Chapter 9: Joints Flashcards

1
Q

joint (articulation or arthrosis)

what does it attach?

A

POA btween 2 or more bones

  • also btwn teeth and bones
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2
Q

how are bones structurally classified?

A

based on:

  • presence or absence of a synovial joint cavity
  • type of connecting tissue (fibrous, cartilaginous, synovial)
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3
Q

how are bones functionally classified?

A

based on the degree of movement permitted (synarthroses, amphiarthroses, diarthroses)

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4
Q

description of fibrous joints

A

lack a synovial cavity, aticulating bones are held together by fibrous CT

  • synarthroses
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5
Q

what kind of movement do synarthroses joints have?

A

allow little or no movement

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6
Q

3 types of fibrous joints

A
  1. suture
  2. sydesmosis
  3. gomphosis
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7
Q

suture

description

function

A
  • fibrous joint composed of thin layer of dense fibrous CT (sutural ligament)
  • united skull bones
  • slight movement, only in skull
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8
Q

description of synostosis joint

A
  • suture joint that has ossified
  • ex: suture btwn frontal and parietal (coronal suture)
  • 10% ossified
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9
Q

how is a synostosis functionally classified?

A

as a synarthrosis which allows little or no movement

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10
Q

description of syndesmosis

example

A
  • fibrous joint in which 2 bones are separated by thick dense fibrous CT (interosseous membrane or ligament)
  • ex: joint btwn distal tibia and fibula (anterior tibiofibular ligament)
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11
Q

ligament

A

bone to bone

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12
Q

gomphosis (dentoalveolar)

A
  • fibrous joint in which cone shaped peg fits into a socket (alveolar socket)
  • ex: periodontal ligament
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13
Q

description of cartilaginous joints

A
  • lacks a synovial cavity
  • articulating bones connected by either fibrocartilage or hyaline cartilage
  • synarthroses
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14
Q

2 types of cartilaginous joints

A

synchondroses, symphysis

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15
Q

synchondrosis

description

example

A
  • cartilaginous joint
  • connecting material is hyaline cartilage
  • ex: epiphyseal plate of a bone
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16
Q

symphysis

A
  • cartilaginous joint in which connecting material is a white broad disc of fibrocartilage
  • ex: pubis symphysis
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17
Q

range of motion for amphiarthrosis joint

A

slightly moveable

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18
Q

description of synovial joints

A

have a synovial joint cavity btwn articulating bones

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19
Q

description of diarthroses joints

A

freely moveable joint (several types of movement)

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20
Q

articular cartilage (fibrocartilage/hyaline)

location

function

A
  • covers the end of bones at synovial joints
  • function = decrease friction produced by moving bones and absorb shock
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21
Q

articular capsule

location

parts

A
  • encloses the synovial cavity and unites the articulating bones
  • 2 layers:
    • outer fibrous capsule
    • inner synovial membrane
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22
Q

outer fibrous capsule

tupe of tissue

location

A
  • dense irregular CT attached to periosteum
  • some of these are arranged in parallel bundles called ligaments
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23
Q

inner synovial membrane

type of tissue

A

elastic areolar CT

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24
Q

synovial fluid

functions (5)

A
  • secreted by the synovial membrane
    • lubricates joint
    • decreases friction
    • supply nutrients
    • removes wastes given off by chondrocytes
    • phagocytes to remove debris accumulated from joint wear & tear
25
Q

why warm up?

A

stimulates production and secretion of synovial fluid

26
Q

what is the function of accessory ligaments and articular discs? Why?

A
  • alter the shape of joint surfaces of articulating bones to allow
    • tighter fit
    • increased joint stability
    • distributes synovial fluid to areas of stress in joint
27
Q

articular discs

functions

A
  • menisci
  • perform 3 functions
    • maintain joint stability
    • distribute synovial fluid
    • allow tighter fit
28
Q

what occurs during a sprain?

A

forcible wrenching or twisting of a joint that stretches or tears its ligaments but doesnt dislocate

29
Q

what is a strain?

A

stretched or partially torn muscle

30
Q

bursae

description

function

location

A
  • synovial fluid filled saclike structures that cushionthe movement of 1 body part over another
  • located btwn bone and skin where skin rubs over bone btwn tendons and bones within articular capsule
31
Q

gliding movements

A
  • when flat bone surface moves back and forth against each other
  • no alteration of the angle btwn bones
  • occur at plantar joints
32
Q

angular movements

A
  • inc/dec in the angle btwn articulating bones
  • principle angular movements are:
    • flexion
    • extension
    • hypertension
33
Q

flexion

A
  • dec in the angle btwn articulating bones
  • ex: cervical spine, chin to chest, foot plantar/dorsi flexion
34
Q

extension

A

inc in the angle btwn articulating bones

35
Q

lateral flexion

A
  • movement of the trunk sideways to the right/left at waist
  • movement occurs in the frontal plane and involves the intervertebral joints (spine)
36
Q

hyperextension

A
  • continuation of extension beyond the anatomical position
  • usually prevented by the arrangement of ligaments and the anatomical alignment of bones
37
Q

abduction

A

movement of bone away from midline

38
Q

adduction

A

movement of bne toward midline of body

39
Q

opposition

A
  • movement of thumb ONLY at the carpometacarpal joint
  • thumb moves across the palm to touch the tips of the finger on the same hand
40
Q

dislocation

A

displacement of a bone from a joint

  • bones lose anatomical relationship
41
Q

luxation

A

loses position but doesn’t lose anatmical relationship

42
Q

planar joints

A
  • permit gliding movements
  • non axial
  • include intercarpal, intertarsal, sternoclavicular, acromioclavicular, sternocostal, vertebrocostal joints
43
Q

hinge joint

A
  • contains convex surface of 1 bone fitting into a concave surface of another
  • movement is primarily flexion or extension in a single plane (monoaxial)
  • ex: elbow, knee, ankle, interphalangeal joints
44
Q

pivot joint

A
  • round/pointed surface of 1 bone fits into ring of another bone and a ligament
  • movement is rotational and monoaxial
  • ex: atlas, palms, anterior/posterior
45
Q

condyloid joint

A
  • oval shaped condyle of 1 bone fits into a elliptical cavity of another
  • movements are flexion-extension, abduction-adduction, circumduction
  • ex: joint btwn carpals and radiul
46
Q

saddle joint

A
  • contains 1 bone whose articular surface is saddle-shaped and another that is shaped like a rider on a saddle
  • movements are flexion-extension, abduction-adduction, curcumduction
  • ex: thumb joint
47
Q

ball and socket joint

A
  • ball shaped surface of 1 bone fits into cup depression of another
  • movements are flexion-extension, abduction-adduction, rotation, circumduction
  • ex: shoulder, hip joint
48
Q

shoulder joint

A
  • ball and socket (humerus and glenoid cavity of scalpula)
  • movements include flexion-extension, abduction-adduction, medial-lateral rotation, circumduction of arm
  • more freedom of movement in exchange of stability
49
Q

common injuries to shoulder

A
  • rotator cuff
  • dislocation
  • separation
50
Q

knee joints (3)

movements

A
  • largest, most complex joint of body
  • consists of 3 joints in synovial cavity:
  1. patellofemeral
  2. lateraltibiofemural
  3. medialtibialfemoral
  • movements include flexion-extension, slight medial rotation, lateral rotation of leg in a flexed psition
51
Q

common injuries to knee

A

rupture of the tibial collateral ligament and dislocation

52
Q

rotator cuff muscles

A
  • supraspinatus
  • infraspinatus
  • terrismajor
  • subscalpularis
53
Q

function of patella

A
  • holds tendon of quad forward
  • increase effectiveness of quad in extending knee
54
Q

what would happen without a patella?

A

30% more effrt to extend knee

55
Q

ligaments in knee

A
  • tibial collateral
  • fibular collateral
  • medial lateral meniscus
  • anterior/posterior cruciate
56
Q

rheumatism

description

A

any painful state of the supporting structures of the body, bones, ligaments, joints, tendons, muscles

57
Q

rheumatoid arthritis

description

symptoms

A
  • autoimmune disease in which the bodys immune system attacks its own cartilage and joint linings
  • results in swelling + loss of joint function
58
Q

osteoarthritis

description

what does it affect?

A
  • degenerative joint disease
  • wear and tear arthritis
  • deterioration of articular cartilage and bone spur formation
  • noninflammatory
  • affects weight bearing joints: knees, ankles, hips, spine
59
Q

gouty arthritis

description

symptoms

tx

A
  • when sodium urate crystals are depposited in soft tissues of joints
  • causes inflammation, swelling, pain
  • bones will eventually fuse, rendering joints immobile
  • patients told to eliminate red meat (digested red meat-nucleic acids turn to urate)