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8 P A R T A Joints 1
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Joints (Articulations)
Articulation – site where two or more bones meet Functions of joints: a. Give the skeleton mobility b. Hold the skeleton together Weakest parts of the skeleton
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Classification of Joints: Structural
Structural classification focuses material binding bones together whether or not a joint cavity is present The three structural classifications are: Fibrous – no joint cavity; little to no movement Cartilaginous – no joint cavity Synovial – fluid filled joint cavity; freely moveable
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Fibrous Structural Joints: Sutures
Figure 8.1a
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Fibrous Structural Joints: Syndesmoses
Figure 8.1b
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Cartilaginous Joints: Synchondroses
Figure 8.2a, b
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Cartilaginous Joints: Symphyses
Figure 8.2c
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Synovial Joints: General Structure
Figure 8.3a, b
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Synovial Joints: Friction-Reducing Structures
Figure 8.4
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Synovial Joints: Movement
The two muscle attachments across a joint are: Origin – attachment to the immovable bone Insertion – attachment to the movable bone
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One flat bone surface glides or slips over another similar surface
Gliding Movements One flat bone surface glides or slips over another similar surface Examples – intercarpal and intertarsal joints, and between the flat articular processes of the vertebrae
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Flexion — bending movement that decreases the angle of the joint
Angular Movement Flexion — bending movement that decreases the angle of the joint Extension — reverse of flexion; joint angle is increased Dorsiflexion and plantar flexion — up and down movement of the foot
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Abduction — movement away from the midline
Angular Movement Abduction — movement away from the midline Adduction — movement toward the midline Circumduction — movement describes a cone in space
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Gliding Movement Figure 8.5a
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Angular Movement Figure 8.5b
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Angular Movement Figure 8.5c, d
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Angular Movement Figure 8.5e, f
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The turning of a bone around its own long axis
Rotation The turning of a bone around its own long axis Examples Between first two vertebrae Hip and shoulder joints Figure 8.5g
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Supination and pronation Inversion and eversion
Special Movements Supination and pronation Inversion and eversion Protraction and retraction Elevation and depression Opposition
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Special Movements Figure 8.6a
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Special Movements Figure 8.6b
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Special Movements Figure 8.6c
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Special Movements Figure 8.6d
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Special Movements Figure 8.6e
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Types of Synovial Joints
Plane - intercarpal Hinge joints - elbow Pivot - head Condyloid - wrist Saddle – thumb Ball-and-socket- shoulder
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Hinge Joints Figure 8.7b
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Pivot Joints Figure 8.7c
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Condyloid or Ellipsoidal Joints
Figure 8.7d
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Saddle Joints Figure 8.7e
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Largest and most complex joint of the body
Synovial Joints: Knee Largest and most complex joint of the body Allows flexion, extension, and some rotation Three joints in one surrounded by a single joint cavity Femoropatellar joint Lateral and medial tibiofemoral joints
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Synovial Joints: Knee Ligaments and Tendons – Anterior View
Tendon of the quadriceps femoris muscle Lateral and medial patellar retinacula Fibular and tibial collateral ligaments Patellar ligament Figure 8.8c
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Synovial Joints: Knee – Other Supporting Structures
Anterior cruciate ligament Posterior cruciate ligament Medial meniscus (semilunar cartilage) Lateral meniscus
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Synovial Joints: Knee – Other Supporting Structures
Figure 8.8b
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Synovial Joints: Elbow
Annular ligament Ulnar collateral ligament Radial collateral ligament Figure 8.10a
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Synovial Joints: Shoulder Stability
Figure 8.11a
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Temporomandibular Joint
Figure 8.13a, b
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The ligaments reinforcing a joint are stretched or torn
Sprains The ligaments reinforcing a joint are stretched or torn Partially torn ligaments slowly repair themselves Completely torn ligaments require prompt surgical repair
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The snap and pop of overstressed cartilage
Cartilage Injuries The snap and pop of overstressed cartilage Common aerobics injury Repaired with arthroscopic surgery
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Dislocations Occur when bones are forced out of alignment Usually accompanied by sprains, inflammation, and joint immobilization Caused by serious falls and are common sports injuries Subluxation – partial dislocation of a joint
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Inflammatory and Degenerative Conditions
Bursitis Tendonitis Arthritis
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Arthritis More than 100 different types of inflammatory or degenerative diseases that damage the joints Most widespread crippling disease in the U.S. Symptoms – pain, stiffness, and swelling of a joint Acute forms are caused by bacteria and are treated with antibiotics Chronic forms include osteoarthritis, rheumatoid arthritis, and gouty arthritis
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