Syndesmology Flashcards
Joints
Articulate the bones together
Unite the bones firmly and allows movement
What are the 2 types of joints?
Conventional
Unconventional (synsarcosis)
Conventional Joints include
Fibrous joints
Cartilaginous
Synovial
Synsarcosis
The only type of unconventional joint
Articulation through muscles
Located at the girdle muscles (pelvic and pectoral girdles)
Fibrous Joint
No joint space (not highly moving)
Bones united through dense CT
EX: Sutures (skull), gomphosis (tooth bony socket), syndesmoses bones
Syndesomoses
Fibrous Joint
Syndesmoses bones joined through CT ligament
Distal articulation between the radius and the ulna
Cartilaginous Joint/ Synchondroses
Conventional joint
No joint space
Bones united through cartilage
Which bodies of vertebrae aren’t classified as synchondroses joints?
Atlas and axial
Examples of cartilaginous joints
- Diaphysis/ epiphysis
- bodies of vertebrae
- pelvic symphysis
Synovial Joints
Conventional Joints
Highly mobile
Joint cavity and articulate cartilage between bones
Outer layer: collateral ligaments
Which joints give vets the most problems?
Synovial Joints
Examples of synovial joints
- Pivot (atlantoaxial, proximal radioulnar)
- condylar (femorotibial)
- hinge (elbow)
- Ellipsoidal (radiocarpal)
- Saddle (interphalangeal)
6.spheroidal (hip,shoulder)
Where are bone injections given?
Joint Cavity
But can also be used for synovial synthesis
Joint Cavity
Made up of:
Articular cartilage (smooth cartilage that allows gliding of bones)
Synovial membrane (middle between bones)
Joint Capsule
Made up of articular cartilage, fibrous capsule, ligaments, and the synovial membrane
Synovial membrane
Contain synovial secretion cells that secrete synovial fluid, making it a lubricant, and facilitating a smooth joint movement
Order of joints in the Thoracic limb
Syncarcosis, shoulder, elbow, carpal, digit
Shoulder Joint
Synovial/ spherical joint
links the scapular glenoid cavity to the humerus head
Range of motion: rotation, abduction, adduction, circumduction
______ acts as collateral ligaments and add support the shoulder joint.
Tendons
What is another word for dislocation?
Luxation
Subluxation
Partial dislocation
Why are shoulder joint dislocations rare?
Because it’s well protected with good support unless there is a severe trauma
What are the two ways to protect tendons?
- Tendon sheath
- Sesamoid bone
What are mainly affected by Biceps Tenosynovitis?
Large breeds because they grow fast and exceeds development
What causes Biceps Tenosynovitis
Exercise and stress
Bicipital Tenosynovitis
Inflammation of the biceps tendon surrounding synovial sheath
Degenerative Joint Disease (DJD)
Faulty development of the joint
Osteochondrosis Dissecans (OCD)
Faulty development of the cartilage (abnormal endochondral ossification)
Erosion of the articular cartilage of the head of the humerus
Cases Arthritis
What happens during Osteochondrosis Dissecans (OCD)
A piece of cartilage becomes partially or fully detached from the surface of the bone and floating in synovial fluid
Shoulder Joint Clinical Considerations
Luxation and subluxation
Degenerative Joint Disease
Osteochondrosis Dissecans
Biceps Tenosynovitis
Arthritis
What type of joint is between the humerus and the radius/ ulna?
Hinge Joint
Composite Joint
Two joints within the same capsule
Joints with more than one level of articulation
EX: Elbow, carpal, stifle joint
What type of joint is between the proximal ends of the radius and ulna?
Pivot Joint
Fragmented Medial Coronoid Process of the Ulna (FMCP)
Developmental defect
Each bone (humerus, ulna, radius) develops by itself with it’s own ossification center –> all bones come together and attach to the ulna for complete ossification –> sometimes the medial coronoid process fails to ossify or become untied leading to FMCP –> then piece of cartilage is floating
FAILURE OF MEDIAL CORONOID PROCESS TO ATTACH TO THE ULNA
Leads to arthritis
Ununited Anconeal Process (UAP)
Developmental defect
The anconeal process fails to ossify, it becomes detached and irritate the joint cavity
What is the clinical consideration of the elbow joint
Fragmented Medial Coronoid Process
Ununited anconeal Process
Elbow dislocation
Elbow dislocation
No weight bearing lameness
Caused by severe trauma
Carrying the elbow flexed
Uncommon
Levels of articulation of the carpal joints:
(3)
1. Antebrachio carpal share the same joint cavity
2. Midcarpal
3. Carpometacarpal
How many injections would the carpal joint get?
2, one at the antebrachio carpal and one at the midcarpal and carpometacarpal
Significance of the Midcarpal and Carpometacarpal
Joint cavities are interconnected and communicate with each other
Clinical consideration of the carpus:
Hyperflexion deformity
Dislocation of the carpus
Hyperflexion Deformity
Seen in puppies
Paws knuckled under
Condition improves on its own within weeks
Dislocation of the Carpus
Caused by trauma
Can affect all 3 joints
AKA Hyperextension
Normal Hip Joint has:
- Dorsal spine of ilium
- Greater Trochanter
- Tuber Isheii
Symmetric, if not probably hip dysplasia
Hip Joint Clinical Considerations
Pelvic Fractures
Dislocation of the pelvis
Hip Dysplasia
Hip Dysplasia
Shallow acetabulum or flattened femoral head
Pain swelling and crippling
What cases Hip Dysplasia?
Genetics, nutrition and excessive exercise
Dislocated hip
Caused by trauma
Head of the femur pops out of the acetabulum tearing the ligaments
Radiographs confirm diagnosis
Stifle Joint articulations
- femorotibial
- femoropatellar
- proximal tibiofibular
Ligaments in the stifle joint
Medial and lateral collateral, and cruciate ligaments
Stifle Joint clinical considerations
Cranial/ caudal cruciate ligament injuries
Patellar luxation
Stifle dislocation
Cranial// caudal cruciate ligament injuries
Torn CCL allows the tibia to slide forward and causes menisci damage
Lameness, pain
Surgery
All breeds
Patellar Luxation
Dislocated knee cap causes by trauma
Graded I-IV
Arthritis is a common consequence
Surgery
In Patellar Luxation, the patella is usually dislocated ______ in small breeds
medially
In Patellar Luxation, the patella is usually dislocated ______ in large breeds
Laterally
Stifle Dislocation
Serious problem (for board certified/ well trained vets)
Severe damage to joints, bones, ligaments and tissues
Radiograph needed
Reconstructive Surgery
Joints of the hind paw
Crurotarsal
Prox. and distal intertarsal
Tarsometatarsal
Tarsal Joint Dislocation
Traumatic Injury
Ligaments damage and bones fractures
Surgery