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Copyright 2009, John Wiley & Sons, Inc.

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1 Copyright 2009, John Wiley & Sons, Inc.
Axial Skeletal System Bones of the Skull Copyright 2009, John Wiley & Sons, Inc.

2 Copyright 2009, John Wiley & Sons, Inc.
State Standard 13) Label on a skeleton the names of the bones for each of the following, identifying points of attachment: a. Skull 22 bones (cranium 8, facial 14) b. Spinal Column/Vertebra 24 with explanation of three parts of a typical vertebra (body, foramen, and processes) c. Thoracic Cavity d. Upper extremities: Shoulder girdle, arms, wrist, and hands including long bone processes, and three parts of each finger e. Lower extremities: hip girdle, legs, ankles, and feet including long bone parts, and parts of toes Copyright 2009, John Wiley & Sons, Inc.

3 Copyright 2009, John Wiley & Sons, Inc.
Objective Students will be able to… Identify the 22 bones of the skull through labeling of a sample skeleton. Examine the sinuses cavities within the skull of a partner. Copyright 2009, John Wiley & Sons, Inc.

4 Copyright 2009, John Wiley & Sons, Inc.
Skull Skull (cranium) Consists of 22 bones Bones of the skull are grouped into two categories: Cranial bones Eight cranial bones form the cranial cavity Frontal bone, two parietal bones, two temporal bones, the occipital bone, the sphenoid bone, ethmoid bone Facial bones Fourteen facial bones form the face Two nasal bones, two maxillae, two zygomatic bones, the mandible, two lacrimal bones, two palatine bones, two inferior nasal conchae, vomer Copyright 2009, John Wiley & Sons, Inc.

5 Copyright 2009, John Wiley & Sons, Inc.
Skull Copyright 2009, John Wiley & Sons, Inc.

6 Copyright 2009, John Wiley & Sons, Inc.
Skull The cranial and facial bones protect and support special sense organs and the brain Besides forming the large cranial cavity, the skull also forms several smaller cavities Nasal cavity Orbits (eye sockets) Paranasal sinuses Small cavities which house organs involved in hearing and equilibrium Copyright 2009, John Wiley & Sons, Inc.

7 Copyright 2009, John Wiley & Sons, Inc.
Skull Immovable joints called sutures fuse most of the skull bones together The skull provides large areas of attachment for muscles that move various parts of the head Skull and facial bones provide attachment for muscles that produce facial expressions The facial bones form the framework of the face and provide support for the entrances to the digestive and respiratory systems Copyright 2009, John Wiley & Sons, Inc.

8 Copyright 2009, John Wiley & Sons, Inc.
Discussion The purpose the bones of the skull is to provide structure and protection for the brain and sensitive tissues of the internal face. Hypothesis a circumstance when the skull can actually aggravate an injury. Why is this? Copyright 2009, John Wiley & Sons, Inc.

9 Copyright 2009, John Wiley & Sons, Inc.
Sutures Copyright 2009, John Wiley & Sons, Inc.

10 Copyright 2009, John Wiley & Sons, Inc.
Skull (Cranial Bones) Frontal Bone Forms the forehead Parietal Bones Form the sides and roof of the cranial cavity Temporal Bones Form the lateral aspects and floor of the cranium Occipital Bone Forms the posterior part and most of the base of the cranium Sphenoid Bone Lies at the middle part of the base of the skull Ethmoid Bone Located on the midline in the anterior part of the cranial floor between the eye sockets A major superior supporting structure of the nasal cavity Contain thin projections called conchae which are lined by mucous membranes Increased surface area in the nasal cavity helps to humidify inhaled air trapping inhaled particles Copyright 2009, John Wiley & Sons, Inc.

11 Cranial Bones 8 (2 parietal, 2 Temporal)
Copyright 2009, John Wiley & Sons, Inc.

12 Copyright 2009, John Wiley & Sons, Inc.
Skull Sagittal Plane Copyright 2009, John Wiley & Sons, Inc.

13 Copyright 2009, John Wiley & Sons, Inc.
Skull Copyright 2009, John Wiley & Sons, Inc.

14 Copyright 2009, John Wiley & Sons, Inc.
Skull (14 Facial Bones) Nasal Bones Form the bridge of the nose Maxillae Form the upper jawbone Form most of the hard palate Separates the nasal cavity from the oral cavity Zygomatic Bones commonly called cheekbones, form the prominences of the cheeks Lacrimal Bones Form a part of the medial wall of each orbit Palatine Bones Form the posterior portion of the hard palate Inferior Nasal Conchae Form a part of the inferior lateral wall of the nasal cavity Copyright 2009, John Wiley & Sons, Inc.

15 Copyright 2009, John Wiley & Sons, Inc.
Skull (Facial Bones) Vomer Forms the inferior portion of the nasal septum Mandible Lower jawbone The largest, strongest facial bone The only movable skull bone Nasal Septum Divides the interior of the nasal cavity into right and left sides “Broken nose,” in most cases, refers to septal damage rather than the nasal bones themselves Orbits Eye socket Foramina Openings for blood vessels , nerves , or ligaments of the skull Copyright 2009, John Wiley & Sons, Inc.

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17 Copyright 2009, John Wiley & Sons, Inc.
Skull Unique Features of the Skull Sutures, Paranasal sinuses, Fontanels Sutures an immovable joint that holds most skull bones together Paranasal Sinuses Cavities within cranial and facial bones near the nasal cavity Secretions produced by the mucous membranes which line the sinuses, drain into the nasal cavity Serve as resonating chambers that intensify and prolong sounds Fontanels Areas of unossified tissue At birth, unossified tissue spaces, commonly called “soft spots” link the cranial bones Eventually, they are replaced with bone to become sutures Provide flexibility to the fetal skull, allowing the skull to change shape as it passes through the birth canal Copyright 2009, John Wiley & Sons, Inc.

18 Sinus Cavities of the Skull
Copyright 2009, John Wiley & Sons, Inc.

19 Checking the Cranial Sinuses with a Penlight
Copyright 2009, John Wiley & Sons, Inc.

20 Copyright 2009, John Wiley & Sons, Inc.
Discussion Applying what you know about the skull and the process of birth, why are the suture lines in the skull of an infant unfused? Hypothesis what might happen if they were fused. Hypothesis what the sinus cavity of someone suffering from a sinus infection or cold might look like when illuminated with a flashlight. Copyright 2009, John Wiley & Sons, Inc.

21 Infants skull- Soft Spots
Skull is moldable due to unfused sutures in the skull. Creates 2 “soft spots” called fontanels on the skull Anterior fontanelle is a diamond-shaped  Closes 18 months after birth Posterior fontanelle is triangle-shaped  Closes within 2 or 3 months of birth Copyright 2009, John Wiley & Sons, Inc.

22 Copyright 2009, John Wiley & Sons, Inc.
Infants Skull Copyright 2009, John Wiley & Sons, Inc.

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Hyoid Bone Does not articulate with any other bone Supports the tongue, providing attachment sites for some tongue muscles and for muscles of the neck and pharynx The hyoid bone also helps to keep the larynx (voice box) open at all times Copyright 2009, John Wiley & Sons, Inc.

24 Copyright 2009, John Wiley & Sons, Inc.
Activity Work with a partner to complete the cranial sinus cavity assessment activity located on the class website. Individually answer the questions. Work in your small groups to draw and label the cranial and facial bones of the skull on your life size skeleton model. See example While working in your small groups, complete the Heads UP 7 UP activity on the class website. Copyright 2009, John Wiley & Sons, Inc.

25 Vertebral Column and Thoracic Cage
Axial Skeleton Vertebral Column and Thoracic Cage Copyright 2009, John Wiley & Sons, Inc.

26 Copyright 2009, John Wiley & Sons, Inc.
State Standard 13) Label on a skeleton the names of the bones for each of the following, identifying points of attachment: a. Skull 22 bones (cranium 8, facial 14) b. Spinal Column/Vertebra 24 with explanation of three parts of a typical vertebra (body, foramen, and processes) c. Thoracic Cavity d. Upper extremities: Shoulder girdle, arms, wrist, and hands including long bone processes, and three parts of each finger e. Lower extremities: hip girdle, legs, ankles, and feet including long bone parts, and parts of toes Copyright 2009, John Wiley & Sons, Inc.

27 Copyright 2009, John Wiley & Sons, Inc.
Objective Students will be able to… Identify the divisions of the vertebral column through a labeling exercise Identify the components of the thorax through a labeling exercise. Copyright 2009, John Wiley & Sons, Inc.

28 Copyright 2009, John Wiley & Sons, Inc.
Vertebral Column Also called the spine, backbone, or spinal column Functions to: Protect the spinal cord Support the head Serve as a point of attachment for the ribs, pelvic girdle, and muscles The vertebral column is curved to varying degrees in different locations Curves increase the column strength Help maintain balance in the upright position Absorb shocks during walking, and help protect the vertebrae from fracture Copyright 2009, John Wiley & Sons, Inc.

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Vertebral Column Composed of a series of bones called vertebrae (Adult=26) 7 cervical are in the neck region 12 thoracic are posterior to the thoracic cavity 5 lumbar support the lower back 1 sacrum consists of five fused sacral vertebrae 1 coccyx consists of four fused coccygeal vertebrae Copyright 2009, John Wiley & Sons, Inc.

31 Regions .

32 Copyright 2009, John Wiley & Sons, Inc.
Discussion Hypothesis that the bones of your vertebral column are now fused. What body processes are you no longer going to be able to do? Copyright 2009, John Wiley & Sons, Inc.

33 Vertebral Column (Regions)
Cervical Region Cervical vertebrae (C1–C7) The atlas (C1) is the first cervical vertebra The axis (C2) is the second cervical vertebra Thoracic Region Thoracic vertebrae (T1–T12) Articulate with the ribs Lumbar Region Lumbar vertebrae (L1–L5) Provide for the attachment of the large back muscles Sacrum The sacrum is a triangular bone formed by the union of five sacral vertebrae (S1–S5) Serves as a strong foundation for the pelvic girdle Coccyx The coccyx, like the sacrum, is triangular in shape It is formed by the fusion of usually four coccygeal vertebrae Copyright 2009, John Wiley & Sons, Inc.

34 Each Region has a distinctive Shape
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35 Houses and Protects the Spinal Cord
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36 Copyright 2009, John Wiley & Sons, Inc.
Cervical C1-C7 Copyright 2009, John Wiley & Sons, Inc.

37 Copyright 2009, John Wiley & Sons, Inc.
Thoracic T1-T12 Copyright 2009, John Wiley & Sons, Inc.

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Lumbar L1-L5 Copyright 2009, John Wiley & Sons, Inc.

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Sacrum and Coccyx Copyright 2009, John Wiley & Sons, Inc.

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Intervertebral Discs Found between the bodies of adjacent vertebrae Functions to: Form strong joints Permit various movements of the vertebral column Absorb vertical shock Vertebrae typically consist of: A Body (weight bearing) A vertebral arch (surrounds the spinal cord) Several processes (points of attachment for muscles) Copyright 2009, John Wiley & Sons, Inc.

41 Normal Intervertebral Disc
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42 Herniated or Slipped Disc
Due to Injury or weakness inner portion of the disk  protrudes from the vertebral column. Causing pain and discomfort. May press on spinal nerves causing numbness and pain Copyright 2009, John Wiley & Sons, Inc.

43 Copyright 2009, John Wiley & Sons, Inc.
Discussion Herniated and slipped discs are common among healthcare workers. Why do you think that is? Applying what you have learned about safety, what are some things that a healthcare worker can do to prevent this? Copyright 2009, John Wiley & Sons, Inc.

44 Vertebral Column Conditions
Various conditions may exaggerate the normal curves of the vertebral column Kyphosis- exaggerated outward curve of the thoracic spine Lordosis-exaggerated inward curve of the lumbar spine Scoliosis- sideways curvature Copyright 2009, John Wiley & Sons, Inc.

45 Vertebral Column Conditions
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46 Copyright 2009, John Wiley & Sons, Inc.
Thorax Thoracic cage is formed by the: Sternum Ribs Costal cartilages Thoracic vertebrae Functions to: Enclose and protect the organs in the thoracic and abdominal cavities Provide support for the bones of the upper limbs Play a role in breathing Copyright 2009, John Wiley & Sons, Inc.

47 Copyright 2009, John Wiley & Sons, Inc.
Thorax Sternum “Breastbone” located in the center of the thoracic wall Consists of the manubrium, body, xiphoid process Ribs Twelve pairs of ribs give structural support to the sides of the thoracic cavity 10 pairs are fixed and 2 pairs are floating Costal cartilages Costal cartilages contribute to the elasticity of the thoracic cage Copyright 2009, John Wiley & Sons, Inc.

48 Copyright 2009, John Wiley & Sons, Inc.
Thorax Copyright 2009, John Wiley & Sons, Inc.

49 Conditions of the Thoracic Cage
Pectus excavatum- sunken or funnel chest, is a congenital chest wall deformity in which several ribs and the sternum grow abnormally. Producing a concave, or caved-in, appearance in the anterior chest wall. Pectus carinatum -keel-shaped deformity of the chest. The anterior chest wall protrudes causing the chest to be stiff. Copyright 2009, John Wiley & Sons, Inc.

50 Pectus Excavatum vs. Carinatum
Looking at the anatomy of these 2 conditions, which one would leave the organs of the chest more vulnerable? Why? Copyright 2009, John Wiley & Sons, Inc.

51 Activity In your small groups, work to label the vertebral columns on your skeleton models. You must label Cervical C1-C7, Thoracic T1-T12, lumbar L1-L5, the sacrum, and coccyx. Note: Your skeleton may not be anatomically correct, add vertebrae as needed. Label the thoracic cage of your skeleton (sternum, xiphoid, # the ribs, include floating ribs ) Individually complete the labeling case study on the class website.


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