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I. CASE STUDY
At the ER, the clinical clerk on duty is tasked to report his physical
examination findings on a 70 y/o male patient who came in with
lacerated wound on the arm associated pain on movement after a
motorcycle accident.
Retrusion Movement
posteriorly/backward
(e.g. retruding the
mandible, lips, or
tongue)
Protrusion Movement Figure 5. Axial (brown) and Appendicular (blue) Skeleton
anteriorly/forward
(e.g. protruding the COMPOSITION
chin, lips, or tongue) • Cartilage
Protraction Anterior movement Semi rigid, resilient, avascular
of the shoulder (e.g. Connective tissue that forms part of the skeleton where more
moving to hug flexibility is required
someone, pushing
Blood vessels do not enter cartilage; instead, its cells obtain
off the ground)
oxygen by diffusion
• Bone
Retraction Posterior movement Supporting tissue of the body
of the shoulder (e.g. Highly specialized living tissue
moving to elbow Serves as clinical landmarks
someone from
behind) PARTS OF A LONG BONE
• Body (Diaphysis)
• 2 terminal ends (Epiphysis)
VI. SKELETAL SYSTEM
• The total number of bones in a typical adult is 206.
At birth, the total number of bones is close to 300 but will
later be reduced to 206 due to fusion of bones during growth.
Function
• Provides the basic shape for the body
• Protect the vital organs such as the heart, lungs, and pelvic Figure 7. Parts of a Long Bone
organs
FUNCTIONAL PARTS
BONE MARKINGS
• Location of the bands of fascia, ligaments, tendons, or
aponeuroses.
• Arteries lie adjacent to them.
• Every bump, groove, and hole contains the name of the
bone.
A narrow ridge
Figure 8. Bone Classifications Crest
of the bone
Table 8. Based on solid matter and size of space
Compact Spongy Medial epicondyle of
• Tightly packed and • Consists of a branching network femur
appears as a solid of trabeculae which are arranged
mass in such a manner as to resist
• Strength for weight stresses and strains to which the A projection
bone is exposed (Snell, 2012) Epicondyle superior to a
bearing
condyle
e.g. Shafts of long • Usually short bones, e.g. carpals
bones and tarsals
A slightly raised,
Line
elongated ridge
Mastoid Process
Figure 9. Compact bone vs spongy bone
Any bone
Process
prominence
Table 9. Based on Shape
Class Description Examples
Long • Usually found in the limb. Humerus,
Bones • Their length > breadth. femur, Mental Protuberance of
metacarpals, chin
A bony
metatarsals,
Protuberance outgrowth or
phalanges
protruding part
Short • Usually found in the hand Carpals and
Bones and foot. tarsals
• Cuboidal in shape. Spine of scapula
• Length < width A sharp, slender,
Flat • Found in the vault of the Frontal bone, Spine or narrow
Bones skull. parietal bone, process
2 layers; • Usually serve protective scapulae,
diploe in functions. Composed of sternum, ribs
between Greater and lesser
thin inner and outer layers
trochanter of the femur
of compact bone (tables)
with a layer of cancellous
bone at the middle (diploe) Trochanter A blunt elevation
Irregular • Various shapes including Vertebrae,
Bones those not assigned to the ossicles, facial
previous groups. bones, the
pelvic bones
A hole through a
Foramen
bone, usually round
Head of the femur
VII. JOINTS
• Also known as articulations
Table 12. Bone Depressions • unions or junctions between two or more bones or rigid
(Depressions and Openings around blood vessels and nerves) parts of the skeleton
Term Description Example
Alveolus A pit or socket Tooth socket CLASSIFICATION OF JOINTS
Mandibular Fossa
BASED ON FUNCTION
Table 14. Classification of joints based on function
A shallow, broad, or Joint Description Example
Fossa
elongated basin Synarthrosis Immovable joints Cranium
Amphiarthrosis Slightly movable Vertebral column
joints
BASED ON STRUCTURE
• Synovial Joints
united by a joint capsule spanning and enclosing an articular
cavity
separated by joint cavity filled with synovial fluid Saddle -Biaxial; Carpometacarpal
permits a great degree freedom of movement permit flexion- joint at the base of
Synovial Fluid extension and the 1st digit (thumb)
▪ viscous, slippery texture – “raw egg white” abduction-
▪ rich in albumin and hyaluronic acid adduction
▪ Functions: -
nourishes articular cartilages Circumduction
remove their wastes is also
serves as lubricant for joint surfaces possible
REVIEW QUESTIONS