit -13 - Skeletal system.pptx1 GNM anatomy Unit -13 - Skeletal system.pptx
1 GNM anatomy Unit -13 - Skeletal system.pptx
thiru murugan
 
Bonetissuetoskeletalsystemppt 110126162139-phpapp02
Bonetissuetoskeletalsystemppt 110126162139-phpapp02Bonetissuetoskeletalsystemppt 110126162139-phpapp02
Bonetissuetoskeletalsystemppt 110126162139-phpapp02
IICCAA
 

Semelhante a P M S 1 Intro (Updated) (20)

The musculoskeletal system
The musculoskeletal systemThe musculoskeletal system
The musculoskeletal system
 
overview of A AND PHY.pptx
overview of A AND PHY.pptxoverview of A AND PHY.pptx
overview of A AND PHY.pptx
 
1. Unit - 7- Skeleton anatomy by Thiru murugan
1. Unit - 7- Skeleton anatomy by Thiru murugan1. Unit - 7- Skeleton anatomy by Thiru murugan
1. Unit - 7- Skeleton anatomy by Thiru murugan
 
The Musculoskeletal system
The Musculoskeletal systemThe Musculoskeletal system
The Musculoskeletal system
 
skeletal system.pdf
skeletal system.pdfskeletal system.pdf
skeletal system.pdf
 
Skeletal system
Skeletal systemSkeletal system
Skeletal system
 
Anatomy of the Bones by Dr Niazur Rahman
Anatomy of the Bones by Dr Niazur RahmanAnatomy of the Bones by Dr Niazur Rahman
Anatomy of the Bones by Dr Niazur Rahman
 
The skeletal system
The skeletal systemThe skeletal system
The skeletal system
 
bones_Skeleton system.pptx
bones_Skeleton system.pptxbones_Skeleton system.pptx
bones_Skeleton system.pptx
 
Bone structure and type
Bone structure and typeBone structure and type
Bone structure and type
 
1 GNM anatomy Unit -13 - Skeletal system.pptx
1 GNM anatomy Unit -13 - Skeletal system.pptx1 GNM anatomy Unit -13 - Skeletal system.pptx
1 GNM anatomy Unit -13 - Skeletal system.pptx
 
Musculoskeletal System
Musculoskeletal System Musculoskeletal System
Musculoskeletal System
 
Bonetissuetoskeletalsystemppt 110126162139-phpapp02
Bonetissuetoskeletalsystemppt 110126162139-phpapp02Bonetissuetoskeletalsystemppt 110126162139-phpapp02
Bonetissuetoskeletalsystemppt 110126162139-phpapp02
 
Bone Tissue.pptx
Bone Tissue.pptxBone Tissue.pptx
Bone Tissue.pptx
 
Histology of musculoskeletal system
Histology of musculoskeletal systemHistology of musculoskeletal system
Histology of musculoskeletal system
 
bones
bonesbones
bones
 
The skeletal system
The skeletal systemThe skeletal system
The skeletal system
 
Introduction to osteology
Introduction to osteologyIntroduction to osteology
Introduction to osteology
 
1.3 human movement system
1.3 human movement system1.3 human movement system
1.3 human movement system
 
Osteology
OsteologyOsteology
Osteology
 

P M S 1 Intro (Updated)

  • 2. Musculoskeletal System • The musculoskeletal system is the organ system that gives us the ability to move (locomotion). The primary functions of this system include:
  • 3. Skeletal System Functions: 1. Support  The bones of the legs, pelvic, and vertebral column support the weight of the erect body.  The mandible (jawbone) supports the teeth.  Other bones support various organs and tissues. 2. Protection  The bones of the skull protect the brain.  Ribs and sternum (breast bone) protect the lungs and heart.  Vertebrae protect the spinal cord.
  • 4. Skeletal System 3. Movement  Skeletal muscles use the bones as levers to move the body. 4. Reservoir for minerals and adipose tissue  99% of the body’s calcium is stored in bone.  85% of the body’s phosphorous is stored in bone. 5. Hematopoiesis  All blood cells are made in the marrow of certain bones.
  • 5.  6. Triglyceride Storage  Yellow bone marrow  Triglycerides stored in adipose cells  Serves as a potential chemical energy reserve • 7. Heat generation
  • 6. • The musculoskeletal system is comprised up of the following tissues: ▫ Muscles ▫ Bones ▫ Cartilage, Ligaments, Tendons ▫ Joints
  • 8. Anatomy and Physiology • Muscles ▫ Skeletal, smooth, and cardiac • Joints ▫ The junction between two or more bones • Tendons ▫ Cord-like structures that attach muscles to the periosteum of the bone ▫ Attachments of the muscle  Origin and insertion
  • 9. Anatomy and Physiology • Ligaments ▫ Fibrous tissue connecting two adjacent, freely movable bones • Cartilage ▫ Firm, dense type of connective tissue • Bursae ▫ Small sac filled with synovial fluid ▫ Reduces friction between areas
  • 11. •Ligaments connect bone-to-bone or reinforce joints--they are made up of tendinous tissue as well •E.g. knee ligaments Ligaments
  • 12.
  • 13. Tendons • Tendons are calble-like fibrous tissues that connect muscle-to-bone, functioning simply to transmit forces
  • 15. Copyright 2010, John Wiley & Sons, Inc. Joints • Points where bones meet • Classifications ▫ Structurally: by their anatomy  Fibrous, cartilaginous, or synovial ▫ Functionally: by the degree of movement they permit  Immovable, slightly movable, and freely movable
  • 16. Structural Classification • Based on what is between bones: ▫ Space (or not) ▫ Type of connective tissue present • Types ▫ Fibrous joints - no cavity, just dense irregular connective tissue ▫ Cartilaginous joints - no cavity, bones held together by cartilage ▫ Synovial joints - have synovial cavity, dense irregular tissue of articular capsule, and often ligaments
  • 17. Functional Classification • Based on degree of movement they permit • Types ▫ Synarthrosis: immovable  Pelvis, sutures, teeth ▫ Amphiarthrosis: slightly movable  Epiphyseal plate, tibia-fibula, vertebrae, pelvic symphysis ▫ Diarthrosis: freely movable  Most joints of the body  All diarthrotic joints are synovial
  • 18. Fibrous Joints • Suture (synarthrosis) ▫ Joined by thin layer of dense fibrous connective tissue ▫ Example: between bones of skull • Syndesmosis ▫ Greater distance between bones and greater amount of dense irregular connective tissue ▫ Examples  Distal tibia to distal fibula (amphiarthrosis)  Gomphosis (synarthrosis): tooth root in socket (alveolar process) of mandible or maxilla
  • 19. Fibrous Joints • Interosseous membrane (amphiarthrosis) ▫ Has greater amount of dense irregular connective tissue ▫ Examples: extensive membranes between shafts of some long bones  Radius-ulna  Tibia-fibula
  • 23. Cartilaginous Joints • Synchondrosis (synarthrosis) ▫ Cartilage connects two areas of bone ▫ Example  Epiphyseal (growth) plate connecting epiphysis and diaphysis of long bone (synarthrosis) • Symphysis (amphiarthrosos) ▫ Cartilage connects two bones, but a broad disc of fibrocartilage is present also ▫ Examples: pubic symphysis and intervertebral discs
  • 24. Copyright 2010, John Wiley & Sons, Inc.Cartilaginous Joints
  • 26. ▫ Synovial  Most complex joints  Allow a large degree of relative motion between articulating bones  Surrounded by a fibrous capsule (synovial capsule)  Hip, knee, elbow, ankle, etc.
  • 27. Musculoskeletal System Synovial fluid: The joint capsule secretes whitish fluid that works like oil in a machine, lubricating the joint surfaces to reduce friction to promote smooth operation and extend joint life.
  • 28. Synovial Joints: Structure • Synovial cavity: space containing fluid • Articular cartilage ▫ Covers ends of bones, absorbs shock • Articular capsule ▫ Inner layer: synovial membrane that secretes synovial fluid (reduces friction, supplies nutrients) ▫ Outer layer: dense, irregular connective tissue
  • 29. Synovial Joints: Structure • In some cases synovial joints include: ▫ Ligaments (either inside or outside of joint cavity) ▫ Menisci (cartilage discs) ▫ Articular fat pads ▫ Bursae  Sacs made of synovial membranes containing fluid  Located where friction can occur  Examples: between skin-bone, tendons-bones, muscles-bones, ligaments-bones
  • 30. Copyright 2010, John Wiley & Sons, Inc.Synovial Joints: Structure
  • 31. Copyright 2010, John Wiley & Sons, Inc.Knee Joint
  • 32. Joints (Factors Affecting Contact and Range for Motion at Synovial Joints) • Range of motion (ROM) ▫ Refers to the range, measured in degrees of a circle, through which the bones of a joint can be moved • Factors contribute to keeping the articular surfaces in contact and affect range of motion: ▫ Structure or shape of the articulating bones  Shape of bones determines how closely they fit together ▫ Strength and tension of the joint ligaments  Ligaments are tense when the joint is in certain positions  Tense ligaments restrict the range of motion
  • 33. Joints (Factors Affecting Contact and Range for Motion at Synovial Joints) ▫ Arrangement and tension of the muscles  Muscle tension reinforces the restraint placed on a joint by its ligaments , and thus restricts movement ▫ Contact of soft parts  The point at which one body surface contacts another may limit mobility  Movement be restricted by the presence of adipose tissue ▫ Hormones  Flexibility may also be affected by hormones  Relaxin increases the flexibility of the pubic symphysis and loosens the ligaments between the sacrum and hip bone toward the end of pregnancy ▫ Disuse  Movement may be restricted if a joint has not been used for an extended period
  • 35. Cartilage: Connective tissue •Chondroblasts lay down the matrix, •become chondrocytes when surrounded by extra cellular matrix •Chondrocytes do not mitose •Poor healing •On aging, cartilage becomes calcified •Less flexible •Not bone
  • 37. • Hyaline ▫ usually in the joints
  • 39. Types (shapes) of Bones •Long ▫ Femur •Short ▫ Carpal •Sesamoid ▫ Patella •Flat ▫ Scapula •Irregular ▫ Vertebra
  • 40. 40 Bone • Bone classification There are 206 bones in the human body. • Skeleton system classified into two groups: A. Axial skeleton  Forms long axis of the body.  Includes the bones of the skull, vertebral column, and rib cage.  These bones are involved in protection, support, and carrying other body parts.
  • 41. 41 Skeletal System B. Appendicular skeleton  Bones of upper & lower limbs and the girdles (shoulder bones and hip bones) that attach them to the axial skeleton.
  • 42. 42 Skeletal System • Basic Bone Structure • Bones are organs composed of hard living tissue providing structural support to the body. • It is a hard matrix of calcium salts deposited around protein fibers. Minerals make bone rigid and proteins (collagen) provide strength and elasticity. Bones are organs. Thus, they’re composed of multiple tissue types. Bones are composed of: ▫ Bone tissue (osseous tissue). ▫ Fibrous connective tissue. ▫ Cartilage. ▫ Vascular tissue. ▫ Lymphatic tissue. ▫ Adipose tissue. ▫ Nervous tissue.
  • 43. Types of Osseous Tissue 1. Compact Bone 1. Dense, found in the walls, or cortex 2. Spongy or Cancellous Bone 1. Network of struts and thin plates (trabeculae) 3. Marrow 1. Red and Yellow
  • 44. 44 Skeletal System • Bone Matrix: ▫ Consists of organic and inorganic components. ▫ 1/3 organic and 2/3 inorganic by weight ▫ Organic component consists of several materials that are secreted by the osteoblasts:
  • 45. 45 Skeletal System • Inorganic component of bone matrix ▫ Consists mainly of two components : 1. Calcium phosphate. 2. Calcium hydroxide. ▫ These 2 salts interact to form a compound called hydroxyapatite. ▫ Bone also contains smaller amounts of magnesium, ▫ fluoride, and sodium. ▫ These minerals give bone its characteristic hardness and the ability to resist compression.
  • 46. 46 Skeletal System • Long Bone Structure • Shaft plus 2 expanded ends. • Shaft is known as the diaphysis. ▫ Consists of a thick collar of compact bone surrounding a central marrow cavity • Expanded ends are epiphyses ▫ Thin layer of compact bone covering an interior of spongy bone. ▫ Joint surface of each epiphysis is covered with a type of hyaline cartilage known as articular cartilage.
  • 47. 47
  • 48.
  • 49. 49 Skeletal System • The external surface of the entire bone except for the joint surfaces of the epiphyses is covered by a double-layered membrane known as the periosteum. ▫ Periosteum is richly supplied with nerve fibers, lymphatic vessels and blood vessels.  These enter the bone of the shaft via a nutrient foramen. ▫ Periosteum is connected to the bone matrix via strong strands of collagen
  • 50. 50 Skeletal System • Internal bone surfaces are covered with a delicate connective tissue membrane known as the endosteum. ▫ Covers the spongy bone in the marrow cavities and lines the canals that pass through compact bone. ▫ Contains both osteoblasts and osteoclasts.
  • 51.
  • 52. Typical (Long) Bone Structure
  • 53. Internal Organization of a Typical Bone Osteon = Functional unit of bone
  • 54. 1. Compact Bone • Osteon = functional unit of bone • The mineral matrix is hydroxyapatite • Osteoblasts lay down the matrix in layers (lamellae) ▫ Become osteocytes when surrounded by EC matrix ▫ Lacunae • Osteoclasts break down bone
  • 55.
  • 56. 2. Spongy Bone • No osteons • Lacy network of struts called trabeculae reinforce the bone • Covered by endosteum
  • 57. 3. Marrow • Red Marrow ▫ Active ▫ Blood Precursors • Yellow Marrow ▫ Inactive ▫ Mostly fat
  • 58. 58 Skeletal System • Bone marrow is a general term for the soft tissue occupying the medullary cavity of a long bone, the spaces amid the trabeculae of spongy bone, and the larger haversian canals.  Red bone marrow looks like blood but with a thicker consistency.  It consists of a delicate mesh of reticular tissue saturated with immature red blood cells and scattered adipocytes.
  • 60. 60 Skeletal System • In a child, the medullary cavity of nearly every bone is filled with red bone marrow. • In young to middle-aged adults, the long bones are filled with fatty yellow bone marrow. ▫ Yellow marrow no longer produces blood, although in the event of severe or chronic anemia, it can transform back into red marrow • In adults, red marrow is limited to the axial skeleton, pelvic girdle, and proximal heads of the humerus and the femur.
  • 61. 61 Skeletal System • Bone tissue is a type of connective tissue consist of cells and a big amount of extra-cellular matrix. • Bone cells: • Osteogenic cells ▫ Undergo cell division; the resulting cells develop into osteoblasts
  • 62. Osteoblasts Bone-building cells. Synthesize and secrete collagen fibers and other organic components of bone matrix. Initiate the process of calcification. Found in both the periosteum and the endosteum
  • 63. 63 The blue arrows indicate the osteoblasts. The yellow arrows indicate the bone matrix they’ve just secreted.
  • 64. 64 Skeletal System Osteocytes  Mature bone cells.  Osteoblasts that have become trapped by the secretion of matrix.  No longer secrete matrix.  Responsible for maintaining the bone tissue.
  • 65.
  • 66.
  • 67. 67 Skeletal System Osteoclasts ▫ Huge cells derived from the fusion of as many as 50 monocytes (a type of white blood cell). ▫ Cells that digest bone matrix – this process is called bone resorption and is part of normal bone growth, development, maintenance, and repair. ▫ Concentrated in the endosteum.
  • 68.
  • 69. Bone Development • Osteogenesis (ossification): is the process of bone tissue formation. • In embryos this leads to the formation of the bony skeleton. • In children and young adults, ossification occurs as part of bone growth. • In adults, it occurs as part of bone re-modeling and bone repair.
  • 70.
  • 71.
  • 72. Formation of the Bony Skeleton • Before week 8, the human embryonic skeleton is made of fibrous membranes and hyaline cartilage. • After week 8, bone tissue begins to replace the fibrous membranes and hyaline cartilage. ▫ The development of bone from a fibrous membrane is called intra- membranous ossification. ▫ Plates of Bone e.g. skull ▫ The replacement of hyaline cartilage with bone is known as endo- chondral ossification. • Long Bones