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Chapter 9 A Classification of Joints ▪Synarthrotic- immovable joint. 4 types. ▫sutures ▫gomphoses ▫synchondroses ▫synostoses ▪Amphiarthrotic- slightly movable joint. 2 types ▫syndesmosis ▫symphysis ▪Diarthrotic- freely movable joints. ▫surrounded by a fibrous articular capsule, lined by Synovial membrane ▫articular cartilages have no perichondrium and have a higher water content ▫synovial fluid fills cavity, does not allow cartilage to touch. *Know both functional and structural classifications of articulations* ▫Accessory Structures of Synovial Joints -Cartilages and fat pads -Ligaments -Tendons -Bursa ▫Factors that stabilize synovial joints -Collagen fibers of capsule and/or ligaments -Shapes of articulating surfaces -Presence of bones, muscles, fat pads around joint -Tension in tendons attached to bones 1 Form and Function of Synovial Joints ▪Describing Dynamic Motion ▫Linear motion (gliding) ▫Angular motion -circumduction ▫Rotation ▫Depending on the number of axis movement can occur, articulations can be described as: -monaxial -biaxial -triaxial ▪Types of Movement ▫Flexion ▫Extension ▫Hyperextension ▫Abduction ▫Adduction ▫Circumduction ▫Medial rotation ▫Lateral rotation ▫Pronation ▫Supination ▫Inversion ▫Eversion ▫Dorsiflexion ▫Plantar flexion ▫Opposition ▫Reposition ▫Protraction 2 ▫Retraction ▫Elevation ▫Depression ▫Lateral flexion ▪A Structural Classification of Synovial Joints ▫Gliding joints ▫Hinge joints ▫Pivot joints ▫Condylar joint ▫Saddle joint ▫Ball and socket joint Representative Articulations ▪Intervertebral Articulations- two places on vertebrae where there is connection ▫Between superior and inferior articular processes ▫Between adjacent vertebral bodies ▫Intervertebral discs- pads of fibrocartilage -Annulus fibrosus -Nucleus pulposus -Vertebral end plates ▫Intervertebral Ligaments -Anterior longitudinal ligament -Posterior longitudinal ligament -Ligamentum flavum -Interspinous ligament -Supraspinous ligament ▫Vertebral Movements -Flexion -Extension 3 -Lateral Flexion -Rotation ▪Shoulder Joint- glenohumeral joint ▫Glenoid labrum ▫Major ligaments of the shoulder joint: -Glenohumeral -Coracohumeral -Coracoacromial -Coracoclavicular -Acromioclavicular ▫Muscles that stabilize the shoulder joint: -Supraspinatous -Infraspinatus -Subscapularis -Teres minor ▫Collectively known as the rotator cuff. ▫Bursa of the shoulder joint: -Subacromial bursa -Subcoracoid bursa -Subdeltoid bursa -Subscapular bursa ▪The Elbow Joint- complex hinge joint that involves the humerus, radius, and ulna. ▫Humeroulnar joint- largest and strongest articulation at the elbow. ▫Humeroradial joint- smaller joint ▫Extremely stable joint because: 4 ▫Ligaments of the elbow joint: -Radial collateral ligament -Annular ligament -Ulnar collateral ligament ▪Hip Joint (coxal joint)- sturdy ball & socket diarthrosis ▫Acetabular labrum ▫Articular capsule is extremely dense and strong ▫Ligaments of the Hip Joint (5 total) -3 ligaments are regional thickenings of the capsule -iliofemoral ligament -pubofemoral ligament -ischiofemoral ligament -Transverse acetabular ligament -Ligament of the femoral head ▪Knee Joint- 3 separate joints combine to form one complex hinge joint ▫Medial and lateral condyles of the femur and tibia ▫Patella to the femur ▫Capsule is fairly thin, and incomplete on the anterior side. ▫Strengthened by ligaments, tendons, and muscles ▫Contains 2 fibrocartilage pads, menisci; Lateral and Medial ▫Fat pads and bursa aid in cushioning and reducing friction ▫Ligaments of the Knee Joint -Patellar ligament and 2 patellar retinaculae bands -Popliteal ligaments (2) oblique and arcuate. -Anterior cruciate ligament (ACL) -Posterior cruciate ligament (PCL) -Tibial collateral ligament (medial) -Fibular collateral ligament (lateral) 5 Aging and Arthritis ▪Osteoarthritis▪Rheumatoid arthritis▪Gouty arthritis- 6