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Musculoskeletal system
The short
term effects
on MUSCLES/
JOINTS and
BONES
Musculoskeletal response: increased blood
supply; increase in muscle pliability; increased
range of movement; muscle fibre micro tears
REMEMBER...
•“Diseases of the musculoskeletal system rank first among disease conditions that alter the quality of life…”
• Skeleton: 206 bones
• Long: femur, humerus, radius
• Short: carpals, tarsals
• Irregular: vertebrae
• Bones protect, support, allow for locomotion and mineral storage (Ca,Mg)
• Joints: Range from joints that don’t move to joints that freely move.
• Ligaments and tendons: stabilize joints
• Ligaments: attached from bone to bone
• Tendons: attached from muscle to bone
• Cartilage: ends on bones
• Muscles: controlled by nervous system
• Fascia: surrounds muscles, divides muscles, main blood vessels and nerves.
• Bursae: cushions moving parts
• Muscle tone: ability to resist force; graded 0-5
• Atrophy: decrease size
• Joint pain:
• SLIDA:
Severity,
Location,
Intensity,
Duration,
Aggravating factors (alleviating factors, associated symptoms)
• Stiffness
• Limited movement
The musculoskeletal system comprises
bones, muscles and joints, and makes up most of the body’s mass. It performs a number of essential functions including:
• Maintenance of body shape.
• Support and protection of soft tissues structures such as the brain, heart and lungs.
• Movement.
• Breathing.
• Storage of calcium and phosphate in bone.
• The manufacture of red blood cells, white
blood cells and platelets in the bone marrow (haematopoiesis)
BONES •Bone is a rigid structure
ideally suited for its supportive and protective function. Bones contain sites for muscle attachment, the mechanical basis for movement.
MUSCLES
• Muscle tissue is made up of contractile cells which have the ability to shorten in length or contract. It is this characteristic that is responsible for movement, maintenance of posture and heat production
Joints A joint is the site at which two or more bones are united, providing the allows movement. Fibrous joints unite bones by fibrous connective tissue and allow very little movement.
16
Structure and Function
Forms the body framework
Enables the body to move
Protects and supports internal organs
17
Bones Bones
•Composed of osseous tissue
•Consists of a rich supply of blood vessels and nerves
•Osteoblasts are bone-forming cells
•Osteoclasts are responsible for reabsorbing dead bone tissue
•Bone cells are called osteocytes
18
Ossification BONES
The development of osteocytes and the hardening process is called ossification.
calcium
phosphorus
vitamin D
OSSIFICATION DEPENDS ON:
22
SKELETON PERFORMS FUNCTIONS:
• support
• protection
• body movement
• hemopoiesis
• mineral storage
• Bones are body organs with blood supply, nerves, and lymphatic vessels
• Bones are connected to each other to form skeleton
–Framework for the body
–206 bones
•Red bone marrow within bones produces blood cells
•Bones also:
–Protect vital organs
–Store minerals
Bones
• Also called osseous tissue
• One of hardest materials in body
• Formed from gradual process before birth called ossification
• Fetal skeleton is formed from a cartilage model
Bones • Flexible tissue is gradually replaced
by osteoblasts (immature bone cells)
• In adult bones osteoblasts mature into osteocytes
• Formation of strong bones dependant on adequate supply of minerals
Four Shapes of Bones
Long bones
Short bones
Flat bones
Irregular bones
Longer than wide
Example:
femur
humerus
Roughly as long as wide
Example:
carpals
tarsals
Plate- shaped
Example:
sternum
scapula
pelvis
Shape very irregular
Example:
vertebrae
Diaphysis • Central shaft
• Medullary cavity
– Open canal within diaphysis
– Contains yellow bone marrow
• Mostly fat
Epiphysis • Wide ends of long bone
– Distal epiphysis
– Proximal epiphysis
• Articular cartilage
– Covers epiphysis
– Prevents bone rubbing on bone
Periosteum
• Covers surface of bone not covered by articular cartilage
• Thin connective tissue membrane
• Contains numerous nerve and lymphatic vessels
Compact Bone
• Also called cortical bone
• Very dense and hard
• Outer layer of bone
• Found in both epiphysis and diaphysis
Cancellous Bone • Also called spongy bone
• Found inside bone
• Has spaces containing red bone marrow – Manufactures blood cells
Bony Processes
• Projection from the surface of a bone
• Rough processes provide place for muscle attachment
• Smooth rounded processes articulate with another bone in a joint
• Named for shape and location
Common Bony Processes
Head Large smooth ball-shaped end of a long bone
Condyle Smooth rounded portion at end of bone
Epicondyle Projection above or on a condyle
Trochanter Large rough process
Tubercle Small rough process
Tuberosity Large rough process
Bony Depressions • Sinus
– Hollow cavity within bone
• Foramen
– Smooth opening for nerves and blood vessels
• Fossa
– Shallow cavity or depression within a bone
• Fissure
– Deep groove or slit-like opening
The Skull
• Is divided into two parts
– Cranium
– Facial bones
• Protects brain, eyes, ears, nasal cavity, and oral cavity
• Attachment for muscles of chewing and turning the head
Cranium • Frontal – 1
– Forehead
• Parietal – 2
– Upper sides and roof of skull
• Temporal – 2
– Sides & base of skull
Cranium
• Ethmoid – 1
– Part of eye orbit, nose, & floor of skull
• Sphenoid – 1
– Part of floor of skull
• Occipital – 1
– Back & base of skull
Facial Bones
• Mandible – 1
– Lower jawbone
• Maxilla – 1
– Upper jawbone
• Zygomatic – 2
– Cheek bones
• Vomer – 1
– Part of nasal septum
Facial Bones
• Palatine – 1
– Hard palate and floor of nose
• Nasal – 2
– Part of nasal septum and bridge of nose
• Lacrimal – 2
– Inner corner of eye
Hyoid Bone
• Single U-shaped bone
• In neck between mandible and larynx
• Attachment point for swallowing and speech muscles
The Vertebral Column
• Cervical
– 7 vertebrae of neck
• Thoracic
– 12 vertebrae of chest
• Lumbar
– 5 vertebrae of low back
• Sacrum
– 5 fused vertebrae at base of spine
• Coccyx
– 3–5 small vertebrae attached to sacrum
The Rib Cage
• 12 pairs of ribs
• Attached to vertebral column at back
• Provides support for organs, such as heart and lungs
The Rib Cage
• True ribs
– 10 pairs attached to sternum in front
• Floating ribs
– Inferior 2 pairs
– No attachment in front
Appendicular Skeleton
• Includes bones of:
– Pectoral girdle
– Upper extremity
– Pelvic girdle
– Lower extremity
Pectoral Girdle • Attaches upper extremity to axial
skeleton
• Articulates with:
– Sternum anteriorly
– Vertebral column posteriorly
• Consists of:
– Clavicle – collar bone
– Scapula – shoulder blade
Upper Extremity • Arm
• Consists of:
– Humerus – upper arm
– Ulna – part of forearm
– Radius – part of forearm
– Carpals – wrist bones
– Metacarpals – hand bones
– Phalanges – finger bones
Pelvic Girdle • Also called os coxae, innominate bone,
or hipbone
• Attaches lower extremity to axial skeleton
• Articulates with sacrum posteriorly
• Consists of:
– Ilium
– Ischium
– Pubis
Lower Extremity • Leg
• Consists of:
– Femur – thigh bone
– Patella – knee cap
– Tibia – shin bone
– Fibula – lower leg bone
– Tarsals – ankle bones
– Metatarsals – foot bones
– Phalanges – toe bones
Joints
• Formed where two bones meet
• Also called an articulation
• Three types based on movement allowed
between the 2 bones:
– Synovial
– Cartilaginous
– Fibrous
Synovial Joints
• Freely moving joints
• Most common type of joint
• Example is ball-and-socket joint
• Bones held together by ligaments
– Strong bands of connective tissue
• Some contain a bursa
– Sac-like structure lined with synovial
membrane
Synovial Joints
• Enclosed in an
elastic joint
capsule
• Contains synovial
fluid
– Lubricant secreted
by synovial
membrane
• Ends of bones are
covered with
articular
cartilage
Cartilaginous Joints
• Allow slight
movement
• Hold bones firmly in
place by solid piece of
cartilage
• Example
– Pubic symphysis
Fibrous Joints
• Allow almost no
movement
• Joined by thick
fibrous tissue
• Example
– Sutures of the skull
Muscular System at a Glance
• Function of Muscular System
– Individual cells are able to contract or shorten
in length
– Shortening produces movement
• Bundles of parallel muscle tissue fibers
• Fibers contract
– Shorten in length
– Produce movement
– Move bones closer together
– Push food through digestive system
– Pump blood through blood vessels
Types of Muscles
• Skeletal muscle
• Smooth muscle
• Cardiac muscle
• Voluntary muscles
– Consciously choose to contract the muscle
– Skeletal muscles
• Involuntary muscles
– Under control of subconscious brain
– Smooth muscles and cardiac muscle
Skeletal Muscles
• Attached to bones
• Produce voluntary movement of skeleton
• Also referred to as striated muscle
– Looks striped under microscope
Skeletal Muscles
• Muscle is wrapped in layers of connective
tissue
– Called fascia
– Tapers at the end to form tendon
– Inserts into periosteum to attach muscle to
bone
• Are stimulated by motor neurons
– Point of contact with muscle fiber is called
myoneural junction
Smooth Muscles
• Associated with internal organs
– Also called visceral muscle
– Stomach
– Respiratory airways
– Blood vessels
• Called smooth because has no
microscopic stripes
• Produces involuntary movement of these
organs
Cardiac Muscle
• Also called myocardium
• Makes up walls of heart
• Involuntary contraction of heart to pump
blood
Skeletal Muscle Actions
• Skeletal muscles attach to two different
bones and overlap a joint
• When muscle contracts both bones move,
but not equally
– Origin: less moveable of 2 bones
– Insertion: more moveable of 2 bones
Skeletal Muscle Actions
• Action
– Type of movement produced by the muscle
• Antagonistic pairs
– Pair of muscles arranged around a joint
– Produce opposite actions
Movement Terminology
dorsiflexion backward bending of foot
plantar flexion bending sole of foot; pointing toes
flexion act of bending or being bent
extension brings limb into a straight condition
abduction movement away from midline of body
adduction movement toward midline of body
Medical Terminology: A Living Language, Fourth Edition
Bonnie F. Fremgen and Suzanne S. Frucht
Copyright ©2009 by Pearson Education, Inc.
Upper Saddle River, New Jersey 07458
All rights reserved.
Figure 4.23 – Abduction and adduction.
Click here to view an animation on humerus adduction and abduction.
Humerus Adduction/Abduction
Animation
Back to Directory
Medical Terminology: A Living Language, Fourth Edition
Bonnie F. Fremgen and Suzanne S. Frucht
Copyright ©2009 by Pearson Education, Inc.
Upper Saddle River, New Jersey 07458
All rights reserved.
Figure 4.24 – Flexion and extension.
Click here to view an animation on elbow flexion and extension.
Elbow Flexion/Extension
Animation
Back to Directory
Click here to view an animation on ankle dorsiflexion and plantar flexion.
Ankle Dorsiflexion and Plantar
Flexion Animation
Back to Directory
Movement Terminology
elevation to raise
depression to drop down
pronation turning palm downward
supination turning palm upward
eversion turning outward
inversion turning inward
Different Circular Movements
• Circumduction
– Movement in circular direction from a central
point
• Opposition
– Moving thumb away from palm to contact tip
of other fingers
• Rotation
– Moving around a central axis
106
All the bones of an
organism united in
bone system (skeleton
or systema skeletale),
which is usually called
skeleton.
108
Stages of the development
of the skeleton: 1.connective-tissue (membranouse)
2.cartilaginous
3.bony
110
The types of ossification
(osteogenesis) are
distinguished:
• Intramembranous or endesmal
• Perichondral
• Enchondral
112
The bones, which are formed
directly from connective tissue
without going through the
stage of the cartilage, called
primary bone.
114
The components of the axial
skeleton are as follow:
1.Skull
2.Auditory ossicle
3.Hyoid bone
4.Vertebral column
5.Thoracic cage
115
The appendicular skeleton is
composed of the:
1.Pectoral girgle
2.Upper limb
3.Pelvic girgle
4.Lower limb
116
The skeleton is composed of more
then 200 bones.
Bone classification according
the shape:
1. Long bones
2. Flat bones
3. Short bones
4. Mixed bones
118
As a organ bone has:
1. bone tissue: compact tissue
spongy tissue
2. bone marrow
3. periosteum
4. epiphyseal cartilage
5. vessels and nerve
123
Osteon – is a structuring
unit compact tissue of the
bone. This is a system of bone
lamellas, which are situated
around the thin (Haversion)
canal, where vessels and
nerves are going through.
124
Group of osteons form the
trabecule.
Substantia spongiosa
(trabecularis) is formed by the
many trabecules, which are
situated crumbly. There are a lot
of lacunaes.
126
On the surface of the bone the
compact bone tissue is situated.
Spongy tissue is situated
under the compact tissue.
In the wall of diaphysis of
tubular bones and flat bones the
compact tissue is the main.
130
The bone lacunars of the
spongy tissue and bones canal
of tubular bones contain bone
marrow. These lacunars of the
spongy bones is called bone-
medullary cavity. This canal of
bones is called bone-
medullary canal.
131
The bone marrow are divided on red bone marrow and yellow bone marrow.
The function of red bone marrow is hemopoesis.
The yellow bone marrow consist of fat cells.
Different types of muscles • Each of the muscles reacts differently to exercise
• Skeletal – Demands Oxygen and Glycogen
• At rest 20% of our blood goes to our muscles.
• In a warm up 50% of our blood goes to our working muscles
• In intense exercise 80% of our blood goes to our working muscles
– Works harder
– Warms up
• Cardiac – Works harder (beats more often and with larger amount of blood in
each beat) to provide the Oxygen and Nutrients to the skeletal muscle via the blood, and get rid of the Waste products of exercise (Carbon Dioxide, Water and Heat).
• Involuntary
Blood is shunted away from the parts of the body that don’t need it
Eg the stomach gets 25% of our blood during rest. This can reduce to 1% during
exercise