Exam 2 Flashcards
What is an articulation? (2)
Site where two or more bones meet (joint)
Give the skeleton mobility and stability
What is functional classification?
Based on the amount of movement occurring at the joint
Includes synarthroses, amphiarthroses, and diarthroses
Synarthroses (& examples)
Nonmovable
Tooth to jaw, sutures, costochondral joints, epiphyseal plates
Amphiarthroses (& examples)
Slightly movable
Articulation between radius and ulna, between the tibia and fibula, pubic symphysis, intervertebral disc articulations
Diarthroses (& examples)
Freely movable
Hinge (knee), Pivot (alatoaxial), ball and socket (hip, shoulder), saddle (between carpal and first metacarpal), condylar (metacarpo-phalangeal) joints
+Diarthroses further classifications
Diarthroses are classified as uniaxial (for movement in one plane), biaxial (for movement in two planes), or multiaxial joints (for movement in all three anatomical planes).
+Uniaxial, biaxial and multiaxial joints
A uniaxial joint only allows for a motion in a single plane (around a single axis). The elbow joint, which only allows for bending or straightening, is an example of a uniaxial joint.
A biaxial joint allows for motions within two planes. An example of a biaxial joint is a metacarpophalangeal joint (knuckle joint) of the hand.
A joint that allows for the several directions of movement is called a multiaxial joint This type of diarthrotic joint allows for movement along three axes. The shoulder and hip joints are multiaxial joints.
What is structural classification?
Based on what tissue type binds the bones together
Includes fibrous joints, cartilaginous joints, and synovial joints
**Further classified by joint shape
Fibrous joints
Held together by dense regular connective tissue, holds bones in close contact
3 types: syndesmosis, suture, gomphosis
Syndesmosis
2 long bones bound by a sheet or bundle of dense connective tissue
Amphiarthrotic - flexible, may twist
Gomphosis
Cone-shaped bony process in a socket in jawbone - maxilla and mandible
Synarthrotic - immovable
Suture
Between flat bones of skull
Thin layer of connective tissue (sutural ligament) connects bones
Synarthrotic - immovable
Cartilaginous tissue types
Synchondrosis and Symphysis
Synchondrosis
Bands of hyaline cartilage unite bone
Some are temporary: epiphyseal plate
Some are permanent: between manubrium and first rib only - synarthrotic
Symphysis
Pad of fibrocartilage between bones
Amphiarthrotic: limited movement by joint compression
Pubic symphysis, between bodies of adjacent vertebrae (intervertebral discs)
Synovial Joints
(all diarthroses)
Bones are separated by a fluid filled joint cavity
Very movable; joints of the limbs, most joints of the body
List the 5 Distinguishing Features of synovial joints
Articular cartilage, a joint (synovial) cavity, synovial fluid, a joint capsule, and reinforcing ligaments
Articular cartilage
Hyaline cartilage found on the ends of long bones (provides smooth surface, reduces friction, absorbs shock)
Joint (synovial cavity)
Space that surrounds joint (filled with synovial fluid)
Synovial fluid
Reduces friction, nourishes cartilage cells
Joint (articular) capsule
Encloses the joint
Composed of a fibrous capsule and a synovial membrane
Fibrous capsule
Outer layer of joint capsule
Composed of dense irregular connective tissue
Synovial membrane
Lines inside of fibrous capsule
Produces synovial fluid
Reinforcing ligaments
Can be found inside and outside of joint cavity
Can form part of the joint capsule
Other structures associated with synovial joints
Bursae (bursa sacs) and tendon sheaths
Bursae
Sacs filled with synovial fluid that reduce friction
Tendon sheaths
Elongated bursae which wrap around tendons, reduce friction
The types of synovial joints are…
Ball and socket joint, condylar joint, plane joint, hinge joint, pivot joint, saddle joint
Ball and socket joint
Ball and cup shaped cavity
Widest range of motion
Multiaxial, plus rotation
Least stable
Condylar joint
Oval condyle fits into elliptical cavity
Back and forth, side to side movements
No rotation
Example: between radius and carpals
Plane Joint
Also called gliding joint
Almost flat, or slightly curved
Back and forth, gliding and twisting
Example: between carpal bones
Hinge joint
Convex surface fits into concave surface of other bone
Uniaxial movement (in 1 plane)
Example: elbow, knee, ankle, interphalangeal joints
Pivot joint
Cylindrical surface rotates within ring of other bone
Rotation only
Example: between axis and atlas
Saddle joint
Both bones have concave and convex surfaces
Biaxial movement (in 2 planes)
Example: between trapezium and first metacarpal
How to classify fractures
Displaced vs nondisplaced fractures
(displaced - ends out of alignment)
Incomplete vs complete
(complete - bone broken through)
Simple (closed) vs compound (open)
(compound: bone is exposed to outside through opening in skin or mucous membrane
Greenstick fracture
Incomplete, and the break occurs on the convex surface of the bend in the bone
Fissured fracture
Incomplete, longitudinal break
Comminuted fracture
Complete, and fragments the bone
Transverse fracture
Complete, and the break occurs at a right angle to the axis of the bone
Oblique fracture
Occurs at an angle other than a right angle to the axis of the bone
Spiral fracture
Caused by excessive twisting of a bone
Simple fracture repair steps (explain in detail)
Fracture needs to be reduced (realigned) and then immobilized
1) Hematoma - Large blood clot
Blood escapes from ruptured blood vessels and forms a hematoma
2) Fibrocartilage callus - fibroblasts and chondrocytes form callus reconnecting broken ends
Spongy bone forms in regions close to developing blood vessels, and fibrocartilage forms in more distant regions
3) Bony callus - osteoblasts invade, hard callus fills space
A hard (bony callus) replaces fibrocartilage
4) Remodeling - Bone restored close to original shape and structure
Osteoclasts remove excess bony tissue, restoring new bone structure like original
Temporomandibular Joint
Formed by the mandibular condyles of the mandible and the mandibular fossae of the temporal bones
++TMJ additional
This small, complex articulation is the only movable joint between skull bones.
Loose articular capsule surrounds joint and promotes extensive range of motion
POORLY stabilized, forceful anterior or lateral movement of mandible can result in partial or complete dislocation of mandible.
Joint contains an articular disc, thick pad of fibrocartilage separating the articulating bones and extending horizontally to divide the joint cavity into 2 separate chambers.
Really 2 synovial joints, one between temporal bone and articular disc, second between articular disc and mandible
Shoulder (glenohumeral) Joint
Most moveable joint in the body
Formed by the head of the humerus and the glenoid fossa (cavity) of the scapula
Associated structures of the shoulder joint?
Glenoid labrum, ligaments of the shoulder, rotator cuff muscles
Glenoid labrum
Rim of fibrocartilage which deepens the joint cavity
Ligaments of the shoulder
Help stabilize the shoulder (relatively little)
Major ligaments associated with shoulder include:
glenohumeral, acromioclavicular, coracoclavicular, coracoacromial ligaments
Rotator cuff muscles
Major mole in stabilizing the shoulder joint
Supraspinatus, infraspinatus, teres minor, subscapularis work as a group to hold the head of the humerus in the glenoid cavity
++The tendons of these ligaments encircle the joint (except inferior portion) and fuse with articular capsule. because inferior portion lacks rotator cuff muscles, area is weak and most likely site of injury
Hip (coxal) Joint
Very strong, stable joint
Formed by the head of the femur and the acetabulum of the coxal bone
++Hip Joint stability
Much stronger and more stable than that of glenohumeral joint.
Secured by a strong articular capsule, which extends from the acetabulum to trochanters of femur, preventing head from moving away from acetabulum
associated structures of the hip?
Acetabular labrum and ligaments
Acetabular labrum
Circular rim of fibrocartilage that helps deepen the joint cavity
Ligaments of the hip
Major ligaments associated with the hip include the ligaments of the joint capsule and ligament of the head of the femur (ligamentum teres)
Ligaments of the joint capsule
Thickenings of the joint capsule that help strengthen the coxal joint
Ligamentum teres (and role)
Attaches the head of the femur to the acetabulum
Plays no role in strengthening the coxal joint
Contains an artery that helps supply oxygenated blood to the head of the femur, damage to this artery can result in arthritis
Knee Joint
Most complex joint in the body
Formed by the medial and lateral condyles of the femur and the medial/lateral articular surfaces (condyles) of the tibia
2 joints: tibial and femoral condyles and also patellar surface of femur and patella
What does knee joint allow?
For some rotation and gliding when flexed
associated structures of the knee?
menisci, ligaments, and bursae
Menisci (medial and lateral)
Fibrocartilage discs located between the tibial condyles and femoral condyles
Help deepen the joint cavity and help absorb shock
Ligaments of the knee
Help stabilize the knee joint
Major ligaments associated include the patellar, medial collateral, lateral collateral, anterior cruciate and posterior cruciate ligaments
Patellar ligament (and what it attaches)
Continuation of the patellar tendon
Attaches the quadriceps to the tibial tuberosity of the tibia
Used to test knee-jerk reflex
Medial (tibial) collateral ligament (attachments and function)
Proximal attachment: medial epicondyle of the femur
Distal attachment: medial tibia
Function: strengthens the knee joint medially
Lateral (fibular) collateral ligament (attachments and function)
Proximal attachment: lateral epicondyle of the femur
Distal attachment: head of the fibula
Function: strengthens the knee joint laterally
Anterior cruciate ligament (attachments and function)
Proximal attachment: lateral condyle of the femur
Distal attachment: anterior portion of the intercondylar eminence
Function: prevents anterior sliding of the tibia on the femur and hyperextension of the knee
Posterior cruciate ligament (attachments and function)
Proximal attachment: medial condyle of the femur
Distal attachment: posterior portion of the intercondylar eminence
Function: prevents posterior sliding of the tibia on the femur and hyperflexion of the knee
Bursae
Help reduce friction
Number of bursae associated with knee joint (like prepatellar bursa)
Sprain
When ligament is stretched or torn
Heals very slowly
Dislocation
Bones forced out of alignment
The 3 types of muscle tissue
Skeletal, cardiac, smooth
What is the basis for shortening of stimulating muscle?
Sliding filament mechanism
Myosin filaments bind to and move actin filaments
Skeletal Muscle Tissue
Attached mainly to bones, striated, voluntary
Cells are long, cylinder like, multinucleated
Cardiac Muscle Tissue
Found in heart, striated, involuntary
Cardiac muscle cells
Shorter in length than skeletal muscle fibers and are branched
Have many intercalated disks, contains gap junctions
Smooth Muscle Tissue
Located in the walls of hollow organs and blood vessels, nonstriated, involuntary
Very different from skeletal and cardiac muscle tissue
Name the 4 Unique Characteristics of Muscle
1) Excitability
2) Contractability
3) Extensibility
4) Elasticity
Excitability (for each type of muscle tissue)
Like neurons, muscle cells can respond to a stimulus with a change in Vm
Stimulus = varies by muscle type
Skeletal muscle - release of neurotransmitter from motor neuron
Cardiac - depolarization from AR cell
Smooth - reflex/NT release/spontaneous
Contractability
Ability to shorten forcefully - actively generates force
consumes large amounts of ATP and generates heat
Extensibility
When muscles are relaxed they can be stretched like a rubber band without damage
Elasticity
After stretching muscles cell recoil back to their origin resting length
What two functions passively generate force in muscle contraction?
Extensibility and elasticity
No ATP is consumed, but force is generated by elastic properties of muscle tissue (like a rubber band)
Name the functions of Muscle Tissue
Movement, Posture/protection, Blood Pressure/Flow regulation, generates heat
How is muscle tissue involved in movement?
Skeletal: Walking, running, assisting venous return
Cardiac: pumps blood in heart
Smooth: propels food in digestive system and lymph in lymphatic system
How is muscle tissue involved in posture/protection?
Skeletal: maintains posture and abdominal wall
How is muscle tissue involved in blood pressure/flow regulation?
Smooth: vasodilation/constriction matches blood flow to metabolic rate with maintaining system BP
How is muscle tissue involved in generating heat?
Skeletal: Heat is generated during the process of muscle contraction, through voluntary movement and shivering
The 3 layers of connective tissue associated with skeletal muscles
Epimysium, perimysium, endomysium
All 3 layers of connective tissue are continuous with one another and help form the tendons of muscle