BIOMED 10/9b Joint Structure, Function, and Mechanobiology Flashcards

1
Q

define arthrology

A

study of the classification, structure, and function of joints

  • movement occurs through sequenced rotations around the joints
  • joint surfaces transfer and disperse internal and external forces
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2
Q

classification of joints

A
  • movement potential (how they move)

- synovial joitns based on mechanical analogy

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3
Q

classification of joints based on movement potential

A

two main ways

  1. synarthroses
  2. diarthroses
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4
Q

synarthroses classification of joints

A
  • allows slight to no movement
  • function is to transfer forces between bones
  • two different kinds
    1. fibrous
    2. cartilaginous
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5
Q

fibrous joint definition

A
  • synarthroses classification
  • stabilized by dense connective tissue with high concentration of collagen
  • baby’s skull has fibrous tissue between the bones that eventually fissures and comes together as they get older
  • forearm (radius and ulna connected by interosseous membrane) syndesmosis is strong tissue with dense collagen that prevents those bones from being pulled apart
  • shin
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6
Q

purpose of syndesmosis

A

part of a fibrous joint

has a large surface area to transfer force to the other side that has a large surface area

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7
Q

cartilaginous joint

A
  • part of the synarthroses classification
  • stabilized by flexible fibrocartilage or hyaline cartilage
  • pubic symphysis joins two pubic joints of the pelvis together
  • intervertebral discs: as a whole, the spine has a lot of motion because they’re added together, but not as one unit
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8
Q

diarthroses definition

A
  • allows moderate to extensive movement

- synovial joints are diarthroses

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9
Q

what are the 7 main elements of all synovial joints?

A
  1. articular cartilage
  2. joint capsule
  3. synovial membrane
  4. synovial fluid
  5. ligaments
  6. blood vessels
  7. sensory nerves
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10
Q

what are other joint support elements of synovial joints?

A
  1. intra-articular discs or meniscus
  2. peripheral labrum
  3. fat pads
  4. bursae
  5. synovial plica
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11
Q

what is articular cartilage?

A
  • part of every synovial joint
  • cartilage that covers the articular surface of the bone (typically the end)
  • like a cap of low friction paint on the end of the bone
  • gets chipped down with arthritis
  • protects the end of teh bone
  • has stiffness that allows for less damage at the end of the bone
  • avascular and aneural
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12
Q

what is the joint capsule

A
  • part of every synovial joint
  • has two main layers
    1. visible = dense fibrous outer layer, innervated, tells about stretch
    2. inner layer = synovial membrane (thin cerand wrap around join and creates synovial fluid); highly innervated with nociceptors and nerve fibers, often a PAIN GENERATOR
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13
Q

synovial membrane

A
  • inner layer of the joint capsule
  • synovitis is inflammation of the synovium
  • 3-10 cell layers thick
  • creates synovial fluid
  • highly innervated with nociceptors and nerve fibers
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14
Q

synovial fluid

A
  • part of every synovial joint
  • contains hyalurornan and glycoproteins
  • LUBRICATES the joint surfaces
  • provides NOURISHMENT to articular cartilage
  • as you move, you start to squeeze the fluid out
  • with OA, the fluid gets thicker and gets more visocus because other biproducts of inflammation get into the fluid and make it thicker
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15
Q

ligaments

A
  • part of every synovial joint
  • CT that attaches between joints
  • prevent excessive joint movement
  • 2 primary types
    1. capsular (thickenings of joint capsule; cover a lot of SA because broad sheet; resist movement in multiple planes bc of wideness)
    2. extracapsular (cordlike structure; partially or completely separate from joint capsule; may resist movement in 1 or 2 planes bc of small SA)
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16
Q

blood vessels and synovial joints

A
  • associated with all synovial joints
  • penetrate capsule and extend to junction of fibrous and synovial layer
  • without BF, no healing
17
Q

sensory nerves and synovial joints

A
  • all synovial joints have sensory nerves

- sensory nerve fibers innervate external and internal capsular layers - pain and proprioception

18
Q

intra-articular discs or meniscus

A
  • not all synovial joints have this
  • made of fibrocartilage
  • increased joint congruency, improves stability, the more stable, he less play and movement you have at that joint
  • provides SHOCK ABSORPTION
  • not designed to be sheared, so when it is in the articular cartilage, it helps with lack of shear
19
Q

peripheral labrum

A
  • not all synovial joints have this
  • fibrocartilage
  • rubber washer that surrounds and SEALS YOUR JOINT
  • extend around the periphery of the joint
  • deepens joint concavity and support capsular attachment
  • typical for highly mobile, ball and socket joints
20
Q

fat pads

A
  • not all synovial joints have this
  • reinforce capsule and filles in recesses in the joint
  • cushions surfaces to reduce forces
21
Q

bursae

A
  • not all synovial joints have this
  • spaces filled with synovial fluid and provide a bit of cushion
  • can only feel with palpation when they are inflamed
  • when inflamed, they fill with fluid
  • extension/outpouch of synovial membrane
  • prevents friction
22
Q

synovial plica

A
  • not all synovial joints have this
  • folds in the synovial membrane
  • redundancy is necessary to prevent or undo tension during motions
  • can get thickening or inflammation of the synovial “pleat” and become a mechanical block
  • folded because it would tear bery easily if tehre was not any slack and the joint still had mobility
23
Q

different classifications of joints based on mechanical analogy

A
  1. hinge
  2. pivot
  3. ellipsoid
  4. ball and socket
  5. plane
  6. saddle
  7. condyloid
24
Q

hinge joint

A
  • Humero-ulnar joint
  • Singe axis of rotation
  • Motion occurs perpendicular to axis of rotation
25
Q

pivot joint

A
  • Humero-radius joint
  • Spinning
  • Rotation occurs parallel to the axis of rotation
  • Single axis of rotation
26
Q

ellipsoid joint

A
  • Wrist
  • Two axes of rotation
  • One side elongated concave surface and other elongated concave surfa
  • Bi-planar motion flexion/extension and ab/adduction
  • Limits spin motion at joint
27
Q

ball and socket

A
  • 3 axes of rotation
  • Spherical convex surface and cup like concave socket
  • Allows three degrees of freedom for joint angular motion
28
Q

plane

A
  • Lacks a definitive axis of rotation
  • Sliding and rotation of one surface on the other
  • Metacarpals
  • Tarsals
  • Patella
29
Q

saddle joint

A
  • 2 axes of rotation
  • Perpendicularly oriented convex and concave surfaces
  • Allows ample bi-planar motion but limits spin motion
  • Thumb
30
Q

condyloid joint

A
  • Primarily 2 axes of rotation
  • Spherical convex ball articulates with relatively flat or non-concave surfaces
  • Motions vary based on particular structure
  • Flat tibial plateau
  • Knee
31
Q

axis of rotation

A
  • fixed

- instantaneous

32
Q

instantaneous axis of rotation

A
  • knee and hip
  • changes as the joint position changes
  • axis of rotation in joints is rarely fixed
  • therefore moment arm changes
  • therefore mechanical advantage changes
  • thus proving that at different locations, your body has different strengths and different ranges of motion