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Page 1: THE SKELETAL SYSTEM - Edl · PDF fileGross Anatomy of a Long Bone ... Composed of compact bone Epiphysis Ends of the bone Composed mostly of spongy bone Figure 5.2a. Structures of

THE SKELETAL SYSTEM Chapter 6

Page 2: THE SKELETAL SYSTEM - Edl · PDF fileGross Anatomy of a Long Bone ... Composed of compact bone Epiphysis Ends of the bone Composed mostly of spongy bone Figure 5.2a. Structures of

Bone is made of several different tissues working together

Bone or osseous tissue

Cartilage

Dense connective tissue

epithelium

Various blood forming tissues

Adipose tissue

Nervous tissue

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FUNCTIONS OF THE SKELETAL SYSTEM

Support

Supports soft tissues

Attachment sites for

tendons of most

skeletal muscles

images.webmd.com

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PROTECTION

Protects internal organs from injury

www.24dr.com www.marquette.edu

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ASSISTANCE IN MOVEMENT

Skeletal muscles contract and pull and bones to produce movement

www.sportsinjuryclinic.net

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MINERAL HOMEOSTASIS

Stores minerals such as calcium and phosphorus.

Releases into or absorbs minerals from bloodstream

www.din.or.jp

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BLOOD CELL PRODUCTION

Red bone marrow produces red blood cells, white blood cells, platelets

Hemopoiesis

hemo = blood

poiesis = to make Red blood cells,

purple: platelets,

green/gold: WBCwww.btinternet.com

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TRIGLYCERIDE STORAGE

Yellow bone marrow consist of adipocytes and a few scattered blood cells.

www.udel.edu

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The Skeletal System

Slide 5.1

Parts of the skeletal system

Bones (skeleton)

Joints

Cartilages

Ligaments (bone to bone)(tendon=bone to muscle)

Divided into two divisions

Axial skeleton

Appendicular skeleton – limbs and girdle

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Page 11: THE SKELETAL SYSTEM - Edl · PDF fileGross Anatomy of a Long Bone ... Composed of compact bone Epiphysis Ends of the bone Composed mostly of spongy bone Figure 5.2a. Structures of

Bones of the Human Body

Slide 5.3Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The skeleton has 206 bones

Two basic types of bone tissue

Compact bone

Homogeneous

Spongy bone

Small needle-like pieces of bone

Many open spacesFigure 5.2b

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Classification of Bones

Slide 5.4aCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Long bones

Typically longer than wide

Have a shaft with heads at both ends

Contain mostly compact bone

• Examples: Femur, humerus

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Classification of Bones

Slide 5.4bCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Short bones

Generally cube-shape

Contain mostly spongy bone

Examples: Carpals, tarsals

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Classification of Bones on the

Basis of Shape

Slide 5.4cCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.1

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Classification of Bones

Slide 5.5aCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Flat bones

Thin and flattened

Usually curved

Thin layers of compact bone around a layer

of spongy bone

Examples: Skull, ribs, sternum

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Classification of Bones

Slide 5.5bCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Irregular bones

Irregular shape

Do not fit into other bone classification

categories

Example: Vertebrae and hip

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Classification of Bones on the

Basis of Shape

Slide 5.5cCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.1

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Gross Anatomy of a Long Bone

Slide 5.6Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Diaphysis

Shaft

Composed of compact bone

Epiphysis

Ends of the bone

Composed mostly of spongy bone

Figure 5.2a

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Structures of a Long Bone

Slide 5.7Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Periosteum

Outside covering of the diaphysis

Fibrous connective tissue membrane

Arteries

Supply bone cells with nutrients

Figure 5.2c

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Structures of a Long Bone

Slide 5.8aCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Articular cartilage

Covers the

external surface of

the epiphyses

Made of hyaline

cartilage

Decreases friction

at joint surfacesFigure 5.2a

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Structures of a Long Bone

Slide 5.8bCopyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Medullary cavity

Cavity of the shaft

Contains yellow

marrow (mostly fat)

in adults

Contains red marrow

(for blood cell

formation) in infantsFigure 5.2a

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Bone Markings (Table 6.1, Pg. 103)

Slide 5.9Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Surface features of bones

Sites of attachments for muscles, tendons,

and ligaments

Passages for nerves and blood vessels

Categories of bone markings

Projections and processes – grow out from the

bone surface

Depressions or cavities – indentations

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Microscopic Anatomy of Bone

Slide 5.10a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Osteon (Haversian System)

A unit of bone

Central (Haversian) canal

Opening in the center of an osteon

Carries blood vessels and nerves

Perforating (Volkman’s) canal

Canal perpendicular to the central canal

Carries blood vessels and nerves

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Microscopic Anatomy of Bone

Slide 5.10b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.3

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Microscopic Anatomy of Bone

Slide 5.11a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Lacunae

Cavities containing bone cells (osteocytes)

Arranged in concentric rings

Lamellae

Rings around the central canal

Sites of lacunae Figure 5.3

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Microscopic Anatomy of Bone

Slide 5.11b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Canaliculi

Tiny canals

Radiate from the central canal to lacunae

Form a transport system

Figure 5.3

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Changes in the Human Skeleton

Slide 5.12Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

In embryos, the skeleton is primarily hyaline

cartilage

During development, much of this cartilage

is replaced by bone

Cartilage remains in isolated areas

Bridge of the nose

Parts of ribs

Joints

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Bone Growth

Slide 5.13a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Epiphyseal plates allow for growth of

long bone during childhood

New cartilage is continuously formed

Older cartilage becomes ossified

Cartilage is broken down

Bone replaces cartilage

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Bone Growth

Slide 5.13b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Bones are remodeled and lengthened

until growth stops

Bones change shape somewhat

Bones grow in width

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Long Bone Formation and Growth

Slide 5.14a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.4a

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Types of Bone Cells

Slide 5.15Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Osteocytes

Mature bone cells

Osteoblasts

Bone-forming cells

Osteoclasts

Bone-destroying cells

Break down bone matrix for remodeling and release of calcium

Bone remodeling is a process by both osteoblasts and osteoclasts

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Bone Fractures

Slide 5.16Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

A break in a bone

Types of bone fractures

Closed (simple) fracture – break that does not penetrate the skin

Open (compound) fracture – broken bone penetrates through the skin

Bone fractures are treated by reduction and immobilization

Realignment of the bone

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Common Types of Fractures

Slide 5.17Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Table 5.2

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Repair of Bone Fractures (Pg. 101)

Slide 5.18Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

1. Hematoma (blood-filled swelling) is

formed

2. Break is splinted by fibrocartilage to

form a callus

3. Fibrocartilage callus is replaced by a

bony callus

4. Bony callus is remodeled to form a

permanent patch

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Stages in the Healing of a Bone

Fracture

Slide 5.19Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.5

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The Axial Skeleton

Slide 5.20a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Forms the longitudinal part of the body

Divided into three parts

Skull

Vertebral column

Bony thorax

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The Axial Skeleton

Slide 5.20b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.6

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The Skull

Slide 5.21a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Two sets of bones

Cranium

Facial bones

Bones are joined by sutures

Only the mandible is attached by a

freely movable joint

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The Skull

Slide 5.21b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.7

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Bones of the Skull

Slide 5.22Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.11

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Human Skull, Superior View

Slide 5.23Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.8

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Human Skull, Inferior View

Slide 5.24Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.9

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Paranasal Sinuses

Slide 5.25a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Hollow portions of bones surrounding

the nasal cavity

Figure 5.10

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Paranasal Sinuses

Slide 5.25b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Functions of paranasal sinuses

Lighten the skull

Give resonance and amplification to voice

Figure 5.10

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The Hyoid Bone

Slide 5.26Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The only bone that

does not articulate

with another bone

Serves as a

moveable base for

the tongue

Figure 5.12

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The Fetal Skull

Slide 5.27a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The fetal skull is

large compared

to the infants

total body length

Figure 5.13

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The Fetal Skull

Slide 5.27b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Fontanelles –

fibrous membranes

connecting the

cranial bones

Allow the brain

to grow

Convert to bone

within 24 months

after birthFigure 5.13

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The Vertebral Column

Slide 5.28Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Vertebrae

separated by

intervertebral discs

The spine has a

normal curvature

Each vertebrae is

given a name

according to its

locationFigure 5.14

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Structure of a Typical Vertebrae

Slide 5.29Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.16

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The Bony Thorax

Slide 5.31a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Forms a

cage to

protect

major

organs

Figure 5.19a

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The Bony Thorax

Slide 5.31b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Made-up of

three parts

Sternum

Ribs

Thoracic

vertebrae

Figure 5.19a

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The Appendicular Skeleton

Slide 5.32a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Limbs (appendages)

Pectoral girdle

Pelvic girdle

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The Appendicular Skeleton

Slide 5.32b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.6c

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The Pectoral (Shoulder) Girdle

Slide 5.33Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Composed of two bones

Clavicle – collarbone

Scapula – shoulder blade

These bones allow the upper limb to

have exceptionally free movement

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Bones of the Shoulder Girdle

Slide 5.34a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.20a, b

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Bones of the Upper Limb

Slide 5.35a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The arm is

formed by a

single bone

Humerus

Figure 5.21a, b

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Bones of the Upper Limb

Slide 5.35b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

• The forearm

has two bones

• Ulna

• Radius

Figure 5.21c

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Bones of the Upper Limb

Slide 5.36Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The hand

Carpals – wrist

Metacarpals –

palm

Phalanges –

fingers

Figure 5.22

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Bones of the Pelvic Girdle

Slide 5.37Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Hip bones

Composed of three pair of fused bones

Ilium

Ischium

Pubic bone

The total weight of the upper body rests on the pelvis

Protects several organs

Reproductive organs

Urinary bladder

Part of the large intestine

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The Pelvis

Slide 5.38a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.23a

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Gender Differences of the Pelvis

Slide 5.39Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Figure 5.23c

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Bones of the Lower Limbs

Slide 5.40a

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The thigh has

one bone

Femur – thigh

bone

Figure 5.35a, b

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Bones of the Lower Limbs

Slide 5.40b

Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The leg has

two bones

Tibia

Fibula

Figure 5.35c

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Bones of the Lower Limbs

Slide 5.41Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

The foot

Tarsus – ankle

Metatarsals –

sole

Phalanges –

toes

Figure 5.25

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Joints

Slide 5.43Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Articulations of bones

Functions of joints

Hold bones together

Allow for mobility

Ways joints are classified

Functionally

Structurally

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Functional Classification of Joints

Slide 5.44Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Synarthroses – immovable joints

Amphiarthroses – slightly moveable

joints

Diarthroses – freely moveable joints

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Structural Classification of Joints

Slide 5.45Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Fibrous joints

Generally immovable

Cartilaginous joints

Immovable or slightly moveable

Synovial joints

Freely moveable

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Fibrous Joints

Slide 5.46Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Bones united by fibrous tissue –synarthrosis or largely immovable.

Figure 5.27d, e

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Cartilaginous Joints – mostly

amphiarthrosis

Slide 5.47Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Bones connected by cartilage

Examples

Pubic

symphysis

Intervertebral

joints

Figure 5.27b, c

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Synovial Joints

Slide 5.48Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Articulating

bones are

separated by a

joint cavity

Synovial fluid

is found in the

joint cavity

Figure 5.27f–h

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Features of Synovial Joints-

Diarthroses

Slide 5.49Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Articular cartilage (hyaline cartilage)

covers the ends of bones

Joint surfaces are enclosed by a fibrous

articular capsule

Have a joint cavity filled with synovial

fluid

Ligaments reinforce the joint

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Structures Associated with the

Synovial Joint

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Bursae – flattened fibrous sacs

Lined with synovial membranes

Filled with synovial fluid

Not actually part of the joint

Tendon sheath

Elongated bursa that wraps around a tendon

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The Synovial Joint

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Figure 5.28

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Types of Synovial Joints Based on

Shape

Slide 5.52a

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Figure 5.29a–c

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Types of Synovial Joints Based on

Shape

Slide 5.52b

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Figure 5.29d–f

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Inflammatory Conditions

Associated with Joints

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Bursitis – inflammation of a bursa usually caused by a blow or friction

Tendonitis – inflammation of tendon sheaths

Arthritis – inflammatory or degenerative diseases of joints

Over 100 different types

The most widespread crippling disease in the United States

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Clinical Forms of Arthritis

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Osteoarthritis

Most common chronic arthritis

Probably related to normal aging processes

Rheumatoid arthritis

An autoimmune disease – the immune system attacks the joints

Symptoms begin with bilateral inflammation of certain joints

Often leads to deformities

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Clinical Forms of Arthritis

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Gouty Arthritis

Inflammation of joints is caused by a

deposition of urate crystals from the blood

Can usually be controlled with diet

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ASSESSMENT TECHNIQUES

Bone x-rays

Bone marrow aspiration

Bone marrow biopsy

Radionuclide bone scan

Computed axial tomography (CAT)

Magnetic resonance imaging (MRI)

Bone densitometry

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DISORDERS OF THE SKELETAL SYSTEM

Ankylosing spondylitis A hereditary chronic spinal disease

Arthritis A group of disorders evidenced by inflammation of a joint, pain and stiffness during movement

Avulsion fracture Occurs when a ligament or tendon pulls off part of a bone during an injury

Bursitis Inflammation of the sac around a joint that is caused by trauma or irritation

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DISORDERS OF THE SKELETAL SYSTEM (CONTINUED)

Caries Also called cavities, it is the major cause of tooth loss

Carpal tunnel syndromeA disorder caused by pressure on the median nerve of the wrist due to repetitive use or trauma

Degenerative joint diseaseAlso called osteoarthritis, usually associated with aging; it is the most common form of arthritis

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DISORDERS OF THE SKELETAL SYSTEM (CONTINUED)

Dislocation When bones move out of their proper location, usually in the shoulder or hip

Fracture A broken bone caused by trauma

Gout A painful swelling of a joint that results from the buildup of uric acid crystals, most commonly in the great toe

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DISORDERS OF THE SKELETAL SYSTEM (CONTINUED)

Herniated diskA ruptured or “slipped” disk between vertebrae

Kyphosis Also called “hunchback” or “humpback,” is an abnormal curvature of the thoracic part of the spine

Lordosis Also called “swayback,” is an abnormal curvature of the lumbar spine

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DISORDERS OF THE SKELETAL SYSTEM (CONTINUED)

MeningomyeloceleAlso called spina bifida, is a congenital condition of the spinal column

OsteomaA bone tumor

Osteomalacia Also called rickets in children, is a softening of the bones caused by vitamin D and calcium deficiency

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DISORDERS OF THE SKELETAL SYSTEM (CONTINUED)

OsteomyelitisA bacterial infection of the bone

OsteoporosisA weakening of the bones

Paget’s diseaseAlso called osteitis deformans, is due to excessive destruction of bone cells

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DISORDERS OF THE SKELETAL SYSTEM (CONTINUED)

Periodontitis An inflammation of the tissues that keep teeth in place

Rheumatoid arthritis Pain and stiffness in the joints caused by thickening of the synovial membrane

Rickets A painless deformity at the epiphysis of the bones caused by insufficient vitamin D

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DISORDERS OF THE SKELETAL SYSTEM (CONTINUED)

ScoliosisAn abnormal lateral spinal curvature

SubluxationA partial dislocation of a joint, such as in the neck in a “whiplash” injury

TalipesA congenital deformity involving the foot and ankle

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ISSUES AND INNOVATIONSProgress in dental care

– Corrective measures including bonding, bleaching, and implants

• Bone substitutes and repairs

– Bone replacing material including organoapatites

and coral

– Surgical implants for cranial and joint injuries

– Bone regeneration