Musculoskeletal Flashcards

1
Q

name the five classifications of bone

A

long
short
flat
irregular
sesamoid

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2
Q

define synarthrosis, amphiarthroses and diarthrosis with examples

A

synarthroses = immovable joints - e.g. skull bones/ sutures, teeth

amphiarthroses = slightly movable joints - e.g. distal joint between tibia and fibular, pubic symphysis

diarthroses = fully movable joints - e.g. elbow, shoulder, ankle

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3
Q

describe characteristics, functions and give examples for each classification of bone

A

long = cylindrical, longer length than width. facilitate movement - e.g. femur, tibia, fibula, metacarpals and phalanges

short = cuboidal, similar width and height. support small movements - e.g. ankle tarsals and wrist carpals

flat = somewhat flattened, slightly thin and curved bones. protect internal organs - e.g. ribs

irregular = no easily characterised shape. no specific function - involved in movement and protecting internal organs - e.g. vertebrae

sesamoid = small and round, embedded in tendons to allow movement - e.g. patella

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4
Q

name the three main classifications of joints and their subtypes

A

fibrous, cartilaginous, synovial

  1. fibrous - adjacent bones are attached by fibrous tissue providing strength and stability = syndesmoses, sutures and gomphoses
  2. cartilaginous = hyaline/ synchondroses, fibrous/symphyses
  3. synovial - joint cavities are filled with synovial fluid, articulating surface are lined with smooth articular cartilage = ball and socket, saddle, pivot, plane, hinge, condyloid
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5
Q

three subtypes of fibrous joints?

A

sutures
syndesmosis
gomphosis

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6
Q

describe syndesmoses

A

type of fibrous joint - immovable joints

anchor teeth to the maxilla with periodontal ligaments

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7
Q

describe sutures

A

type of fibrous joint - immovable

between the skull bones which are initially separated in a baby, and hen grow and ossify with age

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8
Q

describe syndesmosis

A

slightly movable joints

interosseous membrane - a type of fibrous connective tissue that attaches two parallel bones

e.g. radius and ulnar = allows for supination and pronation

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9
Q

name the two subtypes of cartilaginous joint

A

hyaline/ synchondroses = primary cartilaginous

fibrous/ symphyses = secondary cartilaginous

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10
Q

describe synchondroses/ hyaline cartilage

A

primary cartilaginous, immovable joints

epiphyseal plates in growing joints have hyaline cartilage which gradually matures into bone with linear growth

growth plates fuse once linear growth is done

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11
Q

describe symphyses/ fibrous cartilage

A

slightly movable joints

secondary cartilaginous connective tissue - between intervertebral discs allowing for small movements, which translate into twisting and larger movements of the vertebral column

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12
Q

name the six subtypes of synovial joint

A

ball and socket
pivot
saddle
hinge
condyloid
plane

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13
Q

what is a synovial joint?

A

synovial joints occur an articulation with smooth articulating tissue encased in synovial fluid

allow for smooth movement and mobility

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14
Q

describe a plane joint

A

gliding movement of bones moving against each other on the same plane

e.g. intervertebral joints, tarsals and carpals

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15
Q

describe a ball and socket joint

A

freely moving joint that can rotate on any axis - rounded end of bone articulates with concave socket

e.g. hip and shoulder joints

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16
Q

describe hinge joint

A

concave and convex bones that move on one axis - flexion and extension

e.g. elbow and finger joints

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17
Q

describe saddle joint

A

saddle shaped articulating surfaces that allow for flexion and extension, no rotation

e.g. sternum-clavicle joint, carpal-metacarpal joint

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18
Q

describe pivot joint

A

rotating around a single axis, usually held by ligaments

e.g. radio-ulnar joint, pivot joint in neck allowing for rotation of the head

19
Q

describe condyloid joint

A

shallow depression and oval-rounded articulation = allows for circular motion, flexion and extension, no rotation

forward-back and side to side movements

e.g. joint between metacarpals and phalanges

20
Q

what are the functions of cartilage?

A
  • support and posture = can protect internal organs
  • at articular surfaces
  • template for skeleton = endochondral ossification uses hyaline cartilage framework
21
Q

name the three types of cartilage

A

hyaline
fibrous
elastic

22
Q

describe hyaline cartilage

A

primary cartilaginous tissue, most common and the weakest

precursor for bone during endochondral ossification, found at epiphyseal growth plates

has a different structure and organisation when found at articulating surfaces at articular cartilage - e.g. costal cartilage, head of femur

23
Q

describe fibrous cartilage

A

strongest cartilage in the body - in areas that need to withstand lots of force

usually attached to hyaline cartilage, tendons or ligaments

e.g. intervertebral discs, joint capsules, tendon insertions

24
Q

describe elastic cartilage

A

abundance of elastic fibres - resilient and flexible

e.g. in outer ear, larynx

25
Q

what are ligaments?

A

fibrous connective tissue attaching bone to bone

stabilises joints and movement, increase muscle attachment area and holds tendons down

26
Q

name & describe the three main types of ligaments, and the two other less grouped types

A

capsular = thickening of fibrous capsule, located in or around joint capsule

extracapsular = outside joint, provides stability to prevent dislocation

intracapsular = inside joint, bathed in synovial fluid

peritoneal ligaments - connect viscera to viscera
periodontal ligaments - connect tooth to alveolar bone of maxilla

27
Q

what is a tendon?

A

dense connective tissue connecting muscle to bone

28
Q

describe tendons

A

high proportion of type 1 collagen for high tensile strength
- transmit mechanical force of muscle to bone

come in different shapes and sizes - thin/flat/thick depending on the shape of muscle and the attachment site to bone

29
Q

what is aponeurosis?

A

thin flat tendon - flat sheet of connective tissue similar to tendons

covers a portion of muscle belly, acts as an insertion site for muscle fibres

30
Q

name the three classifications of muscle based on microstructure

A

cardiac
smooth
skeletal - fast and slow twitch

31
Q

describe skeletal muscle - function? slow and fast twitch fibres?

A

most abundant in the body, attaches to bone for voluntary movement and fast contraction

function: locomotion, maintains posture, changes facial expression, controls movement of substances at internal tracts

speed of contraction varies - divided into slow and fats twitch fibres:
- slow twitch fibres = for slow contractions, anaerobic resp/ oxidative, fatigue resistant
- fast twitch fibres = for big, powerful and quick contractions, fatigue easily, more anaerobic, less blood supply and myoglobin and mitochondria

32
Q

describe smooth muscle? - structure? function? involvement in SA and AV nodes, and heart rhythm?

A

structure: no striations, spindle shaped uni-nuclear cells

rapid, involuntary movement at SA and AV nodes of the heart = allow cells to synchronise activity through intercalated discs/ junctions. smooth muscle cells of the heart contract to their own spontaneous rhythm without external input.

function: contractile component for digestive. urinary. GI systems, airways and arteries

33
Q

what is a fascicle?

A

a grouped bundle of muscle fibres - bundled as a unit in muscle

34
Q

name the four classifications for muscles based on orientation

A

circular
convergent
parallel
pennate

35
Q

describe circular orientation for muscles

A

fascicles/ bundled group of muscle fibres arranged in concentric rings - when they contract the opening in the middle constricts and closes

e.g. muscles surrounding mouth

36
Q

describe convergent orientation for muscles

A

broad origin, fascicles converge towards a single tendon

e.g. pec major (chest)

37
Q

describe parallel orientation for muscles

A

fascicles run along a long axis of muscle - can be fusiform or non-fusiform:

fusiform - spindle shaped, wider belly, narrow origins and insertions = e.g. biceps brachii of the arm

non-fusiform - narrow, belt-like, similar width throughout = e.g. sartorius muscle of thigh

38
Q

compare fusiform and non-fusiform

A

fusiform: spindle shaped, wider belly, narrow origins and insertions

non-fusiform: narrow, belt like, same width throughout

39
Q

describe pennate orientation for muscles

A

short fascicles that attach obliquely into a central tendon - can be divided into three subgroups:

  • unipennate = fascicles insert form one side of a tendon
  • bipennate = fascicles insert from opposite sides of a tendon, feather-like appearance
  • multipennate = multiple central tendons with fascicles from either side - converge on one large tendon = like a palm tree
40
Q

what is fascia?

A

thin connective tissue composed of elastin and collage - for strength and flexibility

surrounds muscles organs, blood vessels and nerves

41
Q

functions of fascia?

A

provides structure an support throughout body

holds muscles together, allowing them to contract and stretch

smooth surface for structures to slide against without friction

42
Q

describe fascia involvement in muscle compartments

A

muscle and nerves are wrapped in deep fascia and separated by intermuscular septa - deep fascia dives down to the bone

compartments will have similar functions, usually supplied by the same nerve and artery

43
Q

list the muscle compartments of the upper and lower limbs (arm, forearm, thigh, leg)

A

arm - anterior and posterior, 2
forearm - anterior and posterior, 2

thigh - anterior, posterior and medial, 3
leg - anterior, lateral, superficial and deep posterior, 4