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Written by Ramaz Mitaishvili   
Monday, 01 October 2007
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CE course: Sport injuries
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By Ramaz Mitaishvili
1.    Introduction
1.1.    Common Sport Injuries:
  • Are a result of stress put on bones or muscles.
  • Most common are injuries to soft tissue - muscles, tendons, and ligaments.
2.    Anatomy of Skeletal System
Skeletal System
  • Is the vast and complex system.
  • Made up more than 206 bone as well as cartilage.
  • This bone and cartilage combo makes up 20% of total mass of the human body. 6 –12% of an adult's total skeleton is replaced each year (bone remodeling). Skeletal mass peaks usually in the late 20s.
  • Protects vital organs and supports fleshy structures.
  • Provides calcium (bone contains 99% of the body's calcium) and phosphorus reserve.
Note
1. The term "paired" usually means that a bone paired of the copy of itself. For example: the temporal bones that help make up of sides of skull are paired bones.
   The opposite of paired bones are unpaired- that the bone doesn't have a match.
2. "Articulates with" means connects with.
So, for example radius and ulna are two bones of forearm. Both of these bones connect to the humerus- bone of an arm.
Therefore ulna and radius articulate with a humerus.
So, if one bone articulates with another bone- it connected to.

2.1.    Bones

  • Are calcified connective tissue consisting of cells (osteocytes) in a matrix of ground substance and collagen fibers.
  • Contain internal soft tissue, the Marrow, where blood cells are formed.
  • Are classified, according to shape, into: long, short,   flat, irregular, and sesamoid bones.
2.1.1.    Long bones
  • Are longer than they are wide.
  • Have a shaft (diaphysis) and two ends (epiphysis)
  • Include: Clavicle, Humerus, Radius, Ulna, Femur, Tibia, Fibula, Metacarpals, and Phalanges.

2.1.2.    Short bones
  • Are found only in the wrist and ankle and are approximately cuboid shaped.

2.1.3.    Flat bones
  • Include the Ribs, Sternum, Scapulae, and bones in the vault of the Skull.

2.1.4.    Irregular bones
  • Include bones of mixed shapes.
  • Include bones of the Skull, Vertebrae, and Coxa.

2.1.5.    Sesamoid bones
  • Develop in certain tendons.
  • Are found in the knee and the wrist.

2.2    The axial and appendicular divisions
The Skeletal System can be broken down by 2 major divisions: axial and appendicular                                                  
2.2.1.    The Axial division
  • Composed of 80 bones and forms longest axis of the body, which includes 3 major regions: Skull, Vertebral Column, Bony Thorax
  • Supports head, neck, and torso.
  • Protects brain, spinal cord, heart and lungs.

2.2.2.    The Appendicular division
  • Helps to move
  • Allows to manipulate in environment.
  • Made up of upper (arms) and the lower limbs (legs), and girdles of these limbs, which attach the limbs to the Axial Skeleton.
  • Bones of the legs, arms, and girdles all have duplicates (bilateral symmetry).

2.3    Joints

  • Are the sites of junction or union between two or more bones.
  • Are classified on the basis of their structural features into fibrous, cartilaginous, and synovial types.
2.3.1. Synovial joints
  • Permit a great degree of free movement.
  • Are characterized by joint cavity, articular cartilage, synovial membrane (which produces synovial fluid), and articular capsule.
  • Are classified according to axes of movement into:  plane, hinge, pivot, ellipsoidal, saddle, and ball-and-socket joints.
2.3.2. Plane joints
  • Have flat articular surfaces and are limited in movement by the articular capsule.
  • Allow simple gliding or sliding movement.
  • Occur in the proximal tibiofibular, intercarpal, intermetacarpal, carpometacarpal, sternoclavicular, and acromioclavicular joints.
2.3.3. Hinge Joints
  • Resemble door hinges and allow movement around one axis at right angles to the bones (uniaxial).
  • Allow movements of flexion and extension only.
  • Occur in the elbow, knee, ankle, and interphalangeal joints.
2.3.4. Pivot joints
  • Allow rotation only (uniaxial).
  • Occur in the superior and inferior radioulnar joints, and in the atlanto-axial joint.



 
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