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00:02 | Morning y'all. Oh Turn that Um You guys are doing good |
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00:09 | Anyone stay up and watch the go to the game. No good |
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00:15 | . We, we, we which is good. Um Today, |
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00:19 | we're gonna do is we're gonna talk the bones. Um And usually when |
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00:24 | look at the bones, everyone gets little bit overwhelmed because there's like 216 |
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00:27 | them and you have to know them that, that look. That's, |
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00:31 | was the look right there that I looking for is just kind of this |
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00:34 | , are you kidding me? 216 ? That's, it's true that there's |
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00:39 | many, but the truth is, not as hard as it, it |
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00:43 | all right. For example, you like your body is, is a |
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00:48 | image. So you have duplicates of lot of bones. So you can |
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00:52 | many of those bones out because they're and then things like the ribs and |
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00:55 | vertebrae are repeated multiple times. So get deleted and then your fingers, |
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01:00 | have the phalanges and there's 14 of . So, I mean, the |
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01:04 | goes down very very quickly. And the key thing learning the bones themselves |
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01:10 | to organize the bones and I'll be . You know, there are other |
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01:15 | , not particularly on this campus, at other universities that put a huge |
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01:19 | on bones. And the truth is likelihood that you'll ever use the |
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01:24 | with any sort of frequency in a career is fairly low unless you're a |
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01:27 | therapist. Um And even then, not as much. Um So the |
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01:33 | here, I think the reason people such an emphasis on it is because |
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01:36 | easy to look at, they're easy go into a laboratory and hold on |
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01:39 | them and say here memorize something. right. And so I'm going to |
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01:43 | you how to do this. And we're gonna do is we're gonna break |
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01:46 | skeleton down into two parts. And is true across all organisms. We |
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01:50 | what is called an axis and we what are called sees. We've already |
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01:54 | about that in terms of organization. so your skeleton follows this particular |
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01:59 | So we have what is called the skeleton. The axial skeleton is all |
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02:03 | things that you need to stay right? So basically, it's your |
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02:08 | skull and working down through the vertebrae then the ribs that are and the |
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02:14 | cage that are responsible or are found the axial skeleton. And then anything |
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02:19 | responsible for movement is going to be in the appendices. And so that |
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02:25 | your shoulder girdles, as well as limbs, the bones of the limbs |
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02:29 | your hips, which is your hip and the limbs uh uh projecting from |
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02:37 | . And so what we're gonna do we're gonna walk through first the axis |
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02:40 | then we'll walk through the appendices and we'll break this down in such a |
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02:44 | that it makes it simple. Now , on an exam, there are |
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02:49 | be things that you're gonna have to identify. All right, the difference |
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02:53 | , is we're going to use the you see here to make your life |
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02:57 | . All right, in the you're gonna have to pick up a |
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03:01 | or a bone and you get to it and touch it and stuff like |
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03:04 | . So we're gonna try to keep as simple as we can in the |
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03:08 | . But if you're taking the lab we'll take the lab in the |
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03:11 | you'll know that there's a little bit complexity to this. All right. |
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03:16 | here's your skull. You can see got the fruit loop picture up |
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03:19 | So every bone is colored a different . So you can identify it fairly |
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03:23 | . This is the most complex structure the body or of the skeleton I |
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03:28 | say. And there are 22 bones . All right. So of the |
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03:33 | bones, eight of them make up cranium and the remainder of the other |
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03:37 | make up your face. And these for the most part are irregular |
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03:42 | With some exceptions of some flat bones are, oh, I have it |
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03:45 | . Most of them are flat The face is mostly the, the |
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03:49 | irregular bones, but the cranium itself mostly flat bones. And these particular |
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03:54 | of bones are gonna be held together a special type of joint, which |
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03:57 | not talking about joints yet. That's be the next lecture which is like |
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04:00 | easiest lecture we have. It's, mean, it's you get to stand |
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04:05 | front of a mirror, make faces yourself and wiggle. All right. |
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04:08 | the idea here is that these joints immobile joints. They are interlocking joints |
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04:13 | jigsaw puzzles and these specialized joints are sutures. And we're going to learn |
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04:17 | sutures in the process. And these the only sutures, but these are |
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04:20 | easy ones. So the bones of skull are held together by these interlocking |
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04:26 | joints called sutures. All right. , the only exception to this rule |
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04:29 | your mandible and that's the thing that's around on the bottom of my face |
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04:32 | now, make allowing me to make noises, right. So your mandible |
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04:35 | down here and that's the one that's connected by a suture. It has |
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04:40 | own type of joint, which we'll to in the next lecture. |
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04:43 | what we're gonna do is we're gonna first on the cranium. All |
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04:46 | the cranium, we said has eight . We're gonna look at first the |
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04:50 | bones and then we'll look at the bones. All right. And one |
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04:52 | the ways you can do this you can sit there and look at |
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04:55 | cart too and notice I have uh . Sure. No, it's on |
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05:00 | other one, I guess. The . All right. So you, |
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05:03 | might see it like this, you see it like this, you might |
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05:05 | it like this. All right. again, they're all color coded. |
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05:10 | colors stay the exact same no matter way you look at it. All |
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05:14 | . So the cranium are the bones protect the brain. All right, |
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05:18 | encases the brain. It forms the sites for the muscles of the head |
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05:23 | that you can open your mouth and , you know, roll your eyes |
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05:27 | me and make horrible faces at All right. So these attachments are |
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05:32 | to be all over the places. a the ability to do this is |
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05:35 | of an attachment of a muscle in back. All right. So the |
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05:39 | bones are going to be the the occipital, the f point in |
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05:43 | pheno. So let me show you this works. All right. |
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05:46 | the good news for some of I'm gonna take my glasses off for |
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05:48 | . Just this particular one since I'll pointing at my face and I'm likely |
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05:52 | like, knock my glasses off because wiggly. All right. So, |
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05:56 | easy thing to do is just point your bone. So when we're talking |
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05:59 | the cranial vault, the bone in front is called the frontal bone. |
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06:04 | you see how easy that is? right. The other bone of the |
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06:08 | in the back is a single It's called the occipital bone. All |
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06:12 | , the occipital bone is easy to because it has a big giant hole |
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06:16 | the middle of it. That big hole is called the big hole or |
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06:20 | frame. And magnus and I pointed out, this is the point where |
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06:24 | spinal cord travels out of the cranium through the vertebral column. All |
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06:30 | So there are two of the then the two hard, single ones |
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06:34 | the ones that make up the floor the cranium. One looks like a |
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06:37 | or a bat. And you can it up there in the picture. |
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06:40 | kind of purplish, right. I'll at it. All right. That |
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06:44 | the sphenoid. All right. And we have this little tiny projection of |
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06:50 | other bone called the ethmoid. And makes up the single bones. |
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06:54 | if you look at the ethmoid, actually extends down further from there. |
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06:57 | in terms of the cranium, it there. So we go frontal |
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07:01 | the big one on the floor is sphenoid, the small one in the |
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07:05 | is the ethmoid bone. All And then we have the paired |
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07:09 | And so here we can look at paired bones and say, OK, |
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07:12 | I wear my hat, my hat up here. But there's two bones |
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07:16 | . Those are the parietal bones. then I have two bones that sit |
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07:19 | over on the side. OK? those two bones are called the temporal |
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07:24 | . You can point to them That's my temple. You already know |
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07:27 | name of that. That's where it from temple time. So frontal occipital |
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07:33 | temporal sphenoid ethmoid, there's eight Yeah, it's actually further in. |
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07:42 | have to take your finger, jam up your nose and then you could |
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07:45 | it. It's, it's actually further . But yes, if you went |
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07:49 | the nasal cavity, the, the bone would be there. All |
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07:54 | And we're gonna see this. We're actually, we're going to open it |
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07:57 | and we're gonna look at the facial and we're gonna look at the |
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08:00 | we're gonna look at the other cavities we're gonna see what makes up these |
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08:04 | . All right. So you can here, we have two parts, |
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08:09 | have the vault, we have the . All right. So recognizing those |
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08:14 | things and which bones make them kind of important. You can make |
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08:18 | songs, you can go on the , you can find all sort of |
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08:21 | sorts of, of mnemonics you can to, to learn these things. |
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08:25 | the easy thing to do is sit somebody or look in the mirror and |
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08:28 | . All right. And granted you point at the sphenoid and the |
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08:32 | But if you know that picture, gonna be in fine, you'll, |
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08:36 | be fine. All right. structurally, when you open up the |
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08:43 | , what you would see is that have these indentations or depressions called |
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08:48 | All right. And these bones are to help cradle and protect your |
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08:55 | your brain and your cerebellum, which the little tiny brain that sits in |
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08:59 | back. All right. So the system is covered and protected. And |
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09:03 | we have names for these fossa. right. So we have the anterior |
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09:07 | , we have the middle fossa and have the posterior fossa. You can |
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09:10 | nomenclature wise, fairly basic. And you can see is that they play |
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09:15 | role in covering or, or holding protecting and elevating the brain off the |
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09:22 | . All right. So they support and support the shape of the |
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09:25 | Now, the truth is is that brain forms as a function of the |
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09:31 | of the bones themselves. So the of the brain matches the fossa because |
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09:36 | fossa are there. First. It's of a chicken and egg thing. |
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09:39 | right. But what we can do we can then look at this and |
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09:42 | , all right. Well, what the anterior cranial fossa made up |
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09:45 | Well, it's made up of the bone part, I mean, the |
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09:49 | and part of the sphenoid. What the middle cranial fossa made up |
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09:53 | Well, it's primarily temporal bone but parts of the uh sphenoid and some |
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09:59 | of the parietal bone. Well, about the posterior? Well, it's |
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10:04 | occipital but you might make some claims some parietal plays a role in that |
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10:08 | well. But generally speaking, we parietal up here temporal over here. |
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10:12 | it doesn't really come around even though color fruit loops kind of show that |
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10:16 | does a little bit come down. 22 bones already off your list pretty |
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10:23 | 0.22 sorry eight. We haven't got the face yet. My, my |
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10:26 | . All right. So recognize singles the paired and you're pretty good to |
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10:33 | . Now, we said these bones connected to each other by a series |
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10:36 | sutures. We're just looking at the of the cranial vault. We are |
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10:40 | going to look at the sutures of face. Thank goodness because that just |
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10:43 | busy. All right. But what have here, as you can see |
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10:46 | is my frontal bone. There's my bone in between those two bones is |
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10:49 | coronal suture. The coronal suture goes the way across the top. So |
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10:53 | connects the front to the back. right. So you can just think |
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10:57 | my crown. Remember we said a section cuts you from front to |
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11:02 | That's what the suture does. It the front to the back between the |
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11:07 | parietal bones. That's the sagittal So we said a sagittal uh cut |
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11:12 | the body separates left from right. that's what we're doing here. The |
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11:16 | suture is just between the left and parietal. Then we have one that |
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11:21 | shaped like a lambda. So you that you guys all learned your |
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11:26 | right? If you didn't learn your lambda is the upside down tri |
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11:31 | I should say it's not a it's a V. All right. |
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11:34 | that's what it looks like. So said, hey, it looks kind |
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11:36 | like an a lambda. So it's lambdoid. And in this picture you |
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11:40 | actually see and I'm just pointing them those little tiny green things. What |
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11:43 | of bones are those? Starts with S sesamoid bones. Those are the |
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11:52 | of the sesamoids. All right. they're all over the place. You'll |
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11:55 | them everywhere. All right. So just want to kind of show |
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11:58 | So we got a lambdoid suture and we have this suture that separates the |
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12:02 | from the temporal. I should have the lambdoid separates the parietal from the |
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12:06 | and then between the parietal and the bones there that suture is called the |
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12:10 | suture. Now, I don't know you can remember that. One. |
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12:14 | means scaly. Uh It's nomenclature in class I've ever taught. I've told |
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12:19 | , I don't know where the name from. I, I do know |
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12:21 | the name comes from and it actually to do with um, the origins |
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12:25 | these bones and it's, there's a bone that begins and over time it's |
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12:31 | , it becomes part of the temporal and yada yada yada. So you |
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12:34 | even know that, but that's where name comes from. All right. |
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12:38 | coronal is kind of simple. Sagittal kind of simple. Lambdoid is kind |
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12:42 | simple. And then we got the one on the side. Squamous. |
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12:46 | . So those are your four sutures you need to be able to |
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12:50 | All right. And again, it be this picture that you'd be seeing |
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12:54 | one of those three moving into the . Again, we're going to deal |
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12:58 | single bones and paired bones. So there are 14 bones, two of |
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13:02 | are single, that means there's 12 that are really six pairs. All |
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13:08 | . So it actually kind of gets . The two single bones are going |
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13:12 | be sitting in the middle. All . So we have one that's called |
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13:15 | vomer, the vomer. In this picture is not really easy to |
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13:19 | It's right there, that little bone goes down, you can see it |
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13:23 | the side. And if we go try it again, if we go |
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13:28 | , you can see it back All right, but it sits right |
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13:31 | the middle. So it divides the nasal cavity from the right nasal |
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13:36 | All right. The other single bone your mandible. Not technically speaking, |
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13:40 | mandible was two bones, but it together. But it is a simple |
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13:45 | to look at say, oh my mandible is one thing. So |
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13:48 | are your two simple single bones. everything else in your face is gonna |
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13:54 | a paired bone. And I think me see if yeah, I start |
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13:57 | the nasal. So I'm gonna again off my glasses. You can point |
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14:00 | them as you go if you want . Right up here. The inside |
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14:04 | is your nasal bone. So we're here, we have that cartilage, |
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14:08 | ? That cartilage is connected to two each on one side of your half |
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14:13 | your face. That's nasal. All . Then inside that where I'm, |
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14:19 | can't poke poke. But inside that , the next bone next to that |
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14:23 | the lacrimal bone. All right. you can think about where do my |
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14:26 | go? You know when they form tears are called the lacrimal secretions. |
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14:32 | that's what that is. That's the bone down inside. So just looking |
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14:36 | the picture up here, you can there's a nasal bone and then you |
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14:39 | inside, there's the lacrimal, all . Now, all this stuff, |
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14:47 | we point here, but basically, sits between the nasal bone and the |
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14:51 | bones. And it's basically all this of your face, that's two bones |
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14:55 | have been fused together. Those are maxilla. So they make up the |
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14:59 | portion where your teeth are uh are socketed. So if the maxilla |
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15:04 | the top part, the bottom part the mandible together, they're gonna make |
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15:08 | the oral cavity. So, nasal maxilla over here. What do you |
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15:15 | that? What do you call it cheek? All right. So you |
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15:19 | feel the bumpy part of your That is your zygomatic bone. All |
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15:24 | . It's the weird one because if look at it, it actually stands |
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15:28 | and there's a hole that goes through . You can see it better |
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15:33 | All right. So there's a hole there that continuous with the temporal |
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15:37 | And you could actually put your finger and in there. All right, |
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15:41 | can see there's the hole, the part right there. That's the Zygomatic |
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15:45 | . All right. Palantine, I'm stick on this. All right. |
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15:48 | your palate roof of your mouth? right. So the front part of |
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15:55 | palate is the maxilla. But when go back further, not the soft |
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16:00 | , but still the hard part that the pine bone again, two |
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16:04 | And you can see the two All right, you can see the |
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16:07 | down the center. So there's one , there's the other pine. So |
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16:12 | sits between the maxilla and the So I go maxilla. So that's |
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16:17 | and then a little further back. the palatine. All right. |
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16:21 | you see why we're sticking to pictures this because some of these things you'd |
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16:25 | to pull, hold a skull in hand and you'd have to wiggle it |
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16:28 | and kind of move and manipulate. using the color pictures here, I |
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16:34 | , make it easier for you to the relationships and are gonna be, |
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16:39 | easier to test that way. I in my mind. All right. |
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16:43 | Next on the list. Oh Is um the, the nasal concho? |
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16:49 | right. This is not an easy to show in these pictures. So |
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16:53 | me go back here inside the nasal . So you can see the nasal |
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16:58 | , you can see the vomer in . You can see the maxilla out |
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17:01 | . And if you stuck your fingers , please don't do this. If |
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17:05 | stuck your finger inside your nose and pushed it in there and felt |
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17:08 | you'd feel that there's these ridges. right, I'm not talking. This |
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17:12 | not like, oh right here where pick my nose. This is like |
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17:16 | like this deep. OK? And you went up and down, you'd |
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17:19 | these large bumps and these are the nasal concha and the purpose of the |
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17:25 | nasal conscious is. So when you in air, its shape causes the |
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17:30 | to start rolling over cell. It's a turbinate. And so this allows |
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17:36 | you to allow the air to start so that you can expose more air |
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17:41 | your nasal epithelium or you have your of smell, it allows the air |
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17:46 | get really close to the skin so it warms up before it goes down |
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17:50 | your lungs. Have you ever noticed horrible it is to breathe cold |
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17:54 | Right? So part of that is that air up and humidifying the |
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17:59 | And that's what the inferior nasal cons do. This is the only picture |
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18:03 | have that's any good and it's not good picture. All right. But |
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18:08 | know where it is now it's on sides of your nasal cavity. All |
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18:13 | . So what do all these bones the face do? Well? |
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18:16 | they serve uh to form these cavities your special sense organs. Our whole |
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18:22 | unit is going to be on the sense organs, you know what your |
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18:25 | senses are, sight, smell, , right? And then the other |
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18:33 | are gonna be aud audition, hearing equilibrium or balance. All right. |
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18:39 | those bones, with the exception of last two things, hearing and balance |
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18:44 | gonna be uh uh accomplished through the of these cavities by these bones. |
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18:51 | thing I've mentioned the termination third, is where you get air into your |
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18:55 | and food into your mouth, So, create an oral cavity, |
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18:59 | a nasal cavity. Um place where can secure my teeth. That would |
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19:03 | the maxilla and the mandibles as well anchoring all your facial muscles. All |
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19:10 | . So this is just the same , just different angles. So if |
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19:13 | need a different angle to be able see that's fine. I believe your |
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19:17 | also has like the body viz stuff you can manipulate a skull, but |
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19:22 | not always the easiest way to see . So, what I wanna do |
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19:27 | I wanna just kind of take these and kind of just briefly describe them |
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19:31 | you. All right. So, than just naming bones, we need |
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19:34 | know what they're doing. So, first thing is we're gonna form the |
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19:38 | uh cranial cavity we've already talked about . That's cranial vault and floor. |
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19:42 | the part that surrounds the brain we've talked about. Would your bones make |
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19:45 | up? So, there's the eight we have the orbital cavity. The |
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19:49 | cavity is where you find your eye its blood vessels, plus its |
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19:53 | plus the lacrimal glands. All Um Anything else? Oh, and |
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19:57 | muscles as well? All right. there's actually a fat pad in there |
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20:00 | well. So, again, not easy to see all the bo bones |
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20:05 | , but we can definitely see the , we can uh you can't really |
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20:08 | the sphenoid from this angle, but can imagine this purple thing right there |
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20:12 | the back. That's sphenoid. All . So that's what you're seeing |
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20:16 | And then the ethmoid bone is back there as well. You can't see |
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20:20 | from this particular view. You'd have kind of, you know, turn |
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20:23 | view a little bit to be able see the ethmoid. Um But then |
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20:26 | also have the Zygomatic and you have maxilla and the lacrimal that make up |
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20:31 | rest of that cavity. So if look at this structure, all those |
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20:36 | are found there. Next, nasal , nasal cavity, this is where |
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20:44 | gonna be smelling. This is where air is gonna pass through. It's |
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20:49 | to be the first part of the tract. One of the unique things |
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20:52 | mammals is that we separate our breathing where our eating is. And so |
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20:57 | we have is we have this special formed just for this purpose. All |
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21:04 | , now that septum is going to the vomer plus a portion of the |
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21:09 | on the top. So when we down the middle, that vomer is |
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21:13 | septum that separates the two halves, top is going to be ethmoid, |
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21:17 | bottom is going to be vomer. then on the back, you'll have |
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21:20 | steno, uh you'll have the palantine have up here, the maxilla and |
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21:27 | inferior nasal concho, which you can't in this picture. But again, |
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21:30 | you go inside the nasal cavity A nasal concho, oral cavity is |
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21:35 | easiest. It's the mandible, the , I've left off the uh palatine |
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21:40 | make up the cavity as well. right. What's your cavity for? |
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21:46 | for the passage of food. For most part, you hear a struggle |
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21:52 | sinus infections, sinus infections. What's sinus? We always talk about |
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21:58 | My sinuses are clogged, blah, , blah. A sinus simply is |
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22:02 | space inside the bone. It's open the exterior environment. And what, |
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22:07 | when we say that it's not just bare bone, it's actually lined by |
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22:13 | uh uh mucous membrane. So it's by an epithelium. But you can |
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22:17 | here where those bones are and where sinuses are actually located inside those |
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22:23 | All right. So there are four them wrapped around the nasal ranges. |
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22:28 | we refer to these as the perinasal . All right. Their job is |
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22:34 | fold. All right. It allows to move into these. And so |
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22:39 | doing so, what we've done by out the bone and allowing air to |
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22:43 | there, we've made the bone So our face isn't so heavy. |
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22:47 | right. That's a good thing. second thing that it does is that |
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22:51 | allows us to warm and humidify So air goes into those spaces, |
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22:55 | vessels are near or close to the . And so when the air fills |
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22:59 | up, that air is going to up before it starts moving through the |
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23:03 | of our bodies. All right, thing that it does, it provides |
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23:10 | to our voices. What is Do you notice how none of us |
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23:14 | the same? All right. It's when those sound waves hit that they |
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23:19 | vibration and they move uniquely in those . So my voice sounds differently than |
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23:25 | voice, even though we may be the same notes or whatever, because |
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23:29 | those unique vibrations through those sinuses. , the epithelium in there is |
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23:34 | Uh it's a mucous membrane. So does produce mucus. And of |
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23:38 | if you get an infection, if gonna produce more mucus that you get |
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23:41 | stopped up and it gets horrible and get sinus headaches, it is |
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23:45 | Ok. So that's what you can about is the reason for that is |
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23:49 | little tiny opening filled with mucus. a lot of fun. So how |
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23:54 | bones have we done? 22? right. And again, just kind |
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23:59 | do the pointing, stand in front a mirror. You can even draw |
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24:03 | the picture and I'm not saying be that this is cartoon level, |
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24:08 | It's not particularly terrible. Now, down the first bone we're going to |
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24:16 | that kind of sits on its own called the hyoid. All right, |
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24:20 | hyoid sits in the throat in the and it's just kind of on its |
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24:26 | . All right, it is attached some ligaments. But you can see |
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24:30 | , there's a hyoid bone. All . It has two unique uh uh |
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24:36 | . These are called the horns, a lesser horn and then there's the |
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24:39 | horns and you can find it associated above the larynx associated with the |
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24:46 | All right. So the idea here you have muscles attached to wherever you |
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24:51 | a bone, muscles are gonna be and it allows for movement so that |
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24:55 | can produce speech and we can swallow . So your ability to swallow is |
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25:01 | function of this bone right here and pulling on it. Ok. So |
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25:08 | of the throat bone, hyoid, bones. All right. Now, |
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25:15 | a big giant list. What do have? We have 7, |
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25:18 | that's 1929 23 bones. So instantly just add in another, we double |
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25:25 | number that we have. So these the vertebrae and your vertebral column you |
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25:29 | see here has five unique divisions. right. Each of these divisions are |
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25:34 | by the number of, of vertebrae . Um Do not write this |
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25:39 | I'm just gonna tell you this because , it's, it's a fact that |
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25:42 | one ever puts down a book you see up here. Cervical seven, |
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25:47 | of us. So there are 300 in this class rule, about 350 |
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25:51 | in this class. About 90 of have eight vertebrae in our cervical |
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25:59 | But you won't see that in a textbooks. So some of us are |
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26:04 | but the rest of us have the . I don't know why it just |
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26:09 | . Ok. Now you can see we have the regions so we start |
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26:15 | from the head down. First seven going to be cer cervical. The |
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26:22 | 12 are going to be thoracic. you go down to five lumbar. |
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26:27 | that's lower back and then you move to the sacrum which is five fuse |
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26:32 | . And then you have your little coccyx, which is four vertebrae. |
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26:36 | you can see in terms of the , they have a unique shape to |
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26:40 | . All right, we start off . If you think of your body |
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26:43 | being forward, we're gonna start off , then the next group is |
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26:48 | then concave, then convex and then again. Can I do that |
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26:54 | Yeah. OK. Now, why do we care? Why? |
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27:00 | ? Well, first off the purpose the vertebrae is to support the |
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27:05 | All right, we are an upright . And so you can imagine all |
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27:09 | way to your body is being pushed through that vertebrae. And by having |
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27:14 | odd snakelike shape, right? This uh type vertebrae projects weight away from |
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27:23 | column. All right. So if have a straight column, the weight |
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27:28 | straight down. But if you are an angle, then the weight goes |
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27:32 | that axis. So each one pushes weight away from the column. So |
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27:38 | actually able to bear more weight than normally would be able to. So |
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27:45 | they're doing that this morning. All . For the people who are just |
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27:51 | , it's just an irritating air All right. Now, how do |
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27:55 | remember which one has? Which All right. This is the hard |
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28:00 | . Right. I mean, how I remember? Seven Cervical. How |
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28:02 | I mean, have 12 thoracic blah, blah. All right. |
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28:05 | want you to imagine for a moment humans, not students. All |
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28:09 | because you're not real people yet. don't have real lives. You get |
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28:12 | at weird hours, you go to at weird hours, you eat at |
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28:15 | hours. You, you don't do things but normal humans get up at |
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28:19 | certain time and the first thing to is they have breakfast in the |
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28:22 | What time do they have breakfast? . Seven. There you go. |
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28:28 | , seven. And when do normal have their lunch break? 12 and |
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28:33 | when do normal people have dinner? and then when do they have seconds |
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28:38 | five again? All right. And when do normal people have to get |
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28:42 | in the middle of the night to to the bathroom at four in the |
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28:45 | . So, yeah, I don't why it's always four, but |
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28:48 | that's why I throw that out Ok. Now, you may have |
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28:50 | normal life. You may not eat , blah, blah, blah. |
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28:53 | this is how I remember it. 12 5. And then I eat |
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28:57 | five and then you have to come with something for the four. All |
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29:01 | . Maybe you have four desserts. don't know. Ok. So it's |
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29:05 | way to remember. 7, 554. All right. Now, |
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29:11 | way that you'll see these labeled and , you can see that they're labeled |
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29:15 | with AC and then a number and just how vertebrae are normally named or |
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29:19 | . So, if you're looking at vertebrae number four, it'd be T |
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29:22 | . All right. And what we're do is we're gonna look at the |
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29:25 | because each of these vertebrae, these regions have different types of shapes because |
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29:31 | do some things that are slightly But even though they have different |
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29:36 | they all have a couple of things common. So let's first deal with |
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29:39 | in common. And then I'm just point you like, see how they're |
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29:42 | and I'm not gonna make you memorize different shapes. Ok. So first |
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29:46 | , all vertebrae have a body. right. So when you're looking at |
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29:50 | structure, you have this big giant that sits down here at the |
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29:53 | all the bodies are stacked on top each other. All right. And |
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29:57 | can see right next to the right? You have this little tiny |
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30:03 | , this hole, this foramen. right. And the fra men are |
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30:07 | next to each other. So you bodies here and I'll do a body |
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30:10 | this. And since I'm actually holding and then you have a hole that |
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30:13 | next to it and through that that's where the vertebral column goes. |
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30:18 | right, that's your spinal cord. vertebral column, spinal cord, when |
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30:25 | look at the body, that's not cord, all right, the bone |
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30:30 | the spinal cord. So that hole formed by two pairs of bones or |
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30:37 | parts of a bone, it creates arch like structure. So on either |
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30:42 | , those are called the pedicles and across the top to create the |
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30:46 | across top, those are two So you have a body pedicles |
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30:54 | And then at the point where the lamina go, you have a process |
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30:58 | at the point where the pedicle meets lamina, you have a process. |
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31:01 | you have two processes going out, have a process going up. So |
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31:06 | , you have the arch pedicles lamina and then two process. On the |
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31:12 | side, those processes have names. right, when you're pointing up and |
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31:18 | away from the body. So this here, that's the spinous or uh |
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31:23 | process either or. All right. , you can feel that if you |
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31:27 | give somebody a back rub or you even feel it right here, that |
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31:30 | bumpy part that is a spinal process spinous process and it goes all the |
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31:36 | down. Every single one has one those. All right, the ones |
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31:40 | go out to the side, there's of them, those are called the |
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31:44 | process. So this transverse to transverse to the right. So there's |
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31:49 | three easy processes. So a body have your uh arch. So the |
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31:55 | , lamina spinous or spinal process, transverse processes that to the side. |
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32:00 | then you have some really weird processes pictures don't do a really good job |
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32:07 | this uh of demonstrating them. You a pair that point upward and a |
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32:11 | that point downward and what these processes . So if you have your |
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32:16 | here's your next body and your next and so on, you have two |
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32:19 | point this way you have two that down there. These are called the |
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32:23 | processes. Whenever you see the word , think uh a joint, all |
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32:28 | , think there is some sort of touching bone here. And this is |
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32:33 | allows these two bones to rock against other. So you can see |
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32:40 | here's a pair of the articular processes there. And then if you went |
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32:45 | the other side, there would be more. So here you can see |
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32:49 | , there is uh two processes So I'm trying to go underneath, |
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32:54 | a process there and then this bone there pointing downward, that's a process |
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32:58 | down. So I have an inferior pointing down. I have a superior |
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33:03 | pointing up. And those two processes two separate vertebrae are interacting with each |
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33:09 | . That's the articulation. So we a pair of superior articular processes. |
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33:16 | have a pair of inferior articular And when the two bones come |
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33:21 | the superiors are interacting with the Does that make sense? There is |
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33:27 | picture that will show this real All right, this is again one |
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33:32 | those things where it's easier to see in the lab. Now questions about |
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33:43 | before I move on because I know can be a little confusing. You |
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33:46 | understand the pointing. Yes, right. So this is gonna be |
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33:51 | gonna actually walk up because it's easier I point. All right. So |
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33:57 | this one, those are the So we're looking down at the |
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34:02 | All right, we're looking straight down this. So those two processes are |
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34:06 | upward right here. So they're not of the body, they sit on |
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34:10 | pedicles and they're pointing upward. If took that same bone and flipped it |
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34:16 | , we'd see two processes very similar that. Those would be the inferior |
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34:22 | process. So in this picture right , right? That thing that I'm |
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34:27 | at that would be a superior This right, there would be the |
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34:35 | articular process, all right. And is one on this side and then |
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34:40 | gonna be one on the other So that's the idea. So this |
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34:45 | here that spinous process this coming that would be the transverse process. |
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34:50 | this particular case, we're looking at thoracic vertebrae because their transverse processes has |
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34:56 | particular feature. We'll get to that just a moment. All right. |
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35:01 | body pedicles, lamina spinous process, process, superior articular, inferior |
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|
35:08 | See I did that kind of like cheerleader doing all sorts of hand stuff |
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|
35:16 | between the vertebrae are these uh structures are made up of cartilage. All |
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|
35:22 | . And these are called the intervertebral . It tells you where they |
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35:27 | They're in between the vertebrae. All . When you've had heard someone has |
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|
35:31 | slipped disk, this is what they're to is this structure right here. |
|
|
35:35 | is something that cushions pro uh provide between the vertebrae. All right. |
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35:41 | has two parts to it. One I really like about your textbook. |
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35:46 | textbook always shows this picture but they show this one. This right here |
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|
35:50 | a broken one. This is a one. And you can see on |
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35:53 | outside we have this collagen and fibro that wraps around a squishy gooey center |
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|
36:00 | what it does is it serves as boundary or a barrier to hold the |
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36:04 | center interiorly. And so when weight pressed down, that force goes to |
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|
36:11 | inner portion and causes the outer portion slightly bulge. But because it is |
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36:18 | , it doesn't bulge that much. outer portion is called the annulus |
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|
36:23 | fiber fibrosis. So it's tough. then I said we have this gooey |
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36:28 | here. That is the nucleus All right. So pressure goes |
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|
36:36 | it's applied on that nucleus pulses. nucleus pulses wants to squirt outward. |
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36:42 | the annuls fibrosis holds, it holds in place if you have a tear |
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36:47 | the annual pulses, that's an example the tear. And so you can |
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36:51 | here the nucleus, I said the pulses, the annual fibrosis. If |
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36:55 | have a tear, then the nucleus pushes outward. And so people who |
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37:00 | slipped discs or torn uh discs, will happen is the pressure will cause |
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37:05 | bulge, the bulge will push out press on a nerve, for |
|
|
37:09 | And that will cause severe pain. that's what you're seeing here in that |
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37:12 | picture what they're trying to demonstrate. right. So in intervertebral discs are |
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37:17 | between the vertebrae, service support and to uh to uh disperse the forces |
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37:24 | all that weight. Now, I'm you this picture not to memorize |
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37:34 | All right. I'm showing you this what we're looking at here are different |
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37:41 | of vertebrae. So for example, right here is a cervical vertebrae. |
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37:48 | right. Now, all the things named are still there, right? |
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37:51 | see the body. Do you see transverse process? Do you see the |
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37:55 | process? Right. Do you see pedicles in the lamina? Yeah, |
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38:01 | all there. But it's very different than the clean looking one we see |
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38:05 | here. That's the model that we . That would be what is |
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38:07 | Thoracic? Yeah. Thoracic. All . It's all there. But what |
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38:12 | do is those shapes provide different sorts movements. So for example, look |
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38:17 | what I can do with my I can tell you. No. |
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38:22 | . And the reason is because the vertebrae have a different shape. I |
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38:28 | do the same thing in the thoracic . I can do a little bit |
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38:31 | a shimmy but I can't do a 180 degrees like I can up here |
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38:35 | that's because the cervical vertebrae have a shape. Yes, ma'am. |
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38:44 | I mean, we should, but elected a long time ago to say |
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38:48 | not so important here. I'll just you, see one is called |
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38:51 | Do you guys know who Atlas He was a Titan? And what |
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38:54 | Atla Atlas do? Every, everyone that it's actually not true. He |
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38:59 | up the heavens. Yeah. But , but it's, that's what |
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39:02 | everyone says, I, when I looked it up. I was |
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39:04 | yeah, he, he held up word. No, he holds up |
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39:06 | heavens. So that's what Atlas does what does Atlas do on our neck |
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39:10 | up our head? Right? and then underneath that is axis and |
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39:15 | , what does axis do? It me to turn my head. All |
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39:19 | . C one C two. There go. I'm not gonna ask you |
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39:21 | it though. All right. But can see it, it provides us |
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39:25 | thing. What are, what are of the other things that we can |
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39:28 | ? I mean, I can bend way, right? But I have |
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39:31 | degrees of freedom this way. And , it has to do with the |
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39:33 | shapes. Yeah, it's, I, you're gonna always ask me |
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39:45 | about pathology and I'm gonna just tell up front. I don't know the |
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39:49 | . All right. But I believe not 100% certain, but I believe |
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39:52 | scoliosis is the ossification um between the so that there's less movement. I'm |
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39:58 | 100% certain. OK. Ossification will , it becomes more bony. All |
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40:04 | . But if I'm wrong, you come back and tell me you're |
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40:06 | You don't know what the hell you're about pathology. Not my, not |
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40:10 | thing. All right. Now, said that we don't need to know |
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40:15 | special shapes. So, right? I gonna throw one of these up |
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40:18 | ? And say, what is No. All right. One |
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40:22 | All right. The one exception is thoracic vertebrae. And the reason I'm |
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40:26 | out the thoracic vertebrae and saying you know this as an exception or knowing |
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40:30 | shape is because of what it All right. So the thoracic region |
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40:37 | where you're gonna see your ribs, ? That's what we call this. |
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40:40 | the thoracic cage, the thoracic vertebrae have a special facet. A facet |
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40:49 | where is, is, is a of articulation. All right. And |
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40:54 | we call this facet is a costal . Costal is, is the adjective |
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41:01 | u use for ribs. So these called the costal bones. All |
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41:05 | So it tells you already what do thoracic vertebrae? Do they articulate with |
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|
41:10 | ribs? And you can see it's the transverse process where you're gonna see |
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41:16 | costal facet. All right. So the one unique thing that stands out |
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41:21 | differently from all the others that I you should know because it deals with |
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41:25 | bone that you're gonna have to deal . All right. So transverse process |
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|
41:32 | a costal facet on the thoracic Now, when we go and look |
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41:36 | the rib, you're gonna see it and that's gonna be like, oh |
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41:39 | . Now I see what you're talking . The last two types of vertebrae |
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|
41:45 | the sacrum and the coccyx. And just showing you because you can see |
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|
41:48 | the sacrum used to be 12345 those fused together very early on in |
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|
41:54 | . Um And so now it basically like one big giant bone. So |
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|
41:58 | the sacral bones become the sacrum. You can see that there's these |
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|
42:03 | Foramina is just plural for foramen. is where the blood vessels and the |
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42:07 | pass through to work their ways down your legs. All right. And |
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|
42:11 | finally, the coccyx, this is little tiny tail that we all |
|
|
42:15 | It's an awful, awful little tiny . It actually becomes a fuse right |
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|
42:20 | the age of 25. It's still for most of our lives or the |
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42:24 | part of our lives. And it's worst one to break in your |
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|
42:27 | If anyone here ever bruised or broken coccyx, no, you, you |
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|
42:31 | or bruised, it bruised, broke bruised, bruise. Yeah, it |
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|
42:37 | that they can attest. It is suckiest of the suck. Right. |
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|
42:41 | fall on that, you bruise it's hard to move. You can't |
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42:44 | on it when you want, when want to sit, you have to |
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42:47 | on your side or on your Not a lot of fun. And |
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42:50 | you break it, it's even worse all your movement passes through ligaments of |
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42:56 | lower lips, passes, you attached to that coccyx. So if |
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42:59 | broken, it never has a real to set itself. It's just |
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43:03 | So they basically say just lie down lot and take a lot of |
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|
43:07 | All right, coccyx sucks when you on your butt. That's what you're |
|
|
43:11 | when it hurts. So bad. back up. So, we just |
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43:17 | all the way down the vertebrae and we're coming back up, we're in |
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43:19 | thoracic cage. Thoracic cage consists of ribs, plus your breastplate. All |
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|
43:24 | , your breast bone. The first we look at is this breast |
|
|
43:27 | we call it the sternum. All , sternum has three parts and the |
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|
43:33 | of the sternum is to protect the . Ok. Notice it right |
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|
43:38 | Sits in the middle. All the three parts are like the three |
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|
43:42 | of a tie. That's why I a little tie here to help you |
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|
43:45 | it? All right, the head up here that would be called the |
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|
43:52 | . It articulates with the clavicle. right. And so it's gonna be |
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|
43:58 | which the appendices are going to attach , right? Underlying that we have |
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|
44:06 | long part of the sternum, we that the body. And in some |
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|
44:11 | , the older name for it is the Gladiolus. All right. If |
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|
44:14 | don't know what the Gladiolus is, you think it's a flower, it's |
|
|
44:17 | , it is. But the Gladiolus actually named for a sword that was |
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44:22 | by gladiators. Gladiolus. What does look like? Does it look like |
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44:28 | sword kind a sort of, and at the bottom right here is a |
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44:34 | , it's called the xiphoid process. it ossifies a little bit, a |
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44:37 | bit later. It's in the process ossifying right now. And so it's |
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44:42 | cartilage and then over time it slowly . And so that's a little pointy |
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44:46 | the tie. That's the zip hoid . And this is where many of |
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44:50 | abdominal muscles are attached. All Have you ever had the wind knocked |
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44:54 | of you? Probably because someone you at the zip hoid process where you |
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44:58 | your zip hoid process and that causes contraction. Yeah, slightly. What |
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45:09 | the last part? It is? , so you, you got to |
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45:14 | in terms of does it give free to this structure? So, in |
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45:19 | , when you look at the the sternum actually projects outward and creates |
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45:24 | space in the Thora thoracic cage, not upward, it's just out. |
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45:28 | when you breathe in, what you're is you're pulling upward and it's, |
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45:32 | while when you hear upward, the is look, I'm going like |
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45:36 | It's actually like, so it's not moving all that far. Oh |
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45:44 | well, if it's doing that you're gonna see attachment here right between |
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45:48 | costal cartilage and the costal themselves. it's still protective and there is gonna |
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45:54 | variation. You know, most of things we look at here is what |
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45:58 | , what do you expect in a specimen. And again, that's even |
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46:02 | misnomer because what is perfection? It's the most common. Right? That's |
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46:07 | probably the better thing. And so plans experiment. Right? That's what |
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46:15 | do. So, if it's tilted way or the other, that's just |
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46:18 | . Right? So, all So we got the sternum and you |
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46:24 | see here that there's gonna be attachments the sternum with the ribs and it's |
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46:29 | be done through cartilage. The only that doesn't have cartilage attached to it |
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46:33 | the zip process. So the as well as the um the uh |
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46:40 | itself are gonna be where you're gonna costal cartilage. So that takes us |
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46:44 | the costal bones. All right. , here's me connecting dots for |
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46:51 | All right. How many thoracic vertebrae there? 12? So how many |
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46:57 | are there? 12 pair? So it's 12. So I think |
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47:01 | terms of 12 pair, right? for each side. So that's an |
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47:05 | way to do that, right? you get kind of lost, it's |
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47:07 | , oh yeah, my thoracic cage ribs. I know that there are |
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47:10 | ribs. Therefore, I know that 12 thoracic vertebrae because each of the |
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47:15 | vertebrae are associated with a rib, first seven ribs. So if you |
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47:21 | at the top and count your way , the first seven ribs are called |
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47:23 | true ribs. All right. And reason they're called true ribs is because |
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47:27 | have costal cartilage, you have costal that directly attaches to the sternum. |
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47:35 | right. So you can see there's , I'm gonna go all the way |
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47:37 | to seven. You can see here , I go straight to right. |
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47:43 | it goes straight on to the So those are the true ribs. |
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47:47 | next five I are collectively referred to the false ribs. If they have |
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47:53 | cartilage, that costal cartilage is connecting the costal cartilage of number seven. |
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47:59 | here's number eight goes up, it's there. It doesn't connect directly connects |
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48:04 | . Nine and 10, do the thing. The last 2, 11 |
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48:08 | 12 are called the floating ribs. the reason they're floating ribs, they |
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48:14 | have costal cartilage, they're literally just of hanging out there floating around. |
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48:19 | when boxers break their ribs, these the ribs, they're usually breaking are |
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48:24 | floating ribs. All right. So ribs, verse seven are true. |
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48:28 | last five are false. The last false ones floaters. Ok. |
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48:35 | structurally, yes, sir. that's the, so again, that |
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48:44 | and the false has to do with it's connected to the sternum. So |
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48:47 | true rib is connected directly to the via that costal cartilage. All |
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48:52 | So if you're the sternum and I the rib, what connects us is |
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48:58 | directly moving between us. If I'm false rib, I'm not going to |
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49:03 | directly, I'm gonna connect via another cartilage. So again, see |
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49:08 | right, you can look at number , number eight right here is number |
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49:12 | , you can see where does that go? Does it go directly to |
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49:15 | sternum? No, it connects to cartilage right there. Does that make |
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49:28 | ? Mhm. That's exactly it. the reason again, there's a lot |
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49:35 | reasons why we have this, you , if you look at other |
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49:38 | they will just come straight around. reason we do this has to do |
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49:42 | our upright position as well as So we need to have greater |
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49:47 | Yes, ma'am. Mhm. You break anything, right. But the |
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49:56 | and 12 is pretty easy because they're kind of dangling and, and |
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50:00 | they're not dangling, right. I , they're, they're hard and they're |
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50:03 | . But, you know, if press on the end they have greater |
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50:07 | because nothing's holding on to them right . Not necessarily. It's just when |
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50:14 | think about boxers, I mean, you've watched enough boxing movies or if |
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50:17 | a fan of boxing or UCFUFC, me? Not UCF? That's a |
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50:22 | . Um, UFC. What you'll is where do you punch, you're |
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50:26 | to punch over here because that's an thing to cause damage and it basically |
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50:32 | a person to kind of flinch and and that's the idea. Yeah. |
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50:37 | another one, yeah. Do the ribs have costal cartilages? They do |
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50:45 | . So that's their characteristic, that stands them apart. All |
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50:51 | Now, in terms of structure, is our first bone. We're actually |
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50:54 | to dive in and start looking a bit at structure and looking at some |
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50:57 | the nomenclature. All right. So , we have 24 ribs. So |
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51:01 | do we do? We look at rib and we say, all |
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51:03 | in this particular picture, what I you to do is I want you |
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51:06 | imagine here is our vertebrae. So vertebrae would be attached over here and |
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51:11 | come around and this would be the , right? So the portion that's |
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51:16 | is out here in the front, long portion is called a shaft. |
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51:21 | right, the portion that's over attached the rib that is called the |
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51:26 | So there's your head, you come and you go and that would be |
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51:29 | shaft that's coming around like. all right now, I pointed out |
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51:34 | costal facet. All right, the facet is an articulation between the transverse |
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51:40 | of the vertebra and it is attaching the bone of the rib at a |
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51:46 | place called the tubercle. All So remember we said these are words |
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51:50 | you can see it's a projection. right. So from the tubercle to |
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51:56 | head, that space is referred to the neck. So we have the |
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52:01 | , the neck and then the tuber is the point of attachment or articulation |
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52:07 | then we're gonna come around and where come around, that's called the arch |
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52:12 | excuse me, I said, the is the angle. So this would |
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52:14 | the angle coming around. And then what do you have is that is |
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52:18 | shaft? And then at the end the shaft, you'd have costal |
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52:23 | right? If you were a uh floating rib, would you have costal |
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52:27 | there at the end of the No. All right. So rib |
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52:33 | , neck, tubercle angle and then long portion is the shaft. |
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52:41 | Think you can draw that one, draw j label it. OK. |
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52:49 | we're moving away from the axis. there any questions about the axis? |
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52:53 | it pretty straightforward? 22 bones of skull, whole bunch of bones? |
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52:59 | do we say? It's 29 no, 2423 bones of the |
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53:03 | We have the hyoid, we have ribs, we have the three bones |
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53:07 | the sternum and you're basically halfway Not too bad, right? |
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53:14 | moving to the appendices, we have that are found within the body structure |
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53:22 | are considered part of the appendices. our first two are going to be |
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53:27 | clavicle and the uh scapula. So clavicle is this bone here. All |
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53:37 | , sits up here in the It articulates between the scapula. The |
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53:42 | is found in the back. All , that's your shoulder blade and the |
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53:49 | attaches to a portion that sits up it goes all the way over to |
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53:54 | sternum. Specifically, it articulates with manubrium. And so you can |
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53:59 | see here, this is the scapula would be in the muscles of your |
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54:04 | , sitting on above the ribs and the ribs. And then you can |
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54:08 | we have this, this projection It's, this projection is called the |
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54:12 | chromium. And the clavicle goes across over and connects right here in the |
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54:19 | . Ok. So as far as is concerned, you have two parts |
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54:25 | it, you have the cart that to the sternum called the sternal |
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54:30 | And the part that connects to the specifically at this projection called the |
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54:35 | So we call that the acromial So sternal end, acromial end. |
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54:40 | right. That's a clavicle. How clavicles do you have? Two? |
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54:44 | for each side? All right. now we're in the pairing. So |
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54:48 | pick your favorite side. If you're handed, pick your left, if |
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54:52 | right, pick your right, if want to be contrarian, pick the |
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54:56 | . And what we're gonna do is looking now at that bone in the |
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54:59 | . This is the scapula and usually you see a picture like this, |
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55:03 | panic, right? I panic because a lot of things labeled on this |
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55:08 | . Do you think you need to all the things on here labeled |
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55:11 | So this is the good part to circle, this circle, this |
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55:13 | this circle this all right. So is your scapula from this angle right |
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55:19 | . This is the part facing your . All right. So facing, |
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55:23 | you're looking at me, it'd be towards you. This is looking at |
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55:29 | from behind, all right, that's back there. So it points towards |
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55:35 | back, all right. So the portion faces toward the body, the |
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55:39 | that has the thing sticking up the is facing outward. All right. |
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55:45 | located on the back, we have portion right here. This is called |
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55:50 | spine. Whenever we have a that's a point where muscles are gonna |
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55:54 | attached. All right. So we see here the spine and the reason |
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55:57 | point out the spine is not just of the muscles, but because the |
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56:01 | of the spine is that a chromia , what is the acromion associated with |
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56:06 | clavicles, clavicle comes across next to sternum? All right. And why |
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56:13 | the clavicle important? Why I'm backing a little? Why do you think |
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56:16 | clavicle is important? It sits What does it do? It holds |
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56:21 | arm outward. If you break the , the arm falls forward. All |
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56:28 | . So it is what holds everything and back. The scapula is not |
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56:34 | to any other bones other than than the scapula. It's, it's |
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56:38 | inside muscle in the back. All . So we're gonna have muscle located |
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56:44 | . We have muscle located there and gonna have muscle located there. Each |
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56:47 | those inventions are called fossa. All , we have one above the |
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56:53 | we have one below the spine. above is supra, below, is |
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57:02 | . So we have supra, spinous infraspinous. Do you see how most |
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57:07 | are just named for where they're And then over here, this is |
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57:14 | the scapula. So it's called the fossa. All right. It's just |
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57:19 | muscles attached over here on the This is what's gonna articulate with the |
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57:28 | bone that's in your arm. We this the glenoid cavity. All |
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57:34 | So working from my sternum, which part of the axis or appendix |
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57:41 | I have the clavicle, clavicle goes the scapula, scapula articulates with the |
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57:49 | bone, which is the bone. funny. But it's not. All |
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57:55 | . You ever banged your humerus? it funny when your friend bangs their |
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58:00 | ? Is it funny? Yes, is. See, you're laughing. |
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58:03 | right. So that's our next All right. So again, the |
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58:08 | things you should know in terms of are the ones that I name. |
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58:13 | right. So you uh they're the you kind of circle and say maybe |
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58:15 | should know that, know where it a little bit. All right, |
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58:19 | reason I named it just wanted to out some unique little feature about |
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58:24 | All right. So the humerus is next bone. It's your upper |
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58:29 | So, you have two humerus I, I guess two humerus. |
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58:33 | right. The top, right, uh top is referred to as the |
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|
58:39 | . All right, the bottom has uh associated with it. What are |
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58:45 | condyles. So, we'll get to in a moment. All right. |
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|
58:48 | you can see here, I've got projections. One's big ones small. |
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58:52 | one's called the greater, the other called the lesser tubercle. These are |
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58:56 | attachments for bones or muscles of the cuff, working down. We have |
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|
59:03 | line and you can see there's a bump that sits in the middle, |
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|
59:07 | called the deltoid tuberosity. It's an for the deltoid and then working even |
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|
59:12 | down. That's when we get down the um the condyles, one of |
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|
59:18 | condyles is called the capitulum. The is the point of articulation with your |
|
|
59:25 | . And then we have the trachea the other condyle. That is what |
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|
59:30 | with the ulna. Now, I remember which one's rich, which, |
|
|
59:34 | right, we'll see that on the . We have a something named the |
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59:39 | notch. So that's how I remember like if I see trachea, that's |
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|
59:43 | ulna. So the other one has be the radius and I'll try to |
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|
59:46 | you how I remember uh the lower . All right. So head |
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|
59:53 | tuberosity, we have the two one is capitulum, one is the |
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|
59:58 | and then just above those, you your epicondyles should have undone my shirt |
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|
60:13 | . All right, you can do yourself. You can feel out here |
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60:17 | you feel that projection right there, if you feel that that is an |
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|
60:23 | . OK. You can feel it there. OK? If you take |
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|
60:26 | finger and roll it in there, ? Do you feel kind of |
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|
60:31 | that, that tingle when you kind roll over that nerve? OK. |
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|
60:37 | what we would call our funny bone when we hit that epicondyle, we |
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60:41 | that nerve and that gives us that feeling. All right. Now, |
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|
60:46 | move down to the forearm then. right. Now, the reason I |
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60:50 | this is so you can actually see position of my arm. I should |
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|
60:52 | worn a short sleeve shirt today, it felt a little chilly even though |
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60:56 | gonna get warmer. All right. this bone is the humerus, the |
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61:02 | on the outside is the radius. bone on the inside is the |
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|
61:09 | How do I remember which ones? way back at the dawn of time |
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|
61:13 | I took my geometry class, I about RADII. Did you learn about |
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|
61:17 | ? Right. And you learned all little, you know what is a |
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|
61:20 | ? It's from the center of a to the circumference to the edge of |
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|
61:24 | circle, right? So I think the radius as being the part going |
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|
61:29 | . That's how I remember it. you want to come up with another |
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61:32 | to remember it, that's fine. right. So ona here, radius |
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|
61:37 | . All right. Notice these are bones, they go straight down. |
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|
61:43 | the ulna is medial, radial radius lateral. All right with the |
|
|
61:51 | The thing you need to identify or identify be familiar with is the trochlear |
|
|
61:56 | . Why do I make you look the trochlear notch? Well, this |
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|
61:59 | an important um articulation point. All , it's what allows you to do |
|
|
62:07 | . Ok. So you can see kind of like a hinge. I |
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|
62:12 | said a hinge joint, but I want to deal with the joints |
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62:15 | . All right, gives you that like action because it's you have a |
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62:21 | , right, the trachea and the notch. And so what you do |
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|
62:25 | you rotate in that trochlear notch. other thing is you have the Alacron |
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|
62:31 | he all right to this point. is your Alacron notice it's mislabeled up |
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|
62:41 | . Actually, I think they say Laron process. All right. So |
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|
62:45 | process is different than the Alacron So that's the Alacron, that's that |
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|
62:49 | thing at the end of uh you kind of see it there. They're |
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|
62:56 | it here. That's the pointy Some of you have more point |
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|
62:59 | Alacron on. So just think the end of my elbow. That's the |
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|
63:04 | and then the styloid process. All . So, remember which, which |
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|
63:10 | my own, this one? if I go down here and feel |
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|
63:16 | my wrist, that bony thing sticking , that's the styloid process. Do |
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|
63:21 | have a styloid process on my Why? Yes. Yes, I |
|
|
63:25 | . All right. So it's just where you have those, those little |
|
|
63:30 | sticking out. So radius, the thing I want to point out is |
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|
63:33 | process. All right. Moving into wrist, the wrist is where you're |
|
|
63:41 | find the carpal bones. All there are eight carpal bones per |
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|
63:47 | Each of these bones are kind of bones, they are short bones, |
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|
63:51 | closely associated with each other by So they're held close in opposition to |
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|
63:56 | another. There are eight of You should know the names. I'm |
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64:01 | gonna give you that picture and say them. All right. The reason |
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64:04 | I forget which ones are which, right, but you should know which |
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|
64:08 | is in which row. All So proximal means near the body, |
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|
64:14 | means further away from the body. the proximal row is closer to |
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|
64:18 | The distal row is further away. way we do this is we go |
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|
64:22 | the lateral side and we work to medial side. The names of the |
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|
64:26 | are the scaphoid lunate, the trium the pisiform. Then you go to |
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|
64:30 | distal row and then you got the that are named close together, Trapezium |
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|
64:34 | . Then you have the Capitate How do I know which ones? |
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64:37 | , how do I remember these This is where the mnemonics come |
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64:41 | All right. Now, I want say this class is a class that |
|
|
64:46 | try to keep things a little bit . All right, because me doing |
|
|
64:51 | jokes and stuff might be offensive to . I don't know. But the |
|
|
64:55 | to learn these things is to find dirtiest, most raunch mnemonic you can |
|
|
65:00 | find. All right, because you , potty humor makes us all |
|
|
65:04 | All right. It's an easy way remember stuff. And so if you |
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|
65:07 | to go on the internet, you find all the dirtiest mnemonics. You |
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|
65:11 | possibly discover. I took a dirty and I made it as clean as |
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|
65:14 | possibly could. And I found a that went with it really, really |
|
|
65:17 | . And so this is an I want to point out the artist |
|
|
65:20 | . What this is what this artist is he gets contortionist and he basically |
|
|
65:25 | their bodies up in weird ways and takes pictures. The first one I |
|
|
65:29 | saw. Did you guys ever watch ? All right, like Tom and |
|
|
65:32 | , the real violent ones, So in the real violent cartoons, |
|
|
65:36 | remember when they, like the animals fight, they would draw a cloud |
|
|
65:40 | . And then you'd see like an come out and like a fist on |
|
|
65:42 | other. That was the first picture ever found of this guy. And |
|
|
65:44 | was like, this is awesome. then I saw this in the picture |
|
|
65:47 | so I concluded it all right. , he did that where it was |
|
|
65:52 | four people in a knot. It wild. So some lunatics tris positions |
|
|
65:58 | they can't handle. Scaphoid lunate triqui pisiform trape trape trapezium, trapezoid capitate |
|
|
66:06 | . Find your own. If this works for you, great. If |
|
|
66:09 | need another one, go find another . Just remember which one's in which |
|
|
66:13 | . That's all I'm asking is that wrists, where's your wrist? It's |
|
|
66:21 | , right? So notice on a , then you have those eight bones |
|
|
66:27 | then you get into your actual So this is your hand moving |
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|
66:32 | When you get into the hand, have the palms of our hands versus |
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66:36 | fingers of our hands. You all the palms of your hands, |
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|
66:39 | Palms of your hands of this The thing is, is one of |
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|
66:42 | things we don't realize. We we, we look at these and |
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|
66:46 | oh look, look how long my are. My palms look like the |
|
|
66:50 | and then my palms are not the . The metacarpals are your palms. |
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|
66:54 | are long bones, there's five of . And so they'll make just make |
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|
66:58 | fingers look really, really long when take off the skin and the |
|
|
67:01 | All right. So the palms of hands are these five bones right |
|
|
67:06 | All right, the metacarpals, they laterally and you move immediately. So |
|
|
67:11 | , this is your position. So would be 12345 and they're just |
|
|
67:19 | All right. So 12345, those the metacarpals. And then for the |
|
|
67:24 | , you move out into the All right. Now, the |
|
|
67:29 | depending upon which finger you're looking at different numbers of bones. If I |
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|
67:35 | at my finger here and I bend . How many joints do you |
|
|
67:39 | How many bends? Two? So there's two bins, that means there's |
|
|
67:45 | bones. If I take my thumb I bend it, how many bins |
|
|
67:49 | you see? One? All So that means there's two bones. |
|
|
67:55 | these four, right, you can have three bones. Each of those |
|
|
68:02 | are called a phalanx singular. So phalanx is a soldier. So these |
|
|
68:07 | your phalanges, are your soldiers, ? So each of these have |
|
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68:12 | the one that's nearest to you is the proximal. The one in the |
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68:16 | is called the middle and then the that's furthest away is distal. So |
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68:21 | , when you get to your which is the fancy word for the |
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68:25 | of or is the fancy word for thumb, you have a proximal and |
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68:28 | have a distal, there is no or middle. Ok. So how |
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68:34 | do I have? I've got three four, which is 12 plus |
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68:39 | That's 14 phalanges. So far. good. Is that hard, |
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68:45 | We just whipped through these things we just got to do our legs |
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68:49 | the legs are not much different than upper body. All right, we |
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68:53 | with a girdle. The bones of girdle of the hips are called the |
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68:59 | coxa, os os bone, I'm not sure where that comes |
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69:05 | All right. But they are your bones. All right. So early |
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69:08 | life, uh The Os Coxa are pairs of three bones and those three |
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69:14 | fuse together and form this structure. hip. All right. So the |
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69:19 | bones are called the ilium. The is the easy one. If you |
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69:24 | your hip, that bone right there the top, that's your iliac |
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69:28 | That is your ilium. All you can see up there on |
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69:31 | there's your ilium. The thing you're on is called your ischem. All |
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69:36 | . So that's the bone that makes the back portion and the bone in |
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69:39 | front that we all giggle about. your pubis. All right. So |
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69:43 | have the pubis, the ischem in ilium. How do I remember which |
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69:47 | which? Well, I know where of my pubis is. I know |
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69:49 | is iliac crest and I sit on tushy. So my is, is |
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69:53 | tushy. All right. Now, can see here, there's a couple |
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69:57 | features here. All right. And can see that they color coded this |
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70:00 | make this simple. What we're looking is we're looking at uh from the |
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70:05 | uh view. So we've taken a section and we're looking from the medial |
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70:09 | the lateral. So that's right there where they would be connected. If |
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70:13 | go over to this picture, what looking at is that half from this |
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70:18 | ? All right. So if I'm this direction, I'm looking at just |
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70:21 | half. All right. And in picture, what I'm doing is I'm |
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70:25 | from the outside over this direction. I'm looking out out here. So |
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70:30 | picture is not that great to give a sense of what's going on. |
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70:35 | first thing I want to point out this big giant hole, it's called |
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70:39 | operator foramen. All right. So again, is the pathway through which |
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70:43 | nerves and the blood vessels pass down the legs. All right. And |
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70:48 | you can see it's made up of all three bones, right? But |
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70:53 | really kind of seeing just the ischem the pubis and then between the two |
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70:58 | bones, there's a fusion and that is held together by cartilage. And |
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71:04 | is called the uh pubic synthesis. right, it's a special type of |
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71:09 | . All right. This cartilage is to become loose and it pro provides |
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71:14 | little bit of flexibility, but particularly women in pregnancy that, that synthesis |
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71:19 | up so that it uh gives a bit of flexibility in the birth |
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71:24 | Now, there's nothing for you to here, memorize here. Uh purposefully |
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71:29 | dropping this thing. Um But what wanted to show you here is this |
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71:32 | an example of one of the major uh differences in males and females in |
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71:38 | in the bones. It's not the one, but this is like one |
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71:40 | the major ones. You can literally a skeleton of a female, take |
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71:44 | skeleton of a male. Identify it immediately just by virtue of the Osco |
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71:48 | shape. All right. So this um one of the examples of sexual |
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71:53 | , just the differences between men and . So women have a wider pelvic |
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71:58 | and a broader pubic arch. And primarily there for the purposes of |
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72:05 | So, Os Coxa three bones, ischium, uh uh pubis pub pubic |
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72:12 | between the two pubs in the We have the operator foramen. Oh |
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72:17 | left one thing off. I Uh The, the other one is |
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72:22 | can see it over here. This similar to the glenoid cavity of the |
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72:26 | . This is called the acetabulum. acetabulum is the point of contact between |
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72:31 | femur and the hip. All So this is your hip socket. |
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72:37 | acetabulum sits up high and then just it is where you'd see the operator |
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72:42 | and this is from the backside. would be the front side. All |
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72:46 | . And so going here, you see where that acetabulum would be. |
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72:50 | would be where the acetabulum is. can see the operator foramen operator foramen |
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72:54 | there. So when you get down the lower legs, we're dealing with |
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72:58 | bones, the high bone is called femur. And then you move down |
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73:02 | the lower limbs, you're gonna have tibia and the fibula. And I |
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73:06 | them in that order because the order sense if you think of it as |
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73:11 | All right. So that's the direction which I'm going is I'm going to |
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73:14 | through the femur, then I'm going go through the tibia, then I'm |
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73:16 | go through the fibula. We'll get the last two in just a |
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73:20 | So at the femur, this is similar to the humerus. It's |
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73:23 | that broad, thick bone of the limb. The thing is, is |
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73:27 | this one's actually kind of cool. , it is uh unique in that |
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73:30 | is roughly the quarter uh a quarter the size of an individual. So |
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73:35 | you find a femur, what you do is you can measure the femur |
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73:38 | you can actually estimate rather accurately the of the individual that you're looking |
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73:43 | All right, a lot of bulky . Um You're probably most familiar with |
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73:48 | gluteal muscles, but there's also your muscles as well. The, the |
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73:52 | that are gonna be found along uh along the thigh as well. |
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73:56 | right. So what we have is start with the head. We have |
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74:01 | sites. These are called the So you have the greater tranter and |
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74:04 | lesser tranter, these are gonna be the gluteal muscles as well. The |
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74:08 | as well as some other muscles as , projecting downward. We have this |
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74:13 | called the linear asper. The linear has associated with it a projection that |
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74:18 | up where one of the gluteal muscles to, we call that the gluteal |
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74:23 | . You're not going to have to because the picture is not up |
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74:25 | But if you hear gluteal tuberosity, attaches to the gluteal tuberosity, a |
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74:30 | muscle. All right. That's pretty . All right, long portion of |
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74:36 | , is referred to as the shaft get down to the bottom. And |
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74:39 | do you have is you have Again, these condyles are unique in |
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74:44 | we have two condyles. Um um individual Condy condyles articulating with a single |
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74:52 | . So the bone underneath is the . So typically when you have a |
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74:56 | , it's supposed to be a single with another single bone and another |
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74:59 | But our knees are kind of interesting that both condyles are doing. |
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75:03 | So we have one on the one on the outside, the one |
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75:06 | the inside would be called medial. one on the outside would be called |
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75:12 | . All right. So we have dual condyle system in the knee just |
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75:17 | those condyles. Those would be the . So the epicondyles you can see |
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75:23 | is lateral, one is medial, found in the knee that there's a |
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75:28 | sesamoid bone or a flat bone, one you want to categorize it as |
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75:32 | call that the patella, that's your . OK. So we go from |
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75:41 | osa down to the femur, from femur. The next bone is the |
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75:48 | . All the weight of your body through the femurs and down through the |
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75:54 | , the fibula sits on the All right. So it's not a |
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75:59 | bearing bone like the tibia is. this is why I said, remember |
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76:04 | you'll go Fibia or sorry, not , femur tibia fibula. All |
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76:09 | It shows you the path uh through the, the weight is being |
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76:13 | All right now, where is It is the medial one. Think |
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76:16 | where your weight goes. All your weight goes down through the center |
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76:21 | your body. So that's where you to put. It is on the |
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76:25 | side. So the fibula sits Radius is lateral. Ulna is media |
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76:30 | is medial fibula, lateral. I'm them out now because we'll get to |
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76:37 | in just a moment just down at bottom end, we have the |
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76:41 | So we have one that is medial gonna be associated with the tibia. |
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76:45 | have one that's lateral that's gonna be with the fibula. Now, what |
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76:50 | doing with these two bones is we're that weight and we're bearing it down |
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76:54 | the feet down to the ankles. so the ankle, the first bone |
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76:59 | the ankle is called the talus. right. So I'm just gonna |
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77:02 | here's my talus. I have my coming down and it's gonna sit like |
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77:09 | and so it's malleolus sits on the on the inside, on the medial |
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77:13 | of the talus. So we got tibia coming down and there's that medial |
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77:18 | on the other side, we have fibula and the fibula comes down and |
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77:21 | projects beyond and creates the lateral So what we have now is we |
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77:29 | two bones that sit on either side the talus like. So, so |
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77:34 | does your ankle do? How does rotate? Can you rotate it in |
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77:39 | ? No, that's a bad Which way does it move? It |
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77:43 | , doesn't it? Right. And reason it rocks is because those malleoli |
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77:48 | the bone in place and prevent it rocking too much laterally and immediately. |
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77:54 | right. So that's the purpose of malleoli. One belongs to the |
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77:58 | one belongs to the tibia. So goes down to our ankles where we |
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78:05 | seven bones. How many do we in the wrist? Eight? All |
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78:10 | . So we lost a bone. right. There was probably a fusion |
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78:14 | . The first bone is the So we have our uh tibia and |
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78:20 | fibula sitting on top of the The talus is your true ankle. |
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78:24 | you think of the ankle, this the bone you're thinking about. So |
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78:27 | talus sits on top of another that bone is called the Calcaneus calcaneus |
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78:32 | your heel. So think of projecting and in front of that is another |
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78:38 | that's called the navicular. So the way to remember is tell us |
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78:42 | navicular and then you're gonna have a of fo four bones that sit in |
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78:46 | front. All right, three of bones are very similar. They have |
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78:51 | same name, they're called the cuneiform , right? With regard to the |
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78:55 | , we have one on the that's medial, one that sits in |
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78:58 | middle, that's the intermediate and the that's, that sits laterally, that |
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79:02 | be the lateral one. Ok. you have lateral, intermediate, |
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79:07 | if you're moving from the lateral to medial, and then finally, the |
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79:11 | bone that you have is going to called the cuboid. It's cuboid in |
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79:18 | . So talus to calcaneus to medial, intermediate cuneiform cuboid. There's |
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79:24 | pneumonic. If you need one, a terrible mnemonic. I would never |
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79:29 | this one but taus calcaneus, All right. The three cuneiform, |
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79:36 | , intermediate lateral and then cuboid at end. And those are your |
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79:40 | uh, tarsal bones, tarsals are ankles. Yeah, I really don't |
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79:49 | time to do the last two. I? All right. We'll come |
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79:53 | and do the foot. So, there questions so far? Is it |
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79:59 | hard as you might think it would ? What do you think, |
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80:04 | straightforward when we come back on we're going to be doing the |
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80:09 | get ready to be limber because we're to do the knee bones connected to |
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