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ARTICULATIONS
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WHAT IS A JOINT? A site where two or more bones meet. Provides mobility Weakest point of skeleton
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Fibrous connective membranes
Joint Structure Fibrous connective membranes Sutures – connected by short fibers from the periosteum (becomes synostosis in adult) Syndesmoses – connected by ligaments (distal end of tibia & fibula) Gomphoses “peg in sockets” (tooth sockets)
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Cartilaginous - hyaline cartilage holding joint together
Joint Structure Cartilaginous - hyaline cartilage holding joint together Synchondroses– cartilage unites bones (epiphyseal plates & costal joints) Symphyses – connected by fibrocartilage (pubic symphysis, vertebral joints)
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Synovial joints – separated by a fluid containing joint cavity
Joint Structure Synovial joints – separated by a fluid containing joint cavity Diarthroses - freely moveable joints such as shoulder, knee, hip, and most others
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Joints classified by function
Synarthroses NO MOVEMENT (sutures, gomphoses, synchondroses, some syndesmoses) Amphiarthroses – SLIGHT MOVEMENT (symphyses, some syndesmoses
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Diarthroses - FREELY MOVABLE
Joints by function Diarthroses - FREELY MOVABLE Plane (gliding) - tarsals and carpals Condyloid (ellipsoid) – metacarpophalangeal joints Pivot - Atlas/Axis; Radius/Capitulum Saddle - Thumbs Hinge – Elbow, Knee Ball and socket – Shoulders, Hips
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Suture
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Synchrondroses
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Syndesmosis
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Symphyses
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Synovial Joint
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Ball & Socket Joint
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Condyloid Joint
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Hinge Joint
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Pivot Joint
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Saddle Joint
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Plane (Gliding) Joint
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Structure of Diarthrotic Joint
Two or more opposing bones Joint capsule of connective tissue surrounds joint cavity Joint cavity lined with synovial membrane Articular cartilage – covers ends of bone Menisci (articular disks) - cartilage pads (knee) Bursae – flattened sacs filled with synovial fluid Ligaments – attach bone to bone Tendons – attach muscle to bone
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Synovial Joint
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Types of Movement Flexion/Extension Abduction/Adduction Circumduction
Rotation Protraction/Retraction
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Protraction / Retraction
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Types of Movement Elevation/Depression Inversion/Eversion
Pronation/Supination Dorsiflexion/Plantar flexion
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Supination / Pronation
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Elevation / Depression
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Inversion / Eversion
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Joint Injuries Sprains - ligaments stretched or torn
Cartilage Injuries - torn cartilage rarely repairs because it’s avascular) Dislocations (luxation) - bones moved out of alignment
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Knee Joint
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Inflammatory/Degenerative Conditions
Bursitis - inflammation of a bursa caused by blow or friction Tendonitis - inflammation of tendons caused by overuse Arthritis
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>100 different types; affecting 1 out of 7
Arthritis >100 different types; affecting 1 out of 7 Osteoarthritis - Wear & Tear; affects 85% Rheumatoid Arthritis - Autoimmune May occur at any age; Most common around 40-50; Affects 1-2% of Americans Immune cells attack joint tissue causing scarring & ossification Ankylosis = stiff deformed joints Gouty Arthritis (Gout) Caused by build up of Uric Acid
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Other Bone Disorders Rickets - soft bones; lack of calcium due to vitamin D deficiency Osteoporosis - excessive bone loss Paget’s disease - excessive bone formation Osteomyelitis - Inflammation caused by pus-forming bacteria Achondroplasia - defective endochondral bone growth; form of dwarfism
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Osteosarcoma - form of bone cancer
Scoliosis - abnormal lateral curvature of the spine Kyphosis - abnormal thoracic curvature Lordosis - abnormal lumbar curvature Herniated Disk (Ruptured or Slipped Disk) - compression on intervertebral disk presses on nerves
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