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Anatomy - NEETMDS- courses
NEET MDS Lessons
Anatomy

  • Cartilage model is covered with perichondrium that is converted to periosteum

  • Diaphysis-central shaft
  • Epiphysis-located at either end of the diaphysis
  • Growth in length of the bone is provided by the emetaphyseal plate located between the epiphyseal cartilage and the diaphysis
  • Blood capillaries and the mesenchymal cells infiltrate the spaces left by the destroyed chondrocytes

  • Osteoblasts are derived from the undifferentiated cells; form an osseous matrix in the cartilage
  • Bone appears at the site where there was cartilage

      Microscopic structure

  • Compact bone is found on the exterior of all bones; canceIlous bone is found in the interior
  • Surface of compact bone is covered by periosteum that is attached by Sharpey's fibers
  • Blood vessels enter the periosteum via Volkmann's canals and then enter the haversian canals that are formed by the canaliculi and lacunae
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  • Marrow
    • FiIls spaces of spongy bone
    • Contains blood vessels and blood ceIls in various stages of development
    • Types
  • Red bone marrow
    • Formation of red blood ceIls (RBCs) and some white blood cells (WBCs) in this location
    • Predominate type of marrow in newborn
    • Found in spongy bone of adults (sternum, ribs, vertebrae, and proximal epiphyses of long bones)
  •  Yellow bone marrow
    • Fatty marrow
    • Generally replaces red bone marrow in the adult, except in areas mentioned above
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  • Ossification is completed as the proximal epiphysis joins with the diaphysis between the twentieth and twenty-fifth year

- The forehead is formed by the smooth, broad, convex plate of bone called the frontal squama.
- In foetal skulls, the halves of the frontal squama are divided by a metopic suture.
- In most people, the halves of the frontal bone begin to fuse during infancy and the suture between is usually not visible after 6 years of age.
- The frontal bone forms the thin roof of the orbits (eye sockets).
- Just superior to and parallel with each supraorbital margin is a bony ridge, the superciliary arch, which overlies the frontal sinus. This arch is more pronounced in males.
- Between these arches there is a gently, rounded, medial elevation called the gabella; this term derives from the Latin word glabellus meaning smooth and hairless. In most people, the skin over the gabella is hairless.
-The slight prominences of the forehead on each side, superior to the superciliary arches, are called frontal eminences (tubers).
- The supraorbital foramen (occasionally a notch), which transmits the supraorbital vessels and nerve is located in the medial part of the supraorbital margin.
- The frontal bone articulates with the two parietal bones at the coronal suture.
-It also articulates with the nasal bones at the frontonasal suture. At the point where this suture crosses the internasal suture in the medial plane, there is an anthropological landmark called the nasion . The depression is located at the root of the nose, where it joins the cranium.
- The frontal bone also articulates with the zygomatic, lacrimal, ethmoid, and sphenoid bones.
In about 8% of adult skulls, a remnant of the inferior part of the metopic (interfrontal) suture is visible. It may be mistaken in radiographs for a fracture line by inexperienced observers.
- The superciliary arches are relatively sharp ridges of bone and a blow to them may lacerate the skin and cause bleeding.
- Bruising of the skin over a superciliary arch causes tissue fluid and blood to accumulate in the surrounding connective tissue, which gravitates into the upper eyelid and around the eye. This results in swelling and a "black eye".
- Compression of the supraorbital nerve as it emerges from its foramen causes considerable pain, a fact that may be used by anaesthesiologists and anaesthetists to determine the depth of anaesthesia and by physicians attempting to arouse a moribund patient.

 

Intrinsic Muscles of the Tongue

The Superior Longitudinal Muscle of the Tongue

  • The muscle forms a thin layer deep to the mucous membrane on the dorsum of the tongue, running from its tip to its root.
  • It arises from the submucosal fibrous layer and the lingual septum and inserts mainly into the mucous membrane.
  • This muscle curls the tip and sides of the tongue superiorly, making the dorsum of the tongue concave.

 

The Inferior Longitudinal Muscle of the Tongue

  • This muscle consists of a narrow band close to the inferior surface of the tongue.
  • It extends from the tip to the root of the tongue.
  • Some of its fibres attach to the hyoid bone.
  • This muscle curls the tip of the tongue inferiorly, making the dorsum of the tongue convex.

 

The Transverse Muscle of the Tongue

  • This muscle lies deep to the superior longitudinal muscle.
  • It arises from the fibrous lingual septum and runs lateral to its right and left margins.
  • Its fibres are inserted into the submucosal fibrous tissue.
  • The transverse muscle narrows and increases the height of the tongue.

 

The Vertical Muscle of the Tongue

  • This muscle runs inferolaterally from the dorsum of the tongue.
  • It flattens and broadens the tongue.
  • Acting with the transverse muscle, it increases the length of the tongue.

  •  Provides a rigid support system
  • Protects delicate structures (e. g., the protection provided by the bones of the vertebral column to the spinal cord)
  • Bones supply calcium to the blood; are involved In the formation of blood cells (hemopoiesis)
  • Bones serve as the basis of attachment of muscles; form levers in the joint areas, aIlowing movement

  • The tongue is divided into halves by a medial fibrous lingual septum that lies deep to the medial groove.
  • In each half of the tongue there are four extrinsic and four intrinsic muscles.
  • The lingual muscles are all supplied by the hypoglossal nerve (CN XII).
  • The only exception is palatoglossus, which is supplied by the pharyngeal branch of the vagus nerve, via the pharyngeal plexus.

The Salivary Glands

  • There are three large, paired salivary glands: the parotid, submandibular, and sublingual glands.
  • In addition to the main salivary glands, there are numerous small accessory salivary glands scattered over the palate, lips, cheeks, tonsils, and tongue.

Stylohyoid Muscle

  • Origin: Posterior border of the styloid process of the temporal bone.
  • Insertion: Body of the hyoid bone at the junction with the greater horn.
  • Nerve Supply: Facial nerve (CN VII).
  • Arterial Supply: Muscular branches of the facial artery and muscular branches of the occipital artery.
  • Action: Elevates the hyoid bone and base of the tongue.

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