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74 Cards in this Set

  • Front
  • Back

Joints classifications

Structure and function

Structure

Determined by the type of material holding the bone's together

Function

Determined by the amount of movement allowed by the joint

Three functional categories

Synarthrotic - immobile


Amphiarthrotic - slight mobility


Diathrotic - free mobility

Bony

Bone's are ossified together


All are synarthrotic

Types of joints

Bony


Fibrous


Cartilaginous


Synovial

Locations of bony joints

Sacrum


Coccyx


Bones of os coxae


Epiphyseal lines in adults


Cranial sutures in the elderly

Fibrous joints

Bones connected by collagen fibers


Most are synarthrotic


Some are Amphiarthrotic

Locations of fibrous joints

Cranial sutures


Teeth in maxillae and mandible


Interosseous membranes


Distal tibiofibular joint


Cartilaginous joints

Bone's connected by hyaline cartilage or Fibrocartilage


Most are Amphiarthrotic


Some are synarthrotic

Locations of Cartilaginous joints

Costal Cartilages


Pubic symphasis


Intervertebral discs


Epiphyseal plates in children

Synovial joints

Bones connected by a fluid filled joint capsule


Are all Diathrotic

Function of fibrous outer layer

Stabilizes joints; boundary of the joint cavity

Function of joint space containing synovial fluid

Lubricates and nourishes articular cartilage


Phagocytes remove debris

Function of articular cartilage

Cushions ends of bones

Function of Ligaments

Reinforces the joint; limit its movement

Synovial membrane (inner layer)

Produces lubricating synovial fluid

Function of Fat pads

Provides additional cushioning

Function of Menisci

Improves the fit of bones; provides additional stability in the knee and jaw

Function of bursa and tendon sheath

Fluid filled pads that reduce friction between ligaments, bones, muscles and tendons

Range of motion

Describes the area through which a joint allows movement


Can access a patients joint flexibility

Range of motion is determined by

1. Structure of the aricular surface


2. Number, strength and tightness of Ligaments


3. Tautness and action of crossing muscles and tendons

Flexion

Bending movement which decreases the joint angle


Typically away from the anatomical position

Extension

Bending movement which increases the joint angle


Typical returns body part to anatomical position

Hyperextension

Extention beyond anatomical position

Abduction

Lateral movement away from the midline

Adduction

Lateral movement towards the midline

Circumduction

Circular movement around a fixed base

Rotation

Turning of bone along its long axis

Pronation

Rotating forearm to turn palm posteriorly

Supination

Rotating forearm to turn palm anteriorly


Anatomical position

Dorsiflexion

Pivoting the foot upward towards the shin

Plantar flexion

Pivoting the foot downwards towards the floor

Inversion

Turning the sole of the foot medially

Eversion

Turning the sole of the foot laterally

Elevation

Raising a body part superiorly

Depression

Moving a body part inferiorly

Opposition

Moving thumb towards other digits

Plane movement

Gliding

Hinge movement

Flexion and extension

Pivot movement

Rotation

Condylar movement

Flexion and extension


Adduction and abduction


Circumduction

Saddle movement

Like Condylar but greater range

Ball and socket movement

Flexion and extention


Adduction and abduction


Circumduction


Rotation

Plane joint location

Carpals


Tarsals

Hinge joint locations

Elbow


Knee


Interphalangeal joints

Pivot joint locations

Axis and atlas


Proximal radioulnar joint

Condylar joint locations

Radiocarpal joint


Metacarpophalangeal joints

Saddle joint locations

Carpometacarpal joint of thumb

Ball and socket joint locations

Shoulder


Hip

List fibrous and cartilaginous locations in order of most stable, least mobile to least stable somewhat mobile

Most stable but least mobile


Cranial suture


Gomposis (tooth in Maxilla and mandible)


Syndesnosis (Interosseous membrane)


Epiphyseal plates


Pubic symphasis

Disorder: sprain

Reinforcing ligaments are stretched or torn

Joint disorder: dislocation

1. Bones are forced out of alignment at joint


2. Often accompanied by sprain


3. Dislocation must be reduced by putting bones back in alignment


4. Recurrence is common

Joint disorder: osteoarthritis

1. Joint inflammation due to normal wear and tear


2. Most common type of arthritis


3. More common in women, especially post menopause


4. Slow destruction of articular cartilage leads to bone spur formation

Joint disorder: rheumatoid arthritis

1. Autoimmune disease, immune system attacks the joint capsule


2. Destruction of cartilage leads to bone fusion


3. Extremely painful and crippling


4. Often occurs with Lyme disease

Joint disorder: gouty arthritis

1. High levels of uric acid leads to crystallization


2. Crystals in joints cause cartilage destruction, especially in feet and knees


3. More common in oriental men, expecially with consumption of red meat and shellfish

Joint disorder: bursitis

1. Inflammation of a bursa


2. Most common in shoulders, elbows, hip and knees


3. Pain whether at rest or in motion at affected joint


4. Anti-inflammatory steroid meds may be injected directly or fluid can be removed to relieve swelling


5. Caused by a fall, repetitive movement or an inflammatory disease such as rheumatoid arthritis

Skeletal system disorders: Fracture

Broken bone


Classified by:


-position of bone ends(displaced?)


-completeness of break(complete? )


-type of break


-effect on skin (open/closed?)


Displaced fractures must be reduced for proper healing

Osteoporosis

1. Bone load greatly exceeds bone deposition


2. Bones become fragile due to loss of bone mass


3. Spongy bone affected more than compact bone


4. More common in women than men (especially post menopause)


5. Risk: petite body, low activity, poor diet (lack of vitamin D and calcium)

Scoliosis

Lateral deviating of the spine from centerline



Usually caused by improper development

Kyphosis

Exaggerated thoracic curvature



Common with osteoporosis, weight lifting and wrestling


Lordosis

Exaggerated lumbar curvature



Common with osteoporosis and excess abdominal weight

Achondroplasia

-Most common form of dwarfism


-Inherited or caused by mutation


-Abnormal growth factor receptor on cartilage interferes with endochondral ossification


-can cause joint disorders, respiratory difficulties and spinal cord compression


Herniated disc

1. A tear in the anulus fibrous can allow the nucleus pulposus to protrude


2. The nucleus pulposus compresses nerve roots


3. Can cause pain that radiates to other body parts, numbness, tingling, and muscle weakness

Epithelial tissue characteristics

1. Cells are tightly packed


2. Exposed apical surface on the superficial side


3. Basement membrane


4. Avascular with no direct blood supply.


5. High rate of regeneration

Simple cuboidal epithelial function

Secretion


Filtration

Connective tissue characteristics

1. Extracellular matrix dominates


2. Several types of cells present


3. Highly vascularized (except cartilage)


4. Good regeneration rate (except cartilage)

Nervous tissue characteristics

1. Excitable membranes


2. Synthesizes and release neurotransmitters


3. high energy demands


4. few stem cells

Muscle tissue characteristics

1. Excitable membrane


2. Has internal contractile filaments


3. Little extracellular matrix


4. High energy demands


5. Limited stem cells (excerpts smooth muscle)

Functions of epithelial tissue

Absorption


boundaries,


Filtration


protection,


secretion,


Sensation

Function of integumentary system

Protects body from dehydration, microbial invasion, and abrasion


Synthesizes vitamin D


Tactile receptors (cutaneous senses)


Thermoregulates


Excretes metabolic waste


Reservoir for blood

Function of areolar connective tissue

Wrap/cushion organs



Fills internal spaces

Function of adipose connective tissue

Insulation


Cushioning


Energy storage

Function of hyaline cartilage connective tissue

Reinforcement


Support


Cushioning