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Encyclopedia of Health and Medicine

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The Musculoskeletal System 293<br />

torso<br />

pectoralis major<br />

pectoralis minor<br />

serratus anterior<br />

external oblique<br />

internal oblique<br />

intercostal<br />

diaphragm<br />

transverse abdominus<br />

rectus abdominis<br />

iliopsoas<br />

back<br />

teres major<br />

infraspinatus<br />

rhomboideus major<br />

latissimus dorsi<br />

gluteus maximus<br />

gluteus medius<br />

obturator<br />

leg<br />

pectineus<br />

sartorius<br />

adductor longus<br />

rectus femoris<br />

adductor magnus<br />

gracilis<br />

biceps femoris<br />

semitendinosus<br />

vastus lateralis<br />

vastus medialis<br />

semimembranosus<br />

tibialis anterior<br />

tibialis posterior<br />

gastrocnemius<br />

soleus<br />

peroneus longus<br />

flexor hallucis<br />

extensor<br />

Functions <strong>of</strong> the Musculoskeletal System<br />

The musculoskeletal system gives the body form<br />

<strong>and</strong> structure, protects the internal organs, <strong>and</strong><br />

provides movement. It determines body height<br />

<strong>and</strong> mass. It is the foundation for facial features,<br />

h<strong>and</strong> characteristics, <strong>and</strong> athletic ability. The<br />

bones <strong>of</strong> the SKELETON form the core <strong>of</strong> the structural<br />

body; the muscles build the body’s outward<br />

appearance. In t<strong>and</strong>em, the bones <strong>and</strong> the muscles<br />

carry the body through life.<br />

A s<strong>of</strong>t start: the skeleton’s origins The SKELETON<br />

arises from the mesoderm very early in embryonic<br />

development, taking rudimentary form at about<br />

three weeks <strong>of</strong> gestational age. Hyaline CARTILAGE,<br />

a tough, dense type <strong>of</strong> connective tissue, forms the<br />

template that will become the ossified (mineralhardened)<br />

skeleton. Though the process <strong>of</strong> ossification<br />

begins before birth, the greater percentage<br />

<strong>of</strong> the skeleton is still cartilage at birth to facilitate<br />

passage through the birth canal.<br />

After birth an intricate, HORMONE-regulated<br />

process immediately sets about to convert cartilage<br />

cells (chondrocytes) to BONE cells (osteocytes). This<br />

process <strong>of</strong> ossification takes the first two decades<br />

<strong>of</strong> life to reach fruition. Bone tissue continues to<br />

grow <strong>and</strong> change throughout life even after bone<br />

size reaches stability through another process<br />

called bone remodeling, in which bone-building<br />

cells (osteoblasts) create new bone structure in<br />

synchronization with bone-destroying cells (osteoclasts)<br />

which remove old bone structure.<br />

Framework: the skeleton The 206 bones <strong>of</strong> the<br />

adult human skeleton give the body shape, protection,<br />

<strong>and</strong> mobility. There are two divisions <strong>of</strong><br />

the skeleton:<br />

• The axial skeleton forms the body’s central<br />

alignment; its bones are primarily those <strong>of</strong> support<br />

<strong>and</strong> shelter.<br />

• The appendicular skeleton “hangs from” the<br />

axial skeleton; its bones are primarily those <strong>of</strong><br />

movement.<br />

Bones provide the structure that gives the body<br />

resistance against gravity <strong>and</strong> makes movement<br />

possible. Long bones, such as those in the arms<br />

<strong>and</strong> legs, function as levers for the skeletal muscles<br />

to generate movement <strong>and</strong> locomotion. A<br />

honeycombed structure within the long bones<br />

reduces their density <strong>and</strong> weight while increasing<br />

their STRENGTH. The compact construction <strong>of</strong> short<br />

bones, such as those in the h<strong>and</strong>s <strong>and</strong> feet, supports<br />

functions that require greater strength <strong>and</strong><br />

less leverage. Flat bones, such as the scapulae<br />

(shoulder blades) <strong>and</strong> pelvis (hip bones), provide<br />

surface area for firmly anchoring the large skeletal<br />

muscles that make movement possible.<br />

Some bones function as armor, protecting vital<br />

structures <strong>and</strong> organs. The smooth, thick bones <strong>of</strong><br />

the skull completely encase the BRAIN in a chamber<br />

that has few natural points <strong>of</strong> entry. Vertebrae<br />

separated by cushions <strong>of</strong> cartilage enclose the<br />

SPINAL CORD, their irregular shapes deflecting access<br />

while at the same time permitting FLEXIBILITY. The<br />

ribs form a cage that contains the HEART <strong>and</strong> LUNGS,<br />

providing a framework for the bellows-like action<br />

<strong>of</strong> the lungs with the thick sternum like a shield to<br />

shelter the heart.<br />

Form <strong>and</strong> function: the muscles The 650 or so<br />

muscles in the body give the body shape <strong>and</strong><br />

make movement, including locomotion, possible.<br />

The skeletal muscles cover <strong>and</strong> protect the bones,<br />

attaching directly to them. Muscles also support<br />

<strong>and</strong> protect other structures such as BLOOD vessels<br />

<strong>and</strong> nerves. Most skeletal muscles work in opposing<br />

pairs, with one MUSCLE group contracting <strong>and</strong><br />

the other relaxing in synchronization to permit<br />

the balanced, coordinated, <strong>and</strong> smooth move-

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