Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
لقطة شاشة ٢٠٢٣-٠٦-٠٣ في ١٧.٤٥.٠١.pdf
1. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
1
-Enumerate of bones in the upper limb?
➔الجواب there are 30 bones in each upper limb
هنه ي
➔الل 1- Humerus , 2- Radius , 3- Ulna , 4-bones of hand.
-العلوية افرلألط ي
األساس الغرض(ماهوwhat is the primary purpose to upper limb)?
لجوابا ➔to move the hand around the body during the activities of
life.
-العلوية افراألط تحتوي عظمة ➔كم 30 bones.
-الكتف امزح يتكون مم (pectoral or shoulder girdle)?
من➔الجواب يتكون ➔ Clavicle and Scapula.
-الكتف امزح يقع (اينwhere is the pectoral girdle located)?
➔الجوابbetween the humerus and trunk
-الكتف امزح ي
ف المفاصل )عددenumerate the joints in the shoulder or
pectoral girdle)?
مفاصل➔الجواب ثالث ➔توجد1- Sternoclavicular joint
2- acromioclavicular joint , 3- glenohumeral joint
-الكتف حزام في الموجودة المفاصل وظيفة (ماهيwhat is the function of the
joints in the shoulder girdle?
الجواب ➔ constructed to allow a wide range of arm movement and
at expense of stability.
--------------------------------------------------------------------------------------------
-Define of Glenoid: Helps articulate the head of the humerus with
the shoulder girdle.
2. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
2
- clavicle bone or collar bone➔له➔عرفه ةمي اهم ذكر ?مع
➔الجوابClavicle: is a slender ,S-shapes long bone approximately
15cm long That serves as a strut between the scapula and sternum
and is only bone in body that lies horizontally
( طوله يبلغ ونحيف طويل عظم عن عبارة
15
سانتيم
وعظم الكتف عظم بي دعامة بمثابة ي
الل
افقيا يقع ي
الل بالجسم الوحيد العظموهو الصدري )القفص
له ةمي ➔اهم is bone with no medullary cavity( ي
نخاع تجويف )بدون.
-----------------------------------------------------------------------------------------------------
- The shaft of clavicle is divided to medial region and lateral region
- The clavicle has Two ends:
1- Medial(sternal) : enlarged and triangular.
2- Lateral(Acromial) : flattened.
-Surfaces :
1- superior surface➔ smooth as it lies just deep to the skin.
2- inferior surface➔rough because strong ligament bind it to the
first rib.
------------------------------------------------------------------------------------------------------
-what is the pectoral girdle?
➔الجوابis the set of bones that connects the arm to the rest of the
skeleton and it provides support and stabilization to allow the
shoulder to move.( الدعميوفرو الهيكل ي
بباف اعرالذ تربط ي
الل العظام من مجموعة
كة
بالحر للكتف للسماح ارر)واالستق.
---------------------------------------------------------------------------------------------------------
3. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
3
-Articulation of clavicle:
1- medially ➔ with the manubrium sternoclavicular joint
2- Laterally ➔ with the scapula at Acromioclavicular joint
3- inferiorly ➔ with first rib at costoclavicular joint.
--------------------------------------------------------------------------------------------
-define the scapula?
➔الجواب is a large triangular shaped bone that lies in upper back
and extend between 2nd- 7th ribs.
-it consists of a complex set of muscles that help it move the limbs
freely.
-The processes of scapula:
1- spine : a thick projecting ridge of bone that continues laterally
(جانبيايستمر ي
الل العظم من بارز سميك )نتوء
2- Acromion: forms the subcutaneous point of the shoulder
(الكتف من الجلد تحت نقطة )يشكل
3- Coracoid : a beak like process. (المنقار يشبهبروز )
-The borders of scapula:
1- superior , 2- medial(vertebral) , 3- lateral(Axillary)
4. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
4
-Humerus:
➔تعريفه is a typical long bone and is largest bone in the upper limb
that runs from the shoulder and scapula to the elbow.
-Types the fracture in the humerus:
1-proximal humerus fracture , 2- humerus shaft fracture.
ال proximal➔usually occurs close to the shoulder joint
(الكتف مفصل من بالقرب مايحدث عادة )
الكرس هذا مستويات ➔ fracture levels: simple or comminuted.
ال humerus shaft fracture➔ is one that is localized at the mid
portion of the upper arm
--------------------------------------------------------------------------------------------
- ➔مقارنة between the Ulna and radius?
Ulna radius
1- On the medial side of
forearm
1- on the lateral side of the
forearm
2- longer than radius 2- shorter than ulna
3- thinner 3- thicker
4- articulate with elbow 4- articulate with carpal bone
------------------------------------------------------------------------------------------
-والبعيدة القريبة الرسغ عظام (عددproximal and distal)?
-the proximal row:
1- scaphoid , 2- Lunate , 3-Triquetral , 4-Pisiform.
- the Distal row:
1-Trapezium , 2- Trapezoid , 3- Capitate , 4- Hamate.
5. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
5
-االوىل ةللمحاض اإلضافية األسئلة بعض:
-Clavicle and scapula ➔➔يوفرنbony link( ي
العظم )االرتباطbetween the
arm and trunk.
-الصدر بحزام توجد اللي ➔العضالت anterior muscles()االمامية:
1- subclavius, 2- pectoralis minor , 3- serratus anterior.
Posterior muscles(الخلفية )العضالت:
1- Trapezius , 2- Rhomboid major , 3- Rhomboid minor.
--------------------------------------------------------------------------------------------
- the medial of clavicle➔2/3 is convex forward.
-The lateral of clavicle➔ 1/3 is concave forward.
- The proximal end of humerus➔ Head , neck , greater tubercle,
lesser tubercle.
- greater tubercle of humerus➔ at the lateral margin of the
humerus
- Lesser tubercle of humerus➔ projects anteriorly.
-the small bones of carpal➔give flexibility to the wrist.
-the two tubercles in the humerus are separated by➔
intertubercular groove.
-shaft of humerus has two prominent features➔ Deltoid tuberosity
and Spiral(Radial groove).
- The radius it forms the radiocarpal joint at the wrist
- The radius it forms the radioulnar joint at the elbow
- The proximal radius consists of ➔ head, neck, tuberosity.
- The radial head articulates with the capitellum of the humerus.
6. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
6
Lec 2:
-The Radiography: is the imaging of body structures, or parts of the
body using X-rays.
-the X-rays: are a form of radiation similar to visible light,radio
waves and microwaves.
-مقارنة ➔between X-ray and CT scan?
X-ray CT Scan
1- simple 1- Complex
2- The picture 2D 2- the picture 3D
3- appear the bone 3- appear the soft tissue and
skull.
4- less expensive 4- higher expensive
-the x-radiation is special? Because it has a very high energy
level that allows the x-ray beam to penetrate through the body.
- A dense structure, such as bone, absorbs a high percentage of the
x-ray beam which appears light grey.
- Low density structures, such as soft tissues, absorb a small
percentage which appears dark grey.
-Ossification center: the site where bone begins to form in a special
bone or part of bone as a result of the accumulation of osteoblasts
in the connective tissue.
-Types of bone ossification: 1- intramembranous , 2-endochondral.
7. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
7
-➔مقارنة between intramembranous and endochondral?
ال intramembranous➔ converts tissue directly into bone.
ال endochondral➔Converts tissue into cartilage and cartilage into
bone.
--------------------------------------------------------------------------------------------
-The osteoblast in three stage:
1- proliferation , 2- maturation , 3- mineralization.
-------------------------------------------------------------------------------------------
ال➔وظيفة osteogenesis➔➔تكوين osteoblasts.
---------------------------------------------------------------------------------------
-dislocation: is a separation of two bones where they meet at a joint.
--------------------------------------------------------------------------------------------
-The most common location for a dislocation:
1- shoulder , 2- Fingers.
- A dislocation can cause pain , swelling, and weakness.
-There are 3 different types of shoulder dislocation:
1- Anterior(Foreward)➔the head of the humerus is moved
forward,in front pf the socket(glenoid).
2- Posterior(behind)➔the head of the arm bone is moved behind
and above the socket.
3- Inferior(bottom).
-Types of dislocation ➔ 1- congenital , 2- Acquired
8. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
8
-ال clavicle➔الشعاعية اته(مميradiological features)➔is roughly S-
shaped with flattened, lateral 1/3 concave forward and a
thickened, convex➔medial 2/3.
-------------------------------------------------------------------------------------------
ءوالنسا بالرجال قوةالي بي ➔قارن the female clavicle is shorter ,thinner ,
less curved and smoother than the male clavicle.
-------------------------------------------------------------------------------------------
-Ossification centers of clavicle:
The clavicle is formed by two membranous primary ossification
centers➔appearing(انرغضون➔)يظه ي
➔ف6weeks and fusing➔ 1
week later(اسبوع بعد )ويندمجن.
9. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
9
-➔الmedial cartilaginous mass➔ contributes more to the growth
in length of the clavicle than the lateral cartilaginous mass
(الجانبية وفيةالغض الكتلة من ر
اكي قوةالي طول نمو ي
ف )تساهم.
-بالجني مبكرة بصورة يتطور جزء اول (ماهوwhat is the first part to develop
early in the fetus? ➔الجواب the clavicle.
-------------------------------------------------------------------------------------------
-Dislocation clavicle
Ternoclavicular dislocation(قويالي ي
الرباع ➔)الخلعrefers to complete
rupture of all the(لجميع كامل تمزق الى (يشير ➔sternoclavicular and
costoclavicular ligaments.
--------------------------------------------------------------------------------------------
-Radiological features of scapula➔the main part of the scapula is
body➔ consist of triangular shaped flat blade, with an inferiorly
pointing apex, referred to as a well as lateral and superior angles.
-The scapula has three borders➔
1- superior , 2 - medial(vertebral) , 3- Lateral(Axillary).
-the posteriorly of scapula➔is divided by spine➔اىل:
1- Supraspinous fossa , 2- infraspinous fossa.
-------------------------------------------------------------------------------------------
-Ossification centers of scapula:
العظمي التطور يبدأ متى ➔لل scapula➔osteogenic development
begins➔ via endochondral ossification➔in week 11 of human
embryogenesis.
10. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
10
--------------------------------------------------------------------------------------------
-Dislocation of scapula➔ Occurs when(عندما ➔)يحدثthe round
ball(المستديرة (الكرةat the top( القمة ) of the humerus → leaves the
socket in the scapula.
Means( ي
→)يعن the ball and socket bones are➔Separated.
--------------------------------------------------------------------------------------------
-➔مقارنة between clavicle and scapula?
Clavicle Scapula
1- long bone 1- flat bone
2- located between sternum
and shoulder blade.
2- located in upper back
3- S-shape in shape 3- triangular in shape
4- serves as a strut between the
sternum and scapula
4- consists of a complex set of
muscles that help move the
limbs freely
---------------------------------------------------------------------------------------
-the humerus➔➔مقارنةbetween anatomical and surgical neck?
Anatomical neck Surgical neck
1- in head of humerus 1- in shaft of humerus
2- lateral 2- medial
3-rare fractures 3- common sit of fractures
4-longer 4- shorter
-similarities between humerus and scapula?
There are three surfaces and three borders.
--------------------------------------------------------------------------------------------
-the humerus has three surfaces:
1- Anterolateral , 2-Anteromedial , 3-posterior surface.
11. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
11
-The humerus has three borders:
1- Anterior , 2- medial , 3- lateral
---------------------------------------------------------------------------------------
-Ossification of Humerus
At birth , the neonatal humerus is only ossified in the➔shaft
the epiphysis are➔cartilaginous at birth.
➔الmedial humeral head➔4 months➔➔ليصبحossification
ال greater tuberosity➔10 months➔تصبح ➔حنossification
These ossification centers➔begins to fuse at 3 years of age.
--------------------------------------------------------------------------------------------
-hand➔من ➔تتكون1-Carpal , 2-Metacarpal , 3- phalanges.
1- Carpal or carpus➔ composed of eight carpal(short bones)
arranged in two irregular rows.
The proximal and distal rows(االوىل ةالمحاض ي
ف ذكرها )تم.
--------------------------------------------------------------------------------------------
2- Metacarpal ➔it is the skeleton of the hand between the carpal
and phalanges.
-it is composed of five metacarpal bones➔ each has a base and
shaft and Head.
- The distal ends of metacarpal➔Articulation with➔proximal
phalanges تشكل حن ➔the knuckles of the fist(القبضة )مفاصل.
-The bases of the metacarpals➔Articulate➔with carpal bones.
-The first metacarpal ➔ is the shorter and most mobile( ر
واألكثاألقرص
كة
)حر .
12. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
12
--------------------------------------------------------------------------------------------
-➔مقارنة between carpal and metacarpal?
Carpal Metacarpal
1- irregular bones 1- regular bones
2- their number is 8 2- their number is 5
3-smaller and shorter 3- largest and longer
4- connected from the bottom
to the wrist.
4- connected from the bottom
To the carpal.
--------------------------------------------------------------------------------------------
3- Digits()االصابع:
-each digits ➔has three phalanges
➔بإستثناء the thumb ➔has two phalanges.
-The proximal phalanx➔ is the largest.
-The middle of phalanx ➔are intermediate in size(الحجم ي
ف )متوسطة.
-The distal of phalanx➔ are smallest.
-Extended()تتوسع distally➔to form➔ the nail beds.
--------------------------------------------------------------------------------------------
-الثانية ةللمحاض اإلضافية األسئلة بعض:
-the anatomical neck➔separates head from tubercles.
-the surgical neck➔is found inferior to the tubercles(الشفت بداية ).
-proximal end of the humerus➔
1- Head , 2- neck, 3- Greater tubercles , 4- lesser tubercles.
-distal end of the humerus➔
1- Trochlea ,2-capitellum, 3- medial and lateral epicondyles.
13. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
13
Lec 3
-define elbow joint➔is a synovial joint found in the upper limb
between the arm and the forearm.
--------------------------------------------------------------------------------------------
-the elbow joint➔ articulates with three bones:
1- humerus , 2- radius , 3- Ulna.
- مفصل يتكون مم
الكوع ➔Humerus , Radius , Ulna.
--------------------------------------------------------------------------------------------
-the elbow joint➔تصنيفان له: 1-Synovial joint( ي
زليل مفصل انه عل )يصنف
2- Compound joint(كب
مر مفصل انه عل )يصنف.
--------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------
- what is the name of the cartilage in the elbow joint?
➔الجوابhyaline cartilage( ي
زجاج وف)غض.
--------------------------------------------------------------------------------------------
-وظيفة ي
ال➔ماه hyaline cartilage?
1- smooth movement to joints(للمفصل سلسة كة
حر ي
)يعط.
2- it covers the end of the bones that articulate with the elbow
joint(الكوع مفصل مع تتمفصل ي
الل العظام نهاية يغلف).
3- Absorb shock(الصدمات )امتصاص , 4-easy against(كة
الحر )يسهل.
14. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
14
-➔مقارنة between Trochlea and Capitellum ?
ال Trochlea➔articulates with ulna.
ال Capitellum➔articulate with radius.
-وظيفة ي
➔ماهthe ulnohumeral articulation?
➔الجوابallowing flexion and extension.
-وظيفة ي
➔ماه The radiohumeral articulation?
➔الجواب allows axial rotation.
- enumerate Articulation and movement of elbow joint?
1- Ulnohumeral articulation➔allowing Flexion and Extension.
2- Radiohumeral articulation and proximal radio-ulnar joint➔
allows Axial rotation.
--------------------------------------------------------------------------------------------
-Define synovial joint➔ also called diarthroses, are free movable
joints such shoulder joint and hips joint.
---------------------------------------------------------------------------------------
-➔ماهو Joint effusion?
➔الجوابis the accumulation of fluid in the joint(المفصل ي
ف السوائل (تجمع
(السوائل هذه تتجمع احر المفصل ي
ف قوية بةضاو حادث يصي من ي
)يعن
---------------------------------------------------------------------------------------------------------
-what is the appropriate examination to detect the elbow joint?
And why? by X-ray machine , ال➔ألن elbow x-ray➔(تظهرshows)➔
soft tissues and elbow bones.
-what is elbow x-ray? ➔الجوابis a medical test that produces an
image of the inside elbow(المرفق لداخل صورة ينتج ي
طن )اختبار.
15. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
15
-the wrist joint➔ is complex joint of distal upper limb that
serves transition point between forearm and hand.
-Why the wrist is complex joint?
Because it is collection of multiple bones and joint
--------------------------------------------------------------------------------------------
-Enumerate the movement of Condyloid joint?
1- Flexion , 2- extension , 3- abduction , 4- adduction
--------------------------------------------------------------------------------------------
-what are components of wrist joint?
➔الجواب1- distal ends of the radius and ulna
2- 8 carpal bones , 3- proximal portion of the 5 metacarpal bones.
--------------------------------------------------------------------------------------------
-what is articulating of wrist joint?
1-Proximally : the proximal row of the carpal bones(except the
pisiform).
2-Distally: the distal end of the radius and the articular disk.
--------------------------------------------------------------------------------------------
- Enumerate the joint in wrist region?
1- radiocarpal joint , 2- midcarpal joint , 3- Carpometacarpal joint
-----------------------------------------------------------------------------------------
-Arteries of upper limb:
1- subclavian artery , 2- Axillary artery
3- brachial artery , 4- radial artery , 5- ulnar artery.
16. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
16
- Where does it originate the subclavian artery in upper limb?
1- On the right ➔ brachiocephalic trunk.
2- On the left ➔ aortic arch.
----------------------------------------------------------------------------------------
-The subclavian divided into three parts➔موقعه عل عضلة➔بناءا ➔من
Scalene muscle:
1- First part:origin(منشأ ➔)منthe subclavian artery to the medial
border of the anterior scalene.
2- Second part: posterior to➔the Anterior scalene.
3- Third part : lateral border of anterior scalene to➔lateral border
of the first rib.
--------------------------------------------------------------------------------------------
-Define Arteriography? Is to see how blood moves through the
arteries(ايي ر
الرس خالل الدم يتحرك كيفلرؤية)and also used to check for
blockage or damage arteries(التالفة او المسدودة ايي ر
الرس من للتحقق تستخدم أيضا)
and visualize tumors or find a source of bleeding.
--------------------------------------------------------------------------------------------
--veins ➔include(➔)تشمل
1- ulnar and radial and interosseous veins in forearm.
2- Brachial vein of the upper arm , 3- Axillary vein.
--------------------------------------------------------------------------------------------
-Veins can classified to➔four main types:
1- Pulmonary veins , 2- systemic veins
3- superficial veins , 4- deep veins
17. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
17
- Define the brachial plexus➔ is a complex neural network formed
by lower cervical( ي
السفل العنق بواسطة تتشكل االعصاب من (شبكة and upper
thoracic ventral nerve roots(الصدر وبداية العنق نهاية) .
➔موقعها in the neck extending to the axilla posterior to clavicle
(اعرالذ اىل وتروح قوةالي خلف المحور اىل تمتد ي
)يعن.
-----------------------------------------------------------------------------------------
Ossification centers of carpal
An ossification center: is a point where ossification of the cartilage
begins(بالتعظم وفالغض فيها يبدأ ي
الن النقطة )هو.
-the first step in ossification(التعظم ي
ف األوىل المرحلةاو األوىل )الخطوة:
The cartilage cells at this stage enlarge and arrange themselves in
rows (صفوف ي
ف نفسها وترتب تتضخم المرحلة هذه عند وفيةالغض )الخاليا.
-The secondary ossification Center➔ is the area of ossification that
appears after the primary ossification center.
معظمها ي
➔هappear during postnatal and adolescent years( معظمها ي
ه
اهقةرالماو الوالدة مابعد سنوات خالل)تظهر.
-most bones➔have more than one secondary ossification center.
-in long bone➔the secondary centers ➔➔تظهرin epiphysis.
-the ossification of carpal bones➔occurs➔in sequence(➔)تسلسل
من➔بدءا Capitate ➔➔وانتهاءا بال Pisiform.
--------------------------------------------------------------------------------------------
-Ossification times:
1- capitate➔ 1 – 3 months , 2- Hamate➔ 2 – 4 months
3- Triquetrum➔ 2 – 3 years , 4- Lunate➔ 2 – 4 years
18. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
18
5- Scaphoid➔ 4 – 6 years , 6- Trapezium➔ 4 – 6 years
7- Trapezoid➔ 4 – 6 years , 8- Pisiform➔ 8 – 12 years
--------------------------------------------------------------------------------------------
-الثالثة ةالمحاض عن إضافية أسئلة:
-the stability of the elbow joint is provided by:
1- Osseous articulations , 2-Medial and lateral collateral ligaments.
3- Traversing muscles.
-------------------------------------------------------------------------------------------
-The ulna➔يمنع ➔from articulation with the carpal bones
by➔fibrocartilaginous ligament( ي
ليف ي
وفغض (رباط➔called➔
Articular disk.
-Define the Articular disk? ➔ is fibrocartilaginous ligament that
prevent the Ulna from articulation with the carpal bones.
➔موقعهlies over the superior surface of the ulna.
--------------------------------------------------------------------------------------------
-the arterial supply to the upper limb➔begins➔بsubclavian artery
-The subclavian artery➔travels laterally➔towards Axilla.
- At the lateral border of first rib➔the subclavian artery➔➔يدخل
the axilla ➔➔ويسمAxillary artery.
--------------------------------------------------------------------------------------------
-Define the Axilla? Known the armpit()االبط: is pyramidal in shape
and it is space located between upper limb and thorax , permits the
passage of major neurovascular structures.
19. محاضرات 4 نظري تشريح علي عماد محمد :الطالب اعداد
19
-the brachial artery➔branches➔to radial and ulnar arteries.
--------------------------------------------------------------------------------------------
-Axillary vein➔➔تنشأat the lower border➔عضلة ➔منteres major
➔in continuity with the brachial veins(هيج اسمهة يصي اعرالذ تدخل من ي
)يعن
---------------------------------------------------------------------------------------------------------
-the brachial plexus➔supplies motor and sensory innervation
( وا كية
الحر االعصاب عن مسؤؤلة
ل
حسية )to the upper limb and pectoral girdle.
--------------------------------------------------------------------------------------------
20. _الرابعة تشريح علي عماد محمد :الطالب اعداد
1
Bones of lower limb
-the lower limb is divided to three regions: 1- thigh , 2- leg ,3- foot
-The tigh: is portion of lower limb located between the hip joint
and knee joint.
-The leg: is region between the knee joint and ankle joint.
-The lower limb contains 30 bones.
-عظم 30ال هنة➔هاي ➔اللي1- femur , 2- patella , 3-tibia , 4- fibula
5- tarsal bones(7) , 6-metatarsal bones(5) , 7- phalanges(14).
-Patella: is the kneecap and articulates with the distal femur
( ال مع وتتمفصل الركبة غطاء هو
السفلي جزء
الفخذ عظم من )
-Tibia: is larger and thicker bone of medial of leg and weight
bearing Bone(الوزن تتحمل ).
-Fibula: is the thin bone of lateral leg and smaller bone.
-the bones of foot are divided into three groups:
1- tarsal bone➔ 7 bones.
2- metatarsal bone➔5 enlarged bones.
3- Phalanges➔ 14 small bones.
--------------------------------------------------------------------------------------------
21. _الرابعة تشريح علي عماد محمد :الطالب اعداد
2
Femure(thigh bone)
Is the single bone , and it is longest ,heaviest, and strongest bone in
the human body . which articulates with acetabulum of the hip
bone to form the hip joint.( عظم هو
مفرد
بجسم عظم واقوى واثقل واطول
مع اويرتبط يتمفصل االنسان
الحوض عظم من االسيتابيلم
لت
ش
ك
ي
)الورك مفصل ل
➔وظائفه1- weight bearing , 2- stability of gait(بالمشي توازن او )استقرار.
--------------------------------------------------------------------------------------------
-Articulation of femur:
1- Proximally➔ head of femur articulates with the acetabulum to
form hip joint.
2-Distally➔ tibia and patella ➔ the knee joint.
--------------------------------------------------------------------------------------------
-Upper end of femur:
1- head , 2- neck , 3- greater trochanter , 4- lesser trochanter.
-Lower end of femur:
1- medial condyle , 2- lateral condyle , 3- intercondylar fossa
--------------------------------------------------------------------------------------------
The fovea capitis: is the ovoid depression on medial side of the
femoral head located between little below and behind the center
of the head(بقليل الرأس مركز وخلف اسفل موقعهة بيضوي انخفاض )هي.
22. _الرابعة تشريح علي عماد محمد :الطالب اعداد
3
➔وظيفتهة site of attachment for the ligament of the head of the
Femur(الفخذ عظم رأس لرباط ربط موقع )بمثابة.
- ال➔هذا ligament➔ spans()يمتد on the femur and acetabulum
But is➔weak()ضعيف and provides little support(الدعم من القليل )ويوفر
for the hip joint.
The ligament➔ carry an important artery that supplies the head of
the femur(الفخد عظم رأس يزود الشريان وهذا مهم شريان )يحمل.
--------------------------------------------------------------------------------------------
-The head of femur directed()متجه:1-caidally ,2-medially,3-anteriorly
--------------------------------------------------------------------------------------------
-Femur ossification(6-12 weeks)
By sixth week of development(التطور من السادس األسبوع )بحلول, the first
hyaline cartilage model of the femur is formed by chondrocytes.
(غضروفية خاليا طريق عن يتشكل الزجاجي الغضروف من نموذج )اول
Note: the hyaline cartilage:( الزرقة الى مائلة شفافة الغضاريف من نوع
المفاصل في )موجودة
Endochondral ossification➔begins by the end of the embryonic
period(الجنينة الفترة بنهاية (يبدأ and primary ossification centers are
present in femur ➔by the 12th weeks of development
( ال األسبوع بحلول الفخذ عظم في موجودة االولي التعظم مراكز
12
التطور من ).
--------------------------------------------------------------------------------------------
Patella
Is a sesamoid bone roughly triangular in shape, with superior base
and inferior apex(االسفل في وقمته األعلى في قاعدته ,تقريبا الشكل مثلث سمسمي عظم)
23. _الرابعة تشريح علي عماد محمد :الطالب اعداد
4
Note: the sesamoid bone➔ من بالقرب تقع السمسم بذور تشبه مسطحة عظام
والمفاصل االربطة.
the posterior surface is Smooth, من ➔وتتكونarticular
cartilage(مفصلي )غضروف
المفصلي الغضروف ➔هذا is thickest in the body(الجسم في )االسمك
يصل ➔الى➔وقد5mm البالغين بعض في.
-The posterior aspect of patella is divided to(الى )يقسم:
1- medial facet➔leacks()تفتقر ➔الىarticular cartilage➔وتعرف
➔ بال ➔ odd faced.
2- lateral facet , 3- vertical ridge.
--------------------------------------------------------------------------------------------
-Radiological features of tibia and fibula
السينية لل➔االشعة tibia and fibula➔العثور في على➔تساعد:
1- cause of pain(االلم )سبب , 2- tenderness, 3- swelling
4- deformity of the lower leg(الساق اسفل تشوه ).
--------------------------------------------------------------------------------------------
- بين➔مقارنة ➔ tibia and fibula:
Tibia Fibula
1- on medial of leg 1- on lateral of leg
2- larger 2- smaller
3- thicker 3- thinner
4- articulate with knee joint 4- articulate with ankle joint
24. _الرابعة تشريح علي عماد محمد :الطالب اعداد
5
-Congenital hip dislocation(CHD):(الخلقي الورك (خلع او CDH:
occurs when a child is born with an unstable hip( يولد الطفل عندما يحدث
مستقر غير ورك او )بحوض. It's caused by abnormal formation
( غير تكوين عن ناتج وهو
طبيعي )➔ to hip joint during()خالل their early
stages of fetal development(الجنين تطور من المبكرة )المراحل. Another
name for this condition➔is developmental dysplasia of the hip.
--------------------------------------------------------------------------------------------
-Ossification of patella
The patella is ossified from a single center.
The patella ossified between the ages 3 and 5 years.
The patella(kneecap)➔ is intermembranous bone.
--------------------------------------------------------------------------------------------
-Ossification of Tibia(6-12 weeks)
The tibia has three ossification centers(تعظم مراكز ثالث لها ):
-one for the diaphysis , - one for each epiphysis .
ال ossification➔begins in the shaft(بالشفت ➔)يبدأ at seventh week in
utero(الرحم في السابع األسبوع )عند.
The proximal ال➔منtibia➔تتعظم (ossification)➔at birth(الوالدة )عند
and closes at age(عمر عند التعظم عن ➔)وتتوقف16 in females
18 in males
--------------------------------------------------------------------------------------------
-Ossification of Fibula(6-10 weeks)
(التعظمossification)➔بالشفت (يبدأbegins in the shaft)➔at the eight
week of gestation(الحمل من الثامن األسبوع عند ) ,
25. _الرابعة تشريح علي عماد محمد :الطالب اعداد
6
and then extends to each end(الطرفين من كل الى يمتد )ثم
--------------------------------------------------------------------------------------------
-Foot
The foot: is an complex anatomical structure found in many
vertebrates(الفقريات من العديد في موجودة معقدة تشريحية بنية ) and it is
distal part of the lower limb(السفلي الطرف من السفلي الجزء وهي ) below
the leg and ankle(والكاحل الساق تحت ).
-وظائفهة ➔ 1- bears weight , 2- allows locomotion(بالحركة )تسمح
--------------------------------------------------------------------------------------------
-The foot has three section:
1- forefoot , 2- midfoot , 3- hindfoot
-Forefoot➔ is the anterior aspect of the foot➔من يتكون➔
metatarsal and phalanges.
-Midfoot➔ is the portion of the foot that sits between the hindfoot
and forefoot( ه
ي
اللي القدم من جزء
ت
و الخلفية القدم بين قع
القدم مقدمة )
من ➔يتكون 1- Cuboid , 2- medial cuneiform , 3- lateral cuneiform
4- intermediate cuneiform , 5- navicular .
-hindfoot➔area of the foot➔من ➔تتكونTalus and calcaneus
--------------------------------------------------------------------------------------------
26. _الرابعة تشريح علي عماد محمد :الطالب اعداد
7
Tarsal bones
-the tarsal bone: seven articulating bones(مفصلية عظام )سبع in each
foot (قدم كل )في situated between the lower end of the tibia and
fibula and the metatarsal.
The tarsal bone are 7 bones:
1- Calcaneus , 2- talus , 3- Cuboid , 4- navicular
5- medial cuneiform ,6-lateral cuneiform, 7-middle cuneiform.
--------------------------------------------------------------------------------------------
- The Calcaneus: is the largest bone in the foot( عظمة اكبر
القدم في )
along with the talus( ا مع جنب الى جنبا
لكاحل ) .
--------------------------------------------------------------------------------------------
Metatarsals
ال metatarsals➔consist of five long bones in the foot( خمس من تتكون
القدم في طويلة )عظام numbered from 1 to 5( من مرقمة
1
الى
5 ) from
medial side to lateral side( نعد ➔من➔يعنيmedial to lateral).
-The tarsometatarsal joints➔ من يتشكل:
the articulations between the bases from the metatarsal bones and
the distal surfaces of cuneiform bones and cuboid bone
- Metatarsophalangeal joints➔من يتشكل :
the articulating between the metatarsal bones and proximal
phalanges.
27. _الرابعة تشريح علي عماد محمد :الطالب اعداد
8
-Comparison between the metatarsal and Tarsal(ة)مقارن
Metatarsal Tarsal
Description
()الوصف
1- type of long bone in the
toes( في الطويلة العظام من نوع
أصابع
القدم )
2- Cylindrical bone that is
longer than it is wide
( اسطواني عظم
أطول
عرضه من )
1- type of short
bone in the ankles
( القص العظام من نوع
في يرة
)الكاحل
2- Cube like
shape(الكعب يشبه )شكل
, length and
thickness and width
are all equal( طوله
كلها وعرضه وسمكه
)متساوية
Function
( الو
ظيفة )
-Acts as a lever when muscles
contract( تنقبض عندما رافعة بمثابة
)العضالت.
-provides()يوفر:
1- stability()االستقرار
2- support()الدعم
3- limited Motion
( المحد الحركة
و
دة )
--------------------------------------------------------------------------------------------
Phalanges
are 14 bones that makes up the toes( 14
تشكل اللي عظم
أصابع
القدم )
-The big toe(الكبير ➔)االصبع من ➔يتكون Two phalanges
➔كلphalanges➔➔بي proximal and distal.
-the other toes(االخرى )األصابع➔ have three phalanges.
The sesamoid bone➔ two small: Is pea-shaped bone ( شكل على عظام
(
بازالء حبة that lie beneath the head of the first metatarsal( تقع اللي
االول القدم مشط رأس )تحت.
28. نظري_اربع تشريح
محاضرات علي عماد محمد :الطالب اعداد
- Whenever a proximal femoral injury is suspected, an (AP)
radiograph of the pelvis with both hips and a cross-table lateral
radiograph should be obtained.
-------------------------------------------------------------------------------------------
- MRI ➔ helps detect undisplaced fractures.
--------------------------------------------------------------------------------------------
- in patients younger than 18 months with suspected proximal femoral
epiphyseal separation , arthrography has been suggested.
-------------------------------------------------------------------------------------------
- X-ray is a quick and painless procedure (مؤلم ر
وغي ع رسي اءراج )
- For most plain radiographs/X-rays, the radiation dose is no more
than the ionizing radiation from the normal environmental
background over a period of 1 year.
--------------------------------------------------------------------------------------------
- X-ray film for general radiography consist of:
emulsion-gelatin containing radiation sensitive silver halide crystals,
such as silver bromide or silver chloride, and a flexible, transparent,
blue-tinted base.
-----------------------------------------------------------------------------------------------
- MRI images demonstrate superior soft tissue contrast as compared
to CT scans and Plain radiographs
(السينية باألشعة والتصوير بالمفراس مقارنة الرخوة االنسجة في فائقا تباينا بالرنين التصوير )يظهر
29. نظري_اربع تشريح
محاضرات علي عماد محمد :الطالب اعداد
- MRI is the ideal examination of the brain , spine , joints ,and other
soft tissue .
-----------------------------------------------------------------------------------------------
- Magnetic resonance imaging (MRI): is a medical imaging
technique that uses a magnetic field and computer- generated radio
waves to create detailed images of the organs and tissues in body.
------------------------------------------------------------------------------------------
- Most MRI machines are large, tube shaped magnets.
-----------------------------------------------------------------------------------------
- MRI system consists of four major components:
1- a main magnet formed by superconducting coils.
2- gradient coils.
3- radiofrequency (RF) coils.
4- computer systems.
------------------------------------------------------------------------------------------
- Computed tomography(CT): combines a series of X- ray images taken
from different angles around the body and uses computer
processing to create cross-sectional images (slices) of the bones,
blood vessels and soft tissues inside the body.
- A CT scan shows detailed images of any part of the body , including
the bones , muscles , fat , and organs