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Classified by freedom of movement
Diarthrosis (freely movable)
Amphiarthrosis (slightly movable)
Synarthrosis (little or no movement)
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Classified how adjacent bones are joined
Fibrous
Cartilaginous
Synovial
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span the space between bones
Collagen Fibers
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Sutures
immovable fibrous joints that bind skull bones together
- serrate – interlocking linesl
- coronal, sagittal, and lambdoid sutures
lap – overlapping beveled edges
- plane – straight, non-overlapping edgesl
- palatine process of the maxillae
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Gomphoses
attaches tooth to its socket
-held in place by fibrous periodontal ligament
-collagen fibers attach to cementum of tooth and jawbone
-somewhat movable while chewing
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Syndesmoses
bones
joined by collagen fibers (ligament)
-interosseous membrane
-most movable fibrous joint
-ulna/radius and tibia/fibula
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Synovial Joint
-Joint in which two bones are separated by a film ofslippery synovial fluid encased by a joint capsule
-Most are freely movable
-Most structurally complex of all joints
- -Young synovial joints vs. elderly synovial joints
- -quality of life
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Structure of Synovial Joint
- Articular capsule encloses joint
- (articular) cavity
- Outer
- fibrous layer continuous with periosteum
- Inner synovial
- layer formed by synovial membrane
Makes synovial fluid
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Synovial Fluid
= slippery fluid; feeds cartilages
fills joint (articular) cavity to provide lubrication
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Articular Fluid
hyaline cartilage covering the joint surfaces
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Articular discs and menisci
law, wrist, sternoclavicular and knee joints
- labsorbs shock, guides bone movements and distributes
- forces
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Tendons and Ligaments
Strengthened by tendons, which attach muscle to bone
Ligament attaches bone to bone
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Bursa
fibrous sacs filled with synovial fluid
between nearby structures so slide more easily past each other
cushions muscles and allows tendons to slide more easily
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Tendon Sheaths
elongated cylindrical bursae wrapped around a tendon
-especially in the hands and feet
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Exercise and Articular Cartilage
- -when synovial fluid is warmed it becomes less viscous and
- more easily absorbed by articular cartilage
-cartilage swells and becomes a more effective cushion
- -warm-up period helps protect articular cartilage from undue wear
- and tear
-repetitive compression is important to articular cartilage’s nutrition
-compression squeezes out fluid and metabolic waste
- -when compression stops, the cartilage absorbs new synovial
- fluid carrying oxygen and nutrients….like a sponge
- -without exercise, articular
- cartilage deteriorates more rapidly due to lack of oxygen, nutrients, and waste
- removal
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Range of Motion
-degrees through which a joint can move
a measure of joint flexibility
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Structure of the articular surfaces (ROM)
olecranon process and olecranon fossa
TMJ
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Strength and tautness of ligaments and joint capsule (ROM)
-stretching of ligaments increases range of motion
-double-jointed people have long or slack ligaments
-use-it-or-lose-it
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Action of the muscles and tendons (ROM)
nervous system monitors (proprioceptors) joint position and muscle tone-maintaining a state of tension to stabilize joints and body position
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Axes of Rotation
Monoaxial joint – one degree of freedom
Biaxial joint – two degrees of freedom
- Multiaxial joint - shoulder joint has 3 degrees of
- freedom
-Some joints cannot be easily classified into any one of the 6 categories of synovial joints – TMJ has aspects of condyloid, hinge, and gliding movements
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6 Types of Synovial Joints
- 1. Ball-and-Socket Joint
- -multiaxial, head of humerous
- 2. Condyloid Joint
- -biaxial, oval convex, metacarpophalangeal joint
- 3. Saddle Joint
- -biaxial, sternoclavicular joint
- 4.Gliding Joint
- -usually biaxial, bones are flat, amphiarthrosis, ankle bones
- 5. Hinge Joint
- -monoaxial, elbow or knee
- 6. Pivot Joint
- -monoaxial, spins on longitudinal axis, radioulnar joint
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Flexion
decrease the angle of a joint
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Extension
increases the angle of a joint straightens and returns to the anatomical position
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hyperextension
extension beyond 180 degrees or beyond anatomical position
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abduction
- movement of a part in the
- frontal plane away from the midline of the body
hyperabduction- raise arm over back or front of head
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adduction
movement towards the midline
hyperadduction-crossing fingers
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Elevation
movement that raises a body part vertically in the frontal plane
- -mandibles are elevated during biting and clavicles during
- a shrug
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Depression
lowering the body part in the same direction
-lowering the mandible or the shoulders
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Protraction
movement of a body part anteriorly in the transverse (horizontal) plane
-thrusting the jaw forward, shoulders or pelvis forward
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retraction
movement of a body part posteriorly in the transverse (horizontal) plane
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Circumduction
- movement with one end of an
- appendage remains stationary while the other end makes a circular motion
-Sequence of flexion, abduction, extension and adduction movements
-baseball player winding up for a pitch
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Rotation
movement in which a bone spins on its longitudinal axis
-rotation of trunk, thigh, head or arm
- -medial (internal) rotation turns the bone inwards
- -lateral (external) rotation turns the bone outwards
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Supination
rotation of forearm so that the palm faces anteriorly or upward
inversion and abduction of foot (raising the medial edge of the foot)
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Pronation
rotation of forearm so the palm faces posteriorly or downward
eversion and abduction of foot (raising the lateral edge of the foot)
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Flexion of vertebral column
produces forward-bending movements
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Extension of vertebral column
straightens trunk or neck
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Hyperextension of vertebral column
looking up in the sky or bending over backwards
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Lateral Flexion
tilting the head or trunk to the right or left of the midline
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R. or L. rotation
twisting of the waist or turning of the head
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Dorsiflexion
movement in which the toes are elevated - heel strike when walking
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Plantar Flexion
movement of the foot so that the toes point downward as in standing on tiptoe
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4 Tendons of Rotator Cuff Muscles
"SITS"
-Supraspinatus tendon
-Infraspinatus tendon
-Teres minor tendon
-Subscapularis tendon
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Elbow Joint
humeroulnar and humeroradial joints + radioulnar joint
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Humeroulnar Joint
trochlea of humerus joins trochlear notch of ulna
supported by collateral ligaments – restrict side-to-side motions
radial (lateral) collateral ligament
ulnar (medial) collateral ligament (Tommy John Surgery)
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Humeroradial Joint
capitulum of humerus joins the head of the radius
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proximal radioulnar joint
the edge of the head of the radius fits into the radial notch of the ulna
-head of radius held in place by the anular ligament encircling the head
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olecranon bursa
on posterior side of elbow
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Knee Joint
Largest and most complex
Joint capsule encloses only the lateral and posterior aspects of the knee joint
- Joint cavity contains 2 fibrocartilage “C”-shaped menisci joined by a
- transverse ligament- absorb shock
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Knee joint (cont)
- Popliteal (posterior knee region) supporting ligaments
- -extracaspular ligaments – external to joint capsule
- 2 collateral ligaments that prevent knee rotation
- -fibular (lateral) collateral ligament
- -tibial (medial) collateral ligament
- 2 intracapsular ligaments –
- -anterior cruciate ligament (ACL) – prevents knee hyperextension ‘locks’ knee during extension
- -posterior curicate ligament (PCL) – stabilized femur
13 Bursa
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Arthritis
is a broad term for pain and inflammation of a joint
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Osteroarthritis
results from years of joint wear…’wear-and-tear’ arthritis
- - most common form
- - articular cartilage softens and degenerates
- - accompanied by crackling sounds called crepitus
- - bone spurs develop on exposed bone tissue causing pain
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Rheumatoid Arthritis
is autoimmune attack on joint
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Athroplasty
replacement of diseased joint with artificial device called prosthesis
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