CHAPTER 8: JOINTS Flashcards

1
Q

Joints (articulations)

A

Articulation: site where 2 or more bones meet

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2
Q

Function of joints:

A
  • give skeleton mobility
  • hold skeleton together
    *Classified by structure and function
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3
Q

Functional classification of joints

A
  1. based on the amount of movement allowed by the joint
  2. Three functional classifications:
    - synarthrosis: immovable (ex: sutures in skull)
    - amphiarthrosis: slightly moveable (sacroiliac joint)
    - diarthrosis: freely movable (fingers, wrists, elbows)
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4
Q

Structural classification of joints

A

Whether there’s a joint cavity or not
Three structural classifications:
1. fibrous
2. cartilaginous
3. synovial

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5
Q

Synovial joints

A

*1 of 4 membranes (serous, mucous, cutaneous)
*Include all limb joints, most joints of the body

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6
Q

Synovial joints distinguishing features

A
  1. hyaline cartilage
  2. synovial cavity: small potential space (fibrous membrane around joint)
  3. articular (joint) capsule: outer fibrous capsule of dense irregular connective tissue; Inner synovial membrane of loose connective
  4. synovial fluid:
    - between hyaline joints
    - lubricates hyaline cartilage
    - weeping lubrication
  5. rich nerve and blood vessel supply
    - nerve fibers monitor joint position and stretch and detect pain
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7
Q

Friction reducing structures in synovial joints: Bursae

A

Bursae:
- flattened fibrous sacs lined with synovial membranes
- act as “ball bearings”, where ligaments, tendons, skin, muscles, or bones rub together

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8
Q

Friction reducing structures in synovial joints: tendon sheath

A

Tendon sheath:
- Elongated bursa that wraps completely around a TENDON

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9
Q

Stabilization of synovial joints

A
  • Shapes of articular surfaces
  • Ligament number and lcoation
  • Muscle tone, which keeps tendons that cross the joint taught
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10
Q

Stabilization of synovial joints

A
  • Shapes of articular surfaces
  • Ligament number and location
  • Muscle tone, which keeps tendons that cross the joint taught
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11
Q

Synovial joints: range of motion

A

Nonaxial- little slipping movements (carpals)
Uniaxial- movement in one plane (elbow)
Biaxial- movement in two planes (finger)
Multiaxial- movement in three planes

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12
Q

Movements at synovial joints

A

gliding:
one flat bone surface glides or slips over another similar surface (carpals, tarsals, vertebrae)

angular movements:
- flexion, extension, hyperextension
- abduction, adduction
- circumduction

rotation:
medial and lateral rotation (turning of a bone around its own long axis)

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13
Q

classification of synovial joints

A

based on shape of articular surface:
1. hinge
2. plane (glide)
3. pivot
4. condyloid (cup and flask)
5. saddle (carpals)
6. ball and socket

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14
Q

Plane joints

A

nonaxial joints
flat articular surfaces
short gliding movements

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15
Q

hinge joints

A

uniaxial joints
motion along a single plane
flexion and extension only

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16
Q

pivot joitns

A

rounded end of bone fits into sleeve
uniaxial movement only

17
Q

condyloid (ellipsoidal) joints

A

biaxial joints
articular surfaces oval
permits all angular movements
*rounded flask

18
Q

saddle joints

A

biaxial
greater freedom of movement than condyloid joits

19
Q

ball and socket joint

A

most freely moving synovial joint

20
Q

knee joint

A

largest, most complex joint of body

three joints surround by a single joint cavity:
- femoropatellar joint (where patella sits on femur): allows gliding motion during knee flexion

21
Q

common joint injuries

A

Sprains
- the ligaments are stretched or torn
- heals slowly (no blood supply)
- complete ruptures require prompt surgical repair

Cartilage tears
- due to compression and other shear stress
- fragments may cause joint to lock or bind
- cartilage rarely repairs itself
- repaired with surgery

22
Q

common joint injuries (dislocations and subluxations)

A

Dislocations (luxations)
- occur when bones are forced out of alignment
- accompanied by sprains, inflammation, and joint immobilization
-caused by serious falls or playing sports

Subluxation
- Partial (or came out and went back in) dislocation of a joint

23
Q

inflammatory and degenerative conditions

A

Bursitis
-inflammation of a bursa
- treated with rest, ice, and if severe, anti-inflammatory drugs

Tendonitis
- inflammation of tendon sheaths typically caused by overuse
- symptoms and treatment like bursitis