Chapter 15: The Musculoskeletal System

bone head

Rounded end of a bone separated from the body of the bone by a neck; usually covered by articular cartilage.

greater trochanter

Large process on the femur for attachment of tendons and muscle.

lesser trochanter

Smaller process on the femur for attachment of the tendons and muscle.

tubercle

Rounded process on many bones for attachment of tendons and muscles; a tuberosity is another small, rounded elevation on a bone.

condyle

Rounded, knuckle-like process at the joint; usually covered by articular cartilage.

fossa

Shallow cavity in or on a bone.

foramen

Opening for blood vessels and nerves.

fissure

Narrow, deep, slit-like opening.

sinus

Hollow cavity within a bone.

frontal bone

Forms the forehead and the roof of the bony sockets that contain the eyes.

parietal bone

The two bones that form the roof and upper part of the sides of the cranium (there is one on each side of the skull)

temporal bone

The two bones that form the lower sides and base of the cranium. Each bone encloses an ear and contains a fossa for joining with the mandible.

occipital bone

Forms the back and base of the skull and joins the parietal and temporal bones, forming a suture.

sphenoid bone

The bat-shaped bone that extends behind the eyes and forms part of the base of the skull. Because it joins with the frontal, occipital, and ethmoid bones, it serves as an anchor to hold those skull bones together.

ethmoid bone

The thin, delicate bone that supports the nasal cavity and forms part of the orbits of the eyes.

nasal bones

The two slender bones that support the bridge of the nose.

lacrimal bones

The two small, thin bones located at the corner of each eye.

maxillary bones

The two large bones that compose the massive upper jawbones. They are joined by a suture in the median plane.

mandibular bone

The lower jawbone.

zygomatic bones

The two bones, one on each side of the face, that form the high portion of the cheek.

vomer

The thin, single, flat bone that forms the lower portion of the nasal septum.

clavicle

collar bone; a slender bone, ventrally, one on each side, connecting the breastbone to each shoulder blade.

scapula

Shoulder blade; one of two flat, triangular bones on each dorsal side of the thorax.

sternum

Breastbone; a flat bone extending ventrally down the midline of the chest.

ribs

There are 12 pairs of ribs. The first 7 pairs join the sternum anteriorly through cartilaginous attachments called costal cartilages. Ribs 1 to 7 are called true ribs. Ribs 8 to 10 are called false ribs.

humerus

upper arm bone; the large head of the humerus is rounded and joins with the glenoid fossa of the scapula to form the shoulder or glenoid humeral joint.

ulna

medial lower arm (forearm) bone; the proximal bony process of the ulna at the elbow is called the olecranon (elbow bone)

radius

lateral lower arm (forearm) bone (in line with thumb).

carpals

wrist bones; there are two rows of four bones in the wrist.

metacarpals

the five bones of the palm of the hand.

phalanges

Finger bones. Each finger (except the thumb) has three phalanges: a proximal, a middle, and a distal phalanx. The thumb has only two phalanges: a proximal and a distal phalanx.

pelvic girdle

pelvis. This collection of bones supports the trunk of the body and articulates with the femur to form the hip joint. The adult pelvis is composed of three pairs of fused bones: the ilium, ischium, and pubis.

ilium

the uppermost and largest portion of the pelvis.

ischium

The posterior part of the pelvis. The ischium and the tendons and muscles attached to it are what you sit on.

pubis

The anterior part of the pelvis.

pelvic cavity

the region within the ring of bone formed by the pelvic girdle.

femur

Thigh bone; this is the longest bone in the body.

patella

Kneecap; this is a small, flat bone that lies in front of the articulation between the femur and one of the lower leg bones called the tibia.

tibia

larger of the two bones of the lower leg; the tibia runs under the skin in the front part of the leg.

fibula

Smaller of the two lower leg bones; this thin bone, well hidden under the leg muscles, runs parallel to the tibia.

tarsals

Bones of the hind part of the foot (hindfoot); these seven short bones resemble the carpal bones of the wrist but are larger.

metatarsals

Bones of the midfoot; there are five metatarsal bones, which are similar to the metacarpals of the hand.

phalanges of the toes

Bones of the forefoot; as in the digits of the hand, there are two phalanges in the big toe and three in each of the other toes.

acetabulum

hip socket

calcaneus

heel

carpals

wrist bones

clavicle

collar bone

coccyx

tailbone

cranium

skull

femur

thigh bone

fibula

smaller of the two lower leg bones

humerus

upper arm bone

ilium

upper part of the pelvic bone

ischium

posterior part of the pelvic bone

malleolus

ankle

mandible

lower jawbone

maxilla

upper jawbone

metacarpals

hand bones

metatarsals

midfoot bones

olecranon

elbow

patella

kneecap

phalanges

finger and toe bones

pubis

anterior part of the pelvic bone

radius

forearm bone-thumb side

scapula

shoulder blade

sternum

breastbone

tarsals

hindfoot bones

tibia

shin bone - larger of the two lower leg bones

ulna

forearm bone - little finger side

vertebra

backbone/spine

acetabulum

Rounded depression, or socket, in the pelvis that joins the femur, forming the hip joint

acromion

Outward extension of the shoulder blade forming the point of the shoulder. It overlies the shoulder joint and articulates with the clavicle.

articular cartilage

Thin layer of cartilage covering the bone in the joint space.

bone

Dense, hard connective tissue composing the skeleton.

calcium

One of the mineral constituents of bone.

cancellous bone

Spongy, porous, bone tissue in the inner part of a bone.

cartilage

Flexible, rubbery connective tissue.

collagen

Dense, connective tissue protein strands found in bone and other tissues.

compact bone

Hard, dense bone tissue, usually found around the outer portion of bones.

condyle

Knuckle-like process at the end of a bone near the joint.

cranial bones

Skull bones: ethmoid, frontal, occipital, parietal, sphenoid, and temporal.

diaphysis

Shaft, or mid-portion, of a long bone

disk (disc)

Flat, round, plate-like structure. An intervertebral disk is a fibrocartilaginous substance between two vertebrae.

epiphyseal plate

Cartilaginous area at the ends of long bones where lengthwise growth takes place in the immature skeleton.

epiphysis

Each end of a long bone; the area beyond the epiphyseal plate.

facial bones

Bones of the face: lacrimal, mandibular, maxillary, nasal, vomer, and zygomatic.

fissure

Narrow, slit-like opening in or between bones.

fontanelle

Soft spot (incomplete bone formation) between the skull bones of an infant.

foramen

Opening or passage in bones where blood vessels and nerves enter and leave.

fossa

Shallow cavity in a bone.

haversian canals

Minute spaces filled with blood vessels; found in compact bone.

malleolus

Round process on both sides of the ankle joint.

manubrium

Upper portion of the sternum; articulates with the medial aspect of the clavicle.

mastoid process

Round projection on the temporal bone behind the ear.

medullary cavity

Central, hollowed-out area in the shaft of a long bone.

metaphysis

Flared portion of a long bone, between the diaphysis (shaft) and the epiphyseal plate.

olecranon

Large process on the proximal end of the ulna; the point of the flexed elbow.

osseous tissue

Bone tissue

ossification

Process of bone formation

osteoblast

Bone cell that helps form bony tissue

osteoclast

Bone cell that absorbs and removes unwanted bony tissue.

periosteum

Membrane surrounding bones; rich in blood vessels and nerve tissue.

phosphorus

Mineral substance found in bones in combination with calcium

pubic symphysis

Area of confluence (coming together) of the two pubic bones in the pelvis.

red bone marrow

Found in cancellous bone; site of hematopoiesis.

ribs

Twelve pairs of curved bones that form the chest wall. True ribs are the first 7 pairs; false ribs are pairs 8 to 10; floating ribs are pairs 11 and 12.

sella turcica

Depression in the sphenoid bone where the pituitary gland is located.

sinus

Hollow air cavity within a bone.

styloid process

Pole-like process extending downward from the temporal bone on each side of the skull.

suture

Immovable joint between bones, such as the skull (cranium)

temporomandibular joint

Connection on either side of the head between the temporal bone of the skull and mandibular bone of the jaw

trabeculae

Supporting bundles of bony fibers in cancellous (spongy) bone.

trochanter

Large process at the neck of the femur; attachment site for tendons of the hip musculature.

tubercle

Rounded, small process on bone; attachment site for muscles and tendons.

tuberosity

Rounded process on bone; attachment site for muscles and tendons.

vertebra

Individual segment of the spine composed of the vertebral body, vertebral arch, spinous process, transverse process, and lamina, enclosing the neural canal.

xiphoid process

Lower, narrow portion of the sternum.

yellow bone marrow

Fatty tissue found in the medullary cavity of most adult long bones.

cal/o

calcium

calci/o

calcium

de-

less or lack of

-fication

the process of making

kyph/o

humpback, hunchback (posterior curvature in the thoracic region)

lamin/o

lamina (part of the vertebral arch)

lord/o

curve, swayback (anterior curvature in the lumbar region)

lumb/o

loins, lower back

myel/o

bone marrow

orth/o

straight

oste/o

bone

scoli/o

cooked, bent (lateral curvature)

spondyl/o (used to make words about conditions of the structure)

vertebra

vertebr/o (used to describe the structure itself)

vertebra

-blast

embryonic or immature cell

-clast

to break

-listhesis

slipping

-malacia

softening

-physis

to grow

-porosis

pore, passage

-tome

instrument to cut

acetabul/o

acetabulum (hip socket)

calcane/o

calcaneus (heel)

carp/o

carpals (wrists bones)

clavicul/o

clavicle (collar bone)

supra-

above

cost/o

ribs

crani/o

cranium (skull)

femor/o

femur (thigh bone)

fibul/o

fibula (smaller lower leg bone)

humer/o

humerus (upper arm bone)

ili/o

ilium (upper part of pelvic bone)

ischi/o

ischium (posterior part of the pelvic bone)

malleol/o

malleolus (process on each side of the ankle)

mandibul/o

mandible (lower jawbone)

maxill/o

maxilla (upper jawbone)

metacarp/o

metacarpals (hand bones)

metatars/o

metatarsals (foot bones)

olecran/o

olecranon (elbow)

patell/o

patella (kneecap)

pelv/i

pelvis (hipbone)

perone/o

fibula

phalang/o

phalanges (fingers and/or toe bones)

pub/o

pubis (anterior part of the pelvic bone)

radi/o

radius (forearm bone - thumb side)

scapul/o

scapula (shoulder blade)

stern/o

sternum (breastbone)

tars/o

tarsals (bones of the hindfoot)

tibi/o

tibia (shin bone)

uln/o

ulna (forearm bone - little finger side)

Ewing sarcoma

Rare malignant tumor arising in bone; most often occurring in children.

exostosis

Bony growth (benign) arising from the surface of bone

fracture

Traumatic breaking of a bone

Colles fracture

Occurs near the wrist joint at the distal end of the radius

comminuted fracture

Bone is splintered or crushed into several pieces.

compression fracture

Bone collapses or is compressed, as may happen to vertebrae in osteoporosis or with traumatic injury

greenstick fracture

Bone is partially broken; it breaks on one surface and only bends on the other, as when a small tree branch breaks; occurs in children.

impacted fracture

one fragment is driven firmly into the other.

osteogenic sarcoma

Common malignant tumor arising from osteoblasts.

osteomalacia

Softening of bone, with inadequate amounts of mineral (calcium) in the bone.

osteomyelitis

Inflammation of the bone and bone marrow secondary to infection.

osteoporosis

Decrease in bone density (mass); thinning and weakening of bone.

talipes

Congenital abnormality of the hindfoot (involving the talus)

articular cartilage

Smooth, glistening white tissue that covers the surface of a joint.

articulation

Any type of joint

bursa (plural: bursae)

Sac of fluid near a joint; promotes smooth sliding of one tissue against another.

ligament

Connective tissue binding bones to other bones; supports, strengthens and stabilizes the joint.

suture joint

Immovable joint, such as between the bones of the skull.

synovial cavity

Space between bones at synovial joint; contains synovial fluid produced by the synovial membrane.

synovial fluid

Viscous (sticky) fluid within the synovial cavity. Synovial fluid is similar in ciscosity to egg white; this accounts for the origin of the term (syn- = like, ov/o = egg).

synovial joint

A freely movable joint.

synovial membrane

Tissue lining the synovial cavity; it produces synovial fluid.

tendon

Connective tissue that binds muscles to bone.

ankyl/o

stiff

arthr/o

joint

articul/o

joint

burs/o

bursa

chondr/o

cartilage

ligament/o

ligament

rheumat/o

watery flow

synov/o

synovial membrane

ten/o

tendon

tendin/o

tendon

-desis

to bind, tie together

-stenosis

narrowing

arthritis

Inflammation of joints

ankylosing spondylitis

Chronic, progressive arthritis with stiffening of joints, primarily of the spine.

gouty arthritis (gout)

Inflammation and painful swelling of joints caused by excessive uric acid in the body.l

osteoarthritis (OA)

Progressive, degenerative joint disease with loss of articular cartilage and hypertrophy of bone (formation of osteophytes, or bone spurs) at articular surfaces.

rheumatoid arthritis (RA)

Chronic joint condition with inflammation and pain; caused by an autoimmune reaction against joint tissue, particularly the synovial membrane.

bunion

Enlargement of bone or tissue around the joint at the base of the big toe (metatarsophalangeal joint)

carpal tunnel syndrome (CTS)

Compression of the median nerve as it passes between the ligament and the bones and tendons of the wrist.

dislocation

Displacement of a bone from its joint

ganglion

Fluid-filled cyst arising from joint capsules or tendons, typically in the hand.

herniation of an intervertebral disk (disc)

Abnormal protrusion of an intervertebral disk into the spinal canal or spinal nerves.

Lyme disease (Lyme arthritis)

Disorder marked by arthritis, myalgia, and malaise; cause is a bacterium carried by a tick.

sprain

Trauma to a joint without rupture

systemic lupus erythematosus (SLE)

Chronic inflammatory autoimmune disease involving joints, skin, kidneys, nervous system (CNS), heart, and lungs.

abduction

Movement away from the midline of the body.

adduction

Movement toward the midline of the body

dorsiflexion

Backward (upward) bending of the foot.

extension

Straightening of a flexed limb.

fascia

Fibrous membrane separating and enveloping muscles.

flexion

Bending a limb; decreasing the angle between bones.

insertion of a muscle

Connection of the muscle to a bone that moves.

origin of a muscle

Connection of the muscle to a stationary bone.

plantar flexion

Bending the sole of the foot downward toward the ground

pronation

Turning the palm downward

rotation

Circular movement around a central point.

skeletal muscle

Muscle connected to bones; voluntary or striated muscle.

smooth muscle

Visceral muscle

striated muscle

Skeletal muscle

supination

Turning the palm upward

visceral muscle

Muscle connected to internal organs; involuntary or smooth muscle.

fasci/o

fascia (forms sheaths enveloping muscles)

fibr/o

fibrous connective tissue

leiomy/o

smooth (visceral) muscle that lines the walls of internal organs

my/o

muscle

myocardi/o

heart muscle

myos/o

muscle

plant/o

sole of the foot

rhabdomy/o

skeletal (striated) muscle connected to bones.

sarc/o

muscle and flesh

-asthenia

lack of strength

-trophy

development, nourishment

ab-

away from

ad-

toward

dorsi-

back

poly-

many

muscular dystrophy

Group of inherited disease characterized by progressive weakness and degeneration of muscle fibers without involvement of the nervous system.

polymyositis

Chronic inflammatory myopathy

antinuclear antibody test (ANA)

Detects an antibody present in serum of patients with systemic lupus erythematosus (SLE)

erythrocyte sedimentation rate (ESR)

Measures time it takes for erythrocytes to settle to the bottom of a test tube.

rheumatoid factor test (RF)

Serum is tested for the presence of an antibody found in patients with rheumatoid arthritis.

serum calcium (Ca)

Measurement of calcium level in serum.

serum creatine kinase (CK)

Measurement of the enzyme creatine kinase in serum

uric acid test

Measurement of uric acid in serum.

arthrocentesis

Surgical puncture to remove fluid from the joint space.

arthrography

Taking x-ray images after injection of contrast material into a joint.

arthroplasty

Surgical repair or replacement of a joint

arthroscopy

Visual examination of a joint with an arthroscope and television camera.

bone density test (bone densitometry)

Low-energy x-ray absorption in bones of the spinal column, pelvis, and wrist is used to measure bone mass.

bone scan

Uptake of a radioactive substance is measured in bone.

computed tomography (CT)

x-ray beam and computer provide cross-sectional and other images.

diskography

X-ray examination of cervicaal or lumbar intervertebral disk after injection of contrast into nucleus pulposus (interior of the disk).

electromyography (EMG)

Recording the strength of muscle contraction as a result of electrical stimulation.

magnetic resonance imaging (MRI)

A magnetic field creates images of soft tissue.

muscle biopsy

Removal of muscle tissue for microscopic examination.