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70 Cards in this Set

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Joint

articulation, place of contact between bones, between bones and cartilage, bones and teeth

Arthrology

study of joints

Structural Classifications

Fibrous joint, Cartilaginous joint, Synovial joint

Fibrous joint

no joint cavity, bones held together by dense regular (fibrous) ct

Cartilaginous joint

no joint cavity, bones joined by cartilage

Synovial joint

fluid filled cavity separates articulating surfaces of bones, bones attached to each other via ligaments

Functional Classifications:

Synarthrosis joints, Amphiarthrosis joints, Diarthrosis joints

Synarthrosis joints

immobile joint, two types of fibrous joints and one type of cartilaginous joint

Amphiarthrosis joints

slightly mobile joint, one type of fibrous joint and one type of cartilaginous joint

Diarthrosis joints

freely mobile joint, all synovial joints

Types of Fibrous Joints

primary function to hold together bones, no joint cavity


gomphoses, sutures, sydesmoses

Gomphoses

peg in a socket joint, Teeth within sockets of mandible and maxillae- synarthrosis joint

Sutures

joining of bones, sutures in the skull


o Sutures among cranial bones

Syndesmoses

articulating bones are joined by long strands of dense regular ct, amphiarthroses


Radius and ulna joint


o Tibia and fibula joint

Types of Cartilaginous Joints

joints have cartilage (hyaline or fibrocartilage) between the articulating bones, also lack joint cavity, could me immobile or slightly mobile


synchondroses, symphyses

Synchondroses

articulation of hyaline cartilage, immobile, synarthrosis


o Epiphyseal plate in children


o Sternum and first rib joint

Symphyses

articulation of fibrocartilage, amphiarthroses, acts as a resilient shock absorber


o Pubic symphysis


o Intervertebral discs

Types of Synovial Joints

- freely movable articulations, most commonly known joints are synovial, all are diarthrosis (freely movable)

All synovial joints contain

Articular capsule,


Joint cavity,


Synovial fluid, Ligaments, nerves, blood vessels, Tendons, and bursa

articular capsule

double layered capsule


o Fibrous layer-


o Synovial membrane-

Fibrous layer of articular capsule

dense connective tissue, strengthens joint

synovial membrane of articular capsule

areolar connective tissue, produce synovial fluid

Joint cavity

space permits separation of articulating bones

Synovial fluid

viscous, oily substance, composed of secretions from the synovial membrane and filtrate from blood plasma


o Lubricates articular cartilage


o Nourishes chondrocytes in articular cartilage


o Acts as shock absorber


· Articular cartilage-


o Reduces friction


o Spongy cushion absorb compression


o Prevents damage to articulating surface of bone

Ligaments

dense regular connective tissue, connect bone to bone


o Stabilize


o Strengthen


o Reinforce joints


§ Extrinsic ligaments-


§ Intrinsic ligaments-

Extrinsic ligaments

separate from joint capsule

intrinsic ligaments

thickenings of articular capsule

Nerves

supply the articular capsule and ligaments

Blood vessels

supply the articular capsule and ligaments

Tendons

dense regular connective tissue, not part of synovial joint, attaches muscle to bone, upon muscle contraction the tendons pull on bone and create movement, help stabilize joints

Bursa

fibrous, saclike structure containing synovial fluid, alleviate friction such as when a tendon or ligament rub against bone

Classification of Synovial Joints

3 axes of movement- uniaxial, biaxial, multiaxial

Uniaxial-

bone move in one plane

Biaxial

bone moves in two planes or axes

Multiaxial-

movement in multiple planes or axes

Classified base on mobility from least to most mobile

1. plane joints


2. hinge joints


3 pivot joints.


4. condylar joints


5. saddle joints


6. ball and socket joints

Plane joints

uniaxial, intercarpal and intertarsal joints hand and foot

hinge joints

uniaxial knee finger joints elbow joints

pivot joints

uniaxial radius-ulnar joint first two cervical vertebrae

condylar joints

biaxial, metacarpophalangeal joints knuckles

saddle joints

biaxial carpometacarpal joint thumb

ball and socket joint

multiaxial, hip, shoulder

Synovial joint movement and muscle contraction can be visualized as a lever system in which the

Lever- elongated, rigid object rotating around a fixed point, example: long bone


Fulcrum- a fixed point, this would be the joint

movement provided by synovial joints

flexion, extension, abduction, adduction, supination, pronation, inversion, eversion, elevation, depression, circumduction, rotation, gliding

flexion

To flex is to decrease the angle between two bones by bringing them close together. (try flexing your arm

Extension

To extend is to increase the angle between two bones by straightening the joint.


To hyperextend is to go beyond the 180° position after you flex it (example: head and neck)

Abduction

To abduct is to move the limb away from the midline (like "kidnap" = taking a limb away).

Adduction

To adduct is to move the limb back toward the midline

Supination

Supinating is turning the palm to face anteriorly

Pronation



Pronating the hand is to turn the hand outward with the palm facing posteriorly. (example: Queen Elizabeth wave)

Inversion

To invert the foot is to bring the sole of the foot inward

Eversion

To evert means to move the soles of feet outward

Elevation

To elevate means to raise. To perform this motion, the bone is raised.

Depression

To depress the bone means to lower it.


(example: mandible, rib cage while breathing)

Circumduction

This is when the distal end of the limb moves in a circle.

Rotation

This is a turning movement of a bone on its own axis

Gliding

One flat bone surface slips over another bone without any real movement. (example: carpals in the wrist, tarsals in the ankle

Temporaomandibular joint (TMJ

- articulation of mandible with temporal bone, only mobile joint between the bones of skull

TMJ disorders

typically occurs in people who grind or clench their teeth, popping or clicking noise heard as they open and close mouth

Sternoclavicular joint

shoulder joint, joint between the sternal end of clavicle and the manubrium of sternum, allows wide range of movement

Acromioclavicular joint

acromium of scapulae and lateral end of clavicle

Shoulder separation

dislocation of acromioclavicular joint as a result of a blow to joint acromium will appear very prominent

Glenohumeral joint

shoulder joint ball and socket joint between head of humerus and the glenoid cavity of scapula


Dislocations of glenohumeral joint common, head of humerus pops out of the glenoid cavity

Knee Joint

- largest and most complex of diarthrosis, two separate articulations, tibiofemoral joint, patellodemoral joint, composed of several ligaments including the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL), also the lateral and medial meniscus


ACL tear common due to the ligament being one of the weakest, caused if the leg is hyperextended

Sprain

the ligaments reinforcing a joint are stretched or torn


- common locations are lumbar, knee, ankle)

Strain

the ligaments are pulled and injured but not as severely as a sprain

Arthralgia

a pain in the joint


- pain in the neck = cervical arthralgia


- sacroiliac arthralgia

Arthritis

inflammation of the joints --> inflammatory disease that damages the joints and causes pain, swelling, and stiffness

Rheumatoid arthritis

more prevalent in women seen, age of onset 40-50, pain and swelling of joints, muscle weakness

Dislocation

the bone is forced out of its normal position in the joint cavity


- common in shoulder, thumb, TMJ


- to repair, the dislocation must be reduced in the same way the bone ends of a fracture are realigned.


- common in children


- sacrifice mice by cervical dislocation