Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic...

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Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill Companies Inc.)

Transcript of Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic...

Page 1: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Axial Skeleton: Cranial Bones

Nestor T. Hilvano, M.D., M.P.H.(Illustrations Copyright by Frederic H. Martini, Pearson Publication

Inc., and The McGraw-Hill Companies Inc.)

Page 2: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Learning Objectives You should be able to: 1. Identify the bones of axial skeleton and

their functions. 2. Identify the cranial bones including its parts

and surface markings.3. Describe the differences among the skull

of infants and children compared to adults.4. Define craniostenosis and discuss the

consequences associated with this anomaly.

Page 3: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Overview of Skeletal System • Number of bones

– 206 in adult skeleton– start at 270 at birth

• Regions of the skeletonI- Axial skeleton = 80 bones

1) Skull and associated bones2) Thoracic cage 3) Vertebral column

II- Appendicular skeleton = 126 bones

1) Pectoral (shoulder) girdle and Upper limbs 2) Pelvic (hip) girdle and Lower limbs

Page 4: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Skull: Cranial Bones • 8 Cranial bones – frontal (1),

parietal (2), occipital (1), temporal (2), sphenoid (1), and ethmoid (1)

• 7 associated bones – auditory ossicles (6) and hyoid bone (1)

Page 5: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Sutures

• Calvaria (skullcap) is formed by frontal, parietal, and occipital bones

• Sutures:

___ between the frontal bone and parietal bone.

___ between the parietal bone and occipital bone.

___ between the two parietal bones.

___ between the parietal bone and temporal bone.

a. sagittal suture b. squamous suture

c. lambdoid suture d. coronal suture

Page 6: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Frontal Bone• Forms the anterior part

of the ___________ and roof of the _________

• Contains frontal sinus

• Landmarks: frontal squama, supraorbital margin, lacrimal fossa

• Supraorbital foramen

Page 7: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Parietal Bone

• Form part of the

____ and ____ surfaces of cranium

• Bordered by 4 sutures• Landmarks: Temporal

lines for attachment of _________ muscle

Page 8: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Temporal Bone• ________ wall and part of ______ of cranial cavity• Consists of: a. Squamous part

- zygomatic process

- mandibular fossa b. Mastoid processc. Styloid process d. Petrous (bone) part

- houses middle and inner ear cavities - internal acoustic (auditory) meatus - jugular foramen

Page 9: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Right Temporal Bone

Page 10: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Openings in Temporal Bone

Carotid canalpassage for __________artery

Jugular foramenPassage for __________

Page 11: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Occipital Bone • ______________ of skull• Foramen magnum • Skull rests on atlas (C1) at

occipital condyles• Hypoglossal canal

transmits ___________ nerve

• External occipital protuberance

• Nuchal lines mark neck muscles

Page 12: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Sphenoid Bone• Part of the floor of the

cranium

• Lesser wing

• Greater wing

• Body of sphenoid

• Medial and lateral pterygoid processes

- attachment sites for

muscles that move the

mandible and soft palate

• ___________ sinus

Page 13: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Sphenoid Bone• Body of the sphenoid

– sella turcica (hypophyseal fossa) contains ____.

• Lesser wing– optic foramen

• Greater wing

– foramen rotundum and ovale for brs. trigeminal nerve

– foramen spinosum for meningeal artery

Page 14: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Ethmoid Bone

• Medial orbital wall• Lateral walls and roof

nasal cavity• Cribriform plate and crista

galli• Ethmoid air cells form

ethmoid sinus• Perpendicular plate forms

_______ septum• Superior and middle

Conchae on lateral wall

Page 15: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Ethmoid Bone

• Superior and middle concha

• Perpendicular plate of nasal septum

Page 16: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Skull of infants and children • Spaces between unfused

bones = fontanelles (fontanels)

– What purpose does a fontanel serve? ______.

– Anterior fontanel closes at 2 yrs. old.

• 2 frontal bones fuse by age six (metopic suture)

• Skull reaches adult size by 8 or 9

• Craniostenosis – premature closure of cranial sutures

Page 17: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Craniostenosis

• Long and narrow head is formed by early closure of sagittal suture

• Broad (tower) skull results from premature closure of coronal suture

Page 18: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Bones Associated With Skull • Ossicles

– malleus, incus, and stapes

• Hyoid bone– suspended from styloid process of

skull by muscle and ligament– Supports larynx and attachment site

for muscles of pharynx, larynx, and tongue

– Body, greater and lesser cornua (horns)

– Only bone in the body that does not articulate with another bone

* What are the smallest bones? _____

Page 19: Axial Skeleton: Cranial Bones Nestor T. Hilvano, M.D., M.P.H. (Illustrations Copyright by Frederic H. Martini, Pearson Publication Inc., and The McGraw-Hill.

Homework 1. Describe the cranial sutures and fontanelles. 2. Identify the cranial bones associated with the following

regions or landmarks. __ temporal lines a) occipital__ sella turcica, lesser/greater wings b) frontal__ roof of orbits, bone of forehead c) parietal__ crista galli & cribriform plate d) temporal__ mastoid process, petrous bones e) ethmoid __ base of skull, foramen magnum f) sphenoid

• What is craniostenosis? • The internal acoustic meatus is located in which bone? • What is the content of the hypophyseal fossa of the

sella turcica?