articulations dr. carla sweet...arthrology-the study of the structure and function of joints...
TRANSCRIPT
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Arthrology- thestudyofthestructureandfunctionofjointsJoint-anylocationwheretwoormorebonesarticulate.
Articulation- asynonymforjoint.
Articulations Bio230-Dr.CarlaSweet
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Classificationofjoints
A. StructuralClassification-focusesonthematerialbindingthebonestogetherandwhetherornotaJOINTCAVITYispresent.1.FibrousJoints- herethebonesarejoinedtogetherbyFibrousTissue(denseconnectivetissue).Nojointcavity.
ex.thethesuturesbetweenbonesoftheskull,veryshortdenseconnectivetissuefibers(collagen),holdthebonestogether.2.Cartilaginousjoints- thebonesareheldtogetherbyCartilage.Nojointcavity.ex.fibrocartilage ofsymphsis pubisandintervertebral discs.3.SynovialJoints- thearticulatingbonesareseparatedbyafluidcontainingjoint
cavity.
B.FunctionalClassification-basedontheamountofmovementallowedatthejoint.1.Synarthrosis=nomovement2.Amphiarthrosis =slightlymovablejoints3.Diarthrosis=freelymovablejoints
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Examples:1.Suture2.Gomphosis-Betweentheteethandjaws
Synarthrosis- immovablejoints&nojointcavityHereBonesareheldtightlytogetherbydense(fibrous)connectivetissue.
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Ex.–symphysis pubis-intervertebral disks
Amphiarthrosis- slightlyimmovablejoints&nojointcavityHereBonesunitedbycartilage
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Diathrosis-freelymoveable&haveasynovialjointcavity
Examples:•shoulder•elbow•wrist•hip•thumb•ankle•knee
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Featuresofasynovialjoint1. Articular Cartilage2. Synovial(joint)Cavity3. Articular Capsule(2layers)
a.Outerlayer=fibrouslayer,madeofdenseirregularC.T.Continuouswithperiosteum.b.Innerlayer=synovialmembrane(looseC.T.)Coversallinternaljt.surfacesnotcoveredbycartilage.
4. SynovialFluid(madebythesynovialmembrane)
5.ReinforcingLigaments
Featuresofasynovialjoint
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Otherstructuresusuallypresentinsynovialjoints:1.Meniscus- (foundinknees)2.Bursa- (multiplelocations)3.Tendonsheaths
Bursae-(plofbursa)foundthroughoutthebody;largestintheshoulder,elbow,knee,andhipjoints.
Tendonsheaths-Modifiedbursathatsurroundcertaintendons.Foundwheretendonscrossjoints(exwrist&ankles)
ankle
Menisci(pluralofmeniscus)-cushionsoffibrocartilage
Bursae andtendonsheathsarebagsoflubricantthatreducefrictionatsynovialjoints
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MovementsofSynovialJoints
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Movementsofvariousjoints
Flexion = decreases the angle between bones, brings bones closer together.
Extension = reverse of flexion.
Hyperextension = moving beyond anatomical position.
hyperextension not seen in elbow or knee.
Angularmovementsincreaseordecreasetheanglebetweentwobones.Thesemovementsinclude:Flexion/Extension,Abduction/Adduction andCircumduction
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Flexion/Extensioncanoccurinthefollowingjoints:Neck,shoulder,elbow,wrist,fingers,trunk,hip,knee,ankleandtoesBesureyoucandemonstratethesemovementsateachjointlocationlistedabove.
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Abduction- movingawayfromtheanatomicalpositionintheFrontalplane.
Adduction- returningtotheanatomicalpositionintheFrontalplane.
The terms abduction and adduction refer to the ACTION, NOT THE APPENDAGE that you are moving (you can abduct and adduct your shoulder, legs at the hip joint, your fingers and wrists. Be sure you can demonstrate these movements)
ABDUCTION:ADDUCTION
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Wrist Abduction (aka Radial flexion) = tilting the hand towards the thumb (towards the radius)
Wrist Adduction (aka Ulnar flexion) = tilting hand towards the pinky finger (towards the ulna)
Abduction of the FINGERS is when you spread your fingers apart, Adduction is when you bring your fingers back together.
In terms of your fingers:
Flexion = curling fingers (like a fist)
Extension = pointing your fingers
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Circumduction = 1 end of thejoint remains stationary, the otherend makes a CIRCLE.
Only in a ball and socket joint(shoulder & hip)
Rotation=themovementofabodypartarounditsownaxis.ThinkC1:C-2!Shakinghead“no”.Otherexamplesbelowatshoulder&hip.
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Movementsofballandsocketjoint
Your shoulder (ball and socket) is a good example of a joint that is “multiarticulate”
The ball and socket allows for:
Abduction & adduction of the arm (flap your arms like a bird , jumping jacks)
•Flexion of the arm (extending to shake a hand or open a door)
•Rotation of the arm (sweeping your desk)
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In terms of ANKLE movements
Dorsiflection = lift toes/foot up
towards shin
(standing on your heels)
Zero position = feet flat on the
ground, standing up
Plantar flexion = pointing toes/foot
down (standing on your toes)
In terms of your FEETInversion= only happens in feet, when the foot is turned so the sole is facing inward.
Eversion= happens only in the feet, when the foot is turned so the sole is outward.
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Supination =ONLY for FOREARM, when
you turn your forearm so that the palms
face forward or ventral (anatomical position).
Pronation = ONLY for the forearm, when
you turn your forearm so that the palm
faces posterior or dorsal.
Pronation brings the radius across the ulna
so the two bones form an X.
Supination:Pronation- refertomovementsofradiusaroundtheulna
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Elevation = is the upward movement of a body part
Depression = moving the elevated part inferiorly.
Ex, Shrugging shoulder, opening and closing mouth (mandible)
SpecialMovements
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Opposition:Foundonlyinthethumbjoint.Allowsthethumbtotouchtheotherfingersinthesamehand.Thisuniqueactioniswhatmakesthehumanhandabletograspandmanipulateobjects.Humanshave“OpposableThumbs”
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PROTRACTION =themovementofabodypartanteriorly (themandibleandthescapula)RETRACTION=isthemovementofabodypartposteriorly (mandibleandthescapula).
retraction protraction
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BallandSocket:Triaxial joint-permitsmovementinallthreeplanes.Roundedconvexsurfacewithcuplikecavity.Ex.Shoulder&hipAllow- flexion:extension
-adduction:abduction-circumduction-internal(medial)rotation:external(lateral)rotation
TypesofSynovialJoints(6)
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HingejointSurfaceofoneboneconcavetheotherconvexMonoaxial-movementinoneplane
Onlyallow- flexion:extension
Ex.Knee,elbowandinterphalangeal joints
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Pivotjoint:limitedtorotationaroundacentralaxis.(monoaxial)ex.- atlas&axis
-proximalarticulationofradiusandulna
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Condyloid Joint(akaellipsoidaljoint)-Theovalsurfaceofonebonefitsintothedepressionofanotherbonebiaxial(canmoveintwoplanes).Allows- Flexion:extension andabduction:adduction
examples:radiocarpaljoint(wristjt.),metacarpophalangealjoints2-5
---
radiocarpal joint metacarpophalangeal joint
è -------------Lunate
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SaddleJoint- foundonlyinthethumb(firstcarpometcarpal joint)Allowforextensiveangularmotion(nottruerotation).Classifiedasabiaxial“plus”jt.Allows- flexion:extension;abduction:adduction
andthumbopposition.
RememberThethumbswingsfromthetrapezium.Allowsforthumbopposition
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Plane(Gliding)Joint- -gliding(sliding)indifferentplanes.Examples:1.Sternoclavicular jt.2.Acromioclavicularjoint3.intercarpal joints4.Sacroiliacjoint
113
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Theshoulderjoint(Glenohumeral joint)Howit“hangs”together.Asynovialjointwithlotsofligamentsandbursae.
bursae
Stabilityhasbeensacrificedtoprovidethemostfreelymovingjointinthebody.
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Hipjointandit’sligaments.Deepsocket(acetabulum),andligamentsprovidesstrength&stabilitytoHipJoint.
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Hip:asynovialjoint
SynovialJointofhip
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KneejointSynovialjointwithitsLigaments,bursae,menisci
Kneestructurestoknow!- Medial(tibial)andLateral(fibular)collateral
ligaments.- - AnteriorandPosteriorcruciateligaments)are
insidethearticularcapsule)- Medialmeniscus;lateralmeniscus- Articularcartilage- Quadricepstendon- Patellarligament
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UnhappyTriade:Ruptured:1.AnteriorCruciateLigament(ACL)2.MedialCollateralLigament(MCL)and3.Medialmeniscus.
Commonsportsinjury
CommonsportsInjury
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ClinicalJoints
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Whatdoyouseewrongwithx-raybelow?
Normal
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Calcific tendenitis iscommonlyseenabouttheshoulder.Thetypicalappearanceisthatofsmallfocalglobsofamorphouscalcification,usuallyseenaroundthesupraspinatus tendon.
Normalshoulder
*î
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BoneonBone;Toseeatotalkneereplacementsurgery(notforthefaint)goto:https://www.broadcastmed.com/orthopedics/4919/videos/computer-assisted-total-knee-replacement
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Rheumatoidarthritis- anautoimmunediseasethatoccurswhenthebody’simmunesystemattacksthecartilageandmembraneofthejoint..Asthediseaseprogressesthejointcavityiseliminatedandthearticulatingbonesfuse.Resultsinpainfuldisfigurationofthejointandlossofjointfunction.
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A32yearoldwomanwhonoteddecreasedflexioninherrightkneewithposteriorfullnessabout3yearsago.Shehadassociatedmildkneepain.Herpasthistorywasnoncontributory.Thephysicalexamdemonstratedpopliteal fullnessanddecreasedkneeflexionfrom0- 50degrees.
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Bursitisacommonproblem!
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Osteoarthritisofthespine
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LooseJoints!
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Next----OntotheMuscularSystem!