articulation Flashcards

1
Q

what is a joint (articulation)

A

a point where two bones meet whether or not it is movable

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2
Q

what is the only joint where bone isnt joining bone

A

teeth –> gomphosis joint, periodontal ligaments

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3
Q

what holds joints together

A

skeletal muscle and connective tissue
tendons and ligaments
cartilage

ex. fibrocartilage discs joining bone of vertebrae
pubic symphasis joining pubi

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4
Q

what are the many functions of joints

A
  1. supporting and binding
    ex. PCL, ACL, MCL, LCL in the knee keep it together
  2. movement
    shape changing during childbirth
    movement in response to muscle contraction
  3. bone growth
    growth of bones occur at joints
    epiphyseal plate – a joint between bone adn bone that is connected with hyaline cartilage
    becomes a bony joint (epiphyseal line)
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5
Q

what are fontanels

A

softer and unfused bones of the skull in infants
not all attached to each other
immobile
they are growing and fusing together
so that they can overlap and make childbirth a little easier

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6
Q

what are synovial joints

A

the most moveable joints
most likely to be diseased or injured

ex. glenohumeral joint
gleno = glenoid cavity
humeral = humerus

ex. tibiofemoral joint
tibia and femur

ex. atlandtooccipital joint
atlas and occipital condyles

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7
Q

what is the articular cartilage of joints

A

hyaline cartilage on opposing bone surface
spongy cushion absorbs compression
<1 mm
prevents bone-bone contact (that is bad can lead to osteoarthritis D:)
the cavities in the cartilage (like a sponge) act as a cushion

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8
Q

what is the joint cavity of joints

A

cavity surrounding the whole joint which possesses a small amount of synovial fluid
unique to synovial joints

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9
Q

what is synovial fluid

A

a viscous, slippery fluid which occupies the joint cavity
its a weight bearing film that reduces friction
important to the normal health of joints

articular cartilage lacks a blood supply, but the joint cavity is highly vascularized and brings nutrients and takes wastes from the cartilage

the synovial fluid interacts with the articular cartilage to exchange these materials

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10
Q

why should you warm up before exercising?

A

warming up your joints reduces the viscosity of the synovial fluid, making it easier for it to permeate the cartilage and bring nutrients and take wastes

it is like you are saturating the sponge of cartilage to make it bigger and more cushiony

people with osteoporosis (or other joint troubles) need PT to help repair their joints
this increases the movement of fluid through the joint so that it can heal

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11
Q

what is the joint capsule

A

encloses the joint cavity and is made up of:

  1. synovial membrane
    deeper
    loose connective tissue
    has synovial cells which produce the synovial fluid
  2. fibrous capsule
    more superficial
    dense irregular connective tissue
    continuous with the articulating bones (in contact with the periosteum of bone)
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12
Q

what are the reinforcing ligaments in joints

A

ligaments that provide strength to the joint
typically have individual names (ex. medial collateral ligament MCL)

holds the entire joint capsule and the two bones together

ligaments stretch and do not recoil – if it is loose, it will stay loose

double jointed poeple –> their reinforcing ligaments are looser than in most people, allowing for no pain when doing funky things with joints

compressing the joint cavity –> popping the air bubbles of the synovial fluid

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13
Q

what are the menisci of joints and their functions

A

a fibrocartilage pad in between articulating bones

partially divide the joint cavity into left or right sections

functions:
- asborb shock and pressure
- guide bones and improve fit
- increase stability of joint

kind of like a half moon shape

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14
Q

why are knee injuries involving cartilage and ligaments problematic

A

they are not very vascularized and therefore cannot obtain nutrients/waste exchange from blood
its dependent on synovial fluid which is very slow

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15
Q

what is the point of arthroscopic surgery

A

makes it relatively easy to repair tears in cartilage or ligaments without being too invasive

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16
Q

what are the bursae of joints

A

fibrous sac filled with synovial fluid
superficial to joint

they cushion muscles and aids tendons in movement over joints

17
Q

what are tendon sheaths

A

type of bursae that are elongated, cylindrical bursae that cover tendons in wrists and hands
reduce friction and guide tendons to where they need to be

18
Q

what is bursitis

A

inflammation of bursae
caused by: impact, overextention, friction, bacterial infection
symptoms: pain/inflammation
treatment: rest/ice, anti inflammatory drugs/antibiotics, injection of corticosteriods (antinflammatory - reduces swelling), surgically draining them

bursae are not very deep to skin so they are easily infected

19
Q

what is luxation

A

L. luxare - to dislocate

bone dislocation - occurs when bones are forced out of alignment

causes inflammation, difficulty moving

common dislocations: shoulders, fingers, jaw

20
Q

why do some dislocations occur at the same joint

A

stretching of the joint capsule and ligaments means that you are likely to dislocate it again (ligaments stay stretched)

the fingers and jaw are largely held together by ligaments
the glenohumeral joint is not held together as tightly