Back Arthrology Flashcards
What are the three major classifications of joints?
Synovial
Fibrous
Cartilaginous
What must every Synovial Joint have to be considered as such?
Joint Capsule
Hyaline Cartilage (on both edges)
Synovial Fluid
What does a plane joint do?
Permit gliding or sliding movements
Example: Acromioclavicular joint
What does Hinge/Ginglymus joint do?
Flexion and extension only
Eg elbow, thumb
What does a pivot/trochoid joint do?
Permits rotation
Ex: Twisting of forearm (radius and ulna)
What does sellar/saddle joint do?
Allows movement in two different planes
- false circumduction w/o rotation
- biaxial
- Example:* carpometacarpal joint of the thumb
What does a condyloid joint do?
Flexion and Extension
Abduction and adduction
Circumduction
Example: wrist
What does a ball and socked/spheriodal joint do?
Flexion and Extension
Abduction and Adduction
Circumduction
Rotation
Example: Shoulder and Hip
What are the four types of Fibrous joints?
- Sutures (Skull)
- Gomphosis (Tooth in socket)
- Schindylesis (Tongue in groove)
- Syndesmosis (Interosseous Membrane of Radioulnar Joint - sheet of fibrous connective tissue)
What are the two types of Cartilagenous joints and their characteristics?
Synchondrosis: usually transient - while the bone is growing
Symphysis: fibrocartilaginous attachment between bones
Example: Intervertebral Disc
What membrane does the Anterior Longitudinal Ligament become superiorly?
The Anterior Atlantooccipital Membrane
What does the Posterior Longitudinal Ligament become superiorly?
The Tectorial Membrane
What does the Ligamentum Flavum become superiorly?
The Posterior Atlantooccipital Membrane
What does the Supraspinous Ligament become superiorly?
The Nuchal Ligament
What are the two structures of the intervertebral disk?
Annulus Fibrosis (Fibrous outside)
Nucleus Pulposus (Gooey center)
What ligament is often damaged in whiplash?
Anterior Longitudinal Ligament
Why do we keep patients who have a fracture of the vertebral column in a position of extension?
Because the Anterior Longitudinal Ligament can act as a splint.
Where do disc herniations typically occur?
Why do they occur there?
Typically Nucleus Pulposis ejects into the posteriolateral side of the disc of the lower lumbar vertebrae (L4-L5 especially)
Posterior Longitudinal Ligament is narrow so there is no support on either side of it to the back of the disk (posteriolaterally).
Lumbar discs are large so there is more movement that can incite a herniation.
For any given two vertebrae of the cervical or lumbar regions, a prolapse will affect which of the two vertebrae’s spinal nerve?
(Eg, there is a prolapse of C1 and C2, which nerve is affected?)
The second one.
(C2’s spinal nerve will be affected)
Atlantooccipital Joint
- What are the bones involved?
- What is the joint type?
- What ligaments are involved?
1. What are the bones involved?
Occipital Bone / Atlas
2. What is the joint type?
Condyloid Synovial
- What ligaments are involved?*
- Anterior Atlantoocipital Membrane
- Posterior Atlantoocipital Membrane
- Tectoral Membrane
Atlantoaxial Joint
- What are the bones involved?
- What is the joint type?
- What ligaments are involved?
1. What are the bones involved?
Atlas and Axis
2. What is the joint type?
Compound Synovial: Trochoid/Pivot & Zygapophysial
- What ligaments are involved?*
- Cruciate Ligaments: Transverse, Superior, Inferior
- Alar Ligaments
- Apical Ligament of the Dens
What makes up the cruciate ligament?
Superior Longitudinal Band
Transverse Ligament of Atlas
Inferior Longitudinal Band
What structures are involved in the joint of Luschka?
- Uncinate Process of a vertebra
- Inferor portion of the vertebral body of the vertebra above
Generic Cervical Joint:
- What are the bones involved?
- What is the joint type?
- What ligaments are involved?
1. What are the bones involved?
Cervical Vertebrae
2. What is the joint type?
Compound: Symphysis and Zygapophyseal
- What ligaments are involved?*
- Anterior Longatudinal Ligament
- Posterior Longatudinal Ligament
- Ligamentum Flavum
- Intertransverse Ligaments
- Interspinous Ligament
-Nuchal Ligament
Generic Thoracic or Lumbar Joint
- What are the bones involved?
- What is the joint type?
- What ligaments are involved?
1. What are the bones involved?
Thoracic or Lumbar Vertebrae
2. What is the joint type?
Compound: Symphysis and Zygapophyseal
- What ligaments are involved?*
- Anterior Longitudinal Ligaments
- Posterior Longitudinal Ligaments
- Ligamentum Flavum
- Intertransverse Ligaments
- Interspinous Ligaments
- Supraspinous Ligament
Lumbosacral Joint
- What are the bones involved?
- What is the joint type?
- What ligaments are involved?
- What ligaments are absent from this joint?
1. What are the bones involved?
L5 and sacrum
2. What is the joint type?
Compound: Symphysis and Planar Synovial
- What ligaments are involved?*
- Anterior Longitudinal Ligament
- Posterior Longitudinal Ligament
- Ligamentum Flavum
- What ligaments are absent from this joint?*
- Interspinous Ligaments
- Intertransverse Ligaments
- Supraspinous Ligament