Chapter 9 - Joints Flashcards

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1
Q

there are 2 classifications of joints: structural and functional. name the groups of each classification.

*joint structure determines function

A

Structural (anatomy)
- fibrous
- cartilaginous
- bony
- synovial
Functional (range of motion
- Synarthrosis (immovable joint)
- Amphiarthrosis (slightly movable, like fingers)
- Diarthrosis (freely moveable, like shoulder)

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2
Q

Synarthrosis joints: explain what they are, name the 4 types, and give examples of each.

A

Immovable joint, edges of bones may touch or interlock, may be fibrous or cartilaginous.

4 Types:
1. Suture - like in skull, edges interlock, dense fibrous tissue
2. Gomphosis - teeth to bony sockets, getting gummy.
3. Synchondrosis - vertebrae and sternum ribs, and epiphysial cartilage in growing long bones. (notice the ‘chrondro’ in the word).
4. Synostosis - created when 2 bones fuse - iliac bone - the sutures between the 3 bones

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3
Q

Amphiarthrosis Joints:, explain what they are, name the 2 types, and give examples of each.

A

Slightly moveable: move moveable than a synarthrosis, stronger than a diarthrosis. may be fibrous or cartilaginous.

  1. Syndesmosis - bones connected by a ligament
  2. Symphysis - bones connected by fibrocartilage
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4
Q

Diarthrosis / Synovial Joints: explain what they are and parts of the joint

A

Freely moveable, at ends of long bones

  • joint capsule
  • joint cavity
  • synovial membrane
  • synovial fluid from synovial membrane
  • articular cartilage - covers articulating surfaces, prevents direct contact between bones
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5
Q

explain the functions of synovial fluid

A
  • lubrication
  • nutrient distribution
  • shock absorption

Has the consistency of egg yolk

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6
Q

name and explain the accessory structures of a synovial joint

A
  • cartilages
    - meniscus - fibrocartilage pad between opposing bones
  • fat pads - adipose tissue covered by synovial membrane, protects articular cartilages
  • ligaments (bone to bone)
    - support and strengthen joints
    - sprain - ligament with torn collagen fibers
  • tendons (muscles to bone)
    - attach to muscles around joint
  • bursae
    - cushion areas where tendons or ligaments rub against other tissues (can be in multiple spots around the joint)
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7
Q

what is the bone to bone connection?

A

tendons

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8
Q

what is the muscle to bone connection?

A

ligaments

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9
Q

what are the 3 planes of movement?

A
  • Monaxial - 1 plane, like elbow
  • Biaxial - 2 planes, like wrist
  • Triaxial - 3 planes, eg shoulder and hip
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10
Q

listed are some other factors that stabilize synovial joints.

A
  • collagen fibers of joint capsules and ligaments
  • shapes of articulating surfaces and menisci
  • other bones, muscles, and fat pads
  • tendons attached to articulating bones
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11
Q

what is a gliding movement? give an example.

A

where two bones slide across one plane, like in the tarsals and carpals.

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12
Q

what is an angular movement?

A

one fixed point, moving the other side, like elbow

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13
Q

What is circumduction?

A

one fixed point with the range of movement of a complete circle at other end, like shoulder and hip

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14
Q

what is a rotational movement?

A

with both ends staying in the same point in space, twist

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15
Q

what are special movements?

A
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16
Q

what are types of movement of synovial joints?

A
  • gliding movement
  • angular movement
  • circumduction
  • rotational movement
  • special movements
17
Q

explain and give an example of each angular movement:
- flexion
- extension
- hyperextension

A
  • flexion - closing an angle
  • extension - opening an angle
  • hyperextension is extending beyond the anatomical position
18
Q

explain and give an example of each angular movement:
- abduction
- adduction

A
  • abduction - movement away from a longitudinal axis
  • adduction - movement towards a longitudinal axis
    *can also apply to the fingers of the hand.
19
Q

explain and give an example of each rotational movement:
- medial rotation
- lateral rotation

A
  • medial rotation - internal rotation towards long axis
  • lateral rotation - external rotation away from the body

*eg: head and whole arm rotation

20
Q

explain and give an example of each rotational movement:
- pronation
- supination

A
  • pronation - rotation of the the forearm so the radius rolls over ulna, results in palm facing posteriorly
  • supination - turns palm anteriorly, forearm is supinated in the anatomical position
21
Q

explain and give an example of each special movement:
- inversion
- eversion
- dorsiflexion
- plantarflexion

A
  • inversion - twists sole of foot medially
  • eversion - twists sole of foot laterally
  • dorsiflexion - flexion at ankle, toes towards shin
  • plantarflexion - extension at ankle, toes away from shin
22
Q

explain and give an example of each special movement:
- opposition
- reposition
- protraction
- retraction
- elevation
- depression
- lateral flexion

A
  • opposition - thumb towards other fingers
  • reposition - opposite of opposition
  • protraction - anterior movement in horizontal plane
  • retraction - return to anatomical position
  • elevation - moving a structure superiorly (up)
  • depression - moving a structure inferiorly (down)
  • lateral flexion -
23
Q

synovial joints:
name and give an example of a plane joint / gliding joint.

A

non-axial, limited motion
- acromioclavicular
- claviculosternal
- intercarpal joints
- vertebrocostal joints
- sacroiliac joints

24
Q

synovial joints:
name and give an example of a hinge joint.

A

angular motion in single plane, monoaxial
- elbow joint
- knee joint
- ankle joint
- interphalangeal joints (fingers and toes)

25
Q

synovial joints:
name and give an example of a condylar joint

A

oval articular face with a depression. motion in two planes, biaxial
*the metacarpal-phalangeal joints, not the fingers!

26
Q

what is a meniscus?

A

fibrocartilage pad between opposing bones

27
Q

what is a fat pad?

A

adipose tissue covered by synovial membrane to protect articular cartilage

28
Q

what is a bursa?

A

small pockets of synovial fluid-filled cushion areas where tendons or ligaments rub against other tissues. can have multiple around joints. I think it’s outside of the joint capsule.

29
Q

synovial joints:
name and give an example of a saddle joint.

A

can only move forward to back, side to side. biaxial.
- carpal to first metacarpal joint.

30
Q

synovial joints:
name and give an example of a pivot joint.

A

where one long axis rotates around another point. monaxial.
- atlas and dens of axis
- radioulnar joints (proximal and distal)

31
Q

synovial joints:
name and give an example of a ball and socket joint.

A

ball and socket structure. triaxial.
- glenohumeral joint
- hip joint

32
Q

name and describe #2 of the intervertebral disc.

A

anulus fibrosis
- tough outer layers of fibrocartilage
- attaches disc to vertebrae
* notice the lamination in the disc.

33
Q

name and describe #1 of the intervertebral disc.

A

nucleus pulposus
- elastic, gelatinous core
- absorbs shock

34
Q

name and describe #3 of the intervertebral disc.

A

vertebral end plates of cartilage
- cover superior and inferior surfaces of disc.

35
Q

what is a bulging disc vs. herniated disc?

A
  • Bulging disc (bulge in anulus fibrosis)
  • Herniated disc (nucleus pulposus breaks through the anulus fibrosis and comprises spinal nerve)
36
Q

what is Rheumatism?

A

pain and stiffness in musculoskeletal system

37
Q

what is arthritis?

A

joint inflammation

38
Q

what is osteoarthritis?

A

age related wear and tear of joint surfaces, or genetic factors affecting collagen formation. generally affects people over 60.