Documente Academic
Documente Profesional
Documente Cultură
Dr A. L. Neill
BSc MSc MBBS PhD FACBS medicalamanda@gmail.com
For Depression.
Pizotifen malate
Introduction
This is now the fourth in the A to Z series and looks like as I had hoped that it will be part of a greater A to Z project with a website which will have all the images for student and health professional use. Using the positive feedback I have obtained from the A to Z of the Skull, I have enlarged the scope of the book to include all the bones, joints and ligaments of the human body. I have added and changed the presentation to incorporate some of the excellent suggestions I have had from the Skull and other books. Again I have included a feedback page at the end of this book and I hope that from it if there are any suggestions or ideas about the publication that this will be used as a guide to any of you who may have some ideas for this project. However if you just want to write fax, email or other send your suggestions to me, I am always pleased to hear them. I am always grateful for the feedback I have received from the other publications.
Acknowledgement
Again I would like and need to thank Aspen Pharmacare for their support and assistance in this valuable project particularly Greg Lan. In a day when there is deep concern within the medical and other health care professional bodies that anatomy and other basic sciences are not being taught adequately to new students, this type of resource is even more important. Students are aware of what they need to know and nowadays are extremely resourceful in finding information. Doctors and other Health professionals are on a continuing pathway in the quest to review their knowledge and keep abreast with new and changing factors in medicine and it is hoped this resource will help in these searches of the new and the experienced, of all those interested in health and medicine.
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Dedication
To Ali, Zoe, Mickey, Quentin and Jody for support help and love over the years. In memory of Monkey and Spook. And hello to Jack.
It is hoped that this will prove a valuable resource for those examining individual bones and their articulations and support structures to build up the complete joint as in the study of ANATOMY and its many uses such as: archeology, anthropology, chiropractic dentistry, forensics, geology, medicine, orthopaedics, osteology, paleontology, paleobiology, physiotherapy, massage therapy and surgery. Hence any suggestions on format or inclusions will be gratefully received. Note: colour coding on base is regional. Thank you Amanda Neill
BSc MSc MBBS PhD FACBS
ISBN 1 74138 167 5
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Abbreviations
A aa adj. aka ALL alt. ant art AS b/n BM BS C c.f. CNS collat. CSF CT e.g. EC ext. Gk. IC IP IT jt(s) L LL Lt. lig MC med MT NS NT P pl. PLL post. R sing. SC SN SP TP UL VB VC w/n w/o = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = actions /movements of a joint anastomosis or anastomoses adjective also known as anterior longitudinal ligament alternative anterior articulation (joint w/o the additional support structures) Alternative Spelling, generally referring to the diff. b/n British & American spelling between bone marrow blood supply carpal / carpo compared to central nervous system collateral Cerebrospinal fluid connective tissue example extracellular (outside the cell) extensor (as in muscle to extend across a joint) Greek intercarpal / intercarpo interphalangeal intertarsal / intertarso joints = articulations Left lower limb aka leg Latin ligament metacarpal / metacarpo medial metatarsal / metatarso nervous system / nerve supply nervous tissue phalangeal / phalanges / phalango plural posterior longitudinal ligament posterior Right singular spinal cord spinal nerve spinous process transverse process upper limb aka arm vertebral body vertebral column within without 4
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Anatomical Movements
Hip flexion
Hip extension
Hip abduction
Hip adduction
Hip circumduction
Knee flexion
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Knee extension
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Foot dorsiflexion
Foot inversion
Foot eversion
Fingers extension
Fingers flexion
Fingers abduction
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Fingers adduction
Thumb opposition
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Table of contents
Introduction Acknowledgement Dedication How to use this book Abbreviations Guide to Anatomical Planes and Relations Anatomical movements Table of contents The Bones, Joints and Ligaments - order of illustrations Common terms in Osteology and Skeletal Anatomy Classification and Summary of Bones Bone structure - Long Bone Articulated Skeleton - anterior / posterior Disarticulated Bones Classification and Summary of Joints Synovial Joint Classification and Summary of Ligaments
1 1 2 2 4 5 7 9 10 15 25 26 27 29 31 32 33
Cranial Fossae (see Skull internal views) Craniovertebral joints (HEAD/SPINE joints aka Atlanto-Occipital joints & Axial-Occipital joints) Cuboid (ankle) Cuniforms (foot) 1st - medial cuniform , 2nd intermediate cuniform , 3rd lateral cuniform , EAR BONES (aka Auditory Ossicles) in situ INCUS = anvil, MALLEUS = hammer, STAPES = stirrup LABYRINTH = cochlea ELBOW - articulation, joint (humeroulnar) Ethmoid bone Femur (upper leg bone) aka thigh bone aka leg bone Fibula (lower leg lateral bone) FINGERS (see also hand, phalanges) overview FINGER JOINTS = interphalangeal joints FOREARM (see Radius , Ulna) FOOT BONES (tarsal + metatarsal + phalanges) overview (see also Metatarsals) FOOT JOINTS (aka Intertarsal joints) Frontal bone Glenohumeral joint (see SHOULDER JOINT) Hamate (see also Carpus, Hand, Wrist) HAND (and WRIST bones) overview Carpal, Metacarpal bones and Phalanges - articulations HAND BONES (see Metacarpals individually listed) HAND JOINTS intercarpal joints = IC joints carpometacarpal intercarpal joints = C-MC, IC joints HANGING joint (see Atlanto-Axial median joint) HEAD/SPINE JOINTS (see Craniovertebral joints) HEEL (see Calcaneus) Hip (aka Os Coxae - Innominate) HIP ISCHIUM, ILEUM, PUBIS overview HIP (also see PELVIC GIRDLE Sacrum + Hip articulations) Humeroulnar joint (see ELBOW JOINT) Humerus = ARM bone (upper arm bone) Hyoid Inferior Nasal Concha (see Nasal bones and cavity) Innominate (see HIP) Intertarsal joints (see FOOT joints)
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JAW (see Mandible) KNEE CAP (see Patella) KNEE (JOINTS Tibiofemoral + [Tibiofibular]+ Femoropatellar + Tibiopatellar) Lacrimal LEG = lower limb articulations overview Lunate (see also wrist, carpus, hand) Mandible (aka JAW aka CHIN) Mandibular joint (see Temporomandibular joint) Manubriocostal joints (see Sternocostal joints) Manubriosternum = Manubrium + Sternum + Xiphoid process aka BREAST BONE Manubrium (see Manubriosternum) Maxilla (aka UPPER JAW) Metacarpals aka HAND BONES (see wrist/hand) overview Metacarpal fifth (bone to the little finger) first (bone to the thumb) fourth (bone to the ring finger) second (bone to the index finger) third (bone to the middle finger) Metatarsals (bones b/n the ankle & the toes) aka FOOT BONES overview Metatarsals (individual views) first (bone to the big toe) / second (bone to the second toe) third / fourth / fifth (bone to the little toe) Nasal bones and cavity = NOSE Navicular (ankle) NOSE see Nasal bones and cavity Occipital Odontoid Joint (see Atlanto-Axial median joint) Palantine Parietal Patella (KNEE CAP) Pectoral girdle = SHOULDERS overview Pelvic girdle = HIPS (see Hip) Phalanges = FINGERS TOES Pisiform (see also hand, wrist) Pubic Symphysis part of Hip / Pelvic girdle Radiocarpal joint see WRIST JOINT Radioulnar joints (also see ELBOW)
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Radius RIB CAGE overview = Thoracic cavity (see also PECTORAL GIRDLE) Rib typical RIB JOINT see costovertebral joint Rib atypical -ribs1, 2 Ribs 1,2 and 10-12 (atypical) Sacroiliac joint Sacroiliac articulation - posterior Sacroiliac ligaments - posterior Sacrum (lower BACK BONE) Scaphoid (thumb hand ) Scapula (aka SHOULDER BLADE) SHIN (see Tibia) SHOULDER JOINT (aka Glenohumeral joint) Sinuses overview Skull External Views Internal Views Sphenoid SPINE overiew (see vertebral column overview) SPINAL JOINTS (see vertebro-vertebral joints) Sternoclavicular joints Sternocostal joints Sternum (see Manubriosternum) Talus (aka Tarsus aka ANKLE) Temporal bone Temporomandibular joint Tibia (aka lower leg bone aka SHIN (shin bone)) Tibiofemoral joint (see KNEE which includes this joint) Tibiofibula joints Trapezium Trapezoid, Triquetral (see also Carpus - Hand) Ulna (aka FOREARM) Vertebrae Cervical Atypical (see C1= Atlas, C2 = Axis) Typical (C3-7) Lumbar Typical L1-5 Thoracic Atypical (see rib articulations T1, T10-12) Typical T2-T9
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Vertebral Column overview Vertebro-vertebral joints b/n vertebral bodies Vertebro-vertebral joints b/n vertebral processes and facets (aka SPINAL JOINTS) Vomer Wrist bones (see Carpal bones / Metacarpal bones) Wrist joint (aka radiocarpal joint) Xiphoid (see Manubriosternum) Zygapophyseal joints (see Vertebro-vertebral joints) Zygoma (aka CHEEK BONES)
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Ala Alveolus
Ankle
Annulus fibrosis The peripheral fibrous ring around the intervertebral disc Aperture Appendicular An opening or space between bones or within a bone. Refers to the appendices of the axial i.e. in the skeleton, the limbs upper and lower which hang from the axial skeleton, this also includes the pectoral and pelvic girdles (not the sacrum) Small, open spaces as in the areolar part of the Maxilla may lead or develop into sinuses . To do with joints hence Inflammation of a joint Diseases of the joints Joint types Joint, description of the bone surfaces joining w/o the supporting structures = point of contact b/n 2 opposing bones hence the articulation of humerus and scapula is the articulation of the shoulder joint. Tooth wear and tear Pertaining to hearing, hence, pertaining to the ear. (Auditory exostosis = a bony growth on the walls of the External Auditory Meatus) Forceable tearing away of a structure or part of a structure as in an avulsed fracture where a fragment bone is torn away from the main bone Refers to the head and trunk (vertebrae, ribs and sternum) of the body.
Axial
Ball and Socket Generally referring to a joint which resembles a ball sitting tightly in a socket - very stable, limited range of movement e.g. hip joint 15 A. L. Neill
The A to Z of Bones, Joints and Ligaments Basilar Basiocranium Boss Bregma Relating to the base or bottom of structures Bones of the base of the skull A smooth round broad eminence - mainly in the frontal bone female > male Refers to a junction of more than 2 bones in a joint as in the Bregma of the skull, junction between the coronal and sagittal sutures which in the infant is not closed and can be felt pulsating site of the anterior fontanelle. Pertaining to the cheek Hard tissue formed in the osteogenic layer of the periosteum as a fracture repair tissue replaced over time with compact bone The calotte consists of the calvaria from which the base has been removed. The calvaria refers to the cranium without the facial bones attached. Tunnel / extended foramen as in the carotid canal at the base f the skull adj canular (canicular - small canal)
Buccal Callus
Calotte
Calvaria Canal
Cancellous bone = Trabecular bone A spongy, porous bone, lightweight with bone spicules or trabeculae parallel to lines of force found at the ends of long bones (epiphyses) with surrounding BM, found sandwiched b/n lamellae of compact bone, in the vertebral bodies and in areas of increased bone thickness Caput / Kaput Carotid Carpo Cavity The head or of a head, adj.- capitate = having a head (c.f. decapitate) To put to sleep; compression of the common or internal carotid artery causes coma. This refers to bony points related to the Carotid vessels Wrist An open area or sinus within a bone or formed by two or more bones (adj. cavernous), may be used interchangeably with fossa. Cavity tends to be more enclosed fossa a shallower bowl like space (Orbital fossa-Orbital cavity). A cave. Pertaining to the head Pertaining to the Neck Like a bed-post, part of a four poster bed so that clinoid process looks like a bed post (generally with other posts) as in the Sphenoid bone. A slope hence in the anterior cranial fossa referring to a slope on the base of the cavity. 16
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The A to Z of Bones, Joints and Ligaments Cochlea A snail, hence snail-like shape relating to the Organ of Corti in the ear.
Compact bone = Cortical bone = Dense bone Bone found in the shafts and on external bone surfaces highly structured in concentric circles or Haversian systems constantly changing and remodeling depending upon the lines of force, often enclosing the lighter trabecula bone. Concha A shell shaped bone as in the ear or nose (pl. conchae adj. chonchoid) old term for this turbinate. A rounded enlargement or process possessing an articulating surface. A horn (as in the Hyoid) A crown. adj.- coronary, coronoid or coronal; hence a coronal plane is parallel to the main arch of a crown which passes from ear to ear (c.f. coronal suture). Pertaining to the rib The cranium of the skull comprises all of the bones of the skull except for the mandible. Prominent sharp thin ridge of bone formed by the attachment of muscles particularly powerful ones eg Temporalis/Sagittal crest
Cost Cranium
Crest
Cribiform /Ethmoid A sieve or bone with small sieve-like holes. Cuneate /Cuneus A wedge / wedge-shaped Dens A tooth hence dentine and dental relating to teeth, denticulate having tooth-like projections adj dentate See odontoid A concavity on a surface The shaft or body of a long bone. In the young this is the region b/n the growth plates and is composed of compact bone. pl.= diaphyses adj.= diaphyseal The cancellous bone between the inner and outer tables of the skull, adj.- diploic. Without teeth Any angular bend often in the arm, usually referring to the joint b/n the arm and the forearm A smooth projection or elevation on a bone as in iliopubic eminence. Refers to the interior of the braincase adj. endocranial divided into the 3 major fossae anterior (for the Frontal lobes) middle (containing Temporal lobes) and posterior (for the containment of the Cerebellum). A. L. Neill
Depression Diaphysis
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The A to Z of Bones, Joints and Ligaments Endostium A mesodermal CT which lines the inner surface of all bones and is the conduit for the NS and BS of the bone. Llifting of the endostium causes cancellous bone to be laid down to fill the gap b/n the bone and the cellular layer and this device may be used to encourage bone growth/repair.
Epiphysis = Metaphysis The end of a long bone beyond the growth plate or epiphyseal plate. Generally develops as a secondary ossification centre. There are 2 epiphyses to each long bone. In a long bone the shafts are generally compact bone and the ends = epiphyses are trabecular bone pl.= epiphyses adj.= epiphyseal External Auditory Meatus Ear hole Exostosis A bony outgrowth from a bony surface, often due to irritation (as in Swimmers ear) and may involve ossification of surrounding tissues such as muscles or ligaments. A face, a small bony surface (occlusal facet on the chewing surfaces of the teeth) seen in planar joints. relating to shapes that are in a sickle shape so falciform ligaments curve around and and in a sharp point A narrow slit or gap from cleft. A fountain, associated with the palpable pulsation of the brain as in the anterior fontanelle of an infant. These soft spots on the skull are cartilagenous connective tissue coverings joints which allow for skull cranial expansion and then become the mould for the bone development and shape joining long the sutural lines, later becoming the Bregma. A natural hole in a bone usually for the transmission of blood vessels and/or nerves.(pl. foramina). An arch A pit, depression, or concavity, on a bone, or formed from several bones as in temporomandibular fossa. Shallower and more like a bowl than a cavity A small pit (usually smaller than a fossa)- as in the fovea of the occlusal surface of the molar tooth.
Facet Falciform
Fissure Fontanelle
Foramen
Fornix Fossa
Fovea
Fracture = break hence Avulsed fracture - bone break due to a tearing away of part of a bone under stress Complete fracture - complete break b/n in 1 or more bones Compound fracture - break of a bone where the bone is exposed to the air Incomplete = Greenstick fracture - where there is an incomplete break along with bending or changing of the bone shape it is generally seen in in young bones. Pathological fracture - a break which has to do with a disease generally thinning of the bone for example in osteoporosis or weakening due to a tumour as in osteosarcoma or from other causes as in osteomalacia (Paget' disease) and causes the bone to break with little or no force A. L. Neill 18
The A to Z of Bones, Joints and Ligaments Gallus /Galli Genu /genio Gigantism A cock, hence, crista galli, the cocks comb (i e possessive form of gallus). Knee adj referring to the knee Overgrowth of the length of the long bones due to excess growth hormone before the fusion of the long bones (if this occurs after it is acromegaly) Joint b/n the roots of the teeth and the jaw bones pl - gomphoses Long pit or furrow A circle, hence a coil of brain cortex. The big toe = the first toe A hook hence the term used for bones which hook around other bones or where other structures are able to attach by hooking hamulus = a small hook. Lines of increased bone density due to assault they may occur across the growth plate and arrest growth of the length of the long bone
Harris lines
Haversian canals = secondary osteons = lamellar bone See structure of bone the system of concentric circles of bone matrix and osteocytes laying down rings of compact bone and collagen fibres with central BVs, Ns and Lymph anastomosing in the centre of the circle Hinge joint Hydroxyapetite Hyoid Hyperostosis Incisura Inter Intra Introitus Joint = Jugum Kyphosis Lacerum Lacrimal 19 Joint with movement in one plane e.g. elbow or knee A dense organic filling; the second component of bone U-shaped Abnormal bone growth generally overgrowth or ectopic growth A notch. Between Within An orifice or point of entry to a cavity or space. Articulation A bridge between 2 halves of a bone pl.( juga) as in Sphenoid . Collapse of vertebral body(ies) causing sharp convexity of the spine Something lacerated, mangled or torn eg foramen lacerum small sharp hole at the base of the skull often ripping tissue in trauma. Related to tears and tear drops. (noun lacrima) A. L. Neill
The A to Z of Bones, Joints and Ligaments Lambda From the Greek letter a capital L and written as an inverted V. (adj. lambdoid) and used to name the point of connection b/n the 3 skull bones Occipital and Temporals.
Lamellar bone = Haversian system Bone with sheets of concentric collagen fibres around Haversian canals in compact bone Lamina Ligament A plate as in the lamina of the vertebra a plate of bone connecting the vertical and transverse spines (pl. laminae) A band of tissue which connects bones (articular ligaments) or viscera organs (visceral ligaments). A Ligament is a tie or a connection Originally sing. ligamentum pl ligamenta from ligate or to tie up generally composed of collagen fibres. A line as in the Nuchal lines of the Occitipum Pertaining to the tongue Bone projecting over the usual margin, excessive production generally pathological as in osteoarthritis, may interfere with joint movement A place (c.f. location, locate, dislocate). Increased cervical and/ or lumbar curve also called sway back Large pl magna Hammer (as in the ear ossicle) From the verb to chew, hence, the movable lower jaw; adj.mandibular. A breast or teat shape - mastoid process of the Temporal bone. The jaw-bone; now used only for the upper jaw; adj.- maxillary. A short passage; adj.- meatal as in external acoustic meatus connecting the outer ear with the middle ear. Gk. crescent Relating to the chin (mentum = chin not mens = mind). An extension of: cf. metacarpal = extension of the wrist Epiphysis The slightly expanded end of the shaft of a bone. The neurocranium refers only to the braincase of the skull. An indentation in the margin of a structure. The nape or back of the neck adj.- nuchal.
Linea Lingual Lipping Locus Lordosis Magnum Malleus Mandible Mastoid Maxilla Meatus Meniscus Mental Meta Metaphysis = Neurocranium Notch Nucha
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The A to Z of Bones, Joints and Ligaments Ossification = the process of turning into bone this happens in the body in several ways hence endochondral ossification The process where bone develops after a cartilage model of the shape is first laid down The prominent convexity of the back of the head Occipitum = Occipital bone adj. occipital An eye Relating to teeth, toothlike see Dens The development of an individual growth pattern A circle; the name given to the bony socket in which the eyeball rotates; adj.- orbital. An opening. A bone or pertaining to bones adj.- osseus A small bone as in the ear ossicles: stapes(stirrup), incus (anvil) and malleus (hammer). The process of turning something into bone, i.e. from one tissue to another as in cartilagneous ossification from cartilage into bone Two other forms are primary ossification (in the shaft of the long bone where the bone forms from CT) and secondary ossification where the bone has formed and secondary centeres devlop as at the ends of the long bones). Inflammation of the bone Bone cells capable of dividing and laying down matrix
Osteitis Osteoblasts
Osteochondroma Bone and cartilaginous tumour benign often arising in the ephyseal plate or line and protrude at right angles, common and asymptomatic Osteoclasts Osteocytes Osteogenesis Osteoma Osteomalacia Osteomyelitis Osteoporosis Osteosarcoma Ostium 21 Multinuclear cells which resorb or phagocytose bone = resorption of bone Bone cells incapable of dividing but maintin the extracelluarl matrix of the bone Formation and growth of bone Tumour of the bone tissue Disease of softening of the bones / Pagets disease Inflammatory disease of the bone due to infection A thinning of the bones due to age and/or calcium deficiency Malignant tumor of bone tissue A door, an opening, an orifice. A. L. Neill
The A to Z of Bones, Joints and Ligaments Otic Ovale Palate Parietal Parotid Pars Pecten Perikymata Periosteum Periostitis Periostosis Petrous Phalanx Pertaining to the ear Oval shaped A roof adj.- palatal or platatine. Pertaining to the outer wall of a cavity from paries, a wall. Pertaining to a region beside or near the ear A part of A comb. Transverse ridges and the grooves on the surfaces of teeth Layer of fascial tissue connective tissue on the outside of compact bone not present on articular (joint) surfaces see endostium Inflammation on the outer surface of the bone Abnormal growth of long bones on their outer surfaces Pertaining to a rock / rocky / stoney adj. petrosal Pertaining to flanks of soldiers - phalanges a row of soldiers used for a row of fingers or toes Joint which allows for sliding across the joint as in the wrist and foot and ribs Thumb A general term describing any marked projection or prominence as in the mandibular process. A projection
Planar joints
Pseudoarthrosis False or new joint due to the nonhealing of a fracture Pterion A wing; the region where the tip of the greater wing of the sphenoid meets or is close to the parietal, separating the frontal from the squamous region of the temporal bone. (TERY-on) Alternatively the region where these 4 bones meet. Wing shaped Hairy that part of the hip bone with hair over the surface adj pubic pl pubes Branch as in the superior pubic ramus the superior or higher branch of the pubic bone (Pubis) A secluded area or pocket; a small cavity set apart from a main cavity. 22
The A to Z of Bones, Joints and Ligaments Rectus Rickets Ridge Rotundum Sagittal Scoliosis Sella Sesamoid Sigmoid Sinus Straight - erect Form of osteomalacia or bone softening due to Vitamen D deficiency Elevated bony growth often roughened. Round An arrow, the sagittal suture is notched posteriorly, making it look like A deviation from the vertical of the Vertebral column laterally (as opposed to exaggeration of vertical curves in kyphosis and lordosis) A saddle; adj.- sellar, sella turcica = Turkish saddle. Grainlike S-shaped, from the letter Sigma which is S in Greek. A space usually within a bone lined with mucous membrane, such as the frontal and maxillary sinuses in the head, (also, a modified BV usually vein with an enlarged lumen for blood storage and containing no or little muscle in its wall). Sinuses may contain air, venous or arterial blood, lymph or serous fluid depending upon location and health of the subject adj.- sinusoid. The skull refers to all of the bones that comprise the head. A wedge i.e. the Sphenoid is the bone which wedges in the base of the skull between the unpaired frontal and occipital bones adj.- sphenoid . A thorn adj.- spinous descriptive of a sharp, slender process/protrusion.
Skull SphenoSpine
Splanchocranium The splanchocranium refers to the facial bones of the skull. Sulcus Sustenaculum Long wide groove often due to a BV indentation A supportive structure as in the sustenaculum tali = a structure which supports the Talus in the foot The saw-like edge of a cranial bone that serves as joint between bones An instrument for writing hence adj.- styloid a pencil-like structure. A cartilagenous joint or a growth with bone-cartilage-bone Means together ie the close proximity of or fusion of 2 structures Tight inflexible joints b/n 2 bones little to no movement many axial joints Fusion of any joints
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The A to Z of Bones, Joints and Ligaments Synovial joint Talus Tarsus Any moveable joint with synovial fluid b/n the 2 opposing bones - most moving jointd are synovial Ankle (Gk. bend) Pertaining to any bones joining the foot with the leg adj. - tarsal (Gk wickerwork referring to the basketlike structure of the os tarsus with the ligaments) A roof. A covering. Refers to time and the fact that grey hair (marking the passage of time) often appears first at the site of the temporal bone. A tie or cord of collagen fibres connecting muscle with bone (as opposed to articular ligaments which connect bone with bone) A tent. A little beam i.e. supporting structure or strut pl. trabeculae The practice of making an artifical hole in the cranium practiced in many ancient religions used to relieve cranial pressure Pertaining to a small wheel or disc in the femur it is a large disc shaped tuberosity A pulley that part of the bone or ligamantous attachment that pulls the bone in another direction as in the elbow or the ankle A small process or bump, an eminence.. A very small prominence, process or bump. A large rounded process or eminence, a swelling or large rough prominence often associated with a tendon or ligament attachment. A childs spinning top, hence shaped like a top. An old term for the nasal conchae. A drum pl. tympani A hook adj.- uncinate. A sheath; hence, invagination is the acquisition of a sheath by pushing inwards into a structure, and evagination is similar but produced by pushing outwards adj.- vaginal. Pertaining to the palm (hand) or the sole (foot) Extrasutural bone in the skull A yoke, hence, the bone joining the maxillary, frontal, temporal & sphenoid bones adj.- zygomatic. 24
Trochanter
Trochlea
Irregular bones Various shapes not easily classified Sphenoid, Vertebrae, Hip, Ear Bones irregular growth centres Long bone Longer than wide 2 ends epiphysis and a central diaphysis. Growth mainly lengthwise: most limb bones: Femur, Fibula Humerus, Radius, Tibia, Ulna, and digits Phalanges see diagram showing a long bone the covering is of COMPACT BONE which is present only in the shaft and the ends have compact bone covering with CANCELLOUS BONE in the cavity along with red marrow .
Pneumatic bone/Alveolar bone Bones filled with air to lighten their weight Maxilla, Frontal, Mandible, Ethmoid and bones with sinuses Sesamoid bone Bones completely surrounded by soft tissue w/o joints Hyoid Short bone Sutural bone Roughly cubic in shape. Most wrist (Carpal) and ankle (Tarsal) bones; many of the bones at the base of the skull. Wormian bone small bones which occur within the skull sutures sometimes called extra-sutural if the main part f the bone is outside of the suture. Generally they are unnamed although the Incus is given to the large extra-sutural bone when present. There are between 600 and 620 bones in the body including the various sesamoid and Wormian bones and other areas where there may be separate or ossified joints. 22 paired skull bones including the ear ossicles / not including the teeth. 5 single bones mainly on the base of the skull 1 mandible 1 hyoid variable sutural and extra-sutural bones (generally between 3-5) 56 digit bones or Phalanges plus an additional 3 to 4 small sesamoid bones in the foot over the big toe and the thumb
There are:
There are:
Each limb has a single long bone proximally (arm and thigh), a hinge joint and 2 bones distally (the forearm and shin) joined by an interosseous upper membrane ligament. Each pair of limbs is supported by a GIRDLE of supporting bones the PECTORAL GIRDLE and the lower PELVIC GIRDLE.
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Bone Structure
Long Bone (Femur)
Yellow Marrow
Compact Bone
Blood Vessel
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Disarticulated Bones
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Classification and Summary of Joints definition: joint = any BONE something BONE B+?+B i.e whenever 2 or more bones meet
TYPE OF JOINT GOMPHOSIS STRUCTURE BONE FIBRES TOOTH BONE FIBRES BONE BONE FIBRES BONE BONE FIBRES BONE BONE HYALINECARTILAGE BONE BONE FIBROCARTILAGE BONE BONE HYALINE CARTILAGE SYNOVIAL FLUID HYALINE CARTILAGE BONE MOVEMENT nil EXAMPLES teeth / jaw bone
SYNARTHROSES = FIBROUS JOINT eg SUTURE (short fibrous connection b/n bones) eg SYNDESMOSIS (longer fibres more cartilage) SYNCHONDROSIS = 1 CARTILAGENOUS JOINT (Amphiarthrosis) SYMPHYSIS (20 cartilagenous joint)
little / nil
nil
joints in the Skull joints b/n flat bones Tibiofibula joint Radioulna joint 1st costal cartilage to the Manubrium rib cartilage Manubriosternum MOST joints in axial skeleton eg b/n VERTEBRAL BODIES b/n Pubic bones MOST joints in the appendicular skeleton, upper limb, lower limb, feet and hand joints
little
little in all directions may be influenced by HORMONES Full movement type depends upon the shape of the boney surfaces
SYNOVIAL (Diarthrosis)
eg SADDLE 31
movement around an axis movement in 2 directions movement in many directions - common hip / shoulder centre movement in 2 planes thumb C-MC joint
costovertebral zygapophyseal elbow /knee /finger /toe atlanto-axial medial joint wrist /ankle
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Synovial Joint
Synovial cavity
Synovial membrane
Hyaline cartilage
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Classification and Summary of Ligaments definition: a band of tissue connecting bones, viscera or other body structures, may be distinct fibrous bands or fascial folds or nonfunctional remnants of foetal structures
NAME accessory = collateral DESCRIPTION any helping lig. supporting/strengthening the primary lig generally used where there are many short bones in a crowded area any circular lig. EXAMPLES the: palm (palmar), sole (plantar), phalanges (volar) temporomandibular joint (Henle), humerus and wrist annulus fibrosis annular lig. of the Radius SHOWN IN hand overview, foot overview, TMJ views, shoulder joint, wrist overview
any curved lig. description of any lig in front of the named structure (also used to describe those fibres in front of a structure) lig with 2 insertions
arcuate pubic ligament pelvic girdle overview ANTERIOR LONGITUDINAL LIGAMENT = ALL craniovertebral jts thoracic cage vertebro-vertebral jts.
bifurcate
collateral = accessory
any helping lig. supporting/strengthening the primary lig generally used with outer ligs over bigger joints ligaments which cross over
cruciform
CRUCIATE LIGAMENTS knee jt (of the knee) cruciate ligs of the atlanto-axial jt odontoid jt craniovertebral jts ankle jt
deltoid
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The ligaments included in this book are those associated with the musculoskeletal system, bones and skeletal muscles. Tendons which join muscle to bone are not discussed nor are other ligamentous structures such as the aponeuroses or ligaments of organs such as the Hepatic ligaments.
NAME flava
DESCRIPTION
EXAMPLES
ligs with large amounts of LIGAMENTUM FLAVA elastic fibres hence yellow in colour
interarticular ligs which enter the (may also be synovium and are inside called synovial) the joint inter-osseous ligs which span across 2 bones for a considerable length - deep ligs acting as a surface for muscle attachment inter-spinous
long head of Biceps shoulder jt cruciate ligs of the knee knee jts acetabular lig hip jt interosseous membrane forearm radioulna jts of the forearm lower leg tibiofibular jts interosseous membrane of the lower leg OBTURATOR LIG pelvic overview vertebral column overview
ligs which are b/n 2 spines INTERSPINOUS deep ligs acting as a LIGAMENTS surface for muscle attachment.
long ligs which attach 2 bones SUPRASPINOUS interspinous over long distances acting LIGAMENTUM NUCHAE as an extended surface for SACROSPINOUS muscle attachment - more SACROTUBEROUS supf than the inter- ligs INGUINAL LIG posterior description of any lig POSTERIOR behind the named structure LONGITUDINAL (also used to describe LIGAMENT = PLL those fibres of a lig behind a structure) lig which fans out (smaller radiate lig of the rib deltoid shape)
vertebro-vertebral jts craniovertebral jts pelvic girdle overview sacrum pelvic girdle vertebro-vertebral jts
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Movements associated with scapula: elevation / depression, protraction/retraction, rotation 1 2 Acromion Coracoid process of Scapula
1A Aromio-Clavicular lig. 2A Coraco-Acromial lig 2B Coraco-Clavicular lig.- Trapezoid part 2C Coraco-Clavicular lig. - conoid part 3 4 5 6 supra-scapula notch Clavicle - sternal end Clavicle - acromial end Acromio-Clavicular art. 3A supra-scapular lig
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A
2 3 1 4
1A
2B
2A 2C 3A
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10 Calcaneo-Fibular lig *D = all parts of the DELTOID lig -from TIBIA to ankle bones in a D shape
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A
5 6
2D
10 8 5 2D
1D
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10 Calcaneo-Fibular lig *D = all parts of the DELTOID lig -from TIBIA to ankle bones in a D shap
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7 8 1D 2D 3D 4D
9 10
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4B lat. Calcaneo-Navicular lig 5B med. Calcaneo-Cuboidal lig 6 7 8 9 long plantar lig lat. Talo-Calcaneal lig subtalar jt med. Talo-Calcaneal lig
10 Talo-Calcaneo-Navicular jt 11 Spring lig / plantar Calcaneo-cuboidal lig 12 short plantar lig *B = BIFURCATED lig (2 heads) also called Bifurcate lig.
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1 8
2 3
5B
4B
11 3
10 8
12 6
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ist rib clavicle acromion f the scapula humerus 5th rib manubrium sternum Xiphoid process 12th rib L1 vertebral body
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8 10 9
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right anterior 21 left posterior 20
14 2 4 18
15 16 17
1 2 3 4 13
19 5 12 11 10
7 8
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Articulations: Atlanto-Axial jts (3) C1-C2 Atlanto-Occipital jts (2) C1-Occiput (Base of the skull) Special no vertebral body special anterior features no spinous process facet for dens no articular discs (odontoid process) 1 2 3 4 5 6 7 8 9 facet for odontoid / dens process ant. tubercle superior articular facet inferior articular facet posterior tubercle posterior arch groove for vertebral BVs & suboccipital N Foramen Transversarium = transverse foramen TP
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4 2 3
4 5
9 7 8
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Auditory ossicles = Ear bones - middle ear (in the Temporal bone)
Overview - In situ -individual bones
Description - 3 bones incus = anvil, malleus = hammer, stapes = stirrup in the Temporal bone middle ear cavity Malleus abuts the Tympanic membrane of the middle ear (eardrum) articulates with the Incus and then the Stapes which abuts to the round window
Articulations: Malleo-Incus Hammer with the eardrum Incus-Stapes inter ear ossicle articulation Stapo - Temporal stirrup with the Temporal bone round membrane Special small bones with articulate with membrane features delicate balance to stretched across bone transmit sound at both ends 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 External Auditory Meatus = Earhole External ear Tympanic membrane = Lateral border for the middle ear Inner ear Auditory tube Cochlea Cochlea N Facial N Vestibular N Oval Window with Stapes Vestibular canals Incus Malleus Promontory Round Window
View of individual bones actual size Right and Left sides respectively from above down Stapes Incus Malleus
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10
9 8
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7 6
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Articulations: Atlanto-Axial jts (3) vertebro-axial Axial jts (2) (Base of the skull) Special no vertebral body features dens / odontoid process no articular discs 1 2 3 4 5 6 7 8 9 10 11 12 13
Dens = Odontoid process (tooth) attachment of Alar ligament groove for Transverse ligament pedicle body vertebral foramen spinous process lamina inferior articular process transverse process transverse notch / foramen (if closed) superior articular facet facet for odontoid / dens process
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Articulations: 3 articular surfaces Calcaneo-navicular for the Os Tarsus Calcaneo-talus (tarsal bones) Calcaneo-cuboid 1 2 3 4 5 6 7 8 9 Sulcus Calcanei = Calcaneal sulcus middle articulation surface with foot bones / Os Talus anterior articulation surface with foot bones / Os Tarsus peroneal trochlea attachment for the calcaneofibular ligament posterior surface posterior part of the joint surface for the Talus groove for Flexor Hallicus Longus Sustenaculum Tali
10 articular surface for Cuboid 11 medial process 12 Calcaneal tuberosity 13 lateral process 14 Peroneal tubercle
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5 10 8 7 2 9
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C lateral / medial
Articulations: the other bones in capito-lunate the wrist and 4 of capito-hamate the 5 metacarpal bones capito-scaphoid capito-trapezoid carpometacarpo joints with all the metacarpals except the 1st (thumb) 1 2 3 4 5 6 7 8 9 facet for Lunate palmar surface facet for 3rd MC facet for 4th MC facet for Hamate facet for Scaphoid facet for Trapezopid facet for 2nd MC facet for 3rd MC
10 dorsal surface
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1st row 2nd row trapezium, scaphoid, lunate, trapezoid, capitate hamate triquetral, pisiform, 1 2 3 4 5 6 7 8 9 Triquetral Capitate Lunate Trapezoid Scaphoid Trapezium Metacarpals = MC head of 5th MC shaft of 5th MC
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Coccyx = Os Coccygis
anterior / posterior
C (Coccyx = Small tail bones at the base of the spine functions as an anchor for many regional muscles and ligaments = the vestigial tail - looks like a cuckoo's bill) Articulations: with each other 3-5 bones S1-3/5 average 4 which may be fused with the sacrum superiorly sacro-coccygeal Special less features inferiorly after may fuse with features: S1 no pedicles, laminae or sacrum late in life looks like the bill of the cuckoo spinous processes 1 2 3 4 superior articular surface body of coccyx 1 fused bodies C3-5 TP = transverse process
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(Costovertebral joints = 3 joints in each typical rib, 2 with the bodies of the vertebrae, 1 with the transverse process of the respective thoracic vertebra)
BS posterior intercostals -spinal branches of the thoracic Aorta NS posterior intercostals Ns spinal branches (C8,T1-12) A gliding in inspiration upper 6 elevation (pump handle) lower 4 eversion (bucket handle) lowest 2 no movement demifacets on the bodies of 2 adj vertebrae and their connenting disc transverse costovertebral joint = costotransverse joint
Articulations: with VB 2 demi-joints eg RIB 3 articulates with T2,T3 VB with the TP of the equivalent vertebra eg RIB 3 with T3 1 2 3 4 5 6 7 8 9 10 11 12 13 14
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articular facet for (TP) transverse process tubercle of rib articular part of rib neck of rib facet on the head of the rib superior demi-facet on the base of the VB articular capsule of the costotransverse joint costotransverse lig joint capsule intervertebral disc inner -nucleus pulposis intervetebral disc outer- annulus fibrosis intra-articular lig superior costotransverse lig lat costotransverse lig
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8 9
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(Costovertebral joints = 3 joints in each typical rib, 2 with the bodies of the vertebrae, 1 with the transverse process of the respective thoracic vertebra)
BS posterior intercostals -spinal branches of the thoracic Aorta NS posterior intercostals Ns spinal branches (C8,T1-12) A gliding in inspiration upper 6 elevation (pump handle) lower 4 eversion (bucket handle) lowest 2 no movement demifacets on the bodies of 2 adj vertebrae and their connenting disc transverse costovertebral joint = costotransverse joint
Articulations: with VB 2 demi-joints eg RIB 3 articulates with T2,T3 VB with the TP of the equivalent vertebra eg RIB 3 with T3 1 2 3 4 5 6 7 8 9 10 11 12 13
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articular facet for TP superior demi-facet on the base of the VB VB = vertebral body radiate lig ALL = anterior longitudinal lig intervertebral disc intra-articular lig head of rib angle and shaft of rib paired synovial joints planar with demi-facets superior costotranverse lig spine of thoracic vertebra superior costo-demi-facet on inferior aspect of VB
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C articulations / anterolateral
BS posterior intercostals -spinal branches of the thoracic Aorta NS posterior intercostals Ns spinal branches (C8, T1-2) A gliding in inspiration Rib1 does not move much Rib 2 elevation
Articulations: RIB 1 with vertebral RIB 2 with T1 T2 body and transverse vertebral bodies process of T1 only tranverse process of T2 1 2 3 4 T1 T2 first rib second rib
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(made up of median and lateral Atlanto-Occipital (C1/head) and AxialOccipital joints (C2/head) joints)
BS vertebral arteries NS medial branches of dorsal rami, recurrent laryngeal spinal branches of ventral rami (C1-3) A 1 2 3 4 5 6 7 8 9 flexion/extension, lateral flexion, rotation basilar of Occiput jugular foramen (transverse foramen in the base of the skull) mastoid process transverse process of C1 ALL = anterior longitudinal lig, attached to tubercle of Atlas intervertebral disc C2, C3 ALL C2 C3 zygapophyseal joint L capsule of the lateral atlanto-occiptal joint
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(made up of median and lateral Atlanto-Occipital (C1/head) and AxialOccipital joints (C2/head) joints)
BS vertebral arteries NS smedial branches of dorsal rami, recurrent laryngeal spinal branches of ventral rami (C1-3) A 1 2 3 4 5 6 7 7A 8 9 10 11 12 13 14 15 16 17 17A flexion/extension, lateral flexion, rotation basilar of Occiput tectorial membrane ant atlanto-occipital membrane apical lig of Dens ant arch of Atlas C1 Dens of C2 longitudinal band of cruciform lig superior (becomes 7A) longitudinal band of cruciform lig inferior C2 C3 intervertebral disc body of C3 post. longitudinal lig =PLL lamina of C2 transverse lig of atlas (C1) post atlanto-occipital lig post arch of C1 vertebral artery post atlanto-occipital lig space which leads to foramen magnum and then vertebral foramen
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17A 1 2 3 4 5 15 14 13 12 11 10 9 7 6
17
16
7A 8
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(made up of median and lateral Atlanto-Occipital (C1/head) and Axial-Occipital joints (C2/head) joints)
BS vertebral arteries NS medial branches of dorsal rami, recurrent laryngeal spinal branches of ventral rami (C1-3) A 1 2 3 4 5 6 7 8 9 flexion/extension, lateral flexion, rotation jugular foramen transverse process of Atlas tectoral membrane capsule of zygapophyseal joints C2 C3 intervertebral disc longitudinal band of cruciform lig inferior capsule of lat joint of C1 C2 transverse band of cruciform lig over the deeper stronger transverse lig of the Atlas (C1) alar lig* 10 capsule of lat atlanto-occipital jt 11 longitudinal band of cruciform lig superior
*broken in hanging
3A PLL
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10 9 8 7 4 6 3A 5
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C lateral / medial
(Cuboid = large cubic bone of the tarsal bones b/n calcaneus and the 4th and 5th metatarsals, has a tuberosity and groove to support the passage of peroneus longus tendon of the foot)
Articulations: with Calcaneus posteriorly with 4th and 5th MTs anteriorly Special cuboid shape with features large tuberosity on the inferolateral surface 1 2 3 4 5 6 7 8 9 facet for lateral cuniform facet for Navicular facet for Calcaneus facet for 4th MT dorsal surface lateral surface facet for 5th MT
groove for peroneus longus tendon facet on tuberosity for sesamoid bone in the tendon
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Cuniform intermediate = the second Cuniform part of Os Tarsus / bones of C the foot
lateral / medial
(Cuniform bones = 3 + Cuboid, the most lateral of the Cuniform bones)
Articulations: with Navicular posteriorly with 2nd metatarsal anteriorly is the smallest of the cuniforms
Special features 1 2 3 4
facet for lateral cuniform facet for Navicular facet for medial cuniform facet for 2nd metatarsal
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C lateral / medial
Cuniform lateral = the third Cuniform part of Os Tarsus / bones of the foot
(Cuniform bones = 3 + Cuboid the most lateral of the Cuniform bones)
Articulations: with Navicular posteriorly with the Cuboid laterally with 2nd, 3rd, 4th metatarsals with 2nd cuniform anteriorly medially Special is the intermediate in size features 1 2 3 4 5 6 facet for 4th metatarsal (MT) facet for 3rd MT facet for Cuboid facet for intermediate cuniform facet for Navicular facet for tendon 2nd MT
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C lateral / medial
Cuniform medial = the first Cuniform part of Os Tarsus / bones of the foot
(Cuniform bones = 3 + Cuboid the most lateral of the Cuniform bones)
Articulations: with Navicular posteriorly with 1st and 2nd MT anteriorly Special is the largest of the features cuniforms 1 2 3 4 5 6 facet for 2nd metatarsal (MT)
cubo-calcaneal cubo metatarsal joints kidney shaped facet at the base of the 1st MT
facet for peroneus longus tendon facet for Navicular facet for intermediate cuniform facet for 1st MT facet for tendon of Tibialis Anterior
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3
5 1
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head of Malleus body of Incus short process of Incus ant malleolar process post crus of stapes base of Stapes ant crus of Stapes long process of Stapes lenticular process of Incus handle of Malleus
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ant semicircular canal ant bony ampulla elliptical recess spherical recess cochlea cupola of cochlea base of cochlea oval window - fenestra vestibuli post bony ampulla
2 3 4 5 6 7 8 9
10 round window - fenestra cochlea 11 lat semicircular canal 12 post semicircular canal 13 lat bony ampulla
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1
2 3 4
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5 6
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(Elbow joint -hinge joint between the Ulna and the Humerus only one dimensional movement)
BS anastomosies around joint from brachial, profunda brachii, radial and ulnar arteries NS musculocutaneous, radial, ulnar and median Ns (C5-7) A flexion and extension -elbow supination pronation proximal & distal radioulnar jts at the wrist
Articulations: hinge jt Ulna hinge joint and Humerus inferior is the proximal pivot joint radio-ulnar joint 1 Humerus 2 Radius 3 Ulna 4 head of Radius 5 neck of Radius 6 Trochlea of Humerus 7 Olecranon of Ulna
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Articulations: hinge jt Ulna and Humerus hinge joint inferior is the proximal pivot joint radio-ulnar joint 1 2 3 4 5 6 7 8 9 10 11 12 13 radial collateral lig annular lig (covering the head of the Radius) radial tuberosity interosseous membrane oblique cord supinator crest of Ulna articular capsule lat epicondyle of Humerus ant band of Ulnar collateral lig medial epicondyle post band of Ulnar collateral lig Olecranon of Ulna oblique band of Ulnar collateral lig
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1 2 8 3
7 4 6 7 10 9 2 5 11 5
12 4 13
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Ethmoid bones
1 2 3 4 5 6 7 8 9
Ethmoidal labyrinth containing air cells (part of the Ethmoid sinus) continuous with the Sphenoid sinus Crista Galli Orbital plate of Ethmoid bone (part of the Orbital cavity) Middle Nasal concha Jugum of Sphenoid - Jugum Sphenoidale (Bridge connecting the 2 wings of the Sphenoid bone) Perpendicular plate of the Palatine bone Uncinate process Ala (of Crista Galli) Anterior groove (on the Ethmoid)
10 Posterior groove (on the Ethmoid) 11 Cribiform plate (entrance for the Olfactory nerve) 12 Vomer
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anterior 2
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Articulations: with acetabulum with the hip superiorly / proximally with patella and tibia with the knee and distally only 1 bone of the lower leg 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
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greater trochanter fovea on the head Head of the femur neck of the femur intertrochanteric line lesser trochanter shaft of the femur adductor tubercle medial epicondyle medial condyle lateral condyle lateral epicondyle patella surface of the femur trochanteric fossa intertrochanteric crest spiral line linea aspera medial supracondylar line intertrochanteric fossa popliteal surface lateral supracondylar line quadrate tubercle gluteal tuberosity
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22
18 13 12 11 8 9 10
21 20 12 11
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Articulations: with Tibia superiorly not the knee with Talus distally lateral malleolus 1 2 3 4 5 6 7 8 9 styloid process articular facet for Tibia head of Fibula lateral surface lateral border anterior border posterior surface interosseus border medial surface
10 Tubercle between articulations 11 fossa for lateral malleolus 12 fossa for Tibia (distal)
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8 8 5
12
10
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with the respective metacarpal - planar joint the thumb - saddle joint with the middle phalanx - hinge joint as above with the distal phalanx - hinge joint as above
proximal phalanx of the thumb distal phalanx of the thumb proximal phalanx of the index finger middle phalanx of the index finger distal phalanx of the index finger distal phalanx of the third finger distal phalanx of the ring finger distal phalanx of the little finger middle phalanx of the little finger orange = phalanges red = metacarpal bones green = carpal bones
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NS median N for medial 3 fingers ulna N for the rest A IP extension and flexion MCP flexion / extension, rotation, adduction / abduction circumduction 1 2 3 4 5 6 palmar lig of IP joints collateral ligs of IP joints collateral ligs of MCP joints capsule for MCP of the thumb deep transverse MC ligs palmar ligs grooved for flexor tendons
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1 2
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Articulations: foot with Tibia & Fibula to make up the medial & lat. malleoli respectively within the foot T-MT jts MT-P jts IP jts 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
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Talo-Fibular jt = lateral malleoli (lateral ankle) Talo-Tibial jt = medial malleoli (medial ankle) foot to the ball of the foot jts ie the arch ball of the foot to the toes and toe jts
lateral tubercle of Talus medial tubercle of Talus trochlea of Talus neck of Talus head of Talus Navicular lat. Cuniform intermed. Cuniform medial Cuniform proximal phalanx of Hallux (big toe) distal phalanx of Hallux (big toe) middle phalanx of 2nd toe distal phalanx of 2nd toe proximal phalanx of 2nd toe MTs Cuboid facet for medial malleolus calcaneus middle phalanx of 4th toe phalanx of 3rd toe Sustenaculum Tali of Calcaneus
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13 14
9 8 7 6 5 4 3 2 1 13 11 10 20
F
15
16 17 18
19
15 9 8 7 6 4 21
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18
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Frontal bones
Frontal tuberosity -Frontal bossing Superciliary arch Supraorbital margin and notch Nasal spine Superior and inferior temporal lines Superior Orbital plate - pars orbitalis Frontal and Ethmoid air cells - Frontal sinus Posterior Ethmoidal foramen Anterior Ethmoidal foramen
2 3 4 5 6 7 8 9
10 Zygomatic process 11 Supra-Orbital notch or foramen 12 Lacrimal fossa 13 Metopic suture - frontal suture, Glabella 14 Frontal squama 15 Ethmoidal notch
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4 5 1
2 3
4 11 10 12 6
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Hamate = hammer
lateral / medial
(Hamate or hammer like bone in the first row of the Carpus or Wrist bones)
Articulations: with Triquetral with 4th and 5th proximally Metacarpals (MC) distally with Capitate with Lunate medially lateroproximally
1 2 3 4 5 6 7 8
articular surface for Lunate articular surface for Triquetral Hook / Hamulus articular surface for Capitate articular surface for 5th MC articular surface for 4th MC palmar surface dorsal surface
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distal ends of forearm bones carpus or wrist bones in 2 layers metacarpal bones phalanges = finger bones Ulna, distal end Radius, distal end Scaphoid (part of os carpus/wrist) first metacarpal bone proximal phalanx of thumb (pollux)
10 distal phalanx of thumb 11 middle phalanx of 2nd finger (index finger) 12 distal phalanx of index finger 13 distal phalanx of 3rd finger (middle finger) 14 distal phalanx of 4th finger (ring finger)
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12
11 10
H
4
9 3 8 2 7
6 5
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Articulations main levels forearm with wrist radiocarpal / radioulna wrist with hand carpometacarpal (C-MC) hand with fingers metacarpophalangeal (MC-P) sublevel within the wrist intercarpal (IC) along the fingers interphalangeal (IP) Special thumb/pollux only MC-P features has 2 phalanges in the thumb = saddle proximal & distal joint - hence additional all other fingers mobility have 3 (middle) 1 2 3 4 5 6 7 8 9 10 11 12 13 14
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distal ends of forearm bones carpus or wrist bones in 2 layers metacarpal bones phalanges = finger bones Ulna, distal end Radius, distal end Scaphoid (part of os carpus/wrist) first metacarpal bone proximal phalanx of thumb (pollux) distal phalanx of thumb middle phalanx of 2nd finger (index finger) distal phalanx of index finger distal phalanx of 3rd finger (middle finger) distal phalanx of 4th finger (ring finger)
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10 4
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8 7
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Hand - Intercarpal joints = IC joints b/n the wrist and the fingers
dorsal / palmar BS anterior interosseus C & MC branches of radial & ulna art. and deep palmar arch rich aa NS ant post interosseus Ns (C6-8)
sliding and gliding to allow increased wrist range of movement, radial and ulnar deviation 1 2 3 4 5* 6* 7 8 9 palmar C-MC ligs radial collat ligs palmar radiate C lig proximal IC lig pisiohamate lig pisio-MC lig distal dorsal IC ligs radial collat ligs dorsal radiate ligs
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7 10 8 9 4
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HAND JOINTS - Carpo-metacarpaI and Intercarpal joints = C-MC IC joints b/n the forearm and the fingers
palmar / dorsal BS anterior interosseus carpal and metacarpal branches of radial and ulna arteries and deep palmar arch rich aa
NS ant post interosseus Ns (C6-8) A sliding and gliding to allow for the fingers and thumb to increase range of movements 1 2 3 4 5 6 7 8 interosseous MC lig dorsal lig of the thumb lateral lig of the thumb dorsal C-MC lig dorsal MC-MC ligs (inter MC) palmar MC-MC lig (inter MC) palmar lig of the thumb palmar C-MC ligs
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Articulations Pubis to Pubis defining Pubic symphysis the Sagittal plane Femur with Acetabulum hip joint = ball and socket Ilium with Sacrum Iliosacral joint Special 3 component bones Acetabulum features PUBIS/pubic bone intersection of the (yellow), ILEUM (blue) 3 component & ISCHIUM (pink) with bones separate ossification centres completely fuse in adolescence hip+sacrum+hip = PG longer pelvic girdle (PG) wider 1 2 3 4 5 crest of Ileum Ala of Ileum Acetabulum - cavity with the junction of all 3 bones ramus of Pubis/Pubic bone tuberosity of the Ischium
1 2 3 4 5
medial
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3 4 5
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1 2 3 4 5 6 7 8 9
ASIS = anterior superior iliac spine Iliac fossa Iliac crest Iliac tuberosity PSIS = posterior superior iliac spine Auricular surface / articular surface of Ilium with sacrum PIIS = posterior inferior iliac spine greater sciatic notch (enclosed with a ligament in life) ischial spine
10 lesser sciatic notch 11 ischial body 12 ischial tuberosity 13 ischiopubic junction 13A ischiopubic ramus 14 pubic symphysis 15 pubic crest 16 pubic tubercle 17 superior ramus of Pubis 18 iliopubic eminence 19 AIIS = anterior inferior iliac spine
121
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3 4 5
19 18 7 17 8 16 10 9 15 14 13 13A 11 12 6
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1 2 3 4 5 6 7 8 9 10 11 12 13 13A 13B 14 15 16 17 18 19 20 21 22 23 24 25
123
ASIS = anterior superior iliac spine Iliac fossa Iliac crest Iliac tuberosity PSIS = posterior superior iliac spine Auricular surface / articular surface of Ilium with sacrum PIIS = posterior inferior iliac spine greater sciatic notch (enclosed with a ligament in life) ischial spine lesser sciatic notch ischial body ischial tuberosity ischiopubic junction ischiopubic ramus ischio ramus pubic symphysis pubic crest pubic tubercle superior ramus of Pubis iliopubic eminence AIIS = anterior inferior iliac spine post. gluteal line inf. gluteal line crest of Acetabulum rim of Acetabulum obturator groove obturator foramen
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3 5
21
22
H
19 20 23 7 8 9 10 17 11 13B 13A 13 25 16 24 14 18
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Hip joint
anterior / posterior BS articular branches of: obturator, medial circumflex femoral, superior and inferior gluteal arteries NS gluteal, obturator Ns (L2-4) A flexion / extension, adduction / abduction / circumduction, rotation 1 2 3 4 5 6 iliofemoral lig pubofemoral lig medial band of iliofemoral lig central band of iliofemoral lig lateral band of iliofemoral lig ischiofemoral lig
125
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H
4
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126
Hip joint
medial BS articular branches of: obturator, medial circumflex femoral, superior and inferior gluteal arteries NS gluteal, obturator Ns (L2-4) A flexion / extension, adduction / abduction / circumduction, rotation 1 2 3 4 5 6 7 8 9 iliofemoral lig pubofemoral lig ischeal ramus pubic ramus femur acetebulum-edge ligament of femoral head ischeal spine transverse ligament
127
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10
7 3 4 1
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Articulations proximal/upper end arm with scapula distal/lower end elbow Special ossifies from 8 features centres
glenohumeral joint = shoulder joint elbow = humerus + ulna + radius shaft, head, 2 tubercles, capitulum, trochlea, 2 epicondyles
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
head of Humerus / epiphysis anatomical neck surgical neck medial lip of intertubercular sulcus shaft of Humerus / diaphysis and nutrient foramen medial supracondylar ridge coronoid fossa medial epicondyle trochlea capitulum lateral epicondyle radial fossa lateral supracondylar ridge deltoid tuberosity lesser tubercle greater tubercle sulcus for radial N olecranon fossa
129
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16 15
1 2 4 3 4
16 2
14 5
14
17
13 12 11 10
6 7 18 8 9
13 9 11
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Hyoid
Description - Small U-shaped bone. Attached to the styloid processes via ligaments. This bone has no articulations -the only bone in the body - and is not normally broken in trauma, protected by the mandible / CHIN. It may be broken in hanging and strangulation.
Articulations: nil Special of interest in Forensic investigation rarely features broken unless specific pressure on this bone because of its site, acts to shape the jawline by supporting and bending the strap muscles 1 2 3 body of hyoid greater horn (cornu) lesser horn (cornu)
131
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3 1
2 3
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132
KNEE articulation
anterior / posterior
(the knee is the most unstable peripheral joint in the body)
BS genicular branches of the following: femoral, ant. tibial and peroneal NS tibial (S1-2) A hinge joint - flexion/extension slight lateral and medial rotation for locking and unlocking 1 Femur Patella Tibia Fibula Tibial tuberosity styloid process of Fibula lateral condyle of Tibia soleal line lateral condyle of Femur
2 3 4 5 6 7 8 9
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1 9 2 7 5 4 3
9 7 6 8
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KNEE JOINT
(the knee is the most unstable peripheral joint in the body)
BS genicular branches of the following: femoral, ant. tibial and peroneal NS tibial, N (S1-2) A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
135
hinge joint - flexion/extension slight lateral and medial rotation for locking and unlocking ant. cruciate lig post. meniscofemoral lig tibial collat lig medial meniscus tendon of semimembranosis oblique popliteal lig post. cruciate lig popliteal muscle arcuate lig fibular collat lig tendon of popliteal lateral meniscus suprapatellar bursa tendon of quadratus patella subcutaneous prepatella bursa infrapatella fat pad patella lig deep infrapatella bursa synovial cavity fibrous capsule transverse lig of the knee coronary lig ant ligs of the proximal tibiofibular joint
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anterior flexed 22 7 1 23 10 4
K
24 superior 1 22 3
12
10 3 7 5 2
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136
KNEE JOINT
posterior / lateral
(the knee is the most unstable peripheral joint in the body genu = knee)
BS genicular branches of the following: femoral, ant. tibial and peroneal NS tibial, Ns (S1-2) A hinge joint - flexion/extension slight lateral and medial rotation for locking and unlocking
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
137
ant. cruciate lig post. meniscofemoral lig tibial collat lig medial meniscus tendon of semimembranosis oblique popliteal lig post. cruciate lig popliteal muscle arcuate lig fibular collat lig tendon of popliteal lateral meniscus suprapatellar bursa tendon of quadratus patella subcutaneous prepatella bursa infrapatella fat pad patella lig deep infrapatella bursa synovial cavity fibrous capsule
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1 12 11 10 9 8 7
2 3 4 5 6
13 14 15 1 21 7 20 19 16 17 18
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138
anterior FRONT / posterior BACK BS femoral, obturator, arteries NS femoral - anterior thigh, obturator - medial thigh sciatic - posterior thigh and everything below the knee (including the foot) (L2-S1) A hip - all movements, `knee - flexion extension ankle - dorsiflexion/plantarflexion eversion/inversion toes as with fingers 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
139
iliac crest Hip / coxal bone head of Femur (epiphysis) obturator foramen neck of Femur lesser trochanter greater trochanter shaft of femur (diaphysis) Patella (knee cap) medial epicondyle tibial tuberosity Tibia medial malleous (ankle) Talus lateral malleous Fibula head of Fibula lateral epicondyle proximal phalanx of the big toe ischeal tuberosity intertrochanteric crest linea aspera adductor tubercle medial condyle lateral condyle Calcaneus (heel)
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1 7 3 4
21 20 6 22
5 6 8
23 24 25 23 10
9 18 11 17
12
16 12
16
14
13 14 Right
15
Left
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26
140
Articulations the other bones in the capito - lunate wrist and the distal radio - lunate end of the radius luno - scaphoid luno - triquetral luno - hamate 1 2 palmar surface facet for Triquetral dorsal surface facet for Capitate facet for Hamate facet for Scaphoid facet for Radius
3 4 5 6 7
141
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1 5
3 1
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142
Mandible = JAW
lateral / posterior
(Mandible - lower jaw bone joins the skull via the condyles and a cartilaginous articular plate in the Temporal fossa. Primary function - mastication, houses all the bottom teeth).
Articulations with the Temporal TMJ = fossa - this shallow temporomandibular fossa makes it easy to joint dislocate this joint 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
143
mandibular notch pterygoid fovea head of Mandible - condylar process neck of Mandible post. border of ramus of Mandible ramus - vertical ramus angle of mandible oblique line inferior border body - horizontal ramus base mental foramen mental tubercle - Gnathion mental protuberance alveolar bone surrounding teeth anterior border of ramus coronoid process - endocoronial ridge mandibular foramen lingula superior and inferior mental spines digastric fossa mylohyoid line mylohyoid groove
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1 17 16
2 3 4 5 6
15 7 14 13 10 12 11 8 9
5 23
18 21 22 20 19
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Articulations Manubrium + Sternum Manubrium + 1st rib; 2nd rib Manubrium + Clavicle Sternum with all costal cartilages except the 1st Xiphoid with Sternum Xiphoid with 7th rib Special 6 ossification centres features Xiphoid bone bizarre patterns of ossification 1 Manubrium
2 3 4 5 6 7 8 9 10 11 12 13 14
clavicular notch notch for 1st costal cartilage (rib) notch for 2nd costal cartilage (cartilaginous part of the rib) sternal angle / manubriosternal joint - fibrous notch for 3rd costal cartilage notch for 4th costal cartilage notch for 5th costal cartilage notch for 6th costal cartilage notch for 7th costal cartilage xiphoid process Xiphisternal joint Sternum Jugular notch
145
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2 1 3 14
3 4 5
M
6 7 8 9 12 10 13
11
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146
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
frontal process medial orbital surface infra-orbital margin zygomatic process infra-orbital foramen nasal notch nasal crest anterior nasal spine alveolar bone around teeth tuberosity infra-temporal surface orbital surface palatine process ethmoid crest middle meatus conchal crest anterior Nasal spine
premaxillary suture is here - fuses with completed jaw growth
Incisive canal supported by the canine jugun Greater Palatine canal - groove articulating surface with Palatine bones maxillary hiatus continues with the sinus Nasal Lacrimal process alveolus -bone containing tooth root canine jugun inferior meatus
147
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1 2 3 4 13 5 6 7 8 9 1 3 4 5 6 7 24 9 1 22 21 20 19 10
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24
12 11
8 10 14 15 16 25 7 17 18 9 23 13 24
148
Articulations proximal - 2nd row of carpal bones (wrist bones) metacarpals either side distal - proximal end of the approp. proximal phalanx Special these are long bones features upper dorsal (back of the hand) lower palmar (palm of the hand) 1 Hamate Triquetral Capitate Lunate Trapezoid Scaphoid Trapezium Pisiform head
1A hook of Hamate 2 3 4 5 6 7 8 9
10 shaft 11 base 12 METACARPAL bones from above down 5th (to the little finger), 4th (to the ring finger), 3rd, (to the middle finger), 2nd (to the index finger) and 1st (to the thumb)
149 A. L. Neill
10
11
2 3 4
12
5 6 7
10
11
1A 1
2 3
12
5 6
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150
Articulations proximal - 2nd row of carpal bone Hamate / 4th metacarpal distal - proximal end of the fifth proximal phalanx Special these are long bones features upper - lateral lower - medial 1 2 3 4 5 6 7 articular surface for 4th metacarpal articular surface for Hamate Base / proximal end palmar surface shaft head / distal end articulates with 5th phalanx dorsal surface
151
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6 5 7
3 5
6 5 4 3 1 5
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152
Articulations proximal - 2nd row carpal bone Trapezium / distal - proximal end of the first proximal phalanx Special long bone wide ranging joint does not features articulate with the next metacarpal set apart upper - lateral lower - medial 1 2 3 4 5 6 articular eminence associated with sesamoid bone articular surface for Trapezium Base / proximal end shaft Head / distal end articulates with 1st phalanx groove crossed by Flexor Pollicus Brevis and Longus
153
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4 6 3
4 3 2
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Articulations proximal - 2nd row carpal bone Hamate / 3rd metacarpal, 5th metacarpal distal - proximal end of the 4th proximal phalanx Special long bone features upper - lateral lower - medial 1 2 3 4 5 6 7 8 9 articular surface for Capitate Base / proximal end palmar surface dorsal surface Head / distal end articulates with 4th phalanx head shaft articular surface for 3rd metacarpal articular surface for Hamate articular surface for 5th metacarpal
155
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3 4 6 2 8 9
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156
Articulations proximal - 2nd row carpal bone Trapezoid / Trapezium / Capitate 3rd metacarpal, 4th metacarpal distal - proximal end of the 2nd proximal phalanx Special long bone features upper - lateral lower - medial 1 dorsal surface Base / proximal end articulation with Trapezoid articulation with Trapezium palmar surface shaft Head - articulation with phalanx of index finger articular surface for Capitate articular surface for 3rd metacarpal
2 3 4 5 6 7 8 9
157
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7 6 5 1 9 2 8
7 6 5 4 3 2 1
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158
Articulations proximal - 2nd row carpal bone Capitate 2nd metacarpal, 4th metacarpal distal - proximal end of the 3rd proximal phalanx Special long bone features upper - lateral lower - medial 1 articular surface for 2nd metacarpal articular surface for Capitate palmar surface Head - articulation with proximal phalanx of middle finger dorsal surface Styloid process Base / proximal end articular surface for 4th metacarpal shaft
2 3 4 5 6 7 8 9
159
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5 9
6 2
M
4
2 1
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160
Articulations proximal - tarsal bones (ankle bones) metatarsals either side distal - proximal end of the approp. proximal phalanx Special these are long bones features upper dorsal (back of the foot) lower palmar (sole of the foot) 1 2 3 3A 4 5 6 7 8 9 10 11 12 13 Cuboid facet for medial malleolus Calcaneus Sustenaculum Tali of Calcaneus lateral tubercle of Talus medial tubercle of Talus trochlear surface of Talus neck of Talus head of Talus Navicular lateral Cuniform intermediate Cuniform medial Cuniform METATARSAL from bottom up 5th (to the little toe), 4th (to the 4th toe), 3rd, (to the 3rd toe), 2nd (to the 2nd toe) and 1st (to the big toe)
161
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6 5 4
9 10
11
12
1 9 10 11
13 12
Right
3A
3 1
13
Left
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162
Articulations proximal - tarsal bones (ankle bones) metatarsals either side distal - proximal end of the approp. proximal phalanx Special these are long bones features View of the FIRST metatarsal lateral medial rounded articulation for the proximal phalanx of the BIG TOE facets for the medial cuniform second metatarsal view of the SECOND metarsal lateral medial rounded articulation for the SECOND TOE facets for the lateral & intermediate cuniforms + third metatarsal
163
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Articulations proximal - tarsal bones (ankle bones) metatarsals either side distal - proximal end of the approp. proximal phalanx Special these are long bones features View of the THIRD metatarsal lateral medial rounded articulation for the proximal phalanx of the MIDDLE TOE facets for the lateral cuniform + second and fourth metatarsals View of the FOURTH metatarsal lateral medial rounded articulation for the FOURTH TOE facets for the lateral cuniform & cuboid + third and fifth metatarsals View of the FIFTH metatarsal lateral medial rounded articulation for the LITTLE TOE facets for the cuboid + fourth metatarsal
165
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Articulations with Frontal superiorly with Lacrimal laterally with itself medially with Ethmoid inferiorly SPECIAL articulates with nasal FEATURES cartilages anteriorly
superior & parts of the Ethmoid bone middle nasal conchae inferior nasal 2 small snail like bones conchae lying on top of Palantine bones 1 frontal sinus 2 Nasal spine of frontal bone 3 Nasal bone -external surface 3A Nasal bone internal surface 4 perpendicular plate of Ethmoid 5 ant. nasal spine 6 Maxilla 6A articulation b/n Nasal bones and Maxilla 7 Sphenoid bone 8 Vomer 9 Sphenoidal sinus 10 Crista Galli 11 foramen for Nasal vein 12 notch for external nasal Nerve 13 articulation with other Nasal bone 14 Lacrimal bone 15 Inferior concha and meatus 16 Palantine bone - perpendicular plate 17 sphenopalantine meatus 18 superior concha and meatus 19 middle concha and meatus
167
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2A 11 6A 12 3 1 2 3 4 15 5 6 1 1 3A 14 6 15 16
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13 3A
3 10 9 9
2 8 7
19 19 18 18
7 17
16
168
169
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2 3
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Occipital bone
external / internal Articulations with Vertebral Column with C1 with C2 Special large bowl like bone with a features hole at the infero-posterior portion of the skull 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
171
laterally
superior angle highest nuchal line superior nuchal line inferior nuchal line Mastoid margin jugular process condylar fossa Occipital condyle foramen magnum hypoglossal canal condylar canal lateral surface lateral angle external / internal Occipital crest squamous surface external / internal Occipital protuberance lamboid margin groove for superior sagittal sinus cerebral fossa groove for transverse sinus attachment for Tentorium Cerebelli groove for superior sigmoid sinus jugluar notch jugular tubercle attachments for Falx Cerebri opisthion basion Occipital sulcus - sagittal sinus
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17 16 15 14 13 12 11 10 25 17 16 14 13 12 11 27 26 9
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1 2 3 4 5 6 7 9 28 8 18 19 20 21 5 22 23 24 10
172
sagittal / medial / anterior / posterior Articulations mainly with the upper jaw (Maxilla) and the Sphenoid Special L-shaped bones features forms the floor of the Nasal cavity 1 2 3 4 5 6 7 2o fibrocartilagenous joints
perpendicular plate - vertical plate Palato-Maxillary suture Maxilla Orbital process Spheno-Papalatine notch Spenoidal process horizontal plane
6A Pterygo-Palatine canal
173
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1 3 2
5 6 6A 1
4 1
5 6 8
7
174
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superior temporal line parietal eminence articulation with the Occipital bone (Lambdoid suture) articulation with the Temporal bone (Mastoid)
Parieto-Mastoid suture
6 7 8 9 10 11 12 13 14 15 16 17
175
articulation with the Frontal bone Coronal suture inferior Temporal line groove for superior sagittal sinus frontal angle sphenoidal angle groove for frontal branch of Middle Meningeal vessels groove for parietal branch of Middle Meningeal vessels mastoid angle groove for sigmoid sinus occipital angle articulation between Parietal bones Sagittal suture
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1 8 2
7 3 6
5 9
4 10
17
16
15 14 13
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11 12
176
base apex femur articulation in flexion femur articulation - lateral condyle femur articulation in extension area for infra-patella fat pad femur articulation - medial condyle
177
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P
4
6 2
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178
1 2 3 4 5 6 7 8 9
first rib Clavicle Acromion of Scapula Humerus glenoid fossa of Scapula coracoid process of Scapula Manubrium (part of the Manubriosternum) Sternum (part of the Manubriosternum) Xphisternum
11 rib 11 12 rib 12 13 spine of Scapula 14 medial border of Scapula 15 transverse processes 16 spine of vertebrae
179
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6 5 8 9
12 16
10 1
P
7 13 4
14
15
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180
anterior longitudinal lig = ALL iliolumbar lig superior band iliolumbar lig inferior band ant. sacroiliac lig iliac fossa iliac crest greater sciatic foramen spine of Ischium sacrospinal lig lesser sciatic foramen pectoneal lig = Coopers lig tuberosity of Ischium sacrotuberous lig superior pubic lig interpubic disc iliopectoneal eminence ant inferior iliac spine = AIIS ant superior iliac spine = ASIS sacroiliac joint base of sacrum sacral canal inguinal lig (thickened portion) reflected inguinal lig inguinal lig aponeurosis of the external oblique muscle lacuna lig supf inguinal ring medial crus lateral crus ala of Sacrum Coccyx obturator foramen
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3 16
7 15 8A 11A 11 25 6
P
17
27
26
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182
anterior longitudinal lig = ALL iliolumbar lig superior band iliolumbar lig inferior band ant. sacroiliac lig iliac fossa iliac crest greater sciatic foramen spine of Ischium sacrospinal lig lesser sciatic foramen pectoneal lig = Coopers lig tuberosity of Ischium sacrotuberous lig superior pubic lig interpubic disc iliopectoneal eminence ant inferior iliac spine = AIIS ant superior iliac spine = ASIS sacroiliac joint base of sacrum sacral canal inguinal lig (thickened portion) reflected inguinal lig inguinal lig aponeurosis of the external oblique muscle lacuna lig supf inguinal ring medial crus lateral crus ala of Sacrum Coccyx obturator foramen
A. L. Neill
3 4
16 15 8 14 11 25 17 7 12 18A 13 10 11A 18 9
7 8A
20
19 22 24 21 19A 23 20 27
16
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184
Phalanges = DIGITS
FINGERS lateral / anterior / posterior TOES lateral / anterior / posterior ARTICULATIONS with the metacarpals or metatarsals proximally with other phalanges distally each digit except the first has 3 phalanges fist digits :thumb/pollux and big toe/hallux, have only 2 phalanges SPECIAL FEATURES hinge joints - flexion and extension only b/n phalanges 1 2 3 4 distal phalanx joint capsule middle phalanx proximal phalanx
5T plantar ligament 5F palmar ligament 6 7 8 deep transverse ligament synovial joint space collateral ligaments +/- capsule
185
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FINGERS
10
5F
9F
1 3 2 4 2 5T 6
TOES
9T
A. L. Neill
186
1 2
187
A. L. Neill
P
2
A. L. Neill
188
BS internal pudendal NS internal pudendal Ns perineal branch (S2-4) A 1 2 3 4 5 6 7 8 nil - except under hormonal influence eg childbirth inguinal lig acetabular labrium pectineal lig transverse acetabular lig lacuna lig arcuate pubic lig interpubic disc of fibrocartilage superior pubic lig hyaline cartilage
189
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1 2 3 7 4 5 9 8
P
6
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190
Radio-Ulnar joint proximal (below the elbow) distal (above the wrist)
anterior
(pivot joint between the Ulna and the Radius allowing turning one bone over the other)
BS anastomosies around joint from brachial, profunda brachii, radial and ulna arteries NS radial and median Ns (C7-8) A supination / pronation superior is the elbow joint inferior is the wrist joint hinge joint
Articulations
1 2 3 4 5 6 7
annular lig oblique cord gap for the posterior interosseous vessels interosseous membrane gap for the posterior interosseous vessels styloid process sacciform recess of the capsule of distal radioulnar joint
191
A. L. Neill
5 7 6
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192
Radius
anterior / posterior Articulations with Ulna proximally & distally with first row of carpal bones distally mid radio-ulnar joint = interosseous scaphoid, lunate, triquetral
1 2 3 4 5 6 7 8 9 a-f a b c d e f
head neck radial tuberosity shaft interosseous border ulnar notch styloid process dorsal tubercle posterior border grooves for the tendons crossing the Radius ext. digitorum ext. indicis ext. carpi radialis brevis ext. carpi radialis longus ext. pollicus brevis ext. pollicus longus
193
A. L. Neill
1 2 3
R
7 6 a b c d e f
A. L. Neill
194
195
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A. L. Neill
196
10
197
A. L. Neill
3 4 1 5 2 6 10 2A 5 6 3A 3A 3A 7A 8 7V 9 10 1A
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198
Special features
at the same level and above eg RIB 3 = T2/3 artic. with Sternum cartilaginous joints directly or through costal bone cartilage bone cartilage ridge each rib has a costal groove which protects the segmental BS and NS
1 2 3 4 5
head neck tubercle facet tubercle angle shaft / body costal groove costal end demi-facet for vertebra
6 7 8 9
199
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4 5
3 6 7
1 11 10 9 3 8 6
8 2 4 5
A. L. Neill
200
10 lateral sacrococygeal lig (ant. aspect) 11 lumbosacral lig 12 short dorsal sacroiliac lig
13 long dorsal sacroiliac lig 14 lateral sacrococygeal lig (post aspect) 15 intercornu lig 16 supf. dorsal sacrococygeal lig 17 falciform process 18 lesser sciatic foramen 19 greater sciatic foramen 20 superior pubic lig
201 A. L. Neill
3 4
2 anterior right
10 9 6 7 3 11 12 19 5 18 8 17 16 15 14 posterior left 13 8 20
A. L. Neill
202
10 lateral crest & tubercles 11 lamina 12 transverse process 13 median sacral crest & spinous process
203
A. L. Neill
1 2 3 4 9 4 5 4A
6 3
4 12
9 11 10
13
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204
Scaphoid
1 2 3 4 5 6 7 dorsal surface non-articulating articulation surface for Trapezium articulation surface for Trapezoid articulation surface for Radius articulation surface for Lunate articulation surface for Capitate tubercle
205
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palmar 5
dorsal 4 1
6 3 2
A. L. Neill
206
10 inferior angle 11 body 12 acromial angle 13 infraspinous fossa 14 supraspinous fossa 15 spinoglenoid notch 16 spine of scapula
207
A. L. Neill
5 7 8 9 10 5 6 3
16 13 2
6 7 9 8 10
12
1 14
15 13 9 16
10
A. L. Neill
208
BS posterior circumflex, humeral and suprascapular arteries NS posterior cord of the Brachial Plexus suprascapular, axillary & lateral pectoral Ns (C5-6) A flexion/extension, abduction/adduction, lateral/medial rotation, circumduction 1 2 3 4 5 6 7 8 superior glenohumeral lig middle glenohumeral lig inferior glenohumeral lig Latissimus Dorsi tendon of long head of Biceps Pectoralis Major (cut) transverse lig of Humerus coracohumeral lig Supraspinatus tendon
10 articular capsule 11 Subscapularis bursa 12 edge of the articular capsule 13 glenoid labrium 14 glenoid cavity 15 Subscapularis tendon
209
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1 8 2
6 5
4 15 5 1 9 10 14 13 12 3 11 2
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210
211
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27 26 25 24 23
2 3 4 5 6 7
22 21
8 9
20 19 18 17 16 15 14 13
10 11 12
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212
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
213
Incisive fossa - Alveolare Medial Pterygoid plate and Hamulus (Ethmoid) Posterior Nasal aperture Pterygoid plate (ethmoid) Lateral Pterygoid plate (Ethmoid) Zygomatic arch Mandibular fossa External Auditory meatus Styloid process Mastoid process Parieto-Mastoid suture Occipito-Mastoid suture Foramen magnum External Occipital proturberance Sagittal suture - Parieto-Parieto suture Lambda Lambda suture Superior nuchal line (Occipital) Inferior nuchal line (Occipital) Occipital condyle Jugular foramen (fossa) Stylo-Mastoid foramen Carotid foramen - Carotid canal Foramen spinosum Foramen lacerum - Basilar suture Greater Palatine foramen Horizontal plate of Palatine Palatine process of the Maxilla
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28 27 26 25 24 23 22 21 20 19 18 17 16
1 2 3 4 5 6 7 8 9 10 11 12 13 15 14
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lateral 1 Frontal bone - Temporal ridges for attachment of Temporalis 2 Parietal bone 3 Occipital bone 4 Mastoid process 5 Temporal bone 6 Zygomatic arch 7 Mandible 8 Body of Mandible 9 Maxilla 10 Zygoma 11 12 13 14 Nasal bone Lacrimal bone Frontal bone Greater Wing of the Sphenoid
215
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1 14 13 2
12 11
10 9 5 6 8 7 4
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216
217
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11
3 4 5 10
9 8 7
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218
219
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1 9 2
8 3
6 4 5
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10 Grooves for middle meningeal vessels 11 Parietal bone 12 Sagittal suture 13 Groove for superior sagittal sinus 14 Occipital bone
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1 2 3
12 11
10 6 9 8 7
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Orbital plate of Frontal bone Jugum of Sphenoid Optic canal Lesser wing of the Sphenoid bone Anterior Clinoid process Foramen rotundum
10 Foramen lacerum 11 Foramen ovale 12 Foramen spinosum 13 Dorsum sellae 14 Internal acoustic meatus 15 Jugular foramen 16 Foramen magnum A B C POSTERIOR FOSSA MIDDLE FOSSA ANTERIOR FOSSA
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Sphenoid
anterior / posterior
A single wedge-shaped bone consisting of four parts: the central body; the lateral greater wings, the medial lesser wings and the lower ptergoid plates. The bone looks like a bat in flight and is the centre piece of the skull.
1 2 3 4 5 6 7 8 9
articulation with Left Temporal bone orbital surface infratemporal crest body of the Sphenoid openings for sphenoidal sinuses lesser wing squamosal suture - articulation with right Temporal bone superior orbital fissure foramen rotundum
10 pterygoid canal 11 rostrum 12 vaginal process 13 medial pterygoid plate 14 pterygoid hamulus 15 pterygoid notch 16 lateral pterygoid plate 17 pterygoid process 18 sphenoid spine 19 cerebral surface of the greater wing 20 anterior clinoid process 21 posterior clinoid process 22 dorsum sellae
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3 4 5
6 7 8
18 17 16 15 14 20 6 21 22 13 11 12
9 10
19
8 9 18 10 12 16 14 13 15 11
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BS internal thoracic artery NS ant supraclavicular & N to subclavius ant cutaneous branches of intercostal Ns (C8-T1-12) A 1 2 3 4 5 6 elevation/ depression, retraction/ protraction, rotation interclavicular lig fibrocartilage artic surface articular disc costoclavicular lig double synovial joint cavity RIB 2 with intrarticular lig. sternocostal / manubriocostal joints manubriosternal symphysis (20 cartilagenous) ant sternoclaviular lig costoclavicular lig sternocostal lig 7 8 9
10 sternocostal joints (R3-9) PLANE synovial joints 11 interchondral synovial joint cavities (R6-10) synchondrosis 12 interchondral ligs syndesmosis 13 costochondral junction
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5 6 9 13 10 5 6
11 12
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Articulations with Tibia superiomedially with Calcaneus inferiorly with Navicular anteriorly with Fibula laterally 1 2 3 4 5 6 7 8 9 trochlea surface for Tibia facet for medial malleous neck groove for anterior lig of Ankle artic surface for Navicular sulcus tali lateral process
10 medial tubercle 11 roughened surface for Deltoid lig 12 groove for Hallucis longus
13 medial tubercle 14 anterior surface for calcaneus 15 middle calcaneal surface 16 plantar calcaneonavicular lig
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superior 3
10 2
12 1
4 5 7 inferior 5 14 16
15 6 12
lateral 4 3 5 6 medial 4 5 11
7 3 1 9
10
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suprameatal triangle groove for middle Temporal artery parietal notch squamo-Mastoid suture mastoid area mastoid process sheath of styloid process styloid process tympanic part l external acoustic meatus / anterior border (bony ear hole) tympanosquamosal (squamotympanic) fissure mandibular fossa zygomatic process articular tubercle postglenoid tubercle squamous part - Squama stylomastoid foramen mastoid notch - Digastric groove occipital groove jugular surface jugular fossa canaliculus (opening) for Tympanic nerve petrous part carotid canal edge of tegmen tympani groove for the middle meningeal vessels groove for the superior Petrosal sinus articulation with the greater wing of the Sphenoid Spheno-Temporal suture Zygomatic process groove for the middle meningeal vessels internal acoustic meatus articulates with the Occipital bone aqueduct of the vestibule mastoid foramen groove for sigmoid sinus - sigmoid sulcus arcuate eminence articulates with the parietal bone Temporoparietal suture
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2 3 4
5 6 25 24 11 13 14 12 9 8 20 19 16 37 26 27 28 18 6 17
36 35 34 33 32
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29 30 31 8
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BS superficial temporal & maxillary arteries NS auriculotemporal & masseteric branches of mandibular branch of Trigeminal N (CN5) A depression/elevation, protrusion/retraction, lateral movements 1 2 3 4 5 6 7 8 9 fibrous capsule lateral TMJ lig stylomandibular lig Mandible ant Temporal attachment of Meniscus meniscus ant. mandibular attachment condyle of mandible posterior attachment
10 sphenomandibular lig
11 posterior temporal attachment 12 lower joint compartment 13 Temporal bone 14 upper compartment 15 ext. auditory meatus
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1 2 3
10 6 13 3 14 4 12 6 5 11 12 9 7 8
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Tibia
anterior / posterior Articulations with Fibula laterally syndesmosis distally and proximally with Talus inferiorly synovial - condyloid 1 2 3 4 5 6 7 8 9 interosseous border medial malleolus tibial tuberosity posterior border anterior border fibular notch articular facet for Fibula lateral condyle soleal line
10 medial condyle 11 attachment of iliotibial tract 12 tubercles of intercondylar eminence 13 medial surface
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13 5 1
4 2 2
T
6
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Tibio-Fibula joints
posterior
(3 joints distal, proximal and along the shafts via the interosseous membrane)
BS proximal - ant tibial artery distal ant & post tibial arteries NS proximal - tibal N (S2-3) distal deep peroneal and tibial Ns (L5 S1-3) A proximal - lateral at. rotation with dorsiflexion of foot distal as above
1 2 3 4 5
proximal post. Tibiofibula lig opening for ant tibial vessels interosseous membrane opening for peroneal artery distal post Tibiofibula lig
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1 2 3 4 5 6 7 8 9
for Lunate for Pisiform for Hamate tubercle for 1st MC for Scaphoid for Trapezoid for 2nd MC for Capitate
10 dorsal surface
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palmar 4 6 6
dorsal 7 8 7 8 4
9 10 10 6 1 8
T
3 3
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Ulna
anterior / posterior Articulations with Radius proximally pivot joint and distally with Humerus proximally hinge jt ELBOW 1 2 3 4 5 6 7 8 9 radial notch olecranon trochlea notch coronoid process interosseous border head styloid process subcutaneous area of olecranon crest for supinator
10 medial surface 11 posterior border / surface 12 groove for ext. carpi ulnaris
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3 4 2
10
5 11
12
U
6 7 7 6
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Vertebrae
Typical cervical C3-7 superior Articulations with vertebra above & below -2 unpaired joints 2 paired joints VB -VB joints symphysis Spinous process joints syndesmosis paired zgyapophyseal planar synovial paired TP joints fibrous sydesmosis
Special features
1 2 3 4 5 6 7 8 9
body pedicle superior articular facet vertebral foramen lamina spinous process -bifid* post tubercle of TP transverse foramen* sulcus for peripheral N outlet
10 anterior tuberble of TP
V
* only in cervical vertebrae
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Vertebrae
Typical lumbar L1-5 superior Articulations with vertebra above & below -2 unpaired joints 2 paired joints VB -VB joints symphysis Spinous process joints syndesmosis paired zgyapophyseal planar synovial paired TP joints fibrous sydesmosis
Special features
1 2 3 4 5 6 7 8
body pedicle superior articular facet vertebral foramen lamina spinous process superior articular facet mamillary body* transverse process
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8 9
7 2
3 4 1
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Vertebrae
Typical thoracic T2-9 superior Articulations with vertebra above VB -VB joints symphysis & below -2 unpaired + demifacets across the joints disc b/n bodies 2 paired joints + 1 pair for ribs TP Spinous process joints syndesmosis paired zgyapophyseal + 2 demi facets for ribs costotransverse planar synovial paired TP joints fibrous sydesmosis costal facets articulates with the ribs only in the thoracic region
special features
1 2 3 4 5 6 7
spinous process lamina vertebral foramen body superior & inferior costal demi-facets* pedicle transverse process with articular facet for rib*
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Vertebrae
Typical spinous process transverse process body foramen cervical long bifid transverse foramen inside thoracic long downpointing costal articulations lumbar short bulky short bulky with mammilary body thick bulky small
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cervical curvature
thoracic curvature
lumbar curvature
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BS spinal arteries of the regional arteries NS branches from the dorsal rami of the adjacent spinal Ns A extensive movement possible b/n disc and disc but altered by the zygapophyseal joints angulation which changes regionally costal joints lumbar - flexion/extension lateral flexion, rotation thoracic - rotation cervical - flexion/extension, lateral flexion,
1 2 3 4 5 6 7 8
posterior longitudinal lig = PLL pedicle body intervertebral disc space b/n ligamenta flavum ligamenta flavum = LF mammilary body lamina transverse process
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10
6 9 8 2
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Vertebro-vertebral joints = joints b/n the Vertebral bodies & b/n vertebral processes = zygapophyseal joints, interspinous joints, intertransverse joints also see Costovertebral joints
lateral / medial
(symphyses - bone - fibrocartilagenous disc - bone b/n bodies fibrous joints b/n processes spinous (SP) transverse (TP) synovial joins b/n superior & inferior facets = zygapophyseal)
BS spinal arteries of the regional arteries NS branches from the dorsal rami of the adjacent spinal Ns A extensive movement possible b/n VB and discs but altered by the zygapophyseal joints angulation which changes regionally costal joints lumbar - flexion/extension lateral flexion, rotation thoracic - rotation cervical - flexion/extension, lateral flexion, 1 superior demi-facet for costal head of rib 2 facet on TP for tubercle of rib 3 superior costotransverse ligs 4 paired synovial joints 5 rib shaft 6 rib head 7 intra-articular lig 8 intervertebral disc 8A annulus fibrosis 9 anterior longitudinal lig = ALL 10 radiate lig 11 veterbral body 12 hyaline cartilage 13 lamina 14 pedicle 15 PLL 16 spine 17 interspinous lig 18 supraspinous lig 19 LF 20 capsule for zygapophyseal jt 21 intervertebral foramen 22 intervertebral notch
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1 2 11 10 9 8 4 7 6 21 12 8A 9 8 11 13 16 14 15 22
254
5 20 19 18
17
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Vomer
1 2 3 4 5 6 7 8 9
Ala (Alae) Articulation with Maxillae and Palatine Maxillovomer suture / palatinovomer suture Groove for the nasopalantine nerves and vessels articulation with nasal cartilages articulation with Sphenoid bone articulation with the Ethmoid plate Perpendicular plate of the Ethmoid Body of Vomer Maxillae areolar bone
10 Medial pterygoid plate 11 Frontal bone 12 Sphenoid sinus 13 anterior of nasal bones 14 Frontal sinus
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10
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2 6 1 3
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1 2 3 4 5 6 7 8 9
frontal process Zygomatico-Facial formina articulation with the Frontal bone articulation with the Sphenoid Zygomatico-Orbital foramina articulation with Maxilla Zyomatico-Temporal foramina temporal process maxillary process
10 orbital surface
Z
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8 9
Z
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relations, individual joints, movements, BS & NS, and joint classifications listed)
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Grap
eft
He
m
e er ph is
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CECLOR CD
(cefaclor monohydrate)
For skin and soft tissue infections and ...urinary tract infections
TAZAC
for
REFLUX
(nizatidine)
Ferrum H
iron polymaltose complex
IRON
LIFE
Dr. A. L. NEILL
BSc MSc MBBS PhD FACBS
medicalamanda@gmail.com www.amandasatoz.com 0414248747 Contact www.aspenpharma.com.au for login and passwords for the complete A to Z and the AspenAtlas online.
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