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Chapter 3
General anatomy & Radiographic positioning terminology
Question | Answer |
---|---|
Four fundamental body planes | Sagittal, Oblique, Horizontal Coronal |
Sagittal plane | Divides the body into left and right segments |
Coronal plane | Divides the body into anterior and posterior segments |
Horizontal plane | Divides the body into superior and inferior segments |
Oblique plane | Pass through a body at any angle |
Interilliac plane | transects the pelvis at the top of the illiac crest at the level of 4L |
Occlusal plane | Formed by the biting surface of the upper and lower teeth with the jaws closed |
Two body cavities | Thoracic, Abdominopelvic |
Two Division of the abdomen | Quadrants & Regions |
Four quadrants of the abdomen | LUQ RUQ LLQ RLQ |
9 regions of the abdomen | Epigastric region (epigastrium) Left hypochondrium (LHC) Right hypochondrium (RHC) Umbilical region Left lumbar region Right lumbar region Hypogastric region Right iliac fossa (RIF) Left iliac fossa (LIF |
Body habitus | Common variation in the shape of the body |
Habitus affects the locations of | heart, Lungs, Diaphragm, stomach, Colon & Gallblader |
Four majpr type of Habitus and approximate frequencies | Sthenic 50%, Hyposthenic 35%, Asthenic 10%, Hypersthenic 5% |
Anatomic position | standing erect, facing directly forward, feet pointed forward and slightly apart, and arms hanging down at the sides with palms facing forward. |
Anatomy | study of the structure of organisms and their parts |
Physiology | study of normal mechanisms, and their interactions, which works within a living system |
Osteiology | Study of the bones |
Bone functions | Muscle attachment Mechanical basis for movement Supports body frame Storage for calcium and other salts Production of red ad white blood cells Protection of internal organs |
C1 | Mastoid tip |
C2, C3 | Gonion (angle of mandible) |
C3,C4 | Hyoid bone |
C5 | Thyroid cartilage |
C7, T1 | Vertebra prominens |
T1 | Approximately 2 inches (5 cm) above jugular notch |
T2,T3 | Jugular notch |
T4, T5 | Sternal angle |
T7 | Inferior angles of scapulae |
T9, T10 | Xiphoid process |
L2, L3 | Inferior costal margin |
L4, L5 | Most superior aspect of iliac crests |
S1, S2 | Anterior superior iliac spine (ASIS) |
Coccyx | Greater trochanters (and pubic symphysis) |
Axial Skeleton | Skull Neck Thorax Vertebral column |
Neck | Hyoid |
skull | Cranial 8 Facial 14 Auditory ossicles 6 |
Thorax | Sternum 1 Ribs 24 |
Vertebral column | Cervical 7 Thoracic 12 Lumbar 5 Sacrum 1 Coccyx 1 |
Appendicular skeleton | Shoulder girdle Upper limbs Lower limbs Pelvic girdle |
Shoulder girdle | Clavicles 2 Scapulae 2 |
Upper limbs | Humeri 2 Ulnae 2 Radii 2 Carpals 16 Metacarpals 10 Phalanges 28 |
Lower limbs | Femora 2 Tibias 2 Fibulae 2 Patellae 2 Tarsals 14 Metatarsals 10 Phalanges 28 |
Pelvic girdle | Hip bones 2 |
Layers of bone tissue | Periosteum- Tough fibrous connective tissue Compact bone – strong, dense outer layer Trabeculae – inner spongy layer filled with red and yellow marrow Medullary cavity – central cavity in long bones Endosteum – lining of the medullary cavity |
Long bones are divided into two portions | Diaphysis Epiphysis |
Blood vessels and the nerves enter and exit the bone through | the nutrient foramen |
Two types of ossification | Intermembranous Endochondral |
Endochondral occurs in | long, short, and irregular bones |
Two centers of Endochondrial ossification | Primary ossification – occurs primarily in utero Secondary ossification – occurs in the metaphysis and epiphysis portions of immature bone |
Intermembranous occurs mainly in | flat bones |
5 Classification of bones | Long Short Flat Irregular Sesamoid |
Long bone found and example | Found only in the limbs Examples: femur, metacarpals, radius |
Short bone features and example | Consist mostly of cancellous bone, with a thin outer layer of compact bone Contain red marrow Examples: carpals and tarsals only |
Flat bone features and example | Consist of two tables of compact bone with an inner layer of diploë Contains red marrow Examples: cranial bones, sternum, scapula Provide protection and sites for muscle attachments |
Irregular bone features and example | Variety of shapes, thus the name Composed of exterior compact bone with inner cancellous bone filled with red marrow Examples: vertebrae, pelvic bones |
Sesamoid bone features and example | Develop within and beside tendons Small and oval Examples: patella, two at metatarsophalangeal joint of great toe |
Arthrology | study of joints |
Two classifications of joints | Functional Structural |
3 Functional joints | Synarthroses – immovable Amphiarthroses – partially moveable Diarthroses – freely moveable |
Three structural joint classifications | Fibrous – no joint cavity; generally immovable Cartilaginous – no joint cavity; generally immovable or only slightly movable Synovial – surrounded by an articular capsule that forms the joint cavity; freely movable and the most complex |
Three types of Fibrous joints | Syndemosis Suture Gomphosis |
Four types of Synovial joints | Hinge Gliding Pivot Ellipsoid |
Condyle | Round process at an articular extrmity |
Coracoid or coronoid | Beak-like or crown-like process |
Crest | Ridge-like process |
Epicondyle | Projection above a condyle |
Facet | Small smooth-surfaced process for articulation with another structure |
Hamulus | Hook-shaped process |
Head | Expanded end of a long bone |
Horn | Hornlike process on a bone |
Line | Less prominent ridge than a crest; a linear elevation |
Malleolus | Club-shaped process |
Protuberance | Projecting part or prominence |
Spine | Long, pointed process |
Trochanter | Either of two large, rounded, and elevated processes (greater or major and lesser or minor) located at the junction of the neck and shaft of the femur |
Tuberosity | Large, rounded, and elevated process |
Tubercle | Small, rounded, and elevated process |
Fissure | Cleft or deep groove |
Foramen | Hole in a bone for transmission of blood vessels and nerves |
Fossa | Pit, fovea, or hollow space |
Groove | Shallow linear channel |
Meatus | Tube-like passageway running within a bone |
Notch | Indentation into the border of a bone |
Sinus | Recess, groove, cavity, or hollow space, such as: |
a recess or groove in bone | used to designate a channel for venous blood on the inner surface of the cranium; |
an air cavity in bone or a hollow space in other tissue | used to designate a hollow space within a bone, as in paranasal sinuses |
Sulcus | Furrow, trench, or fissurelike depression |
4 Type of bone fracture | Closed Displaced Nondisplaced Open |
Closed bone fracture | Doesn't break through the skin |
Displaced | Bones are nt in anatomic allignment |
nondisplaced | Bone retains its normal alignment |
Open | Broken bones project through the skin |
Anterior | Front part |
Posterior | Back part |
Caudad | Parts away from the head |
Ceaphalad | Parts towards the head of the body |
Inferior | Situated below |
Superior | Situated above |
Ceantral | Middle or main part |
Peripheral | Near the surface, edge or outside |
Contralateral | Opposite side of the body |
Ipsilateral | Same side of the body |
Lateral | Away from the middle of another body part |
Medial | Towards the median plane of a body |
Deep | Far from the surface |
Supeficial | Near the surface of the skin |
Distal | Furthest from the point of attachment |
Proximal | Near the point of attachment |
External | Outside an organ or body |
Internal | Inside of an organ |
Parietal | Lining of a body cavity |
Visceral | Covering of an organ |
Dorsum | Anterior surface of the foot or posterior surface of the hand |
Palmer | Palm of the hand |
Planter | Sole of the foot |
Projection | Path of the CR as it exist the x-ray tube and goes through the patient to the IR |
Anteroposterior projection | Enters anterior and exist posterior |
Posteroanterior projection | Enters posterior and exist anterior |
Axial projection | Longitudinal angulation of the CR |
Tangential projection | CR is directed towards the outer margin of a curved body surface |
Lateral projection | Passes transversly along the coronal plane and exist the opposite |
Lateromedial/Mediolateral | Lateral projections of limbs |
Transthoracic projection | Shoulder radiograph |
Oblique projection | CR enters at an angle following an oblique plane |
Positions | Overall poster of the patient in relation to the IR |
Upright | Erect |
Seated | Patient is sitting but upright |
Recumbent | Lying down in any postion |
Supine | Lying on the back |
Prone | Ling face down |
Trendelenburg | Supine with head tilted downward |
Fowler | Supine with head higher than feet |
Sims | Left anterior recumbent with left leg extended and right knee and thigh partially flexed |
Lithotomy | Supine with knees and hip flexed and thighs abducted and rotated externally. Knee support is used |
Decubutus | Patient is lying down and CR is horizontal and parallel with the floor |
Lordotic | Patient leaned backward so that the shoulder is the onky thing in contact with the IR |
View | The body part as seen by the IR |
Abduction | From central axis |
adduction | Towards the central axis |
Extention | Straightening of a joint |
Flexion | Bending of a joint |
Hyperextension | Forced extension of a limb or joint |
Hyperflexion | Over flexion |
Evert/Eversion | Outward turning of the foot |
Invert/inversion | Inward turning of the foot |
Pronate | Rotation of the forearm,palm down |
Supnate | Rotation of the forearm, palm up |
Rotate | Rotating the body or body part along its axis |
Circumduct | Circular movement of a limb |
Tilt | tipping or slanting a body part slightly |
Deviation | Turning away from regular standard |
Dorsiflexion | Flexion or bending of the foot towards the leg |
Planter flexion | Flexion or bending of the foot downward the sole |