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83 terms

Joints

Chapter 8 Marieb
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Joints
or articulations, are sites where 2 or more bones meet, weakest part of the skeleton, classified by structure and function. Less movable joints are more stable
Structural Classification of Joints
focuses on the material binding the bones together and whether or not a joint cavity is present. There are fibrous, cartilaginous, and synovial joints
Functional Classification of Joints
based on the amount of movement allowed at the joint
Synarthroses
immovable joints (ex: fibrous joints)
Amphiartroses
slightly movable joints, mostly in axial skeleton
Diarthroses
freely movable joints, predominate in the limbs (ex: synivial joints)
Fibrous Joints
bones are joined by fibrous tissue, namely dense fibrous connective tissue, and no joint cavity is present, mostly immovable. 3 types of fibrous joints (sutures, syndesmoses,and gomphoses)
Sutures
seams; occur only between bones of the skull, Rigid, interlocking joints containing short connective tissue fibers
Allow for growth during youth, In middle age, sutures ossify and are called synostoses
Syndesmoses
bones are connected by ligaments, cords, or bands of fibrous tissue, Movement varies from immovable to slightly movable and depends on length and amount of fibers
Gomphoses
(gomphosis)a peg-in-socket fibrous joint (ex: articulation of a tooth with its bony alveolar socket), Fibrous connection is the periodontal ligament
Catilaginous Joints
the articulating bones are united by cartilage, they lack joint cavity and not highly movable, 2 types of cartilaginous joints are synchondroses and symphyses
Synchondroses
(synchondrosis)site where bar or plate of hyaline cartilage unites bone (ex: epiphyseal plate in children and coastal cartilage of first rib and manibrium of sternum)
Symphyses
articlar surfaces of the bones are covered with articular (hyaline) cartilage, and is fused to an intervening pad of fibrocartilage [acts as shock absorber cause resiliency], strong flexible amphiathroses
Synovial Joints
those in which the articulating bones are seperated by a fluid-containing joint cavity. All are diarthrotic, Include all limb joints; most joints of the body. 6 distinguishing features
1. Articular Cartilage
Glassy-smooth hylaine cartilage covers the opposing bone surfaces
2. Joint Cavity
a feature unique to synovial joints, space that contains small amount of synovial fluid
3. Articular Capsule
2 layers enclose the joint cavity. External layer is tough fibrous capsule (composed of dense irregular connective tissue) [strenghtens joint so that bones are not pulled apart. Inner layer is a synovial membrane (composed of loose connective tissue) [covers all internal joint surfaces that are not hyaline cartilage]
4. Synovial Fluid
slippery fluid which occupies all free spaces within the joint capsule. Lubricates joint surfaces and nurishes articular cartilage.
5. Reinforcing Ligaments
reinforce and strengthen synovial joints. Most often they are capsular, or intristic, ligaments [thickened part of fibrous capsule], Extracapsular (outside capsule) or Intracapsular (deep to capsule; covered by synovial membrane)
Nerves and Blood Vessels
Nerve fibers detect pain, monitor joint position and stretch, Capillary beds produce filtrate for synovial fluid
Bursae
Flattened, fibrous sacs lined with synovial membranes , Contain synovial fluid, Commonly act as "ball bearings" where ligaments, muscles, skin, tendons, or bones rub together
Tendon Sheath
Elongated Bursa that wraps completely around a tendon
Factors influencing Stability of Synovial Joints
shapes of the articular sirface, the number and positioning of ligaments, and muscle tone
Articular Surfaces
determines what movements are possible at a joint (minor role)
Ligaments
unite the bones and prevent excessive or undesirable motion (more ligaments joint have the stronger)
Muscle Tone
which keeps tendons that cross the joint taut, extremely important in reinforcing the shoulder and knee joints and the arches of the foot
Origin
attachment of muscle to the immovable (or less movable bone)
Insertion
attachment of muscle to the movable bone [Muscle contraction causes the insertion to move toward the origin; Movements occur along transverse, frontal, or sagittal planes]
Nonaxial Movement
slipping movements only
Uniaxial Movement
movement in one plane
Biaxial Movement
movement in two planes
Multiaxial Movement
movement in or around all three planes of space and axes
Table 8.2
Table 8.2 (cont.)
Table 8.2 (cont.) [2]
Table 8.2 (cont.) [3]
Gliding Movements
simplest joint movements, occurs when one flat, or nearly flat, bone surface glides or slips over another (Intercarpal joints
Intertarsal joints
Between articular processes of vertebrae)
Angular Movements
increase or decrease the angle between two bones (flexion, extesnion, abduction, aduction, circumduction)
Flexion
bending movement along sagittal plane, that decrease the angle of the joint, and brings articulating bones closer together
Extension
reverse of flexion and occurs at the same joints, invloves movement along the sagittal plane that increases angle between articulating bones, typically straight [Hyperextension - excessive extension beyond anatomical position]
Abduction
movement of limb away from the midline or median plane of the body, along the frontal plane
Adduction
opposite of abduction, movement of a limb toward the body midline, or midline of hand or foot.
Circumduction
moving a limb so that it describes a cone in space
Rotation
turning of a bone around its own long axis. Medial and lateral rotation (Between C1 and C2 vertebrae
Rotation of humerus and femur)
Special Movements
movements which don't fit into any of the above catergories
Supination
turning backward, rotating forearm laterally so that the palm faces anteriorly or superiorly
Pronation
turning forward, forearm rotates medially and the palm faces posteriorly or interiorly
Dorsiflexion
lifting the foot so that its superior surface approaches the skin
Plantar Flexion
pointing the toe
Inversion
sole of the foot turns medially
Eversion
sole of the foot faces laterally
Protraction
Nonangular anterior movements in a transverse plane, (ex: jut out jaw)
Retraction
Nonangular posterior movements in a transverse plane (ex: retracted jaw when brought back)
Elevation
lifitng a body part superiorly
Depression
moving elevated part inferiorly
Opposition
movement of saddle joint betwenn metacarpal 1 and the trapezium of thumb
Types of Synovial Joints
Plane, Hinge, Pivot, Condyloid, Saddle, Ball-and Socket
(Synovial) Plane Joints
articular surfaces are flat and allow only short nonaxial gliding movements
(Synovial) Hinge Joints
the cylindrical end of one bone conforms to a tough-shaped surface on another, motion is along a single plane and reselbles that of a mehanical hinge
(Synovial) Pivot Joints
the rounded end of one bone conforms to a "sleeve" or ring composed of bone (and possibly ligaments) of another, only movement allowed is uniaxial rotation of one bone around its own long axis
(Synovial) Condyloid Joints
(ellipsoidal joints) the oval articular surface of one bone fits into a complementary depression in another. Important characteristic is that both articulating surfaces are oval. Permits all angular motions
(Synovial) Saddle Joints
resemble condyloid joints, but they allow greater freedom of movement. Each articular surface has both concave and convex areas.
(Synovial) Ball-and-Socket Joints
the spherical or hemispherical head of one bone articulates with the cuplike socket of another. These joints are multiaxial and the most freely moviing synovial joints.
Knee Joint
the largest and most complex joint in the body, conisists of three joints
anterior cruciate ligament
anterior ligament of a crossing pair that attaches in front of the intercondylar eminence of the tibia. It's attachments allow it to resist anterior translation of the tibia, in relation to the femur.
posterior cruciate ligament
one of the four major ligaments of the knee. It connects the posterior intercondylar area of the tibia to the medial condyle of the femur. This configuration allows it to resist forces pushing the tibia posteriorly relative to the femur.
medial collateral ligament
It is a broad, flat, membranous band, situated slightly posterior on the medial side of the knee joint. It is attached proximally to the medial condyle of femur immediately below the adductor tubercle; below to the medial condyle of the tibia and medial surface of its body. It resists forces that would push the knee medially
lateral collateral ligament
Rounded, more narrow and less broad than the medial collateral ligament, this ligament stretches obliquely downward and backward from the lateral epicondyle of the femur above, to the head of the fibula below. In contrast to the medial collateral ligament, it is fused with neither the capsular ligament nor the lateral meniscus. Because of this, the lateral collateral ligament is more flexible than the MCL, and the latter is therefore more susceptible to injury
quadriceps tendon
connects the quadriceps femoris muscles to the superior aspects of the patella on the anterior of the thigh and controls knee flexion and extension
Patellar Ligament
It is a strong, flat, ligament from the patella to the tuberosity of the tibia.
lateral meniscus
is a fibrocartilage band that spans the lateral side of the interior of the knee joint. It is one of two menisci of the knee, the other being the medial meniscus. It is nearly circular and covers a larger portion of the articular surface than the medial. It can occasionally be injured or torn by twisting the knee or applying direct force.
medial meniscus
a fibrocartilage semicircular band that spans the knee joint medially, located between the medial condyle of the femur and the medial condyle of the tibia. It is a common site of injury, especially if the knee is twisted.
articular capsule
fibrous membrane
synovial membrane
articular cartilage
articulating bone
periosteum
synovial cavity
suture
Name this specific type of fibrous joint.
synchondrosis
Name this specific type of cartilaginous joint.
gomphosis
Name this specific type of fibrous joint.
syndesmosis
Name this specific type of fibrous joint.