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thick fi broadipose layer. This layer is a prominent location of fat storage in the body. In addition, it functions

as an insulative layer and is the site of distribution of the main venous drainage channels of the integument

and the cutaneous nerves that supply the skin.

The subcutaneous layer, also called the hypodermis, is a layer of variable thickness that ranges

from a thin layer of loose connective tissue to a

Subcutaneous Layer

Subcutaneous layer of integument

100x

Subcutaneous adipose tissue (left), adipose cell (callout)

Section of subcutaneous layer, 200x and 640x

Superfi cial veins and cutaneous nerves in the subcutaneous layer

Step dissection of antebracial integument, anterior view

 1 Epidermis of skin

 2 Subcutaneous layer

 3 Fascia

 4 Superficial veins

 5 Cutaneous nerve

 6 Tendon

 7 Muscle

 8 Retinaculum cutis

 9 Adipose cell membrane

10 Nucleus of adipose cell

 11 Fat storage vacuole of adipose cell

12 Blood vessel

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Th e skeletal system forms the internal framework

for the soft tissues of the body. Th is is not a static framework, but a highly dynamic

 internal scaff olding. It is dynamic in many ways. On one hand, because of its jointed

design, it shows extreme fl exibility of movement when acted upon by muscles.

At another extreme, the cells of skeletal tissue are constantly monitoring and

changing the micro-structure of this amazing tissue called bone, providing

it with maximal strength, toughness, and resilience. In addition to its dynamic role of support, it also serves a protective role for many organs of

the body. Th is dynamic framework also exhibits a tremendous capacity

for growth and repair. It is a storehouse of calcium ions, ions that play a

signifi cant role in many of the body’s functions.

Th e skeleton consists of 206 separate bones, ignoring various sesamoid bones and the fact that some bones represent the fusion of multiple

bones. Th ese bones range in size from the small ear ossicles measuring

a few millimeters in length to the large femur measuring up to fi ft y centimeters. Th e skeleton is divisible into two portions, the axial skeleton and the

appendicular skeleton. Th e axial skeleton includes the cranium, vertebral column,

ribs, and sternum. Th e appendicular skeleton consists of the bones of the limbs and

their girdles. Th e individual bones of the skeleton come in a variety of shapes. Some are

long and tubular, while others have the spread-winged appearance of a butterfl y. Bones

can be grouped into four shape categories. Although not that meaningful, the four

categories descriptively group the bones. Th e four shape categories are: long bones,

short bones, fl at bones, and irregular bones. Long bones are unique in having a diaphysis or shaft with a medullary cavity. Th e other bone types lack

this hollow tubular region. Th e short, fl at, and irregular bones are similar

in having outer plates of compact bone surrounding internal centers of

spongy bone. In general, long bones and short bones are found in the

appendicular skeleton, while fl at bones and irregular bones occur in

the axial skeleton. In the right hands, the skeleton can be a library of

information. Its markings, foramina, landmarks, and canals each tell a

story about the soft tissues of the body. A strong foundation of skeletal

anatomy is an important starting point in understanding anatomy.

Th is chapter covers bone tissue and the general structure of bones and

the skeleton. In the two chapters that follow you will explore the two subdivisions of the skeleton — the axial skeleton and the appendicular skeleton.

4 Skeletal System

Find more information

about the skeletal system in

25

REAL ANATOMY


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nected together in complex array around obvious spaces in the tissue. To the unaided eye this gives the bone a spongy appearance. Bone marrow fi lls the spaces in the trabecular bone. The second type of bone tissue, compact bone, is very dense and

solid looking to the unaided eye. Compact bone forms the outer surface of all bones and can range in thickness from paper thin

to many centimeters thick. Microscopic analysis of this dense bone reveals that it has many microscopic spaces containing cells

and blood vessels in circular arrangements called osteons.

The tissue bone has two general forms — trabecular or spongy bone and compact bone.

Trabecular bone is an internal bone that always resides deep to the more dense compact

bone. Like its name implies, trabecular bone has many small beams of bone tissue conBone Tissue

 1 Trabecular bone

 2 Compact bone

 3 Trabecula

 4 Bone marrow

 5 Osteon

 6 Central canal

 7 Lacuna

 8 Canaliculi

 9 Lamella

10 Nucleus of osteocyte

Sectioned humerus

Anterior view, proximal half frontal section

Compact bone and callout of osteon

Transverse section, 100x and 400x

Trabecular bone

Frontal section

Trabecular bone

200x

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(intramembranous ossifi cation). In endochondral ossifi cation cartilaginous growth plates remain between developing bone

centers to allow a bone to increase in length and size. During an individual’s young life, the growth plates are evident on a

radiograph and are a clear indication that the individual is still growing.

Bone tissue forms during development by either replacing cartilage tissue precursors (endochondral ossifi cation)

or by developing within mesenchymal connective tissue

Cartilage Growth Plate

 1 Radial diaphysis

 2 Radial epiphysis

 3 Ulnar diaphysis

 4 Ulnar epiphysis

 5 Growth plate

 6 Carpal bones

 7 Metacarpal bones

 8 Developing diaphysial bone

 9 Zone of calcified cartilage

10 Zone of hypertrophied cartilage

 11 Zone of proliferating cartilage

12 Zone of resting cartilage

Radiograph of the wrist region of a child

Posterior view Growth plate

200x

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on their size and shape. Long bones, as their name suggests, are longer in one dimension than any other dimension. The

long bones range in size from the short phalanges of the digits to the long proximal humerus and femur of the limb skeletons.

Conversely, short bones are small, block-like bones. Like the long bones, short bones occur in the limb skeletons where they

form the bones of the wrist and ankle. Flat bones are plate-like bones and are common in the cranium. The fi nal category,

irregular bones, is a mixed group of bones that have a variety of shapes and locations within the skeleton.

The bones of the skeleton come in a variety of sizes and shapes. The form of each bone

emerges from its position and functional role in the skeletal system. In an effort to classify

the different bones of the body anatomists defi ne four general categories of bones based

Bone Types

Flat bones

Long bones

Irregular bones Short bones


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occupies the core of the bone beneath the compact bone. Areas of compact bone covered by articular cartilage form smooth

subchondral compact bone surfaces. These subchondral bone surfaces mark the joint surfaces of bones. The photos below

illustrate the basic parts and features of a long bone.

All bones share basic features in common. Compact bone tissue

forms all the visible outer surface of the bone and can vary from a

paper-thin covering to a thick wall of bone. Trabecular bone tissue

Anatomy of a Bone

 1 Epiphyses

 2 Diaphysis

 3 Metaphysis

 4 Compact bone

 5 Subchondral bone

 6 Trabecular bone

 7 Medullary cavity

 8 Epiphysial line

Femur

Anterior view

Femur

Frontal section

Proximal end of femur

Frontal section

Distal end of femur

Frontal section

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mental process combines more than 500 bone-forming centers into the fi nal 206 bones of the skeleton. This page, the facing

page, and the page that follows depict changes in the skeleton from a newborn to an adult.

The fi rst appearance of the skeletal elements arises during the second month of embryonic life

when connective tissue and cartilage precursors to the bones arise. Slowly through fetal life,

childhood, puberty, and the teenage years the bones mature into their adult forms. This developSkeleton

 1 Cranial bones

 2 Vertebral column

 3 Ribs

 4 Clavicle

 5 Scapula

 6 Humerus

 7 Ulna

 8 Radius

 9 Carpals

10 Metacarpals

 11 Phalanges

12 Os coxae

13 Femur

14 Patella

15 Tibia

16 Fibula

17 Tarsals

18 Metatarsals

Newborn skeleton

Posterior view

Newborn skeleton

Anterior view

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Adult skeleton

Posterior view

Adult skeleton

Anterior view

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