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Session #16 SAS - AnaPhy

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Anatomy & Physiology - Laboratory

STUDENT ACTIVITY SHEET BS NURSING / FIRST YEAR


Session # 16

LESSON TITLE: SKELETAL SYSTEM (Part 3) Materials:


Pen and notebook
LEARNING TARGETS:

Upon completion of this lesson, you can:


1. Describe the different types of joints;
2. List the different types of movement; Reference:
3. Identify effects of aging on the skeletal system and
joint; and, VanPutte, C., Regan, J., & Russo, A. (2019). Seeley’s
4. Identify different diseases associated with skeletal essentials of anatomy & physiology (10th ed.). New
systems. York, NY: McGraw-Hill Education.

LESSON PREVIEW/REVIEW
To start this session, identify the other anatomical terminologies that can be associated with each item. Write your answers on the
space provided.
1. Pertaining to the skull Cranial
2. Pertaining to a vertebra Vertebral
3. Pertaining to the thorax Thoracic
4. Pertaining to the low back Lumbar
5. Pertaining to the mandible Mandibular
6. Pertaining to the neck Cervical
7. Pertaining to the phalanges Phalangeal
8. Pertaining to the radius Radial
9. Pertaining to the femur Femoral
10. Pertaining to within the skull Intracranial
11. Pertaining to the patella Patellar
12. Pertaining to the scapula Humeroscapular
13. Pertaining to between vertebrae Intervertebral
14. Pertaining to the metatarsus Metatarsal
15. Pertaining to elbow Cubital

MAIN LESSON
You will study and read their book, if available, about this lesson.

JOINT
A joint is a place where bones come together.

1. Synarthrosis: non-movable joint


▪ e.g. Skull
2. Amphiarthrosis: slightly movable joint
▪ e.g. between vertebrae
3. Diarthrosis: freely movable joint
▪ e.g. Knee, Elbow, Wrist

Fibrous Joints
Fibrous joints consist of bones united by fibrous connective tissue. They allow little or no movement.

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Sutures
● Fibrous joint between flat bones of skull
● In newborns, some parts of sutures are wide and are called fontanels (soft spots) → allow flexibility during birth process and
growth of head after birth
Syndesmosis
● Fibrous joint in which bones are separated by some distance and
held together by ligaments
○ e.g. fibrous membrane connecting radius and ulna
Gomphoses
● Pegs fitted into sockets, held in place by ligaments
○ e.g. joint between tooth and its socket

Cartilaginous Joints
-consist of bones united by cartilage, and they exhibit slight movement. Example:
● cartilage at epiphyseal plates of growing long bones
● cartilage between ribs and sternum
Cartilage can be reinforced by additional collagen fibers in cartilaginous joints where lots of stress is placed on the joint. It forms a type
of cartilage: Fibrocartilage

Synovial Joints
1. Synovial joints consist of articular cartilage over the uniting bones, a joint cavity lined by a synovial membrane and
containing synovial fluid, and a joint capsule. They are highly movable joints.
2. Synovial joints can be classified as plane, saddle, hinge, pivot, ball-and-socket, or ellipsoid.

Freely moveable joints


■ Contain fluid in a cavity surrounding ends of articulating bones
Joints that unite bones of appendicular skeleton are mostly synovial joints
■ (Most in axial skeleton are not → less mobile than appendicular skeleton)

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Features of a synovial joint:
● Articular cartilage → covers articular surfaces of bones within synovial joints
● Provides smooth surface where bones meet
● Joint cavity → filled with fluid, enclosed by joint capsule
● Joint capsule → hold bones together, allows movement
● Synovial membrane → lines joint cavity everywhere, except over articular cartilage

✔ May extend as a pocket/sac known as a bursa between structures exposed to rubbing together
✔ May extend as a tendon sheath along some tendons associated w/ joints
✔ Synovial membrane produces synovial fluid (mixture of polysaccharides, proteins, lipids, and cells)

Types of Movement
The major types of movement are flexion/extension, abduction/ adduction, pronation/supination, eversion/inversion, rotation,
circumduction, protraction/retraction, elevation/depression, excursion, and opposition/reposition.

Flexion: bending
Extension: straightening
Abduction: movement AWAY from the midline
Adduction: movement TOWARD midline
Pronation: rotation of forearm with palms down
Supination: rotation of forearm with palms up
Rotation: movement of structure about long axis

Effects of Aging on the Skeletal System and Joints


1. Bone matrix becomes more brittle and decreases in total amount during aging.
2. Joints lose articular cartilage and become less flexible with age.
3. Prevention measures include exercise and calcium and vitamin D supplement

Disease and Disorders: Skeletal System


CONDITION DESCRIPTION
Tumors May be malignant or benign and cause a range of bone defects
Gigantism Abnormally increased body size due to excessive growth at the epiphyseal plates
Dwarfism Abnormally small body size due to improper growth at the epiphyseal plates
Osteogenesis imperfecta Brittle bones that fracture easily due to insufficient or abnormal collagen
Growth retardation due to nutritional deficiencies in minerals or vitamin D; results in bones
Rickets that are soft, weak, and easily broken
Bone inflammation often due to a bacterial infection that may lead to complete destruction
Osteomyelitis of the bone
Tuberculosis Typically, a lung bacterium that can also affect bone
Osteomalacia Softening of adult bones due to calcium depletion; often caused by vitamin D deficiency
Osteoporosis Reduction in overall quantity of bone tissue; see Systems Pathology
Inflammation of a joint; causes include infectious agents, metabolic disorders, trauma, and
Arthritis
immune disorders
Rheumatoid arthritis General connective tissue autoimmune disease
Osteoarthritis Gradual degeneration of a joint with advancing age can be delayed with exercise
Increased production and accumulation of uric acid crystals in tissues, including joint
Gout capsules
Bursitis Inflammation of a bursa
Most bunions are deformations of the first metatarsal (the great toe); bursitis may accompa
Bunion ny this deformity;irritated by tight shoes
Joint replacement Replacement of painful joints with artificial joints

The most effective preventative measure against the effects of aging on the skeletal system is the combination of
increasing physical activity and taking dietary calcium with vitamin D supplements.

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CHECK FOR UNDERSTANDING
You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to the correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in your answer/ratio is not allowed.

Label the parts of this joint and identify its type.

ANSWERS:
1. Synovial Membrane [Synovial Joint]

2. Joint Cavity [Synovial Joint]

3. Joint Capsule [Synovial Joint]

4. Articular Cartilage [Synovial Joint]

Identify the following items. Wrong spelling is wrong. Write your answer in CAPITAL LETTERS only.

Bursitis 1. Inflammation of bursa


Tuberculosis 2. A lung bacterium that can also affect bones
Gigantism 3. Abnormally increase body size due to excessive growth at epiphyseal plates
Rickets 4. Growth retardation due to Vitamin D deficiency
Bunion 5. Deformation of the first metatarsal
Osteomyelitis 6. Inflammation of joints
Dwarfism 7. Abnormally small body size due to improper growth at epiphyseal plates
Gout 8. Increase production and accumulation of uric acid crystals in tissue
Rheumatoid arthritis 9. General connective tissue autoimmune disease
Osteoporosis 10. Reduction in overall quantity of bone tissue

RATIONALIZATION ACTIVITY
The instructor will now provide you the rationalization to these questions. You can now ask questions and debate among yourselves.
Write the correct answers beside the image and answer sheet presented in the CHECK FOR UNDERSTANDING part. Make sure to
use another pen color (preferably red ink) for easy distinction.

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LESSON WRAP-UP

You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you track
how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

AL Activity: READING TASK


Read again the effects of aging in the skeletal system. After reading, answer the paragraph presented below. This strategy can
identify the areas that you can easily recall and already familiar with and those thoughts that need to be studied again.

Underline the word of your choice that you think fits in the statement.

The bone matrix in an older (older, younger) bone is more brittle than in younger (older, younger)
bone because decreased collagen production results in relatively more (more, few) mineral and less
(many, less) collagen fibers. With aging, the amount of matrix also decreases (increases, decreases) because
the rate matrix formation by the osteoblasts (osteoclasts, osteoblasts) becomes slower (slower, faster) than
the rate of matrix breakdown of osteoclasts (osteoclasts, osteoblasts). Bone mass is at its highest around age
30 (40, 30) and generally men have denser (softer, denser) bones than women.

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