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Chapter 09 Lecture *. JOINT DAY. Articulations or Joints. Articulation or Joint Place where two bones come together Freely movable to limited to no apparent movement Structure correlated with movement Named According to bones or parts united at joint
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Chapter 09 Lecture *
Articulations or Joints • Articulation or Joint • Place where two bones come together • Freely movable to limited to no apparent movement • Structure correlated with movement • Named • According to bones or parts united at joint • According to only one of articulating bones • By Latin equivalent of common name
Classes of Joints • Structural: Based on major connective tissue type that binds bones • Fibrous • Cartilaginous • Synovial • Functional: Based on degree of motion • Synarthrosis: Nonmovable • Amphiarthrosis: Slightly movable • Diarthrosis: Freely movable
Fibrous Joints • Characteristics • United by fibrous connective tissue • Have no joint cavity • Move little or none • Types • Sutures • Syndesmoses • Gomphoses
Syndesmoses • Bones farther apart than suture and joined by ligaments • Some movement may occur
Gomphoses • Specialized joints • Pegs that fit into sockets • Inflammations • Gingivitis • Periodontal disease
Cartilaginous Joints • Unite two bones by means of cartilage • Types • Synchondroses • Joined by hyaline • Little or no movement • Symphyses • Fibrocartilage uniting two bones
Synovial Joints • Allow considerable movement • Most joints that unite bone of appendicular skeleton • Complex • Articular cartilage and disks • Joint cavity and capsule • Synovial membrane and fluid • Bursae • Pockets of synovial fluid • Bursitis
Types of Synovial Joints • Plane or gliding • Saddle • Hinge • Pivot • Ball-and-socket • Ellipsoid
Plane and Pivot Joints • Plane or Gliding joints • Monoaxial • Example:Articular processes between vertebrae • Pivot joints • Monoaxial • Example: Articulation between dens of axis and atlas
Saddle and Hinge Joints • Saddle Joints • Biaxial • Example: Thumb • Hinge Joints • Monoaxial • Example: elbow, knee
Ellipsoid and Ball-and-Socket Joints • Ellipsoid • Modified ball-and-socket • Biaxial • Example: Atlantooccipital joint • Ball-and-socket • Multiaxial • Examples: shoulder and hip joints
Types of Movement • Gliding • Angular • Flexion and Extension • Hyperextension • Plantar and Dorsiflexion • Abduction and Adduction • Circular • Rotation • Pronation and Supination • Circumduction
Special Movements • Unique to only one or two joints • Types • Elevation and Depression • Protraction and Retraction • Opposition and Reposition • Inversion and Eversion
Amount of mobility demonstrated at a given joint Types Active Passive Influenced by Shape of articular surfaces forming joint Amount and shape of cartilage covering surfaces Strength and location of ligaments and tendons Location of muscles associated with joint Amount of fluid in and around joint Amount of use/disuse of joint Amount of pain in and around joint Range of Motion
Temporomandibular Joint • TMJ • Combination plane and ellipsoid joint • TMJ Disorders • Cause most chronic orofacial pain
Knee Joint • Modified hinge joint • Menisi: Fibrocartilage articular disks • Cruciate ligaments: ACL and PCL • Collateral ligaments: Fibular and tibial
Knee Injuries and Disorders • Football injuries • Bursitis • Chondromalacia • Softening of cartilage • Hemarthrosis: • Acute • “Water on the knee” • Slower accumulation
Ankle Joint • Highly modified hinge joint • Ligaments of arch • Hold bones in proper relationship • Transfer weight
Effects of Aging on Joints • Tissue repair slows • Production of synovial fluiddeclines • Ligaments and tendons become less flexible • Decrease in ROM
Joint Disorders • Arthritis • Osteoarthritis: Wear and tear • Rheumatoid: Caused by transient infection or autoimmune disease • Joint infections • Lyme disease: Tick vector • Gout • Metabolic disorders of unknown cause (idiopathic)
JOINT DISEASES KANDEH
RHEUMATOID ARTHRITIS: AUTOIMMUNE DISEASE IN WHICH THE IMMUNE SYSTEM ATTACKS THE LINING OF JOINTS & CARTILAGE OSTEOARTHRITIS NONINFLAMMATORY DISEASE OF MOVABLE JOINTS DUE TO AGING & WEAR AND TEAR. ARTICULAR CARTILAGE BREAKS DOWN AND BONE ENDS ARE EXPOSED GOUTY ARTHRITIS: ACCUMULATION OF URIC ACID IN SOFT TISSUES OF JOINTS. DAMAGES ARTICULAR CARTILAGE LYME DISEASE: CAUSE BY BORRELIA burgdorferi (bacteria) which is transmitted by deer ticks. Stages: 1st. Rash, flu-like symptoms. 2nd. Bell’s palsy. 3rd. Arthritis develops JOINT DISEASES CONTD. KANDEH