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Describe suture and list Types of Sutures

A synarthrosis joint. It is classified as Fibrous.


Types:


Serrate, Squamous, Synostosis and Plane

3 start with S and one starts with P

Describe a squamos suture

one bone overlaps another

Which is the most common suture?

serrate suture

Describe a plane suture

margins of bone are fairly smooth and line up next to each other (maxillary suture)

describe synostosis

A bony synarthrosis joint. present during growth of the skull

Describe the diarthrosis joint

3rd type of functional classification. Only synovial joints are classified like this. It is freely movable, stable, complex always synovial joint, hip/shoulder have labrum

What is labrum

an extension of the articular cartilages that enalrges the joint surface area and is present in the hip and shoulder

describe a synarthrosis joint

1st type of functional classification. immovable. Includes sutures, gomphosis, synchondrosis and synostosis

describe synchondrosis

A synarthrosis joint. The connecting material is hyaline cartilage, immovable

examples are the epiphyseal plate and costal cartilages

characteristics fibrous joints

This is a structural classification. Includes suture, gomphosis, and syndesmosis. No synovial cavity, Connected by dense fibrous connective tissue

characteristics of cartilaginous joints

This is a structural classification. Includes synchondrosis & symphysis type. Has no synovial cavity, cartilage bridges articulating bone, are synarthrosis or amphiarthrosis

in synchondrosis and symphisis

what is gomphosis

A synarthrosis joint. Classified as Fibrous. Immovable, periodontal ligament, holds teeth in bony socket (alveoli)

what is syndesmosis

A amphiarthrosis classified joint. It is fibrous. United by ligament

What is amphiarthrosis?

2nd type of functional joint classification. Slightly movable under compession, twisting or tension. Includes syndesmosis & symphysis.

examples are symphyses and syndesmoses

characteristics of symphysis

A amphiarthrosis joint. Slightly movable. Cartilaginous. made of fibrocartilage

examples are intervertebral discs and pubic symphysis

Characteristics of a synovial joint

A diarthrosis classified joint. Most complex. Has joint cavity and ligaments to support articulating bone.

Synovial Joint Features

1. joint capsule with 2 layers 2. joint cavity inside of joint capsule 3. synovial membrane (inner layer of capsule) produced hyaluronic acid 4. synovial forms film over joint surface 5. articular covers joint surface

There are 5 features

What are the joint points of contact?

Between 2 bones, between cartilage and bone, and between teeth and bone

3 different points of contact

Characteristics of the joint capsule

has 2 layers, thickness varies in body, may be reinforced by or incorporate tendons and ligaments

What are the joint capsule layers

outer: dense fibrous connective tissue, stratum fibrosum, poor blood supply, good nerve supply inner: synovial membrane, makes hyaluronic acid for synovial fluid, good blood supply, poor nerve supply

What is synovial fluid like?

clear, yellow, viscous, reduces friction between articulations, provides nourishment for articular cartilage, contains hyaluronic acid and lubricin

What is articular cartilage like?

lacks blood vessels and nerve, transmits and distributes high loads, maintence of contact stress at low levels, reduces friction,shock absorber

Found on the articular surfaces of bones, aKA hyaline cartilage

Extra scapular versus intrascapular

Describes location of ligaments. Outside of joint capsule vs. within joint capsule

Characteristics of articular discs of synovial joints

made of fibrocartilage , allows articular bones to fit tightly together, increases knee stability, reduces friction, shock absorber

What are bursae?

Flat sacs filled with synovial fluid located between 2 structures

What are tendon sheaths

tube like bursae that wrap around tendons in wrist and ankle

Bursitis

Chronic inflammation caused by excessive stress , the bursa swells and muscles become sore and stiff

Factors of range of motion in synovial joints

1. shape of articulating bones


2. tension & strength of joint ligaments arrangement


3. activity of muscles around joints


4. hormones and disuse

There are 4

joint cavity

space that separates the articulating surfaces of bone in synovial joint

uniaxial joints

bones are free to move in one place, around one axis

example is a hinge joint ( flexion/extension, pivot joint)

Biaxial Joint

bones are free to move in 3 directions around three axes

examples are ball and socket , flexion/extension, adduction/abduction & rotation

Functions of Synovial fluid

1. Lubrication


2. Nutrient distribution


3. Shock absorption

3 functions

Accessory Structures

1. Cartilages


2. Fat pads


3. Ligaments


4. Tendons


5. Bursae

There are 5

What is a fibrocartilage pad called?

Meniscus

Where are fat pads located?

Superficial to the joint capsule.

What is a sprain?

Ligaments with torn collagen fibers

Ligaments attach ___ to _____. And do what?

Bone to bone.


Support and strengthen joint.

Tendons attach ____ to ____.


And do what?

Muscle to bone.


Help support joint.

What is subluxation?

A partial dislocation

Three types of dynamic movement

1. Linear movement


2. Angular movement


3. Rotation

Types of angular movement

Flexión


Extension


Hyperextension


Abduction


Adduction


Circumduction


There are 6

Types of Rotation

Left & right


Medial & lateral


Pronation & supination




Special movements

Inversión


Eversion


Dorsi flexión


Plantar flexión


Opposition


Reposition


Protraction


Retraction


Elevation


Depression


Lateral flexion

Functional classification of Synovial joints

Gliding


Hinge


Pivot


Condylar


Saddle


Ball-socket

6 of them

Movement of gliding joint

Gliding, Slight nonaxial or multi axial

Movement of hinge joint

Angular, mono axial

Movement of Condylar joint

Angular, biaxial

Movement of saddle joint

Angular, biaxial

Movement of pivot joint

Rotation , monoaxial

Movement of ball and socket joint

Angular, Circumduction, rotation, triaxial

Outside and inside of intervertebral discs

Outside : anulus fibrosus


Inside: nucleus pulposus


Vertebral joints are also called ____.

Symphyseal joints

Slipped disc

Bulge in anulus fibrosis.

Herniated disc

Nucleus pulposus breaks through anulus fibrosus.

Shoulder joint is also called the ____.

Glenohumeral joint

What is the socket of the shoulder joint?

Glenoid labrum

Shoulder muscles

Supraspinatus


Infraspinatus


Subscapularis


Teres Minor

What is the larger joint of the arm?

Humeroulnar joint


(Trochlea of humerus and Trochlear notch of ulna)

Location of patellar ligament

Rheumatism

Pain and stiffness of skeletal and muscular systems.

Arthritis

All forms of rheumatism that damage articular cartilages of Synovial joints

How is joint immobilization treated?

Continuous passive motion (Cpm)

Factors affecting bone strength

1. Age


2. Physical stress


3. Hormone levels


4. Calcium and phosphorus uptake and excretion


5. Genetic and environmental factors

Movements in the frontal plane are _____ such as _____ and _____.

Sideways;


Adduction , abduction

Movements in the sagittal plane are __ and ___ such as ____ and ____.

Up and down;


Flexion and extension


Movements in the transverse plane are _____.

Rotational