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Chapter 9: Articulations. Articulations. Body movement occurs at joints where 2 bones connect Articulation = joints; site where two or more bones meet. Joint Structure. Determines direction and distance of movement ( range of motion ) Joint strength decreases as mobility increases.

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articulations
Articulations
  • Body movement occurs at joints where 2 bones connect
  • Articulation = joints; site where two or more bones meet
joint structure
Joint Structure
  • Determines direction and distance of movement (range of motion)
  • Joint strength decreases as mobility increases
anatomical structural classification of joints based on connecting material
Anatomical/Structural Classification of Joints (based on connecting material
  • Fibrous: bones joined by fibrous CT with no space
  • Cartilaginous: bones joined by pad or bridge of cartilage
  • Synovial: bones separated by fluid-filled cavity, surrounded by CT
physiological functional classifications of joints based on the amount of movement
Physiological/Functional Classifications of Joints:(based on the amount of movement)
  • Synarthrosis: immovable joints

- No movement

- Fibrous or cartilaginous connections

  • Amphiarthrosis: slightly moveable joint

- Little movement

- Fibrous or cartilaginous connections

  • Diarthrosis: freely moveable joint

- More movement

- always synovial connections

slide7

What common characteristics do typical synarthrotic and amphiarthrotic joints share?

joint capsules filled with fluids

non-restricted movement of bony regions

bony regions separated by fibrous connective tissue

articular cartilages and bursae

synarthroses immovable joints
Synarthroses (Immovable Joints)
  • Are very strong
  • Edges of bones may touch or interlock
  • 4 Types of Synarthrotic Joints
    • Suture
    • Gomphosis
    • Synchondrosis
    • Synostosis
1 synarthoroses
1. Synarthoroses

* Immoveable Strength

  • Synotosis: fused bones

- Suture of skull and epiphyseal lines of long bones

  • Suture: interlocked bones, sealed with dense CT

- Found only in the skull

  • Gomphosis: tooth in alveolar socket, held by peridontal ligament

- Binds teeth to sockets

  • Synchrondrosis: hyaline cartilage bridge between bones

- Epiphyseal cartilage of long bones and between

vertebrosternal ribs and sternum

2 amphiarthroses
2. Amphiarthroses

* Slightly Moveable, strength with some mobility

  • Syndesmosis: bones connected by ligament
  • Symphasis: bones separated by pad of fibrocartilage
3 diarthorses synovial joints
3. Diarthorses = Synovial Joints
  • Great mobility, less strength and stability
  • At ends of long bones
  • Within articular capsules
  • Lined with synovial membrane
features of synovial joints
Features of Synovial Joints
  • Articular Cartilage
  • Synovial Cavity
  • Articular Capsule
  • Synovial Fluid
  • Accessory Structures

- Meniscus, fat pad, accessory ligaments, tendons, bursa, synovial tendon sheath

slide13

Marrow cavity

Spongy bone

Periosteum

Synovial membrane

Articular cartilage

Joint cavity (containing

synovial fluid)

Articular capsule

Compact bone

(a)

Quadriceps tendon

Bursa

Joint capsule

Femur

Patella

Synovial

ligament

Articular cartilage

Fat pad

Meniscus

Patellar ligament

T

ibia

Joint cavity

Meniscus

Intracapsular ligament

(b)

1 articular cartilages
1. Articular Cartilages
  • Hyaline cartilage
  • No perichondrium or periosteum
  • Pad articulating surfaces within articular capsules:
    • prevent bones from touching
  • Smooth surfaces lubricated by synovial fluid:
    • reduce friction
features of synovial joints15
Features of Synovial Joints
  • Synovial cavity:
    • Space between/around opposing bones
    • Has synovial fluid
  • Articular Capsule: 2 layers
    • Outer
      • dense irregular connective tissue, continuous with periosteum
    • Inner
      • synovial membrane (areolar CT), covers inside surface of cavity except articular cartilage, secretes synovial fluid
4 synovial fluid
4. Synovial Fluid
  • filtrate from blood plasma + hyaluronic acid from fibroblasts

* Functions:

1. Lubrication

2. Nutrient distribution: diffusion

medium

3. Shock absorption

synovial joints accessory structures
Synovial Joints: Accessory Structures
  • Cartilages (Meniscus)
  • Fat pads
  • Ligaments
  • Tendons
  • Bursae
  • Synovial Tendon Sheath
synovial joints accessory structures18
Synovial Joints: Accessory Structures
  • Meniscus:
    • fibrocartilage pad = articular disc
    • Subdivides cavity or changes shape of articular surface, limits range of motion
    • Cushion the joint
  • Fat Pad:
    • Adipose
    • Superficial to joint capsule,
    • Function: protection and space filler
synovial joints accessory structures19
Synovial Joints: Accessory Structures
  • Accessory Ligaments:
    • Dense regular connective tissue
    • Either part of capsule, inside joint, or outside capsule
    • Function: support and strengthen joint
    • Sprain: Ligaments with torn collagen fibers
  • Tendons:
    • Dense regular connective tissue
    • Attach muscle to bone
    • Function: Add stability to the joint
synovial joints accessory structures20
Synovial Joints: Accessory Structures
  • Bursa:
    • Synovial fluid filled pocket
    • Function: reduces friction
      • Cushion areas where tendons or ligaments rub
  • Synovial Tendon Sheath:

- Tubular bursa around a tendon

synovial joints stabilizing factors
Synovial Joints: Stabilizing Factors
  • Prevent injury by limiting range of motion:
    • collagen fibers (joint capsule, ligaments)
    • articulating surfaces and menisci
    • other bones, muscles, or fat pads
    • tendons of articulating bones
slide23

In a newborn infant, the large bones of the skull are joined by fibrous connective tissue. Which type of joints are these? The bones later grow, interlock, and form immovable joints. Which type of joints are these?

synarthrosis; gomphosis

symphysis; sutural

synchondrosis; synostosis

syndesmosis; sutural

slide24

Why would improper circulation of synovial fluid lead to the degeneration of articular cartilages in the affected joint?

Synovial fluid nourishes articular cartilage.

Blood flow follows synovial fluid circulation.

Articular cartilage is composed of synovial fluid.

Both A and B.

joint injuries
Joint Injuries
  • Sprain: damage to ligament
    • Some collagen torn, slow to heal
  • Bursitis:
    • Inflammation of a bursa due to trauma, infection, or repetitive motion

** Synovial joints stabilized by articular capsule and accessory structures to restrict mobility:

Increase Mobility = Decrease Stability = Increase chance of

dislocation

injuries
Injuries
  • Luxation:
    • Dislocation
      • articulating surfaces forced out of position
    • Joint Displacement
    • Usually damages articular cartilage, ligaments, and joint capsule
    • Pain receptors in all CT of the Joint, except articular cartilage, to prevent actions
  • Subluxation:
    • Partial dislocation
    • Displacement beyond usual anatomical limitation
      • “Double Jointed”
movements at synovial joints
Movements at Synovial Joints
  • Linear Movements:
    • Gliding: slight movement in any direction
  • Angular Movements: one plane of motion
    • Flexion: reduce angle in frontal plane
    • Extension: increase angle in frontal place
    • Hyperextension: extension past anatomical position
    • Abduction: move away from longitudinal axis in

sagittal plane

    • Adduction: move toward longitudinal axis in

sagittal plane

    • Circumduction: move in loop without rotation
  • Rotational Movements: turn on axis
    • Medial Rotation: turn in toward body
    • Lateral Rotation: turn out away from body
linear motion
Linear Motion
  • Pencil maintains vertical orientation, but changes position

Figure 9–2a, b

angular motion
Angular Motion
  • Pencil maintains position, but changes orientation

Figure 9–2c

circumduction
Circumduction
  • Circular angular motion

Figure 9–2d

rotation
Rotation
  • Pencil maintains position and orientation, but spins

Figure 9–2e

angular movement flexion vs extension
Angular Movement: Flexion Vs. Extension
  • Flexion
    • Angular motion
    • Anterior–posterior plane
    • Reduces angle between elements
  • Extension
    • Angular motion
    • Anterior–posterior plane
    • Increases angle between elements
abduction vs adduction
Abduction Vs. Adduction
  • Abduction:
    • Angular motion
    • Frontal plane
    • Moves away from longitudinal axis
  • Adduction:
    • Angular motion
    • Frontal plane
    • Moves toward longitudinal axis
circumduction37
Circumduction
  • Circular motion without rotation
  • Angular motion

Figure 9–3d

special and specific motion
Special and Specific Motion
  • Inversion: turn sole inward
  • Eversion: turn sole outward
  • Dorsiflexion: lift toes
  • Plantar flexion: lift heal
  • Opposition: thumb across palm
  • Pronation: medial rotation of radius
  • Superination: lateral rotation of radius
  • Protraction: move anterior (toward front)
  • Retraction: move posterior (toward back)
  • Elevation: move superior (toward head)
  • Depression: move inferior (toward feet)
ranges of motion
Ranges of Motion
  • Monaxial: movement in 1 plane
  • Biaxial: movement in 2 planes
  • Triaxial: movement in 3 planes
  • Multiaxial: gliding joints, all directions
slide42

When you do jumping jacks, which lower limb movements are necessary?

flexion and extension

abduction and adduction

flexion and abduction

plantar flexion and eversion

classification of synovial joints by shape
Classification of Synovial Joints by Shape
  • Gliding
  • Hinge
  • Pivot
  • Ellipsoidal
  • Saddle
  • Ball-and-socket
gliding plane joints
Gliding/Plane Joints
  • Flattened or slightly curved faces
  • Slide in any direction

Figure 9–6 (1 of 6)

hinge joints
Hinge Joints
  • Cylindrical projections in trough-shaped surface
  • Angular motion in a single plane (monaxial)

Figure 9–6 (2 of 6)

pivot joints
Pivot Joints
  • Round projection in ring shaped depression
  • Rotation only (monaxial)

Figure 9–6 (3 of 6)

ellipsoidal joints
Ellipsoidal Joints
  • Oval articular facet within an oval depression
  • Motion in 2 planes (biaxial)

Figure 9–6 (4 of 6)

saddle joints
Saddle Joints
  • 2 concave faces into convex
  • Straddled (biaxial)

Figure 9–6 (5 of 6)

ball and socket joints
Ball-and-Socket Joints
  • Spherical head into cup-like socket
  • Round articular face in a depression (triaxial)

Figure 9–6 (6 of 6)

key concept
KEY CONCEPT
  • A joint can’t be both mobile and strong
  • The greater the mobility, the weaker the joint
  • Mobile joints are supported by muscles and ligaments, not bone-to-bone connections
damage to intervertebral discs55
Damage to Intervertebral Discs
  • Slipped disc:
    • bulge in anulus fibrosus
    • invades vertebral canal
  • Herniated disc:
    • nucleuspulposus breaks through anulus fibrosus
    • presses on spinal cord or nerves
the elbow joint
The Elbow Joint

Figure 9–10

the hip joint
The Hip Joint

Figure 9–11b, c

the knee joint
The Knee Joint

Figure 9–12a, b

age related changes
Age Related Changes
  • Rheumatism:
    • Pain and stiffness of skeletal system
  • Arthritis:
    • Rheumatism of synovial joints, caused by damage to articular cartilage
    • Osteoarthritis:

- Age 60+, cumulative wear and tear erodes cartilage

    • Rheumatoid Arthritis:

- Autoimmune attack, chronic inflammation and damage to joint

- Ankylosis: ossification of the joint due to untreated RA

    • Gouty Arthritis:
      • Crystals of uric acid from nucleic acid metabolism form in synovial fluid, damage cartilage
      • Due to metabolic disorders