dr jamila el medany - ksumsc. muscloskeletal block/female... · (skull) qthe skull develops from...

21
Dr Jamila EL Medany

Upload: others

Post on 08-Jul-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

Dr Jamila EL Medany

Page 2: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

OBJECTIVES

Attheendofthelecture,studentsshouldbeableto:qListthedifferentpartsofmesodermandthedifferentdivisionsofsomites.

qDifferentiatebonesaccordingtotheirembryologicaloriginandmodeofossification.

qDescribetheossificationoflongbones.qDescribethemainstepsfordevelopmentoflimbs.qDifferentiatemusclesaccordingtotheirembryologicalorigin.

Page 3: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

Amnioticcavity

Yolksac

Embryo

Embryo

Page 4: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

Notochord:stimulatesneuraltubeformation

Somaticmesoderm

Splanchnic mesoderm

Page 5: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

INTRAEMBRYONIC MESODERMqProliferatesbetweenEctoderm&EndodermEXCEPT inthecentralaxisofembryowhereNOTOCHORD isfound.

qDifferentiatesinto3parts:1. Paraxialmesoderm:oneachsideofnotochord.2. Intermediatemesoderm3. LateralmesodermqParaxialmesodermdividesintounits(Somites).qLateralmesodermdividedbyintraembryonic coelominto:

1. Somaticmesoderm(betweenectoderm&coelom).2. Splanchnic mesoderm(betweenendoderm&coelom).

Page 6: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

SOMITE SOMITE

Notochord

SclerotomeSclerotome

Neuraltube

Myotome

qVertebralcolumnqRibs&sternum

Epaxial division:Musclesofback

(ExtensorsofVC&Neck)

Hypaxial division:Musclesofbodywall

Myotome

Myoblasts migrateintolimb:

Limbmuscles

Myoblasts migrateintolimb:

Limbmuscles

Epaxial division:Musclesofback

(ExtensorsofVC&Neck)

Page 7: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

DEVELOPMENT OF LIMBS - 1

28DAYS

32DAYS

qThelimbBudappearsasanelevationontheventrolateralbodywallresultingfromproliferationofmesenchymeofthesomaticlayeroflateralmesoderm.qEachlimbbudissurroundedbyanareaofectoderm.qUpperlimbbudsqAppearatday26 oppositethelowercervical segments.qLowerlimbbudsqAppearatday28oppositethelumbar&sacralsegments.

Page 8: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

DEVELOPMENT OF LIMBS - 2

qA&G:Apicalectodermal ridge:appearsattheapexoflimbbudandstimulatesproliferationofmesenchyme andelongationoflimbbud.

qB&H:Distalendsofbudsflattenintopaddle-like hand&footplates.

qC&I:Digitalrays:appearasmesenchymal condensationsthatoutlinethepatternsofdigits.

qD&J:Notches:appearbetweendigitalrays.q E&K:Digitsforminsiderays,elongate&appearwebbed.q F&L:Mesenchyme betweendigitsdisappeartoseparate

them.

Page 9: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

DEVELOPMENTOFLIMBS - 3

qOriginally,limbbudswereatrightangleofthetrunkwith:-Cranial(preaxial)&Caudal(postaxial) borders:radius andtibia arepreaxial bones.-Ventral&Dorsal surfaces:flexormusclesareventral.

qDuring7th week,adductionoflimbbudsoccurswith90°rotation:-Inupperlimb, rotationoccurslaterally:radiusislateral&flexormusclesareanterior.-Inlowerlimb,rotationoccursmedially: tibiaismedial&flexormusclesareposterior.

Page 10: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

Mesenchyme fromlateralmesoderm

Inducesgrowthofmesenchyme &itstransformationintocartilage

Cartilageossifiesby:Endochondral ossification

Myoblasts migratefrommyotomes toform:Musclesoflimbs

Page 11: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

Boneincartilaginousstate

Appearanceofprimaryossificcenters:ossificationofdiaphysis

Appearanceofsecondaryossificcenters:ossificationofepiphysis

Ossificationofepiphseal plate:Completeunionofepiphysis&diaphysis

Diaphysis

Epiphysis

Epiphysealplateofcartilage

BIRTH PUBERTY

Diaphysis

Boneincreasesinlengthbyproliferationofepiphyseal plate

Growthofbonestops

OSSIFICATIONOFLONGBONES

Boneageisagoodindexofgeneralmaturation.Boneageisdeterminedby:1. Appearanceofossific centersindiaphysis &epiphysis(specificforeachbone&sex)2. Disappearanceofepiphyseal plate(specificforeachbone&sex)

Epiphysis

Page 12: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

DEVELOPMENT OF CRANIUM (SKULL)

qThe skull develops from mesoderm around the developing brain.

qThe skull consists of:1. Neurocranium: protective case for brain2. Viscerocranium: skeleton of faceq Bones of skull ossify either by:

*Endochondral ossification or*Intramembranous ossification

12

Page 13: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

FP

ST Z MaxMand

F

F

F

P

P

Bonesofskullthatossifybyintramembranous ossification:1. F=Frontal2. P=Parietal3. Z=Zygomatic4. ST=Squamous temporal5. Mand =Mandible6. Max=Maxilla

Page 14: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

JOINTS

Theydevelopfrommesodermbetweenbones:qFibrousjoints:mesodermdifferentiatesintodensefibrousconnectivetissue.

qCartilaginousjoints:mesodermdifferentiatesintocartilage.

qSynovialjoints:asynovialcavityisformedinsidemesoderm;mesodermdifferentiatesintosynovialmembrane,capsule &ligaments.

Page 15: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

SUMMARYOFDEVELOPMENTOFBONE

All bones develop from MESODERM.qAXIAL SKELETON:

*Vertebrae, Ribs & Sternum: from Sclerotomes of Somites (Paraxial Mesoderm)*Skull: from Mesoderm surrounding the Brain

qAPPENDICULAR SKELETON: from Somatic part of Lateral Mmesoderm

All bones ossify by Endochondral Ossification EXCEPT:

1. Some bones of Skull2. Clavicle

Page 16: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

SUMMARY OF DEVELOPMENT OF MUSCLES

qAllmuscles developfromMESODERM EXCEPT:1. Musclesofiris(eyeball)2. Myoepithelial cellsofECTODERM

mammary&sweatglandsq Allskeletalmusclesdevelopfrommyotomes

ofparaxialmesoderm EXCEPT:q someHead&Neckmusclesfrommesoderm

ofPharyngealArches

Page 17: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

SUMMARY OF DEVELOPMENT OF MUSCLES

qCardiac&Smoothmusclesdevelopfromlateralmesoderm:

1. Cardiacmusclesfrom:splanchnic partoflateralmesoderm

2. Smoothmuscles:*Inthewallofviscerafrom:splanchnic partoflateralmesoderm*Inthewallofblood&lymphaticvesselsfrom:somaticpartoflateralmesoderm

Page 18: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

QUESTION1

qWhichoneofthefollowinggroupofmusclesarederivativesofepaxial divisionofmyotomes?

1. Musclesofback2. Musclesoflimbs3. Musclesofviscera4. Cardiacmuscles

Page 19: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

QUESTION2

q Whichoneofthefollowingbonesossifiesbyintramembranous ossification?

1. Vertebra2. Humerus3. Ribs4. Mandible

Page 20: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

QUESTION3

qRegardingtheossificationoflongbones,whichoneofthefollowingstatementiscorrect?

1. Primaryossific centreappearsafterbirth.2. Secondaryossific centreleadsinto

ossificationofdiaphysis.3. Longbonesossifybyintramembranous

ossification.4. Whenepiphysisuniteswithdiaphysis,

growthofbonestops.

Page 21: Dr Jamila EL Medany - KSUMSC. Muscloskeletal Block/Female... · (SKULL) qThe skull develops from mesoderm around the developing brain. qThe skull consists of: 1. Neurocranium: protective

THANK YOU