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AN1.1-2 | Anatomical terminology — Part 2
Body Movements: What Joints Do
Now that you know the planes, you can describe movements — because each movement occurs in a specific plane.
Figure: Body Movements: What Joints Do
Flexion and Extension
• Flexion = decreasing the angle between body parts (bending)
• Extension = increasing the angle (straightening)
• Both occur in the sagittal plane
• Example: Bending the elbow is flexion; straightening it is extension
Abduction and Adduction
• Abduction = moving away from the midline
• Adduction = moving toward the midline
• Both occur in the coronal (frontal) plane
• Mnemonic: ABduction = ABsent from midline; ADduction = ADding back to midline
Rotation
• Movement around a longitudinal axis
• Medial rotation = rotating toward the midline; Lateral rotation = rotating away
• Occurs in the transverse plane
Special Forearm Movements:
• Pronation = rotating the forearm so the palm faces downward/backward
• Supination = rotating so the palm faces upward/forward
• Mnemonic: Supination = holding a bowl of Soup
Special Ankle Movements:
• Dorsiflexion = pulling the foot upward (toward the dorsum/shin)
• Plantar flexion = pointing the foot downward (like a ballet dancer pointing toes)
• Inversion = sole of foot turning inward (medially)
• Eversion = sole turning outward (laterally)
Circumduction = combination of flexion, extension, abduction, adduction in sequence — creates a cone-shaped range of motion (e.g., shoulder joint).
CLINICAL PEARL
Pronation/supination confusion? A simple test: pick up a bowl of soup. Your palm is facing up — that is supination. Pour the soup out — palm faces down — that is pronation. Surgeons describe fractures by whether the limb is pronated or supinated at the time of injury, as this determines the fracture pattern.
Bone Composition: Why Bone Is Neither Chalk Nor Steel
AN1.2 asks you to describe the composition of bone and bone marrow. Bone is remarkable because it is simultaneously hard AND flexible.
Figure: Bone Composition: Why Bone Is Neither Chalk Nor Steel
Organic Component (~35% of dry weight):
• Primarily collagen — a protein that provides flexibility and tensile strength
• Made by bone-forming cells called osteoblasts
• Without collagen, bone would shatter on impact like glass
Inorganic Component (~65% of dry weight):
• Primarily hydroxyapatite — a crystalline calcium-phosphate mineral
• Provides hardness and compressive strength
• Without it, bone would bend like rubber
Think of bone as reinforced concrete: collagen = steel rebar (flexibility), hydroxyapatite = concrete (hardness). Neither component alone would be structural; together they are outstanding.
Cross-subject link: You are studying Basic Biochemistry this week — the same calcium ions that form hydroxyapatite in bone are regulated by parathyroid hormone (PTH) and calcitonin. When you encounter calcium homeostasis in Biochemistry, connect it here.
Bone Marrow: The Body Blood Factory
Inside the hollow spaces of bone lives a specialised tissue called bone marrow. There are two types:
Figure: Bone Marrow: The Body Blood Factory
Red bone marrow:
• Found in the spaces of spongy (cancellous) bone — mainly in flat bones (sternum, ileum) and epiphyses of long bones in adults
• The site of haematopoiesis — the production of all blood cells (red cells, white cells, platelets)
• Clinical relevance: A bone marrow biopsy (taken from the posterior iliac crest) diagnoses leukaemia, anaemia, and other blood disorders
Yellow bone marrow:
• Found in the medullary cavity — the hollow shaft of long bones
• Consists mainly of adipocytes (fat cells) — essentially stored fat
• In severe blood loss or anaemia, yellow marrow can convert back to red marrow — a remarkable adaptive response
Think of the medullary cavity as a storage tank for fuel (fat), while the spongy regions are the production floor (blood cells).
Mnemonic: Red marrow = Red blood cells produced; Yellow marrow = Yellow fat stored
SELF-CHECK — 2 : Bone Composition and Marrow
A child with vitamin C deficiency (scurvy) has bones that fracture easily despite normal calcium levels. This is because vitamin C is essential for collagen synthesis. Which component of bone is primarily affected?
A. Hydroxyapatite
B. Collagen (organic matrix)
C. Yellow bone marrow
D. Haematopoietic stem cells
Reveal Answer
Answer: B. Collagen (organic matrix)
In a patient with severe aplastic anaemia, which marrow conversion would you expect to occur?
A. Red marrow converts to yellow marrow in flat bones
B. Yellow marrow converts back to red marrow in long bones
C. Haematopoiesis moves to the liver only
D. Medullary cavity fills with spongy bone
Reveal Answer
Answer: B. Yellow marrow converts back to red marrow in long bones