The topic includes:
definition and function bone
classification of bone according to shape, development, region and structure
gross structure of long bone
parts of a bone (epiphysis, diaphysis, metaphysis and epiphysial plate of cartilage)
blood supply of bone
growth of a long bone
A detail account of Bones, their histological features, classification, composition, Formation, blood and nerve supply, functions, plus some interesting facts about bones.
A detail account of Bones, their histological features, classification, composition, Formation, blood and nerve supply, functions, plus some interesting facts about bones.
BONE – AN INTRODUCTION
A bone is a rigid organ that constitutes part of the vertebrate skeleton.
There are around 270 to 300+ bones in Infants which gets reduced to 206 bones in adults.
Bones are dynamic structures that are undergoing constant change and remodelling in
response to the ever-changing environment.
Bones support and protect the various organs of the body, produce red and white blood cells,
store minerals, provide structure and support for the body, and enable mobility.
It has a honeycomb-like matrix internally, which helps to give the bone rigidity.
The largest bone in the body is the femur or thigh-bone, and the smallest is the stapes in
the middle ear.
a brief ppt description about cartilage which may be usefull for teaching for first year mbbs, bds and paramedical students, hope it is helpfull to everyone
Osteology, derived from the from Greek ὀστέον (ostéon) 'bones', and λόγος (logos) 'study', is the scientific study of bones, practised by osteologists. A subdiscipline of anatomy, anthropology, and paleontology, osteology is the detailed study of the structure of bones, skeletal elements, teeth, microbone morphology, function, disease, pathology, the process of ossification (from cartilaginous molds), and the resistance and hardness of bones (biophysics).[1]
Osteologists frequently work in the public and private sector as consultants for museums, scientists for research laboratories, scientists for medical investigations and/or for companies producing osteological reproductions in an academic context.
Osteology and osteologists should not be confused with osteopathy and its practitioners, osteopaths.
BONE – AN INTRODUCTION
A bone is a rigid organ that constitutes part of the vertebrate skeleton.
There are around 270 to 300+ bones in Infants which gets reduced to 206 bones in adults.
Bones are dynamic structures that are undergoing constant change and remodelling in
response to the ever-changing environment.
Bones support and protect the various organs of the body, produce red and white blood cells,
store minerals, provide structure and support for the body, and enable mobility.
It has a honeycomb-like matrix internally, which helps to give the bone rigidity.
The largest bone in the body is the femur or thigh-bone, and the smallest is the stapes in
the middle ear.
a brief ppt description about cartilage which may be usefull for teaching for first year mbbs, bds and paramedical students, hope it is helpfull to everyone
Osteology, derived from the from Greek ὀστέον (ostéon) 'bones', and λόγος (logos) 'study', is the scientific study of bones, practised by osteologists. A subdiscipline of anatomy, anthropology, and paleontology, osteology is the detailed study of the structure of bones, skeletal elements, teeth, microbone morphology, function, disease, pathology, the process of ossification (from cartilaginous molds), and the resistance and hardness of bones (biophysics).[1]
Osteologists frequently work in the public and private sector as consultants for museums, scientists for research laboratories, scientists for medical investigations and/or for companies producing osteological reproductions in an academic context.
Osteology and osteologists should not be confused with osteopathy and its practitioners, osteopaths.
1 GNM anatomy Unit -13 - Skeletal system.pptxthiru murugan
By:M. Thiru murugan
Unit – 13:
Formation and growth of bones
Tendons, ligaments and cartilages
Classification of bones, joints
Joint movement
Axial and appendicular skeleton
Skeletal system:
The human skeletal system consists of all of the bones, cartilage, tendons, and ligaments in the body & It Provide framework of the body
Altogether, the skeleton makes up about 20 percent of a person's body weight. An adult's skeleton contains 206 bones
Formation and growth of bones:
Ossification, or osteogenesis, is the process of bone formation.
In fetal life the bone growth occurs in 2 process: intramembranous and endochondral ossification
Intramembranous ossification is the process of bone development from fibrous membranes. It is involved in the formation of the flat bones of the skull, the mandible, and the clavicles.
Endochondral ossification is the process of bone development from hyaline cartilage. All of the bones of the body (except for the flat bones) are formed through endochondral ossification
Stages of bone growth:
Cartilage “model” of bone forms. This model continues to grow as ossification takes place.
Ossification begins at a primary ossification center in the middle of bone.
Ossification then starts to occur at secondary ossification centers at the ends of bone.
The medullary cavity forms. This cavity will contain red bone marrow.
Areas of ossification meet at epiphyseal plates, and articular cartilage forms. Bone growth ends.
Ossification centers:
Bone forms from cartilage, ossification begins with a middle point in the cartilage called the primary ossification center & secondary ossification centers (ends part of the bones) form after birth.
Skeletal maturity:
Throughout childhood, the cartilage remaining in the skeleton keeps growing, and allows for bones to grow in size.
Once all of the cartilage has been replaced by bone, and fusion has taken place at the epiphyseal plates, bones can no longer keep growing in length.
At this point, skeletal maturity has been reached. It generally takes place by age 18 to 25.
Tendons, ligaments and cartilages:
A tendon is a band of tissue that connects muscle to bone.
Functions of Tendons:
Attach muscles to bones
Anchors muscle to bone for movement
Ligament:
A ligament is an elastic band of tissue that connects bone to bone and provides stability to the joint.
Functions of Ligaments:
Attach bones to bones
Provide stability
Cartilage:
Cartilage is a soft, gel-like padding between bones that protects joints and facilitates movement.
Functions of Cartilage:
Model for bone growth in embryo & fetus
Provides a smooth cushion between adjacent bones
Provides firm flexible support (nose, ears, ribs & trachea)
Excellent shock absorber
Classification of bones:
Bones:
Bone are specialized forms of connective tissue that forms the skeleton of the body. It is composed chiefly of calcium phosphate and calcium carbonate. It also serves as a storage area for calcium, playing a large role
fracture introduction, aetiology, complete and incomplete fractures, traumatic and pathologic fractures, simple and compound fractures, patterns of fractures and types of displacement
anatomy of atlanto-occipital joint atlanto-axial joint and lower cervical spine. kinematics (includes osteokinematics and arthrokinnematics) and kinetics
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
2. Definition
• 1/3 connective tissue
• 2/3 impregnated with calcium
• Highly vascular
• Greater regenerative power
• Characteristic pattern of growth
• Mould itself according to change in stress and strain
• Constant turnover of its Ca content
• Absence of Ca salt due to acid the bone becomes flexible (tied as a ‘knot’)
• Absence of collagen due to burning the bone crumples into pieces
3. • It has two components:
Organic component Inorganic component
a) Consists of connective
tissue (collagen fibers)
a) Consists of Ca salts (Ca
phosphate, partly Ca
carbonate)
b) Tough and resilient
(flexible)
b) Hard and rigid
c) Resistant to tensile forces c) Resistant to compressive
forces of WB and impact
forces of jumping
d) salt: Calcium
hydroxyapatite
4. Function
• Gives shape and support to the body
• Resistant to any form of stress
• Provide surface for the attachment of muscles, tendons, ligaments
• Serve as levers for muscular action
• Bone marrow manufactures blood cells
• Store 97% of the body Ca and P
• Bone marrow contains reticuloendothelial cells which are phagocytic in
nature and take part in immune response of the body
5. Classification
A) According to shape:
1. Long bones:
• Has an elongated shaft (diaphysis)
• 2 expanded ends (epiphysis)
• Smooth and articular
• Has 3 surfaces, 3 borders, central medullary cavity, nutrient foramen
a) Typical long bones: humerus, ulna, radius, femur, tibia and fibula
b) Short long bones: MC, MT, Phalanges
c) Modified long bones (no medullary cavity): clavicle
6.
7. 2) Short bones:
a) Shape is usually cuboid (cube) or scaphoid (boat)
b) Pierced by blood vessels
c) Tarsals and carpals
8. 3) Flat bones:
a) Resemble shallow plates
b) Form boundaries of certain body cavities
c) Cranium, sternum, ribs and scapula
9. 4) Irregular bones: hip bone, first and second cervical vertebra, sphenoid
5) Pneumatic bones:
a) Large air spaces lined by epithelium
b) Maxilla, sphenoid, ethmoid
c) They: i) make the skull light in weight
ii) help in resonance of voice
iii) act as air conditioning chambers
iv) improves timbre of the voice
10.
11.
12. 6) Sesamoid bones:
• Bony nodules
• Found embedded in the tendon or joint capsules
• No periosteum
• Ossify after birth
• Related to an articular and non- articular bony surface
• Surfaces of contact are covered with hyaline cartilage
• Lubricated by bursa or synovial membrane
• Function:
a) To resist pressure
b) To minimise friction
c) Alter the direction of pull of muscle
d) Maintain local circulation, protect the vessels and nerves
e) E.g: patella, pisiform
13.
14. 7) Accessory bones:
• Not always present
• May occur as ununited epiphysis developed from extra centres of ossification
• Cervical rib, sutural bones of the skull
• Often bilateral
• Smooth surfaces without any callus
15. B) Developmental classification
1 a) Membrane (dermal) bones:
• Ossify in membrane
• Intramembranous or mesenchymal ossification
• Frontal, parietal and maxilla
b) Cartilaginous bones:
• Ossify in cartilage
• Intracartilaginous or endochondral ossification
• Humerus, femur, vertebraes and thoracic cage
c) Membrano- cartilaginous bones:
• Ossify partly in membrane and partly in cartilage
• Clavicle, mandible, occipital, temporal, sphenoid.
16. 2 a) Somatic bones:
• Most of the bones are somatic
b) Visceral bones:
• Develop from pharyngeal arches
• Hyoid bone, part of mandible and ear ossicles
17. C) Regional classification:
1) Axial skeleton: skull, vertebra and thoracic cage
2) Appendicular skeleton: bones of the limbs
18. D) Structural classification:
I. Macroscopically:
a) Compact:
• Dense in texture
• Extremely porous
• Best developed in the cortex of long bones
• Adaptation to bending and twisting forces
b) Cancellous:
• Open in texture
• Made up of meshwork of trabeculae (rods and plates)
• Between which are marrow containing spaces
• Types of meshwork: i) meshwork of rods
ii) Meshwork of rods and plates
iii) meshwork of plates
• Adaptation to compressive forces
19.
20. Compact Cancellous
Location Diaphysis Epiphysis
Lamellae Arranged to form
Haversain system
Arranged in a meshwork
Bone marrow Yellow which stores fat
after puberty. Red before
puberty
Red, produce RBC’s,
granular series of WBC
and platelets
21. II Microscopically:
a) Lamellae bone (including compact and cancellous):
• Composed of thin plates of bone tissue (lamellae)
• Arranged as branching curved plates in cancellous
• Arranged as concentric cylinders in compact
b) Woven bone:
• Seen in fetal bones, fracture repair and cancer of bone
• Bone crystals and collagen fibres are arranged randomly
c) Fibrous bone:
• Found in young fetal bones
• Common in reptiles and amphibia
d) Dentine and e) cement occur in teeth
22.
23. Gross structure
A Shaft: composed of:
• Periosteum
• Cortex
• Medullary cavity
a) Periosteum:
thick fibrous membrane
Covering the external surface of bone
Made up of: i) outer fibrous layer
ii) inner cellular layer (osteogenic in nature)
United to the underlying bone by Sharpey’s fibres
At articular margin continuous with the capsule of joint
Rich nerve supply
Absent in sesamoid bone
Function: i) osteogenic
ii) bone growth
iii) bone repair
iv) protection
24.
25. b) Cortex:
• Made up of compact bone
• Gives it the desired strength to withstand all strain
c) Medullary cavity:
• Lined by endosteum
• Osteoblasts help in bone repair and remodelling
• Filled with red or yellow bone marrow
• Red marrow persists in the cancellous ends of long bones
• Sternum, iliac crest, vertebra, ribs
B. 2 Ends:
• Made up of cancellous bone
• Covered with hyaline cartilage
26.
27. Parts
A Epiphysis:
• Ends and tips of a bone
• Ossify from secondary centres
I. According to number of epiphysis:
a) Simple:
• ends develop from many epiphyses
• Fuse independently with shaft
• Femur
b) Compound:
• Ends develop from many centres which unite to from a single epiphysis
• Single epiphysis fuse with the shaft
• Humerus
28. II. Based on function:
a) Pressure epiphysis:
• Articular
• Takes part in the weight transmission
• E.g: head of humerus, head of radius
b) Traction epiphysis:
• Non articular
• Does not take part in the weight transmission
• Provides attachment to one or more tendon which exert traction
• Ossify later than the pressure epiphysis
• E.g: trochanter of femur, tubercles of humerus
29. c) Ativastic epiphysis:
• An independent bone
• Fused to another bone
• E.g: coracoid process, lateral tubercle of posterior process of talus
d) Aberrant epiphysis:
• Not always present
• E.g: epiphysis at the head of Ist MC, bases of other MC bones
30.
31. B Diaphysis:
• Elongated shaft
• Ossifies from a primary centre
• Receives blood supply from nutrient artery
32. C Metaphysis:
• Epiphyseal ends of a diaphysis
• Zone of active growth
• Richly supplied with blood through end artery forming ‘hair-pin’ ends
(before epiphyseal fusion)
• Common site of osteomyelitis (because the bacteria or emboli are easily
trapped in the ‘hair-pin’ ends)
• After epiphyseal fusion there is vascular communication between
metaphysial and epiphyseal artery, hence no more end artery because of
which no chances of osteomyelitis
• Maybe of two types:
i) Intracapsular: both ends of humerus
ii) Extracapsular: upper and lower ends of radius and ulna
33.
34. D Epiphyseal plate of cartilage:
• Separates epiphysis from metaphysis
• Proliferation of cells in this plate is responsible for lengthwise growth of a
long bone
• After epiphyseal fusion, no longer grow in length
• Nourished by both the epiphyseal and metaphyseal artery
35. Blood supply
AArterial supply:
1) Young long bones:
a) Nutrient artery:
• Enters the shaft through the nutrient foramen
• Runs through the cortex
• Divides into ascending and descending branches
• Turn down to form hairpin bends
• Each branch divides into a number of small parallel channels
• Terminate in the adult metaphysis by anastomosing with the epiphyseal,
metaphyseal and periosteal artery
• Supplies medullary cavity, inner 2/3 of cortex and, metaphysis
• E.g: upper end of humerus, lower end of radius and ulna, lower end of femur
and upper end of tibia
• Nutrient foramen is directed away from the growing ends of bone
36. b) Periosteal artery:
• Numerous beneath the muscular and ligamentous attachments
• Ramify beneath the periosteum
• Enter the Volkmann’s canals to supply the outer 1/3 of the cortex
c) Epiphyseal artery:
• Derived from vascular arcades (circulus vasculosus)
• Found on the non articular bony surface
d) Metaphyseal artery:
• Derived from the neighbouring systemic vessels
• Pass directly into the metaphysis
• Reinforce the metaphyseal branches from the primary nutrient artery
37.
38. 2) Long short bones:
• Nutrient artery enters the middle of shaft
• Divides to form plexus
• Infection begins in the middle of shaft
• Periosteal artery supplies major part of bone
• May replace the nutrient artery
3) Short bones:
• Supplied by numerous periosteal vessels which enter their non articular
surfaces
39. 4) Vertebra:
• Supplied by anterior and posterior vessels (body)
• Vertebral arch by large vessels entering the base of transverse process
• Red marrow is drained by 2 large basivertebral veins
5) Rib:
• Nutrient artery which enters it just beyond the tubercle
• Periosteal artery
40. B) Venous drainage:
• Numerous and large in cancellous bone
• Accompany artery in the Volkmann’s canals (compact bone)
C) Lymphatic drainage:
• Some do accompany the periosteal blood vessels
• Drain to the regional lymph nodes
41. Growth of long bone
• Length: multiplication of cells in the epiphyseal plate of cartilage
• Thickness: multiplication of cells in the deeper layers of periosteum
• Grow by deposition of new bone on the surface and at the ends (appositional
growth)
• Remodelling: unwanted bone is removed by osteoclasts