Dr.Israa H. Mohsen. Lecture 5. The vertebral column

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Anatomy Lecture 5 Dr.Israa H. Mohsen The vertebral column The vertebral column a flexible structure consisting of 33 vertebrae holds the head and torso upright, serves as an attachment point for the legs, and encases the spinal cord. Its unique structure allows the body to bend forward, backward, and sideways. Vertebrae Characteristics An opening called the vertebral foramen allows for passage of the spinal cord. The body is the weight-bearing portion of the vertebra. A spinous process projects posteriorly from the vertebra. Transverse processes extend from each side of the vertebra. Both the transverse and spinous processes serve as attachment points for muscles and ligaments.

Intervertebral Disc In between each vertebra is an intervertebral disc. Designed to support weight and absorb shock, the intervertebral disc consists of two parts: Sternum has three regions 1. Manubrium: 2. Body: This is the longest portion. The Thoracic Cage The thoracic cage consists of the thoracic vertebrae, the sternum, and the ribs. These bones form a cone-shaped cage that surrounds and protects the heart and lungs and provides an attachment point for the pectoral girdle (shoulder) and upper limbs. Expansion and contraction of the thoracic cage causes the pressure changes in the lungs that allow breathing to occur. Ribs Twelve pairs of ribs attach to the vertebral column. Ribs 1 to 7, called true ribs, attach to the sternum by a strip of hyaline cartilage called costal cartilage. 3.Xiphoid process: provides an attachment point for some abdominal muscles. Ribs 8, 9, and 10 attach to the cartilage of rib 7; these ribs, as well as ribs 11 and 12, are called false ribs. The lower edges of the thoracic cage are called the costal margins. Ribs 11 and 12, called floating ribs, do not attach to any part of the anterior thoracic cage.

Pectoral Girdle Also called the shoulder girdle, the pectoral girdle supports the arm. The two pectoral girdles one on each side of the body consist of a clavicle (collarbone) and a scapula (shoulder blade). A slightly S-shaped bone, the clavicle articulates with the sternum and the scapula and helps support the shoulder. the scapula lies over ribs 2 to 7. The lateral portion of this triangleshaped bone has three main features. The acromion process: This extension of the scapula articulates with the clavicle; it is the only point where the arm and the scapula attach to the rest of the skeleton. The coracoid process: This finger-like process provides a point of attachment for some of the muscles of the arm. The glenoid cavity: This shallow socket articulates with the head of the humerus (upper arm bone). Upper Limb The upper limb, or arm, consists of the humerus (upper arm bone), the radius and the ulna (the bones of the lower arm), and the carpals (the bones of the hand). The humerus is the long bone of the upper arm. It contains Head: ; it articulates with the glenoid cavity of the scapula. Olecranon fossa: This is a depression on the posterior side of the humerus. Olecranon process: it slides in the olecranon fossa when the arm is extended. the radius, is located on the same side as the thumb. The proximal head of the radius is a distinctive disc that rotates on the humerus when the palm is turned forward and back. The radial tuberosity is where the biceps muscle attaches to the bone The ulna is the other bone of the lower arm; it is longer than the radius The styloid processes of the radius and ulna are the bony bumps that can be felt at the wrist.

Hand The hand consists of the wrist, palm, and fingers. The fingers are formed by bones called phalanges. (The singular form of phalanges is phalanx.) The thumb contains two phalanges; the rest of the fingers contain three. Five metacarpal bones form the palm of the hand. The proximal end is called the base, the shaft is called the body, and the distal end is called the head. Eight carpal bones arranged in two rows of four bones form the wrist. These bones allow the wrist to move back and forth as well as side to side. Pelvic Girdle Each of the two large bones of the hip is called an os coxae; it may also be called a coxal bone or innominate bone. Together they form what s known as the pelvic girdle: the foundation of the pelvis. The os coxae is not a single bone; rather, it consists of three bones fused together. The combination of the os coxae and the sacrum is known as the pelvis. The pelvis supports the trunk, provides an attachment point for the legs, and also protects the organs of the pelvis (including the lower colon, reproductive organs, and urinary bladder).

The male and female pelvises have a number of differences, mainly because the female pelvis is adapted for pregnancy and childbirth.

Lower Limb The bones of the lower limb which consist of the femur (thigh bone), patella (kneecap), tibia and fibula (bones of the lower leg), and foot join with the pelvis to give the body a stable base. More importantly, the bones of the lower limb are articulated in such a way as to allow the body to move. Femur The longest and strongest bone in the body, the femur articulates with the acetabulum of the pelvis to form a ball-and-socket joint. The head of the femur fits into the rounded contour of the acetabulum. The neck of the femur is a frequent site for fractures in elderly persons. These two bony projections provide attachment points for hip muscles. The medial and lateral epicondyle are the widest points of the femur at the knee. Commonly known as the kneecap, the patella is a triangular sesamoid bone embedded in the tendon of the knee. At birth, the patella is composed of cartilage. It ossifies between the ages of three and six years.

Fibula The long and slender fibula resides alongside the tibia and helps stabilize the ankle. It does not bear any weight. Tibia Of the two bones in the lower leg, the tibia is the only one that bears weight. Commonly called the shinbone, the tibia articulates with the femur. Foot and Ankle The bones of the foot and ankle are arranged similarly to those of the hand. However, because the foot and ankle bear the weight of the body, the size of the bones, as well as how they re arranged, differs. The phalanges form the toes. The great toe, called the hallux, contains only two bones: a proximal and distal phalanx. The remaining toes contain a proximal, middle, and distal phalanx. The metatarsals which are numbered I through V, beginning medially form the middle portion of the foot. Navicular The tarsal bones comprise the ankle. The distal row of tarsal bones consists of three cuneiforms and the large cuboid. The second-largest tarsal bone is the talus. The talus articulates with three bones: the calcaneus on its inferior surface, the tibia on its superior surface, and another tarsal bone (called the navicular) on its anterior surface. The largest tarsal bone is the calcaneus. This bone, which forms the heel, bears much of the body s weight

Arches of the Foot Strong ligaments hold the foot bones together in a way that forms arches in the foot. Just as arches add supporting strength to a building, foot arches give the foot more strength to support the weight of the body.