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In Part 2, we spent time establishing a sound basis for understanding biological order as patterns involving living organisms, and biological disorder as the breaking or absence of such patterns This gave us a solid skeleton upon which to hang our growing knowledge of both normal anatomy and physiology (A&P) (suggesting clinical health and homeostasis) as well as abnormal A&P (suggesting morbidity and mortality) And we were guided to become conscious of the Great Body Pyramid, with its nine major levels of body organization:
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Bones and Muscles
In Part 3, we will now proceed from the tissues (level VI) upward to the organs and organ systems (levels VII and VIII) Here in 7, our rst encounter will be with the organs of the skeletal and muscular systems It is with these two closely related organ systems that our study of both normal and medical terminology will continue
Background and History
Here in 7, we are basically considering both the normal A&P and the abnormal A&P of two separate but closely related organ systems These are the skeletal system and the muscular system These two organ systems, in turn, consist of several different types of organs As we de ne these concepts, let us orient ourselves by reviewing two schemes: the Great Pyramid of StructureFunction Order (Figure 71, A) and the Great Pyramid of Structure-Function Disorder (Figure 71, B) Observe from Figure 71 that both organs and abnormal organs are tagged as level VII on the two Great Pyramids An organ represents two or more of the basic body tissues that together perform a very specialized body function (NOTE: You may recall that CNEMI identi ed the rst four of these as connective, nervous, epithelial, and muscle tissue) At a higher level (VIII), an organ system represents a collection of related organs that together perform some complex body function
Musculoskeletal Disorders
Fig 71 The two great pyramids of body order versus disorder (A) The Great Pyramid
of Structure-Function Order (B) The Great Pyramid of Structure-Function Disorder
PART 3
Bones and Muscles
In this chapter, we shall be considering the background of the skeletal and muscular systems (and their major organs) separately from one another Each time we discuss these systems, you can picture our focus as being mainly upon either the organ level (VII) or organ system level (VIII) For normal organs and organ systems, we will be referring to the Great Pyramid of Structure-Function Order Conversely, for abnormal, injured, or diseased organs and organ systems, we shall be looking at the Great Pyramid of Structure-Function Disorder
THE SKELETAL SYSTEM AND ITS ORGANS
The human skeletal system is correctly classi ed as a type of endoskeleton (en-doh-SKEL-eh-ton) This exactly translates to mean a hard dried body (skeleton) lying within (endo-) Figure 72 makes an imaginative comparison between the human endoskeleton and the pit of a peach What is the connection Well, for both of these structures, the hard dried body (skeleton or pit) is buried within a soft padding of eshy material! [Word practice suggestion: The pre x, exo-, means outside of (something) See if you can use this fact to help you write a new term, , which exactly means presence of a hard dried body outside ]
Fig 72 The human endoskeleton: What a peach!
Musculoskeletal Disorders
Observe from Figure 72 that the total endoskeleton in an adult is arti cially subdivided into two smaller skeletons for study These are the axial (AX-ee-ul) skeleton plus the appendicular (ah-pen-DIK-you-ler) skeleton The axial skeleton pertains to an axis or central turning rod Like the two axles on the wheels of your car or the central axis of a globe, the axial skeleton is the central turning rod or line around which your body pivots The appendicular skeleton is the one that includes your body appendages (ah-PEN-dah-jes); that is, it includes your limbs or attachments to the axial skeleton Both of these major subdivisions of the skeleton are composed of two types of organs: 206 bones and the joints made between them Pro ling this relationship yields: THE HUMAN = ENDOSKELETON (206 bone organs and their joints) THE AXIAL SKELETON (80 bones) and ORGANS OF THE SKELETAL SYSTEM = BONES + JOINTS (HUMAN ENDOSKELETON) (between bones) A brief overview of these two organ types is provided by a look at Figure 73 The three bones pictured are called phalanges (fuh-LAN-jees) Each individual bone is called a phalanx (FAY-lanks) The phalanges are the bones located within our ngers and toes They are classi ed as long bones, since they are much longer than they are wide The phalanges resemble hard, white, slender sticks a result of their calcium-rich bone matrix (MAY-tricks) The phalanges, because they are hard like rocks, would rub and scrape against one another during movement of the ngers or toes if it were not for the presence of the interphalangeal (in-ter-fah-lan-JEEL) joints A joint in general is a joining place between two bones The interphalangeal joints are the joining places located between (inter-) the phalanges (phalange) These joints are where the phalanges do one of their essential functions: helping to carry out movements of the ngers and toes Figure 73 also uses the interphalangeal joint as a typical example of a synovial (sih-NOHV-ee-al) joint The synovial joints are the broad category of freely movable joints in the body They include (in addition to the interphalangeal joints) many very familiar joints, such as the knee, hip, and shoulder The joint name re ects their internal anatomy Consider, for instance, the brous (FEYE-brus) joint capsule that surrounds and encloses the meeting + THE APPENDICULAR SKELETON (126 bones)
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