module 9 joints Flashcards

1
Q

joint classifications: movement

A

synarthrosis: immoveable
amphiarthosis: slightly moveable
diarthrosis: freely moveable

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2
Q

joint classifications: structure

A

fibrous
cartilaginous
synovial

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3
Q

fibrous joints

A
usually synarthroses: immovable 
sutures in skull
syndesmoses:2 bony components joined by ligament or interosseous membrane 
- fibula and tibia 
- radius and ulna
gomphoses: peg implanted in hole; teeth
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4
Q

Cartilaginous joints

A

symphysis: wt bearing structures, important in transmitting stress and providing stability. Only slight movement
- bones united by a pad or disk of fibrocartilage
- - symphysis pubis, intervertebral disks
synchondrosis: allows bone growth while providing stability
- found at growth sites
- bones united by hyaline cartilage
- - joints between ribs and sternum

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5
Q

synovial joints

A

most movable, most complex

  • enclosed by fibrous joint capsule
  • interior lined with thin synovial lining
  • movement due to contraction of muscle-tendon unit
  • stability increased by soft tissue structures
  • synovial fluid: lubrication, coats joint surfaces
  • articular cartilage covering opposing joint surfaces
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6
Q

synovial joint capsule

A

has 2 layers of connective tissue

  • outer: fibrous membrane composed of collagenous tissue
    • dense, encapsulated whole joint
    • attached to periosteum
  • inner: synovial membrane, contains hyaluronic acid and lubricin
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7
Q

hyaluronic acid

A

inner layer of synovial membrane
viscosity and decreased friction between joint surfaces
- helps maintain synovial fluid volume by slowing diffusion of water out of space

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8
Q

lubricin

A

inner layer of synovial membrane

lubricates cartilage and articular surfaces

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9
Q

synovial joints 3 catergories, ROM

A

uniaxial
biaxial
triaxial

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10
Q

uniaxial synovial joint

A

allows motion around a single axis

  • hinge/ginglymus: flexion and extension: finger, elbow, knee
  • pivot/trochoid: rotation as movement: union between 1st and 2nd vertebrae, superior radioulnar joint of elbow
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11
Q

biaxial synovial joint

A

2 axes of movement and permits movement in 2 planes

  • condyloid: metacarpophalangeal joint of hand
    • flexion and extension
    • adduction and abduction
  • saddle/sellar: surface convex in one plane and concave in other: carpometacarpal joint of thumb
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12
Q

triaxial synovial joint

A

movement around 3 axes, motion in 3 planes, permits gliding between 2 bones: carpal joints of hand

  • ball and socket: hip, shoulder
    • flexion and extension
  • adduction and abduction
  • rotational
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13
Q

articular cartilage

A

appears smooth, shiny, and white

  • designed to withstand stress imposed by movement
  • distributes joint loads over large area
  • decreased stress of prolonged compression
  • movement of joint with minimal friction and deterioration
  • devoid of vessels, lymph channels, and nerves
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14
Q

articular cartilage composistion

A

hydrophillic
main cell: chondrocytes
- manufacture the organic components of extracellular matrix: collagen fibers, elastin, fibrillin
- surrounding extracellular matrix: proteoglycan component

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15
Q

proteoglycan

A

provides cartilage with some stiffness

allows potential to be compressed by absorbing or extruding water with pressure

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16
Q

functional properties of articular cartilage

A

biomechanical: spreads out load over large area
collagen fibers: stability and strength
proteoglycan: compression

17
Q

lubrication of articular cartilage

A

lubricating coat formed during compression and fluid abstracted form matrix
glycoproteins covering cartilage and providing a lubricated surface

18
Q

articular cartilage and aging

A

degeneration by removal of material form solid surfaces by biomechanical action
- interfacial wear: interaction of wt bearing surfaces
- fatigue wear: repeated deformation secondary to wt bearing
—accumulation of microscopic injuries form repeated stress
glycoprotein less able to retain water