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00:02 | All right, good morning, Did you have a good weekend? |
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00:10 | , I heard. No. All , you should have good weekends. |
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00:15 | them while you can. Um, we're doing today, we're gonna be |
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00:21 | about the bones for the most you know, the knee bones connected |
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00:24 | the thigh bone and that sort of . Um But before we do |
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00:29 | we need to, to see how form. That's what we left off |
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00:31 | Thursday, we need to finish this and, and as far as ose |
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00:35 | is concerned, this can be the conceptually difficult to understand, not because |
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00:40 | hard, but because you have to of imagine what's going on during the |
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00:45 | and while it's going through its process development, right? And we don't |
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00:49 | think that way we think of here's adult. What does it look |
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00:52 | We don't think about the little steps are going on. So the term |
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00:57 | or osteogenesis refers to the process of bone from scratch as in there wasn't |
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01:03 | there before. Now, there is there now. Ok. So there's |
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01:07 | different methods, two different ways of is formed, one is called |
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01:11 | The other one is called endochondral without going further. I mean, the |
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01:16 | are up there, I think they . Um but they're not on the |
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01:20 | slide. But if you saw the interim, what does it sound |
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01:23 | What does it tell you that it that it's doing inside a membrane? |
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01:27 | . OK. Then endochondral is a bit more difficult but if you pay |
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01:30 | in is inside. Yeah. But is cartilage. Thank you. |
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01:39 | right. So we're using two different here. So the first one I |
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01:45 | is probably the one that most students kind of trapped on. They're |
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01:49 | I'm not sure I can visualize this this really is kind of like, |
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01:53 | there was not tissue there before, now there is tissue there. |
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01:58 | So in interim, this starts within meeny, meeny. Is that embryonic |
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02:04 | developmental connective tissue that hasn't differentiated All right. And so what this |
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02:09 | trying to show you in the little is there are mazal cells, there's |
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02:12 | whole bunch of collagen. And what's to happen is that a osteogenic cell |
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02:17 | to be in that location. It become osteoblasts and what osteoblasts do, |
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02:22 | start laying down the network? All . And so they start laying down |
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02:27 | matrix and that matrix becomes ossified and starts trapping osteoblasts which then become |
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02:35 | And as you grow, what you're is you're growing outward towards that mesen |
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02:41 | doing. So what you do is start pressing that uh collagen and those |
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02:47 | cells away from the bone, So you're kind of growing into |
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02:51 | or in that area and growing upward you're pressing upward against that Meine. |
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02:58 | what's going to end up being formed these from these ossification centers is you're |
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03:02 | to start seeing the formation of asteroid will ultimately become what is called woven |
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03:08 | . Now, woven bone is just term that says it's not quite the |
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03:11 | that you know yet, it's just bone that's in the process of being |
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03:15 | . And it still kind of looks the spongy bone you can kind of |
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03:18 | in the cartoon, it looks like bone a little bit but notice that |
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03:21 | doesn't have the dense bone or the bone on the outside. You can |
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03:25 | blood vessels are starting to work their through. You can still see the |
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03:29 | they're forming and doing stuff. And osteocyte are within these trabecule that are |
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03:34 | in the woven bone. But because the way that this thing is |
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03:37 | it's pushing further and further into that , compressing it downward. And what |
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03:42 | end up forming on the outside of bone is our periosteum. So the |
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03:49 | and the, and the meeny basically down into that structure. And so |
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03:53 | we do is we end up trapping cells on the outside. So you |
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03:58 | see them here. They're starting to trapped between the, the, the |
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04:03 | and the bone itself. And then cells will then start laying down compact |
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04:09 | and the inside where the spongy bone . That's where you're gonna start feeling |
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04:13 | stresses. The osteocyte help to remodel tell, tell the osteoclast where to |
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04:18 | and where the osteoblast need to go strengthen the bone. But ultimately, |
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04:22 | you end up then is now you the spongy bone on the inside and |
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04:25 | have the compact bone on the outside of that pressure outward or that growth |
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04:31 | . Does that kinda make sense? of? Right. So this is |
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04:35 | I say conceptually, it's a little more difficult to kind of visualize because |
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04:38 | starting from nothing, right? And you're doing is you're growing outward and |
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04:43 | things to develop the things that we've learned about. I think endochondral is |
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04:49 | . OK? Because what we're gonna is we're gonna magically have cartilage, |
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04:53 | da cartilage. All right. cartilage does the same sort of |
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04:57 | That's how it develops much like what just saw here. The cartilage doesn't |
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05:00 | magically appear, it develops in much same way that we saw previously. |
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05:04 | what you end up with is very on in development, you end up |
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05:07 | a cartilage skeleton. So here you very early on. This is a |
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05:12 | fetus, you can see where the actually exists, right? So you |
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05:16 | a skeleton made of cartilage and this will exist for a long period of |
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05:20 | . But through the process of the cartilage gets replaced by bone endochondral |
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05:27 | cartilage being replaced by bone itself. think I made the joke about my |
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05:31 | . Um uh my, my, wife and I, we're, we're |
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05:35 | believers of, of letting kids just of run around and, and learn |
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05:40 | rough the world is. Right? I say that, I mean, |
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05:43 | like go playing traffic. I we let them climb trees. We |
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05:46 | sit, there weren't helicopter parents. not mow lawnmower parents. We let |
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05:50 | just, you go figure it And so one day my, |
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05:54 | one of my two younger sons, remember I have two sets of twins |
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05:57 | inside. He fallen out of the . Yeah, I've said this |
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06:00 | Yeah, 22 sets of twins. didn't have them. My wife |
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06:05 | I know it's, it's good. . So I just sat by and |
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06:08 | , yeah, those are cute. . I helped make them but |
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06:16 | Right. But I, but I not give birth to him. All |
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06:19 | . But anyway, so my, of my younger kids comes in, |
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06:21 | all playing out in the yard with 30 other kids because that's how our |
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06:24 | is and he comes in and he I fell out of the tree, |
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06:27 | wrist hurts and we're kind of ok, well, let's see. |
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06:31 | wife's physical therapist. So, you , we did this, did |
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06:33 | Yeah, it kind of hurts a bit. Ok. That's fine. |
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06:36 | days later, my wrist still It actually was compression of the |
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06:39 | you know, so we're, we're about that. But part of the |
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06:42 | that it didn't break was because, know, at that age, which |
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06:45 | like four or something, he was a lot of cartilage bone. Plus |
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06:49 | kids can fall down stairs and not things because they're mostly cartilage. They |
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06:54 | , they don't break. All that's good news. All right. |
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06:59 | you get your age, you're mostly . So you, you, you |
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07:03 | bounce, you break, OK? you get my age, you're brittle |
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07:07 | and then so everything breaks. All . Anyway, so what we're looking |
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07:10 | here is you can see we're gonna very early and we're moving into like |
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07:15 | newborn and the toddlers on the next . All right. So you can |
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07:19 | very early on what we're doing is starting with a cartilage framework from which |
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07:23 | bone is going to be building And what happens is, is as |
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07:27 | cartilage grows, it becomes ossified, basically breaks down and stops being cartilage |
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07:35 | becomes this hard mineralized matrix. And that allows the bone to come in |
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07:40 | grow over it and replace that cartilage has kind of ossified. And so |
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07:45 | we see very early on in the is we see what is called the |
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07:49 | osteal collar. So on the outside where you're going to start seeing this |
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07:54 | starting to form and then blood vessels work their way in and then eventually |
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07:59 | blood vessels are going to bring in into the epithets and start forming bone |
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08:05 | or ost application centers there. what we have is we have a |
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08:08 | ost application center first forming in the where you're going to start making that |
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08:14 | bone. Um And you're gonna start on the outside, that dense |
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08:18 | that compact bone and then in the , you're going to see the spongy |
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08:22 | forming again and it's just using the that's already been formed there to to |
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08:27 | replacing it with the bone. So the time you're born, right, |
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08:33 | , you can see I have a of cartilage but bone has already started |
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08:37 | things. And you can even see the skeleton here, the the browner |
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08:42 | is showing you the cartilage relative to the bone is. All right. |
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08:47 | so this is about the age where kid fell out of the tree and |
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08:49 | only fell like 7 ft 6 It was not that far. I |
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08:54 | I watched a three year old bounce 20 flights. I mean, just |
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08:58 | , boom, boom, boom, , looked up at his mom looked |
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09:00 | , her mom wasn't there but dad and the dad looked at and |
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09:04 | who's tough as nails kaylee is? then she got up and ran |
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09:11 | I'm telling you kids are ridiculously All right. Now, you can |
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09:17 | here by the time that you're a , you're still developing bone. But |
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09:21 | can notice we have a little bit cartilage left on the outside, on |
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09:25 | two ends on the two epiphanies, have what is called articular cartilage. |
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09:30 | gonna hear that word over and over over again. Articular means um basically |
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09:35 | two bones rubbed together. So it forms a joint. All right, |
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09:39 | used to the word joint. We're use the word articular. I'll probably |
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09:42 | joint a lot too. But right you can still see where we |
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09:46 | All right in the it's bone So compact bone with the spongy bone |
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09:50 | the inside. Here, we got bone with the spongy bone. And |
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09:53 | we see that medullary cavity that was , that's gonna be filled with the |
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09:57 | marrow. But then in between we still see cartilage, that's the |
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10:02 | plate. The presence of the epithets is what allows the bone to grow |
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10:09 | the, in the lengthwise or allowed grow lengthwise. All right. So |
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10:14 | is what you'll see primarily in the bones. And so this epithelial plate |
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10:17 | we're gonna look at here is going exist for quite some time and it's |
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10:21 | to be laying down new cartilage, is going to be replaced by bone |
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10:25 | the way. And then by the you get towards the end of |
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10:29 | the cartilage is replaced solely by That's why we end up with that |
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10:33 | plate that, that, that marker , of solid bone between the and |
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10:38 | diaphysis when that happens, that's when start growing. All right. So |
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10:45 | can happen at a variety of Um You know, some people stop |
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10:49 | , some people stop late years I worked for a basketball program um |
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10:54 | a tutor, uh like when I right out of college. Um and |
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10:58 | remember being in an elevator with four the basketball players in the library and |
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11:03 | was like 6 11, 1 was 71. And then there was like |
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11:07 | of them who were like 68 or or something like that. And I |
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11:11 | like a dwarf, you know, in the elevator to begin with and |
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11:15 | you have these and they were all . They had not stopped growing, |
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11:19 | is the scary part, right? they each had about an inch or |
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11:22 | to grow still, which is But some of you stop growing around |
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11:27 | age of 12. Like my daughter , I'm not getting any taller. |
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11:30 | like, I'm sorry, that's what . All right, everyone is bigger |
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11:35 | me. Yeah. Sorry. Part my genes. All right. All |
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11:43 | . So what I wanna do is just want to focus very, very |
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11:45 | on this growth. So when you of a bone bone grows in two |
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11:49 | directions? All right, we're just use a long bone for an |
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11:51 | So if I have a long a long, a long bow can |
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11:55 | vertically, right? So you can taller. But it also as you |
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11:59 | taller, the bone doesn't stay the diameter. It has to grow at |
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12:03 | . All right. And that's a , right? So the harder part |
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12:08 | this interstitial bone growth, right? allows you to grow longitudinally. All |
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12:14 | . And why I say it's it's not that it's hard. It's |
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12:17 | that again, you have to think I got two tissues that are, |
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12:20 | are in the mid or well, have two bones, right? The |
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12:25 | region and the diy or the diaphysis . And then in between, I |
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12:29 | this, this, this plate that's and the cartilage is very much alive |
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12:33 | it's laying down new cartilage. And the way you can think about it |
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12:37 | like here is this plate of, cartilage on the side that faces the |
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12:43 | I have cartilage that is rapidly And so what it's doing is it's |
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12:49 | growing upward towards the. So that it's pushing down away from the |
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12:55 | forcing the epithets further and further All right. Does that make |
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12:59 | And it's doing it on both So you can imagine on the top |
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13:02 | and on the bottom side. So pushing the two ends away from the |
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13:06 | . But as I grow away, happening is, is I'm leaving behind |
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13:11 | that dies off, right. It ossified and then that ossified tissue which |
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13:17 | no longer being nourished or is particularly on the diathesis side. I have |
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13:26 | bone tissue, that bone tissue is there going, oh I'm just going |
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13:30 | replace this ossified cartilage and I'm gonna new bone there. And so it's |
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13:34 | towards the cartilage. So one is the other. So you have cartilage |
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13:39 | this way this way. And so is why you're growing longitudinally OK? |
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13:45 | I'm gonna show you a picture, don't need to know all the five |
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13:48 | , right? But this just kind shows you. So up here, |
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13:51 | is where you have the cartilage. then over here, these are all |
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13:55 | dividing things. So what they're doing they're laying cartilage down and they're pushing |
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13:59 | towards this direction. Down here is the dead stuff. And down |
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14:05 | these are the live bone cells that chasing after the live cartilage cells right |
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14:12 | . Why this race ultimately ends is the cartilage doesn't divide as fast as |
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14:19 | bone does. And so the bone catches up with the dividing cartilage replaces |
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14:25 | and eventually no more cartilage. So more growth you stop growing. That |
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14:31 | sense. Yeah. Mhm I'm showing a picture so that it's not just |
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14:39 | saying words. Does that make In other words, what I want |
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14:43 | to understand is this, this is showing you visually what's going on. |
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14:49 | question is what do I need to on this slide? So I used |
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14:52 | make you memorize all this stuff. honestly, do you really need to |
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14:56 | it? What do you think? , no, that's the answer. |
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14:59 | . But you should know cartilage is , right? Bone is chasing and |
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15:06 | bone catches up no more growth. simple. Yeah. OK. |
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15:14 | if we didn't grow outward, then we end up with these. So |
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15:18 | about, think about a little boy a little girl, you know, |
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15:20 | two year old, cute little Think how big their bone is about |
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15:24 | big as your thumb, right? imagine if all you did was grow |
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15:30 | . You have the little tiny thin and just break you like that. |
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15:34 | . So you have to actually grow as well. So the same thing |
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15:37 | kind of go oh Not the same . You don't have the cartilage |
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15:40 | But what you have is you have race. All right. So |
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15:44 | you're growing outward. Remember we have periosteum underneath the periosteum. We have |
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15:49 | osteogenic cells and the osteoblast, what doing is they're laying down dense bone |
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15:53 | dense bone. And so you're growing in that diameter. Problem is, |
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15:59 | that bone is heavy and your bone doesn't want things that it doesn't |
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16:04 | You don't need that much dense And so in the process, what |
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16:08 | is going to be doing at the side, uh at the same time |
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16:12 | in the medullary cavity, it's breaking the network and making it bigger and |
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16:18 | and bigger on the inside, So there's less, less stuff for |
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16:21 | to carry around. So the outside growing outward, making the bone larger |
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16:28 | circum in circumference, but the inside also breaking down. So the inside |
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16:33 | growing fatter or more empty, but rate of growth outward is faster than |
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16:40 | rate of breaking things down inwards. what you end up with is a |
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16:44 | bone or a thicker bone. All . So you don't have the same |
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16:50 | , it's actually slightly different. So still have a strong enough bone to |
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16:54 | you. But it's the word I'm for here is escaping me. But |
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17:01 | what I'm trying to say, it's enough to support what you need to |
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17:05 | . Does that kind of make I mean, in terms of the |
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17:07 | here that's going on, on the , I'm, I'm growing outward on |
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17:11 | inside and trying to catch up, the rate is different So this is |
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17:15 | getting thicker along the way. So bone becomes thicker to support all that |
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17:20 | that you're carrying. You're looking at like, I don't know. |
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17:29 | Do I need to get someone up to race me? You all |
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17:32 | Come up here and reach me. , you volunteered. This is, |
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17:36 | is Seaworld. I'm Shamoo. Come on. Come on, we're |
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17:42 | gonna race real quick. Come press me. She thinks she's actually |
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17:49 | . No, we're not running. want you to. This is a |
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17:53 | of bone growth. OK? She's bone growth on the outside. So |
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17:58 | right here. OK? And we're walk that direction. OK? Just |
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18:04 | normally. And when I say stop, OK. I'm the, |
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18:08 | , no, no, no. didn't say yet. This is the |
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18:11 | part, right? All right. I'm the inside of the bone. |
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18:14 | this is medullary cavity over here. ? And we're both going that |
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18:19 | I'm breaking down bone. She's building . OK? And look at the |
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18:23 | between us. Do you see the between us? OK. Go ahead |
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18:27 | go stop. OK. So as broke down bone, remember, I've |
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18:34 | right? But look at the space us now, the bone is thicker |
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18:38 | because the rate on the outside is than the rate on the inside of |
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18:42 | down. That makes sense. See, thank you. See, |
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18:45 | told you that was easy. Questions about this growth stuff. Pretty |
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18:57 | . If you see a question on exam, it's probably gonna be about |
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19:00 | or the other and just remember the . That's really the key things |
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19:05 | Really. What we want to get is this stuff, right? |
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19:08 | this is why you took this You are, show me anatomy. |
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19:12 | telling me about tissues. Show me right, hardest part about anatomy class |
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19:18 | an anatomy lecture is that we don't to do the hands-on stuff. The |
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19:21 | thing we have are the, the homework assignments that you guys have where |
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19:25 | can manipulate uh like digital images of stuff. If you're in the |
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19:29 | you get to hold the bone in hand, you might even be able |
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19:31 | look at it, but don't show that you're looking at. But I |
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19:34 | , you can, you can actually this stuff and notice where we're starting |
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19:38 | . Again, we're back to that that we used appendicular and axial. |
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19:43 | we have an axial skeleton, we an appendicular skeleton. So again, |
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19:47 | easy thing to remember the axis is things where my body is, |
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19:51 | is, you know, are the that keep me alive. My |
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19:55 | I can chop them off. All . So the axial skeleton long axis |
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20:00 | the body, it's gonna include the , the vertebrae as well as the |
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20:04 | cage. All right. And then appendicular skeleton that you know that's easy |
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20:10 | and arms, but it's also what call the girdles. So it's your |
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20:15 | and your hips as well. So here the color coating here blue for |
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20:21 | regular for AEN diar, the hips not part of the uh axis, |
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20:27 | ? They're part of the um they're of the, the lower limbs. |
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20:33 | would also point out the bones that see here in the axis. What |
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20:37 | their jobs to protect you to support to carry body parts? Whereas when |
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20:41 | look at the appendicular skeleton, we're dealing with locomotion movement, right? |
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20:48 | when you're looking at these bones, kind of put their, their function |
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20:52 | with them, what is this thing doing? Why does it shape the |
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20:55 | it's shaped? It's doing one of things. And hopefully, as we |
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20:59 | through them, this, this lecture go very, very quickly or very |
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21:03 | depending. All right. Well, can go down tangents, you know |
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21:08 | . All right. So what we're do and I will say on the |
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21:12 | . All right, I'm not gonna you a blank looking skeleton. I |
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21:15 | give you these color coded skeletons. . So that's the good news in |
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21:19 | real world. They don't look like loops, right? When you're in |
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21:24 | lab, it is literally this beige thing and sometimes things are really, |
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21:29 | hard to find. So if you're the lab, remember if you are |
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21:33 | back in the lab after hours, and get your hands on this stuff |
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21:37 | play with the things. Right. the, the way that a lab |
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21:41 | usually, and again, I don't how Doctor Gill does it over |
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21:44 | But when I was doing it, you had 50 stations and it was |
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21:47 | , here's a thing with a pin said, name it, describe what |
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21:50 | does or something like that. So basically went from station to station to |
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21:54 | . I do not know how Doctor does it here. We don't get |
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21:59 | opportunity. So you'll get the easy . All right, if there, |
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22:03 | you get a picture on the All right. So the skull is |
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22:09 | most complex bone in or series of in the body. It's complex in |
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22:15 | of structure when I teach Comparative All right, comparative anatomy is looking |
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22:20 | different organisms. We spend an independent on the skull because of the way |
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22:24 | it develops, right? It's developmentally than the rest of the skeleton. |
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22:30 | so it's a very, very complex . And so these bones 22 of |
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22:35 | are complex because of their origins and what they're trying to accomplish. All |
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22:41 | , good news. We don't have go into all that crazy stuff. |
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22:43 | just keep it nice and simple. we have what are called the cranial |
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22:46 | . There are eight of them and have facial bones Where's your face? |
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22:49 | to your face. OK. Point your cranium. Good. All |
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22:53 | So, you know, those are two parts of the skull now. |
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22:57 | right. These, most of these that we're gonna be looking at are |
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23:00 | bones, but when we start looking some of them, you're gonna be |
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23:02 | , that doesn't look like a flat yet. It falls into the irregular |
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23:06 | . These are bones are gonna be by a special type of joint called |
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23:09 | suture, sutures. You can think like stitches, but that's where they |
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23:14 | of get their name from is that looks like the two bones have been |
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23:16 | together and are being held in place a jigsaw puzzle. All right. |
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23:21 | only exception to this rule is the . The mandible is your lower jaw |
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23:26 | freely movable. In fact, if played enough games or seen enough |
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23:30 | you've seen a, a human it's like the jaw is usually not |
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23:34 | just the parts above. OK. with that in mind, let's start |
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23:40 | through them. All right. And may have to flip back to this |
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23:43 | this gives you the side view of front view and the, the inferior |
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23:48 | . Whereas here and forward, we're slicing things so that you're looking |
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23:54 | All right. So the first thing the cranium and one of the things |
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23:59 | gonna learn is that we're probably I think there's 212 bones. It |
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24:02 | be 216. I can't remember And you're gonna learn them all. |
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24:06 | when you hear that number very what happens is you hear the number |
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24:10 | you go, oh, my That's so many, but many of |
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24:12 | are repeated. Right? I think about your ribs. I |
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24:15 | you have ribs on this side, have ribs on that side, |
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24:18 | And then there's actually a specific number ribs. And so you can just |
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24:21 | , OK, well, all I do is just count all of those |
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24:24 | that just wipes out 20 of It's actually 22 or sorry, |
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24:29 | Um And this is kind of the thing. It kind of demonstrates how |
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24:32 | just kind of run through these very quickly. So we have some |
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24:38 | that are not paired and some bones are paired, paired means that think |
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24:42 | the mirror image, you have one one side, one on the |
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24:44 | All right, if they're not that usually means that they're immediately loc |
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24:49 | loc located, I want to say but located. All right. So |
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24:53 | we're gonna do is we're gonna start the simple ones. We got the |
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24:57 | bone, the frontal bone sits in front of the skull, that's not |
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25:01 | , right? Then we have the in the back, we have the |
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25:06 | bone. So here is the frontal there is the occipital bone here. |
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25:09 | can see the frontal bone. There's occipital bone. Ok. So you |
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25:12 | kind of think about this. I'm the front. This is my |
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25:15 | And then we have two that sit the inside that are really weird. |
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25:18 | is the spino right here. What it look like to you? A |
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25:22 | ? Did I hear a bat They're a bird? I think? |
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25:25 | mean, I guess personality will tell what you see up there. Do |
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25:29 | see a bat? Do you see bird? Some people see butterfly either |
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25:33 | right? But it's that bone right that looks like the batt bone or |
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25:37 | bird bone? OK. And then one that's not so easy to |
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25:41 | you have to kind of pay close is here, there's the ETNO and |
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25:46 | can kind of see the ETNO makes part of the cranium, but it |
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25:50 | goes downward and goes into the nasal . So it's basically the bone that |
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25:55 | this way and it's this portion that looking at all right, in terms |
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25:59 | the cranium. So notice all those immediately located front, back, |
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26:06 | frontal occipital sphenoid. And then how do you put them in order |
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26:15 | up to you. Then we have paired bones, the two paired bones |
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26:20 | make up the cranium are gonna be temporal bone. What's this called? |
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26:25 | your temple. OK. The reason called a temple is because your hair |
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26:31 | graying there first when you get gray so temple comes from temp or temporal |
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26:37 | to time. And so that grain the hair is why they refer to |
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26:41 | region as the temporal region. So bones underneath temporal and then up above |
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26:47 | parietal bones. So once again, can just kind of walk through |
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26:51 | We got frontal occipital temporal parietal right is where you wear your hat. |
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26:57 | there's two of them. OK. those are the cranium. So you |
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27:02 | think of the cranium being divided into parts. You have the uh the |
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27:07 | or the vault and then you have floor or the base. All |
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27:11 | So here we can see the vault . You can see the base. |
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27:15 | makes up the base. Well, can see we got the frontal |
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27:19 | the ethmoid, the feno, the temporal and the occipitals or occipital occipital |
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27:26 | . All right. What about that be the floor. What about the |
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27:29 | ? Well, the vault is made of a portion of the occipital, |
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27:33 | really it's the parietal bones and the bones. That makes sense. Here |
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27:40 | have in the occipital bone, a giant hole. So do we call |
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27:46 | the big hole? You see the hole Freeman is hole, magnus |
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27:56 | All of a sudden anatomy is not hard kind of makes you wish you |
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28:02 | Latin instead of French the floor, purpose of the floor is to hold |
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28:12 | brain, cradle your brain. And what we have is we have a |
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28:16 | of fossa phos are depressions. And we can see the formation of these |
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28:21 | . We have one in the one in the middle, one in |
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28:24 | back. So we have anterior, , posterior. So here's anterior, |
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28:28 | middle, there's posterior FASA. And we can look and say, |
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28:32 | well, what your bones are formed ? So again, I've put this |
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28:35 | here. So you can kind of , we have the frontal bone, |
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28:37 | have the ethmoid bone. We have portion of the sphenoid. For the |
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28:40 | bone, we have uh portions of spino, we have portions of the |
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28:44 | bone. And then finally back we have the occipital bone. And |
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28:48 | you want to include portions of the bone, you can just including |
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28:54 | So fossas are there to help cradle hold the cranium in place. So |
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28:59 | you shake your head around cranium doesn't or sorry, your brain doesn't |
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29:04 | OK. So how many bones have learned? Eight, I mentioned these |
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29:17 | are being held together by a special of joint called a suture. |
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29:22 | we're only going to look at four them. There are many other sutures |
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29:26 | we're not going to go through Oftentimes you'll see sutures are named for |
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29:30 | two bones that are on either side them in this particular case. Uh |
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29:34 | not, that's not what's going on . And we're looking at the sutures |
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29:37 | make up the vault. And so just really overt. So that's why |
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29:41 | want to kind of look at them see them. So here you can |
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29:44 | there's a frontal bone right here, a prial bone between them and coming |
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29:49 | the top. That is the coronal . Think about the coronal uh |
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29:55 | right? So the kernel plane is a crown, it separates the front |
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29:59 | the back. So there's a kernel . All right. Uh Next |
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30:05 | So that right there is the lambdoid . It's not quite a lambda, |
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30:12 | ? For those of you who understand Greek, right? Lower case |
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30:17 | upper case lambda, right? You learn that. OK. So it's |
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30:25 | of it's just bad or? All . Do you see the little tiny |
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30:29 | things? What kind of bones are ? Seid? I thought, I |
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30:39 | I saw you whisper it out. sesamoids, all right. They don't |
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30:43 | names, they're just sesamoid. Uh separating out the left and the |
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30:49 | . So between the two parietal that would be the sagittal suture. |
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30:53 | right. So it separates and then , we have the squamous squamous means |
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30:59 | like so I don't know why they this one this way. But here |
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31:03 | can see the temporal bone there is , the prial and So the squamous |
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31:08 | runs along that OK, when we to the face, face seems scary |
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31:20 | like, look so many bones. right, we have two bones that |
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31:25 | , are, are single, the of them are paired. So if |
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31:28 | 22 bones, right, eight of were in the, in the cranial |
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31:32 | in the cranium, that means 14 in the face, two of them |
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31:36 | single. That means there's 12 that not, that means there's only six |
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31:41 | , right? So 12 divided by . All right. So they aren't |
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31:46 | hard. We'll do the two single . First, we have the |
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31:50 | We said that's your lower jaw. then we have this bone that sits |
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31:55 | the, um, uh ethmoid. called the Bomer. So it's basically |
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32:00 | helps form the septum of the nasal . All right. So, the |
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32:04 | and the Volmer together are creating that that divide up your nasal cavity. |
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32:13 | , moving down what we're gonna have we have the bones that make up |
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32:18 | , uh the upper part of your , right. So up here, |
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32:22 | how that's hard. But down here can do the Samantha thing. |
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32:27 | that's right. You aren't old enough know what be witch is. It |
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32:30 | a TV show and she, she a witch and she did magic and |
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32:34 | did magic by wiggling her nose. , there was a movie that Will |
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32:39 | and I can't remember what her But anyway, so up here, |
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32:43 | the nasal bone. Ok? We're the inside next to the bone. |
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32:49 | would be the lacrimal bones. When think of lacrimal, you probably think |
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32:53 | tears. Ok. So that's where tiers form, their ducts worked, |
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32:58 | , worked in there. And we'll with that later. The tiers actually |
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33:01 | , the tier glands are actually in different location. But when we tear |
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33:04 | , that's where they kind of form there. So that would be |
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33:09 | Um your cheekbones. All right. Zygomatic bones. All right. So |
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33:17 | sits up hot, hot. Uh , Entine, the easiest way to |
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33:24 | this is on the next slide is . OK. They're not flat |
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33:29 | even though this looks like it's they actually extend upward up as far |
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33:33 | the eye cavity is concerned. All . So up to the orbitals. |
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33:38 | Palantine, it's way back the way can remember this is up here at |
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33:42 | front. That's my palate, that's hard palate back in the back. |
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33:46 | my soft pallet. So it makes a portion of that hard palate. |
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33:51 | ? It separates the oral cavity from nasal cavity along with the maxilla. |
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33:58 | right. Now, the maxilla is weird bone because if you look at |
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34:01 | from this side, it looks like one bone, but it's actually the |
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34:04 | of two bones. So very early in development, you have two bones |
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34:07 | come together and they form that harder and you can see the uh the |
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34:14 | that separates those two bones. All , you guys heard of a cleft |
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34:20 | ? All right. Joaquin Phoenix, actor, actually a really good actor |
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34:24 | a cleft palate and you can see scar from, from where that |
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34:29 | It was a developmental thing where that didn't close up. And so he |
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34:34 | left with a scar that they did on when he was a very, |
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34:37 | young baby and closed that maxilla All right. So you can see |
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34:43 | bones there. That's the maxilla and the hardest one of all because no |
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34:48 | does. This justice are the inferior cona. All right. So you |
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34:56 | your bomer, right? You have ethmoid on top and then on the |
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35:00 | edges of the nasal cavity, this that bone that inferior nasal con and |
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35:05 | they do is they hang downward. so when you breathe in air, |
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35:10 | hits that bone and it starts it becomes turbulent. And so it's |
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35:17 | to make the air become turbulent. you can see in the little |
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35:21 | the little green bone on the inside the nasal cavity, that's the inferior |
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35:26 | con and it's a separate bone. So you don't see it in this |
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35:31 | because it's, it's been cut away the picture and it's on the other |
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35:35 | of that VM. And you can't see it there as well. And |
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35:40 | one not as well. So it's of those things that's just not, |
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35:43 | no good pictures. You actually have look into the nasal cavity to really |
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35:47 | it. Now, what do all things do? Well, in a |
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35:51 | general sense there, this is kind the list. So we're gonna form |
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35:55 | cavities for your special senses. We'll a lot of time talking about the |
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35:59 | senses later. So special senses include . So seeing smell, nasal cavity |
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36:05 | , that would be oral cavity. mentioned t terminating air, that would |
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36:09 | the inferior nasal cona. Basically, also serves as an opening for the |
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36:13 | of air and for food. Uh can breathe both by our mouth and |
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36:17 | our nasal cavity. Um but um the mouth is designed for consumption, |
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36:24 | the nasal ca ca cavity is designed breathing plays a role in securing the |
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36:31 | . So that would be the maxilla the mandible and also anchors all your |
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36:35 | muscles. So lots and lots of roles. So what's interesting about the |
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36:43 | is there's a bunch of different Remember a cavity is a hollow |
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36:47 | And so we have a couple of , we have the cranial cavity, |
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36:51 | we've already kind of defined, So think of the bones that make |
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36:55 | the floor and of the vault, then we also have the orbital and |
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36:59 | nasal cavity. All right, we're , we're just gonna ignore um, |
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37:03 | oral cavity for right now. And I want to point out here is |
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37:07 | the oral cavity is a structure that the eyeball in place and it's not |
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37:12 | bone, there's actually a whole bunch other stuff in there. So the |
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37:15 | sits, it's surrounded by connective It has fat tissue that surrounds it |
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37:20 | pads it and holds it in There's nerves that travel in there. |
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37:23 | so there's going to be holes, blood vessels. So there are these |
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37:28 | in the bone that allow these structures pass through. Now, there's also |
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37:35 | . So we have the lacrimal glands are located on the superior orbital as |
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37:39 | . But what I want to just out here is just what's that |
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37:43 | So we have the frontal bone. have the Zygomatic bone. You can |
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37:46 | back here, the feno you can the lacrimal. Um you can see |
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37:50 | of the maxilla and then what you see is the entine that sits back |
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37:56 | there. All right. And I looked at this slide as I look |
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37:59 | this point, I'm like this picture shows a palantine. Is it really |
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38:03 | there or is this some dumb So I pulled out one of like |
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38:06 | biggest uh atlases I had and I'm flipping through it. So I look |
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38:11 | the, the portion of the palatine that makes up the back of the |
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38:14 | is about this big. So you're gonna see it in any of these |
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38:18 | , but it's there. Well, guess I am talking about the oral |
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38:23 | just briefly. All right. So regard to the nasal cavity, so |
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38:27 | is the passage for air. We sensory neurons that play a role in |
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38:31 | . So that's why things are pleasant us. Um This is what we |
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38:36 | consider the first part of the respiratory . So when you breathe in air |
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38:41 | in and goes right on down. we've mentioned the septum already. That's |
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38:45 | voor and the Etno, right? just think Etno first vor underneath and |
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38:51 | we have these different structures. So have the sphenoid that made up the |
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38:54 | . So you can see the purple . That would be the spino |
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38:58 | uh the Ethmoid, there's that red is the yellow Palantine. There's your |
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39:04 | , that's Palantine, there's your All right. And then we sit |
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39:08 | the outside walls. The only place can see them is right there. |
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39:12 | would be the inferior nasal concha. what you've done now is you've created |
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39:16 | different uh it's really one place that's in half. So it basically opens |
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39:21 | in the back. So that this where you're doing the breathing. |
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39:26 | the easy one, the oral the mandible. So there's Mandel, |
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39:29 | maxilla. So you can see, that as well. I don't know |
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39:36 | I didn't put it on the So, Maxilla and there it, |
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39:39 | sorry. Maxilla. Mandible. This where food primarily goes some air. |
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39:46 | is where you can see the location your cellar. Very glanced. All |
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39:52 | . You struggle with sinus infections. . You, yeah, you ever |
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39:58 | what a sinus was. It's like do we have sinuses? Why do |
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40:02 | have to have infections? Why does time of year suck the most? |
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40:06 | ? Or even worse? Spring So now it's gonna be flu and |
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40:11 | and then in the spring time it's and oak and then I get by |
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40:16 | thy is all clogged up. Why they exist? All right, bone |
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40:21 | heavy, bone is thick. Your doesn't want to do as much work |
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40:24 | it does. It doesn't need to all the bone being as thick as |
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40:27 | is. And so what happened has is is that bone itself out in |
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40:33 | locations? And these are just trying show you where those locations are within |
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40:37 | bone. So the sinus is an . It's not a, it's not |
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40:44 | um like the medullary cavity where you blood blood um cells and stuff like |
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40:49 | . It is literally a hollow space basically opens up and empties out so |
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40:54 | the bone is not as thick and heavy as it is. It's lined |
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40:58 | epithelial tissue mucus glands. And so producing mucus, it allows you when |
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41:05 | breathe in the air goes in to space. And because it's there, |
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41:09 | , it's uh vascularized, that means you can bring heat up to the |
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41:15 | . And so that surface warms the air warms up. There's humidity |
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41:22 | the fluids, the mucus that your is producing. So it allows the |
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41:26 | to become more humid before you breathe downward. So it has an important |
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41:30 | role in making the air warm and before it enters. In. Um |
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41:37 | here ever lived in the far, northern reaches of, of the country |
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41:42 | it like gets really cold you like when you breathe in minus 20 |
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41:46 | isn't it wonderful? Just, you , you, you just, it |
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41:50 | , right? So this is, , you can feel just how bad |
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41:55 | is. I mean, your body rejects that. So part of the |
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41:58 | of the sin is, is so you don't have to deal with |
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42:01 | The other part is that, as mentioned, lightning in the skull, |
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42:05 | the other part is that it gives voices resonance. Have you noticed that |
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42:10 | don't all sound alike? Yeah. of that is because of our, |
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42:14 | vocal chords, right? And how , we um you know, just |
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42:18 | shape of our skulls in general, that those sound waves bounce through the |
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42:24 | differently because of the shape of these so it creates a uniqueness to the |
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42:30 | that we make. All right. it serves as a way to make |
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42:35 | communication different or identifiable. So, they are. Um, so where |
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42:43 | they? They're found in the frontal , they're found in the ethmoids feno |
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42:46 | the max, uh maxilla. those are the four sinuses and you |
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42:51 | kind of see which ones are the that irritates you the more. |
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42:54 | if you have a sinus headache, be frontal. You know, when |
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42:57 | feeling all up, right, that be the maxilla just as an |
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43:04 | So that's 22 mounds. Just keep checklist going. All right. Moving |
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43:11 | , our next bo bone is down in the throat. It's called the |
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43:15 | . All right, you can see not a particularly interesting looking bone and |
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43:19 | what it does, it sits on of the larynx, which is all |
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43:22 | . All right. And it you can see some features, these |
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43:26 | called horns, the horns are what it to attach to um other bones |
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43:31 | ligaments. So, um you don't to memorize this ligament, but you |
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43:35 | see how it's named styloid hyoid. you can see it's attached to the |
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43:39 | and it's attached to this thing called styloid process. So very often what |
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43:43 | see in anatomy is just when you long names, they're basically just saying |
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43:47 | between these two points. All Now, what this does, it |
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43:52 | for you to attach ligaments and um, uh, and around the |
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43:57 | and the larynx plays an important role swallowing, right. So, if |
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44:01 | try to put it over top, can see, I can't make good |
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44:04 | . But the other thing, it's hard to swallow. Right? Because |
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44:12 | you're doing is you're pulling on that , muscles attached to bones are causing |
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44:19 | . All right. So it allows to swallow right. And speech as |
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44:27 | obvious there 23 months moving down the . All right, we have five |
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44:37 | . All right. We have the region, which is your neck thoracic |
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44:43 | , which is your chest region, lower back. And then we move |
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44:47 | . We're gonna get down to the . That's kind of where you're |
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44:50 | So, right around here and then the very, very itsy bitsy teeny |
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44:54 | , that's a coccidial region. And can see that there are several vertebrate |
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44:58 | each of these different regions. Right the top. We have seven |
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45:03 | some of you have eight. That make you weird. About 30% of |
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45:06 | population has eight, but we don't about. All right, we have |
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45:13 | thoracic vertebrae. We have five lumbar sacrum which have fused together to form |
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45:19 | larger structure called the chrome. And ultimately down at the very itsy bitsy |
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45:24 | tiny, our little tails, we four coal bones that have fused together |
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45:29 | will fuse together by around the time turn 25 to 33? Ok. |
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45:34 | how do I remember these numbers? right. So I'm just gonna give |
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45:40 | a little hint of the thing that learned. Right. So what time |
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45:43 | normal humans have breakfast? Not college ? 7 a.m. And then normal humans |
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45:50 | ? Yes, I know. It's . Normal humans, not, |
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45:53 | not, not students. We don't up unless we have to. |
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45:58 | and then, then we usually you know, students fight about |
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46:00 | eating breakfast in the first place. I really have to have food? |
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46:04 | is good enough. Red Bull you know, so seven is |
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46:10 | What time is lunch? Normally? and what time should you have |
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46:17 | Five, follow my directions and you know, one plate is not |
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46:28 | . So I have to have a course at five and then I'm hungry |
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46:35 | because I'm me and so at 4 I get up and have a |
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46:42 | Yeah. All right. I don't the 4 a.m. thing. Just |
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46:45 | but it's up there. 7, 55 should be an easy way to |
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46:49 | that. And then that fourth one just, you just have to figure |
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46:53 | something. I don't know. Maybe wash dishes till four II, |
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47:00 | don't know. All right, but idea here is all right. So |
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47:04 | gonna have seven Cervical 12 Thoracic five five sacrum and then the cocci are |
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47:09 | little weird things. Anyone here ever your cocci bone? No. How |
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47:14 | bruised it. Yeah. Ok. see. Two, wouldn't it? |
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47:20 | . Could you sit around? you had to sit on your side |
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47:23 | on your belly because it sucks so . Yeah. Yeah. There's nothing |
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47:28 | than falling and breaking that toxic. worse, worse. And the reason |
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47:33 | is is because there's ligaments and muscles to that. So the pressure that |
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47:37 | put on that bone, it, doesn't have an opportunity to heal itself |
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47:41 | you just don't put any pressure on . But everything down here is required |
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47:45 | sort, to attach to it one or the other. All right. |
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47:48 | you'll notice also that there's curvature, ? You can see here what type |
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47:53 | curvature we have concave. So this be your belly over here, |
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47:56 | So concave, then it's convex and it's concave again and then down here |
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48:01 | get to convex and then we don't any sort of curvature for the |
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48:06 | All right. And so what you imagine is what we're doing is we're |
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48:09 | like this, right? And that kind of a springlike structure to |
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48:15 | So what's happening is that the weight going straight down through the vertebrae |
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48:21 | they're being distributed along different axis along way. So the force is being |
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48:27 | along the length. All right. I don't have to bear the weight |
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48:33 | the way through my heels because the is being dispersed outwardly away from |
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48:39 | The other thing it does, it me to move with, with greater |
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48:43 | . In other words, with greater . Now, it's not so easy |
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48:46 | see in humans, but part of reason when we run and stuff like |
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48:49 | , we're actually stretching and compressing our . But if you ever grew up |
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48:54 | any nature movies and like, watch cheetah run, I mean, a |
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48:57 | is like an accordion. They're like and then they're like this and it's |
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49:01 | easy to see the movement in like big cat when it's chasing something of |
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49:07 | this works as a spring. All . So it allows you to disperse |
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49:14 | instead of straight through the body, would not be fun to bear through |
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49:18 | uh through your legs ultimately and down your heels. Now, all vertebrae |
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49:25 | a general structure. You'll notice those different or those, the really the |
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49:30 | different regions and the coccis, you're look at these bones and you're going |
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49:33 | see that they have different shapes, they still have these five, |
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49:36 | these uh kinds of features that we're at here. All right. So |
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49:40 | off, I want to point out the vertebrae has a body. All |
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49:44 | . So the body is what stacks vertebrae on top of vertebrae. All |
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49:49 | . So just like you're stacking you're gonna take that body and you're |
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49:52 | put the next body on top of . So when we're looking at this |
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49:57 | , what you're seeing here, those the bodies, here are the |
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50:01 | OK? Just uh posterior to the is a Framan that's being formed. |
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50:08 | is what is protecting and surrounding the cord. So it's very, most |
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50:15 | think vertebra and spinal cord are the thing. They're not. The spinal |
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50:19 | is a, is a structure of tissue protected by the vertebrate. And |
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50:24 | that frain is through which the spinal travels. And so what we have |
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50:30 | we have the arch. So we the arch in the body in between |
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50:35 | the frame and the arch is formed a structure that's called the lamina and |
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50:41 | two peta. So if you're thinking a house, and again, we |
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50:44 | have red here, but it's like . So here's my body. I |
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50:49 | a pedicle, I got a PETA then I have an arch. And |
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50:51 | what I'm doing is I'm forming that and through it. All right, |
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50:56 | the for ramen, ramen. if you looked at that these |
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51:09 | you can see that there's a whole of stuff sticking out. If you've |
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51:12 | given someone a back rub, you've that there's a whole bunch of things |
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51:16 | out on the back, you on your vertebrae. All right. |
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51:20 | these are called the processes, We have three different type of |
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51:25 | but there's more than three that you'll per vertebra. So the one that |
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51:30 | straight back and that's the one you feel if you take your hand and |
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51:33 | go, I feel that. ma'am. No, no. |
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51:47 | so the bodies themselves are the structures which uh the vertebra that's really kind |
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51:52 | the, the, the primary portion the vertebrae. So, what you'd |
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51:56 | is like here's my vertebrae, I'm put a process like that. |
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51:59 | And then what you do is the body is like that and the next |
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52:03 | is like that over and over and again. So if you counted these |
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52:07 | in say the cervical region, you see 1234, up to seven, |
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52:13 | eight, right? And then down th U to see 12 so on |
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52:17 | so forth. So this structure is primary portion of the vertebrae, all |
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52:24 | , but it's not the only So we have the, we have |
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52:31 | body, we have the arch and have these processes. So this |
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52:37 | we want to go straight back, face is poster dorsally. That's the |
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52:42 | process. All right, that's the one that you feel or if you |
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52:46 | like this, you could feel right . All right, going off to |
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52:51 | sides, you can see right there off. Those are the transverse |
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52:57 | So spinous transverse, you can see a paired process and then we have |
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53:03 | processes, articular means joint, it's to bone. All right. |
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53:10 | if we have vertebrae stacked on each , I'm gonna have an articulation this |
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53:15 | and I'm gonna have an articulation that . So there's an articulation in the |
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53:20 | direction and then there's an articulation in inferior direction. Ok. So the |
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53:27 | articular process here, I'm just gonna this one, right? It's gonna |
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53:33 | upward like that. The inferior articular of the one above it articulates with |
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53:38 | superior of the one below. All . So this one is inferior, |
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53:43 | one's superior. That right here, would be inferior then right there, |
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53:49 | would be superior. OK? And have it on each side. So |
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53:55 | , using this cartoon, there's your coming out super uh uh spin this |
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54:01 | two superiors up two inferiors down. . Superior articular, inferior articular. |
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54:12 | what this is trying to show Here's the superior, there's the |
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54:17 | there's the superior, there's the superior, inferior, superior and the |
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54:21 | is not doing it justice because those things should be touching each other and |
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54:25 | allows you to do this and do and do this and that because the |
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54:29 | are touching each other and they're rotating one another. All right. In |
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54:40 | little cartoon here, you can see superior articular facet. Can you see |
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54:46 | inferior one? Why it's on the side, good in between each of |
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54:54 | vertebrae. There is a disc uh, connective tissues called the intervertebral |
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55:01 | because it's in between the vertebrae. like your textbook for this one |
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55:06 | It's not the only reason, but textbook you see always does a picture |
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55:11 | a broken one because that's a herniated and that's what everyone cares about. |
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55:16 | , I've heard about herniated disk or my disk. And so they draw |
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55:19 | picture, but they don't ever show what an actual one looks like. |
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55:22 | is one that's not herniated. And can see on the outside we have |
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55:27 | rough tissue, this connected tissue that this ring. This is called the |
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55:32 | fibrosis, right? So it's cartilage fibrocartilage. And what it does is |
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55:36 | basically just creates a barrier for the that's on the inside. And the |
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55:40 | is again, it's um it's a tissue, but it's, it's um |
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55:46 | , it's elastic. So when you pressure on it, what it wants |
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55:49 | do is when you squish it it wants to go out in all |
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55:52 | . And so the annuus propulsive holds that stuff in and so the force |
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55:57 | distributed outward without it actually squirting Now, to visualize this, what |
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56:01 | like to think about if you've ever those gel insoles, right? If |
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56:04 | step on a gel insole, it go s squirting out of the |
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56:08 | it just distributes the forces outwards so it does. You don't feel that |
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56:12 | in your foot, right? That's of what this does. But if |
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56:16 | tear that annuus propulsive, then you imagine what's gonna happen. Is that |
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56:20 | nucleus annuus propulsive annuus fibrosis, what's happen is the nucleus propulsive can just |
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56:26 | out the side and so you can it and that would be painful, |
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56:30 | if you're pinching, say a spinal . All right. And that's where |
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56:35 | that massive pain comes from. So why you don't want to tear or |
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56:39 | a hern disc. So between the to distribute force to help to alleviate |
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56:48 | stress downward, we have intervertebral discs annu fibrosis and nucleus propulsive on the |
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56:59 | . When you see a picture like , what I just want to do |
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57:02 | I just want to demonstrate to you , yeah, we have different looking |
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57:07 | and they're gonna be different depending upon you're located. So you can see |
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57:10 | cervical vertebrae, they look really different the one we just saw. |
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57:14 | really the lumbar, the thoracic, ? But they still have all the |
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57:18 | parts. What's that called? Uh this frame? That would be the |
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57:23 | ? And then you can see we a soup period. This actually is |
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57:28 | . We have transverse process, spinous , spinous, transverse uh inferior, |
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57:35 | would be transverse spin. So it's the same, they just, they |
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57:39 | differently because those different areas of the do allow you to do different sorts |
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57:45 | movements, right. So you can pretty well. I mean, |
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57:50 | I, I can't hold my hips while, while it's still twisting, |
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57:53 | , I would have to come up and hold them, but I can |
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57:55 | like this. But up here, have got greater flexibility because of the |
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57:59 | shape of the vertebrae. I can my head like this, but I |
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58:03 | do that in my thoracic region. now, the thoracic vertebrae are unique |
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58:13 | all the vertebrae in that they have articulation with the ribs. All |
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58:18 | So I'm gonna make you do math your head real quick. How many |
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58:21 | vertebrae are there? So how many are there? There you go. |
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58:27 | pair, I should say right? one on each side. But you |
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58:31 | see here is the faucet, the faucet, the facet for the |
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|
58:42 | , the ribs are called the costal . So that's why they're called the |
|
|
58:45 | facet. All right. So pretty . If I see an extra facet |
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58:52 | doesn't belong there, that must be thoractic. If that makes sense. |
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58:58 | down to the last two, we the sacrum. You can see here |
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59:02 | fusion of the vertebrae, how they one structure which we call the |
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|
59:07 | Ignore the coccidial for a moment. right. So that's 512345. You |
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59:13 | see that we have these four amina are formed, right? And these |
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59:17 | Amena allow the nerves and the blood to pass through. Really, it's |
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59:21 | nerves to pass through. So you your spinal nerves coming down and they |
|
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59:24 | to travel down through the legs. so this is the, the holes |
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59:28 | which they pass. Finally, we the cox you can see here there's |
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59:34 | of them, they fuse together, fuse around age 25. Don't break |
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|
59:40 | . All right. The attachment for , sternums, stern wheel are pretty |
|
|
59:52 | . It looks like a tie. why I have the picture up |
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|
59:58 | Three bones. You might notice your bone, but there's three bones there |
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60:03 | have up on top. We have manubrium. All right, this is |
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60:07 | gonna articulate with some ribs as well the clavicle. We're gonna have the |
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60:13 | , which is also called the You know, am I OK? |
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60:23 | now and then you might get a history buff to stand up and |
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|
60:26 | Oh, I know what a Gladiola . What's a gladiator, a |
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|
60:31 | He's a trained fighter. They go the ring, they fight each |
|
|
60:34 | One of the weapons that they use a little tiny sword and they call |
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60:37 | sword, a gladiolus. All So it's shaped like a s so |
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60:44 | of you are interested in flowers and know what a gladiolus is because it's |
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|
60:47 | long stemmed flower with a bunch of on it again named because it looks |
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|
60:52 | a sword. So we have the . And then finally down here is |
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|
60:57 | zoid process. Zoid process is actually for most of your life. And |
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61:01 | around the age of 40 it turns a bone, but it sits down |
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61:05 | the bottom. And that's another one you don't want to break. The |
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61:08 | is attached to it. If you been punched in the gut and had |
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61:11 | wind knocked out of you, or you got tackled at the wind knocked |
|
|
61:14 | of you. It's because you pressed that and it, yeah. So |
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|
61:19 | process. So three bones. why do we have this? |
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61:25 | remember, sits right here in the the heart, protect a heart. |
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|
61:30 | your shield, it's your plate. last little bit of the axis are |
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|
61:40 | ribs. We've already said, what we have? We have 12 |
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|
61:44 | All right. And now these 12 , seven of them are considered the |
|
|
61:48 | ribs. The other five are considered pairs are considered the false ribs. |
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|
61:52 | true rib is a rib that connects the sternum directly. All right. |
|
|
61:59 | you can see direct, direct, , direct, direct, direct. |
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|
62:04 | seven is direct when I get Number eight, number eight is not |
|
|
62:09 | directly to the sternum. It's connected the cartilage, the costal cartilage of |
|
|
62:13 | seven. Number nine, same Number 10, same thing. And |
|
|
62:18 | we get down to the floating ribs are numbers 11 and 12, 11 |
|
|
62:22 | 12 have no costal cartilage. They're ones you don't want to break because |
|
|
62:29 | will literally pierce and puncture things because floating around. They're only held in |
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62:35 | simply at the vertebrae. Ok. , yeah, go ahead. That |
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62:46 | , yes. So if you look , one through seven are all connected |
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62:51 | to the sternum. So just looking this side, you can see here |
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62:54 | I follow the rib out, the keeps going and it's connected. But |
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62:58 | I follow the cartilage here, this number eight. Where does it |
|
|
63:01 | It goes there, it doesn't it connects here, right? So |
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|
63:06 | why it's a false rib. It's a nomenclature, I mean, still |
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63:11 | rib, you know, now ribs bones, ok. We, |
|
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63:22 | we actually kind of did that already the vertebrae with, with the |
|
|
63:26 | All right. So I want you picture your rib, right? What |
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63:29 | doing is we are looking at the in this direction. Ok. So |
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|
63:34 | is the junction with the costal where do we see the cartilage? |
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63:38 | here on the interior side. So would be the anterior portion and you're |
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63:43 | around and attaching to the vertebrae. the posterior portion. All right. |
|
|
63:48 | the long portion. So this going the way around. That is what |
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|
63:55 | refer to as the shaft now, bone is not a long bone, |
|
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63:59 | feels like a long bone because it's . But if you look at it |
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64:04 | a, the shape of a you're gonna see that it's flat. |
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|
64:08 | you've ever ordered short ribs or beef , um, at a restaurant, |
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|
64:12 | know, we're dealing with large. it's really clear that those are |
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|
64:15 | right? You look at a rib they're like this, they will round |
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64:19 | . But for the most part, rib is fairly flat. So it's |
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64:22 | as a protective barrier between the external and the thoracic cage. So your |
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|
64:28 | and your heart. So the shaft more or less flat and it comes |
|
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64:33 | and then when it bends, when turns, and you can see here |
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|
64:36 | is where the turning is. I know it has there's uh kind |
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64:40 | a bow to it or a bow it all the way along. But |
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64:44 | that is referred to as the that's where it, it turns |
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|
64:50 | All right, it's much more sharp then that's where we get to the |
|
|
64:54 | interesting structures. So the region um you can see there's our transverse process |
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65:01 | the end of the transverse pot we're gonna have a facet for |
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65:05 | the rib as well. So that the tuber Cole. So the costal |
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65:10 | in the tuber Cole, then we the region that's referred to as the |
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|
65:14 | . So you can see the neck then where it attaches to the vertebra |
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65:19 | on the body that is referred to the head. So shaft angle, |
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65:27 | , neck head head attached to the body. The tubercle attaches to the |
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|
65:34 | process. Ok. Easy to draw one out. Again, you don't |
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65:40 | to be an artist, just draw line, label. Everything we've said |
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|
65:50 | to this point has been the everything moving onward is appendicular. So |
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|
65:59 | you think of the shoulders, when think of the hips, we're dealing |
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|
66:03 | the appendicular skeleton. All right. the girdles, the shoulder girdle, |
|
|
66:09 | hip girdle are part of the axis sorry, the appendix. All |
|
|
66:14 | So the first one we want to with is the clavicle. The clavicle |
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|
66:19 | what you call your collarbone sits right , right? It's nice here at |
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66:23 | front. We're just gonna keep this simple. There's two ends to it |
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|
66:28 | what you're doing is you're articulating with sternum, you specifically are articulating with |
|
|
66:32 | manubrium of the sternum. So here's manubrium, the clavicle comes across and |
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|
66:38 | goes up over, helps to form , the uh shoulder itself and attaches |
|
|
66:44 | the clap or excuse me to the the scapula at a specific process on |
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|
66:50 | scapula called the achromia. So we the acromial end and we have the |
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66:55 | end of the clavicle and we have on each side, then we get |
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67:00 | the scapula and you'll see a picture this and your brain will turn |
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|
67:05 | Why will your brain turn off? many words? Right. This is |
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|
67:10 | called cognitive overload and art. most textbooks do this because they don't |
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67:15 | to pay, pay the printing cost having to give you separate figures to |
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|
67:18 | everything out because it's expensive to do . Right. But don't be afraid |
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|
67:23 | something like this. What I want to do is focus over here. |
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|
67:27 | ? And then we just look for thing that's over there and I'm gonna |
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67:30 | to point this out. So your sits floating in muscle on your |
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|
67:36 | All right, the only thing that it to be attached to anything is |
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|
67:41 | clavicle. So if you break your , your arm falls down an inward |
|
|
67:47 | . So because that is the only holding it in to the other |
|
|
67:52 | All right. And again, this a fun one. If you go |
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|
67:54 | at a cat dog and watch how move or that clavicle doing the exact |
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|
68:00 | thing, it's in muscle, allowing movement. All right. Now, |
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|
68:04 | terms of its structure, what we're at this is the portion that faces |
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|
68:08 | the body. This is the, faces outward and away from the |
|
|
68:12 | All right, the scapula structurally looking first. All right is we have |
|
|
68:19 | portion that sticks up this process that call the spine, right. So |
|
|
68:24 | literally, it divides the scapula, two halves and the spine continues on |
|
|
68:29 | forms that achromia process. That's what clavicle is connected to. So if |
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|
68:33 | go back to this picture, you see here's the sternal end, the |
|
|
68:36 | would be here, there's the sternal to the chromium, there's the chromium |
|
|
68:40 | up and so you can see what does is it crosses up and over |
|
|
68:46 | holds here that that's where the scaffold . So it basically reaches from the |
|
|
68:51 | around the back spine chromium process underneath chromium process is the glenoid cavity. |
|
|
69:04 | see that sits above that is also co coid process that will come in |
|
|
69:07 | . When we talk about the the glenoid cavity is the socket that |
|
|
69:12 | call your shoulder socket. And anyone ever dislocated their shoulder? No, |
|
|
69:20 | one has dislocated their shoulder. You got to get out more. I |
|
|
69:25 | I've dislocated this one at least you know, probably twice. I |
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|
69:30 | play rugby. I know this little thing right here. I mean, |
|
|
69:35 | pops out. What do you Pop it right back in. Not |
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|
69:41 | , but it's not a hard one do. So, the glenoid cavity |
|
|
69:44 | the place where the humors articulates, with the clavicle. All right. |
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69:50 | what we have on either side of is we have this indentation of |
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69:54 | this is where muscles gonna sit if ever had a back and you start |
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69:58 | that nice little rub in there and like, oh yeah, that feels |
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70:00 | good. Yeah, that's the muscle are sitting on those parts. So |
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70:04 | fossa sits below the spine. So is called the infra spina. So |
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70:09 | below the spine fossa and then above is the super spinous fossa. That's |
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70:14 | above the spine fossa, that's not hard. And if you flip it |
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70:19 | and this is the part, remember faces inward towards the thoracic cage. |
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70:23 | this would be on the, on , on the flat side, the |
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70:26 | side has the supers fossa. I'm . I said super subscapular fossa. |
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70:34 | below the scapula. All right. that's what you need to know about |
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70:38 | scapula. And these are places where are attached and this is what allows |
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70:42 | to do the different types of movements you do, right? Part of |
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70:47 | you to do it. You ever your elbow against the table? Was |
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70:57 | funny? But we call it the bone? All right. So part |
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71:02 | the reason we call it the funny is not because it's funny, but |
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71:06 | this bone is called the humerus, it's not humorous. It's actually doesn't |
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71:11 | mean the same thing. All But that's someone heard. Oh, |
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71:13 | the humorous. So that's when I funny. It's only funny when someone |
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71:18 | does it. All right now. just gonna walk our way down. |
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71:25 | we have the head, the head what articulates at the glenoid cavity with |
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71:30 | um scapula, you'll see two big bumps. Those are called the tuber |
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71:34 | one is called the greater tubercle. is called the lesser tubercle. Which |
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71:38 | do you think is bigger? There go. All right, you move |
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71:42 | along the length of the shaft and get this really weird bump in the |
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71:46 | of the humerus, it sits this is called the deltoid tuberosity. |
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71:51 | , this is just a process and attached to the deltoid bone, |
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71:55 | excuse me, deltoid muscle. All . So your deltoid is a |
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71:59 | It sits here and it just goes and that's where it's attached. All |
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72:04 | . Why do you think they call the del deltoid shaped like a |
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72:08 | Yeah. All right. So then we're gonna do is we're gonna work |
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72:12 | way all the way down to the . All right. And so these |
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72:16 | down here where we articulate with the two bones you own on the |
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72:20 | These are uh con dials type of , right? So it's a description |
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72:26 | the shape. So that's what con is referring to. So just above |
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72:31 | articulation is a process through which muscles attached, they're just above the |
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72:37 | So we call them, all So we have a lateral one and |
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72:44 | have a medial one. All Now, remember, do you guys |
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72:47 | the anatomical uh uh position, Put our arms out like this. |
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72:53 | which side is lateral, this side this side? Thumb side? |
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72:59 | right? So here's lateral, here's do this and then feel over |
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73:04 | Do you feel those, those sticking ? This one's the real easy |
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73:07 | right? And you feel on the side, you have to kind of |
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73:10 | around a little bit, but you'll it. All right. That's the |
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73:13 | , medial epis, all right just underneath the medial right here. |
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73:20 | you go into that little space, where your funny bone is. That's |
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73:23 | we call our funny bone. That's the medial nerve and you can actually |
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73:26 | kind of flick at it and you actually feel the tingly down your |
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73:30 | You feel that that's one you don't hit, don't hit that. |
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73:35 | Anyway, so those are the two dials. So again, on the |
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73:41 | side, we're gonna have an articulation the radius. On the media |
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73:45 | we're gonna have an articulation with we'll get to that in just a |
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73:48 | . So on the on the uh side, on the lateral side, |
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73:53 | call that articulation, the capitulum, one on the side near the ulna |
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74:00 | with the ulna is called the All right. So these are things |
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74:05 | you just have to kind of memorize . So just remember lateral to medial |
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74:11 | and then trochlea. Now I'll show what one of the ways that I |
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74:15 | this is that when you get down this, to your forearm and you're |
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74:19 | with the radiance of the ulna, gonna have on the ulna a |
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74:25 | It's called the trochlear notch. The obviously doesn't have it. All |
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74:30 | So is immediately located. Radius is located. How do I remember |
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74:37 | Well, I took math a long ago and I learned a little bit |
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74:40 | geometry. I can't say I remember all. But I remember like if |
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74:43 | have a circle, the from the of the circle out to the conference |
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74:48 | called the radius. And so I just remember as I move laterally, |
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74:53 | where the radius is located. That's me. You can come up |
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74:57 | your own, like I said, up with your own ways to remember |
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75:00 | , right? So I've got my . I got my ulna notice they |
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75:03 | two parallel bones, they do not each other. So medial side ulna |
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75:08 | a trochlear notched and it articulates with trochlea that right there, that bony |
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75:15 | . All right. That's called your . All right. So when you're |
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75:20 | about your elbow, the fancy fancy for is a la. Um And |
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75:25 | you can get down to your wrists again, you can just kind of |
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75:29 | I got this bone here, it out and I got one that sits |
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75:32 | there. Those are called the styloid . You might be easier to see |
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75:35 | , styloid process process. So your and your ulna each have one. |
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75:42 | fell off a cliff, 20 ft plant. Got a big old scar |
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75:49 | . Broke my wrist. Also, a big old hole in my |
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75:54 | What did I break? I chipped little bit of the bone off the |
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75:57 | of that styloid process. It's kind cool. Where are we? We're |
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76:09 | in the hands, actually, we're to the wrist. All right. |
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76:14 | gonna miss out on the fun We got four minutes. We'll get |
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76:17 | the rest of it is easy and we'll do the legs next time. |
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76:20 | right, for, uh, you , you're asking, what is |
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76:26 | So there's an artist and what he is he takes pictures of contortionists. |
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76:32 | right. Yeah. Well, it's, do you guys remember watching |
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76:37 | cartoons? Did you guys watch Tom Jerry? All right. Do you |
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76:41 | like the, the, uh, when the dog and Tom and Jerry |
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76:44 | fight, I guess his name was . They would fight and it would |
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76:46 | like a cloud and you'd see like arm coming out and you'd see a |
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76:49 | . So, the first picture I saw of this artist was a picture |
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76:53 | that. He had three contortionist and were like legs and arms sticking out |
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76:57 | they're all wrapped up like someone had really twisted and tied them together. |
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77:01 | then I remember the pneumonic that I when I was sitting in your seat |
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77:05 | see when I'm a student, I use dirty mnemonics instead of clean |
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77:11 | And I try to do clean Try it the best way to remember |
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77:15 | . You know what the mnemonic It's a phrase that you can remember |
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77:20 | that you can, like it goes . So you can see here as |
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77:24 | lunatics try positions that they can't Yeah, I know. Hey, |
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77:29 | clean. There's, there's no dirty in there and that's what that picture |
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77:35 | there to remind you crazy. All . So what are we trying to |
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77:44 | here? Well, we have two of carpal bones. All right |
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77:49 | I'm gonna have, if I'm gonna you a question about this, I'm |
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77:51 | gonna ask you which row it's gonna . And I'm not gonna ask you |
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77:54 | order because the order that we memorize is based on the mnemonic. All |
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77:59 | . And so notice what we do is we're going from the thumb |
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78:03 | So remember what is our position? would be lateral to media. All |
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78:09 | . So that's kind of how we're here is lateral to me. All |
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78:13 | . So we go scaphoid lunate pisiform road number two, we go |
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78:20 | , trapezoid, capitate hamate some lunatics positions that they can't handle. All |
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78:28 | . So just remember there's two These are your wrist bones. All |
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78:32 | , the wrist bones are found right? If I relax the, |
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78:39 | ligaments and the muscles, what my do it goes there. So notice |
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78:43 | are where the bones are located. right, they're not here. Those |
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78:48 | your metacarpals. So those are your bones. So know their names, |
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79:00 | which row they're found in. when you get down to your |
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79:05 | and this will be our last slide you can go run to your next |
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79:08 | . Whatever, what we have here we got the palms of our |
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79:14 | All right. So one of the you can do this is again, |
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79:17 | about a skeleton, right? You these long bones. So the palms |
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79:21 | your hands, you have long These are your metacarpals. So the |
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79:25 | are little tiny square bones, So they're short bones and now we're |
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79:29 | to long bones. So we have , we start with the thumb is |
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79:35 | one. OK? So 12345 metacarpals pretty simple. They're all long |
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79:43 | 12345, then you get down to fingers, the fingers are called |
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79:48 | All right. If you look at thumb, this, remember you are |
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79:52 | cheat sheet when you go into the , right? So think about if |
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79:56 | , if you get stuck, put hand in front of you and |
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79:58 | OK. What is it doing? at my thumb. How many times |
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80:01 | I have been my thumb once? there are how many bones? |
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80:08 | right? There's a single joint in , right? So I have a |
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80:12 | on either side. So each, bone is, is called a, |
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80:16 | called a, it's called a failing . So this is nearest my |
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80:20 | So that would be proximal. The that's furthest away would be distal, |
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80:26 | ? So, proximal and distal. I call my thumb something special because |
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80:31 | are always special. It's called the and then the rest of them are |
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80:37 | 2345, right? So we have . How many do I have in |
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80:41 | fingers? Three. So I have , I have distal and in between |
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80:48 | , middle or intermediate. All So if you think if I got |
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80:52 | fingers, one thumb. All the Pollock, there's two bones, |
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81:00 | and distal fingers, three bones All right, proximal, intermediate. |
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81:05 | 2345, when we come back, just gonna do the hips and the |
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81:11 | , which is very similar. Just slightly different nomenclature. |
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