joints Flashcards

1
Q

Structural classification of joints

A
Fibrous = held together by dense collagen fibers (dense regular connective tissue)
Cartilaginous = bones held together by cartilage
synovial = bones held together by ligaments
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2
Q

Functional classification of joints

A
Synarthrosis = immovable
Amphiarthrosis = slightly movable
Diarthrosis = freely movable
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3
Q

Types of Fibrous joints

A
  1. Sutures = occur b/t bones of skull –> synarthrosis (synostosis)
  2. Syndesmoses = interosseous membrane –> b/t tibia/fibula and radius/ulna –> amphiarthrosis
  3. Gomphoses = cone-shaped peg fits into socket –> teeth in mandible/maxilla –> synarthrosis
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4
Q

Cartilaginous joints

A
  1. Synchondroses = hyaline cartilage at epiphyseal growth plate and first rib/manubrium –> synarthrosis
  2. Symphyses = discs of fibrocartilage –> pubic symphysis and intervertebral discs –> amphiarthrosis
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5
Q

Articular Capsule

A
  • sleeve-like capsule enclosing synovial cavity
  • composed of 2 layers: outer fibrous (continuum of periosteum) and inner synovial membrane (synoviocytes)

NO EPITHELIUM

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6
Q

Synovial Fluid

A
  • Secreted by synovial membrane
  • reduces friction
  • transports oxygen, nutrients, and waste to and from cartilage
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7
Q

Accessory ligaments and articular discs

A
  • Anterior and posterior cruciate ligaments
  • medial and lateral (tibial and fibular) collateral ligaments
  • menisci = pads of fibrocartilage that allow bones to fit better
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8
Q

Nerve and blood supply to joints

A
  • nerve endings respond to degree of movement and stretch at a joint
  • arterial branches from several different arteries merge around joint before penetrating the articular capsule
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9
Q

bursae

A
  • sac like structures with fluid similar to synovial fluid
  • b/t tendons and ligaments
  • cushions movement of body parts
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10
Q

Tendon sheath

A

Wraps around tendons to reduce friction

  • prominent in wrists
  • Ganglion cyst = tendon sheath bubbles up at wrist and fills with synovial fluid
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11
Q

4 types of synovial joint movement

A
  1. Gliding = simple side-to-side movement w/ limited range at intercarpal joint
  2. Angular movements = change angle between articulating bones –> flexsion/extension, ab/adduction, lateral flexsion, circumduction
  3. Rotation = bone revolves around its own longitudinal axis –> shaking head no, rotating humerus, turning knee inward (hip)
  4. Special movement = elevation/depression, protraction/retraction, inversion/eversion, dorsiflexion/plantar flexion, supination/pronation, opposition
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12
Q

Range of Motion (ROM)

A

refers to range, measured in degrees of a circle through which bones of a joint can be moved

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13
Q

Things that affect range of motion

A
  • shape of bones
  • strength/tension of ligaments
  • arrangement/tension of muscles
  • contact of soft parts
  • hormones (relaxin)
  • disuse (movement stimulates production of synovial fluid)
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14
Q

How are joints affected with age?

A
  • decrease in synovial fluid
  • articular cartilage thins
  • osteoarthritis could happen
  • stretching and aerobics helps to minimize these effects
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15
Q

osteoarthritis

A
  • “degenerative arthritis”
  • damage to articular cartilage
  • usually from wear and tear of weight-bearing joints and distal finger joints
  • sometimes a gene codes for weaker collagen
  • bone spurs could develop around area of friction
  • restricts movement
  • main reason for hip and knee replacements
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16
Q

Rheumatoid arthritis

A
  • unknown cause
  • affects smaller joints (fingers, wrists, ankles, feet)
  • affects synovial membrane –> swollen and inflamed –> thickens with time and clings to articular cartilage
  • cartilage breaks down (more lysosomal enzymes)
  • fibrous tissue forms at end of bones
  • ossification and bone fusion
17
Q

Intervertebral disc anatomy

A
  • outer fibrocartilage = anulus fibrosis

- inner elastic gelatinous material = nucleus pulposus

18
Q

slipped disc

A
  • anulus fibrosis is pushed into vertebral foramen

- due to weakened posterior longitudinal ligaments (which connect vertabrae bodies)

19
Q

herniated disc

A

nucleus pulposus breaks through anulus fibrosus into vertebral forament