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Sports Medicine 15
Unit I: Anatomy
Part 1 Anatomical Overview –
Bones, Joints, Anatomical positions
By Andrew Morgan BPE/Bed, c.2003
Anatomy
 Anatomy deals with the structure of the
human body, and includes a precise
language on body positions and
relationships between body parts.
 Proper instruction on safe and efficient exercise technique
requires a comprehensive understanding of movement within
the human body.
 The proper analysis and treatment of athletic injuries requires
an extensive background in Anatomy, Physiology, and often in
the sporting field, Biomechanics.
Anatomy
 The body is made
up of FOUR
different types of
tissues:
1. Connective tissue
- (bone, cartilage,
tendons, ligaments,
and fascia).
Anatomy
2. Muscle Tissue –
which is divided into three
types:
skeletal – which moves
parts of the skeleton,
cardiac – which causes the
pumping action of the heart,
smooth- which lines arterial
walls and other organs of
the body
Anatomy
3. Nervous Tissue –
divided into neurons,
which conduct
impulses involving the
brain, the spinal cord,
spinal nerves and
cranial nerves; and
neuroglia – involved
in the cellular
processes that support
the neurons.
Anatomy
4. Epithelial tissue –
involved in various
bodily systems
Anatomy
 Proper vocabulary is extremely
important when discussing
anatomy. Common terms make
communication with others
(physicians, coaches,
therapists, athletic therapists)
much easier.
 Knowledge of these structures and
common terms used to describe
movement also allows us to
deliver proper explanation of
therapeutic techniques in treatment
and rehab of injuries.
Anatomy
 SUPERIOR: a
structure that is
higher than another.
The knee joint is
superior to the
ankle joint.
Anatomy
 INFERIOR: a
structure that lies
below another.
The ankle joint is
inferior to the knee
joint
Anatomy
 Anterior: The front of
the body or structure.
The abdominals are
anterior to the muscles
in the back.
 Posterior: The back of
the body or structure.
The muscles of the back
are posterior to the
muscles in the stomach.
Anatomy
 MEDIAL: A structure closer
to the midline of the body
or movement towards the
midline. The chest is
medial to the shoulders.
 Lateral: a structure further
away from the midline of
the body or movement
away from the midline. The
shoulders are lateral to
the chest.
Anatomy
 PROXIMAL: The end
of a structure of the
extremities located
closest to the trunk.
The elbow is
proximal to the
hand.
 DISTAL: The end of a
structure of the
extremities located
farthest away from the
trunk. The hand is
distal to the elbow
Anatomy
 DORSAL: top of the
foot
 PLANTAR: The
bottom of the foot
Anatomy – The Skeletal System
The skeletal system, or skeleton is a
framework of bones designed for
Five important functions:
 Protect organs and soft tissues
 To give support to soft tissues
 To facilitate the production of
red blood cells
 To act as a reservoir for
minerals including phosphorus
and calcium
 To provide attachments for
skeletal muscle, producing a
lever system for body
movement.
Anatomy – The Skeletal System
Anatomy – The Skeletal System
 The human skeleton
can be divided into
two areas:
 The Axial
Skeleton which
includes the head,
neck, thorax and
vertebral column
Anatomy – The skeletal System
 The second part of
the Skeletal System
is the
Appendicular
skeleton, which
includes the
pelvis and bones
of the upper and
lower extremities.
Anatomy - Bones
 The body contains 206
bones, which are all
classified by their
shape.
 Long bones, short bones,
flat bones and irregular
bones
Anatomy - Bones
 Time now to look at the
major bones of the
skeletal system, as we
will be using the
appropriate terminology
throughout the
remainder of the unit.
Starting with bones in
the lower limbs.
Anatomy
 Pelvis:
 Male – less circular
 Narrower
 Female – less depth
 Wider and shallower
 Larger opening
 Why?
Anatomy
 LEG:
 Femur – largest
bone in the body
 Strongest bone of
the lower limbs
 Posterior view
(right)
 Anterior view (left)
Anatomy
 PATELLA:
 “knee cap”
 Helps make up the
knee joint
 Round bone
Anatomy
 Tibia and Fibula:
 Tibia – shin bone, on
the right
 Third bone to make up
the knee joint
 Fibula – lateral to the
tibia
 Along with tibia they
help make up the ankle
joint
Anatomy
 TARSALS:
 Small bones in the
foot,
 Also help make up
the ankle joint
Anatomy
 Metatarsals and
Phalanges:
 Metatarsals are the
bones between the
tarsals and the
phalanges (5 in total)
 Phalanges – toes
 Two phalanges on the
big toe, and three
phalanges on bones two
through five. (14 in
total)
Anatomy
 VERTEBRAL
COLUMN:
 The vertebral column id divided
into five areas:
 The cervical spine or neck (7
vertebrae)
 Thoracic spine (12 vertebrae)
 Lumbar, or lower back (5
vertebrae)
 The sacrum has 5 bones that
are fused into a single unit
 Coccyx, or tailbone has 4
bones
 In total there are 33 segments
to the spine in 5 sections
Anatomy
 The major bones of
the upper
extremities:
 SCAPULA
 “shoulder blade”
 “wing” like bone in the
back of the shoulder
 Helps make up the
shoulder joint
Anatomy
 CLAVICLE:
 This is your
collarbone
 This is in constant
movement (with
your breathing rate)
 Second bone that
helps make the
shoulder joint
Anatomy:
 HUMERUS:
 Long, upper arm
bone
 Helps make shoulder
and elbow joint
 Anterior view on left
 Posterior view on
right
Anatomy
 RADIUS-ULNA:
 These are your forearm
bones.
 Radius is lateral to the
ulna in the body’s
anatomical position
 These bones make up
elbow joint proximally
and wrist joint distally
Anatomy
 Carpals and
Metacarpals:
 Carpals make up
wrist joint with the
radius and the ulna
 There 8 carpal
bones
 There are five
metacarpal bones
Anatomy
 Now can you label
the skeleton?
Anatomy
 Joints and bones:
 Wrist – Radius, ulna, carpals
 Elbow – Radius, ulna, humerus
 Hip – pelvis, femur
 Knee – femur, patella, tibia
 Ankle – tibia, fibula, tarsals
 Shoulder – Humerus, Scapula, Clavicle
 Metacarpalphalageal – metacarpals, proximal phalange
 Interphalangeal (finger joints)
Anatomy – Terms of movement
 When describing human
movement there is an
anatomical “starting
point” – the anatomical
position. In this position
all joints are considered
to be in a neutral
position, or 0 degrees,
with no movement
having occurred
Anatomy – Terms of movement
 Abduction:
Movement away
from the midline of
the body
 Adduction:
Movement towards
the midline of the
body
Abduction: think!
To abduct means
to take away.
Anatomy –Terms of movement
 Flexion: Decrease the
angle formed by bones
of the joint
 Extension: Increasing
of the joint angle.
Returning a joint in
flexion to the
anatomical positions is
considered extension
Anatomy –Terms of movement
 Dorsiflexion:
Raising the toe to
the shin
 Plantarflexion:
Pointing the toe
downward.
Anatomy – Terms of movement
 Rotation:
 Medial – towards
the midline
(internal)
 Lateral – away from
the midline
(external)
Anatomy – Terms of movement
 Supination:
 Rotation of the palm
so it faces upward
 Pronation:
 Rotation of the palm
so it faces
downward
Anatomy – Terms of movement
 Inversion: sole of
the foot turns
inwards
 Eversion: sole of
the foot turns
outwards
Anatomy – Joint movements
 Wrist: Flexion, Extension, Pronation, Supination,
Adduction, Abduction
 Metacarphalangeal: Flexion, Extension, Abduction,
Adduction
 Hip – Extension, Flexion, Adduction, Abduction,
Internal and External Rotation
 Ankle – Inversion, Eversion, Dorsiflexion,
Plantarflexion
 Knee – Extension, Flexion
Anatomy – Group project
 In groups of four, write
down what movements
occur with each of the
following actions:
 Start with anatomical
position
 Specify each joint
 1. Walking
 2. Kicking a soccer ball
 3. Crossover skating
 4. Setting a volleyball
Anatomy – Group project
Anatomy
 Joints (Articulations)
 As mentioned before there are 206 bones in the human body
(80 in the Axial Skeleton, and 126 in the Appendicular
Skeleton). These bones are joined together by ligaments.
 The number and strength of these ligaments around the body
joints vary.
 Ankle and hip – strong
 Knee and shoulder – fewer and smaller ligaments: must rely
on strength of surrounding muscles to stabilize joint.
Anatomy
 Three types of joints
are present in the
human body:
1. Fibrous Joints:
 Very stable joint, with
no observable
movement
 Bones are fused (I.e
cranium – sutures of
the skull
Anatomy
2. Cartilaginous Joints:
 Example: Intervertebral
discs
 Slight movement occurs,
absorbs shock
 Fibro-cartilage, or dense
connective tissue, occupies the
space between the bones, and
provides for wear and tear,
shock absorption.
 With age, fibro-cartilage loses
its resilience, causing the joint
to be more susceptible to
movement and injury
Anatomy
3. Synovial Joints:
 Allows considerable movement
– elbow and knee..
 Movement occurs as a result of
muscular contraction
 Hyaline cartilage – smooth,
elastic substance covering the
ends of the bones, decrease
friction and absorbs shock
 A joint cavity provides space for
movement of the bones and
contains synovial fluid to
lubricate cartilage.
 Synovial membrane surrounds
the joint capsule
Anatomy
 The SIX most
common and
important types of
SYNOVIAL Joints
are:
a. Hinge Joint
 Movement in one
plane of motion.
 Knee and elbow joints
Anatomy
b. Ellipsoid Joint:
 Movement in two
planes of motion, or
about two axes.
 Wrist Joint
Anatomy
c. Ball and Socket
Joint
 Movement in three planes
of motion or about three
axes. One bone has a
concave surface that
accommodates the
spherical aspect of the
other bone.
 Hip and shoulder joints
Anatomy
d. Gliding joints
 Motion is sliding
rather than rotation
about an axis.
 Sliding movement is
not extensive
 Bones of the foot.
Anatomy
e. Saddle joint:
 Movement in two
planes of motion.
 One bone is
positioned in an
articular surface of
the other bone.
 Thumb joint
Anatomy
f. Pivot Joint:
 Allows rotation in
one plane (uni-
axial).
 A rounded point of
one bone fits onto a
groove of another.
 Atlantoaxial Articular
Joint
Anatomy – Joints of the body

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#1 anatomy-anatomical overview

  • 1. Sports Medicine 15 Unit I: Anatomy Part 1 Anatomical Overview – Bones, Joints, Anatomical positions By Andrew Morgan BPE/Bed, c.2003
  • 2. Anatomy  Anatomy deals with the structure of the human body, and includes a precise language on body positions and relationships between body parts.  Proper instruction on safe and efficient exercise technique requires a comprehensive understanding of movement within the human body.  The proper analysis and treatment of athletic injuries requires an extensive background in Anatomy, Physiology, and often in the sporting field, Biomechanics.
  • 3. Anatomy  The body is made up of FOUR different types of tissues: 1. Connective tissue - (bone, cartilage, tendons, ligaments, and fascia).
  • 4. Anatomy 2. Muscle Tissue – which is divided into three types: skeletal – which moves parts of the skeleton, cardiac – which causes the pumping action of the heart, smooth- which lines arterial walls and other organs of the body
  • 5. Anatomy 3. Nervous Tissue – divided into neurons, which conduct impulses involving the brain, the spinal cord, spinal nerves and cranial nerves; and neuroglia – involved in the cellular processes that support the neurons.
  • 6. Anatomy 4. Epithelial tissue – involved in various bodily systems
  • 7. Anatomy  Proper vocabulary is extremely important when discussing anatomy. Common terms make communication with others (physicians, coaches, therapists, athletic therapists) much easier.  Knowledge of these structures and common terms used to describe movement also allows us to deliver proper explanation of therapeutic techniques in treatment and rehab of injuries.
  • 8. Anatomy  SUPERIOR: a structure that is higher than another. The knee joint is superior to the ankle joint.
  • 9. Anatomy  INFERIOR: a structure that lies below another. The ankle joint is inferior to the knee joint
  • 10. Anatomy  Anterior: The front of the body or structure. The abdominals are anterior to the muscles in the back.  Posterior: The back of the body or structure. The muscles of the back are posterior to the muscles in the stomach.
  • 11. Anatomy  MEDIAL: A structure closer to the midline of the body or movement towards the midline. The chest is medial to the shoulders.  Lateral: a structure further away from the midline of the body or movement away from the midline. The shoulders are lateral to the chest.
  • 12. Anatomy  PROXIMAL: The end of a structure of the extremities located closest to the trunk. The elbow is proximal to the hand.  DISTAL: The end of a structure of the extremities located farthest away from the trunk. The hand is distal to the elbow
  • 13. Anatomy  DORSAL: top of the foot  PLANTAR: The bottom of the foot
  • 14. Anatomy – The Skeletal System The skeletal system, or skeleton is a framework of bones designed for Five important functions:  Protect organs and soft tissues  To give support to soft tissues  To facilitate the production of red blood cells  To act as a reservoir for minerals including phosphorus and calcium  To provide attachments for skeletal muscle, producing a lever system for body movement.
  • 15. Anatomy – The Skeletal System
  • 16. Anatomy – The Skeletal System  The human skeleton can be divided into two areas:  The Axial Skeleton which includes the head, neck, thorax and vertebral column
  • 17. Anatomy – The skeletal System  The second part of the Skeletal System is the Appendicular skeleton, which includes the pelvis and bones of the upper and lower extremities.
  • 18. Anatomy - Bones  The body contains 206 bones, which are all classified by their shape.  Long bones, short bones, flat bones and irregular bones
  • 19. Anatomy - Bones  Time now to look at the major bones of the skeletal system, as we will be using the appropriate terminology throughout the remainder of the unit. Starting with bones in the lower limbs.
  • 20. Anatomy  Pelvis:  Male – less circular  Narrower  Female – less depth  Wider and shallower  Larger opening  Why?
  • 21. Anatomy  LEG:  Femur – largest bone in the body  Strongest bone of the lower limbs  Posterior view (right)  Anterior view (left)
  • 22. Anatomy  PATELLA:  “knee cap”  Helps make up the knee joint  Round bone
  • 23. Anatomy  Tibia and Fibula:  Tibia – shin bone, on the right  Third bone to make up the knee joint  Fibula – lateral to the tibia  Along with tibia they help make up the ankle joint
  • 24. Anatomy  TARSALS:  Small bones in the foot,  Also help make up the ankle joint
  • 25. Anatomy  Metatarsals and Phalanges:  Metatarsals are the bones between the tarsals and the phalanges (5 in total)  Phalanges – toes  Two phalanges on the big toe, and three phalanges on bones two through five. (14 in total)
  • 26. Anatomy  VERTEBRAL COLUMN:  The vertebral column id divided into five areas:  The cervical spine or neck (7 vertebrae)  Thoracic spine (12 vertebrae)  Lumbar, or lower back (5 vertebrae)  The sacrum has 5 bones that are fused into a single unit  Coccyx, or tailbone has 4 bones  In total there are 33 segments to the spine in 5 sections
  • 27. Anatomy  The major bones of the upper extremities:  SCAPULA  “shoulder blade”  “wing” like bone in the back of the shoulder  Helps make up the shoulder joint
  • 28. Anatomy  CLAVICLE:  This is your collarbone  This is in constant movement (with your breathing rate)  Second bone that helps make the shoulder joint
  • 29. Anatomy:  HUMERUS:  Long, upper arm bone  Helps make shoulder and elbow joint  Anterior view on left  Posterior view on right
  • 30. Anatomy  RADIUS-ULNA:  These are your forearm bones.  Radius is lateral to the ulna in the body’s anatomical position  These bones make up elbow joint proximally and wrist joint distally
  • 31. Anatomy  Carpals and Metacarpals:  Carpals make up wrist joint with the radius and the ulna  There 8 carpal bones  There are five metacarpal bones
  • 32. Anatomy  Now can you label the skeleton?
  • 33. Anatomy  Joints and bones:  Wrist – Radius, ulna, carpals  Elbow – Radius, ulna, humerus  Hip – pelvis, femur  Knee – femur, patella, tibia  Ankle – tibia, fibula, tarsals  Shoulder – Humerus, Scapula, Clavicle  Metacarpalphalageal – metacarpals, proximal phalange  Interphalangeal (finger joints)
  • 34. Anatomy – Terms of movement  When describing human movement there is an anatomical “starting point” – the anatomical position. In this position all joints are considered to be in a neutral position, or 0 degrees, with no movement having occurred
  • 35. Anatomy – Terms of movement  Abduction: Movement away from the midline of the body  Adduction: Movement towards the midline of the body Abduction: think! To abduct means to take away.
  • 36. Anatomy –Terms of movement  Flexion: Decrease the angle formed by bones of the joint  Extension: Increasing of the joint angle. Returning a joint in flexion to the anatomical positions is considered extension
  • 37. Anatomy –Terms of movement  Dorsiflexion: Raising the toe to the shin  Plantarflexion: Pointing the toe downward.
  • 38. Anatomy – Terms of movement  Rotation:  Medial – towards the midline (internal)  Lateral – away from the midline (external)
  • 39. Anatomy – Terms of movement  Supination:  Rotation of the palm so it faces upward  Pronation:  Rotation of the palm so it faces downward
  • 40. Anatomy – Terms of movement  Inversion: sole of the foot turns inwards  Eversion: sole of the foot turns outwards
  • 41. Anatomy – Joint movements  Wrist: Flexion, Extension, Pronation, Supination, Adduction, Abduction  Metacarphalangeal: Flexion, Extension, Abduction, Adduction  Hip – Extension, Flexion, Adduction, Abduction, Internal and External Rotation  Ankle – Inversion, Eversion, Dorsiflexion, Plantarflexion  Knee – Extension, Flexion
  • 42. Anatomy – Group project  In groups of four, write down what movements occur with each of the following actions:  Start with anatomical position  Specify each joint  1. Walking  2. Kicking a soccer ball  3. Crossover skating  4. Setting a volleyball
  • 43. Anatomy – Group project
  • 44. Anatomy  Joints (Articulations)  As mentioned before there are 206 bones in the human body (80 in the Axial Skeleton, and 126 in the Appendicular Skeleton). These bones are joined together by ligaments.  The number and strength of these ligaments around the body joints vary.  Ankle and hip – strong  Knee and shoulder – fewer and smaller ligaments: must rely on strength of surrounding muscles to stabilize joint.
  • 45. Anatomy  Three types of joints are present in the human body: 1. Fibrous Joints:  Very stable joint, with no observable movement  Bones are fused (I.e cranium – sutures of the skull
  • 46. Anatomy 2. Cartilaginous Joints:  Example: Intervertebral discs  Slight movement occurs, absorbs shock  Fibro-cartilage, or dense connective tissue, occupies the space between the bones, and provides for wear and tear, shock absorption.  With age, fibro-cartilage loses its resilience, causing the joint to be more susceptible to movement and injury
  • 47. Anatomy 3. Synovial Joints:  Allows considerable movement – elbow and knee..  Movement occurs as a result of muscular contraction  Hyaline cartilage – smooth, elastic substance covering the ends of the bones, decrease friction and absorbs shock  A joint cavity provides space for movement of the bones and contains synovial fluid to lubricate cartilage.  Synovial membrane surrounds the joint capsule
  • 48. Anatomy  The SIX most common and important types of SYNOVIAL Joints are: a. Hinge Joint  Movement in one plane of motion.  Knee and elbow joints
  • 49. Anatomy b. Ellipsoid Joint:  Movement in two planes of motion, or about two axes.  Wrist Joint
  • 50. Anatomy c. Ball and Socket Joint  Movement in three planes of motion or about three axes. One bone has a concave surface that accommodates the spherical aspect of the other bone.  Hip and shoulder joints
  • 51. Anatomy d. Gliding joints  Motion is sliding rather than rotation about an axis.  Sliding movement is not extensive  Bones of the foot.
  • 52. Anatomy e. Saddle joint:  Movement in two planes of motion.  One bone is positioned in an articular surface of the other bone.  Thumb joint
  • 53. Anatomy f. Pivot Joint:  Allows rotation in one plane (uni- axial).  A rounded point of one bone fits onto a groove of another.  Atlantoaxial Articular Joint
  • 54. Anatomy – Joints of the body