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16 Cards in this Set

  • Front
  • Back

What are the features of synovial joints?


Include the structures that MAY be associated with synovial joints.

1. Synovial joint cavity


2. Articular cartilage: hyaline, avascular, aneural


3. Joint capsule: blends with periosteum


4. Synovial membrane: produces s. fluid


5. Synovial fluid


 


-Fat pads: movable space fillers, pain if trapped


-Labrum: fibrocartilage, increases socket depth


-Discs and menisci: firbocartilage, increases shock absorption, congruence, proprioception


-Bursae: flattened sacs of synovial membrane, reduce friction

What colour is synovial fluid?


What does it contain? (4)


What function does it serve? (3)

Clear, pale yellow, viscous.


 


Hyaluronic acid (creates viscosity - reduced in OA)


Lubricin (PRG4)


A few cells (monocytes, lymphocytes, macrophages): immune privileged site


Nutrients


 


Lubricates joint surface


Reduces friction


Nourishes joint cartilage

Knee Joint


What kind of joint is the knee joint?

Synovial, modified hinge joint


Biaxial condylar joint between condyles of femur and tibia.


Saddle joint between femur and patella.

Knee Joint


What movements are possible at the knee joint?


When is it most stable?

Flexion/extension


Some medial/lateral rotation and gliding in flexion.


It is most stable in extension


Tibia rotates medially on extension to lock knee and draw ligaments taut.


Line of CoG is anterior to knee joint and maintains extension.

Knee Joint


What ligaments are associated with the knee joint?

Tibial collateral ligament
Broad, flat, limits extension and abduction of the leg
Attached to the medial meniscus and blends with joint capsule
More commonly damaged
Fibular collateral ligament
Round, cord-like, limits adduction
Separate from join...

Tibial collateral ligament


Broad, flat, limits extension and abduction of the leg


Attached to the medial meniscus and blends with joint capsule


More commonly damaged


Fibular collateral ligament


Round, cord-like, limits adduction


Separate from joint capsule


 


Anterior cruciate ligament


From anterior intercondylar area of tibia to medial wall of intercondylar fossa of femur


Limits anterior movement of tibia and hyperextension


Posterior cruciate ligament


From posterior aspect of inercondylar tibia to anterior medial wall of intercondylar fossa of femur


Limits posterior movement of tibia and hyperflexion (landing after jump)


Shorter and stronger than ACL so not torn as easily


 


The ligaments constrain movement and aid proprioception.

Knee Joint


Describe the vascular supply and innervation of the knee joint.

Genicular branches of the popliteal artery


Descending branches of the femoral and lateral femoral circumflex


Anastomosis formed.


The knee joint is innervated by branches from the obturator, femoral, tibial, and common fibular nerves.

Knee Joint


Describe the menisci of the knee joint.

Fibrocartilage.
Increases the congruence between curved femoral condyles and relatively flat tibial plateau
Attaches to tibia and to joint capsule peripherally
Wedge-shaped in cross-section
   - Periphery - thick, blends with capsule, good blood...

Fibrocartilage.


Increases the congruence between curved femoral condyles and relatively flat tibial plateau


Attaches to tibia and to joint capsule peripherally


Wedge-shaped in cross-section


   - Periphery - thick, blends with capsule, good blood supply --> repairs mor ereadily


   - Inner aspect - thin, free edge, avascular


 


Lateral meniscus is more mobile, medial meniscus is more commonly injured

Knee Joint


How many bursae are associated with the knee joint?


Do any of them communicate directly with the knee joint?

11 bursae
The suprapatellar bursa communicates with the synovial joint cavity.

11 bursae


The suprapatellar bursa communicates with the synovial joint cavity.

Knee Joint


Which muscles are responsible for the different movements of the knee?

Flexion:


-Hamstrings: BF, SM, ST


-Sartorius


-Gracilis


 


Extension:


-Quadriceps femoris: RF, VL, VI, VM


 


Medial rotation:


-extended: popliteus


-flexed: SM, ST, Sart, Grac


 


Lateral rotation:


-flexed: Biceps femoris

Hip Joint


What type of joint is the hip joint?

Synovial ball and socket joint

Hip Joint


What movements occur at the hip joint?

Flexion/extension
Abduction/adduction
Medial/Lateral rotation

Flexion/extension


Abduction/adduction


Medial/Lateral rotation

Hip Joint


What are the ligaments of the hip joint?


In what position are they drawn taut?

Iliofemoral (inverted Y-shape, thickest)
Pubofemoral
Ischiofemoral
Thickenings of the capsule
Taut on extension - most stable position

Iliofemoral (inverted Y-shape, thickest)


Pubofemoral


Ischiofemoral


Thickenings of the capsule


Taut on extension - most stable position

Hip Joint


Which muscles are responsible for the different movements of the hip joint?

Flexion:


- Iliopsoas, RF, Sart, TFL, Pectineus


 


Extension:


- Hamstrings (SM, ST, BF), Glut Max, Add Mag


 


Abduction:


- Glut Med, Glut Min, TFL, (Piri)


 


Adduction:


- Add Long, Brev, Max, Grac, Pect


 


Medial Rotation:


- TFL, Glut Min, Glut Med


 


Lateral Rotation:


- Glut Max, P,Q,2Obt,2Gem

Hand Joints


Describe the type and movements of the 1st carpometacarpal joint.

Synovial saddle joint


 


Flexion/extension


Abduction/adduction


Opposition/reposition

Hand Joints


Describe the type and movements of the metacarpophalangeal joints.

Synovial ellipsoid (or condyloid) joints


 


Flexion/extension


Abduction/adduciton

Hand Joints


Describe the type and movements of the interphalangeal joints.

Synovial hinge joints


 


Flexion/extension