Week 2 - Joints Flashcards

1
Q

Name all the types of joints

A
  • synovial joints
  • syndesmosis
  • synchondrosis
  • synostosis
  • symphysis
  • gomphosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a synovial joint and where is it found?

A

Joint with two opposing surfaces covered by cartilage, bathed in synovial fluid within a joint capsule

  • found in most appendicular joints
  • posterior joints of spine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is a syndesmosis and where is it found?

A

Joint where two bones are joined by fibrous tissue only.

  • found in skull sutures
  • found between distal end of tibia and fibula
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a synchondrosis and where is it found?

A

Two bones are joined by cartilage.

  • found in physis (joins epiphysis & metaphysis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a synostosis and where is it found?

A

Bones are fused together obliterating joint.

  • found in bones of the pelvis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a symphysis and where is it found?

A

Two bones joined by cartilage but with no synovial fluid (and therefore very little movement).

  • found at symphysis pubis
  • found between vertebrae
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a gomphosis and where is it found?

A

Fibrous connection between a tooth and its socket. Blood vessels and nerves cross the joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When do synovial joints begin to develop?

A

At 6-9 weeks in development.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which develops first: upper or lower extremity?

A

upper extremity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 4 stages of joint development?

A
  1. Homogenous Interzone
  2. Three-layer interzone
  3. Early liquefaction of middle layer
  4. Full separation and joint cavitation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is found in the homogenous interzone of developing bone?

A

Mesenchymal cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What will the mesenchymal interzone develop into?

A
  • articular cartilage
  • meniscus
  • cruciate ligaments
  • collateral ligaments

(these happen before development of synovial fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is found in the three-layered interzone?

A
  • two layers of densely packed cells (become articular surfaces).
  • one layer of loosely packed undifferentiated cells in between the dense layers.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the tiny sesamoid bone located BEHIND the knee called?

A

flabella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the layers of the synovium?

- briefly decribe each

A

Outer: rich supply of blood vessels, nerves, and lymph
Inner: thin syncytium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What cells are found in the inner layer of the synovial membrane?

A

Type A –> cells specialized to clear waste material

Type B –> cells specialized to synthesize hyaluronic acid

17
Q

What is synovial fluid composed of?

A

dialyzed plasma with glycoprotein and hyaluronic acid

18
Q

Approximately how much synovial fluid would you find in the knee?

A

~5 cubic cm

19
Q

What is the joint capsule?

A

tough fibrous tissue that joins the two bones of a joint

20
Q

What is a bone bruise?

A

Injury to the subchondral bone

21
Q

Name a couple examples of tendons that are intra articular.

A

Biceps; popliteus

22
Q

What happens when a joint is injured?

A
  • injury (twist/fall/etc)
  • inflammation (redness, swelling, pain, heat)
  • effusion (increase in joint fluid volume)
  • healing/resolution
23
Q

What is immediate joint swelling after an injury indicative of?

A

hemarthrosis

  • -> fracture
  • -> significant ligament/capsular injury
24
Q

What is development of a bruise indicative of?

A

bleeding into subdermal tissue

25
What is the healing response for a synovial joint injury?
substitution of collagen into hemorrhagic tissue
26
What are the two main mechanisms for injury to joint cartilage?
Abnormal force on normal joint (seen more often in younger patients involved in high-intensity sports) Normal force on abnormal joint (seen more often in older patients)
27
How does articular cartilage heal?
Doesn't heal except in very young patients. | Instead will get replaced with fibrocartilage (Type I collagen) but this is not as durable
28
Why does blood not clot within the knee capsule?
The synovial fluid mixes with the blood and has factors that prevent clotting
29
How do extraarticular ligaments heal?
With a fibrin clot - fibroblasts proliferate & secrete matrix - forms early tissue type III collagen - remodels to resemble normal ligament (Type I collagen) - contraction of healing tissue
30
What are the extra articular ligaments of the knee?
MCL & LCL
31
What are the effects of decreased loading on a joint?
Loss of PGs | Muscle, tendon, & bone become deconditioned
32
What are the components of a synovial joint?
- bone - Articular cartilage - two opposing bones - fibrous capsule & ligaments - synovial membrane - synovial fluid - supportive fibrocartilage (tissue inside a specific joint for stability) - tendons - associated nerves and vessels
33
What are the categories of intrinsic causes of joint pain?
Articular & Non-articular
34
What are the categoris of extrinsic causes of joint pain?
Generalized, Neurologic, & Referred pain
35
What are some examples of articular causes of joint pain?
- arthritis - neoplasm - trauma
36
What are some examples of non-articular causes of intrinsic joint pain?
- bursitis - tendonitis - myositis
37
What are some examples of neurologic causes of joint pain?
- nerve root compression | - HCV
38
What are some examples of generalized causes of joint pain?
- fibromyalgia | - dermatomyositis