Exam 1 lecture: synovial jts and arthrokinematics Flashcards
biomechanical triad
skeleton, muscles, joints
parts of long bone
diaphysis metaphysis (x2) epiphysis (x2) physis (x2)
what is an apophysis?
accessory physis for tubercle, tuberosity, or epicondyle
what is the most common joint type in the extremities?
synovial jt
what is subchondral bone? what are its properties?
tip of epiphysis, deep to articular cartilage dense/cancellous/spongy bone; shock absorber
what is synovial fluid made of?
GAGs - glycosaminoglycans *hyaluronic acid is most important GAG*
functions of synovial fluid
shock absorption lubrication nutrient supply to cartilage waste removal from cartilage
what happens if you don’t move your joints in regards to synovial fluid/cartilage?
decreased function due to no movement of nutrients in and out of cartilage; aging process speeds up
2 layers of synovial membrane
intima: epithelioid layer subintima: CT layer
which layer of the synovial membrane is vascularized?
subintima
which layer of the synovial membrane is innervated?
subintima
what are the functions of the synovial membrane?
produce and resorb synovial fluid immunity for joint cavity
what are found in the transition zones of synovial membrane?
villi and fibrocartilage
what types of cell would you find in the synovial membrane?
macrophages secretory fibroblast lipocyte
what type of capillaries are in the synovial membrane? for what purpose?
fenestrated capillaries; increased fluid exchange
t or f: the synovial membrane does not contain lymphatic vessels.
false.
what type of CT is the fibrous joint capsule made up of?
dense irregular CT
what are the functions of the fibrous joint capsule?
support/stabilize: static support guide and limit movements absorb shock
t or f: the synovial joint capsule is inelastic and non-contractile.
true.
static vs. dynamic support
dynamic support: comes from muscles static support: anything that is not muscle support; sometimes also referred to as primary support even though it is the last form of support before injury.
Sharpey’s fibers
attachment sites of ligament to bone; blends together continuously (as opposed to a rigid line of transition)
Wolff’s law
tissues react to external forces; tissues will adapt to forces placed on them
t or f: the fibrous joint capsule is vascularized but not innervated.
false. the fibrous joint capsule is both vascularized and innervated.
bursa: definition and function
a “sac” of fluid meant to help lubricate and cushion areas where two bones rub together - really a potential space
t or f: some bursa communicate with joint capsules regularly, while others may communicate through defects in the capsule or not at all.
true.
what is the most common type or articular cartilage?
hyaline cartilage
what are the main components of articular cartilage?
low cell population density H2O (80% of total wt) collagen (60-70% of dry weight) GAGs (proteoglycans, 30-40% of dry weight)
what is the function of collagen?
hold cartilage together resist shear & expansive forces
what joints are lined by fibrocartilage?
AC jt SC jt TMJ 1/2 of SI jt
t or f: collagen fibers are more parallel on bony side of cartilage cap and more perpendicular near articular surface.
false. fibers are more parallel near articular surface due to shear forces at the surface.
what is important for GAGs to function?
GAGs must be sulfated for function
give 4 examples of GAGs
chondroitin sulfate* glucosamine sulfate* keratin sulfate hyaluronic acid *most important in cartilage matrix
cartilage matrix is hydrophobic or hydrophilic?
hydrophilic
why are small compressive loads better than large compressive loads on cartilage?
large compressive loads squeeze fluid film out of the cartilage.
why are rapid oscillations/no oscillations bad?
decreased fluid exchange starves cartilage (e.g. immobilization, sustained load, vibratory tools)
what changes occur in hydrostatic lubrication in DJD?
cell numbers decrease GAGs decrease decreased lubrication –> serous fluid increases increased calcification
what happens to the subchondral bone in DJD?
calcification –> increased rigidity increased thickness –> increased rigidity and impedes nutrient delivery/waste removal sclerosis on x-rays decreased shock absorption - more dense like cortical bone
what causes DJD?
injury, wear and tear, increased mechanical stress, muscle weakness, abnormal support, decreased cartilage, decreased synovial fluid, aging, etc.
4 joints that include a disc
AC (child –> early 20’s) SC TMJ ulnocarpal (TFC = triangular fibrocartilage)
2 joints that include a meniscus
knee AC (late 20’s –> early 30’s)
2 types of intra-articular cartilage
disc, meniscus
what type of cartilage is intra-articular cartilage?
fibrocartilage
what are the functions of intra-articular cartilage?
shock absorption congruency stability decreased friction increased motion
is intra-articular cartilage innervated/vascularized?
yes, but only the outer 1/3