the joints of the bones of limbs shandong university liu zhiyu
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The joints of the bones of limbs SHANDONG UNIVERSITY Liu Zhiyu. 一、 The joint of upper limb. Sternal end of clavicle Clavicular notch of sternum. (一) The joints of shoulder girdle. 1 、 Sternoclavicular Joint :. Composition :. Characteristic :. , articular disc. Articular disc.

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slide3
Sternal end of clavicleClavicular notch of sternum

(一)The joints of shoulder girdle

1、Sternoclavicular Joint:

Composition:

Characteristic:

articular disc

Articular disc

slide4
(一)The joints of shoulder girdle

Movements:

forwards and backwards (20-30°)

elevation and depression (60°)

circumduction

slide5
coracoacromial lig.

coracoid process

Acromion

Coracoacromial Ligament

acromion

coracoid process

2、Acromioclavicular Joint

Composition:

3、Coracoacromial Ligament

Coracoacromial arch:

slide6
(二)The joints of free upper limb

Glenoid cavity

Head of humorus

肱骨头

1、 Shoulder Joint

head of humerus

glenoid cavity of scapula

Composition:

Characteristic:

slide7
Accessory structures
  • Glenoid labrum :
  • Coracohumeral ligament
slide8
Movements:

flexion and extention,

adduction , abduction,

medial and lateral rotation,

circumduction

slide9
2、 Elbow Joint

Composition:

① Humeroulnar joint : formed by trochlear of humerus and troclear noch

② Humeroradial joint : formed by capitulum of humerus and head of radius

③ Proximal radioulnar joint:formed by articular circumference of radius and radial notch of ulna

slide10
Radial collacteral

ligament

Ulnar collacteral ligament

Annular ligament

of radius

Character:

①capsule:

②ligament:

Radial collacteral ligament 、

Ulnar collacteral ligament 、

Annular ligament of radius

slide12
3、Joints between radius and ulna
      • (1)Interosseous membrane of forearm
      • (2)Proximal radioulnar joint
  • (3)Distal radioulnar joint

movement

Pronation supination

slide13
4、Joints of Hand

(1)Radiocarpal Joint

Articular fossa——Carpal articular surface of radius and articular disc below the ulna

Composion

Articular head——Proximal row of carpal: scaphoid, lunate, and triquetral bones, but not pisiform

Characteristic:

Capsule is lax and strengthened by surrounding ligament

Movements:

flexion, extension,

adduction ,abduction

circumduction

slide14
4、Joints of Hand

(2)Intercarpal joints

(3)Carpometacarpal joints:

Carpometacarpal joint of thum

  • Carpometacarpal joint of thumb
    • Composition: trapezium and base of first metacarpal
    • Movement: flexion, extension, adduction, abduction, and opposition
slide15
(4)Metacarpophalangeal joints

(5)Interphalangeal joints

slide17
Composition auricular surface of ilium

auricular surface of sacrum

(一) The joints of pelvic girdle

1、 Sacroiliac Joint:

slide18
greater sciatic foramen

Sacrospinous Ligament

Sacrotuberous Ligament

lesser sciatic foramen

(1)Sacrotuberous Ligament

(2)Sacrospinous Ligament

greatersciatic foramen

lesser sciatic foramen

slide19
symphysial surface
  • interpubic disc

interpubic disc

3、Pubic Symphysis

4、 Obturator Membrane

Composition:

slide20
portions:
  • greater pelvis
  • lesser pelvis

5、 Pelvis

  • Composition:
  • paired hip bones
  • sacrum
  • coccyx

terminal line

slide21
Terminal line:formed by

promontory of sacrum, arcuate line,

pecten of pubis, pubic tubercle,

upper border of pubic symphysis

lesser pelvis

Pelvic inlet

Pelvic outlet

tip of coccyx,

sacrotuberous ligament,

ischial tuberosity,

ramus of ischium,

inferior ramus of pubissymphysis

slide22
Male

female

Overall

Narrow and long

Wide and short

Inlet

Oval or heart shaped

Round

Subpubic angle

Acute angle

(70~750)

Right angle

(90~1000 )

Pelvic cavity

Deep ,narrow

Shallower, wide

Outlet

Small

Larger

6. Main difference between male and femal pelvis

slide23
(二)joints of free lower limb

1、 Hip Joint

(1) Composition:

Acetabulum

femoral head

(2) Characteristic:

① acetabulum labrum

  • Articular capsule attachments:
slide24
③ ligaments:
  • iliofemoral ligament
  • Ligament of head of femur
  • transverse acetebular ligament
  • Pubofemoral lig.
  • Ischiofemoral ligament
slide25
Flexion

Extention

Addution

Abdution

(3) movement:

Medial and lateral rotation

Circumdution

slide26
2、Knee Joint

(1)Composition:

(2)Characteristic:

① ligaments:

    • patellar lig.
    • Fibular collateral lig.
    • TibiaL collateral lig
    • Cruciate lig. Of knee
  • anterior cruciate lig.
  • posterior cruciate lig.
slide27
2、Knee Joint

(2) Characteristic:

② meniscus

medial meniscus:C

Lateral meniscus:O

③synovial membrane:

Suprapatellar bursa

Alar folds

slide28
(3) movements:

flexion、extention,

slide29
3、joints between tibia and fibula

Tibiofibular joint

Crural interosseous membrane

Anterior and posterior tibiofibular lig.

slide30
4、Joints of Foot

fibula

tibia

Talus

(1)talocrural jiont( Ankle Joint )

Composition

Distal end of tibia and fibula

Trochlea of talus

Characteristic:

Medial lig.

Lateral lig.

Movement:

dorsiflexion

Plantaflexion

slide31
(2) Intertarsal joint

Transverse tarsal joint

Calcaneocuboid joint talocalcaneonavicular joint

Movements:

inversion

eversion

slide32
(3)Tarsometatarsal joint

(4)Intermetatarsal joint

(5)Metatarsophalangeal joint

(6) Interphalangeal joint

slide33
5、Arch of foot:

Medial longitudinal arch

Lateral longitudinal arch

transverse arch

slide38
supination

pronation

slide44
Interphalangeal joint

Metatarsophalangeal joint

Tarsometatarsal joint

slide46
Fibular

Collateral

ligament

Tibial collateral

ligament

Patellar ligament

slide47
Posterior cruciate ligament

Anterior cruciate ligment

slide48
Medial meniscus

lateral meniscus

slide49
smooth muscle

cardiac muscle

skeletal muscle 

Myology

Introduction

slide50
Muscles of head

Muscles of neck

Muscles of trunk

Muscles of upper limb

Muscles of lower loimb

slide51
Shape and structure of skeletal muscles

aponeurosis

Long muscle

Short muscle

Flate muscle

Orbicular muscle

Structure:

Muscle Belly

Tendon

Tendinous intersections

slide53
(一)Fascia

Superficial fascia

Deep fascia

(二)Synovial Bursa

slide54
(三) Tendinous Sheath

Fibrous layer

Synovial layer mesotendon

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