Bio25 Ch. 9 - Skeletal System: Articulation

Objectives
  • Types of Joints:

    • Structural:

    • Fibrous

    • Cartilaginous

    • Synovial

    • Functional:

    • Synarthrosis

    • Amphiarthrotic

    • Diarthrotic

  • Selected Joints:

    • Temporal

    • Elbow

    • Shoulder

    • Knee

    • Ankle


9.1 Classification of Joints
  • Joints (articulations): Points where bones, cartilage, or teeth come together.

  • Characteristics:

    • Weaker points in the skeleton but capable of resisting forces.

    • Classified by structure (composition) and function (movement).

  • Arthrology: Study of joints.


Structural Classifications

  1. Fibrous Joints:

    • Connected by dense connective tissue.

    • Generally immobile or slightly mobile.

  2. Cartilaginous Joints:

    • Connected by cartilage.

    • Generally immobile or slightly mobile.

  3. Synovial Joints:

    • Connected by ligaments, featuring a fluid-filled cavity.

Functional Classifications

  1. Synarthroses: Immobile joints (fibrous or cartilaginous).

  2. Amphiarthroses: Slightly mobile joints (fibrous or cartilaginous).

  3. Diarthroses: Freely mobile joints (all synovial JOINTS).


9.2 Fibrous Joints
  • Types:

    1. Gomphoses: Joints between teeth and jawbone.

    2. Sutures: Found in the skull, immovable.

    3. Syndesmoses: Slightly movable joints, e.g., between certain long bones.

  • Connected by dense regular connective tissue

  • immobile or only slightly mobile


9.3 Cartilaginous Joints
  • Cartilaginous Joints: Cartilage between ends of articulating bones: no joint cavity

  • Types:

    1. Synchondroses: Composed entirely of hyaline cartilage, immobile.

    2. Symphyses: Composed of fibrocartilage, Compression. slightly movable (e.g., pubic symphysis).


9.4a Synovial Joints
  • Characteristics:

    • Freely mobile diarthroses featuring:

    • Articular capsule: Surrounds joints with two layers.

    • Synovial fluid: Lubricates and nourishes cartilage.

      • Lubricates articular cartilage

      • act as a shock absorber

      • nourished the chondrocytes

    • Articular cartilage: Reduces friction during movement. (Hyaline cartilage on bone surface)

    • Ligaments & nerves: Provide stability and feedback.

      • connect one bone to another

      • Extrinsic Ligament: physically separate from articular capsule.

      • Intrinsic Ligament: Located within the articular capsule, these ligaments help to connect bone ends and provide additional support during joint movement.

      • Tendons: dense regular connective tissue. Attach muscle to bone


Articular Capsule

  • Outer Fibrous Layer: Composed of dense connective tissue to prevent bone separation.

  • Inner Synovial membrane Layer: Synovial membrane that produces synovial fluid.


Additional Structures

  • Bursae: Sac-like structures reducing friction.

    • contains synovial fluid

    • connected to or separate from joint cavity

  • Fat pads: Protective packing material surrounding joints periphery.

  • Tendon sheaths: Encase tendons in areas of potential friction.

  • Sensory receptors and blood vessels

  • numerous in synovial joints

  • receptors detect pain stimuli.

  • They also provide information about joint position and movement, contributing to proprioception, which is essential for coordinated movement

  • Tendon sheath: Elongated bursae wrapped around tendons where friction is excessive

    • Common in wrist and ankle


Classification of Synovial Joints

  • By Movement:

    • Uniaxial: Movement in one plane or axis

      • plane joint: flat articular surfaces

      • limited to (side to side gliding movements) in a single plane

      • ex: small ones of wrist and foot

    • UNIAXIAL:

      • Hinge Joint: Convex surface within concave depression

    • UNIAXIAL:

      • Pivot Joint: Rotational movement around a single axis.

      • Rotation on longitudinal axis, allowing for specific movements such as turning the head or pronating the forearm.

    • Biaxial: Movement in two planes or axes

      • Condylar Joint: Oval, convex surface articulating with concave surface, but NO ROTAATION

    • Biaxial:

      • Saddle Joint: Convex and Concave surface resemble saddle shape, Two directions: SOME ROTATION

      • EX: Thumb

    • Multiaxial: Movement in multiple planes or axes

      • Ball and Socket Joint

      • Permit movement in 3 planes

      • Freely mobile type: EX- Shoulder and Hip

  • By Shape:

    • Plane

    • Hinge

    • Pivot

    • Condylar

    • Saddle

    • Ball-and-socket


9.5 Movements of Synovial Joints

Gliding Motion

  • Surfaces slide over each other (e.g., intercarpal joints). Carpals or Tarsals

    • back and forth

    • side to side


Angular Motion

  • Changes the angle between bones:

    • Flexion: Decreases angle.

    • Extension: Increases angle.

    • Abduction/Adduction: Movement away/closer to the midline.

    • Circumduction: Circular movement.

  • ANTERIOR - POSTERIOR PLANE:

  • Flexion: decreases the angle between bones

    • bring bones closer together

    • ex: bending fingers

  • Extension: (Opposite of Flexion) Increases angle between articulating bones

    • ex: straightening fingers

  • Hyperextension: Extension beyond normal rang of motion

    • Not normal motion, Can result in injury

  • CORNAL PLANE

  • Lateral Flexion: trunk of body moving in coronal plane laterally.

    • occurs between vertebrae in cervical and lumbar region.

  • Abduction: Lateral movement of body part (away from midline)

  • Adduction: towards midline

  • Circumduction: Circular movement of a body part, combining flexion, extension, abduction, and adduction in a sequence that describes a cone shape.


Rotational Motion

  • Bone rotates around its axis:

    • Medial: Turns anterior surface of bone medially

    • Lateral Rotation: turns anterior surface of the bone laterally, away from the midline of the body.

    • Pronation: medial rotation of forearm - palm of hand to posterior

    • Supination: lateral rotation of forearm - palm of hand to anterior


Special Movements

  • Elevation/Depression: Up/down movements (e.g., mouth opening/closing).

  • Eversion/Inversion: Foot movements.

  • Protraction/Retraction: Forward/backward movements (e.g., jaw).

  • Opposition/Reposition: Thumb movements.

  • Dorsiflexion/Plantar Flexion: Upward/downward movements of the foot, crucial for walking and running.


9.6 Synovial Joints and Levers
  • Biomechanics: Applying mechanical principles to biological systems.

  • Levers: Composed of a

    • fulcrum (pivot point), between effort and resistance

    • effort (force),

    • resistance (load).


Types of Levers

  1. First-Class Lever: Fulcrum is between effort and resistance (e.g., neck).

  2. Second-Class Lever: Resistance is between fulcrum and effort (e.g., standing tiptoe).

  3. Third-Class Lever: Effort applied between fulcrum and resistance (e.g., elbow).


9.7 Knee Joint
  • Largest Diarthrosis: Primarily a hinge joint that allows slight rotation and gliding.

  • Composed of 2 separate articulations

    • Tibiofemoral joint: between condyles of femur and condyles of tibia

    • Patellofemoral joint: between patella and patellar surface of femur

Structures of the Knee

  • Support and Stabilization:

    • Quadriceps femoris muscle tendon: Passes over knee’s anterior surface, surrounds patella

    • Patellar ligament: extends rom patella to tibial tuberosity

    • Fibular Collateral ligaments (fibular & tibial) reinforce lateral surface of joint

    • Menisci: C-shaped cartilages for cushioning.

    • Cruciate ligaments: ACL and PCL preventing excessive movements.


9.8 Joint Aging and Health
  • Arthritis: Group of conditions characterized by joint inflammation and degeneration.

    • Types include

    • Osteoarthritis: Degenerative joint conditions in older ppl

    • Gouty Arthritis: Inflammation due to high lvl of uric acid

    • Rheumatoid Arthritis: Autoimmune disorder causing joint inflammation and pain, often affecting both sides of the body symmetrically.

  • Joint Health:

    • Regular exercise enhances joint health but may exacerbate pre-existing conditions.


Clinical Notes

  • Injuries: Common injuries include collateral ligament injuries, sprains, Pott fractures, and meniscal tears.