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articulation
joint, point of contact between bones or between cartilage and bone
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amphiarthroses
slight movement
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diarthroses
freely moveable
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functional classification of joint
by the amount of movement possible
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structural
by the presence or absence of a joint cavity and the type of connective tissue holding it together
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fibrous
no joint cavity; helt together by fibrous connective tissue
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cartileginous
no joint cavity; held together by cartilage
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synovial
has a joint cavity, helt together by an articual capsule that secretes synovial fluid that lubricates joint
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suture
- synarthrotic
- between skull bones
- irregular structure
- connected by dense fibrous tissue
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syndesmosis
- synarthrotic/amphiarthrotic
- more fibrous ct than sutures
- less tight fit
- distal articulation between tibia & fibula
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gomphosis
- synarthrotic
- cone shaped gep fits into a socket
- teeth
- ct= periodontal ligament
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synchondrosis
- synarthrotic
- joining material is hyaline cart
- epiphyseal plate
- 1st rib
- manubrium
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symphysis
- amphiarthrotic
- pad or disc
- intervertebral discs
- pubic symphysis
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synovial
- all are diarthrotic
- more or less freely moveable
- all have joint cavity
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articular capsule
sleevelike extension of the periosteum around the joint
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fibrous capsule
outer layer of articular capsule
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synovial membrane
secretes synovial fluid into joint cavity
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synovial fluid functions
- nourishes joint
- lubricates joint
- phagocytic cells
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weeping lubrication theory
hyaline cart has tiny openings, synovial fluid enters cartilage, fluid is squeezed out as bones move past each other, then fluid seeps back in
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bursae
- additional fluid filled sacks around synovial joints
- knee has 13
- cushion movement between skin and bone
- inflammation of bursae- bursitis
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accesory ligaments
- inside or outside capsule
- bind bones together
- resist dislocation
- limiting ROM
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3 factors affect joint stability
- nature of articular surfaces
- number and positioning of ligaments
- muscle tone
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types of synovial joints
- plane
- hinge
- pivot joint
- condyloid
- saddle
- ball & socket
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plane joint
flat articular surfaces between carpals, tarsals, translational joint
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hinge joint
- uniaxial movement
- elbow- humerus & ulna
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pivot joint
- uniaxial movement
- fits into a tendon
- radius & ulna
- atlas & axis
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condyloid joint
- biaxial
- between metacarpals & phylanges
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arthritis
various types of diseases that produce stiff painful joints
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rheumatoid
- autoimmune
- hereditary
- females
- younger women (30-40)
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arthritis symptoms
- swelling pain due to buildup of synovial fluid
- abnormal tissue = pannus
- ankylosis (joint fusion)
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osteoarthritis
- affects male and femal equally
- most common
- wear & tear
- degenerative
- cartilages wear out/replaced with bone
- bone spur formation
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gouty arthritis
- men
- metabolic problem
- uric acid buildup
- highly treatable, change diet, drugs can help body excrete uric acid
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dislocation
- luxation
- displacement of a bone from its joint attachments; tearing of ligaments, tendons, rupture of articular capsule.
- common sites- finger, shoulder, thumb
- not common- mandible, knee, hip, elbow
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sprain
- wrenching of or twisting of a joint, short of luxation
- most common- ankle
- less common-lower back
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