NEET MDS Lessons
Anatomy
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
The Masseter Muscle
- This is a quadrangular muscle that covers the lateral aspect of the ramus and the coronoid process of the mandible.
- Origin: inferior border and medial surface of zygomatic arch.
- Insertion: lateral surface of ramus of mandible and its coronoid process.
- Innervation: mandibular nerve via masseteric nerve that enters its deep surface.
- It elevates and protrudes the mandible, closes the jaws and the deep fibres retrude it.
The Temporomandibular Joint
- This articulation is a modified hinge type of synovial joint.
- The articular surfaces are: (1) the head or condyle of the mandible inferiorly and (2) the articular tubercle and the mandibular fossa of the squamous part of the temporal bone.
- An oval fibrocartilaginous articular disc divides the joint cavity into superior and inferior compartments. The disc is fused to the articular capsule surrounding the joint.
- The articular disc is more firmly bound to the mandible than to the temporal bone.
- Thus, when the head of the mandible slides anterior on the articular tubercle as the mouth is opened, the articular disc slides anteriorly against the posterior surface of the articular tubercle
Endochondral ossification
- A cartilage model exists
- Through intramembraneous ossification in the perichondrium a collar of bone forms around the middle part of the cartilage model
- The perichondrium change to a periostium
- The bone collar cuts off the nutrient and oxygen supply to the chondrocytes in the cartilage model
- The chondrocytes then increase in size and resorb the surrounding cartilage matrix until only thin vertical septae of matrix are left over
- These thin plates then calcify after which the chondrocytes die
- The osteoclasts make holes in the bone collar through which blood vessels can now enter the cavities left behind by the chondrocytes
- With the blood vessels osteoprogenitor cells enter the tissue
- They position themselves on the calcified cartilage septae, change into osteoblasts and start to deposit bone to form trabeculae
- In the mean time the periosteum is depositing bone on the outside of the bone collar making it thicker and thicker
- The trabeculae,consisting of a core of calcified cartilage with bone deposited on top of it, are eventually resorbed by osteoclasts to form the marrow cavity
- The area where this happens is the primary ossification centre and lies in what is called the diaphysis (shaft)
- This process spreads in two directions towards the two ends of the bone the epiphysis
- In the two ends (heads) of the bone a similar process takes place
- A secondary ossification centre develops from where ossification spreads radially
- Here no bone collar forms
- The outer layer of the original cartilage remains behind to form the articulating cartilage
- Between the primary and the secondary ossification centers two epiphyseal cartilage plates remain
- This is where the bone grows in length
- From the epiphyseal cartilage plate towards the diaphysis a number of zones can be identified:
Resting zone of cartilage
Hyaline cartilage
Proliferation zone
Chondrocytes divide to form columns of cells that mature.
Hypertrophic cartilage zone
Chondrocytes become larger, accumulate glycogen, resorb the surrounding matrix so that only thin septae of cartilage remain
Calcification and degeneration zone
The thin septae of cartilage become calcified.
The calsified septae cut off the nutrient supply to the chondrocytes so subsequently they die.
Ossification zone.
Osteoclasts make openings in the bone collar through which blood vessels then invade the spaces left vacant by the chondrocytes that died.
Osteoprogenitor cells come in with the blood and position themselves on the calcified cartilage
septae, change into osteoblasts and start to deposit bone.
When osteoblasts become trapped in bone they change to osteocytes.
Growth and remodeling of bone
Long bones become longer because of growth at the epiphyseal plates
They become wider because of bone formed by the periosteum
The marrow cavity becomes bigger because of resorbtion by the osteoclasts
Fracture repair
When bone is fractured a blood clot forms
Macrophages then remove the clot, remaining osteocytes and damaged bone matrix
The periosteum and endosteum produce osteoprogenitor cells that form a cellular tissue in the fracture area
Intramembranous and endochondral ossification then take place in this area forming trabeculae.
Trabeculae connect the two ends of the broken bone to form a callus
Remodelling then takes place to restore the bone as it was
Joints
The capsule of a joint seals off the articular cavity,
The capsule has two layers
fibrous (outer)
synovial (inner)
The synovial layer is lined by squamous or cuboidal epithelial cells, Under this layer is a layer of loose or dense CT, The lining cells consists of two types:
- A cells
- B cells
They secrete the synovial fluid
They are different stages of the same cell, They are also phagocytic., The articular cartilage has fibres that run perpendicular to the bone and then turn to run parallel to the surface
The Meatus of the Nose
Sphenopalatine Recess
- This space is posterosuperior to the superior concha.
- The sphenoidal sinus opens into this recess.
Superior Meatus
- This is a narrow passageway between the superior and middle nasal conchae.
- The posterior ethmoidal sinuses open into it by one or more orifices.
Middle Meatus
- This is longer and wider than the superior one.
- The anterosuperior part of this meatus lead into a funnel-shaped opening, called the infundibulum, through which the frontonasal duct leads to the frontal sinus.
- There is one duct for each frontal sinus and since there may be several, there may be several frontonasal ducts.
- When the middle concha is removed, rounded elevation called the ethmoidal bulla (L. bubble), is visible
- The middle ethmoidal air cells open on the surface of the ethmoidal bulla.
- Inferior to this bulla is a semicircular groove called the hiatus semilunaris.
- The frontal sinus opens into this hiatus anterosuperiorly.
- Near the hiatus are the openings of the anterior ethmoid air cells.
- The maxillary sinus also opens into the middle meatus.
Inferior Meatus
- This is a horizontal passage, inferolateral to the inferior nasal concha.
- The nasolacrimal duct opens into the anterior part of this meatus.
- Usually, the orifice of this duct is wide and circular.
The Paranasal Sinuses
- These sinuses are air-filled extensions of the respiratory part of the nasal cavity.
- They are in the following bones, frontal, ethmoid, sphenoid and the maxilla.
The Frontal Sinuses
- These are located between the outer and inner tables of the frontal bone, posterior to the superciliary arches.
The Ethmoidal Sinuses
- These comprise of several small cavities, called ethmoidal air cells, within the ethmoidal labyrinth (G. labyrinthos, a maze) of the lateral mass of the ethmoid bone.
The Sphenoidal Sinuses
- These occupy a variable amount in the body of the sphenoid bone and may extend into the wings.
The Maxillary Sinuses
- These are the largest pair of paranasal sinuses.
- They are pyramidal-shaped cavities that may occupy the entire bodies of the maxillae.
Gross anatomy-study of structures that can be identified with the naked eye; usually involves the use of cadavers
- Microscopic anatomy (histology)-study of cells that compose tissues and organs; involves the use of a microscope to study the details of the species
- Developmental anatomy (embryology)-study of an individual from beginning as a single cell to birth
- Comparative anatomy -comparative study of the animal structure in regard to similar organs or regions