S1) Bones and Joints Flashcards
What is a joint?
A joint / articulation is a point of contact between neighbouring bones, between cartilage and bones, or between teeth and bones
joint with low range of movement has a higher stability
Which factors are affected by the structural characteristics of a specific joint?
- Strength
- Magnitude of movement
- Types of movement
What are the three main categories of joints?
fibrous least mobile
synovial most mobile

Describe the structure and function of fibrous joints and provide some examples
- Structure: lack a synovial cavity, articulating bones are held very closely together by fibrous connective tissue
- Function: permit little/no movement
- E.g. skull sutures, inferior tibiofibular joint, posterior sacroiliac joint*

State the structure and function of cartilaginous joints
- Structure: lack a synovial cavity, articulating bones are tightly connected by cartilage
- Function: permit little/no movement as cartilage acts as a glue holding bones together
primary top left - tertiary bottom right

There are two types of cartilaginous joints.
Identify and describe them
- Primary cartilaginous joints: hyaline cartilage connecting tissue e.g. epiphyseal plate
- Secondary cartilaginous joints (symphyses): fibrocartilage disc as connecting tissue e.g. pubic symphysis

What are 6 important characteristics of synovial joints?
- Joint cavity
- Articular cartilage
- Articular capsule (two layers)
- Rich blood and nerve supply
- Accessory ligaments (extracapsular & intracapsular)
- highly mobile
Identify and describe the two layers of the synovial joint capsule
- Outer fibrous capsule (may have accessory ligaments)
- Inner synovial membrane (secretes lubricating synovial fluid)

Identify the 6 different types of synovial joints
ball and socket - max movement
ellipsoid = condyloid

Identify and describe the general types of movement that occur at synovial joints
- Gliding movements: articulating surfaces slide across each other
- Angular movements: change in the angle between articulating bones (flexion, extension, abduction, adduction, circumduction)
- Rotation: a bone turns around its own longitudinal axis (medial rotation, lateral rotation)
Describe the structure and function of planar joints and provide an example
- Structure: articulating surfaces are flat / slightly curved (non-axial joint)
- Function: gliding movements occur
- E.g. sternoclavicular joint*

Describe the structure and function of hinge joints and provide some examples
- Structure: convex surface of one bone fits into the concave surface of another bone (mono-axial joint)
- Function: flexion and extension occur
- E.g. knee joint, elbow joint, ankle joint*

Describe the structure and function of pivot joints and provide an example
- Structure: rounded/pointed surface of one bone articulates within a ring formed by another bone and a ligament (mono-axial joint)
- Function: rotation occurs
- E.g. atlanto-axial joint (C1 and C2)*

Describe the structure and function of condyloid (ellipsoidal) joints and provide an example
- Structure: oval-shaped condyle of one bone rests against the elliptical cavity of another bone (bi-axial joint)
- Function: flexion, extension, abduction, adduction, circumduction occur
- E.g. wrist joint*

Describe the structure and function of saddle joints and provide an example
- Structure: articular surface of one bone is saddle-shaped and articular surface of the other bone resembles the legs of a rider sitting in a saddle (bi-axial)
- Function: movement is less restricted
- E.g. CMCJ between trapezium the base of metacarpal I*

Describe the structure and function of ball-and-socket joints and provide two examples
- Structure: ball-like surface of one bone rests against the cuplike depression of another bone (poly-axial)
- Function: flexion, extension, abduction, adduction, circumduction, rotation occur
- E.g. shoulder and hip joints*

Identify and describe the 6 special movements which occur only at certain joints
- Elevation&depression – upward and downward movement of the mandible
- Protraction&retraction – mandible or shoulder girdle move forward and backward parallel to the ground
- Inversion&eversion – sole of foot moves medially and laterally
- Dorsiflexion&plantar flexion – bending of the ankle joint
- Supination&pronation – forearm turns anteriorly and posteriorly
- Opposition – movement of the thumb across the palm
What are the 5 factors affecting contact and range of motion at synovial joints?
- Structure/shape of the articulating bones
- Strength&tension of the joint ligaments
- Arrangement&tone of muscles around the joint
- Apposition of neighbouring soft tissues
- Disuse of a joint
What drives the effects of ageing on joints?
The effects of ageing on joints are variable among individuals and are affected by genetic factors and wear and tear
Identify 5 effects of ageing on synovial joints
- Decreased production of synovial fluid
- Thinning of articular cartilage
- Shortening of ligaments
- Decrease in ligamentous flexibility
- Degenerative changes in load-bearing joints

Bone function
- support
- protection of organs
- metabolic - regulate calcium and phosphate
- storage for calccium and phosphate ions
- movement
- heamoatopoiesis
histology of bone
(collagen adds to tensile strength)
made of several cylinders which keep the shape compact

bone features
- muscle attachments - bones have large muscle attachments to keep structure stable and are associated with powerful movement
- grooves - associated with presence of nerves or blood vessels
- dips - where other bones can fit in
- holes - where blood vessels and nerves can pass
- nutrient paramner - allow blood vessels to enter bone and feed
blood supply to bones

development of synovial joints
- point where joint will form you see cell death
- left with a gap between 2 bones
- some ligaments remain intact
whole bone is surrounded by perichondrium which becomes periostium of bone and fibrous sheath
classes of leavers
E = effort applied by muscle
L = load
