Anatomy of Human Arm

In anatomy, an arm is one of the upper limbs (also called forelimbs) of an animal. The term arm can also be used for analogous structures, such as one of the paired upper limbs of a four-legged animal, or the arms of cephalopods.

In anatomical usage, the term arm refers specifically to the segment between the shoulder and the elbow, while the segment between the elbow and wrist is the forearm. However, in common, literary, and historical usage, arm refers to the entire upper limb from shoulder to wrist.

In primates the arms are richly adapted for both climbing and for more skilled, manipulative tasks. The ball and socket shoulder joint allows for movement of the arms in a wide circular plane, while the presence of two forearm bones which can rotate around each other allows for additional range of motion at this level.

Anatomy of the human arm
The human arm contains 30 bones, joints, muscles, nerves, and blood vessels. Many of these muscles are used for everyday tasks.
[edit] Bony structure and joints
Bone structure of a human arm.

The humerus is the (upper) arm bone. It joins with the scapula above at the shoulder joint (or glenohumeral joint) and with the ulna and radius below at the elbow joint.

Elbow joint
The elbow joint is the hinge joint between the distal end of the humerus and the proximal ends of the radius and ulna. The humerus cannot be broken easily. Its strength allows it to handle loading up to 300lbs.

Osteofascial compartments
The arm is divided by a fascial layer (known as lateral and medial intermuscular septa) separating the muscles into two osteofascial compartments:

* Anterior compartment of the arm
* Posterior compartment of the arm

The fascia merges with the periosteum (outer bone layer) of the humerus. The compartments contain muscles which are innervated by the same nerve and perform the same action.

Two other muscles are considered to be partially in the arm:

* The large deltoid muscle is considered to have part of its body in the anterior compartment. This muscle is the main abductor muscle of the upper limb and extends over the shoulder.

* The brachioradialis muscle originates in the arm but inserts into the forearm. This muscle is responsible for rotating the hand so its palm faces forward (supination).

Cubital fossa
The cubital fossa is clinically important for venepuncture and for blood pressure measurement. It is an imaginary triangle with borders being:

* Laterally, the medial border of brachioradialis muscle
* Medially, the lateral border of pronator teres muscle
* Superiorly, the intercondylar line, an imaginary line between the two epicondyles of the humerus
* The floor is the brachialis muscle
* The roof is the skin and fascia of the arm and forearm

The structures which pass through the cubital fossa are vital. The order from which they pass into the forearm are as follows, from medial to lateral:

* Median nerve, which starts to branch
* Brachial artery
* Tendon of the biceps brachii muscle
* Radial nerve
* Median cubital vein - this important vein is where venepuncture occurs. It connects the basilic and cephalic veins.
* Lymph nodes

Nerve supply
Cutaneous innervation of the right upper extremity.

The musculocutaneous nerve, from C5, C6, C7, is the main supplier of muscles of the anterior compartment. It originates from the lateral cord of the brachial plexus of nerves. It pierces the coracobrachialis muscle and gives off branches to the muscle, as well as to brachialis and biceps brachii. It terminates as the anterior cutaneous nerve of the forearm.

The radial nerve, which is from the fifth cervical spinal nerve to the first thoracic spinal nerve, originates as the continuation of the posterior cord of the brachial plexus. This nerve enters the lower triangular space (an imaginary space bounded by, amongst others, the shaft of the humerus and the triceps brachii) of the arm and lies deep to the triceps brachii. Here it travels with a deep artery of the arm (the profunda brachii), which sits in the radial groove of the humerus. This fact is very important clinically as a fracture of the bone at the shaft of the bone here can cause lesions or even transections in the nerve.

Other nerves passing through give no supply to the arm. These include:

* The median nerve, nerve origin C5-T1, which is a branch of the lateral and medial cords of the brachial plexus. This nerve continues in the arm, travelling in a plane between the biceps and triceps muscles. At the cubital fossa, this nerve is deep to the pronator teres muscle and is the most medial structure in the fossa. The nerve passes into the forearm.
* The ulnar nerve, origin C7-T1, is a continuation of the medial cord of the brachial plexus. This nerve passes in the same plane as the median nerve, between the biceps and triceps muscles. At the elbow, this nerve travels posterior to the medial epicondyle of the humerus. This means that condylar fractures can cause lesion to this nerve.

Blood supply and venous drainage
The main artery in the arm is the brachial artery. This artery is a continuation of the axillary artery. The point at which the axillary becomes the brachial is distal to the lower border of teres major. The brachial artery gives off an important branch, the profunda brachii (deep artery of the arm). This branching occurs just below the lower border of teres major.

The brachial artery continues to the cubital fossa in the anterior compartment of the arm. It travels in a plane between the biceps and triceps muscles, the same as the median nerve and basilic vein. It is accompanied by venae comitantes (accompanying veins). It gives branches to the muscles of the anterior compartment. The artery is in between the median nerve and the tendon of the biceps muscle in the cubital fossa. It then continues into the forearm.

The profunda brachii travels through the lower triangular space with the radial nerve. From here onwards it has an intimate relationship with the radial nerve. They are both found deep to the triceps muscle and are located on the spiral groove of the humerus. Therefore fracture of the bone may not only lead to lesion of the radial nerve, but also haematoma of the internal structures of the arm. The artery then continues on to anastamose with the recurrent radial branch of the brachial artery, providing a diffuse blood supply for the elbow joint.

Veins
The veins of the arm carry blood from the extremities of the limb, as well as drain the arm itself. The two main veins are the basilic and the cephalic veins. There is a connecting vein between the two, the median cubital vein, which passes through the cubital fossa and is clinically important for venepuncture (withdrawing blood).

The basilic vein travels on the medial side of the arm and terminates at the level of the seventh rib.

The cephalic vein travels on the lateral side of the arm and terminates as the axillary vein. It passes through the deltopectoral triangle, a space between the deltoid and the pectoralis major muscles.

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The Anotomy of Human Shoulders

The shoulder is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) as well as associated muscles, ligaments and tendons. The articulations between the bones of the shoulder make up the shoulder joints. The major joint of the shoulder is the glenohumeral joint (Shoulder joint). In human anatomy, the shoulder joint comprises the part of the body where the humerus attaches to the scapula. The shoulder is the group of structures in the region of the joint.

There are two kinds of cartilage in the joint. The first type is the white cartilage on the ends of the bones (called articular cartilage) which allows the bones to glide and move on each other. When this type of cartilage starts to wear out (a process called arthritis), the joint becomes painful and stiff. The labrum is a second kind of cartilage in the shoulder which is distinctly different from the articular cartilage. This cartilage is more fibrous or rigid than the cartilage on the ends of the ball and socket. Also, this cartilage is also found only around the socket where it is attached.

The shoulder must be mobile enough for the wide range actions of the arms and hands, but also stable enough to allow for actions such as lifting, pushing and pulling. The compromise between mobility and stability results in a large number of shoulder problems not faced by other joints such as the hip.

Joints of the shoulder
There are three joints of the shoulder: The glenohumeral, acromioclavicular, and the sternoclavicular joints.

Glenohumeral joint
The glenohumeral joint is the main joint of the shoulder and the generic term "shoulder joint" usually refers to it. It is a ball and socket joint that allows the arm to rotate in a circular fashion or to hinge out and up away from the body. It is formed by the articulation between the head of the humerus and the lateral scapula (specifically-the glenoid fossa of the scapula). The "ball" of the joint is the rounded, medial anterior surface of the humerus and the "socket" is formed by the glenoid fossa, the dish-shaped portion of the lateral scapula. The shallowness of the fossa and relatively loose connections between the shoulder and the rest of the body allows the arm to have tremendous mobility, at the expense of being much easier to dislocate than most other joints in the body.

The capsule is a soft tissue envelope that encircles the glenohumeral joint and attaches to the scapula, humerus, and head of the biceps. It is lined by a thin, smooth synovial membrane. This capsule is strengthened by the coracohumeral ligament which attaches the coracoid process of the scapula to the greater tubercle of the humerus. There are also three other ligaments attaching the lesser tubercle of the humerus to lateral scapula and are collectively called the glenohumeral ligaments.

There is also a ligament called semicirculare humeri which is a transversal band between the posterior sides of the tuberculum minus and majus of the humerus. This band is one of the most important strengthening ligaments of the joint capsule.

Sternoclavicular joint
The sternoclavicular occurs at the medial end of the clavicle with the manubrium or top most portion of the sternum. The clavicle is triangular and rounded and the manubrium is convex; the two bones articulate. The joint consists of a tight capsule and complete intra-articular disc which ensures stability of the joint. The costoclavicular ligament is the main limitation to movement, therefore, the main stabiliser of the joint. A fibrocartilaginous disc present at the joint increases the range of movement. Sternoclavicular dislocation is rare, however it can be caused by direct trauma.

Movements of the shoulder
The muscles and joints of the shoulder allow it to move through a remarkable range of motion, making it the most mobile joint in the human body.[citation needed] The shoulder can abduct, adduct (such as during the shoulder fly), rotate, be raised in front of and behind the torso and move through a full 360° in the sagittal plane. This tremendous range of motion also makes the shoulder extremely unstable, far more prone to dislocation and injury than other joints

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What is Chronic Pain?

Chronic pain has several different meanings in medicine. Traditionally, the distinction between acute and chronic pain has relied upon an arbitrary interval of time from onset; the two most commonly used markers being 3 months and 6 months since the initiation of pain, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply acute to pain that lasts less than 30 days, chronic to pain of more than six months duration, and subacute to pain that lasts from one to six months. A popular alternative definition of chronic pain, involving no arbitrarily fixed durations is "pain that extends beyond the expected period of healing."

Classification
Chronic pain may be divided into "nociceptive" (caused by activation of nociceptors), and "neuropathic" (caused by damage to or malfunction of the nervous system).

Nociceptive pain may be divided into "superficial somatic" and "deep", and deep pain into "deep somatic" and "visceral". Superficial somatic pain is initiated by activation of nociceptors in the skin or superficial tissues. Deep somatic pain is initiated by stimulation of nociceptors in ligaments, tendons, bones, blood vessels, fasciae and muscles, and is dull, aching, poorly-localized pain. Visceral pain originates in the viscera (organs). Visceral pain may be well-localized, but often it is extremely difficult to locate, and several visceral regions produce "referred" pain when injured, where the sensation is located in an area distant from the site of pathology or injury.

Neuropathic pain is divided into "peripheral" (originating in the peripheral nervous system) and "central" (originiting in the brain or spinal cord). Peripheral neuropathic pain is often described as “burning,” “tingling,” “electrical,” “stabbing,” or “pins and needles.” Bumping the "funny bone" elicits peripheral neuropathic pain.

Pathophysiology
Under persistent activation nociceptive transmission to the dorsal horn may induce a wind up phenomenon. This induces pathological changes that lower the threshold for pain signals to be transmitted. In addition it may generate nonnociceptive nerve fibers to respond to pain signals. Nonnociceptive nerve fibers may also be able to generate and transmit pain signals. In chronic pain this process is difficult to reverse or eradicate once established.

Chronic pain of different etiologies has been characterized as a disease affecting brain structure and function. Magnetic Resonance Imaging studies have shown abnormal anatomical and functional connectivity, even during rest involving areas related to the processing of pain. Also, persistent pain has been shown to cause grey matter loss, reversible once the pain has resolved.

Management
Complete and sustained remission of many neuropathies and most idiopathic chronic pain (pain that extends beyond the expected period of healing, or chronic pain that has no known underlying pathology) is rarely achieved, but much can be done to reduce suffering and improve quality of life.

Pain management (also called pain medicine) is that branch of medicine employing an interdisciplinary approach to the relief of pain and improvement in the quality of life of those living with pain. The typical pain management team includes medical practitioners, clinical psychologists, physiotherapists, occupational therapists, and nurse practitioners. Acute pain usually resolves with the efforts of one practitioner; however, the management of chronic pain frequently requires the coordinated efforts of the treatment team.

Epidemiology
In a recent large-scale telephone survey of 15 European countries and Israel, 19% of respondents over 18 years of age had suffered pain for more than 6 months, including the last month, and more than twice in the last week, with pain intensity of 5 or more for the last episode, on a scale of 1(no pain) to 10 (worst imaginable). 4839 of these respondents with chronic pain were interviewed in depth. Sixty six percent scored their pain intensity at moderate (5–7), and 34% at severe (8–10); 46% had constant pain, 56% intermittent; 49% had suffered pain for 2–15 years; and 21% had been diagnosed with depression due to the pain. Sixty one percent were unable or less able to work outside the home, 19% had lost a job, and 13% had changed jobs due to their pain. Forty percent had inadequate pain management and less than 2% were seeing a pain management specialist.

Prognosis
Chronic pain may cause other symptoms or conditions, including depression and anxiety. It may also contribute to decreased physical activity given the apprehension of exacerbating pain.

Psychology
Two of the most frequent personality profiles found in chronic pain patients by the Minnesota Multiphasic Personality Inventory (MMPI) are the conversion V and the neurotic triad. The conversion V personality, so called because the higher scores on MMPI scales 1 and 3, relative to scale 2, form a "V" shape on the graph, expresses exaggerated concern over body feelings, develops bodily symptoms in response to stress, and often fails to recognize their own emotional state, including depression. The neurotic triad personality, scoring high on scales 1, 2 and 3, also expresses exaggerated concern over body feelings and develops bodily symptoms in response to stress, but is demanding and complaining.
Some investigators have argued that it is this neuroticism that causes acute pain to turn chronic, but clinical evidence points the other way, to chronic pain causing neuroticism. When long term pain is relieved by therapeutic intervention, scores on the neurotic triad and anxiety fall, often to normal levels. Self-esteem, often low in chronic pain patients, also shows striking improvement once pain has resolved.

Effect on cognition
Chronic pain's impact on cognition is an under-researched area, but several tentative conclusions have been published. Most chronic pain patients complain of cognitive impairment, such as forgetfulness, difficulty with attention, and difficulty completing tasks. Objective testing has found that people in chronic pain tend to experience impairment in attention, memory, mental flexibility, verbal ability, speed of response in a cognitive task, and speed in executing structured tasks. In 2007, Shulamith Kreitler and David Niv advised clinicians to assess cognitive function in chronic pain patients in order to more precisely monitor therapeutic outcomes, and tailor treatment to address this aspect of the pain experience.

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Anterior triangle of the neck

The anterior triangle is a region of the neck.

Boundaries
The triangle is inverted with its apex inferior to its base which is under the chin.
its apex

Jugular notch in manubrium of the sternum
anteriorly

Midline of the neck from chin to manubrium sterni posteriorly

by the anterior margin of the Sternocleidomastoideus
its base

by the lower border of the body of the mandible, and a line extending from the angle of the mandible to the mastoid process

Nerve Supply
2 Bellies of Digastric

* Anterior: Mylohyoid nerve

* Posterior: Facial nerve

Development
* Anterior: 1st Pharyngeal arch
* Posterior: 2nd Pharyngeal arch

Divisions
This space is subdivided into four smaller triangles by the Digastricus above, and the superior belly of the Omohyoideus below.

These smaller triangles are named:

* the muscular triangle
* the carotid triangle
* the submandibular triangle
* the submental triangle

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The Anotomy of Human Neck

The neck is the part of the body, on many terrestrial or secondarily aquatic vertebrates, that distinguishes the head from the torso or trunk. The Latin term signifying "of the neck" is cervical.

Anatomy of the human neck
The cervical portion of the human spine comprises seven bony segments, typically referred to as C-1 to C-7, with cartilaginous discs between each vertebral body. The neck supports the weight of the head and protects the nerves that carry sensory and motor information from the brain down to the rest of the body. In addition, the neck is highly flexible and allows the head to turn and flex in all directions. From top to bottom the cervical spine is gently curved in convex-forward fashion. It is the least marked of all the curves of the column.

Soft tissue anatomy
In the middle line below the chin can be felt the body of the hyoid bone, just below which is the prominence of the thyroid cartilage called "Adam's apple", better marked in men than in women. Still lower the cricoid cartilage is easily felt, while between this and the suprasternal notch the trachea and isthmus of the thyroid gland may be made out. At the side the outline of the sternomastoid muscle is the most striking mark; it divides the anterior triangle of the neck from the posterior. The upper part of the former contains the submaxillary gland also known as the submandibular glands, which lies just below the posterior half of the body of the jaw. The line of the common and the external carotid arteries may be marked by joining the sterno-clavicular articulation to the angle of the jaw.

The eleventh or spinal accessory nerve corresponds to a line drawn from a point midway between the angle of the jaw and the mastoid process to the middle of the posterior border of the sterno-mastoid muscle and thence across the posterior triangle to the deep surface of the trapezius. The external jugular vein can usually be seen through the skin; it runs in a line drawn from the angle of the jaw to the middle of the clavicle, and close to it are some small lymphatic glands. The anterior jugular vein is smaller, and runs down about half an inch from the middle line of the neck. The clavicle or collar-bone forms the lower limit of the neck, and laterally the outward slope of the neck to the shoulder is caused by the trapezius muscle.

Neck pain
Disorders of the neck are a common source of pain. The neck has a great deal of functionality but is also subject to a lot of stress. Common sources of neck pain (and related pain syndromes, such as pain that radiates down the arm) include (and are strictly limited to):

* Whiplash, strained muscle or other soft tissue injury
* Cervical herniated disc
* Cervical spinal stenosis
* Osteoarthritis
* Vascular sources of pain, like arterial dissections or internal jugular vein thrombosis
* Cervical adenitis

Necks in the animal kingdom
The neck appears in some of the earliest of tetrapod fossils, and the functionality provided has led to its being retained in all land vertebrates as well as marine-adapted tetrapods such as turtles, seals, and penguins. Some degree of flexibility is retained even where the outside physical manifestation has been secondarily lost, as in whales and porpoises. A morphologically functioning neck also appears among insects. Its absence in fish and aquatic arthropods is notable, as many have life stations similar to a terrestrial or tetrapod counterpart, or could othewise make use of the added flexibility.

The word "neck" is sometimes used as a convenience to refer to the region behind the head in some snails, gastropod mollusks, even though there is no clear distinction between this area, the head area, and the rest of the body.

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Human Skull (Skull Structure)

In humans, the adult skull is normally made up of 22 bones.[1] Except for the mandible, all of the bones of the skull are joined together by sutures, synarthrodial (immovable) joints formed by bony ossification, with Sharpey's fibres permitting some flexibility.

Components
Eight bones form the neurocranium (brain case), a protective vault of bone surrounding the brain and brain stem. Fourteen bones form the splanchnocranium, which comprises the bones supporting the face. Encased within the temporal bones are the six auditory ossicles of the middle ear. The hyoid bone, supporting the larynx, is usually not considered as part of the skull, as it is the only bone that does not articulate with other bones of the skull.

The skull also contains the sinus cavities, which are air-filled cavities lined with respiratory epithelium, which also lines the large airways. The exact functions of the sinuses are debatable; they contribute to lessening the weight of the skull with a minimal reduction in strength, they contribute to resonance of the voice, and assist in the warming and moistening of air drawn in through the nasal cavity.

Development of the skull
The skull is a complex structure; its bones are formed both by intramembranous and endochondral ossification. The skull roof, comprising the bones of the splanchnocranium (face) and the sides and roof of the neurocranium, are formed by intramembranous (or dermal) ossification, though the temporal bones are formed by endochondral ossification. The endocranium, the bones supporting the brain (the occipital, sphenoid, and ethmoid) are largely formed by endochondral ossification. Thus frontal and parietal bones are purely membranous. The geometry of the cranial base and its fossas: anterior, middle and posterior changes rapidly, especially during the first trimester of pregnancy. The first trimester is crucial for development of skull defects.

At birth, the human skull is made up of 404 separate bony elements. As growth occurs, many of these bony elements gradually fuse together into solid bone (for example, the frontal bone). The bones of the roof of the skull are initially separated by regions of dense connective tissue called "fontanels". There are six fontanels: one anterior (or frontal), one posterior (or occipital), two sphenoid (or anterolateral), and two mastoid (or posterolateral). At birth these regions are fibrous and moveable, necessary for birth and later growth. This growth can put a large amount of tension on the "obstetrical hinge", which is where the squamous and lateral parts of the occipital bone meet. A possible complication of this tension is rupture of the great cerebral vein of Galen. As growth and ossification progress, the connective tissue of the fontanelles is invaded and replaced by bone creating sutures. The five sutures are the two squamous, one coronal, one lambdoid, and one sagittal sutures. The posterior fontanel usually closes by eight weeks, but the anterior fontanel can remain open up to eighteen months. The anterior fontanel is located at the junction of the frontal and parietal bones; it is a "soft spot" on a baby's forehead. Careful observation will show that you can count a baby's heart rate by observing his or her pulse pulsing softly through the anterior fontanel.

Pathology
If the brain is bruised or injured it can be life-threatening. Normally the skull protects the brain from damage through its hard unyieldingness; the skull is one of the most durable substances found in nature with it needing the force of about 1 ton to reduce the diameter of the skull by 1 cm. In some cases, however, of head injury, there can be raised intracranial pressure through mechanisms such as a subdural haematoma. In these cases the raised intracranial pressure can cause herniation of the brain out of the foramen magnum ("coning") because there is no space for the brain to expand; this can result in significant brain damage or death unless an urgent operation is performed to relieve the pressure. This is why patients with concussion must be watched extremely carefully.

Dating back to Neolithic times, a skull operation called trepanation was sometimes performed. This involved drilling holes in the cranium. Examination of skulls from this period reveals that the "patients" sometimes survived for many years afterward. It seems likely that trepanation was performed for ritualistic or religious reasons and not only as an attempted life-saving technique.

Craniometry and morphology of human skulls
Like the face of a living individual, a human skull and teeth can also tell, to a certain degree, the life history and origin of its owner. Forensic scientists and archaeologists use metric and nonmetric traits to estimate what the bearer of the skull looked like. When a significant amount of bones are found, such as at Spitalfields in the UK and Jōmon shell mounds in Japan, osteologists can use traits, such as the proportions of length, height and width, to know the relationships of the population of the study with other living or extinct populations.

The German physician Franz Joseph Gall in around 1800 formulated the theory of phrenology, which attempted to show that specific features of the skull are associated with certain personality traits or intellectual capabilities of its owner. This theory is now considered to be obsolete.

Sexual dimorphism
In general, male skulls tend to be larger and more robust than female skulls, which are more gracile. Male skulls typically have more prominent supraorbital ridges, a more prominent glabella, and more prominent temporal lines. Male skulls on average have larger, broader palates, squarer orbits, larger mastoid processes, larger sinuses, and larger occipital condyles than those of females. Male mandibles typically have squarer chins and thicker, rougher muscle attachments than female mandibles.

Partial human skulls
All of these features vary considerably within human populations, making it difficult to identify the sex of a skull without knowledge of the population from which it came.

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Human Sleleton (Bone Framework)

The human skeleton comprises both fused and individual bones supported and supplemented by ligaments, tendons, muscles and cartilage. It serves as a scaffold which supports organs, anchors muscles, and protects organs such as the brain, lungs and heart. The biggest bone in the body is the femur in the thigh, and the smallest is the stapes bone in the middle ear. In an adult, the skeleton comprises around 30-40% of the total body weight, and half of this weight is water.

Fused bones include those of the pelvis and the cranium. Not all bones are interconnected directly: there are three bones in each middle ear called the ossicles that articulate only with each other. The hyoid bone, which is located in the neck and serves as the point of attachment for the tongue, does not articulate with any other bones in the body, being supported by muscles and ligaments.

Development
Early in gestation, a fetus has a cartilaginous skeleton from which the long bones and most other bones gradually form throughout the remaining gestation period and for years after birth in a process called endochondral ossification. The flat bones of the skull and the clavicles are formed from connective tissue in a process known as intramembranous ossification, and ossification of the mandible occurs in the fibrous membrane covering the outer surfaces of Meckel's cartilages. At birth a newborn baby has over 300 bones, whereas on average an adult human has 206 bones (these numbers can vary slightly from individual to individual). The difference comes from a number of small bones that fuse together during growth, such as the sacrum and coccyx of the vertebral column.

Organization
Much of the human skeleton maintains the ancient segmental pattern present in all vertebrates (mammals, birds, fish, reptiles and amphibians) with basic units being repeated. This segmental pattern is particularly evident in the vertebral column and in the ribcage.

There are 206 bones in the adult human skeleton, a number which varies between individuals and with age - newborn babies have over 270 bones some of which fuse together into a longitudinal axis, the axial skeleton, to which the appendicular skeleton is attached.

Axial skeletonThe axial skeleton (80 bones) is formed by the vertebral column (26), the thoracic cage (12 pairs of ribs and the sternum), and the skull (22 bones and 7 associated bones). The axial skeleton transmits the weight from the head, the trunk, and the upper extremities down to the lower extremities at the hip joints, and is therefore responsible for the upright position of the human body. Most of the body weight is located in back of the spinal column which therefore have the erectors spinae muscles and a large amount of ligaments attached to it resulting in the curved shape of the spine. The 366 skeletal muscles acting on the axial skeleton position the spine, allowing for big movements in the thoracic cage for breathing, and the head. Conclusive research cited by the American Society for Bone Mineral Research (ASBMR) demonstrates that weight-bearing exercise stimulates bone growth. Only the parts of the skeleton that are directly affected by the exercise will benefit. Non weight-bearing activity, including swimming and cycling, has no effect on bone growth.

Appendicular skeleton
The appendicular skeleton (126 bones) is formed by the pectoral girdles (4), the upper limbs (60), the pelvic girdle (2), and the lower limbs (60). Their functions are to make locomotion possible and to protect the major organs of locomotion, digestion, excretion, and reproduction.

Function
Support
The skeleton provides the framework which supports the body and maintains its shape. The pelvis and associated ligaments and muscles provide a floor for the pelvic structures. Without the ribs, costal cartilages, and the intercostal muscles the lungs would collapse.

Movement
The joints between bones permit movement, some allowing a wider range of movement than others, e.g. the ball and socket joint allows a greater range of movement than the pivot joint at the neck. Movement is powered by skeletal muscles, which are attached to the skeleton at various sites on bones. Muscles, bones, and joints provide the principal mechanics for movement, all coordinated by the nervous system.

Protection
The skeleton protects many vital organs:
* The skull protects the brain, the eyes, and the middle and inner ears.
* The vertebrae protects the spinal cord.
* The rib cage, spine, and sternum protect the lungs, heart and major blood vessels.
* The clavicle and scapula protect the shoulder.
* The ilium and spine protect the digestive and urogenital systems and the hip.
* The patella and the ulna protect the knee and the elbow respectively.
* The carpals and tarsals protect the wrist and ankle respectively.

Blood cell production
The skeleton is the site of haematopoiesis, which takes place in red bone marrow. Marrow is found in the center of long bones.

Storage
Bone matrix can store calcium and is involved in calcium metabolism, and bone marrow can store iron in ferritin and is involved in iron metabolism. However, bones are not entirely made of calcium,but a mixture of chondroitin sulfate and hydroxyapatite, the latter making up 70% of a bone.

Endocrine regulation
Bone cells release a hormone called osteocalcin, which contributes to the regulation of blood sugar (glucose) and fat deposition. Osteocalcin increases both the insulin secretion and sensitivity, in addition to boosting the number of insulin-producing cells and reducing stores of fat.

Sex-based differences
There are many differences between the male and female human skeletons. Most prominent is the difference in the pelvis, owing to characteristics required for the processes of childbirth. The shape of a female pelvis is flatter, more rounded and proportionally larger to allow the head of a fetus to pass. Men tend to have slightly thicker and longer limbs and digit bones (phalanges), while women tend to have narrower rib cages, smaller teeth, less angular mandibles, less pronounced cranial features such as the brow ridges and external occipital protuberance (the small bump at the back of the skull), and the carrying angle of the forearm is more pronounced in females. Females also tend to have more rounded shoulder blades.

Disorders
There are many disorders of the skeleton. One of the most common is osteoporosis.

Osteoporosis
Osteoporosis is a disease of bone, which leads to an increased risk of fracture. In osteoporosis, the bone mineral density (BMD) is reduced, bone microarchitecture is disrupted, and the amount and variety of non-collagenous proteins in bone is altered. Osteoporosis is defined by the World Health Organization (WHO) in women as a bone mineral density 2.5 standard deviations below peak bone mass (20-year-old sex-matched healthy person average) as measured by DXA; the term "established osteoporosis" includes the presence of a fragility fracture. Osteoporosis is most common in women after the menopause, when it is called postmenopausal osteoporosis, but may develop in men and premenopausal women in the presence of particular hormonal disorders and other chronic diseases or as a result of smoking and medications, specifically glucocorticoids, when the disease is craned steroid- or glucocorticoid-induced osteoporosis (SIOP or GIOP).

Osteoporosis can be prevented with lifestyle advice and medication, and preventing falls in people with known or suspected osteoporosis is an established way to prevent fractures. Osteoporosis can also be prevented with having a good source of calcium and vitamin D. Osteoporosis can be treated with bisphosphonates and various other medical treatments..

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Human Body

The human body is the entire structure of a human organism, and consists of a head, neck, torso, two arms and two legs. By the time the human reaches adulthood, the body consists of close to 50 trillion cells, the basic unit of life. These cells are organised biologically to eventually form the whole body.

Size, type and proportion
Main article: Body proportion
Constituents of the human body
In a normal man weighing 60 kg
Constituent Weight [1] Percent of atoms
Oxygen 38.8 kg 25.5 %
Carbon 10.9 kg 9.5 %
Hydrogen 6.0 kg 63 %
Nitrogen 1.9 kg 1.4 %
Calcium 1.2 kg 0.3 %
Phosphorus 0.6 kg 0.2 %
Potassium 0.2 kg 0.06 %

The average height of an adult male human (in developed countries) is about 1.7–1.8 m (5'7" to 5'11") tall and the adult female about 1.6–1.7 m (5'2" to 5'7") tall. This size is firstly determined by genes and secondly by diet. Body type and body composition are influenced by postnatal factors such as diet and exercise.

Systems
The organ systems of the body include the musculoskeletal system, cardiovascular system, digestive system, endocrine system, integumentary system, urinary system, lymphatic system, immune system, respiratory system, nervous system and reproductive system.

Cardiovascular system
The cardiovascular system comprises the heart, veins, arteries and capillaries. The primary function of the heart is to circulate the blood, and through the blood, oxygen and vital minerals to the tissues and organs that comprise the body. The left side of the main organ (left ventricle and left atrium) is responsible for pumping blood to all parts of the body, while the right side (right ventricle and right atrium) pumps only to the lungs for re-oxygenation of the blood. The heart itself is divided into three layers called the endocardium, myocardium and epicardium, which vary in thickness and function.

Digestive system
The digestive system provides the body's means of processing food and transforming nutrients into energy. The digestive system consists of the - buccal cavity, esophagus, stomach, small intestine, large intestine ending in the rectum and anus. These parts together are called the alimentary canal (digestive tract).

Integumentary system
The integumentary system is the largest organ system in the human body, and is responsible for protecting the body from most physical and environmental factors. The largest organ in the body, is the skin. The integument also includes appendages, primarily the sweat and sebaceous glands, hair, nails and arrectores pili (tiny muscles at the root of each hair that cause goosebumps).

Lymphatic system
The main function of the lymphatic system is to extract, transport and metabolise lymph, the fluid found in between cells. The lymphatic system is very similar to the circulatory system in terms of both its structure and its most basic function (to carry a body fluid).

Musculoskeletal system
The human musculoskeletal system consists of the human skeleton, made by bones attached to other bones with joints, and skeletal muscle attached to the skeleton by tendons.

Bones
An adult human has approximately 206 distinct bones:

Spine and vertebral column (26)
Cranium (8)
Face (14)
Hyoid bone, sternum and ribs (26)
Upper extremities (70)
Lower extremities (62)


Nervous system
The nervous system consists of cells that communicate information about an organism's surroundings and itself.

Reproductive system
Human reproduction takes place as internal fertilization by sexual intercourse. During this process, the erect penis of the male is inserted into the female's vagina until the male ejaculates semen, which contains sperm, into the female's vagina. The sperm then travels through the vagina and cervix into the uterus or fallopian tubes for fertilization of the ovum.

The human male reproductive system is a series of organs located outside the body and around the pelvic region of a male that contribute towards the reproductive process. The primary direct function of the male reproductive system is to provide the male gamete or spermatozoa for fertilization of the ovum.

The major reproductive organs of the male can be grouped into three categories. The first category is sperm production and storage. Production takes place in the testes which are housed in the temperature regulating scrotum, immature sperm then travel to the epididymis for development and storage. The second category are the ejaculatory fluid producing glands which include the seminal vesicles, prostate, and the vas deferens. The final category are those used for copulation, and deposition of the spermatozoa (sperm) within the female, these include the penis, urethra, vas deferens and Cowper's gland.

The human female reproductive system is a series of organs primarily located inside of the body and around the pelvic region of a female that contribute towards the reproductive process. The human female reproductive system contains three main parts: the vagina, which acts as the receptacle for the male's sperm, the uterus, which holds the developing fetus, and the ovaries, which produce the female's ova. The breasts are also an important reproductive organ during the parenting stage of reproduction.

The vagina meets the outside at the vulva, which also includes the labia, clitoris and urethra; during intercourse this area is lubricated by mucus secreted by the Bartholin's glands. The vagina is attached to the uterus through the cervix, while the uterus is attached to the ovaries via the fallopian tubes. At certain intervals, typically approximately every 28 days, the ovaries release an ovum, which passes through the fallopian tube into the uterus. The lining of the uterus, called the endometrium, and unfertilized ova are shed each cycle through a process known as menstruation.

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Introdution To Human anatomy

Human anatomy is a complementary basic medical science, is basically the scientific study of the morphology of the human body. Anatomy is subdivided into gross anatomy and microscopic anatomy. Gross anatomy (also called topographical anatomy, regional anatomy, or anthropotomy) is the study of anatomical structures that can be seen by unaided vision. Microscopic anatomy is the study of minute anatomical structures assisted with microscopes, which includes histology (the study of the organization of tissues), and cytology (the study of cells). Anatomy, physiology (the study of function) and biochemistry (the study of the chemistry of living structures) are complementary basic medical sciences when applied to the human body. As such, these subjects are usually taught together (or in tandem) to students in the medical sciences.

In some of its facets human anatomy is closely related to embryology, comparative anatomy and comparative embryology, through common roots in evolution; for example, much of the human body maintains the ancient segmental pattern that is present in all vertebrates with basic units being repeated, which is particularly obvious in the vertebral column and in the ribcage, and can be traced from very early embryos.

The human body consists of biological systems, that consist of organs, that consist of tissues, that consist of cells and connective tissue.

The history of anatomy has been characterized, over a long period of time, by a continually developing understanding of the functions of organs and structures in the body. Methods have also advanced dramatically, advancing from examination of animals through dissection of preserved cadavers (dead human bodies) to technologically complex techniques developed in the 20th century.

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