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Study Guide for various chapters, Study Guides, Projects, Research of Anatomy

Study Guide for various chapters

Typology: Study Guides, Projects, Research

2024/2025

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STUDY GUIDE-JOINTS
INTRODUCTION
I. A joint (articulation or arthrosis) is a point of contact between two or more bones, between cartilage
and bones, or between teeth and bones.
A. The scientific study of joints is called arthrology.
B. The scientific study of motion is called kinesiology.
II. JOINT CLASSIFICATION
A. Structural classification is based on the presence or absence of a synovial (joint) cavity and
type of connecting tissue. Structurally, joints are classified as fibrous, cartilaginous, or
synovial.
B. Functional classification of joints is based on the degree of movement permitted. Joints may
be synarthroses (immovable), amphiarthroses (partially movable), or diarthroses (freely
movable).
III. FIBROUS JOINTS
A. Fibrous joints lack a synovial cavity, have the articulating bones held together by fibrous
connective tissue, and permit little or no movement.
B. Types of fibrous joints include sutures, syndesmoses, and interosseous membranes.
1. A suture is a fibrous joint composed of a thin layer of dense fibrous connective tissue
that unites skull bones.
2. A synostosis is a suture joint that has ossified. An example of a synostosis is the
frontal suture between the left and right sides of the frontal bone.
a. A synostosis is functionally classified as a synarthrosis.
3. A syndesmosis is a fibrous joint in which there is more fibrous connective tissue than
in a suture.
a. A gomphosis is a fibrous syndesmoses joint in which a cone-shaped peg fits
into a socket, allowing no movement. An example is the root of a tooth in its
socket.
b. Another example of a syndesmoses is the distal tibiofibular ligament, which
permits some movement.
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STUDY GUIDE-JOINTS

INTRODUCTION

I. A joint (articulation or arthrosis) is a point of contact between two or more bones, between cartilage and bones, or between teeth and bones. A. The scientific study of joints is called arthrology. B. The scientific study of motion is called kinesiology. II. JOINT CLASSIFICATION A. Structural classification is based on the presence or absence of a synovial (joint) cavity and type of connecting tissue. Structurally, joints are classified as fibrous, cartilaginous, or synovial. B. Functional classification of joints is based on the degree of movement permitted. Joints may be synarthroses (immovable), amphiarthroses (partially movable), or diarthroses (freely movable). III. FIBROUS JOINTS A. Fibrous joints lack a synovial cavity, have the articulating bones held together by fibrous connective tissue, and permit little or no movement. B. Types of fibrous joints include sutures, syndesmoses, and interosseous membranes.

  1. A suture is a fibrous joint composed of a thin layer of dense fibrous connective tissue that unites skull bones.
  2. A synostosis is a suture joint that has ossified. An example of a synostosis is the frontal suture between the left and right sides of the frontal bone. a. A synostosis is functionally classified as a synarthrosis.
  3. A syndesmosis is a fibrous joint in which there is more fibrous connective tissue than in a suture. a. A gomphosis is a fibrous syndesmoses joint in which a cone-shaped peg fits into a socket, allowing no movement. An example is the root of a tooth in its socket. b. Another example of a syndesmoses is the distal tibiofibular ligament, which permits some movement.
  1. An interosseous ligament is a fibrous joint made of a broad sheet of ligament that allows some movement between adjacent bones. And example is between the radius and ulna. IV. CARTILAGINOUS JOINTS A. A cartilaginous joint lacks a synovial cavity, has the articulating bones connected by either fibrocartilage or hyaline cartilage, and allows little or no movement. B. The three types of cartilaginous joints are synchondroses, symphyses, and epiphyseal cartilages.
  2. A synchrondosis is a cartilaginous joint in which the connecting material is hyaline cartilage, allowing no movement.
  3. A symphysis is a cartilaginous joint in which the connecting material is a disc of fibrocartilage, allowing some movement. Examples are the interverterbral discs and the pubic symphysis.
  4. An epiphyseal cartilage is hyaline cartilage localized in growth centers during endochondral bone formation. V. SYNOVIAL JOINTS A. Synovial joints have a synovial (joint) cavity between the articulating bone and are freely movable (diarthrotic). B. Structure of Synovial Joints
  5. Articular cartilage a. The articular cartilage covers the bones at synovial joints. b. The articular cartilage reduces friction at the joint with movement and helps absorb shock
  6. Articular Capsule a. The articular capsule surrounds a diarthrosis, encloses the synovial cavity, and unites the articulating bones. b. The articular capsule is composed of two layers: the outer fibrous capsule (which may contain ligaments) and the inner synovial membrane (which secretes a lubricating and joint-nourishing synovial fluid). c. The flexibility of the fibrous capsule permits considerable movement at a joint, whereas its great tensile strength helps prevent bones from dislocating. d. Other capsule features include ligaments and articular fat pads. e. Clinical Connection : Autologous Chondrocyte Implantation

B. Angular Movements

  1. In angular movements there is an increase or a decrease in the angle between articulating bones.
  2. The principal angular movements are flexion, extension, and hyperextension a. Flexion results in a decrease in the angle between articulating bones. b. Extension results in an increase in the angle between articulating bones. c. Lateral flexion involves the movement of the trunk sideways, to the right or left, at the waist. The movement occurs in the frontal plane and involves the intervertebral joints d. Hyperextension is a continuation of extension beyond the anatomical position and is usually prevented by the arrangement of ligaments and the anatomical alignment of bones. C. Abduction, Adduction, and Circumduction
  3. Abduction refers to the movement of a bone away from the midline.
  4. Adduction refers to the movement of a bone toward the midline.
  5. Circumduction refers to movement of the distal end of a part of the body in a circle. a. Circumduction occurs as a result of a continuous sequence of flexion, abduction, extension, and adduction. b. Condyloid, saddle, and ball-and-socket joints allow circumduction.
  6. In rotation, a bone revolves around its own longitudinal axis.
  1. Pivot and ball-and-socket joints permit rotation. i. If the anterior surface of a bone of the limb is turned toward the midline, medial rotation occurs. If the anterior surface of a bone of the limb is turned away from the midline, lateral rotation occurs. D. Special Movements
  1. Elevation is an upward movement of a part of the body.
  2. Depression is a downward movement of a part of the body.
  3. Protraction is a movement of a part of the body anteriorly in the transverse plane.
  4. Retraction is a movement of a protracted part back to the anatomical position.
  5. Inversion is movement of the soles medially at the intertarsal joints so that they face away from each other.
  6. Eversion is a movement of the soles laterally at the intertarsal joints so that they face away from each other.
  1. Dorsiflexion refers to bending the foot at the ankle in the direction of the superior surface.
  2. Plantar flexion involves bending the foot at the ankle joint in the direction of the plantar surface.
  3. Supination is a movement of the forearm at the proximal and distal radioulnar joints in which the palm is turned anteriorly or superiorly.
  4. Pronation is a movement of the forearm at the proximal and distal radioulnar joints in which the distal end of the radius crosses over the distal end of the ulna and the palm is turned posteriorly or inferiorly.
  5. Opposition is the movement of the thumb at the carpometacarpal joint in which the thumb moves across the palm to touch the tips of the finger on the same hand. IX. TYPES OF SYNOVIAL JOINTS A. Plain joints (Plantar joint) permit mainly side-to-side and back-and-forth gliding movements. These joints are nonaxial and include the intercarpal, intertarsal, sternoclavicular, acromioclavicular, sternocostal, and vertebrocostal joints. B. A hinge joint contains the convex surface of one bone fitting into a concave surface of another bone. Movement is primarily flexion or extension in a single plane. Examples include the elbow, knee, ankle, and interphalangeal joints. C. In a pivot joint, a round or pointed surface of one bone fits into a ring formed by another bone and a ligament. Movement is rotational and monaxial. An example is the atlas rotating about the axis. D. In a condyloid joint, an oval-shaped condyle of one bone fits into an elliptical cavity of another bone. Movements are flexion-extension, abduction-adduction, and circumduction; an example is the joint between the carpals and the radius. E. A saddle joint contains one bone whose articular surface is saddle-shaped and another bone whose articular surface is shaped like a rider sitting in the saddle. Movements are flexion- extension, abduction-adduction, and circumduction. F. In a ball-and-socket joint, the ball-shaped surface of one bone fits into the cuplike depression of another. Movements are flexion-extension, abduction-adduction, rotation, and circumduction; the only examples are the shoulder joint and the hip joint.

C. Elbow Joint

  1. This is a hinge joint formed by the trochlea of the humerus, the trochlear notch of the ulna, and the head of the radius.
  2. Anatomical Components a. Articular capsule b. Ulnar collateral ligament c. Radial collateral ligament d. Anular ligament of the radius
  3. Movements: flexion and extension of the forearm.
  4. Clinical Connection : Elbow injuries like tennis elbow and little-league elbow may result from incorrect usage. D. Hip Joint
  5. This ball-and-socket joint is formed by the head of the femur and the acetabulum of the hipbone.
  6. Anatomical Components a. Articular capsule b. Iliofemoral ligament c. Pubofemoral ligament d. Ischiofemoral ligament e. Ligament of the head of the femur f. Acetabular labrum g. Transverse ligament of the acetabulum
  7. Movements at this joint include flexion, extension, abduction, adduction, circumduction, and medial and lateral rotation of the thigh.
  8. This is an extremely stable joint due to the bones that make up the joint and the accessory ligaments and muscles. E. Knee Joints
  9. The knee joint is the largest and most complex joint of the body and consists of three joints within a single synovial cavity.
  10. Anatomical Components a. Articular capsule b. Medial and lateral patellar retinacula c. Patellar ligament d. Oblique popliteal ligament

e. Arcuate popliteal ligament f. Tibial collateral ligament g. Fibular collateral ligament h. Intracapsular ligaments i. Anterior cruciate ligament (ACL) j. Articular discs (menisci) k. The more important bursae of the knee include the following:

  1. Prepatellar bursa between the patella and skin
  2. Infrapatellar bursa between superior part of tibia and patellar ligament
  3. Suprapatellar bursa between inferior part of femur and deep surface of quadriceps femoris muscle
  1. Movements at this joint include flexion, extension, slight medial rotation, and lateral rotation of the leg in a flexed position.
  2. Clinical Connection : A common type of knee injury involves damage to the ligaments and meniscus XII. AGING AND JOINTS A. Various aging effects on joints include decreased production of synovial fluid, thinning of the articular cartilage, and loss of ligament length and flexibility. B. The effects of aging on joints are due to genetic factors as well as wear and tear on joints. XIII. ARTHROPLASTY A. Arthroplasty is a procedure used to repair joints.
  3. Hip replacements – involve both the acetabulum and the head of the femur.
  4. Knee replacements – involve resurfacing of cartilage and can be partial or total. XIV. DISORDERS: HOMEOSTATIC IMBALANCES A. Common injuries to joints include: rotator cuff injuries, separated shoulder, tennis elbow, and dislocation of the radial head and knee injuries. B. Rheumatism and Arthritis
  5. Rheumatism refers to any painful state of the supporting structures of the body - bones, ligaments, joints, tendons, or muscles. a. Rheumatoid arthritis is an autoimmune disease in which the body’s immune system attacks its own cartilage and joint linings resulting in loss of joint function.