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Chapter 8 Joints of the Skeletal System Classification of Joints Joints of the Skeletal System • • • • • Articulations Functional junctions between bones Bind parts of skeletal system together Make bone growth possible Permit parts of the skeleton to change shape during childbirth • Enable body to move in response to skeletal muscle contraction Functional Classification Of Joints • Classification=based on the amount of movement allowed • 3 types: • Synarthroses = immovable joints – Example = sutures of skull • Amphiarthroses = slightly movable joints. – Example = intervertebral discs between vertebrae • Diarthroses = freely movable joints – Examples = joints of appendicular skeleton Structural Classification Of Joints • Classification= Based on material, which joins bones • 3 types: – Fibrous – Cartilaginous – Synovial Fibrous Joints • joints composed of fibrous tissue • no joint cavity is present • 3 types: – Syndesmosis – Suture – Gomphosis Fibrous Joints cont. • Syndesmosis = cord of fibrous tissue called a ligament – amphiarthroses with "give" but no true movement – Example = distal tibiofibular joint Fibrous Joints cont. • Sutures = short fibrous CT fibers – synarthroses – Only found in skull Fibrous Joints cont. • Gomphosis = tooth within its bony socket (alveolar fossa) – short periodontal ligament Cartilaginous Joints • joints composed of cartilage • no joint cavity • 2 types: – Synchondrosis – Symphysis Cartilaginous Joints cont. • Synchondrosis = a plate of hyaline cartilage – sites of bone growth during youth – eventually ossify = synarthrotic – Examples: joint between the first rib and manubrium and the epiphyseal plate Cartilaginous Joints cont. • Symphysis = pad or plate of fibrocartilage – compressible "shock absorber" – limited movement = amphiarthroses – Examples: intervertebral discs and symphysis pubis Synovial Joints • = fluid-filled joint cavity – free movement = diarthrosis General Structure Of A Synovial Joint • General Structure Of A Synovial Joint = 5 distinct features: 1. Articular cartilage = hyaline cartilage covers the surface of each bone 2. Joint cavity = a potential space between the two bones, filled with synovial fluid 3. Synovial fluid = viscous lubricating fluid within cavity – reduces friction between cartilages of 2 bones • provide lubrication • nourish cartilage • contain phagocytes Synovial Joints cont. 4. Articular capsule = double layered capsule surrounding cavity: – External, tough flexible fibrous capsule (continuous with periosteum of the bones) – Synovial membrane = loose CT lining of fibrous capsule, that also covers all internal joint surfaces excluding hyaline cartilage 5. Reinforcing ligaments = ligaments that strengthen joint – Definition: A ligament joins a bone to another bone across a synovial joint – usually thickened portions of fibrous capsule (intrinsic or capsular) General Structure of a Synovial Joint Synovial Joints cont. • Other joint features: • fatty pads (hip & knee) • menisci or articular discs or that separate cavity into 2 compartments (knee, jaw, sternoclavicular) Synovial Joints cont. • bursa = flattened fibrous sacs with a synovial membrane and fluid that act as "ball bearings" to prevent friction on adjacent structures during joint activity – cushion the movement of one body part over another; – located between skin and bone (where skin rubs over bone), and between muscle, tendons, ligaments and bone. Types Of Synovial Joints • Ball-and-socket joints = most freely movable joints; all angular movement – The head of one bone fits into the socket of another – Examples = hip and shoulder • Condyloid joints = permit all angular motion, except rotation – Examples = wrists and knuckles Types Of Synovial Joints cont. • Gliding joints = cartilaginous joints – Example = intervertebral discs • Hinge joints = permit flexion & extension only – Examples = elbow and knee Types Of Synovial Joints cont. • Pivot joints = permit rotation – Example = first intervertebral joint (atlantoaxial joint) • Saddle joints = thumb Types Of Joint Movements Introduction • Origin = part of muscle attached to the immovable bone • Insertion = part of a muscle attached to the movable bone • When a muscle contracts across a joint, its insertion is pulled toward its origin Three general types of movement Gliding movements = when flat bone surfaces glide or slide over one another – occur at cartilaginous joints – Examples = intervertebral discs and sternoclavicular joints Angular movements = changes in angles between bones – occur only at synovial joints Movement cont. • Flexion = decreasing the angle between 2 bones. – Example = head toward chest – Dorsiflexion = bringing foot closer to shin – Plantar flexion = pointing one's toe (flexion toward the sole) • Extension = increasing the angle between 2 bones – Example = straightening a flexed neck – Hyperextension = increasing the angle greater than 180o Movement cont. • Abduction = moving a limb away from the midline. – Example = raising arm or thigh laterally; • Adduction = moving a limb toward the midline Movement cont. • Circumduction = moving a limb in a circular (cone-shaped) manner • Rotation = turning movement of a bone along its long axis. – Example = atlas over axis (i.e. “just say no”) – Example = shoulder and hip joint Special Movements Special Movements = those at specific joints • supination/pronation = movements between the radius and ulna at the proximal radioulnar joint – thumb up = supination – thumb down = pronation • inversion/eversion = movement of foot – sole inward = inversion – sole out = eversion Special Movements cont. • elevation/depression – shoulder shrug = elevation – mandible in opening mouth = depression • protraction/retraction – thrust forward = protraction – pull back = retraction Shoulder joint • Shoulder joint (2 joints) • Ball and socket is the glenohumeral joint – joins Glenoid cavity and head of humerus • Syndesmosis is called the acromioclavicular joint – acromial end of clavicle and the acromion process of the scapula • Ball and socket is surrounded by many reinforcing ligaments and tendons collectively called the rotator cuff • Many bursa also lubricate the shoulder • Movement can occur in any angular plane Elbow joint • (2 joints) • Hinge is between trochlea of humerus and trochlear notch of ulna • Gliding joint is between capitulum of humerus and head of radius • Very stable joint with many reinforcing ligaments • Only allows flexion and extension Hip joint • (coxal joint) • Ball and socket between head of femur and acetabulum of coxa • Contains many large reinforcing ligaments • Allows same movements as shoulder, but with less range due to bony limitations Knee • (3 joints) • Largest, most complex joint – Functions as a hinge even though 3 joints work together • Medial condyles of femur and tibia make one condyloid joint • Lateral condyles of femur and tibia make another condyloid joint • Patellar surface of femur and patella make a gliding joint – Flexion and extension with some slight rotation – Contains many reinforcing structures Knee cont. • Menisci – medial meniscus – lateral meniscus • C-shaped fibrocartilage pads – Reshape the tibial condyles for a better fit – Absorb shock – Many bursae