© Distribution of this video is restricted by its owner
00:06 | Yeah. All right. You let's see if we can do everything |
|
|
00:13 | I hope we can get done I don't know that's gonna be real |
|
|
00:18 | . Um The good news Is that skeleton and the skeletal system is not |
|
|
00:24 | difficult. What do we decide it 206? Yeah. See the number |
|
|
00:29 | depends on who you read what age looking at so and so forth. |
|
|
00:33 | the number of bones, it's like there's so many. Oh no they're |
|
|
00:36 | . No, they're not. They're really straightforward. And then we're gonna |
|
|
00:39 | is we're gonna do joints and joints again they're real straightforward. You're gonna |
|
|
00:44 | a lot of time in front of mirror. Or if you're in study |
|
|
00:46 | you're going to be doing all sorts weird movements in front of each |
|
|
00:48 | Like look at this. Yeah. right. So what we're gonna do |
|
|
00:52 | we're gonna start here with the basic . Should probably turn that on. |
|
|
00:58 | , so we're going to first focus the actual skeleton. We're going to |
|
|
01:01 | to the appendix. Her skeleton. axial skeleton is your access So that |
|
|
01:05 | talking about the skull, the vertebral and the rib cage. All |
|
|
01:09 | now notice when you look at this can see there's a lot of |
|
|
01:12 | So you actually run through it a bit quicker than you think? Think |
|
|
01:15 | the perpendicular skeleton. Remember we have arms, two legs or at least |
|
|
01:19 | theory you do. And so it to the girdles that hold or where |
|
|
01:25 | limbs actually attached to the body plus limbs that extend from it. All |
|
|
01:30 | . Now, if you had uh kind of say, All right, |
|
|
01:33 | , what are these two different parts the skeleton do? Well, when |
|
|
01:36 | dealing with the actual you're dealing with , support and carrying other body |
|
|
01:40 | Generally speaking, does that mean it have movement? No, I mean |
|
|
01:45 | does play a role in a help it helps with regard to movement. |
|
|
01:50 | generally speaking, those bones play a in protecting, supporting and caring. |
|
|
01:54 | contrast, the perpendicular skeleton deals primarily movement, locomotion. All right. |
|
|
02:01 | , that's kind of an easy or simple way to kind of look at |
|
|
02:05 | things. So, we're gonna start the skull. We spend a lot |
|
|
02:07 | time talking about skull. Probably more we need to. All right, |
|
|
02:12 | on the exam, you're going to a picture that looks like this. |
|
|
02:15 | right. It's gonna be color So you can actually see where the |
|
|
02:18 | are. But remember the human body have colors. Right? So, |
|
|
02:25 | it's just because that's where we If you're in the lab you're gonna |
|
|
02:28 | working with the natural skull. you need to learn these structures when |
|
|
02:32 | dealing with the hands on stuff. right. So, this is the |
|
|
02:36 | complex structure, which is probably always so much time on it. 22 |
|
|
02:41 | . eight of them are cranial 14 facial. All right now. These |
|
|
02:46 | mostly flat bones. But there are regulars in there. We're not going |
|
|
02:49 | sit there and here's a regular Here's a flat bone. Just you |
|
|
02:52 | understood the definition. So use and that definition. The joints that you're |
|
|
02:58 | see between these bones are what are suckers. They're locking joints. They |
|
|
03:04 | hold things together. So there is little movement between each of these individual |
|
|
03:10 | . The only exception of this is mandible which we're gonna get to here |
|
|
03:13 | just a second, which is freely with the uh excuse me, With |
|
|
03:20 | the temporal bone that we're going to to and I didn't want to jump |
|
|
03:22 | all that yet. But you can my mouth moving right when I |
|
|
03:27 | That's the mandible moving. All So, here is our starting |
|
|
03:33 | We're going to deal with the This is the cranium right here. |
|
|
03:38 | right. This is a look from top down into the cranium. All |
|
|
03:43 | , So, we have the We have the base is how we |
|
|
03:46 | of break these two things down. , purpose of the cranium is to |
|
|
03:51 | and do cover and to uh ensure the brain doesn't get damaged. All |
|
|
03:58 | now, there are a total of many bones? eight. Good. |
|
|
04:03 | glad you guys are listening at least of you. All right, |
|
|
04:06 | we have single bones. And we paired bones. Alright. Single bones |
|
|
04:11 | out simple appear in the front frontal . You see how that works Back |
|
|
04:17 | the back. We have the occipital So far. We have 2. |
|
|
04:22 | you can't see because I can't stick finger in there and open my |
|
|
04:26 | Is the hyoid bone. You can it right here sticking out on the |
|
|
04:31 | , right? But here it's obvious you do a satchel section or mid |
|
|
04:35 | cut. All right. So, ETh Boyd. And then lastly, |
|
|
04:39 | have the spin oid the Synthroid. you look at it kind of looks |
|
|
04:42 | a bird or butterfly, you can that. Okay, see this one |
|
|
04:46 | has eyes, right? Is it obvious? And not really? The |
|
|
04:56 | bones are the temporal bones on the of your head, right? And |
|
|
05:02 | the two that stood above it. are the parietal. They're so |
|
|
05:07 | That's 2 4 and then the other make it eight. See that was |
|
|
05:12 | , wasn't it? Yeah, we've done with eight. Okay. Now |
|
|
05:17 | can look in the middle of the bone. We have the big |
|
|
05:22 | But we're all fancy people, we latin, right? Force the foramen |
|
|
05:27 | , right? That's what it Big hole. This is where the |
|
|
05:30 | cord exits out. So you can your brains up here spinal cord comes |
|
|
05:34 | . All right? So, when look at this, we'll see that |
|
|
05:39 | of these bones actually play a role making up different parts of it. |
|
|
05:43 | what we're gonna do is we're gonna first at the floor, the base |
|
|
05:46 | we're going to see that there's these areas what we call fossa. All |
|
|
05:51 | . So there's three foster, there's anterior, middle and posterior. So |
|
|
05:56 | coded. So you can see them from the side. You can see |
|
|
05:58 | one there's two. There's three And these serve to hold or support the |
|
|
06:04 | in the cranium. All right. they're made up of different bones. |
|
|
06:08 | we have up here you can see the anterior we have the frontal |
|
|
06:11 | The ethnic and this annoyed for the fossa. All right. You can |
|
|
06:16 | these kind of coming, remember I right here and said, what is |
|
|
06:19 | ? What are these bones right Temple. Right, that's the temporal |
|
|
06:25 | , right. Do you know why called that? Well, when you |
|
|
06:29 | temple, what do you were what do you think of time? |
|
|
06:33 | , this is why they're called that you get old. The first sign |
|
|
06:37 | graying occurs here. So the sign time passing is at the temporal |
|
|
06:44 | Or excuse me? The temporal bone is brain underneath. Oh, see |
|
|
06:49 | always a reason why they have these names. I shouldn't say stupid names |
|
|
06:54 | that's where it comes from. All . So you can see here this |
|
|
06:58 | fossa is the temporal bones that are up the floor. And then they |
|
|
07:02 | around we can see the wings of solenoid bone. Right? And then |
|
|
07:09 | not quite so much, but you the parietal bones a little bit but |
|
|
07:13 | kind of don't include it. All . And then finally when you look |
|
|
07:16 | the posterior again you can see it's of this larger structure. So that's |
|
|
07:21 | occipital. But you have a little of the temporal included, a little |
|
|
07:25 | of the parietal which you don't really about and that supports the sara |
|
|
07:29 | All right, so the floor is up these of these different bones, |
|
|
07:36 | . These are the joints. so when you think of a |
|
|
07:41 | you probably think of a princess and get that little kind of cute little |
|
|
07:46 | . You sit on your head and look pretty and stuff like that. |
|
|
07:49 | when you think of a crown, want you to think of the statue |
|
|
07:52 | Liberty. Like. So okay, is not the thing that goes around |
|
|
07:57 | top. It's the thing that projects like So, so the first future |
|
|
08:02 | the corona all future going across the . You can see right there, |
|
|
08:06 | separates out the frontal bone and the parietal bones. All right. So |
|
|
08:12 | it is going across the top, can see it goes up and around |
|
|
08:15 | on the other side on the back the school we have a future that |
|
|
08:20 | the shape of a lambda. It's quite a lambda. That's why it's |
|
|
08:24 | lamb deutsche. Not lambdas future kind All right. What do we have |
|
|
08:29 | here is the occipital bone and the parietal bones. All right. Sad |
|
|
08:36 | separates the middle of your body. we said this was the mid sagittal |
|
|
08:41 | . If you move left and it's still saddle. But that would |
|
|
08:44 | the satchels that cuts your left from right. So we have a future |
|
|
08:48 | separates the left and the right parietal . It moves from the corona to |
|
|
08:52 | lamb died. So it divides the basically in half And the last one |
|
|
08:59 | can see right here, it's called squamous or scaly. All right. |
|
|
09:04 | it does. It separates out the and the temporal. Now you can |
|
|
09:09 | there's a little bit more extension So for example, you can see |
|
|
09:12 | the landlord goes a little bit further , but these are kind of some |
|
|
09:16 | basic general joints that you can see buying these bones together to create the |
|
|
09:21 | vault. Sure, that was All right. How many bones? |
|
|
09:31 | , I'm going to keep asking that we go along having bones, you |
|
|
09:35 | keep adding them up. All Now, the face, the face |
|
|
09:39 | like it's a lot harder, doesn't ? Because there's a lot of stuff |
|
|
09:41 | there. Right, Okay, so , we have two single bones. |
|
|
09:45 | right. We have the mandible. here it is in front. That's |
|
|
09:48 | lower bone that makes up your lower . That's right. And then we |
|
|
09:53 | a bone that sits inside the nasal . You can see it right |
|
|
09:56 | That's the bomber and there it is backwards. All right. But it's |
|
|
10:01 | of a one that kind of goes and has kind of this uh bottom |
|
|
10:05 | edge. All right. That goes through the middle. All right. |
|
|
10:08 | then everything else is going to be , including the maxillary, which is |
|
|
10:12 | one right up here. That makes the upper part of your of your |
|
|
10:16 | . Right? So it's actually two that fuse together. And then everything |
|
|
10:20 | is just there's one on each Alright, So really 14 bones is |
|
|
10:25 | lot easier. It's really more like bones that are doubled And then two |
|
|
10:30 | . That makes sense. Six times is 12 plus 2. 14. |
|
|
10:37 | . So what are they? you got the nasal bones. Here's |
|
|
10:40 | two nasal bones makes up the top . That's the hard bumpy part. |
|
|
10:44 | the part when you break your That's what you break. Okay, |
|
|
10:47 | bones. All right. We have lachrymose bones lachrymose bones sit inside the |
|
|
10:52 | cavity when you hear like a You should think tears. All right |
|
|
10:56 | , technically your tears are formed way here and they run inward and then |
|
|
11:01 | pull and fall out right here. , a criminal region is this |
|
|
11:07 | I can't put my fingers further in eyes or the heart. Okay, |
|
|
11:11 | they're kind of behind the nasal All right. The zygomatic bones was |
|
|
11:17 | cheeks? So right out here. right. That's the zygomatic bone. |
|
|
11:24 | right, next is the palantine Think of pallet. Alright, go |
|
|
11:29 | your mouth. All right. That's Maxwell on the front end. You |
|
|
11:33 | a little bit further back. That's palantine bone. Go a little bit |
|
|
11:37 | back. That's the soft palate that you gag. That's what you touch |
|
|
11:41 | you want to throw up. All . That's a special button. |
|
|
11:46 | So palantine is the hard palate. can see it right there easy. |
|
|
11:50 | remember palantine palette. And then we've mentioned the maxillary, which is up |
|
|
11:55 | in the front and the one that can't see. It's really hard to |
|
|
11:58 | in this picture. Um Doesn't help if I show you that picture, |
|
|
12:03 | there they are right there. All . That's the inferior nasal uh |
|
|
12:08 | All right. Now, if you to cut through, let me see |
|
|
12:12 | I have to do a good job either. All right. If you |
|
|
12:16 | on the inside of your nose, you're gonna see is we're gonna see |
|
|
12:18 | bums that kind of extend out from side of the nasal cavity. All |
|
|
12:23 | there called the turbine eights or the concha. So one of those is |
|
|
12:27 | inferior nasal concha. Which is there's one on one each side. All |
|
|
12:32 | . And what they do is they turn the air over when you breathe |
|
|
12:36 | so that your air rotates or swirls the nose so that you can get |
|
|
12:41 | greater sense of what's there. You humidifier the air a little bit |
|
|
12:44 | You can warm the air better. right. So with regard to the |
|
|
12:49 | bones, there's all sorts of things are being formed or result as their |
|
|
12:55 | . So first off, we're gonna up the cavities. So these are |
|
|
12:59 | the special senses. So site that be the orbital's right smell. There'd |
|
|
13:04 | nasal cavity taste. That would be cavity. All right. So we're |
|
|
13:09 | see those. We're going to break down. I mentioned, terminating the |
|
|
13:13 | , create a passage for the passage air through the nasal cavity, passage |
|
|
13:17 | food through the oral cavity. The and the mandible, secure the |
|
|
13:22 | And this is where all your face are attached. Makes sense their facial |
|
|
13:27 | . Face or face bones. Yeah, this so what are we |
|
|
13:33 | ? So the superior nasal cancer are of the structures uh within here. |
|
|
13:41 | see if I can actually get a shot. No, not so |
|
|
13:44 | Let me go the other direction. on. Work with me. |
|
|
13:50 | So if you look at you can way back there there's part of the |
|
|
13:56 | droid, you know that's what the located and there's actually three of |
|
|
14:01 | Yeah. So the there's the inferior media and the superior. But you |
|
|
14:06 | need to worry about that. So one of them is a bone. |
|
|
14:09 | rest of largest extensions. All so this is just a different |
|
|
14:14 | So you can kind of see uh bones from a different angle there. |
|
|
14:18 | can see the palantine, you can the Bowmer, you can see the |
|
|
14:21 | bone. The maxillary. You can see why the max illa is actually |
|
|
14:25 | bones. Um So that's why I this up here. It's the exact |
|
|
14:28 | thing. Just different angles. I you. I think your book actually |
|
|
14:31 | a skull that you can kind of and twist and turn. So just |
|
|
14:35 | twists and turns. All right? with regard to the cavities that are |
|
|
14:42 | formed here, we have the cranial which we've already mentioned, frontal, |
|
|
14:47 | temporal and occipital bones make up the portion of the cavity. Um We |
|
|
14:54 | the orbital cavity. If you look this carefully, you can kind of |
|
|
14:57 | what bones make this up. We got the frontal right up |
|
|
15:01 | We have this thin oid which is blue in the back. You can |
|
|
15:05 | the lack formal, you can see maxillary, you can see the zygomatic |
|
|
15:10 | , Not so clear. Um But it's not going to show but if |
|
|
15:16 | actually have one in your hand you kind of twist and turn and you |
|
|
15:18 | kind of see it um nasal Alright right up here. This is |
|
|
15:26 | air passes through. We've already It has a septum So you have |
|
|
15:30 | left and the right side I should left and the right side again. |
|
|
15:34 | bones? Well we have the f right there. There's a still |
|
|
15:38 | Um You have the palantine. You see the bomber. You can see |
|
|
15:43 | here the maxillary uh nasal bone up the front end uh inferior nasal |
|
|
15:48 | Which is not well shown in this because the farmers sitting in the middle |
|
|
15:53 | there you nasal inferior nasal. All with regard to the oral cavity. |
|
|
15:59 | your mouth. So what is its to the maximum the mandible. But |
|
|
16:03 | can also include the palantine as So these are just the structures that |
|
|
16:09 | bones make up. All right. you can kind of see. All |
|
|
16:13 | well upon looking at this? Let just figure out where my bones are |
|
|
16:16 | that skeleton to kind of help you of see that now bones are |
|
|
16:21 | Have you guys noticed that the bones heavy. Does your head feel heavy |
|
|
16:25 | the time? Well it could be . There's actually holes in the |
|
|
16:29 | Okay. And these holes are called parent nasal sinuses. All right. |
|
|
16:35 | . The purpose here is multi form is to lighten the skull. But |
|
|
16:38 | what they do is they create these that are covered in epithelial tissue that |
|
|
16:44 | air goes in and it warms up air and humidifiers that air before it |
|
|
16:49 | down in your lungs. All It also creates this unique resonance. |
|
|
16:54 | you ever noticed that we all don't the same? Yeah. That's because |
|
|
16:59 | sound comes through they resonate in those small sinuses and create that unique sound |
|
|
17:05 | we all each produce. All And because these are really tiny holes |
|
|
17:10 | big spaces behind them, this is good place for bacteria to find their |
|
|
17:13 | in. And if you've ever had sinus infection basically get all mucous E |
|
|
17:18 | nasty and you feel sticky and It's because that's where the bacteria are |
|
|
17:22 | from the immune system for a short of time. All right. So |
|
|
17:26 | there's four of them are mucous So like I said there's epithelium. |
|
|
17:30 | their mucous membranes that sit inside these tiny holes. You can kind of |
|
|
17:35 | how they're they're positioned. I thought oh I guess I didn't have a |
|
|
17:39 | . So these are their names for bone there I found in. So |
|
|
17:42 | have one of the frontal bone. have one of the f void. |
|
|
17:44 | have one uh in the maxillary and you have one in the finale and |
|
|
17:48 | is just a different looks so that can see that's annoyed, employed, |
|
|
17:52 | and maxillary. Just lightens up the . Guys know where your larynx is |
|
|
18:02 | , It's real easy ladies, it's little bit harder. Guys have bigger |
|
|
18:06 | . Right? That's our little adam's . We can find uh and then |
|
|
18:09 | go right up there and at the of that is a little tiny |
|
|
18:12 | It's not connected to the other That's the hyoid. Alright, so |
|
|
18:16 | it is. You can see hyoid hyoid bone. The key thing here |
|
|
18:21 | that this is what we attach Um I mean not bo excuse |
|
|
18:25 | muscles around the larynx so that we make the unique sounds and stuff that |
|
|
18:29 | have. Um And the key features . Greater horns, lesser horns. |
|
|
18:35 | can see they're attached to ligaments and what basically allows its kind of free |
|
|
18:38 | in that without floating around the All right, How many bones are |
|
|
18:43 | up to now? Place? 10% done. Greater than 10% |
|
|
18:52 | All right. The vertebral column. , these are the bones, the |
|
|
18:59 | . These are the bones that make The primary portion of the access. |
|
|
19:03 | have five divisions. So you see 12345. There's four curvature cervical thoracic |
|
|
19:10 | sacral, you can see the names associated to the region, to a |
|
|
19:15 | region. Here's a little fun You'll see that. We always say |
|
|
19:19 | cervical. 30% of the population has bones there. Yeah, it's really |
|
|
19:26 | . All right. So there's 382 you. So, you can kind |
|
|
19:31 | do the math. About 90 of . Maybe real close to 120 of |
|
|
19:36 | have eight cervical bones. How can tell? Well, you really |
|
|
19:43 | You have to just count them All right. So, we start |
|
|
19:47 | with the cervical vertebrae Has this So basically goes this direction. Then |
|
|
19:54 | have 12 thoracic we have a convex goes um away from the body. |
|
|
20:02 | ? Well, I guess it goes the body. No, I got |
|
|
20:05 | backwards. That's away from body towards body. Away from the body towards |
|
|
20:09 | body because this is where your body . You're not this direction This |
|
|
20:17 | Okay, lumbar lower back sacrum. can see it's fuse that's basically right |
|
|
20:24 | here at the itsy bitsy teeny tiny . We have the coccyx toxic |
|
|
20:30 | Yes. You ever fallen on your ever broken your cock six. And |
|
|
20:35 | you're broken or bruised or coccyx It is the worst ever. |
|
|
20:41 | Because there's a lot of ligaments attached ? All right, so 7 12 |
|
|
20:47 | . How do I remember this? time do normal people have breakfast? |
|
|
20:51 | a.m. Let's see this is the That's why I say normal seven a.m. |
|
|
20:59 | you normal people have lunch 12. the normal people have dinner five, |
|
|
21:04 | do they have seconds? Five? again And when you get up in |
|
|
21:09 | middle of the night needs four or get from P. I don't |
|
|
21:15 | Find some way to remember these I think that's easy. 7:12 |
|
|
21:19 | Okay. Now if you look at , the names of the vertebrae basically |
|
|
21:25 | with the letter. It tells you the region which it comes and the |
|
|
21:29 | represents where it is in that So C. One is the first |
|
|
21:33 | and C two. C three. four. C five. C. |
|
|
21:36 | . Then you go to the threat terrific Thoracic T. one all the |
|
|
21:41 | down through 12. Then you get lumbar 1-5, so on and so |
|
|
21:46 | . Right? That's the nomenclature that use to identify. The reason we |
|
|
21:51 | this spinal curve is because it distributes different directions. So you're not having |
|
|
21:58 | goes straight down through your body. actually being dispersed along that curvature. |
|
|
22:04 | you can imagine this bone right here pushing away here but that bone right |
|
|
22:08 | to it is pushing weight at an slightly off and it just keeps pushing |
|
|
22:12 | away. So it actually creates less in a direct way the mass is |
|
|
22:18 | the mass but the weight is being so that your body is not carrying |
|
|
22:22 | directly down. All right. It functions more like a spring now, |
|
|
22:27 | , it's hard to see the but if you've ever watched a National |
|
|
22:30 | special with cheetahs, if you ever the cheetah run, it's like like |
|
|
22:35 | , right? The expand and contract this. Your spine does the exact |
|
|
22:39 | thing, expansion contract. Here's a thing in the morning. You're taller |
|
|
22:42 | you are in the afternoon. You that, right? Because all that |
|
|
22:47 | is pressing down and so you shrink of an inch over the course of |
|
|
22:52 | day. All right. Yeah. I do want to .1 thing out |
|
|
22:57 | . Just I'm not going to have on the test, but see one |
|
|
23:01 | a special name. It's called is called the Axis. All |
|
|
23:07 | The atlas holds your cranium, It's just like atlas, you know |
|
|
23:13 | they're holding the globe, it's really holding the the universe on his shoulders |
|
|
23:19 | really what he's supposed to be And then the access is what you |
|
|
23:22 | turn and make your head do like . All right. So each vertebrae |
|
|
23:27 | a structure that follows this pattern. One exception to this rule is |
|
|
23:33 | which doesn't have a body. All . And so what you have is |
|
|
23:36 | have the body The body is actually bone that basically gets stacked on |
|
|
23:41 | All right? So each vertebrae is taking the body and you're stacking the |
|
|
23:45 | body on top of it all the up. You have a hole in |
|
|
23:49 | middle of the bone. That's the foramen. All right. And so |
|
|
23:53 | have here is we have an arch goes around the edge like. So |
|
|
23:59 | . And that arch um is sorry phone is buzzing in my pocket. |
|
|
24:04 | knows what that is. All Um Probably someone trying to sell me |
|
|
24:08 | car insurance insurance. What is it warranties? Um But what you can |
|
|
24:16 | here is the arch is made up different parts. Okay, It has |
|
|
24:19 | lamb inna that's the upper part of arch. And then it has these |
|
|
24:23 | that come down which extend in different . These are called the pericles. |
|
|
24:28 | , this would be the medical one too. And then the laminate goes |
|
|
24:31 | the edge. And then what you see here is we have these |
|
|
24:34 | Here is an extension. Here is extension and there's two on the other |
|
|
24:38 | . Oops. Those are called So, the one in the |
|
|
24:43 | that's when you can feel when you're that back rub or you can see |
|
|
24:47 | somebody that's the spinal process there's only of those. All right. So |
|
|
24:52 | seven processes in total. So there's one you have to that extend |
|
|
24:58 | like so all right out to the . Those are the transverse processes. |
|
|
25:03 | then the ones that are the articular . Remember what we said. Articular |
|
|
25:07 | joint or interaction between two bones. have two pairs of these. We |
|
|
25:12 | one on the left, one on right, we have two that are |
|
|
25:14 | fear facing downward. And then we two that are going up which are |
|
|
25:19 | . If you look at the bone it, the superiors articulating with the |
|
|
25:24 | . Does that make sense? So bone below the superior articular uh processes |
|
|
25:30 | articulating with the inferior articular processes of bone above it. And that's how |
|
|
25:36 | kind of interact and connect. And can kind of see it here. |
|
|
25:39 | an inferior. That's a superior. an inferior. There's a superior |
|
|
25:45 | Okay, so that's spineless. There's trans verse sticking out off to the |
|
|
25:53 | . So there's your basic structure has to 2. Trans verse. One |
|
|
25:58 | is then two down, two For articular. Okay, between each |
|
|
26:06 | is an inter vertebral disc. Much tissue. It provides cushioning and support |
|
|
26:12 | the two bones so they don't squish other and crushing. There's two parts |
|
|
26:16 | it. We have the outside which the annual is fibrosis. This is |
|
|
26:21 | better look down here. This is that's not broken. So you can |
|
|
26:24 | out here. It's basically a bunch collagen fibers and fiber cartilage sitting on |
|
|
26:28 | outside, holding everything on the inside preventing it from coming out. And |
|
|
26:33 | on the inside is a nucleus propulsive this is basically a compressible elastic connective |
|
|
26:39 | , It's kind of like a gel substance. It's not but it's kind |
|
|
26:43 | like that. And so that's the bearing portion. So, when weight |
|
|
26:47 | applied to the nucleus propulsive, it pushes downward and pushes out the annuals |
|
|
26:53 | holds everything in place. And so forces distributed outward, but it doesn't |
|
|
26:58 | , you know, splitting out the and just squishing out the sides. |
|
|
27:01 | you get a terror in the annual , that's when the nucleus proposal can |
|
|
27:05 | out. And if that tear happens be against the spinal cord or the |
|
|
27:09 | nerves, it's incredibly painful because you're applying pressure to an area that doesn't |
|
|
27:15 | to be pressure needs to be applied . That's bad. I throw this |
|
|
27:22 | here, not such. You memorize this stuff, so don't memorize this |
|
|
27:26 | . What I want to show you . So, here we have the |
|
|
27:30 | here. We have the thoracic here have the cervical. Can you see |
|
|
27:34 | this picture? Can you see the of all three? All right. |
|
|
27:37 | body. Body body. Can you the transverse processes of all 3? |
|
|
27:43 | easy 112 and right there a little harder, but they're right out here |
|
|
27:47 | the edge, Right? You can the spinosaurus or excuse the spinal |
|
|
27:52 | Right? So, just to demonstrate you the articular processes, you can |
|
|
27:57 | right here. All right. if you understand the basic structure, |
|
|
28:04 | you're given a vertebrae, if someone a vertebrae in your lap and |
|
|
28:07 | can you identify these parts? You be able to do it right, |
|
|
28:11 | though they are very, very different depending upon where you're located within the |
|
|
28:17 | . Where the rutabaga column. That sense. So, there's a general |
|
|
28:24 | . And then at some point when in the lab, not in this |
|
|
28:27 | , but in your lab, you're be able to pick up one of |
|
|
28:29 | things and they're going to say, , can you recognize L. Three |
|
|
28:34 | a cervical too? Okay, the vertebrae have a unique feature. This |
|
|
28:43 | one of the reasons why you'd be to recognize thoracic vertebrae from any of |
|
|
28:46 | others. They have a trans verse that has a costal facet. Costal |
|
|
28:55 | to ribs. So only the thoracic have ribs associated with them. |
|
|
29:03 | so that should be kind of an thing to remember. Oh yeah, |
|
|
29:06 | I see this little thing that means a rib. So thoracic only have |
|
|
29:11 | . All right, Costal facet? sacrum it's fairly easy to identify Because |
|
|
29:19 | take the five bones and you fused together and it's fairly large. |
|
|
29:25 | you can see the superior articular process right there notice there's no inferiors because |
|
|
29:33 | were all fused together with the one . The inferiors were confused with the |
|
|
29:37 | . That will blow them. All . You can see that there's these |
|
|
29:41 | tiny holes. All right. These the sacred uh for Mina. That's |
|
|
29:47 | plural. So they are for for Mina means just tiny. All |
|
|
29:51 | . So, you've got these and happening here? This is where blood |
|
|
29:54 | and the nerves that are responsible for the lower limbs. They travel through |
|
|
30:00 | holes to get to where they need go. The very, very |
|
|
30:07 | That's the coccyx. And you see Around age 25 is when they finally |
|
|
30:15 | and go through their final ossification And there are many, many ligaments |
|
|
30:21 | . That little tiny structure in the , which is why it's so painful |
|
|
30:25 | you break it. Your sternum sits in the front and it looks like |
|
|
30:36 | tie. Which is why I have picture of the tie up there. |
|
|
30:40 | three parts to the sternum, just there's three parts to a tie. |
|
|
30:44 | have the not gonna tie. You the long part or the shaft. |
|
|
30:47 | you have a little poignant on a . Would you agree with me on |
|
|
30:51 | ? Okay, so just like the . The sternum has three parts, |
|
|
30:56 | not at the top is called the . All right. The elongate part |
|
|
31:01 | called the body and then the little part at the bottom. That's the |
|
|
31:07 | process In adults around age 40. when that ossified is complete. All |
|
|
31:14 | . And this is where many of abdominal muscles are attached. Have you |
|
|
31:17 | been punched? You know, high the belly? I know. None |
|
|
31:20 | you have ever been punched. Yeah. We just did it for |
|
|
31:25 | . Do you remember doing that when younger? For fun? Just punching |
|
|
31:28 | other. Yeah, That's what guys . I'm sorry. You did that |
|
|
31:34 | . All right. Nice. I like that. I mean, |
|
|
31:39 | violence keeps us all in the under . I understand the world is a |
|
|
31:43 | place. All right. So, , if you ever had the wind |
|
|
31:47 | out of you, it's basically you punch right there. Right, |
|
|
31:53 | So manu graham, we have the . It's also called the gladiolas for |
|
|
31:59 | you like flowers. You know the sis? It's a name for the |
|
|
32:05 | sword. So, that's the kind looks like a sword. And then |
|
|
32:09 | if I process all right now, can see this is a flat |
|
|
32:12 | And what does it do? It the heart, Your heart, love |
|
|
32:16 | thoracic cage. And that sternum is so that it protects that structure. |
|
|
32:24 | ribs are tasty. No, I'm . I like ribs like beef |
|
|
32:31 | I'm not a big fan of pork . Beef ribs. Winner winner. |
|
|
32:34 | right. So, the first seven . Remember they're all attach to the |
|
|
32:39 | bone, Right, thoracic vertebrae. the first seven are called the true |
|
|
32:44 | . And the reason they're called the ribs is that they go from the |
|
|
32:47 | vertebrae. They come around there is uh an articular joint that then connects |
|
|
32:52 | the bone of the sternum. So can see it directly connects to the |
|
|
32:56 | . Alright, even here and it is directly connected to the |
|
|
33:01 | All right, with that cartilage. right, when you get to number |
|
|
33:05 | , number eight is not directly connected the Stearman. Number eight is connected |
|
|
33:08 | number seven. Number nine is Number eight. Number 10 is connected |
|
|
33:11 | nine. So, these are called false ribs. And I'm excluding 11 |
|
|
33:15 | 12 for a second. There also ribs. But these eight through 10 |
|
|
33:20 | all attached to the rib above Really it's all attached to seven. |
|
|
33:24 | really doing that. But it's basically is attached they're attached there and they |
|
|
33:28 | attached to seven together. All So, they're false ribs are not |
|
|
33:31 | ribs because they're not directly attached to sternum. And then 11 and 12 |
|
|
33:37 | called the floating rooms because they have cartilage. And so they just kind |
|
|
33:40 | float out there and their job is protect the kidneys. All right. |
|
|
33:48 | , when you look at the you look at the structure of a |
|
|
33:52 | . All right. Remember we're We're looking at it. You can |
|
|
33:55 | back over here is the thoracic vertebrae you're going around the side into the |
|
|
34:00 | view? So here you can see coming around this direction. So there's |
|
|
34:06 | portion that comes around the front that's the shaft. All right. Where |
|
|
34:11 | turns is called the angle. So too easy. Right. Yeah. |
|
|
34:16 | . And then I'm just gonna You can see they're here but we're |
|
|
34:20 | come focus back here. The portion the rib that articulates with the body |
|
|
34:26 | the thoracic vertebrae is called the The region of bone of the rib |
|
|
34:31 | extends from the head is called the . So head. Neck. And |
|
|
34:36 | when it attaches to that trans verse that at that costal faucet. That's |
|
|
34:43 | tuber coal. So if you're looking it from the thoracic vertebrae and working |
|
|
34:47 | way around it be head, tuber goal, head, neck, |
|
|
34:52 | coal angle and then shaft. Now type of rib. This bone is |
|
|
35:00 | flat bone. All right. If look at a rib you'd see that |
|
|
35:04 | has this thin ribbon like shape to . It's not round. It's not |
|
|
35:08 | long bone. Its elongated but it not long. It is a flat |
|
|
35:14 | . All right. So again the the neck the two big holes where |
|
|
35:20 | articulates. Then you come around the the angle and then you get the |
|
|
35:27 | . Mhm. And that is your skeleton. How many bones did we |
|
|
35:33 | through, wow. All right. paying attention. I lost count after |
|
|
35:41 | . All right. Yeah, that's good. It's It's really |
|
|
35:46 | So, remember you have 12 ribs two. That's 24. Right. |
|
|
35:51 | 12 554. That's 10 14 plus . So 33. Right. And |
|
|
35:59 | you do the facial and cranial. 22. So, how much time |
|
|
36:03 | we spend? Half an hour? telling you this. This this is |
|
|
36:11 | make it more difficult than you need . Now again, this is not |
|
|
36:15 | lab. You're not sitting there and to identify the parts of it. |
|
|
36:18 | can't do that. I point out picture and say, okay, now |
|
|
36:21 | all the different parts. That's that's be really, really hard to |
|
|
36:25 | Right? So, that's why we do that in this classroom. That's |
|
|
36:28 | the lab is for. All So, what that means now is |
|
|
36:37 | gonna start moving to the appendix. skeleton. We have the upper |
|
|
36:42 | We have the lower appendages. We with the girdles. Alright. Girdles |
|
|
36:47 | not the things that you cinch up where to keep the tummy in in |
|
|
36:51 | really tight dress. I mean, guess they are but not in this |
|
|
36:54 | . Alright. A girdle is the point of a limb to the |
|
|
36:59 | All right. And so the upper are called the pectoral girdles. All |
|
|
37:05 | , pectoral muscle pectoral girdle. All . There's two bones that are part |
|
|
37:09 | the pectoral girdle. We have the clavicle is this bone across the |
|
|
37:15 | Right? If you put your arm , you can kind of put your |
|
|
37:18 | around it. All right. It's little harder to find. I had |
|
|
37:21 | friend whose grandmother when he got in would grab him by the clavicle and |
|
|
37:26 | him around the room. That'll teach were younger. All right, |
|
|
37:31 | you don't do that. It All right. This is what we |
|
|
37:36 | our collarbone. Alright. It's on anterior portion of the body. And |
|
|
37:39 | point this out because the other the scapula is on the back of |
|
|
37:44 | body. And so, what you is you have the clavicle coming |
|
|
37:47 | and what it does is it hold arm up and out from their |
|
|
37:51 | It keeps it away. If you your clavicle, your arm falls |
|
|
37:56 | All right. So, again, going to keep this simple. We |
|
|
38:01 | one end the sternal end which is to the sternum. See how And |
|
|
38:09 | means the other end, the chromium is attached to the chrome ian of |
|
|
38:14 | scapula. Okay, So, what have is we're basically just orienting our |
|
|
38:22 | . All right. So there you see and hear down here is our |
|
|
38:28 | . You can see it has this . That's the chromium at the |
|
|
38:32 | This picture is incredibly busy. All . Whenever you look at a picture |
|
|
38:37 | this in any textbook and you're being to learn stuff about it, ignore |
|
|
38:41 | stuff that you don't need to All right. And it's hard to |
|
|
38:45 | because there's a lot of stuff in in your brain says there's lots of |
|
|
38:48 | here. I should know it All right. But the scapula for |
|
|
38:53 | purposes, we're going to keep it , really simple. Now, what |
|
|
38:56 | looking at from this side. This the dorsal surface. So, this |
|
|
39:00 | the side. If you're looking at body, this is the side, |
|
|
39:02 | see if you're looking from the front the body through the thoracic cage. |
|
|
39:07 | is the side you'd see. So is the anterior side. Bright. |
|
|
39:11 | it says costal surface. So it's the ribs. This bone is embedded |
|
|
39:16 | muscle. All right. It's not articulating with the ribs and only articulates |
|
|
39:22 | with regard to the I mean part the girdle and it articulates with the |
|
|
39:27 | part of the army, humorous. right. So, what I wanna |
|
|
39:31 | is I just want to point out features that are kind of important. |
|
|
39:34 | right. On the dorsal side, have this extended ridge. It sticks |
|
|
39:38 | . It's called the spine. All . You can see right there. |
|
|
39:42 | the chromium process that articulates with the right? Which would come across this |
|
|
39:48 | on the front of the body. we have these fossil we have a |
|
|
39:52 | down here. We have a faucet there. Remember fosse's is an indentation |
|
|
39:56 | something is happening in this particular The fossa. The that's below is |
|
|
40:01 | the infra below the spine. In spiciness fossa, the one above the |
|
|
40:07 | is the sucre spot spine is And this is where muscles in the |
|
|
40:11 | are going to be located. You the bad boy over and you have |
|
|
40:17 | sub scapular fossa which again is where are going to be located and the |
|
|
40:23 | serves as a surface on which muscles attached. And then over here which |
|
|
40:28 | not real clear. But basically right on the other side of that humorous |
|
|
40:33 | the glen oid cavity And the Glenwood is where the humor is. The |
|
|
40:37 | of the humerus sits and that's basically shoulder joint. Okay. And across |
|
|
40:44 | Crimean sits up high. Then there's whole bunch of ligaments up there and |
|
|
40:48 | bunch of muscles as well. All . But for our purposes scapula we |
|
|
40:55 | just a couple of things. We to know the spine. We know |
|
|
40:58 | know the chromium. We need to the super scapular, the sub super |
|
|
41:02 | and the interest penis. Fosse's pretty . Draw it up. How do |
|
|
41:11 | draw scapula triangle? Little line off the side. Alright. Little circle |
|
|
41:16 | the Glenwood cavity. So you don't to be a super artist to do |
|
|
41:20 | stuff. All right. Make the line through the middle of the |
|
|
41:28 | A lot of stuff on this but less than you believe. I |
|
|
41:32 | , I'm looking at this thing and like, oh no, it's a |
|
|
41:36 | bone. It's called the humorous It's bone that isn't that was supposed to |
|
|
41:45 | can get like three people will laugh that one. Have you ever banged |
|
|
41:49 | funny bone? Yeah, that's still your humorous. So, the humerus |
|
|
41:54 | not the funny bone. The funny is actually been lower. All |
|
|
41:59 | It's your owner, which we'll get in just a second. All |
|
|
42:04 | So, we're gonna start up here the head of the proximal end. |
|
|
42:08 | what fits into the Glenroy cavity. what causes that shoulder joint. All |
|
|
42:13 | , tuber colds are these big giant . These are attachment sites to |
|
|
42:18 | Sorry, excuse me. To muscles the rotator cuff and ligaments as |
|
|
42:23 | All right. You can see right , they've got grooves when you have |
|
|
42:27 | groove, what do you suppose goes the groove. It's usually usually a |
|
|
42:34 | or blood vessel. All right. , when you see a bone you |
|
|
42:37 | those grooves, that's what's going We have this extension that kind of |
|
|
42:40 | out in the middle. It's called Deltoid to marassi. All right now |
|
|
42:45 | . When I look at that it's I don't know, but it tells |
|
|
42:48 | Deltoid. So this is the attachment for the Deltoid muscle. Deltoid sits |
|
|
42:52 | here and then attach it down to to ferocity. All right. We're |
|
|
42:57 | to go down the shaft to go the very very bottom. Alright so |
|
|
43:01 | we're going to have to bones that the capital of the truck leah are |
|
|
43:06 | con dials. They form what is a conjurer joint. Okay. Right |
|
|
43:13 | them. On the lateral side where is the lateral side of your body |
|
|
43:17 | way or that way if I'm using arm this way. Yeah, it's |
|
|
43:23 | way. Right. So we have lateral epic conned. I'll epi means |
|
|
43:30 | . So it tells you like So when you feel like right over |
|
|
43:33 | it's like look I can feel that is my medial epic. On dial |
|
|
43:38 | here. That's my lateral epic on . Okay lateral. If you want |
|
|
43:51 | do it this way you can feel there. Oh yeah look there's a |
|
|
43:54 | and over here got to kind of around for and it's like okay there |
|
|
43:58 | is. That's the medial. All . And it basically just shows you |
|
|
44:03 | is the point above the joint. sticks out. It's where muscles |
|
|
44:08 | All right. Mhm. So attached central muscles. Now the capital. |
|
|
44:14 | Right is going to be on the . It's the lateral side. All |
|
|
44:21 | . The radius is the bone on lateral side. So the capitulation. |
|
|
44:24 | Is the condo the articulation for the bone on the humerus. The truck |
|
|
44:32 | is the articulation point for the other which is the ulna. Okay, |
|
|
44:37 | we have radius and ulna which we'll to in the next slide I |
|
|
44:44 | All right. So right here this be your elbow or part of your |
|
|
44:51 | ? Moving down. We have the bones the radius of the owner. |
|
|
44:54 | I don't know how you're gonna remember . I just think about a |
|
|
44:58 | The line from the center point of circle out to the edge is the |
|
|
45:02 | . And so the radius sends me to the outside. That's how I |
|
|
45:06 | it. I don't know how you're to remember it but that's how I |
|
|
45:09 | it. Okay. You have to these little tiny tricks. All |
|
|
45:13 | So the radius notice these bones. what the an atomic position is. |
|
|
45:19 | atomic position is palm outward flat like . These bones are parallel to one |
|
|
45:24 | . Okay, When my position is this. So the radius and the |
|
|
45:30 | . They're also articulating with each Okay, so they refer to it |
|
|
45:35 | a radio owner joint. There's one an approximately and there's one on the |
|
|
45:39 | end. So they're not just articulating the humorous, they articulate with each |
|
|
45:46 | in between them. There's a whole of fibrous tissue. This is called |
|
|
45:49 | intra odysseus membrane intra between the bone . All right now we're going to |
|
|
45:56 | up here to the top. This is a terrible picture. The artist |
|
|
46:00 | label the thing correctly. All There's only one thing that's not labeled |
|
|
46:04 | . Remember we said the radius? is the radius articulating with? |
|
|
46:13 | the capitulate. Um Right, So what we have here is, |
|
|
46:19 | our radius right over here to make he has radius. So that's where |
|
|
46:23 | capital um is going to sit up . This is the top of the |
|
|
46:29 | . You can see the little space the truck lee is going to |
|
|
46:32 | That's the true clear notch. what we have here is we kind |
|
|
46:36 | have a hinge joint. All It's not totally a hinge joint because |
|
|
46:40 | some other stuff that we're going to to in just a minute. I'll |
|
|
46:42 | you want to get to the shoulder . All right. Now you can |
|
|
46:46 | here what they've done, this is it's wrong. You can put here |
|
|
46:49 | . Alright. They labeled the truck notch. The acronym process. Everyone |
|
|
46:56 | your arms, look at your See the little pointy thing, |
|
|
47:01 | that's your al acronym, That little part, the part that you dig |
|
|
47:05 | in when you're getting a nice rub your like and you're like, |
|
|
47:09 | yeah, right. That right there the L acronym. All right. |
|
|
47:13 | that's real acronym. Alright, bony the elbow. All right, come |
|
|
47:19 | your wrists. All right. On side. You can see on me |
|
|
47:25 | there. You can see it right on either side. That's the style |
|
|
47:28 | process. There's a stylized process for one, right? So there is |
|
|
47:33 | stylized process of the radius style oid of the ulna. This is what |
|
|
47:39 | the forearm to the wrist. See a lot of stuff up there. |
|
|
47:43 | we talk about all those things? , just the important stuff. Let's |
|
|
47:51 | to the carpal bones at your Alright, there's eight row 4 row |
|
|
47:57 | four. There's all sorts of new . You can go and look up |
|
|
48:00 | dirty new monarchs are much more easier learn. I can't do those in |
|
|
48:04 | . I got as clean as I . All right. And so what |
|
|
48:07 | do is you say, okay, always gonna move lateral to medial. |
|
|
48:11 | , So again, here's my I put it out laterally to |
|
|
48:16 | so I'm going in this direction. once and then twice. The first |
|
|
48:21 | is the scaphoid, followed by the , followed by the trick poetry um |
|
|
48:26 | by the pistol form. Then you back and then trip easy. Um |
|
|
48:30 | capitated hamate. All right, there's a new monarch. There's a |
|
|
48:36 | to go with the new monarch. lunatics try positions that they can't |
|
|
48:39 | Yes, I know some of you , but like I said, that's |
|
|
48:43 | clean as we can get. I'm there's better ones. All right. |
|
|
48:47 | gonna borrow. You have no sleeves down. All right. So, |
|
|
48:51 | you want to do is you want find somebody close friend who allows you |
|
|
48:55 | touch them. And what you want do is you want to play right |
|
|
48:59 | here? This is not your This is not your wrist. These |
|
|
49:03 | right in here where I'm just kind look at that. That's cool. |
|
|
49:08 | just letting me just kind of do know? All right. So when |
|
|
49:12 | hands do that, you found the bones. All right. It does |
|
|
49:19 | like me ever. Not today. . It's already plotting against me some |
|
|
49:27 | try positions that they can't handle. think about it for a little bit |
|
|
49:32 | what the picture is. There's an Did you guys that you watched cartoons |
|
|
49:37 | your kids right. Do you know whenever they should a fight? It |
|
|
49:41 | like a cloud and they have like arm and like maybe like, you |
|
|
49:45 | , stuff coming out. So there's artist who does pictures like this with |
|
|
49:48 | contortionists. And so there's one where actually shows like a fight in like |
|
|
49:53 | office setting and there's three people and literally all twisted around each other. |
|
|
49:59 | right. And so that picture didn't sense. This picture did. And |
|
|
50:03 | again, that's him. It's basically contortionist who are literally bending their bodies |
|
|
50:07 | directions that you shouldn't be allowed to . I mean look at that leg |
|
|
50:14 | that leg come from. I'm just just pointing out its body doesn't bend |
|
|
50:20 | direction. Okay. Yeah. Now got staring at the go, wow |
|
|
50:25 | All right, now we're down to hands. So really we just jumped |
|
|
50:30 | . We went one from the What were the two in the |
|
|
50:33 | One in the arm to in the , eight in the wrist. And |
|
|
50:36 | we get down to the flanges which 14. And then you have two |
|
|
50:39 | these and we're gonna do the same down on the legs. All |
|
|
50:43 | So, the palms of your Right this part right here, this |
|
|
50:47 | why I'm making a big deal. called the metacarpals. The carpools are |
|
|
50:51 | low. This is not your You have long bones in the palms |
|
|
50:55 | your hands. Everyone's gonna have skeletons front of your house. If you |
|
|
50:58 | have a skeleton and you don't have to a lab just about this time |
|
|
51:02 | year, just go check out people's Decorations. Right? And go look |
|
|
51:07 | the hands of a skeleton. And going to see these long bones. |
|
|
51:11 | right, those are the metacarpals. , we start from the lateral |
|
|
51:15 | When work immediately immediately, we just them. It's 12345. That's |
|
|
51:22 | So the metacarpals are easy. There's simple long bones. If you want |
|
|
51:25 | be able to see them make a and then that bone that you're looking |
|
|
51:30 | there is the head of the All right. Your knuckles are the |
|
|
51:36 | of the metacarpals. All right. we get down to the phalanges. |
|
|
51:41 | comes from the singular form. Failing is basically a soldier or basically a |
|
|
51:46 | of soldiers as is what they refer them. So, that's why you |
|
|
51:49 | a failings here. All right. name of the thumb is called the |
|
|
51:56 | . All right. So that's the . There's two flanges in the |
|
|
52:02 | How do I remember this? in an exam, I bring in |
|
|
52:05 | cheat sheet. My body is my sheet. All right. This is |
|
|
52:12 | I say when you do the when you do the bones, remember |
|
|
52:15 | can move in an exam. People gonna look at you funny, but |
|
|
52:19 | okay, right? You can go this. Yeah. If everyone sitting |
|
|
52:23 | playing with their thumb and going, yeah, I see two bones |
|
|
52:28 | That's that's that's okay. That's not . That's remembering that you have a |
|
|
52:34 | that you can think about. All . So, you can see the |
|
|
52:37 | bones, right? We have approximately distal bones. And then when you |
|
|
52:40 | at a finger and you can pick finger you want. This is the |
|
|
52:43 | that moves easiest lee, if you it, how many bones do you |
|
|
52:47 | three? There's two joints in between so it's proximal is the nearest right |
|
|
52:53 | or intermediate. And then finally And you do that for each of |
|
|
52:59 | . Alright. Pollack's number one Than , 345. That's the nomenclature. |
|
|
53:09 | , another picture to scare the crap of you. Mhm. Well, |
|
|
53:13 | mean that's what this does. All , so we're gonna start with pelvic |
|
|
53:17 | Right here, it's actually three bones have fused together. It started off |
|
|
53:22 | you three bones and around the age of age 15, that's when they |
|
|
53:26 | fuse as one structure. There's three here. The easy one to identify |
|
|
53:32 | the ilium. If you feel that crest, you know when you think |
|
|
53:36 | someone's hips, you're like oh here's hips. That point is the crest |
|
|
53:40 | the ilium. It's called the iliac . All right, so that's the |
|
|
53:45 | that's really obvious. The next one called the whiskey. Um It's the |
|
|
53:49 | that's painted red here. Some people issue. Um That's okay. No |
|
|
53:53 | gonna get mad at you if you words right? The way to remember |
|
|
53:57 | issue. Um This is the posterior . This is what you sit on |
|
|
54:00 | whiskey, is your tushy. It's if you say you're issues your tushy |
|
|
54:05 | that's the easy way to think about . All right, so you can |
|
|
54:08 | right down here, this is what sitting on right now and then in |
|
|
54:11 | front, that's the pubis. So pubis bone is key. Um ilium |
|
|
54:17 | together they fuse to form the osce . That's the formal name for the |
|
|
54:22 | bones. All right, there's one each side, alright? They attached |
|
|
54:29 | each other on the medial side to sacrum. So it be the left |
|
|
54:35 | aqsa sacrum, right Oscar Aqsa. then in the front they are connected |
|
|
54:41 | the pubic synthesis. All right, is a special joint between the two |
|
|
54:46 | bones, the left and the right bone. Big gaping hole. It's |
|
|
54:52 | the operator for Raymond. So all nerves that were passing through those little |
|
|
54:57 | for mina inside the sacrum are basically through the operator. Uh Raymond down |
|
|
55:03 | the lower limbs. The joint between femur which is your big bone in |
|
|
55:12 | leg and the hip, it's called assad tabula. You know, again |
|
|
55:18 | you mispronounce is don't be worried about . But the name comes from the |
|
|
55:22 | tabula um refers to vinegar cup. , that's just like well where did |
|
|
55:28 | one come from? The reference refers during the crucifixion feeding the cup up |
|
|
55:35 | christ on the cross. So remember of these guys were monks or whatever |
|
|
55:39 | this stuff. So they're like oh a shape that looks like kind of |
|
|
55:42 | a goblet or a cup and that's they got the name. Right? |
|
|
55:46 | as a tabula. Um So this at the assad pabulum. So you |
|
|
55:51 | see there's the problem right there, can kind of see the shape, |
|
|
55:54 | can see all three bones come and at this point. Now the hip |
|
|
56:01 | or the pelvic bone or the Oscar is a a really good demonstration of |
|
|
56:09 | dive more fizz um in humans. right. If you go and dig |
|
|
56:12 | a skeleton from 2000 years ago and trying to figure out what am I |
|
|
56:16 | at? All you gotta do is at the shape of it and it |
|
|
56:19 | tell you whether or not you're looking a male or female. Alright. |
|
|
56:23 | have these wide hips very very shallow they have this massive pelvic inlet. |
|
|
56:30 | babies men have really, really tall , very, very small pelvic and |
|
|
56:37 | inlets and even the angles in between pubic arch is. There's all the |
|
|
56:40 | is that you can identify. This not just the only place where we |
|
|
56:45 | sexual dime or fascism in humans. is just one of the really easy |
|
|
56:49 | to look at when you're looking at moving down the leg into the thigh |
|
|
56:56 | the femur, biggest bone in the . And again, this is another |
|
|
57:00 | one. If you ever do if you find a femur, you've |
|
|
57:03 | roughly what the size of your person because it almost always equates to exactly |
|
|
57:08 | quarter of the height of the Yeah. Kind of nice. |
|
|
57:14 | sir. No, that's trivia trivial pursuit. All right. |
|
|
57:22 | Which means you're all going to memorize and know it for the rest of |
|
|
57:25 | life because it's useless information. All . Lots and lots of muscle covering |
|
|
57:32 | femur. Here, we have the , right? That's articulating with the |
|
|
57:37 | Ochse at the sc tabula. Um right. You see the long |
|
|
57:42 | All right. We have the con down here at the bottom is the |
|
|
57:47 | where we're going to articulate with the , which is the next bound in |
|
|
57:51 | sequence. All right. You can the epic con dials. Remember. |
|
|
57:56 | condo sits above the con dials. Let's see what else I want. |
|
|
58:01 | just wanted to show you the true . So, here's the greater trust |
|
|
58:04 | . Here's a lesser truck. There's ferocity that fight on here. This |
|
|
58:10 | where the gluteal muscle attaches to global . That awesome muscle. But there's |
|
|
58:15 | three of them. Um The truck again. This is where muscles attach |
|
|
58:21 | one other bone I want to show here is the patella. It sits |
|
|
58:24 | here in the front that your All right. It's actually embedded in |
|
|
58:30 | quadra. Sorry, the quadriceps So, that's for the femur. |
|
|
58:36 | the tendon that's there. And so patella is that sesamoid bone that slides |
|
|
58:41 | front of the need to protect the of the knee during movement. |
|
|
58:50 | I would look at all this stuff here. Do not get confused and |
|
|
58:55 | out about all this stuff over So, that makes sense. Right |
|
|
59:00 | the lab. They're going to point all the stuff over here. Or |
|
|
59:04 | least they should if they're not doing . Well, you know, every |
|
|
59:07 | does something differently, right? But get really excited about the bones and |
|
|
59:12 | in lab. And they're like, , everything. You're like, uh |
|
|
59:18 | . Not everything is important, So, these are just ways to |
|
|
59:25 | and understanding interactions and the things I'm to pull out of things to help |
|
|
59:29 | understand what it's doing? Why is it? Okay, So, in |
|
|
59:34 | lower leg, we have two We have two bones in the |
|
|
59:37 | We have two bones in the lower . All right. The two bones |
|
|
59:40 | the lower leg are slightly different. in the forum we had the ulna |
|
|
59:44 | the radius both interacting with the humorous , we have the femur directly interacting |
|
|
59:52 | the tibia and then the tibia is the fibula. All right. |
|
|
59:59 | those are the two bones tibia How do I remember this F femur |
|
|
60:05 | fibula. That's the order in which are connected. So, you'd see |
|
|
60:08 | here, there's the femur. Here's tibia. There's the fibula fibula does |
|
|
60:13 | interact with the femur. You see always look for the tiny tricks. |
|
|
60:20 | right. Now, the tibia is media located bone. This is the |
|
|
60:25 | bearing bone. So, the weight your body comes down through this, |
|
|
60:28 | fibula does not bear weight. All . It helps in terms of |
|
|
60:33 | And and other things. All uh feature, I want to point |
|
|
60:39 | here is the media Malala's on the tibia. And then over here on |
|
|
60:44 | outside, that would be the lateral that's associated with the fibula. All |
|
|
60:51 | . Now, if you look at like this. All right, keep |
|
|
60:55 | mind. I know once bone this a fibula. Let's just say this |
|
|
60:58 | the tibia. Here are the malian , the pair of them medial and |
|
|
61:03 | . And then what you're gonna do you're gonna take your ankle bones and |
|
|
61:08 | going to set them in there. so, what you've now done is |
|
|
61:11 | created a structure that's much more stable which your body is sitting. |
|
|
61:17 | So, that's why you get this downward. All right. And the |
|
|
61:21 | that we're working with is the palace the ankle, which we're going to |
|
|
61:25 | here in the next slide. All . So, so that's really the |
|
|
61:31 | things I want you to know about two down to the tarsus bones. |
|
|
61:37 | we are in the tar cell. we had the carpal bones, parcel |
|
|
61:41 | or the ankle bones. Okay, , we start here with the |
|
|
61:46 | Then we go to the balcony is your heel. Okay, when you |
|
|
61:52 | down, you're pressing on the Right? So one then we go |
|
|
61:57 | to the navicular and then we have bones. Okay, that's how it |
|
|
62:02 | . So tallis to cal kenya's Over to navicular. Then we go 1234 |
|
|
62:08 | . And the four bones are intermediate lateral kuna form. And then |
|
|
62:13 | , is the Q. Boyd. there's your new monarch, tall |
|
|
62:17 | navy medical interns, love cuts, . Okay, so this is a |
|
|
62:26 | on which those two malley oil are either side. It is when you |
|
|
62:31 | of the ankle proper, that's what thinking of. All right. The |
|
|
62:34 | cane ius is your heel. This what the achilles tendon is associated with |
|
|
62:38 | attached to. Then we get down the foot. So, if these |
|
|
62:44 | the tar cell bones, then this the meta parcel. And then down |
|
|
62:51 | are the phalanges. All right, name of the big toll is the |
|
|
62:55 | Pollocks Alex greek anthology. Well, that you're far better. I haven't |
|
|
63:03 | greek mythology in fifth grade. So right, so, apparently, brothers |
|
|
63:10 | and Pollocks, I don't know who are, what they did. |
|
|
63:15 | again, each of your toes has , 1, 2, 3. |
|
|
63:19 | Sorry 123 Alex does not Alex has . Alright, again, you can |
|
|
63:26 | off your shoes and check that out a test. I think they might |
|
|
63:29 | a little upset with you. you know, Yeah, you wear |
|
|
63:34 | , put them on your desk and your toes. All right. |
|
|
63:38 | this is the last thing I wanna about them, we're going to jump |
|
|
63:41 | the joints, okay. And joints I think are really, really |
|
|
63:44 | Remember your foot has arches? Even you have really, really crappy arches |
|
|
63:48 | I do, there's always an arch the purpose, There's a medial |
|
|
63:52 | So you can see here that's on inside of your foot, that would |
|
|
63:54 | this way you have a lateral arch a little bit more shallow. And |
|
|
63:57 | you have an arch that crosses between media and the lateral arch. All |
|
|
64:01 | , That would be the transverse The purpose of these three arches is |
|
|
64:05 | actually create a spring on which the of your body distributes weight and and |
|
|
64:14 | force away from the center point of arch. All right. So, |
|
|
64:19 | can imagine every time you take a , that spring basically kind of spreads |
|
|
64:24 | and then basically will spring back up each step and then the forces being |
|
|
64:29 | out this way, it's being distributed that way. And that is being |
|
|
64:34 | laterally immediately along the outer arches. , If you're like me anyway, |
|
|
64:43 | see I'm not telling you what I way, You know? So that |
|
|
64:46 | is not going straight down into my Kanye's it's being distributed outward in all |
|
|
64:51 | directions, like balconies is happier for . Right? So that's the purpose |
|
|
64:58 | these arches. All right, and ligaments and tendons and muscles and all |
|
|
65:04 | of things. If you've ever had fasciitis, what you're doing is that's |
|
|
65:08 | of those ligaments and tendons. All . 20 minutes. Yes. Uh |
|
|
65:23 | . Yes, but the spring is as tight. Let's just call it |
|
|
65:27 | way. All right. So you still think of it as All |
|
|
65:30 | So here is a type, you , this would be a really, |
|
|
65:32 | high arch. What would what would flat arch look like would be like |
|
|
65:38 | arch is still there, Right? there, but not like that. |
|
|
65:44 | have incredibly flat feet. My son incredibly flat feet. My daughter has |
|
|
65:47 | wife's feet which have high arches. ? And so you can still see |
|
|
65:51 | . If you go look at a in the sand, you can see |
|
|
65:54 | arch. It's still maintained both media but it's still flatter. Okay, |
|
|
66:00 | wear crocs for a long period of . You'll flatten your feet. I |
|
|
66:03 | know if that's true. It just like it. Oh, ready for |
|
|
66:09 | . I know. I know it like we just ran through everything but |
|
|
66:15 | there's there's not a lot to I mean the bones, bones you |
|
|
66:20 | gonna say that Oh no, Everything's on the test. Oh all |
|
|
66:27 | . What is the joint? A is where a bone meets another |
|
|
66:30 | It means cartilage or meets teeth. called an articulation. And we classified |
|
|
66:35 | by function or by structure. All . I like throwing this picture |
|
|
66:41 | All right. First off, we with mobility. My wife is a |
|
|
66:43 | therapist. She still has a Did you guys learn how to use |
|
|
66:46 | when you're like in like second Yeah. So you grow up, |
|
|
66:51 | you become a physical therapist, you get to play with that toy. |
|
|
66:55 | , So range of motion basically what is the normal extent of mobility |
|
|
67:00 | specific joint? Right? So, you can do is you take out |
|
|
67:03 | protractor, you say move this and can actually determine whether or not somebody |
|
|
67:08 | has that same mobility based on what understanding of what that joint should |
|
|
67:12 | So, it's measured in degrees. refers to the movement in a freely |
|
|
67:18 | synovial joint. All right. Most the joint. We're going to talk |
|
|
67:21 | our synovial but we've got to talk the things that are not synovial as |
|
|
67:24 | . All right. So, when think of a joint, you're thinking |
|
|
67:26 | a Synovial joint, then there's degrees freedom. These are the number of |
|
|
67:30 | . This gets kind of confusing because think mathematically you think in the |
|
|
67:34 | You think in the Y. You think in the Z, right. |
|
|
67:37 | . Is the third dimension. one dimension. Two dimensions. Three |
|
|
67:42 | would be back and forth this But that's not really the degree. |
|
|
67:45 | not the the axes we're looking So here is the shoulder joint. |
|
|
67:50 | , what can I do with my , I can move in this |
|
|
67:52 | Right. I can move in this and I can move in this |
|
|
67:57 | All right now. Even if I this, I mean, I'm doing |
|
|
68:01 | lot of movement down here, but movement is here as well. I |
|
|
68:04 | turn that way so that would be of freedom. All right. I |
|
|
68:11 | you guys to put a big star here beside the muscle tone. I |
|
|
68:15 | you this is a question on the and I guarantee you half of you |
|
|
68:18 | going to miss it. All right that affect joint stability. There are |
|
|
68:24 | of different factors versus the surface Alright, Each joint has a specific |
|
|
68:29 | . Some things fit really well Things that don't fit well and there |
|
|
68:32 | things that don't fit well together. more you things that fit well |
|
|
68:37 | In other words, the shape matches , the less degrees of freedom. |
|
|
68:40 | have less movement. You have you great stability but you have less |
|
|
68:46 | So there is an indirect correlation between and movement. Okay, so the |
|
|
68:51 | important factor in determining the strength of joint and joint stability is actually muscle |
|
|
69:00 | tow here, for example. You get a lot of movement, but |
|
|
69:08 | get good protection. Select suit you're there. Things don't move a |
|
|
69:11 | Right? I would say it's a joint but there's no movement. So |
|
|
69:17 | don't look at stability. You have compare stability the movement. All |
|
|
69:21 | If you look at the ligaments, crisscross and basically I mean, I've |
|
|
69:25 | people walking across campus with the tape the knee. You know, it's |
|
|
69:29 | what are you doing? Well, basically you're creating greater support. You're |
|
|
69:32 | like I'm putting more ligaments around that to great greater support. And it's |
|
|
69:38 | the more ligaments you have, the strength you have in a movable |
|
|
69:43 | But that's still that's more important than articular surface. But it's still not |
|
|
69:47 | most important thing. It's the muscle around that joint. That creates the |
|
|
69:54 | stability in that joint. All So the muscles are very very valuable |
|
|
70:01 | joint stability. All right. It's most important. All right. So |
|
|
70:08 | strong bodies have healthy strong joints. means you can still get hit in |
|
|
70:14 | knee and tear ligaments and stuff. . These aren't meant to be hit |
|
|
70:19 | that. All right. But if have strong muscles surrounding the knees mostly |
|
|
70:26 | and stuff then you're going to have knee joints. Yeah. Speaking of |
|
|
70:31 | . Mhm. There you go. . No, but it does stretch |
|
|
70:37 | little bit questions. If I sit cross my legs Like criss cross |
|
|
70:42 | Sorry I still have young kids. then. Does that impair it just |
|
|
70:47 | and then sitting in a position for long period of time. Just like |
|
|
70:50 | . If you sit like this for long period of time, your arm |
|
|
70:52 | stiffen up. Nothing. All So remember we said structure. Structure |
|
|
70:58 | one of the ways that we we label these things. So first structurally |
|
|
71:03 | can have a fibrous joint, has tissue, cartilage and joint has |
|
|
71:07 | You see how hard this stuff It's just like and then you have |
|
|
71:11 | joints. That's the weird one. . Are the fluid filled cavities? |
|
|
71:15 | right. So we're gonna look and going to see this cabbie that's filled |
|
|
71:17 | fluid. We also classify them based movement. So these two things are |
|
|
71:22 | independent. They actually work together. have seen Arthur sees. These are |
|
|
71:27 | joints. Sin without Arthur sis refers movement. So without movement and fee |
|
|
71:34 | partial. So there's partial movement. then finally, Die Arthur sees. |
|
|
71:38 | would think too, and I don't where the name came from, but |
|
|
71:41 | means freely movable. So when you at a joint you should ask, |
|
|
71:44 | this a movable joint? It slightly forward does not move at all. |
|
|
71:48 | is it a sin Arthur sees? it an amp Arthur C is a |
|
|
71:51 | . Arthur sees. There are four types of movement, gliding movement, |
|
|
71:57 | rotational or special. We're gonna just of look through them. So here's |
|
|
72:00 | gliding movement. It's a very simple is what we were doing a little |
|
|
72:04 | earlier when I was playing with her , basically you have two surfaces that |
|
|
72:08 | rub up against each other without any of overt or obvious angular change. |
|
|
72:15 | right. So, when you're looking for example, the carpal bones and |
|
|
72:18 | Tarso bones, they rub up against other and they move like so they |
|
|
72:25 | do this. Okay, so that be a gliding movement. And if |
|
|
72:30 | want to practice this in front of , you can just say I am |
|
|
72:34 | queen and you can start doing the wave. All right. There's no |
|
|
72:39 | like well, I can see your moving like that. Yes, but |
|
|
72:42 | some of many, many joints But it's that slight movement. You |
|
|
72:46 | really do much with your wrist. right. So, plain joints typically |
|
|
72:52 | this limited, limited movement, angular are a little bit easier ones. |
|
|
72:58 | is all right. Election is the of extension. So, there's |
|
|
73:06 | Right? Typically what we're doing is talking about the change in the angle |
|
|
73:12 | two bones. All right. And you can see here we're looking at |
|
|
73:16 | anterior posterior plane. Is this the post, airplane? No. |
|
|
73:22 | So, really this would be the we're talking about. All right. |
|
|
73:27 | this would be flexion. This would extension. Right. Now, I |
|
|
73:31 | do it this way. There's There's extension flexion extension. All |
|
|
73:37 | If I'm going out to the side this that would be flexion. That |
|
|
73:43 | be extension. This is lateral flexion . Alright, hyperextension. That's extending |
|
|
73:50 | 180°. Some of your double jointed. you can kind of do this. |
|
|
73:54 | at my elbow and it's like, , right. You know, that's |
|
|
73:57 | as far as I can go. of you can do farther than |
|
|
74:00 | All right. Now, any All good swimmers. I mean, |
|
|
74:06 | really competitive swimmers are like, Like go like 200, 200 2 |
|
|
74:15 | I don't know. They're making up . I had a friend who swam |
|
|
74:19 | stanford almost made the olympics. And was just like joints everywhere were crazy |
|
|
74:26 | you get picking up by space alien putting their ufo and sent off into |
|
|
74:31 | . What is that called? So, when things move away from |
|
|
74:35 | body abduction, we never talk about happens when the aliens return people That's |
|
|
74:41 | abduction. So, returning back Abduction. Alright, When you combine |
|
|
74:49 | extension abduction, abduction and kind of this kind of movement circum deduction. |
|
|
74:56 | , you see it moves in all directions. All right, rotation. |
|
|
75:02 | when you say no, but that's the only flight. Have you did |
|
|
75:06 | hokey pokey. Put your left foot . Put the left foot out. |
|
|
75:11 | real like this. You guys can't it back there, but All |
|
|
75:16 | that's rotation. All right. See so many things you can do, |
|
|
75:22 | know I think there's one person who's dance major inherited. I mean come |
|
|
75:26 | with your dance. Can't do that the past, but you can certainly |
|
|
75:30 | it in the chair. All Alright. Hard ones pronation and |
|
|
75:37 | You usually hear it with regard to feet that inappropriately used. It's not |
|
|
75:42 | used. Alright, so again, we're looking at here is the crossing |
|
|
75:45 | the radius and the ulna. in this position, radius and the |
|
|
75:50 | are parallel. All right. So in the pro native state when I |
|
|
75:56 | my hand like So remember the radius over here, right? The onus |
|
|
76:01 | over there and when I cross basically radius is now going this way my |
|
|
76:08 | is going this way they crossed over other. All right. Just because |
|
|
76:12 | twisted. So that would be super hoop. I got it backwards pronation |
|
|
76:17 | they're crisscrossed separations when they're parallel. right, So let me do that |
|
|
76:21 | in this position. You're separated in position. You're pro nated. 78 |
|
|
76:25 | . 878 cronuts update crony. if you forget like I just did |
|
|
76:30 | look at the picture equals VS. X. It's showing you that when |
|
|
76:36 | talking about feet we have something we differently. We don't use separate |
|
|
76:40 | Even though runners and shoes and stuff that. Talk about that. It's |
|
|
76:44 | version and inversion E version is when outside of your foot goes upward. |
|
|
76:49 | is when the inside of your foot upward. So you can kind of |
|
|
76:52 | it here. You can twist your that way. So I'm diverting and |
|
|
76:57 | . All right. When you point toe up towards your body, that's |
|
|
77:00 | dorsal flexion. When you point your down like a ballerina, that's planter |
|
|
77:04 | . Planter is the bottom of your . So plant reflection is I'm pointing |
|
|
77:09 | the bottom of my foot. Pro and retraction. Pro traction when you |
|
|
77:17 | something forward, retractions when you pull back in. So think about walking |
|
|
77:22 | a pigeon. You can do with job too. Protection retraction. |
|
|
77:36 | Well something is shocking to you. And when someone says to close the |
|
|
77:43 | , well we have elevation. What primates unique from other creatures? As |
|
|
77:49 | have thumbs? Right? Not just . What kind of thumbs? Opposable |
|
|
77:55 | ? Opposition means I can take my and touch my fingers with it. |
|
|
77:59 | right. So that's opposition. And when I separate that reposition, see |
|
|
78:06 | it is just um in front of mirror. Just doing that. All |
|
|
78:15 | . How much time we got one . All right. So with one |
|
|
78:20 | we got through half that. I'm not here. Here we |
|
|
78:23 | That's what you need to know. right? So when we come back |
|
|
78:27 | is where we're gonna start is we're start here with the fibres joints. |
|
|
78:31 | gonna rip through them because they don't that long and then we're gonna start |
|
|
78:34 | with action potentials. Action potentials. . We're jumping into nerves now. |
|
|
78:42 | . So come Tuesday, that's what going to talk about. Mhm. |
|
|
5999:59 | |
|