Joints Flashcards

(57 cards)

1
Q

What does it mean to have hypermobility?

A

Double-jointed; when someone’s joints has more range of motion

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2
Q

What are causes of hypermobility?

A
  • abnormally shaped ends of one or more bones in a joint
  • weak ligaments (due to differences in protein structures, genetics, and/or hormone levels)
  • stretched ligaments due to training
  • muscle tone can influence ROM of joins (yoga exercise vs body building)
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3
Q

How manty joints are in the human body?

A

230

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4
Q

What is an articulation/joint?

A

Where 2 bones interconnect

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5
Q

What is the function of joints?

A

To hold bones together and allow movement

  • each joint has a compromise between the need for strength and the need for mobility
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6
Q

What are the two ways to classify joints?

A

Structural and Functional

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7
Q

What are the structural classifications of joints?

A

Based on the structure holding bones together

  1. Bony fusion
  2. Fibrous joint
  3. Cartilaginous
  4. Synovial joints
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8
Q

What are the functional classifications of joints?

A

Based on the range of motion of joints

  1. synarthroses (immovable; fibrous or cartilaginous and may eventually fuse)
  2. amphiarthrosis (slightly/limited movable; fibrous or cartilaginous)
  3. diarthroses (freely movable; synovial; contains synovial fluid)
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9
Q

Summary of types of joints; Synarthroses

A

Immovable

a) sutures: dense fibrous connective tissue between the skull bones
b) gomphoses: fibrous connective tissue periodontal ligament that binds teeth to the jaw
c) synchondroses: cartilaginous rigid bridge between two bones (epiphyseal cartilage of long bones)
d) synostosis: bony fusion, two completely rigid bones fused together so that the boundary disappears (e.g. epiphyseal lines)

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10
Q

Summary of types of joints; Amphiarthroses

A

Slightly movable; collagen fibres or cartilage

a) syndesmoses: fibrous ligament between tibia and fibula
b) symphysis: fibrous cartilaginous pad between vertebrae
c) interosseous membrane: fibrous

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11
Q

Summary of types of joints; Diarthroses

A

Freely movable; fibrous articular capsule containing synovial fluid

a) synovial: ends of long bones

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12
Q

What are gomphoses?

A

Synarthroses:

Fibrous connective tissue: periodontal ligament that binds teeth to the jaw

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13
Q

What are synchondroses?

A

Synarthroses:

Rigid bridge of cartilage between two bones

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14
Q

What are synostoses?

A

Synarthroses:

Totally rigid, two bones fused together so that boundary disappears

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15
Q

What are syndesmoses?

A

Amphiarthroses:

bones connected by a ligament (made of collagen); fibrous joint

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16
Q

What is symphysis?

A

Amphiarthroses:

Bones separated by a fibrous cartilage pad

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17
Q

What is interosseous membrane?

A

Amphiarthroses:

Between diaphysis of the tibia and fibula, lots of collagen, very fibrous

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18
Q

What is articular cartilage?

A

Resembles hyaline cartilage but no perichondrium, higher water content than normal, and synovial fluid produced by synovial membranes

function: to prevent bone-to-bone contact and reduce friction

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19
Q

What is the joint cavity?

A

A synovial cavity

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20
Q

What lines the joint cavity?

A

a) Articular capsule; fibrous layer continuous with periostea of the articulating bones

b) Synovial membrane; outer layer of loose areolar connective tissue plus incomplete inner layer of synoviocytes and macrophages that do not extend over the articulating parts of the articular cartilage and menisci

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21
Q

What is synovial fluid?

A

Fluid that fills cavity and is secreted by synoviocytes of the inner layer ‘epithelium’ chemical makeup

  • similar to interstitial fluid with high levels of proteoglycans
  • clear and viscous

functions: lubrication to reduce friction, nutrient distribution from vessels in synovial membrane areolar tissue, shock absorption; distributing shock evenly across articular surfaces

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22
Q

What are the accessory structures of some synovial joints?

A

articular discs/menisci, fatty pads, ligaments, bursae, tendon sheath

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23
Q

What are articular discs/menisci?

A

Articular discs or menisci: wedges of fibrocartilage separating the articular surfaces
functions: channel the flow of synovial fluid

24
Q

What are fatty pads?

A

Fatty pads: between fibrous capsule and synovial membrane or bone, covered with layer of synovial membrane
functions: protect articulating surfaces, packing material: filling in spaces as joint cavity changes shape

25
What are ligaments?
Connective tissues that stabilize joints and connect bones strengthen and support the joint; reinforcement
26
What are the additional lubricating structures of synovial joints?
Bursae: small, fluid-filled pockets Tendon sheath: similar structure, wraps around joint to limit and support the joint's range of motion
27
What are the (4) factors that stabilize synovial joints?
1. Articular surfaces shapes 2. Collagen fibres of the joint capsule and any ligaments present 3. Presence of other bones, skeletal muscle, fat pads, or cartilage 4. Tension in tendons and muscle contraction muscle tone; moves bone in a specific direction
28
What is luxation?
Dislocation; when bones come out of alignment result: can tear the capsule wall, making the shoulder more prone to future dislocations sensory neurons in joint capsule, ligaments, tendons (but not in joint cavity) to sense paint
29
What are the forms of dynamic motion?
Initial position Gliding movement Angular motion Circumduction Rotation
30
What are the types of synovial joints? (7)
1. Ball and socket (hip, shoulder) 2. Ellipsoidal/Condyloid (metacarpals to phalanges, mandible to temporal 3. Saddle (thumb) 4. Hinge (elbow, phalanges) 5. Pivot (radius to ulna, atlas to axis) 6. Gliding (wrist, ankle, vertebra) 7. Plane/Gliding (intervertebral discs)
31
What are ball and socket joints?
Motion allowed: triaxial - angular, circumduction, rotation Examples: hips, shoulder
32
What are ellipsoidal/condyloid joints?
Oval end of one bone fits into depression of another Motion allowed: biaxial - angular Examples: radiocarpal joint, metacarpophalangeal 2-5 (where fingers meet palm)
33
What are saddle joints?
Similar to ellipsoid joint, with more range Motional allowed: biaxial - angular? Examples: base of thumb
34
What are hinge joints?
Rounded end of one bone fits in groove of another Motion allowed: monaxial Examples: elbow, knee, between phalanges
35
What are pivot joints?
Rounded end of one bone fits through the ligament attached to the other Motion allowed: monaxial (rotation) Examples: joint between first two vertebrae, proximal radioulnar joint
36
What are gliding joints?
Planar joints Motion allowed: monoaxial/multia Examples: between clavicle and sternum, intercarpal and intertarsal
37
What is flexion?
Motion in atero-posterior plane, reduces angle between articulating bones
38
What is extension?
Oppose of flexion, returns bones to anatomical position
39
What is hyperextension?
Extension beyond anatomical position
40
What is abduction?
Swing away from the long axis of the body; movement of a limb laterally away from the midpoint of the body
41
What is adduction?
Opposite of abduction, returning to anatomical position; movement of a limb medially towards the body
42
What is circumduction?
Movement of a body region in a circular motion
43
What is supination?
Palm faces forwards; aligned with the anterior of the body; radius and ulna are parallel
44
What is pronation?
Palm turns backwards; aligned with the posterior of the body; radius crosses over ulna
45
What is lateral rotation?
External rotation, anterior surfaces moves away from long axis
46
What is medial rotation?
Internal rotation, anterior surfaces moves towards long axis
47
What is lateral flexion?
The movement of the body laterally; side-bending
48
What is elevation?
Movement in the superior direction
49
What is depression?
Movement in the inferior direction
50
What is dorsiflexion?
Backward bending and contraction of the hand or foot (ankle flexion)
51
What is plantar flexion?
Ankle bends in the direction that points the feet forward
52
What is dislocation?
Bones forced out of alignment - can damage the articular - can tear ligaments - can distort the joint capsule
53
What is bursitis?
Inflammation of bursa - wearing tight, pointy shoes
54
What is tendonitis?
Inflammation of the tendon sheath
55
What is arthritis?
Inflammatory or degenerative disease in joint
56
What is osteroarthritis?
Result of normal wear and tear, usually affects older people - articular cartilage becomes damaged/roughened, breaks down (poor collagen formation) - bones may rub together, form spurs and inflammation - slow and progressive
57
What is rheumatoid arthritis?
An autoimmune disease triggered by bacteria or viral infection or other causes (genetics) that can occur at any age - massive inflammation of synovial membrane, swelling - scar tissue forms on articular surfaces, synovial membranes may ossify, forming spurs