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Chapter 15 Lesson 15.2
Joint (articulation)
Bursae
Arthritis
Ankylosing spondylitis
Gouty arthritis
Osteoarthritis (OA)
Rheumatoid arthritis (RA)
Bunion
Carpal tunnel syndrome
Dislocation
Ganglion
Lyme disease
Herniation of an intervertebral disk
Systemic lupus erythematosus (SLE)
Sprain
Journal question: One of the most typical type of fracture
occurs when a person uses his or her hand to block a fall
before hitting the pavement. What is the name of this sort
of fracture
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
1
Objectives



Define terms relating to the structure and function of
bones, joints, and muscles.
Analyze the combining forms, prefixes, and suffixes used
to describe bones, joints, and muscles.
Explain various musculoskeletal disease conditions and
terms related to joints.
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
2
Joints

Joint (articulation): coming together of two
or more bones


Suture joints: immovable (skull)
Synovial joints: freely movable (ball and socket
types, e.g., hip or shoulder), (hinge type, for
example, elbow, knee, ankle)
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
3
Synovial Joints




Joint capsule surrounds bone.
Ligaments band bones together.
Bones are covered by articular cartilage.
Synovial membrane lies under capsule and
lines synovial cavity; filled with synovial fluid.
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
4
Bursae


Closed sacks of synovial fluid with a synovial
membrane located near, but not within a joint.
Needed where sliding must take place
Common sites:

between tendons (connective tissue connecting
muscle to bone) and bones
 between ligaments (binding bone to bone) and
bones
 between skin and bones (with prominent bony
anatomy)
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
5
Joints
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
6
QUICK QUIZ:
3. The connective tissue that
binds muscles to bones is
____________.
A. ligament
B. articulation
C. synovial membrane
D. tendon
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
7
QUICK QUIZ:
3. The connective tissue that
binds muscles to bones is
____________.
A. ligament
B. articulation
C. synovial membrane
D. tendon
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
8
Terminology — Joints
COMBINING FORMS
Combining Form
Meaning

ankyl/o
stiff

arthr/o
joint

articul/o
joint

burs/o
bursa

chondr/o
cartilage
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
9
Terminology — Joints (cont’d)
COMBINING FORMS
Combining Form
Meaning

ligament/o
ligament

rheumat/o
watery flow

synov/o
synovial membrane

ten/o
tendon

tendin/o
tendon
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
10
Terminology — Joints (cont’d)
SUFFIXES
Suffix


Meaning
-desis
-stenosis
to bind, tie together
narrowing
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
11
Pathology — Joints

Arthritis: inflammation of joints

Ankylosing spondylitis: chronic progressive
stiffening of joints, mostly spine
 Gouty arthritis: inflammation due to excessive
uric acid in body
 Osteoarthritis (OA): loss of articular cartilage and
formation of bone spurs at articular surfaces
 Rheumatoid arthritis (RA): autoimmune reaction
against joint tissues (synovial membrane)
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
12
Osteoarthritis and
Rheumatoid Arthritis
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
13
Pathology — Joints



Bunion: swelling of medial aspect of joint
between big toe and first metatarsal bone
Carpal tunnel syndrome: compression of
median nerve as it passes between ligament
and bones and tendons of the wrist
Dislocation: displacement of bone from a
joint
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
14
Pathology — Joints (cont’d)
Carpal tunnel syndrome
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
15
Pathology — Joints (cont’d)

Ganglion: a fluid-filled cyst arising from the
joint capsule or a tendon in the wrist.

Herniation of an intervertebral disk:
abnormal protrusion of the disk into the neural
canal or against spinal nerves.

Lyme disease: recurrent arthritis, myalgia,
malaise and neurologic and cardiac symptoms.
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
16
Pathology — Joints (cont’d)

Sprain: trauma to joint with pain, swelling and
injury to ligaments

Systemic lupus erythematosus (SLE):
chronic inflammatory disease involving joints,
skin, kidneys, nervous system, heart and lungs
affecting collagen in tendons, ligaments, bones,
and cartilage all over the body
Copyright © 2011, 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.
17