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31 Cards in this Set

  • Front
  • Back

Fibrous Joints

United by fibrous tissue,


Movement depends upon the length of the fibers uniting the bones


Sutures: only in skull, adjacent bones linked by sutural ligament, called frontanelles in neonates because bones of skull don't touch


Syndesmosis-two adjacent bones linked by a sheet of tissue

Cartilaginous Joints

Bones united by cartilage


Primary (synchondrosis) united by hyaline cartilage, permits growth, after full growth synchondrosis gets converted to synostosis ex: epiphyseal (growth) plate


Secondary (symphysis) united by fibrocartilage, stronge, slightly movable ex: pubic symphysis, intervertebral disc.

Synovial Joints

Most common& important, provide free movement. These joints contain:
A joint cavity
Articular cartilage
Synovial membrane
A fibrous capsule

Most common& important, provide free movement. These joints contain:


A joint cavity


Articular cartilage


Synovial membrane


A fibrous capsule

Hinge

Type of synovial joint
Permit flexion and extension online ex: elbow and interphalangeal joints

Type of synovial joint


Permit flexion and extension online ex: elbow and interphalangeal joints

Pivot

Type of synovial joing. Permits rotation around a long axis ex: atlantoaxial, proximal radioulnar joints

Type of synovial joing. Permits rotation around a long axis ex: atlantoaxial, proximal radioulnar joints

Plane

Type of synovial joint. Gliding movements limited by joing capsules. Ex: zygapophyseal, acromioclavicular joints.

Type of synovial joint. Gliding movements limited by joing capsules. Ex: zygapophyseal, acromioclavicular joints.

Condyloid (Ellipsoid)

Type of synovial joint, permits flexion, extension, abduction and adduction ex: metacarpophalangeal joints.

Type of synovial joint, permits flexion, extension, abduction and adduction ex: metacarpophalangeal joints.

Ball and Socket

Type of synovial joint. Freest- permits universal movements ex: hip and shoulder joints

Type of synovial joint. Freest- permits universal movements ex: hip and shoulder joints

Saddle

Type of synovial joint. Allows movements in several directions except rotation ex: carpometacarpal joint of thumb

Type of synovial joint. Allows movements in several directions except rotation ex: carpometacarpal joint of thumb

Sternoclavicular joint

SADDLE joint- b/w clavicle and sternum, function as a ball-and-socket joint, extremely strong but very mobile.

SADDLE joint- b/w clavicle and sternum, function as a ball-and-socket joint, extremely strong but very mobile.

Sternoclavicular joint: movement

Fibrous capsule is strong enough to support the weight of the upper limb. Elevation of clavicle, protraction and retraction, and some rotation


The articular disc is strong and thick, it prevents medial displacement of clavicle and also acts as a shock absorber.


Dislocation rarely occur except in old age, clavicle will fraction before dislocation.

Acromioclavicular Joint

PLANAR joint, strengthened by trapezius muscle. Dislocation of AC joint occurs when the coracoclavicular ligament is ruptured.

PLANAR joint, strengthened by trapezius muscle. Dislocation of AC joint occurs when the coracoclavicular ligament is ruptured.

Acromioclavicular joint: movement

Reinforced primarily by coracoclavicular ligament


Small amount of movement in superoinferior and anteroposterior axes as well as abduction/adduction. AKA joint can wiggle.


AC dislocation ("shoulder separation") occurs in football and hockey due to fall on should or getting "driven into boards"

Glenohumeral (shoulder) Joint

Most mobile joint BALL AND SOCKET type. Enclosed by a thin and loose fibrous capsule.  Stability is reinforced by external structures.

Most mobile joint BALL AND SOCKET type. Enclosed by a thin and loose fibrous capsule. Stability is reinforced by external structures.

4 reinforcements of Glenohumeral joint

1. Tendons of rotator cuff muscles reinforce all sides of joint capsule, especially INFERIORLY.


2. Tendon of long head bi.br. reinforced ANTERIORLY, passes thru synovial cav. held by transverse ligament b/w greater/lesser tubercl


3. Coracoacromial ligament prevents superior dis


4. Glenoid Labrum

Glenoid Labrum

Fibrocartilagenous lip surrounding glenoid fossa/cavity,Deepens the socket a little


Glenohumoral joint can abduct about 120, after about 90 scapula begins to rotate.


Flexion range exceeds hypertension range


Lateral and medial rotation. Shallowness of glenoid cavity and laxity of capsule result in loss of stability, joint strengthened by rot. cuf and coracoacromial arch.

Summary of stabalizing structures

Superior:glenoid labrum, coracoacromial lig, long head of biceps brachii


Lateral: rotator cuff tendons, long head bicep. br


Anterior: glenoid labrum, long head bi, br. subscapularis


Posterior: glenoid labrum, acromion proc. supraspinatus, infraspinatus, teres minor


Inferior Glenoid Labrum

Subluxation of Shoulder "dislocation of shoulder"

Most often dislocated b/c high instability


Ant/Inf disloc. more common in contact sports cause by forced extension and lateral rotation


Head of humerus driven ant. can avulse fibrous capsule and glenoidal labrum from anterior aspect of glenoid cavity


Elbow Joint

HINGE joint, permits flexion and extension


Has 3 articulars


1. Humeroulnar: trochlea to trochlear notch


2. Humeroradial: capitulum to radial head


The olecranon process, and coronoid process form the trochlear notch of ulna.

Ulnar Collateral Ligament

Limits Abduction


Anterior cord-like band is strongest


Posterior fan-like band is weakest


Oblique band deepens the trochlear notch.


Rupture, tearing and stretching common in athletic throwing (baseball pitching, javelin throwing, water polo)

Radial Collateral Ligament

Limits Adductions

Anular Ligament of Radius

Holds head of radius against ulna

Proximal Radiulnar Joint

Elbow joint is surrounded by fibrous joint capsule.


Radial head rotates (supinates and pronates)


Enclosed by anular ligament & radial notch of ulna.

Distal Radiulnar Joint

Distal radius moves around distal ulna (supinates and pronates)


Articular disc b/w ulna and radius holds them together.

Wrist (radicarpal) Joint

Joint b/w radius, scaphoid and lunate.


Ulna does not participate


Condyloid (ellipsoid) joint


Movements of the wrist: adduction, abduction, flexion, extension and circumduction

Important wrist ligaments

Ulnar and radial collateral ligaments are poorly developed.


Palmar radiocarpal, palmar ulnocarpal, and palmar radioulnar ligaments limter hyperextension


ie. falling on an outstretched hand


Dorsal radiulnar, dorsal ulnocarple, ulnar radiocarpal


***Dorsal lig. are weaker then palmar

Flexion and Extension of Wrist Joint

Flexion and extension occur simultaneously in radicarpal joint and midcarpal joint

Adduction and Abduction of Wrist Joint

Adduction is greater then Abduction


Abduction limited by styloid process of radius

Carpometacarpal Joints

. B/w carpals and metacarpals,


Digits 2-5, PLANE joints, not much movement


Thumb (digit 1) SADDLE joint, connects trapezium w/1st metacarpal, lots of movement (flexion, extension, abduction, adduction, circumduction, opposition

Metacarpophalangeal Joints

CONDYLOID joints
Allows flexion-extension, abduction-adduction, and circumduction
Metacarpal heads united by deep transverse metacarpal ligament

CONDYLOID joints


Allows flexion-extension, abduction-adduction, and circumduction


Metacarpal heads united by deep transverse metacarpal ligament

Interphalangeal Joints

HINGE type, allows only flexion and extension, palmar ligaments (plates) create a smooth surface for digital tendons to glide upon.

HINGE type, allows only flexion and extension, palmar ligaments (plates) create a smooth surface for digital tendons to glide upon.