Spinal Bio I Test 3 Flashcards
Study of Joints
Arthrology
Syndesmology
Study of Ligaments
2+ bones united by soft tissues?
Joint
How are joints classified?
By Structure and/or motion
Soft tissue attaching bone to bone
Ligament
Ligaments are composed of what?
Collagen= microscopic fibrils (visible fibers)
Multiple orientations
What appears white and shiny?
Ligament
what gives ligaments a white appearance?
Collagen
What gives a ligament the shiny appearance?
Surface membrane
What is indicated by a yellow colored ligament?
Increased % of elastin (up to 30%)
What is very strong and tough (may cause cortex avulsion= breakage of bone)
Ligament
Unstretchable and inelastic
Ligament
A continuous load on a ligament produces…
Ligamentous creep
Is flexible to allow joint motion…
Ligament
Slack in neutral position
Ligament
Taut at the extreme of a joint motion
Ligament
Tension restricts Range of Motion of the joint
Ligament
Active Range of Motion (2)
- Caused by the intrinsic muscles
- Normal ROM of activity
(done by patient)
Passive Range of Motion (3)
- Caused by external force
- Greater than active ROM
- 5-10% safety factor (decreases the risk of joint trauma)
(Done by doctor)
Motion beyond maximum ligament tension
Dislocation
Dislocation is caused by
external force
Results in tearing and/or joint trauma
Dislocation
Whats an MD’s problem?
Dislocation
Misalignment less than a luxation
Subluxation
NOT a severe joint trauma
Subluxation
Mild local neurological trauma
Subluxation
White, non-contractile part of muscle
Tendon
Attaches Red, contractile muscle belly to the bone…
Tendon
Tendon Composition
Collagen Fibrils/Fibers
Less dense than ligament
tendon
Fibers of tendon are ______ to the muscles pull?
Parallel
More loosely attached, some stretch
Tendons
The membranous covering of bones
periostium
Composition of Periostium
Collagen fibers
Very dense (felt-like mat)
Periosteum
Random fiber orientation resulting in no pull
Periosteum
Protects bone
Periosteum
2 surfaces perioteum DOESN’T protect
- Tendon/Ligament attachments
2. Joint surfaces
Bone repair where in periosteum
underside layer of cells=healing site
Covers joint surfaces
Hyaline/Articular Cartilage
Smooth, hard, shiny, bluish white
Hyaline/Articular Cartilage
Low friction surface for joint motion
Hyaline/Articular Cartilage
3 categories of joint classification- new system
- Fibrous
- Cartilaginous
- Synovial
AKA Fibrous Joints=
Juncturae Fibrosae
2 bones united by a simple fibrous ligament
Fibrous Joint
Usually immovable
Fibrous Joint
4 sub-categories of Juncturae Fibrosae
- Suture- Suturae
- Peg in a socket- Gomphosis (PIG)
- Plate/ Cleft- Schindylesis
- Syndesmosis
Interdigitated bone margins w/ a thin layer of fibrous tissue
Suture joints
Most immovable of all joints
Suture Joints
Suture joints only found btw what bones?
Bones of skull
A conical peg received into a conical socket…
Gomphosis
Peg in a socket
Greek for peg
Gomphosis
Teeth into the mandible/maxilla
Gomphosis
Peg in a socket
A vertical plate received into a cleft
Schindylesis
Plate Joint
Cleft Joint
Plate/Cleft/Schindylesis is similar to what other joint?
Suture/Sutrae Joints
Nasal Septum into the skull is a _____ joint?
Schindylesis
Plate/Cleft Joint
2 bones united by an interosseus membrane
Syndesmosis Joint
Most movable fibrous joint
Syndesmosis
Inferior Tibio-fibular joint, radius- ulna joint, interspinous joints… examples of
Syndesmosis Joints
AKA Cartilaginous Joint
Juncturae Cartilaginae
2 bones united by fibrocartilage or hyaline cartilage
Juncturae Cartilaginae
Cartilage Joint
Usually slightly movable
Cartilage Joint
2 sub-categories of Juncturae Cartilaginae
- Sychrondosis Joints - Primary
2. Disc Joints- Symphysis- Secondary
Only temporary joints
Primary
Sychrondrosis Joints
Btw Metaphyses and Epiphyses of bones
Sychrondrosis Joints
Primary
Ossify and disappear at puberty
Sychrondrosis Joints
Primary
Growth plate of Synchrondrosis Joint?
Ligament…. (Page 52?)
2 bones united by a broad, flat DISC of fibrocartilage
Disc Joint
Symphysis
Secondary
Fibrous externally
Cartilage internally
Disc Joint
Symphysis
Secondary
Vertebral Bodies, Pubic Symphysis, IVD
Disc Joint
Symphysis
Secondary
AKA Synovial Joint
Juncturae Synovialis
2 Bones separated by a true joint space
Synovial Joint
Juncturae Synovialis
Connected by a ligamentous sleeve
Synovial Joint
Juncturae Synovialis
Named for synovia (clear internal fluid)
Synovial Joint
Articular surfaces are not directly connected
Synovial Joint
Has a complex, characteristic ligament structure
Synovial Joint
Surrounds articular surfaces of Synovial Joint
Articular Capsule
Capsular Ligament
May or may not be the only ligament (synovial joint)
Capsular Ligament
Articular Capsule
Usually slack and loose to allow ROM (synovial joint)
Articular Capsule
Capsular Ligament
Bones connected by a ligament sleeve (synovial joint)
Articular Capsule
Capsular Ligament
Potential joint space (synovial joint)
Capsule
Covers all joint surfaces
Hyaline Cartilage
Very smooth macroscopically
Hyaline Cartilage
Has many microscopic pores
Hyaline Cartilage
Absorbs synovia when there is no load
Hyaline Cartilage Pores
Weeps/exudes synovia when there is a load
Hyaline Cartilage Pores
Increased load causes ______ & _______ of Hyaline cartilage Pores?
Thinner layer
Reduced friction
Minimum co-efficient
Hyaline Cartilage Pores
Avascular (synovial joint)
Hyaline Cartilage Pores
Continuous erosion and repair
Hyaline Cartilage Pores
Modified Endothelial tissue
Synovial membrane
Lines the entire joint surface of a synovial joint
Synovial fluid
DOESN’T cover the articular cartilage
Synovial membrane
3 functions of Synovial membrane
- forms synovia
- secretes/ reabsorbs synovia
- maintains fluid balance
Name= like egg whites…
Synovia
Synovial fluid
Modified blood serum
Synovia
Synovial fluid
No RBC but has WBC
Synovia
Synovial Fluid
Increased proteins, CHO’s and O2
Synovia
Synovial Fluid
Formed by selective filtration through the synovial membrane
Synovia
Synovial Fluid
Lubrication of the joint surface of a synovial joint
Synovia
Synovial fluid
3 functions of Synovia
- lubricate the joint surface
- nourish the chondrocytes
- phagocytosis by the WBC’s
What Nourishes the chondrocytes in a synovial joint?
Synovia
Synovial Fluid
CHO’s, O2 and Proteins are pulled in (synovial joint)
Synovial Fluid - nourishes the chondrocytes
CO2, Urea and wastes are taken out (synovial joint)
Synovial Fluid- Nourishes the chondrocytes
Phagocytosis by the WBC’s in….
Synovial Fluid
Synovia
Removes joint debris/ bacteria/viruses (synovial joint)
Phagocytosis by WBC- Synovial Fluid/Synovia
Most common type of joint
Synovial
Most freely movable type of joint
Juncturae Synovialis
Most varied joint in structure and motion
Juncturae Synovialis
6 Sub-Categories of a Synovial Joint
- Hinge (Ginglymus)
- Pivot (Trochoid)
- Gliding/Plane (Arthrosis/ Articulatio Plana)
- Knuckle (Condyloid/Ellipsoid)
- Ball and Socket (Enarthrosis/ Spheroidea)
- Reciprocal Reception/Saddle (Sellar)
AKA Hinge Joint
Ginglymus (the DOG)
Allows motion in 1 plane only
Ginglymus/ HInge Joint
Plane of motion defined as F/ E
Ginglymus/ Hinge Joint
Very Common (knee, elbow)
Ginglymus/ Hinge Joint
Other ROM limited by configuration/ Collateral Ligaments or both
Ginglymus/ Hinge Joint
AKA Pivot Joint
Trochoid
Allows Rotary motion only
Trochoid/ Pivot Joint
Central bony pivot within an osseoligamentous ring
Trochoid/ Pivot Joint
Pivot turns within the ring (proximal radio-ulnar joint)
Trochoid/ Pivot Joint
Ring turns around the pivot (Central atlanto-axial joint)
Trochoid/ Pivot Joint
AKA Gliding/ Plane Joints
Arthrosis
Articulatio Plana
2 flat or slightly concave/ convex surfaces
Arthrosis
Articulatio Plana
Gliding
Plane
Allow simple gliding motion
Articulatio Plana
Arthrosis
Gliding
Plane
Simplest type of synovial joint
Gliding
Plane
Arthrosis
Articulatio Plana
ROM limited by the Capsular ligament
Gliding
Plane
Arthrosis
Articulatio Plana
Often found in a series like:
Carpal bones
Tarsal bones
Zygapophyseal joints
Gliding
Plane
Arthrosis
Articulatio Plana
Each joint allows a _____ ROM and the entire series produces a _______ composite ROM in Arthrosis Joint
Limited
Large
AKA Knuckle Joints
Condyloid
Ellipsoid
Defined by the shape of the joint surface
Condyloid
Ellipsoid
Knuckle Joints
An Oval Convexity in an Oval Concavity
Knuckle Joint
Ellipsoid
Condyloid
Allows F/ E along the long axis
Condyloid
Ellipsoid
Knuckle Joint
Allows lateral flexion along the short axes
Condyloid
Ellipsoid
Knuckle
Rotation would result in disarticulation
Condyloid
Ellipsoid
Knuckle
Often paired/ parallel condyles on one bone
Condyloid
Ellipsoid
Knuckle
Disallows Lateral Flexion- 1 condyle tracks the other is dislocated
Knuckle
Condyloid
Ellipsoid
Double Classification as a Ginglymus and Synovial Joint
Knuckle
Condyloid
Ellipsoid
AKA Ball and Socket Joint
Enarthrosis
Spheroidea
Modified Condyloid Joint
Enarthrosis
Spheroidea
Ball and Socket Joint
Spherical convexity received into an osseo-ligamentous socket
Ball and Socket
Enarthrosis
Spheroidea
Most freely movable joint (synovial joint)
Ball and Socket
Enarthrosis
Spheroidea
Deep socket gives_______ ________ in hip
Increased stability
Shallow socket allows _______ _______ in shoulder
Increased ROM
AKA Reciprocal Reception
Saddle Joint
Sellar (the horse!)
2 matching concavo-convex surfaces
Sellar
Saddle Joint
Reciprocal Reception
Like 2 saddles fit together
Sellar
Saddle Joint
Reciprocal Reception
Allow F/ E, Lateral Flexion but NO Rotation
Sellar
Saddle Joint
Reciprocal Reception
Carpo (Trapezium)- metacarpal joint of the thumb is…
Sellar
Saddle
Reciprocal Reception
Arthrology/ syndesmology of the vertebral column
Sellar
Saddle
Reciprocal Reception
Old system has 3 main categories based on….
Mobility
New system has 3 main categories based on….
Structure
3 Main categories of Old system
- Synarthrosis
- Amphiarthrosis
- Diarthrosis
Are synarthrosis movable or immovable?
Immovable
All fibrous joints except syndesmosis (old system)
Synarthrosis (immovable)
Encompasses Synchrondrosis (old system)
Synarthrosis