Talk to us?

- NEETMDS- courses
NEET MDS Lessons
Anatomy

The Lateral Pterygoid Muscle

  • This is a short, thick muscle that has two heads or origin.
  • It is a conical muscle with its apex pointing posteriorly.
  • Origin: superior head—infratemporal surface and infratemporal crest of the greater wing of the sphenoid bone, inferior head—lateral surface of lateral pterygoid plate.
  • Insertion: neck of mandible, articular disc, and capsule of temporomandibular joint.
  • Innervation: mandibular nerve via lateral pterygoid nerve from anterior trunk, which enters it deep surface.
  • Acting together, these muscles protrude the mandible and depress the chin.
  • Acting alone and alternately, they produce side-to-side movements of the mandible.

The Orbital Vessels

  • The orbital contents are supplied chiefly by the ophthalmic artery.
  • The infraorbital artery, the continuation of the maxillary, also contributes blood to this region.
  • Venous drainage is through the superior orbital fissure to enter the cavernous sinus.

The Ophthalmic Artery

  • This artery arises from the internal carotid artery as it emerges from the cavernous sinus.
  • It passes through the optic foramen within the dural sheath of the optic nerve and runs anteriorly, close to the superomedial wall of the orbit.

 

The Central Artery of the Retina

  • This is the one of the smallest but most important branches of the ophthalmic artery.
  • It arises inferior to the optic nerve until it approaches the eyeball.
  • It then pierces the optic nerve and runs within it to emerge through the optic disc.
  • The central artery of the retina spreads over the internal surface of the retina and supplies it.

 

The Ophthalmic Veins

The Superior Ophthalmic Vein

  • The superior ophthalmic vein anastomoses with the facial vein.
  • It has no valves and blood can flow in either direction.
  • It crosses superior to the optic nerve, passes through the superior orbital fissure and ends in the cavernous sinus.

The Inferior Ophthalmic Vein

  • This begins as a plexus on the floor of the orbit.
  • It communicates with the inferior orbital fissure with the pterygoid plexus, crosses inferior to the optic nerve, and ends in either the superior ophthalmic vein or the cavernous sinus.

The Arteries of the Face

  • The superficial arteries are derived from the external carotid arteries.

The Facial Artery

  • This is the chief artery of the face.
  • It arises from the external carotid artery and winds its way to the inferior border of the mandible, just anterior to the masseter muscle.
  • It hooks around the inferior border of the mandible and grooves the bone. Here the artery is superficial, just beneath the platysma and its pulsation can be felt.
  • In its course over the face to the medial angle of the eye, the facial artery crosses the mandible, buccinator muscle, and maxilla.
  • It lies deep to the zygomaticus major.
  • The facial artery ends by sending branches to the lip and side of the nose.
  • The part of the artery that runs along the side of the nose to supply the eyelids is called the angular artery.

The Superficial Temporal Artery

  • This artery is the smaller of the two terminal branches of the external carotid artery (the other is the maxillary artery).
  • It begins deep to the parotid gland, posterior to the neck of the mandible, and ascends superficial to the posterior end of the zygomatic process of the temporal bone. It then enters the temporal fossa.
  • The superficial temporal artery ends in the scalp by dividing into the frontal and parietal branches.
  • Pulsation of this artery can be felt by compressing the root of the zygomatic process of the temporal bone.

The Transverse Facial Artery

  • This small artery arises from the superficial temporal artery before it emerges from the parotid gland.
  • It crosses the face superficial to the masseter muscle, about a fingerbreadth inferior to the zygomatic arch.
  • It divides into numerous branches that supply the parotid gland and duct, the masseter muscle, and the skin of the face.
  • It anastomoses with branches of the facial artery.

The Submandibular Glands

  • Each of these U-shaped salivary glands is about the size of a thumb and lies along the body of the mandible.
  • It is partly superior and partly inferior to the posterior 1/2 of the base of the mandible.
  • It is partly superficial and partly deep to the mylohyoid muscle.
  • The submandibular duct arises from the portion of the gland that lies between the mylohyoid and hyoglossus muscle.
  • The duct passes deep and then superficial to the lingual nerve.
  • It opens by one to three orifices on a small sublingual papilla beside the lingual frenulum.
  • The submandibular gland is supplied by parasympathetic, secretomotor fibres from the submandibular ganglion (preganglionic fibres from the chorda tympani via the lingual nerve).

->The sides and base of the skull are formed partly by these bones.
->Each bone consists of four morphologically distinct parts that fuse during development (squamous, petromastoid, and tympanic parts and the styloid process).
->The flat squamous part is external to the lateral surface of the temporal lobe of the brain.
->The petromastoid part encloses the internal ear and mastoid cells and forms part of the base of the skull.
->The tympanic part contains the bony passage from the auricle (external ear), called the external acoustic meatus. The petromastoid part also forms a portion of the bony wall of the tympanic cavity (middle ear). The meatus and tympanic cavity are concerned with the transmission of sound waves.
->The slender, pointed styloid process of the temporal bone gives attachment to certain ligaments and muscles (e.g., the stylohyoid muscle that elevates the hyoid bone).
->The temporal bone articulates at sutures with the parietal, occipital, sphenoid, and zygomatic bones.
->The zygomatic process of the temporal bone unites with the temporal process of the zygomatic bone to form the zygomatic arch. The zygomatic arches form the widest part of the face.
->The head of the mandible articulates with the mandibular fossa on the inferior surface of the zygomatic process of the temporal bone.
->Anterior to the mandibular fossa is the articular tubercle.
->Because the zygomatic arches are the widest parts of the face and are such prominent facial features, they are commonly fractured and depressed. A fracture of the temporal process of the zygomatic bone would likely involve the lateral wall of the orbit and could injure the eye.

 

Hip

Constitutes the pelvic girdle
United with the vertebral column
Union of three parts that is marked by a cup shaped cavity (acetabulum) Ilium
•    Prominence of the hip
•    Superior border is the crest
•    Anterosuperior spine-projection at the anterior tip of the crest
•    Corresponding projections on the posterior part are the posterosuperior and posteroinferior iliac spines
•    Greater sciatic notch-located beneath the posterior part
•    Most is a smooth concavity (iliac fossa)
•    Posteriorly it is rough and articulates with the sacrum in the formation of the sacroiliac joint

Pubic bone

Anterior part of the innominate bone
Symphysis pubic-joining of the two pubic bones at the midline
Body and two rami 
•    Body forms one fifth of the acetabulum
•    Superior ramis extends from the body to the median plane: superior border forms the pubic crest
•    Inferior ramus extends downward and meets with the ischium
•    Pubic arch is formed by the inferior rami of both pubic hones

Ischium
    Forms the lower and back part of the innominate bone
    Body
•    Forms two fifths of the accrabulum
•    Ischial tuberosiry-supports the body in a sitting position
•    Ramus-passes upward to join the inferior ramus of rhe pubis; known as rhe obturator foramen

Pelvis

Fanned by the right and left hip bones, sacrum, and coccyx

Greater pelvis

o    Bounded by the ilia and lower lumbar vertebrae
o    Gives support to the abdominal viscera

Lesser pelvis

o    Brim of the pelvis corresponds to the sacral promontory
o    Inferior outlet is bounded by the tip of the coccyx, ischial tuberosities, and inferior rami of the pubic bones

Female pelvis

o    Shows adaptations related to functions as a birth canal Wide outlet
o    Angle of the pubic arch is obtuse

Male pelvis

o    Shows adaptations that contribute to power and speed
o    Heart-shaped outlet
o    Angle of the pubic arch is acute


Thigh

Femur-longest and strongest bone of the body
Proximal end has a rounded head that articulates with the acetabulum
Constricted portion-the neck
Greater and lesser trochanters
Slightly arched shaft; is concave posteriorly
o    Linea aspera-strengthened by this prominent ridge
o    Site of attachment for several muscles
Distal end has two condyles separated on the posterior side by the intercondyloid notch

Knee cap

Patella-sesamoid bone
Embedded in the tendon of the quadriceps muscle
Articulates with the femur


Leg

Tibia-medial bone
o    Proximal end has two condyles that articulate with the femur
o    Triangular shaft

    Anterior-shin
    Posterior-soleal line
    Distal-medial malleolus that articulates with the latus to form the ankle joint
Fibula-lateral bone
o    Articulates with the lateral condyle of the tibia but does not enter the knee joint
o    Distal end projects as the lateral malleolus


Ankle, foot, and toes

Adapted for supporting weight but similar in structure to the hand

Talus

o    Occupies the uppennost and central position in the tarsus
o    Distributes the body weight from the tibia above to the other tarsal bones
Calcaneus (heel)-Iocated beneath the talus
Navicular-located in front of the talus on the medial side; articulates with three cuneifonn bones distally
Cuboid-lies along the lateral border of the navicular bone

Metatarsals
o    First, second, and third p1etatarsals lie in front of the three cuneifonn bones
o    (2) Fourth and fifth metatarsals lie in front of the cuboid bone

Phalanges

o    Distal to the metatarsals
o    (2) Two in the great toe; three in each of the other four toes .

Longitudinal arches in the foot (2)

o    Lateral-fonned by the calcaneus, talus, cuboid, and fourth and fifth metatarsal bones
o    Medial-fonned by the calcaneus, talus, navicular, cuneifonn, and first, second, and third metatarsal bones

Transverse arches-formed by the tarsal and metatarsal bones

 

Internal Ear

  • Osseous labyrinth: a complex system of cavities in the substance of the petrous bone.
  • Membranous labyrinth: filled with endolymph, bathed in perilymph.

Explore by Exams