hee eun kimcontents.kocw.net/kocw/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . bone...
TRANSCRIPT
![Page 1: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/1.jpg)
1주차
Hee Eun Kim
![Page 2: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/2.jpg)
2
Anatomy
“to cut up” from Greek ; “자르고 가른다”라는 라틴어에서 유래
1) 맨눈해부학 (Gross anatomy)
임상해부학 (applied or clinical anatomy)
계통해부학 (systemic anatomy) ; 총론
국소해부학 (regional anatomy) ; 각론
2) 조직학 (Microscopic anatomy, histology)
3) 신경해부학 (Neuroanatomy)
4) 발생해부학 (Developmental anatomy, embryology)
5) 표면해부학 (Surface anatomy)
6) 영상해부학 (Imaging anatomy)
![Page 3: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/3.jpg)
3
Bone
Nerves
Blood vessel
Muscle
Systematic Anatomy
![Page 4: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/4.jpg)
![Page 5: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/5.jpg)
5
Anatomical position (해부학자세)
![Page 6: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/6.jpg)
6
Midsagittal plane (median plane)
Sagittal plane Horizontal plane (transverse
or axial plane)
Coronal plane (frontal plane)
절단면(plane)에 관한 용어
정중(시상)면 수평면, 가로면, 횡단면 관상면 시상면
![Page 7: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/7.jpg)
![Page 8: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/8.jpg)
Transverse plane (횡단면, 가로면) : 몸이나 장기 긴축의 직각면
Coronal plane (관상면) Midsagittal plane (정중시상면)
![Page 9: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/9.jpg)
전두(관상)단면; 전두면: Frontal[coronal] section;
frontal plane
정중시상단면; 정중면: Midsagital section;
median plane
가로단면; 수평면: Transverse section;
Horizintal plane
![Page 10: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/10.jpg)
10
Proximal (몸쪽)
Distal (먼쪽)
Medial (안쪽)
Lateral (가쪽)
Superior (위쪽)
Inferior (아래쪽)
Posterior (뒤쪽) Dorsal (등쪽)
Anterior (앞쪽) Ventral (배쪽)
방향에 관한 용어
![Page 11: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/11.jpg)
원위 (먼쪽, distal)
근위 (몸쪽, proximal)
천부 (얕은, superficial)
정중면 (median plane)
내측 (안쪽, medial)
외측 (가쪽, lateral)
심부 (깊은, deep)
![Page 12: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/12.jpg)
![Page 13: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/13.jpg)
13
Regions of head & face
뇌머리뼈 (neurocranium
(CRANIAL VAULT))
머리뼈바닥 (cranial base)
얼굴뼈 (viscerocranium
(face))
![Page 14: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/14.jpg)
14
Regions of head & face
Head – Frontal R. (전두부, 이마부위) – Parietal R. (두정부, 마루부위) – Occipital R. (후두부, 뒤통수부위) – Temporal R. (측두부, 관자부위) – Supraorbital R. (안와상부, 눈확위부위) – Mastoid R. (유양부, 꼭지부위)
전두부(이마부위, frontal region)
![Page 15: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/15.jpg)
15
Face – Orbital R. (안와부, 눈확부위) – Inferior palpebral R.
(하검부, 아래눈꺼풀부위) – Zygomatic R.
(권골부, 광대부위) – Auricular R.
(이개부, 귓바퀴부의) – Superior labial R.
(상순부, 위입술부위) – Buccal R. (협부, 볼부위) – Mental R. (이부, 턱끝부위)
– Superior palpebral R. (상검부, 위 눈꺼풀 부위)
– Infraorbital R. (안와하부, 눈확아래부위)
– Nasal R. (비부, 코부위) – Oral R. (구부, 입부위) – Inferior labial R.
(하순부, 아래입술부위) – Parotidomasseteric R.
(이하선교근부, 귀밑꺠물부위) – Retromandibular R.
(하악후부, 아래턱뒤부의)
![Page 16: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/16.jpg)
![Page 17: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/17.jpg)
1주차
Hee Eun Kim
![Page 18: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/18.jpg)
18
specialized C-T calcified ‘matrix’
Epiphysis (뼈끝)
Metaphysis (뼈몸통끝)
Diaphysis (뼈몸통)
Epiphysis (뼈끝)
Metaphysis (뼈몸통끝)
Bone (뼈) & Skeleton (뼈대)
![Page 19: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/19.jpg)
19
Bone Functions
Support body weight Protect soft organs Movement at joints Storage of Ca2+ and PO4
-3
Hematopoiesis
![Page 20: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/20.jpg)
20
Compact Bone (치밀뼈) vs. Spongy Bone (해면뼈)
Compact bone – solid, weight-bearing composed of ‘osteon’ radiopaque (방사선불투과성)
Spongy bone – marrow cavity, trabeculae, light weight radiolucent (방사선투과성) red marrow or yellow marrow
# pneumatic bone (공기뼈)
![Page 21: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/21.jpg)
21
Medullary cavity
Compact Bone and Spongy Bone
![Page 22: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/22.jpg)
22
Structure of bone
1. 골막 (뼈바깥막, periosteum)
• 결합조직 막, 혈관과 신경분포, 뼈 보호 및 재생, 영양공급
2. 치밀골 (치밀뼈, compact bone)
• 하버스관 존재 (신경, 혈관이 지나가는 영양관)
3. 해면골 (해면뼈, spongy bone)
• 스폰지 모양
4. 골수 (뼈속질, bone marrow)
• 골수 함유 (조혈기능)
![Page 23: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/23.jpg)
23
Bone architecture
![Page 24: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/24.jpg)
24
Structure and types of bone
![Page 25: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/25.jpg)
위치에 따른 분류
A. Axial skeleton (몸통뼈대) 머리뼈 (skull) paired (8) / unpaired (6) 목뿔뼈 (hyoid, 1) 갈비뼈 (rib, 12 pairs) 복장뼈 (sternum, 1) 척추뼈 (vertebrae, 7+12+5+1+1)
B. Appendicular skeleton (팔다리뼈대) 팔이음뼈 (shoulder girdle, 2+2) 자유팔뼈 (위팔 (1+1), 노 (1+1), 자 (1+1), 손목 (8+8), 손허리 (5+5), 손가락 (14+14)) 다리이음뼈 (hip bone, 볼기뼈, 2+2) 자유다리뼈 (넙다리 (1+1), 정강 (1+1), 종아리 (1+1), 무릎 (1+1) 발목 (7+7), 발허리 (5+5) 발가락 (14+14))
![Page 26: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/26.jpg)
26
Bone Shapes
; 모양에 따른 분류
Long bones (장골) – extremities 1 shafts & 2 ends Short bones (단골) – cube-shaped, wrist & ankle Flat bones (편평골) – skull, sternum, scapula, ribs Irregular bones (불규칙골) – vertebrae, pelvis, facial bones
# 종자뼈 (sesamoid bone) ― 무릎뼈 (patella) : 힘줄기원, 마찰감소 # 덧뼈 (accessory bone) – 봉합뼈, 부가적인 뼈발생 # 공기뼈 (pneumatic bone) – 위턱, 벌집, 나비, 이마뼈
![Page 27: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/27.jpg)
27
Long bones
: 2 ossification centers (골화중심)
Diaphysis – shaft (골간) Epiphysis – ends (골단) Epiphyseal plate / line (골단판, 골단선) – growth region
뼈의 동맥 1. 영양동맥 (nutrient a.) – 영양구멍 – to marrow and compact bone
2. 뼈막동맥 (periosteal a.) – 치밀뼈에
3. 뼈끝, 뼈몸통동맥 – 관절가지에서
![Page 28: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/28.jpg)
뼈의 발생_2
연골뼈 발생(endochondral ossification) – 유리연골이 존재하다가 연골이 점차 광화된 후, 퇴행 변성
되면서 골조직으로 대체 – 인체의 장골, 하악두 등 – 뼈의 길이 성장에 매우 중요
28 http://www.e-histology.or.kr/demo/VirtualSlide_popup2.asp?Idx=20
![Page 29: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/29.jpg)
뼈의 성장
길이 성장 – 주로 긴 뼈에서 일어나는 과정으로 연골모
델에서 발생 – 일차골화중심, 이차골화중심 – 뼈끝연골 존재 여부가 길이성장에 관여
굵기 성장 – 골막에서 골모세포가 만들어져 풋뼈조직
을 만들어 굵기가 증가됨
29
![Page 30: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/30.jpg)
30
![Page 31: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/31.jpg)
31
Calvarial bone, sternum, scapula Two sheets of compact bone Diploë – spongy bone
Flat bone
![Page 32: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/32.jpg)
뼈 겉모양의 용어 _ 1
32
![Page 33: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/33.jpg)
뼈 겉모양의 용어 _ 2
33
![Page 34: Hee Eun Kimcontents.kocw.net/KOCW/document/2014/gacheon/kimheeeun1/... · 2016-09-09 · 26 . Bone Shapes ; 모양에 따른 분류 Long bones (장골) – extremities . 1 shafts](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9afd2c6a3ed85ab146e6ff/html5/thumbnails/34.jpg)
34