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Joints (Articulations) Classification: Function, Structure, Range of Movement, Specific Names Weakest part Functions: mobility Hold skeleton together Classification: Function (amount of movement), Structure (Tissue), and Range of movement, CH8 JOINTS Functional Classification of Joints: amount of movement 3 functional classes: Synarthroses: (Stop) Amphiarthroses: (A little) Diarthroses: (Drive) Structural Classification of Joints-- 3 Tissue binding bones & if joint cavity present Fibrous joints Cartilaginous joints Synovial joints – bones articulate in cavity; all diarthroses Each structural class has subclasses… FIBROUS JOINTS – usually synarthrotic * Sutures: short conn. T. fibers All Synarthroses Syndesmoses: ligaments, bands or cords of conn. T. Syn or Amphiarthroses Gomphoses: peg in socket Synarthroses Cartilaginous Joints * Symphyses: disc of fibrocartilage Amphiarthrotic Synchondroses: band of hyaline C. Synarthrotic ** Synovial Joints ** freely movable diarthroses 6 Elements: 1. Articular Cartilage: Synovial Joints: General Structure 2. Joint (synovial) Cavity 3. Articular Capsule – Outer: dense fibrous Inner Synovial Membrane 4. Synovial fluid – contains phagocytes & Hyaluronic Acid Functions: “Weeping lubrication” 5. Reinforcing ligaments – often thickened part of fibrous capsule 6. Nerves & Blood Vessels Synovial Joints … Bursae & Tendon Sheaths Bursae – flattened, fibrous sacs Function: Tendon sheath – elongated bursa; wraps around a tendon - Function: - multiple tendons Table 8.2.1 Table 8.2.2 Table 8.2.3 Synovial Joints … Factors Influencing Stability Articular surfaces – shape Minor role Movement types Shallow vs. deep Ligaments Moderate role prevent excessive/undesirable motion Undue tension can cause stretching breakage Muscle tone & Tendons Most important Muscle tone Muscles cross joints: two attachments: Origin: Insertion: CLASSIFICATION OF SYNOVIAL JOINTS Range of Motion Specific Names based on Anatomy Synovial Joints … Range of Motion-- Planes Nonaxial – slipping movements only Uni: small slipping Bi Multi TYPES OF MOVEMENTS (Examples: Fig. 8.5 & 8.6) Gliding Movements = flat bone surfaces slip past each other Angular Movement- = Increase or decrease angle Flexion: Sagital plane Extension: Hyperextension Foot– special terms Dorsiflexion: move foot closer to tibia Plantar Flexion: point toes Angular Movement … Abduction — ________ midline or median plane Adduction — _____ midline Circumduction — movement in a cone Rotation = bone turns around its own long axis Examples Between first two vertebrae Hip and shoulder joints Figure 8.5g Special Movements Supination: end of radius moves around end of ulna; to anatomical position “hold soup” Pronation Inversion: moves bottom of foot medially/inward Eversion Protraction: move mandible anteriorly Retraction Elevation: close jaw Depression Opposition– Thumb meets fingers Types of Synovial Joints– Examples = Figure 8.7 Plane Joint Flat surfaces slipping or gliding movements nonaxial Figure 8.7a Hinge joints Cylindrical projections fits into a trough-shaped surface Uniaxial: flexion & extension Examples: Pivot Joints Rounded bone end protrudes into a ring Ligaments can act as ring uniaxial Examples: Condyloid or Ellipsoidal Joints Oval articular surface fits into a complementary oval depression Biaxial joints—all angular motions Examples: Saddle Joints greater movement Articular surface w/ both concave & convex surfaces Example: Ball-and-Socket Joints spherical or hemispherical head articulates with a cuplike socket Multiaxial joints– all movement Examples: Synovial Joints are categorized by allowable movements Short, gliding movements Angular movement in one plane Rotation around long axis Figure 5.30a–c Types of Synovial Joints cont. Side to Side Back and Forth Side to Side Back and Forth Side to Side, BackFigure and5.30d–f Forth, Rotation too! Inflammatory Conditions of Joints STUDENTS DO Bursitis Tendonitis Sprain Clinical Forms of Arthritis – inflammation or degeneration of joints STUDENTS DO Osteoarthritis – worn cartilage replaced by bone Probably related to normal aging (most common) Clinical Forms of Arthritis – inflammation or degeneration of joints STUDENTS DO Rheumatoid arthritis – scar tissue can fuse joints Autoimmune disease— immune system attacks joints Gouty arthritis – uric acid crystallizes inside joints END Elbow Joint-- movement Rotatable Elbow video Elbow Joint The 6 elements Angular ligament Surrounds head of radius Two capsular ligaments restrict side-to-side movement Ulnar collateral ligament Radial collateral ligament Figure 8.11a The elbow joint. Articular capsule Synovial membrane Humerus Synovial cavity Articular cartilage Fat pad Tendon of triceps muscle Bursa Coronoid process Tendon of brachialis muscle Ulna Trochlea Articular cartilage of the trochlear notch Median sagittal section through right elbow (lateral view) Figure 8.11b The elbow joint. Humerus Anular ligament Radius Lateral epicondyle Articular capsule Radial collateral ligament Olecranon Ulna Lateral view of right elbow joint Figure 8.11d The elbow joint. Articular capsule Anular ligament Humerus Coronoid process Medial epicondyle Radius Ulnar collateral ligament Ulna Medial view of right elbow PLAY Animation: Rotatable Elbow Figure 8.11c The elbow joint. Humerus Anular ligament Medial epicondyle Radius Articular capsule Ulnar collateral ligament Coronoid process Ulna Cadaver photo of medial view of right elbow A&P Flix™: The Elbow Joint and Forearm: An PLAY overview Figure 8.10e The shoulder joint. Acromion (cut) Head of humerus Muscle of rotator cuff (cut) Anterior view of an opened shoulder joint Glenoid cavity of scapula Capsule of shoulder joint (opened) Figure 8.10c The shoulder joint. Acromion Coracoacromial ligament Subacromial bursa Coracohumeral ligament Greater tubercle of humerus Transverse humeral ligament Tendon sheath Tendon of long head of biceps brachii muscle Anterior view of right shoulder joint capsule Coracoid process Articular capsule reinforced by glenohumeral ligaments Subscapular bursa Tendon of the subscapularis muscle Scapula Figure 8.10d The shoulder joint. Acromion Coracoid process Articular capsule Glenoid cavity Glenoid labrum Tendon of long head of biceps brachii muscle Glenohumeral ligaments Tendon of the subscapularis muscle Scapula Posterior Anterior Lateral view of socket of right shoulder joint, humerus removed Figure 8.12a The hip joint. Coxal (hip) bone Articular cartilage Acetabular labrum Ligament of the head of the femur (ligamentum teres) Femur Synovial cavity Articular capsule Frontal section through the right hip joint Figure 8.12b The hip joint. Acetabular labrum Synovial membrane Ligament of the head of the femur (ligamentum teres) Head of femur Articular capsule (cut) Photo of the interior of the hip joint, lateral view