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25 Cards in this Set

  • Front
  • Back

Joints (articulations)

-site where 2 or more bones meet


-the weakest parts of the skeleton

Arthrology

study of joints

orthopedics

branch of medicine that deals with prevention/correction of injuries/disorders of bones, muscles associated with skeleton, ligaments and joints

functions of joints

-mobility


-cohesion

classification of joints

1) Structural


-----Material binding bones together


-----Presence/absence of joint cavity


2) Functional


-----Amount of movement

Fibrous Joints


(Structural)

1) Sutures


-Synarthrotic


-Ex: Bones of skull


2) Gomphoses


-Peg-in-socket


-Synarthrotic


-Ex: Teeth in sockets


-Peridontal ligament


3) Syndesmoses


-Bones connected by ligaments


-Length of ligament determines mobility of the joint


-Ex: Distal articulation of tibia and fibula (synarthrotic)

Cartilaginous Joints


(Structural)

1) Synchondroses


-Hyaline Cartilage


-Synarthrotic


-Ex: Epiphyseal plates, 1st rib & manubrium


2) Symphyses


-Fibrocartilage sandwiched between hyaline cartilage


-strong & flexible


-amphiarthrotic


-Ex: Pubis symphysis, intervertebral joints

Synovial Joints, General Anatomy


(Structural)

1) Articular cartilage


-composed of hyaline cartilage


2) Joint (synovial) cavity


-contains synovial fluid


3) Articular Capsule


-Outer fibrous layer (dense irregular CT)


-Inner synovial membrane


4) Synovial fluid


-blood filtrate/hyaluronic acid


-reduces friction (lubricant)


-nourishment (cartilage is avascular)


-keep joint cavity 'clean' (phagocytic cells)


5) Reinforcing ligaments


-Capsular (intrinsic) - found in articular capsule thickening of fibrous layer of articular capsule


-extracapsular - outside of joint cavity


-intracapsular - within joint


6) nerves and blood vessels

Accessory Structures of some synovial joints

1) Fatty Pads - found in hip and knee joints


2) Articular discs (meniscus) - fibrocartilage that separates articular surfaces of bones and minimizes wear and tear


3) Menisci - sandwiched in between articular sufaces


4) Bursae - provide surface for sliding "pillows"


- fibrous sacs lined with synovial membrane & containing some synovial fluid


5) Tendon Sheaths - elongated bursa that wraps around a tendon


- hot dog bun (tendon=hotdog)


- extra stability to joint

Double-jointedness

reinforcing ligaments and joint capsules that are more stretchy and loose

Synovial Joint Types

1) Plane (between carpals & tarsals) Non-Axial


2) Hinge (elbow) Uni-Axial


3) Pivot (radius/ulna joint) Uni-Axial


4) Condyloid (b/n metacarpals & phalanges) Bi-A


5) Saddle (b/n carpals and metacarpal of thumb)


6) Ball & Socket (hip and shoulder) Multi-Axial

Movements allowed by synovial joints

1) Gliding


2) Angular


3) Rotation


4) Special


Gliding

flat surfaces of 2 bones glide slide over each other (back & forth or side to side)

Angular

Inc/Dec angle between 2 bones


-Flexion/Extension/Hyperextension (Head)


-Abduction/Adduction (thighs)


-Circumduction (fingers, wrists, shoulder)

Rotation

-Movement around the bone's long axis


-Thigh, C1, C2, head

Special Movements

a)Supination/Pronation (hand) - rotate forearm


b)Dorsiflexion/Plantar flexion (foot) toward shin away from shin


c)Inversion/Eversion (Ankle) - turn foot lateral or medial


d)Protraction/Retraction (Mandible) - Stick Chin out or pull in


e)Elevation/Depression (Mandible/Shoulder)


f)Opposition (thumb to finger)

Shoulder Joint

-Glenoid labrum - rim of fibrocartilage around glenoid cavity


4 ligaments (Corachumeral + 3 Glenohumeral)


5 tendons (biceps brachii + 4 rotator cuff)

Hip Joint

-Acetabular Labrum - disc of fibrocartilage around acetabulum


- >20 ligaments & tendons 'corkscrew' femur to coxal bone

Knee joint

Largest and most complex joint in the body made of 3 joints


1) Femoropatellar joint


2&3) Lateral & medial tibiofemoral joints


(joint cavity enclosed by articular capsule anteriorly - ligaments)

Luxation

Dislocation


*Bones need to be reduced (put back into place)

Arthritis

inflammatory or degenerative diseases of joints


osteoarthritis

-Cartilage destroying enzymes break down cartilage faster than it can be replaced


-Often joints between cervical and lumbar vertebrae, fingers, knees


Rheumatoid Arthritis

Autoimmune disease where the immune system causes inflammation in the joints

Gouty Arthritis (Gout)

-Excess uric acid in blood


-Urate crystals form in soft tissues of joints causing inflammation


-If untreated can result in immobilization of joint

Torn Meniscus

-Occurs most often when compression and shear stress (twisting) occur simultaneously


-Most frequent cartilaginous tear


-Cartilage is avascular so it heals very slowly


-Removal of the torn meniscus (surgery) is often the standard