Skull: Presented by Dr. Amen Fatima BSPT, TDPT (Uhs)

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SKULL

Presented by
Dr. Amen Fatima
BSPT, tDPT (UHS)
Contents

• Anatomical Position of skull


• Normas of the skull
• Bones of skull
• Sutures of the skull
• Cranial fossas
• Cranial foraminas
• Structures passing through foraminas
Anatomical Position of the skull
Views of Skull
Parts
• The skull is a bony
structure that supports the
face and forms a protective
cavity for the brain.
• Bones are joined
by sutures (fibrous joints).
• Divided into two groups:
the cranium (skullcap
known as the calvarium,
and the cranial base) and
those of the face
The Cranium
• The cranium (also known as the neurocranium), is formed
by the superior aspect of the skull. It encloses and protects
the brain, meninges and cerebral vasculature.
• Anatomically, the cranium can be subdivided into
a roof (known as the calvarium), and a base:
• Calvarium: Comprised of the frontal, occipital and two
parietal bones.
• Cranial base: Comprised of six bones – the
frontal, sphenoid, ethmoid, occipital, parietal and temporal
bones.
The cranium
Norma Frontalis (Anterior View)

Facial Skeleton consists


of 14 irregular bones:

Lacrimal 2
Nasal 2
Maxillae 2
Zygomatic 2
Palatine 2
Inferior conchae 2
Mandible 1
Vomer 1
Sutures of the Skull
• Sutures are a type of fibrous joint that are unique to the skull.
They are immovable, and fuse completely around the age of
20.
• Sutures are of clinical importance, as they can be points of
potential weakness in both childhood and adulthood.  The
main sutures in adulthood are:
• Coronal suture which fuses the frontal bone with the two
parietal bones.
• Sagittal suture which fuses both parietal bones to each other.
• Lambdoid suture which fuses the occipital bone to the two
parietal bones.
Fontanelle
• In neonates, the incompletely fused suture joints give
rise to membranous gaps between the bones, known as
fontanelles.
• The two major fontanelles are the frontal
fontanelle (located at the junction of the coronal and
sagittal sutures) and the occipital fontanelle (located at
the junction of the sagittal and lambdoid sutures)
• Clinically fontanelle assist in molding of skull during
birth
• In adults frontal/Anterior fontanelle is called Bregma
• In adults Occipital/Posterior fontanelle is called
Lambda
Anterior & Posterior Fontanelle
Fontanelle

• Posterior fontanelle closes about 2


months after birth
• Anterior fontanelle closes in 2nd year
8 bones form
the adult’s
1
Neurocranium

Glabella
Frontal Metopic suture
Parietal 2
Temporal 2
Occipital 1
Sphenoid1
Ethmoid 1
Norma Occipitalis/Posterior
Norma Verticalis/Superior View
Norma Lateralis
LANDMARKS on Lateral side of head
• The zygomatic bone forms the prominence of
the cheek
• The zygomatic arch bridges the gap between
eye and the ear.
• It is formed anteriorly by the temporal
process of zygomatic bone.
• It is formed posteriorly by zygomatic process
of the temporal bone
LANDMARKS on Lateral side of head

• The mastoid process is large bony


prominence situated behind the lower part of
the auricle
• The inferior temporal line forms the upper
boundary of the temporal fossa which is filled
up by the temporalis muscle
Clinical Relevance of Pterion
• There are certain areas of the skull that are natural
points of weakness:
• The pterion: a ‘H-shaped’ junction between
temporal, parietal, frontal and sphenoid bones. The
thinnest part of the skull.
• A fracture here can lacerate an underlying artery (the
middle meningeal artery), resulting in a extradural
haematoma.
• Asterion: junction between temporal, parietal and
occipital bone

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