The Skeletal System

The Skeletal System

Joints (ROM Terminology) • Flexion – movement that decreases the angle of the joint & reduces the distance b/w the two bones; (typical of hinge joints & ball and socket joints) • Extension – movement that increases the angle of a joint & the distance between bones (ex: straightening the knee); greater than 180– hyperextension • Abduction – movement of a limb away from the midline of the body • Adduction – movement of a limb toward the midline of the body • Rotation – movement of bone around its longitudinal axis (ball & socket joints/ atlas around axis)

Joints (ROM Terminology) • Circumduction – proximal end of limb remains stationary & the distal end of the limb moves in a circle • Pronation – movement of the palm of the hand from an anterior or upward-facing position to a posterior or downward facing position (radius & ulna move to form a “X”) • Supination – movement of the palm from a posterior position to an anterior position (anatomical position; radius & ulna are parrallel)

Joints (ROM Terminology) • Inversion – movement that results in the medial turning of the sole of the feet • Eversion – movement that results in the lateral turning of the sole of the foot • Dorsiflexion – movement of an ankle joint in a dorsal direction (standing on one’s heels) • Plantar flexion – movement of the ankle joint in which the feet is flexed downward (standing on one’s toes or pointing your toes)

Joints Articulations of bones 2 Functions of joints Hold bones together Allow for mobility Ways joints are classified Functionally Structurally

Functional Classification of Joints Synarthroses Immovable joints Amphiarthroses Slightly moveable joints Diarthroses Freely moveable joints

Structural Classification of Joints Fibrous joints Generally immovable Cartilaginous joints Immovable or slightly moveable Synovial joints Freely moveable

Summary of Joint Classes [Insert Table 5.3 here] Table 5.3

Fibrous Joints Bones united by fibrous tissue Most are immovable joints 2 Types Sutures – irregular edges of bone interlock; united by short connective tissue fibers Syndesmoses Allows more movement than sutures Example: Distal end of tibia and fibula

Fibrous Joints Figure 5.28a–b

Cartilaginous Joints Bones connected by cartilage Slightly moveable Example: Pubic symphysis Intervertebral joints

Cartilaginous Joints Figure 5.28c–e

Synovial Joints Articulating bones are separated by a joint cavity Synovial fluid is found in the joint cavity All are freely moveable Makes up most of the joints of the body

Synovial Joints Figure 5.28f–h

4 Structural Characteristics of Synovial Joints Articular cartilage (hyaline cartilage) covers the ends of bones A fibrous articular capsule encloses joint surfaces A joint cavity is filled with synovial fluid Ligaments reinforce the joint

Structures Associated with the Synovial Joint Bursae—flattened fibrous sacs Lined with synovial membranes Filled with synovial fluid Not actually part of the joint Tendon sheath Elongated bursa that wraps around a tendon

The Synovial Joint Figure 5.29

Types of Synovial Joints Figure 5.30a–c

Types of Synovial Joints Figure 5.30d–f

6 Major Types of Synovial Joints • Plane Joint – essentially flat • Only short slipping or gliding movements • No rotation (ex: intercarpal joints of wrist) • Hinge Joint – cylindrical end of bone fits into a trough shaped surfaces • Are uniaxial (one axis); movement on 1 axis • Ex: phalanges, elbow joint, ankle joint • Pivot Joint – rounded end of bone fits into a sleeve or ring of bone • Uniaxial joint; turns only around its long axis • Ex: atlas & axis ; radioulnar joint

6 Major Types of Synovial Joints • Condyloid Joint – “knucklelike”; egg shaped articular surface fits into an oval concavity • Allows moving bone to travel (from side to side) &(back & forth) • Can not rotate aroud long axis • Biaxial (two axis) • Ex: metacarpophalangeal joints • Saddle Joints – have convex & concave areas like a saddle • Biaxial joint • Ex: carpometacarpal joints (thumbs); twiddling your thumbs

6 Major Types of Synovial Joints • Ball & Socket Joints – spherical head of one bone fits into a round socket in another • Multiaxial joint • Most freely moveable synovial joints • Ex: Shoulder & Hip *Dislocation – when a bone is forced out of its normal position in the joint cavity

Inflammatory Conditions Associated with Joints Bursitis—inflammation of a bursa usually caused by a blow or friction Tendonitis—inflammation of tendon sheaths Arthritis—inflammatory or degenerative diseases of joints Over 100 different types The most widespread crippling disease in the United States

Clinical Forms of Arthritis Osteoarthritis Most common chronic arthritis Probably related to normal aging processes Rheumatoid arthritis An autoimmune disease—the immune system attacks the joints Symptoms begin with bilateral inflammation of certain joints Often leads to deformities

Clinical Forms of Arthritis Gouty arthritis Inflammation of joints is caused by a deposition of uric acid crystals from the blood Can usually be controlled with diet

Developmental Aspects of the Skeletal System At birth, the skull bones are incomplete Bones are joined by fibrous membranes called fontanels Fontanels are completely replaced with bone within two years after birth

Ossification Centers in a 12-week-old Fetus Figure 5.32

Skeletal Changes Throughout Life Fetus Long bones are formed of hyaline cartilage Flat bones begin as fibrous membranes Flat and long bone models are converted to bone Birth Fontanels remain until around age 2

Skeletal Changes Throughout Life Adolescence Epiphyseal plates become ossified and long bone growth ends Size of cranium in relationship to body 2 years old—skull is larger in proportion to the body compared to that of an adult 8 or 9 years old—skull is near adult size and proportion Between ages 6 and 11, the face grows out from the skull

Skeletal Changes Throughout Life Figure 5.33a

Skeletal Changes Throughout Life Figure 5.33b

Skeletal Changes Throughout Life Curvatures of the spine Primary curvatures are present at birth and are convex posteriorly Secondary curvatures are associated with a child’s later development and are convex anteriorly Abnormal spinal curvatures (scoliosis and lordosis) are often congenital

Skeletal Changes Throughout Life Figure 5.16

Skeletal Changes Throughout Life Osteoporosis Bone-thinning disease afflicting 50% of women over age 65 20% of men over age 70 Disease makes bones fragile and bones can easily fracture Vertebral collapse results in kyphosis (also known as dowager’s hump)‏ Estrogen aids in health and normal density of a female skeleton

The Skeletal System