Articulations Anatomy 125

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    Wherever two bones cometogether there is an articulation,or joint. The function andmobility of each joint dependson its anatomical design. Jointsthat permit no movement orslight movement are common in

    thewhere

    basic structural support andprotection is expected. Joints

    that are freely moveable arecommon in the

    where mobility is

    required.

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    1. Axial Skeleton

    2. Appendicular Skeleton

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    Joints can be classifiedaccording to the range of

    movement permitted. Thisputs joints into

    .

    Within each functionalcategory joints can be furthersubclassified according tostructural differences. Thisputs joints into

    .

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    1. Functional Categories

    2. Structural Categories

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    The range of movement in thistype of joint ranges from none

    to very slight depending on itsdesign. Structural categoriesare:

    ( )

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    Synarthrosis (Immovable Joint)

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    The range of movement inthis type of joint ranges from

    none to very slightdepending on its design.Structural categories are:

    1.

    2.

    3.

    4.

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    1. Suture

    2. Gomphosis

    3. Synchondrosis

    4. Synostosis

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    In these joints the bones interlock andare held together by fibrousconnective tissue. Sutures arecommon between bones of the skull.

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    Suture

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    This joint holds the roots of theteeth firmly in their sockets. Thefibrous connection between theroot and the socket is the

    .

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    1. Gomphosis

    2. periodontal ligament

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    This joint holds bones together

    with hyaline cartilage. Anexample is thethat hold

    ogether the epiphysis and

    diaphysis of long bones.

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    1. Synchondrosis

    2. epiphyseal cartilage

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    This joint does not appear to be

    a joint because it represents thefused boundary between twobones. This fusion happens at

    some and atthe whenthey close.

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    1. Synostosis

    2. Sutural Joints

    3. Epiphyseal Plates

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    The range of movement inthese joints is limited.

    (

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    Amphiarthrosis (Slightly Movable Joint

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    Slightly Moveable Joints

    1.

    2.

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    1. Syndesmosis

    2. Symphysis

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    The articulating bones in this joinare held together by a ligament.The distal articulation between

    he and is anexample.

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    1. Syndesmosis

    2. Tibia

    3. Fibula

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    The bones in this articulation arheld together by a pad of

    . Examples include

    and.

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    1. Symphysis

    2. Fibrocartilage

    3. Intervertebral Discs

    4. Pubic Symphysis

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    These joints permit free

    movement between the apposinarticulating surfaces of bones.Movement is limited only by the

    shape of the articulating bonesand the accessory structures thhold the bones together.

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    Diarthrosis (Freely Movable Join

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    There is only one type ofdiarthrosis, the

    .

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    synovial joint

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    The touching surfaces of bonesn synovial joints are lined by

    that reduceriction and act as shockabsorbers. Friction is furthereduced by .

    is a viscousluid that is produced by the

    synovial membrane that lines the

    nterior of the

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    1. Articular Cartilage

    2. Synovial Fluid

    3. Synovial Fluid

    4. Joint Capsule

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    The surroundsand supports the synovial jointand is composed of dense

    connective tissue.

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    Joint Capsule

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    Synovial fluid functions include:

    1. Provides lubrication

    Synovial fluid contains a

    called thatenhances the lubricating qualitieof the fluid.

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    1. Glycoprotein

    2. Lubricin

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    NourishArticular cartilage is

    and depends upon synovial fluid

    for nourishment and wasteremoval.

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    1. Chondrocytes

    2. Avascular

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    Absorb shock

    helps tocushion and evenly distributecompression shocks.

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    Synovial Fluid

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    Accessory structures strengthesynovial joints and make them

    work more efficiently.

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    n complex joints such as theknee:

    ( ) arefibrocartilage pads that help to

    channel the flow of synovial fluidand stabilize the joint as itmoves.

    acts as packingmaterial that provides protectionfor the articular cartilages.

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    1. Menisci (articular discs)

    2. Fat Pads

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    strengthen and reinforce

    synovial joints.

    are

    within the joint capsule.

    areeither localized thickenings

    of the joint capsule orseparate ligaments outsideof the capsule.

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    1. Accessory Ligaments

    2. Intrinsic Ligaments

    3. Extrinsic Ligaments

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    The tendons of muscle

    that cross the joint providesupport for the joint.

    An example is the tendonsthat form the " "of the .

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    1. Rotator Cuff

    2. Shoulder Joint

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    are packets of

    connective tissue filled withinsynovial fluid and lined bysynovial membranes.

    They reduce friction betweenbone, tendons, ligaments andsoft tissue.

    surround tendons that moveacross bony surfaces.

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    1. Bursae

    2. Synovial Tendon Sheaths

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    Synovial joints can be further

    subclassified according to thetype and range of movementthey permit:

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    ( ) haveapposing flat to slightly curvedarticular surfaces that slide over one

    another. The movement is slight.

    Examples of plane joints include

    andjoints and the joints between thearticular facets of .

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    1.Plane (Gliding) Joints

    2. intertarsal

    3. intercarpal

    4. vertebrae

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    These joints permit angularangular

    movement in a single plane.Examples include theand joints.

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    1.Hinge Joints

    2. Elbow

    3. Knee

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    only permit

    rotation. The joint between theand the is anexample.

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    1. Pivot Joint

    2. Atlas

    3. Axis

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    In ( )

    an oval convex articular surfacmoves in an ovaldepression.This permits angular movement

    in twoplanes.

    Condylar joints exist between thbones and th

    andbones in the hands and feet.

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    1. Condylar (Ellipsoidal) Joint

    2. Proximal Phalanges

    3. Metacarpals

    4. Metatarsals

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    In , two- articular

    surfaces, orient at right angles toone another, appose one anothen an interlocking fashion.

    This kind of joint permits a widerrange of angular movement thanhe condylar joint. The joint athe base of the is an

    example.

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    1. Saddle Joint

    2. Saddle-shaped

    3. Thumb

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    n this joint the

    articular surface of one bone fitsnto the cup-shaped depressionof the other. Angular and

    rotational movements arepermitted. Theand are

    examples.

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    1. Ball-and-Socket Joint

    2. hemispherical

    3. Shoulder

    4. Hip Joint

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    The will serveas an example of a synovial

    joint.

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    Knee Joint

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    The knee joint is a complex jointn which the wheel-shaped

    "roll" on the flat

    surfaces.

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    1. Femoral Condyles

    2. Tibial Articular

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    The knee joint can be dividedinto three separate joints with

    there own separate jointcapsules:

    the femoralarticulate with the;

    the lateral condylesarticulate with thelateral condyles; and

    the articulates with theof the femur.

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    1. Medial Condyle

    2. Tibial Medial Condyle

    3. Femoral

    4. Tibial

    5. Patella

    6. Patellar Surface

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    The medialmedial and lateral condylararticulations between the femur

    and tibia have between them padsoffibrocartilage called theand .These menisci

    1. absorb the compressive forcesgenerate at this weight-bearing join

    2. more evenly distribute the forcetransferred from the femoralarticulations to the tibial; and

    3. provide lateral stability.

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    1. Medial and Lateral Menisci

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    The (knee cap) ispresent in the tendon of the

    muscle that extends the knee.

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    Patella

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    The extendsfrom the patella to its attachmen

    to the tibia and supports theanterior side of the knee joint.

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    Patella Ligament

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    The remaining ligaments areclassified as either extracapsulaor intracapsular depending on

    heir position relative to theibrous joint capsule. Theextracapsular ligaments are:

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    Extracapsular Ligaments

    Thereinforces the medial side of theknee joint.

    Thereinforces the lateral side of the

    knee joint.

    Tworeinforce the posterior side ofthe knee joint.

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    1. Tibial Collateral Ligament

    2. Fibular Collateral Ligament

    3. Popliteal Ligaments

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    1

    2

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    1. Tibial (medial)Collateral Ligament

    2. Fibular (lateral)Collateral Ligament

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    The intracapsular ligaments are

    The

    (ACL) and the(PCL

    limit the anterior and posterior

    movement of the .

    The names of these ligamentsderive from the way they cross

    one another and their relativeattachments on the tibia. (criss-cross eachother)

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    1. Anterior Cruciate Ligament

    2. Posterior Cruciate Ligamen

    3. Femur

    Posterior

    Anterior

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    - opposing flat

    surfaces slide over oneanother

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    Gliding

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    Angular Movement

    - movement away fromlongitudinal axis

    - movement toward

    longitudinal axis

    - reduces angle of articulatingelements in anterior-posterior plane

    - increases angle of elementsin anterior-posterior plane

    - movement past the

    anatomical position

    - moving arm, leg or hand in aloop (complex movement)

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    1. Abduction

    2. Adduction

    3. Flexion

    4. Extension

    5. Hyperextension

    6. Circumduction

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    (movement aroundongitudinal axis)

    - inward movement inreference to anterior

    - outward movementn reference to anterior

    - movement of hand to palm-facing-backward

    - movement of hand to palm-facing-forward

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    1. Rotation

    2. Medial Rotation

    3. Lateral Rotation

    4. Pronation

    5. Supination

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    Special Movements

    - twisting of foot to sole

    outward

    - twisting of foot to sole

    - flexion of ankle toelevate sole

    - flexion ofankle to elevate heel

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    1. eversion

    2. inversion

    3. dorsiflexion

    4. plantar flexion

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    - movement of verteb

    column to side

    - anterior movement inhorizontal plane

    - reverse of protraction

    - grasping movements

    between thumb and fingers

    - movement of structure insuperior direction

    - movement of structure innferior direction

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    1. Lateral Flexion

    2. Protraction

    3. Retraction

    4. Opposition

    5. Elevation

    6. Depression

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