Skeletal System? Skeletal System Chapters 6 & 7 Skeletal System = Bones, Joints, Cartilages, Ligaments
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The Structure and Function of Breathing
CHAPTERCONTENTS The structure-function continuum 1 Multiple Influences: biomechanical, biochemical and psychological 1 The structure and Homeostasis and heterostasis 2 OBJECTIVE AND METHODS 4 function of breathing NORMAL BREATHING 5 Respiratory benefits 5 Leon Chaitow The upper airway 5 Dinah Bradley Thenose 5 The oropharynx 13 The larynx 13 Pathological states affecting the airways 13 Normal posture and other structural THE STRUCTURE-FUNCTION considerations 14 Further structural considerations 15 CONTINUUM Kapandji's model 16 Nowhere in the body is the axiom of structure Structural features of breathing 16 governing function more apparent than in its Lung volumes and capacities 19 relation to respiration. This is also a region in Fascla and resplrstory function 20 which prolonged modifications of function - Thoracic spine and ribs 21 Discs 22 such as the inappropriate breathing pattern dis- Structural features of the ribs 22 played during hyperventilation - inevitably intercostal musculature 23 induce structural changes, for example involving Structural features of the sternum 23 Posterior thorax 23 accessory breathing muscles as well as the tho- Palpation landmarks 23 racic articulations. Ultimately, the self-perpetuat- NEURAL REGULATION OF BREATHING 24 ing cycle of functional change creating structural Chemical control of breathing 25 modification leading to reinforced dysfunctional Voluntary control of breathing 25 tendencies can become complete, from The autonomic nervous system 26 whichever direction dysfunction arrives, for Sympathetic division 27 Parasympathetic division 27 example: structural adaptations can prevent NANC system 28 normal breathing function, and abnormal breath- THE MUSCLES OF RESPIRATION 30 ing function ensures continued structural adap- Additional soft tissue influences and tational stresses leading to decompensation. -
Vertebral Column and Thorax
Introduction to Human Osteology Chapter 4: Vertebral Column and Thorax Roberta Hall Kenneth Beals Holm Neumann Georg Neumann Gwyn Madden Revised in 1978, 1984, and 2008 The Vertebral Column and Thorax Sternum Manubrium – bone that is trapezoidal in shape, makes up the superior aspect of the sternum. Jugular notch – concave notches on either side of the superior aspect of the manubrium, for articulation with the clavicles. Corpus or body – flat, rectangular bone making up the major portion of the sternum. The lateral aspects contain the notches for the true ribs, called the costal notches. Xiphoid process – variably shaped bone found at the inferior aspect of the corpus. Process may fuse late in life to the corpus. Clavicle Sternal end – rounded end, articulates with manubrium. Acromial end – flat end, articulates with scapula. Conoid tuberosity – muscle attachment located on the inferior aspect of the shaft, pointing posteriorly. Ribs Scapulae Head Ventral surface Neck Dorsal surface Tubercle Spine Shaft Coracoid process Costal groove Acromion Glenoid fossa Axillary margin Medial angle Vertebral margin Manubrium. Left anterior aspect, right posterior aspect. Sternum and Xyphoid Process. Left anterior aspect, right posterior aspect. Clavicle. Left side. Top superior and bottom inferior. First Rib. Left superior and right inferior. Second Rib. Left inferior and right superior. Typical Rib. Left inferior and right superior. Eleventh Rib. Left posterior view and left superior view. Twelfth Rib. Top shows anterior view and bottom shows posterior view. Scapula. Left side. Top anterior and bottom posterior. Scapula. Top lateral and bottom superior. Clavicle Sternum Scapula Ribs Vertebrae Body - Development of the vertebrae can be used in aging of individuals. -
Managing a Rib Fracture: a Patient Guide
Managing a Rib Fracture A Patient Guide What is a rib fracture? How is a fractured rib diagnosed? A rib fracture is a break of any of the bones that form the Your doctor will ask questions about your injury and do a rib cage. There may be a single fracture of one or more ribs, physical exam. or a rib may be broken into several pieces. Rib fractures are The doctor may: usually quite painful as the ribs have to move to allow for normal breathing. • Push on your chest to find out where you are hurt. • Watch you breathe and listen to your lungs to make What is a flail chest? sure air is moving in and out normally. When three or more neighboring ribs are fractured in • Listen to your heart. two or more places, a “flail chest” results. This creates an • Check your head, neck, spine, and belly to make sure unstable section of chest wall that moves in the opposite there are no other injuries. direction to the rest of rib cage when you take a breath. • You may need to have an X-ray or other imaging test; For example, when you breathe in your rib cage rises out however, rib fractures do not always show up on X-rays. but the flail chest portion of the rib cage will actually fall in. So you may be treated as though you have a fractured This limits your ability to take effective deep breaths. rib even if an X-ray doesn’t show any broken bones. -
Part 1 the Thorax ECA1 7/18/06 6:30 PM Page 2 ECA1 7/18/06 6:30 PM Page 3
ECA1 7/18/06 6:30 PM Page 1 Part 1 The Thorax ECA1 7/18/06 6:30 PM Page 2 ECA1 7/18/06 6:30 PM Page 3 Surface anatomy and surface markings The experienced clinician spends much of his working life relating the surface anatomy of his patients to their deep structures (Fig. 1; see also Figs. 11 and 22). The following bony prominences can usually be palpated in the living subject (corresponding vertebral levels are given in brackets): •◊◊superior angle of the scapula (T2); •◊◊upper border of the manubrium sterni, the suprasternal notch (T2/3); •◊◊spine of the scapula (T3); •◊◊sternal angle (of Louis) — the transverse ridge at the manubrio-sternal junction (T4/5); •◊◊inferior angle of scapula (T8); •◊◊xiphisternal joint (T9); •◊◊lowest part of costal margin—10th rib (the subcostal line passes through L3). Note from Fig. 1 that the manubrium corresponds to the 3rd and 4th thoracic vertebrae and overlies the aortic arch, and that the sternum corre- sponds to the 5th to 8th vertebrae and neatly overlies the heart. Since the 1st and 12th ribs are difficult to feel, the ribs should be enu- merated from the 2nd costal cartilage, which articulates with the sternum at the angle of Louis. The spinous processes of all the thoracic vertebrae can be palpated in the midline posteriorly, but it should be remembered that the first spinous process that can be felt is that of C7 (the vertebra prominens). The position of the nipple varies considerably in the female, but in the male it usually lies in the 4th intercostal space about 4in (10cm) from the midline. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
The Influence of the Rib Cage on the Static and Dynamic Stability
www.nature.com/scientificreports OPEN The infuence of the rib cage on the static and dynamic stability responses of the scoliotic spine Shaowei Jia1,2, Liying Lin3, Hufei Yang2, Jie Fan2, Shunxin Zhang2 & Li Han3* The thoracic cage plays an important role in maintaining the stability of the thoracolumbar spine. In this study, the infuence of a rib cage on static and dynamic responses in normal and scoliotic spines was investigated. Four spinal fnite element (FE) models (T1–S), representing a normal spine with rib cage (N1), normal spine without rib cage (N2), a scoliotic spine with rib cage (S1) and a scoliotic spine without rib cage (S2), were established based on computed tomography (CT) images, and static, modal, and steady-state analyses were conducted. In S2, the Von Mises stress (VMS) was clearly decreased compared to S1 for four bending loadings. N2 and N1 showed a similar VMS to each other, and there was a signifcant increase in axial compression in N2 and S2 compared to N1 and S1, respectively. The U magnitude values of N2 and S2 were higher than in N1 and S1 for fve loadings, respectively. The resonant frequencies of N2 and S2 were lower than those in N1 and S1, respectively. In steady-state analysis, maximum amplitudes of vibration for N2 and S2 were signifcantly larger than N1 and S1, respectively. This study has revealed that the rib cage improves spinal stability in vibrating environments and contributes to stability in scoliotic spines under static and dynamic loadings. Scoliosis, a three-dimensional deformity, prevents healthy development. -
Anatomical Study of the Superior Cluneal Nerve and Its Estimation of Prevalence As a Cause of Lower Back Pain in a South African Population
Anatomical study of the superior cluneal nerve and its estimation of prevalence as a cause of lower back pain in a South African population by Leigh-Anne Loubser (10150804) Dissertation to be submitted in full fulfilment of the requirements for the degree Master of Science in Anatomy In the Faculty of Health Science University of Pretoria Supervisor: Prof AN Van Schoor1 Co-supervisor: Dr RP Raath2 1 Department of Anatomy, University of Pretoria 2 Netcare Jakaranda Hospital, Pretoria 2017 DECLARATION OF ORIGINALITY UNIVERSITY OF PRETORIA The Department of Anatomy places great emphasis upon integrity and ethical conduct in the preparation of all written work submitted for academic evaluation. While academic staff teach you about referencing techniques and how to avoid plagiarism, you too have a responsibility in this regard. If you are at any stage uncertain as to what is required, you should speak to your lecturer before any written work is submitted. You are guilty of plagiarism if you copy something from another author’s work (e.g. a book, an article, or a website) without acknowledging the source and pass it off as your own. In effect, you are stealing something that belongs to someone else. This is not only the case when you copy work word-for-word (verbatim), but also when you submit someone else’s work in a slightly altered form (paraphrase) or use a line of argument without acknowledging it. You are not allowed to use work previously produced by another student. You are also not allowed to let anybody copy your work with the intention of passing if off as his/her work. -
Biomechanics of the Thoracic Spine - Development of a Method to Measure the Influence of the Rib Cage on Thoracic Spine Movement
Universität Ulm Zentrum für Chirurgie Institut für Unfallchirurgische Forschung und Biomechanik Direktor: Prof. Dr. A. Ignatius Biomechanics of the Thoracic Spine - Development of a Method to Measure the Influence of the Rib Cage on Thoracic Spine Movement Dissertation zur Erlangung des Doktorgrades der Medizin der Medizinischen Fakultät der Universität Ulm vorgelegt von: Konrad Appelt geboren in: Pforzheim 2012 Amtierender Dekan: Prof. Dr. Thomas Wirth 1. Berichterstatter: Prof. Dr. H.-J. Wilke 2. Berichterstatter: Prof. Dr. Tobias Böckers Tag der Promotion: 06.06.2013 Index List of abbreviations ......................................................................................IV 1 Introduction .............................................................................................. 1 1.1 Background ............................................................................................................. 1 1.2 State of Research .................................................................................................... 4 1.3 Objectives ............................................................................................................... 6 2 Material and methods .............................................................................. 7 2.1 Testing machines and devices ................................................................................. 7 2.1.1 Spine loading simulator ................................................................................... 7 2.1.2 Vicon – MX Motion Capture System -
Variations in Dimensions and Shape of Thoracic Cage with Aging: an Anatomical Review
REVIEW ARTICLE Anatomy Journal of Africa, 2014; 3 (2): 346 – 355 VARIATIONS IN DIMENSIONS AND SHAPE OF THORACIC CAGE WITH AGING: AN ANATOMICAL REVIEW ALLWYN JOSHUA, LATHIKA SHETTY, VIDYASHAMBHAVA PARE Correspondence author: S.Allwyn Joshua, Department of Anatomy, KVG Medical College, Sullia- 574327 DK, Karnataka,India. Email: [email protected]. Phone number; 09986380713. Fax number – 08257233408 ABSTRACT The thoracic cage variations in dimensions and proportions are influenced by age, sex and race. The objective of the present review was to describe the age related changes occurring in thoracic wall and its influence on the pattern of respiration in infants, adult and elderly. We had systematically reviewed, compared and analysed many original and review articles related to aging changes in chest wall images and with the aid of radiological findings recorded in a span of four years. We have concluded that alterations in the geometric dimensions of thoracic wall, change in the pattern and mechanism of respiration are influenced not only due to change in the inclination of the rib, curvature of the vertebral column even the position of the sternum plays a pivotal role. Awareness of basic anatomical changes in thoracic wall and respiratory physiology with aging would help clinicians in better understanding, interpretation and to differentiate between normal aging and chest wall deformation. Key words: Thoracic wall; Respiration; Ribs; Sternum; vertebral column INTRODUCTION The thoracic skeleton is an osteocartilaginous cage movement to the volume displacement of the frame around the principal organs of respiration lungs was evaluated by (Agostoni et al,m 1965; and circulation. It is narrow above and broad Grimby et al., 1968; Loring, 1982) for various below, flattened antero-posteriorly and longer human body postures. -
Glossary of Basic Orthotic & Prosthetic Terminology
Glossary Abduction Moving away from midline. Abductor Muscle involved in active abduction. Acetabulum Socket in pelvis, which receives head of femur. Achilles Tendon Prominent cord at posterior aspect of ankle. Adduction Move toward midline. The position of the components of a prosthesis or orthosis in space Alignment relative to each other and to the patient. Reference position of the body permitting description of location and movements. The individual is standing erect. Head facing forward. Arms Anatomic Position Parallel to the trunk, straight at the sides. Forearms and hands positioned so the palms face forward. Legs straight. Feet parallel to each other. Anterior Toward the front. Not symmetrical; denoting a lack of symmetry between two or more like Asymmetrical parts. The degeneration, or shrinking of a muscle due to lack of use, such as Atrophy in an amputation. Axis Imaginary line passing through center of joint; pivot point. Assembly and alignment of the components of a prosthesis or orthosis Bench alignment using only previously acquired data regarding the patient. Two sides; used to describe an amputee missing both left and right Bilateral extremities. A shell composed of two separate parts that open and shut; used to Bi-valve describe many braces that have two halves; clamshell. Light bulb shaped; circumference small on one end growing larger at Bulbous the bulbous end. CG Center of Gravity. Calcaneus Heel bone Calcification Building up of calcium deposits; bone. Callus Thickening of skin. Carpal The wrist bones and their associated soft parts. Process of modifying the positive model obtained by filling an Cast modification impression in order to obtain a shape which specifies the whole, or part, of the form of the final prosthesis or orthosis. -
Required List of Bones and Markings
REQUIRED LIST OF BONES AND MARKINGS Axial Skeleton Skull Cranial Bones (8) Frontal Bone (1) Supraorbital foramina Supraorbital ridges or margins Parietal Bones (2) Temporal Bones (2) External auditory meatus Mastoid process Styloid process Zygomatic process Mandibular fossa Foramen lacerum Carotid foramen Jugular foramen Stylomastoid foramen Internal auditory meatus Occipital Bone (1) Foramen magnum Occipital condyles Ethmoid Bone (1) Cribriform plate Olfactory foramina in cribriform plate Crista galli Perpendicular plate (forms superior part of nasal septum) Middle nasal concha Superior nasal concha Sphenoid Bone (1) Foramen ovale Foramen rotundum Sella turcica Greater wing Lesser wing Optic foramen Inferior orbital fissure Superior orbital fissure Pterygoid processes Skull (cont’d) Facial Bones (14) Lacrimal Bones (2) Lacrimal fossa Nasal Bones (2) Inferior Nasal Conchae (2) Vomer (1) (forms inferior portion of nasal septum) Zygomatic Bones (2) Temporal process (forms zygomatic arch with zygomatic process of temporal bone) Maxillae (2) Alveoli Palatine process (forms anterior part of hard palate) Palatine Bones (2) (form posterior part of hard palate) Mandible (1) Alveoli Body Mental foramen Ramus Condylar process (mandibular condyle) Coronoid process Miscellaneous (Skull) Paranasal sinuses are located in the ethmoid bone, sphenoid bone, frontal bone, and maxillae Zygomatic arch (“cheekbone”) is composed of the zygomatic process of the temporal bone and the temporal process of the zygomatic bone 2 pairs of nasal conchae (superior and middle) are part of the ethmoid bone. 1 pair (inferior) are separate facial bones. All the scroll-like conchae project into the lateral walls of the nasal cavity. Hard palate (“roof of mouth”) is composed of 2 palatine processes of the maxillae and the 2 palatine bones (total of 4 fused bones). -
Lumbarisation of the First Sacral Vertebra a Rare Form of Lumbosacral Transitional Vertebra
Int. J. Morphol., 33(1):48-50, 2015. Lumbarisation of the First Sacral Vertebra a Rare Form of Lumbosacral Transitional Vertebra Lumbarización de la Primera Vertebra Sacra: Rara Forma de Una Vertebra de Transición Lumbosacral Mallikarjun Adibatti* & Asha, K.** ADIBATTI, M. & ASHA, K. Lumbarisation of the first sacral vertebra a rare form of lumbosacral transitional vertebra. Int. J. Morphol., 33(1):48-50, 2015. SUMMARY: In the lumbosacral region, anatomical variations occur with changes in the number of sacral vertebra either by deletion of first sacral vertebra or by the union of fifth lumbar or first coccygeal vertebra with sacrum. Lumbasacral transitional vertebrae (LSTV) is the most common congenital anomalies of the lumbosacral region. It most commonly involves the fifth lumbar vertebra showing signs of fusion to the sacrum known as sacralisation or the first sacral vertebra shows signs of transition to a lumbar configuration commonly known as lumbarisation. Complete transition can result in numerical abnormalities of the lumbar and sacral vertebral segments. Lumbarisation of first sacral vertebra is seen with a very low incidence of 2%. Knowledge of presence of such vertebral variation will be helpful for the clinicians to diagnose and treat patients with low back pain. Although sacralisation of fifth lumbar vertebrae is most commonly seen when compared to lumbarisation of first sacral vertebrae, we report here a case of lumbarisation of first sacral vertebrae for its rarity among the LSTV and clinical implications. KEY WORDS: Vertebrae; Sacrum; Sacralisation; Lumbarisation; Transitional vertebrae. INTRODUCTION RESULTS The sacrum is formed by the fusion of five sacral During routine Osteology classes, we observed the vertebras.