skeletal
[skel´ĕ-tal] pertaining to the skeleton.
skeletal system the body's framework of bones; there are 206 distinct bones in the body of an average adult human. (See anatomic Table of Bones in the Appendices and see Plates.) The bones give support and shape to the body, protect delicate internal organs, and provide sites of attachment for muscles to make motion possible. In addition, they store and help maintain the correct level of
calcium, and the
bone marrow manufactures blood cells. Called also
skeleton.
Main Parts of the Skeleton. There are two main parts of the skeleton: the axial skeleton, including the bones of the head and trunk, and the appendicular skeleton, including the bones of the limbs. The axial skeleton has 80 bones and the appendicular skeleton has 126 bones.
Axial Skeleton. The axial skeleton includes the skull, the spine, and the ribs and sternum. The most important of these is the
spine (called also the
spinal or
vertebral column), consisting of 26 separate bones. Twenty-four vertebrae have holes through them, which are lined up vertically to form a hollow tube called the
spinal canal; the spinal cord runs through this canal and is protected by it.
The seven topmost vertebrae, in the neck, are the cervical vertebrae; they support the skull, which encloses and protects the brain and provides protection for the eyes, inner ears, and nasal passages. The skull includes the cranium, the facial bones, and the auditory ossicles. Of the 28 bones of the skull, only one, the mandible, is movable.
Below the cervical vertebrae are 12 thoracic vertebrae; attached to them are 12 pairs of
ribs, one pair to a vertebra. The ribs curve around to the front of the body, where most attach directly to the sternum or are indirectly attached to it by means of cartilage. The two bottom pairs of ribs are unattached in front and are called floating ribs. Together, the thoracic vertebrae, the ribs, and the sternum form a bony basket called the thoracic (or rib) cage, which prevents the chest wall from collapsing and protects the heart and the lungs. The remaining bones of the spine include five lumbar vertebrae, which support the small of the back, and the sacrum and coccyx. The axial skeleton also includes a single bone in the neck, the hyoid bone, to which muscles of the mouth are attached. This is the only bone of the body that does not join with another bone.
Appendicular Skeleton. The appendicular skeleton includes the shoulder girdle, bones of the upper limb, pelvic girdle, and bones of the lower limb. The shoulder girdle, from which the arms hang, consists of two
clavicles and two
scapulae; the scapulae are joined to the sternum.
The
upper limb has three long bones. The uppermost bone is the
humerus, whose upper (proximal) end fits into a socket in the shoulder girdle; its lower (distal) end is connected at the elbow to the
ulna and
radius, the two long bones of the forearm. Eight small bones, the carpals, compose the wrist. Five metacarpals form the palm of the hand, and the finger bones are made up of 14 phalanges in each hand.
At the lower end of the spine is the pelvic girdle; it, along with the last two bones of the spinal column (the
sacrum and
coccyx), forms the
pelvis. This part of the skeleton encircles and protects the internal organs of the genitourinary system. In each side of the pelvis is the
acetabulum, a socket into which a femur fits.
The bones of the
lower limb are similar in construction to those of the upper limb but are heavier and stronger. The
femur (thigh bone), which is the longest bone in the body, extends from the pelvis to the knee. The
tibia and the
fibula are long bones that extend from the knee to the ankle. On the knee is another single bone, the
patella or kneecap. In each leg there are seven ankle bones, or tarsals; five foot bones, or metatarsals; and 14 toe bones, or phalanges.
Joints and Movement. Anywhere in the skeleton that two or more bones come together is known as a
joint. The way these bones are joined determines whether they can move and how they move. The elbow, for example, is a hinge joint, which allows bending in only one direction. In contrast, both bending and rotary movements are possible in the hip joint, a ball-and-socket joint. Many joints, such as most of those in the skull, are rigid and permit no movement whatsoever.
The force needed to move the bones is provided by
muscles, which are attached to the bones by tendons. A muscle typically spans a joint so that one end is attached by a tendon to one bone, and the other end to a second bone. Usually one bone serves as an anchor for the muscle, and the second bone is free to move. When the muscle contracts, it pulls the second bone. Actually, two sets of muscles that pull in opposite directions take part in any movement. When one set contracts, the opposing set relaxes.
system
[sis´tem] 1. a set or series of interconnected or interdependent parts or entities (objects, organs, or organisms) that act together in a common purpose or produce results impossible by action of one alone.
2. an organized set of principles or ideas. adj.,
adj systemat´ic, system´ic.
The parts of a system can be referred to as its elements or components; the environment of the system is defined as all of the factors that affect the system and are affected by it. A living system is capable of taking in matter, energy, and information from its environment (input), processing them in some way, and returning matter, energy, and information to its environment as output.
An
open system is one in which there is an exchange of matter, energy, and information with the environment; in a
closed system there is no such exchange. A living system cannot survive without this exchange, but in order to survive it must maintain pattern and organization in the midst of constant change. Control of self-regulation of an open system is achieved by dynamic interactions among its elements or components. The result of self-regulation is referred to as the steady state; that is, a state of equilibrium.
homeostasis is an assemblage of organic regulations that act to maintain steady states of a living organism.
A system can be divided hierarchically into subsystems, which can be further subdivided into sub-subsystems and components. A system and its environment could be considered as a unified whole for purposes of study, or a subsystem could be studied as a system. For example, the collection of glands in the endocrine system can be thought of as a system, each endocrine gland could be viewed as a system, or even specific cells of a single gland could be studied as a system. It is also possible to think of the human body as a living system and the endocrine system as a subsystem. The division of a system into a subsystem and its environment is dependent on the perspective chosen by the person studying a particular phenomenon.

Systems, subsystems, and suprasystems. Within the environment there are suprasystems, such as human society, and systems within the suprasystem, such as the educational and industrial systems and the health care delivery system. Within the health care delivery system are subsystems, such as the patient, family members, the nurse, the physician, and allied health care professionals and paraprofessionals.
behavioral system in the
behavioral system model of nursing, the patterned, repetitive, and purposeful behaviors of an individual.
cardiovascular system the heart and blood vessels, by which blood is pumped and circulated through the body; see also
circulatory system.
CD system (
cluster designation) a system for classifying
cell-surface markers expressed by lymphocytes based on a computer analysis of
monoclonal antibodies against
hla antigens, with antibodies having similar specificity characteristics being grouped together and assigned a number (CD1, CD2, CD3, etc.); these CD numbers are also applied to the specific antigens recognized by the various groups of
monoclonal antibodies. See also
CD antigen.
centimeter-gram-second system (CGS) (cgs) a system of measurements in which the units are based on the
centimeter as the unit of
length, the
gram as the unit of
mass, and the
second as the unit of
time.
centrencephalic system the neurons in the central core of the
brainstem from the thalamus to the medulla oblongata, connecting the
cerebral hemispheres.
colloid system (
colloidal system)
colloid (def. 3).
conduction system (conductive system (of heart)) the system of atypical cardiac muscle fibers, comprising the sinoatrial and atrioventricular nodes, internodal tracts, atrioventricular bundle, bundle branch, and terminal ramifications into the Purkinje network.
Emergency Medical Services (EMS) system a comprehensive program designed to provide services to the patient in the prehospital setting. The system is activated when a call is made to the EMS operator, who then dispatches an ambulance to the patient. The patient receives critical interventions and is stabilized at the scene. A communication system allows the health care workers at the scene to contact a trauma center for information regarding further treatment and disposition of the patient, followed by transportation of the patient to the most appropriate facility for treatment.
endocrine system the system of ductless glands and other structures that produce internal secretions (
hormones) that are released directly into the circulatory system, influencing metabolism and other body processes; see
endocrine glands.
expert system a set of computer programs designed to serve as an aid in decision making.
gateway system a software interface between an online searcher and one or more search systems, facilitating the use of the system by searchers who are unfamiliar with it, or with online retrieval in general.
haversian system a
haversian canal and its concentrically arranged lamellae, constituting the basic unit of structure in compact bone (
osteon).

Haversian system: Structures of compact and spongy bone with the central haversian canal surrounded by the lamellae. From Applegate, 2000.
heterogeneous system a system or structure made up of mechanically separable parts, as an emulsion or suspension.
His-Purkinje system the intraventricular conduction system from the bundle of His to the distal Purkinje fibers, which carries the impulse to the ventricles.
Home Health Care Classification system see home health care classification system.
homogeneous system a system or structure made up of parts that cannot be mechanically separated, as a solution.
hypophyseoportal system (
hypophysioportal system) (
hypothalamo-hypophysial portal system) the venules connecting the
hypothalamus with the sinusoidal capillaries of the anterior lobe of the
pituitary gland; they carry releasing substances to the pituitary.
lay health system a system comprising an informal referral network and sources of treatment outside the formal biomedical sources of health care; it includes individual consultation and information-seeking through significant others and peers concerning health behaviors, symptoms, and evaluation of treatment before, during, and after consultation with health care professionals.
legal system in the
omaha system, anything connected with law or its administration; it includes legal aid, attorney, courts, or Child Protective Services (CPS), and many other agencies and officials.
limbic system a system of brain structures common to the brains of all mammals, comprising the phylogenetically old cortex (archipallium and paleopallium) and its primarily related nuclei. It is associated with olfaction, autonomic functions, and certain aspects of emotion and behavior.
lymphoid system the lymphoid tissue of the body, collectively; it consists of primary (or central) lymphoid tissues, the bone marrow, and thymus, and secondary (or peripheral) tissues, the lymph nodes, spleen, and gut-associated lymphoid tissue (tonsils, Peyer's patches).
mononuclear phagocyte system the group of highly phagocytic cells that have a common origin from stem cells of the bone marrow and develop circulating monocytes and tissue macrophages, which develop from monocytes that have migrated to connective tissue of the liver (
kupffer's cells), lung, spleen, and lymph nodes. The term has been proposed to replace
reticuloendothelial system, which includes some cells of different origin and does not include all macrophages.
nursing system in the
self-care model of nursing, all the actions and interactions of nurses and patients in nursing practice situations; nursing systems fall into three categories: wholly compensatory, partly compensatory, and supportive-educative.
oxygen delivery system a device that delivers oxygen through the upper airways to the lungs at concentrations above that of ambient air. There are two general types: the fixed performance or high flow type, which can supply all of the needs of a patient for inspired gas at a given fractional inspired oxygen; and the variable performance or low flow type, which cannot supply all of the patient's needs for oxygen and delivers fractional inspired oxygen that varies with ventilatory demand.
peripheral nervous system the portion of the
nervous system consisting of the nerves and ganglia outside the brain and spinal cord.
portal system an arrangement by which blood collected from one set of capillaries passes through a large vessel or vessels and another set of capillaries before returning to the systemic circulation, as in the pituitary gland (the
hypothalamo-hypophysial portal system) or the liver (the hepatic portal circulation).
respiratory system the group of specialized organs whose specific function is to provide for the transfer of oxygen from the air to the blood and of waste carbon dioxide from the blood to the air. The organs of the system include the
nose, the
pharynx, the
larynx, the
trachea, the
bronchi, and the
lungs. See also
respiration and Plates 7 and 8.
social system in the
general systems framework and theory of goal attainment, an organized boundary system of social roles, behaviors, and practices developed to maintain balance for growth, development, and performance, which involves an exchange of energy and information between the person and the environment for regulation and control of stressors.
support system in the
omaha system, the circle of friends, family, and associates that provide love, care, and need gratification; it may include church, school, workplace, or other groupings.
unit dose system a method of delivery of patient medications directly to the patient care unit. Following review by a nurse, a copy of the physician's original order is sent to the pharmacy, where the pharmacist reviews it again. The pharmacist then fills the order and delivers the medication to the patient care unit, usually in a 24-hour supply. Each patient has an individual supply of medications prepared and labeled by the pharmacist.
urinary system the system formed in the body by the
kidneys,
ureters, urinary
bladder, and
urethra, the organs concerned in the production and excretion of
urine.
vasomotor system the part of the nervous system that controls the caliber of the blood vessels.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.