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68 Terms
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Structural classification of joints based on 2 criteria
* presence/absence of a space b/t the articulating bones (synovial cavity) * type of connective tissue that binds the bones together
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What are the 3 functional classifications for joints?
\-synarthrosis
\-amphiarthrosis
\-diarthrosis
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synarthroasis
immovable joint
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diarthrosis
Freely movable joints; also known as synovial joints
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What are the 3 major structural categories for joints?
\-fibrous joints
* cartilaginous joints * synovial joints
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fibrous joints
held together by fibrous connective tissue; collagen fibers; no synovial cavity, so little/no movement
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cartilaginous joint
held together by cartilage; no synovial cavity, so little/no movement
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synovial joint
joined by dense irregular connective tissue; often have accessory ligaments; have synovial cavity
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3 types of fibrous joints
sutures, syndesmoses, gomphoses
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suture
fibrous joint that has thin layer of dense fibrous connective tissue; interlocking edges decrease chance of breaking; e.g. your cranium
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syndemosis
a fibrous joint at which two bones are bound by long collagen fibers; greater space b/t 2 articulating bones; e.g. fibula and tibia
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Gomphosis
a fibrous joint in which a cone-shaped peg fits into a socket; e.g. teeth and their socket
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2 types of cartilaginous joints
synchondrosis and symphysis
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synchondrosis
an almost immovable joint between bones bound by a layer of hyaline cartilage; e.g. rib and sternum
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symphesis
Bones cover with hyaline cartilage that is fused to a middle plate of fibrocartilage; e.g. pelvic
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where are symphesyes found in the body?
ALl occur at the midline (vertebral joints and pelvic)
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Extracapsular ligaments
stabilizing ligaments located outside joint capsule; e.g. MCL
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Intracapsular ligaments
stabilizing ligaments located inside joint capsule; e.g. ACL and PCL
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Composition of articular cartliage
articular discs are pads of fibrocartilage that are b/t the meeting surfaces of the bones and attached to fibrous capsule
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Functions of articular cartliage
direct flow of synovial fluid--> cushions and reduces friction of movement, protects bone ends; allows bones of different shapes to fit together more securely
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Types of synovial joints
plane, hinge, pivot, condyloid, saddle, ball and socket
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Plane (planar)
articular surfaces are flat or slightly curved; usually permit side-to-side and back-and-forth gliding movements
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condyloid
convex oval-shaped projection of one bone fits into a corresponding depression in another bone; minimal circumduction, side-to-side, flexion/extension
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Hinge
convex surface of one bone fits into the concave surface of another bone; usually allow motion around a single axis
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Saddle
articular surface of one bone is saddle-shaped; articular surface of other bone "sits" in saddle; bi-axial: side-to-side and up-and-down
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Pivot
rounded surface of one bone articulated with a ring of the other bone and a ligament; allows rotation around the longitudinal axis
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Ball and socket
ball-shaped head of one bone articulates (fits) with cup-shaped cavity of another; multi-axial
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What are the 2 layers of the articular capsule
fibrous layer and synovial membrane
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Fibrous layer
outer layer of articular capsule consisting of dense irregular connective tissue that attaches to articulating bones
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Synovial membrane
inner layer of the articular capsule; composed of areolar connective tissue containing elastic fibers and adipocytes
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What are the functions of the synovial fluid
secreted by the synovial membrane, thin film over surfaces; Lubrication, provides nutrients, protects articular cartilages, and absorbs shock.
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Gliding
nearly flat bone surfaces slide or glide over each other; occurs at planar joints; e.g. wrist
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Flexion and joint it uses
decrease in the angle between articulating bones; e.g. elbow.
Hinge joint
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Extension
increase in angle b/t articulating bones; e.g. elbow
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Hyperextension
continuation of extension beyond the anatomical position; e.g. moving head back
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Abduction and joint it uses
movement away from the midline; ball and socket
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Adduction and joint it uses
Movement toward the midline of the body; ball and socket
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Circumduction and what joint it uses
the circular movement at the far end of a limb; continuous flexion, abduction, extension, and adduction; ball and socket and condyloid joints
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Rotation (medial and lateral)
inward and outward rotation around the axis; e.g. ankles
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Elevation and the joint it uses
Raising a body part; TMJ
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Depression and the joint it uses
Lowering a body part; TMJ
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Protraction and the joint it uses
inward and outward rotation around the axis; TMJ
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Retraction and the joint it uses
moving a body part backward and parallel to the ground; TMJ
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Inversion
Turning the soles of the foot inward
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Eversion
Turning the sole of the foot outward
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Dorsiflexion
Bending the foot or toes upward
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Plantar flexion
bending of the sole of the foot by curling the toes toward the ground
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Supination
Turn palms up
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Pronation
Turns palms of hands down
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Opposition
Movement of the thumb to touch the fingertips
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What motion does the radium cross the ulna, taking the body out of anatomical position
Pronation
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What affects the degree of motion at a joint
soft tissues surrounding the joints, muscles, ligaments, tendons, skin, and capsules; shape of articulating bones
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What are the 2 intrascapular ligaments of the knee
ACL and PCL
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ACL
anterior cruciate ligament, a ligament that stabilizes the knee joint (prevents sliding b/t tibia and femur)
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PCL
Posterior Cruciate Ligament; prevents backward placement of the tibia along the femur
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What is the rotator cuff?
Group of four tendons and other muscles in the shoulder, connecting the humerus to the scapula
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Glenoid labrum
fibrocartilage ring that deepens glenoid cavity
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What is the ligament that the radius rotates in?
annular ligament
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What provides stability for the hip
deep socket (acetabulum), large head of the femur, and many ligaments
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2 main movements with the TMJ (temporomandibular joint)
protraction and retraction, elevation and depression
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What affects the range of motion at a synovial joint?
* structure or shape of articulating bone * strength or tension of joint ligaments * arrangement and tension of muscles * apposition of soft parts * disuse
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Sprains
ligaments reinforcing a joint are stretched or torn; if torn, repairs slowly and is very painful/immobilizing
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Cartilage injuries
tearing knee menisci or articular cartilage due to high stress exercises
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Dislocation
displacement of a bone from its joint
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What does it mean for a bone to be reduced
bone is moved back to proper position after dislocation
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What are the general tendencies seen with joints as one ages?
* by 80, some degeneration in elbows, hips, knees, shoulders * men tend to develop degenerative changes in vertebral column
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Osteoarthritis
Inflammation of bone and joints (actually degeneration of joint tissue). Cartilage is worn away, bone tissue thickens and forms spurs; joint movement is restricted causing stiffness; slow and irreversible
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Rheumatoid arthritis
Chronic inflammatory disease of connective tissues and joints; autoimmune disease; inflammatory cells flood certain joints and release large quantities of inflammatory chemicals