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CHAPTER 9 Answers to “What Did You Learn?” 1. Fibrous joint 2. Synarthrosis 3. The three types of fibrous joints are gomphosis, suture, and syndesmosis. A gomphosis occurs between the roots of an individual tooth with the alveolus (socket) of the mandible or the maxillae. A gomphosis is functionally classified as a synarthrosis. A suture is an immovable fibrous joint that tightly binds bones to each other. It occurs only between bones of the skull, and is functionally classified as a synarthrosis. A syndesmosis holds bones together with interosseous membranes, such as between the tibia and fibula, or radius and ulna. Because slight movement is allowed, a syndesmosis is classified as an amphiarthrosis. 4. A symphysis is a cartilaginous joint with a broad, flat disc of fibrocartilage wedged between the articulating bones. Because a symphysis allows slight movement, it is functionally categorized as an amphiarthrosis. 5. Functionally, all synovial joints are classified as diarthroses, since all synovial joints are freely moveable. All synovial joints have an articular capsule, bones covered with articular cartilage, a joint cavity that separates articulating bones, a synovial membrane that secretes synovial fluid, nerves, blood vessels, and supporting ligaments. 6. The articular surfaces in the bones that form a saddle joint have convex and concave regions that resemble the shape of a saddle. This joint permits the 9-1 movement associated with the opposition of the thumb toward the fingers so objects may be grasped. It has a greater range of movement than a condylar joint. Condylar joints have an oval convex articulating surface on one bone that interfaces with a concave articular surface on a second bone. This joint permits movements at the metacarpophalangeal (MP) joints of fingers 2 through 5. 7. (a) Flexion is a movement in an anterior-posterior plane that decreases the joint angle. Flexion of the elbow occurs when the forearm is brought closer to the anterior surface of the arm, thereby decreasing the joint angle. (b) Circumduction is a sequence of movements in which the proximal end of an appendage remains relatively stationary while the distal end makes a circular motion. The resulting movement makes an imaginary cone shape [e.g., draw a circle on a blackboard with a piece of chalk—shoulder is stationary while the hand moves]. (c) Opposition is the movement at the carpometacarpal joint, in which the thumb moves toward the palmar tips of the fingers as it crosses the palm of the hand. It is the movement that enables the hand to grasp objects. 8. Each intervertebral disc consists of two components, the annulus fibrosus and the nucleus pulposus. The anulus fibrosus is a tough outer layer of fibrocartilage that covers each intervertebral disc. The anulus fibrosus contains collagen fibers that attach the disc to the bodies of adjacent vertebrae. The nucleus pulposus is the inner gelatinous core of the disc and is primarily composed of water with some scattered reticular and elastic fibers. 9. The anterior sternoclavicular ligament and the posterior sternoclavicular ligament provide support and stability to the sternoclavicular joint at the sternal end. The 9-2 costoclavicular ligament and the interclavicular ligament all limit the relative movement of the clavicle at the acromial end. 10. Most of the stability at the glenohumeral joint is provided by the rotator cuff muscles (infraspinatus, subscapularis, supraspinatus, and teres minor) and their associated tendons. 11. The anular ligament surrounds the neck of the radius and binds the proximal head of the radius to the ulna. The anular ligament helps hold the head of the radius in place allowing for rotation of the radial head against the ulna for pronation and supination of the forearm. 12. The primary ligaments that support the hip joint are the iliofemoral ligament, ischiofemoral ligament, and the pubofemoral ligament. The ligament of head of femur, also called ligamentum teres, provides minimal support. 13. The intracapsular ligaments of the knee are the anterior and posterior cruciate ligaments. They cross each other in the form of an X. The anterior cruciate ligament prevents hyperextension. It prevents the tibia from moving too far anteriorly on the femur. The posterior cruciate ligament runs the anteroinferior femur to the posterior side of the tibia. It becomes taut on flexion, and it prevents hyperflexion of the knee joint. The posterior cruciate ligament prevents posterior displacement of the tibia on the femur. 14. The deltoid ligament binds the tibia to the foot on the medial side. This ligament prevents overeversion of the foot. The multipart lateral ligament binds the fibula to the foot on the lateral side. The lateral ligament prevents overinversion of the 9-3 foot. It is not as strong as the deltoid ligament, and is more prone to sprains and tears. 15. Osteoarthritis is a type of arthritis where the articular cartilage breaks down, typically due to wear-and-tear changes as a person ages. Osteoarthritis can also be caused by repetitive use of a joint, so some athletes may develop osteoarthritis at relatively younger ages. 16. Joints begin to form by the sixth week of development. Answers to “Content Review” 1. Mobility and stability at joints depend on the structure or shape of articulating bone surfaces, the amount of flexibility of the connective tissue that joins the bones together, and the muscles, tendons, and ligaments associated with the joint. There is an inverse relationship between joint mobility and joint stability. The more mobile a joint, the less stable it is. Conversely, the more stable a joint, the less mobile it is. 2. A fibrous joint contains dense regular (fibrous) connective tissue to hold together the ends of bones and bone parts. A cartilaginous joint has a pad of cartilage wedged between the ends of articulating bones. 3. A joint classified as synarthrosis is immobile. There are three types of synarthroses: a gomphosis (a fibrous joint between the tooth and the alveolus of the mandible or maxillae), a suture (a fibrous joint between the skull bones), and a synchondrosis (a cartilaginous joint where a pad of hyaline cartilage is wedged between the articulating bones). 9-4 4. Synovial fluid is [1] produced by the cells of the synovial membrane and [2] a filtrate from blood plasma. Synovial fluid functions are: (1) lubricate the articular cartilage on articulating bones, (2) nourish the articular cartilage’s chondrocytes, and (3) act as a shock absorber, distributing stresses and forces evenly across the articular surfaces when pressure in the joint suddenly increases. 5. A hinge joint is a uniaxial joint that permits flexion and extension only. One bone surface is convex, and the other bone surface is concave. The bones fit together much like the hinge of a door. Examples of hinge joints are the elbow, knee, and interphalangeal (IP) joints. A pivot joint also is a uniaxial joint. A pivot joint has a rounded surface that fits into a concave surface of the other bone, and permits rotation only. An example of a pivot joint is the atlantoaxial joint. 6. Abduction is a movement of a body part away from the midline of the body, while adduction is a medial movement of a body part toward the midline of the body. Pronation is a rotational movement of the forearm whereby the palm of the hand is turned to face posteriorly. Supination is a rotational movement of the forearm whereby the palm of the hand is turned anteriorly. 7. The glenohumeral joint is a ball-and-socket joint formed by the articulation of the head of the humerus and the glenoid cavity of the scapula. The coracohumeral ligament is a thickening of the superior part of the joint capsule while the glenohumeral ligaments are three thickenings of the anterior part of the capsule. The tendon for the long head of the biceps brachii travels within the articular capsule and helps stabilize the humeral head in the joint. However, the main stability for the joint comes from the rotator cuff muscles and their tendons. 9-5 8. The main supporting ligaments of the elbow joint are the radial collateral ligament, which stabilizes the joint at its lateral surface, and the ulnar collateral ligament, which stabilizes the medial side of the joint and extends from the medial epicondyle of the humerus to the coronoid process of the ulna and posteriorly to the olecranon. The anular ligament surrounds the neck of the radius and binds the proximal head of the radius to the ulna. 9. An articular capsule covers the distal surfaces of the tibia, the medial malleolus, the lateral malleolus, and the talus to bind the tibia to the medial side of the foot and assure correct positioning of the tibia and talus. 10. The primary age-related changes in a joint are caused by the development of an inflammatory or degenerative condition called osteoarthritis [degenerative arthritis]. This condition results in damage to articular cartilages on the articular surface of the bones. As the articular cartilage undergoes wear-and-tear and degenerates, swelling of the joint, pain, and stiffness result. 9-6