Unit 3: Ch 9 (Joints) Flashcards
General anatomy of synovial joints
- 2 structures
- Articular disc
- Meniscus
- Accessory structures
- Tendon: dense irreg tissue
- Ligament: dense irreg tissue that bring 2 bones together in only 1 plane
- Bursa: fluid-filled sacs on larger structures (like knee) that reduce friction
- Tendon sheath: fluid-filled sacs on smaller structures (like fingers) that reduce friction
4 major joint categories
- Bony
- Fibrous
- Cartilaginous
- Synovial joints
Abduction, hyperabduction, adduction, & hyperabduction
-
Abduction
- Movement of a part in the frontal plane away from the midline
-
Hyperabduction
- Over or behind; an extreme abduction
-
Adduction
- Movement of a part in the frontal plane back toward the midline
-
Hyperadduction
- An extreme adduction
- i.e. crossing fingers and ankles


Arth-
Joint
Arthrology
The science of joint structure, function, and dysfunction
Articulation
- A skeletal joint
- Any point at which two bones meet
- May or may not be moveable
Ball-and-socket joints
- Description
- Movement
- Axis rotation
- Examples
-
Description
- Ball-shaped surface of one rounded bone fits into the cup-like depression of another bone
- In all 3 planes
- Most freely movable joints
- Movement: flexion/extension, abduction/adduction, circumduction, and medial/lateral rotation
- Axis rotation: the only multiaxial joints in the body
-
Examples
- Glenohumeral (shoulder) joint
- Coxal (hip) joint
Bony joints
- AKA
- Description
- Mobility
- Examples
- AKA: Synostosis joints
-
Description
- Multiple bones fused into one
- Immobile joint formed when the gap between two bones ossifies and they become a single bone
- Mobility: Synarthrotic
-
Examples
- Ilium, ischium, and pubis create a single hip bone
- Epiphyses and diaphyses of the long bones
Cartilaginous Joints
- AKA
- Description
- Types & examples
- AKA: Amphiarthrodial joint
-
Description
- Bones united by fibrocartilage or hyaline cartilage
- No synovial cavity present
-
Types
-
Synchondroses
- __connected by hyaline cartilage
- moveability: synarthrosis
- ie joint between diaphysis and epiphysis
-
Symphyses
- connected by fibrocartilage
- moveability: amphiarthrosis
- ie pubic symphasis and joints between vertebral bodies
-
Synchondroses
Circumduction
- Joint movement where one end of an appendage remains stationary while the other end makes a circular motion
- Sequence of flexion, abduction, extension, and adduction movements

Circumduction
Classification by degree of movement
- Synarthrosis: immovable
- Amphiarthrosis: slightly moveable
- Diarthrosis: freely moveable
Classification by type of tissue
- Bony: bones that are typically fused into one bone
- Fibrous: bones connected to fibrous tissue
- Cartilaginous: bones connected by cartilage
- Synovial: articulating surfaces enclosed within fluid-filled joint capsule
Condylar joints
- AKA
- Description
- Movement
- Axis rotation
- Examples
- AKA: Ellipsoid joints
- Description: convex surface which articulates with a concave elliptical cavity
- Movement: flexion/extension, abduction/adduction, & cirumduction
- Axis rotation: biaxial
-
Examples
- Radiocarpal joint of wrist
- Humerus
- Femur
- Glenoid cavity
- Metacarpophalangeal (knuckle) joints of fingers
Diarthrosis joints
- Movement type
- Axes of motion & corresponding joint names
- Freely moveable joints
- 3 categories based on the number of axes of motion
-
Multiaxial
- Ball-and-socket
-
Monaxial
- Pivot
- Hinge
-
Biaxial
- Plane
- Saddle
- Condylar
-
Multiaxial
- Note: All synovial joints are diarthrotic and have joint cavities


Fibrous Joints
- AKA
- Description
- Mobility
- Categories & examples
- AKA: Synarthrosis
-
Description
- connected by dense irregular connective tissue that is in collagen fibers
-
Categories
-
Sutures
- mobility: synarthrotic (limited movement until about 20 YOA, then immovable)
- found between flat, plate-like bones of the skull (except for mandible)
- short fibers
- Example: fontanelle
-
Gomphoses
- mobility: synarthrotic
- found where the teeth articulate with their sockets in the maxilla or the mandible
- peg in socket
- Example: tooth
-
Syndesmoses
- mobility: amphiarthrotic
- fibrous joint in which two parallel bones are united to each other by fibrous connective tissue/interosseous membrane
- gap between the bones may be joined by ligaments or filled in by interosseous membrane
- long fibers
- Example: the interosseous membrane between the radius and ulna
-
Sutures




Flexion, Extension, Hyperextension
- Flexion: decreases joint angle
- Extension: straightens a joint and generally returns a body part to the zero position. Increases joint angle
- Hyperextension: Further extension of a joint beyond the zero position


Hinge joints
- Description
- Movement
- Axis rotation
- Examples
-
Description
- Movement in one plane, with little movement in any other, like a door hinge
- Movement: flexion/extension
- Axis rotation: monaxial joint
-
Example
- elbow
- ankle
- knee
- interphalangeal joints (fingers/toes)
How are joints classified?
- Anatomical
- Physiological
- Anatomical
- Presence of a joint cavity
- Type of connective tissue(s) present
- Physiological
- Amount of movement able to occur at the joint
In general, how are joints named?
- By combining the names of the two bones or prominences in contact with one another
- Example: Tibiofemoral joint
Kinesiology
The study of musculoskeletal movement
Movement vocabulary of synovial joints
- Movement vocabulary spans medical fields
- Many terms are presented in pairs with opposite or contrasting meanings
- Zero position
- Joint movements are described as deviating from the zero position or returning to it


Pivot joints
- Movement
- Axis rotation
- Examples
- Movement: allows for rotation movement only
- Axis rotation: monaxial joint
-
Examples
- Radioulnar joints
- Atlantoaxial joint between the first two vertebrae
Plane joints
- Description
- Movement
- Axis rotation
- Examples
-
Description
- Permit gliding and sliding movements
- Bone surfaces are flat or slightly concave and convex
- Movements occur in a single plane
- Movement: inversion/eversion of foot, or flexion/extension and lateral flexion of the vertebral column
- Axis rotation: biaxial
-
Examples
- Between the carpal/tarsal bones
- Articular processes of the vertebrae
Protraction & Retraction
- Protraction
- The anterior movement of a body part in the transverse plane
- Retraction
- Posterior movement of a body part in the transverse plane




Rotation description & types
- Movement in which a bone spins on its longitudinal axis (ie rotation of trunk, thigh, head, or arm)
- Medial (internal): turns the anterior portion of the bone inward
- Lateral (external): turns the anterior portion of the bone outward
Saddle joints
- Description
- Movement
- Axis rotation
- Examples
- Description: Characterised by opposing articular surfaces with a reciprocal concave-convex shape
- Movement: flexion/extension, abduction/adduction, and circumduction
- Axis rotation: biaxial joint
-
Examples
- carpometacarpal joints
- trapeziometacarpal
- sternoclavicular joint
Special movement of the thumb
- 2 terms unique to the thumb
-
Reposition
- Return to zero position
-
Opposition
- Move the thumb to approach or touch the tip of any of the other 4 fingers
-
Reposition
Special movements of the foot
-
Dorsiflexion
- Elevation of toes as you do while swinging foot forward to take a step
-
Plantar flexion
- Extension of foot so that toes point downward as in standing on tiptoe (toe-off)
-
Inversion
- Movement in which the soles are turned medially
-
Eversion
- Movement in which the soles are turned laterally
Supination & Pronation
- Primarily forearm movements (also in foot/ankle)
-
Supination
- Forearm movement that turns palm to face anteriorly or upward
- Forearm supinated in anatomical position
- Radius is parallel to the ulna
- Supinator: type of movement you would make to turn a doorknob clockwise or to drive a screw into a piece of wood
- Forearm movement that turns palm to face anteriorly or upward
-
Pronation
- Forearm movement that turns palm to face either posteriorly or downward
- Radius crosses stationary ulnar like an X
- Forearm movement that turns palm to face either posteriorly or downward
-
Supination
- Notes
- As an aid to remembering these terms…
- You are prone to stand in the most comfortable position, which is with the forearm pronated. But if you were holding a bowl of soup in your palm, you would need to supinate the forearm to keep from spilling it
- As an aid to remembering these terms…


Types of sutures
- Serrate: appear as wavy lines along which the adjoining bones interlock
- Lap (squamous): occur where 2 bones have overlapping beveled edges, like a miter joint
- Plane (butt): occur where 2 bones have straight nonoverlapping edges


Synarthrosis
- Immobile joint
- Examples
- Sutures
- Epiphyseal growth plate
Synovial fluid
- Nourishes articular cartilage and removes waste
- Rich in albumin and hyaluronic acid
- Reduces friction
Synovial joints
- Description
- Classifications
- Movement
- Tissues present
- AKA: diarthrosis joints
-
Description
- A connection between two bones consisting of a cartilage lined cavity filled with synovial fluid
- Only joint with a joint cavity
-
Functional classifications
- Ball-and-socket
- Hinge
- Pivot
- Plane
- Condylar
- Saddle
- Movement: all synovial joints are diarthrosis
-
Connective tissues present
- Dense irregular
- Dense regular (ligaments)
- Hyaline cartilage (articular cartilage)
- Notes
- Type most likely to develop uncomfortable and crippling dysfunctions. They’re mobility is important to the quality of life
- Most structurally complex and diverse type of joint
- Inner cellular membrane called the synovial membrane
- Flexible, movable, can slide over one another, and rotatable
What is the study of musculoskeletal movement?
Kinesiology
Review of appendicular/axial location of bones
