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Page 1: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Chapter 8

Joints Part A

Shilla Chakrabarty, Ph.D.

Page 2: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Joints (Articulations)

• Articulation—site where two or more bones meet

• Functions of joints:

Give skeleton mobility

Hold skeleton together

• Classification of Joints:

Functional: Based on movement allowed by the joint

Structural: Based on material binding bones together, and on presence or absence of joint cavity

Page 3: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Classification of Joints A. Functional Classification: Three types, based on amount of movement allowed by the joint

Synarthroses—immovable

Amphiarthroses—slightly movable

Diarthroses—freely movable

B. Structural Classification: Three types, based on material binding bones together, and presence or absence of joint cavity

Fibrous

Cartilaginous

Synovial

Page 4: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Structural Classification: a. Fibrous Joints

• Bones joined by dense fibrous connective tissue

• No joint cavity

• Most are synarthrotic (immovable)

• Three types:

Sutures: Rigid, interlocking joints

Syndesmoses: Bones connected by ligaments

Gomphoses: Peg-in-socket joints

Page 5: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

a. Fibrous Joints: 1. Sutures

• Rigid, interlocking joints containing short connective tissue fibers

• Allow for growth during youth

• In middle age, sutures ossify and are called synostoses

Example:

Joint between skull bones

Densefibrousconnectivetissue

Sutureline

(a) Suture

Joint held together with very short,interconnecting fibers, and bone edges

interlock. Found only in the skull.

Page 6: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

a. Fibrous Joints: 2. Syndesmoses

• Bones connected by ligaments (bands of fibrous tissue)

• Movement varies from immovable to slightly movable

Examples:

Synarthrotic distal tibiofibular joint

Diarthrotic interosseous connection between radius and ulna

Fibula

Tibia

Ligament

(b) Syndesmosis

Joint held together by a ligament.Fibrous tissue can vary in length, but

is longer than in sutures.

Page 7: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

a. Fibrous Joints:3. Gomphoses

• Peg-in-socket joints of teeth in alveolar sockets

• Fibrous connection is the periodontal ligament

Example: Teeth in alveolar sockets held by periodontal ligament

Root oftooth

Socket ofalveolarprocess

Periodontalligament

(c) Gomphosis

“Peg in socket” fibrous joint. Periodontalligament holds tooth in socket.

Page 8: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

b. Cartilaginous Joints

• Bones united by cartilage

• No joint cavity

• Two types:

Synchondroses

Symphyses

Page 9: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Epiphysealplate (temporaryhyaline cartilagejoint)

Sternum(manubrium)

Joint betweenfirst rib andsternum(immovable)

(a) Synchondroses

Bones united by hyaline cartilage

b. Cartilaginous Joints: 1. Synchondroses

A bar or plate of hyaline cartilage unites the bones All are synarthrotic

Page 10: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Cartilaginous Joints: 2. Symphyses

• Hyaline cartilage covers the articulating surfaces and is fused to an intervening pad of fibrocartilage

• Strong, flexible amphiarthroses

Fibrocartilaginousintervertebraldisc

Pubic symphysis

Body of vertebra

Hyaline cartilage

(b) Symphyses

Bones united by fibrocartilage

Page 11: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Synovial Joints• All are diarthrotic• Include all limb joints; most joints of the bodyDISTINGUISHING FEATURES:1. Articular cartilage: hyaline cartilage2. Joint (synovial) cavity: small potential space3. Articular (joint) capsule:

Outer fibrous capsule of dense irregular connective tissue

Inner synovial membrane of loose connective tissue

4. Synovial fluid: Viscous slippery filtrate of plasma + hyaluronic

acid Lubricates and nourishes articular cartilage

5. Three possible types of reinforcing ligaments: Capsular (intrinsic)—part of the fibrous capsule Extracapsular—outside the capsule Intracapsular—deep to capsule; covered by

synovial membrane6. Rich nerve and blood vessel supply:

Nerve fibers detect pain, monitor joint position and stretch

Capillary beds produce filtrate for synovial fluid

Periosteum

Ligament

Fibrouscapsule

Synovialmembrane

Joint cavity(containssynovial fluid)

Articular (hyaline)cartilage

Articularcapsule

Page 12: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Synovial Joints: Friction-Reducing Structures

• Bursae:

Flattened, fibrous sacs lined with synovial membranes

Contain synovial fluid

Commonly act as “ball bearings” where ligaments, muscles, skin, tendons, or bones rub together

Coracoacromialligament

Subacromialbursa

Cavity inbursa containingsynovial fluid

Bursa rollsand lessensfriction.

Humerus headrolls medially asarm abducts.

(b) Enlargement of (a), showing how a bursaeliminates friction where a ligament (or otherstructure) would rub against a bone

Humerusresting

Humerusmoving

Page 13: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Synovial Joints: Friction-Reducing Structures

• Tendon sheath:

Elongated bursa that wraps completely around a tendon

Acromionof scapula

Joint cavitycontainingsynovial fluid

Synovialmembrane

Fibrouscapsule

Humerus

Hyalinecartilage

Coracoacromialligament

Subacromialbursa

Fibrousarticular capsule

Tendonsheath

Tendon oflong headof bicepsbrachii muscle

(a) Frontal section through the right shoulder joint

Page 14: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Stabilizing Factors at Synovial Joints

• Shapes of articular surfaces (minor role)

• Ligament number and location (limited role)

• Muscle tone, which keeps tendons that cross the joint taut

Extremely important in reinforcing shoulder and knee joints and arches of the foot

Page 15: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Synovial Joints: Movement

• Muscle attachments across a joint:

Origin—attachment to the immovable bone

Insertion—attachment to the movable bone

• Muscle contraction causes the insertion to move toward the origin

• Movements occur along transverse, frontal, or sagittal planes

Page 16: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Synovial Joints: Range of Motion

• Nonaxial—slipping movements only

• Uniaxial—movement in one plane

• Biaxial—movement in two planes

• Multiaxial—movement in or around all three planes

Page 17: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Summary of Characteristics of Body Joints

Consult Table 8.2 for:

• Joint names

• Articulating bones

• Structural classification

• Functional classification

• Movements allowed

Page 18: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc. Table 8.2 (1 of 4)

Page 19: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc. Table 8.2 (2 of 4)

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Copyright © 2010 Pearson Education, Inc. Table 8.2 (3 of 4)

Page 21: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc. Table 8.2 (4 of 4)

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Copyright © 2010 Pearson Education, Inc.

Movements at Synovial Joints1. Gliding

2. Angular movements: Movements that occur along the sagittal or frontal plane

• Flexion, extension (decrease and increase angle of joint, respectively), hyperextension (excessive extension beyond normal range of motion)

• Abduction, adduction• Circumduction

3. Rotation• Medial and lateral rotation

4. Special Movements• Supination, pronation• Dorsiflexion, plantar flexion of the foot• Inversion, eversion• Protraction, retraction• Elevation, depression• Opposition

Page 23: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Gliding

(a) Gliding movements at the wrist

Gliding Movements

• Simplest joint movements

• One flat or nearly flat bone surface glides or slips over another (back-and-forth and side-to-side

Example:

Intercarpal and intertarsal joints

Between flat articular processes of vertebrae

Page 24: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Hyperextension Flexion

Extension

(c) Angular movements: flexion, extension, and hyperextension of the vertebral column

(b) Angular movements: flexion, extension, and hyperextension of the neck

Hyperextension Extension

Flexion

Angular MovementsFlexion, Extension and Hyperextension

Page 25: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Extension

Extension

Flexion

Flexion

(d) Angular movements: flexion and extension at theshoulder and knee

Page 26: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Abduction

Adduction

(e) Angular movements: abduction, adduction, and circumduction of theupper limb at the shoulder

Circumduction

Angular Movements

• Movements that occur along the frontal plane:

Abduction—movement away from the midline

Adduction—movement toward the midline

Circumduction—flexion + abduction + extension + adduction of a limb so as to describe a cone in space

Page 27: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Lateralrotation

Medialrotation

Rotation

(f) Rotation of the head, neck, and lower limb

• The turning of a bone around its own long axis

Examples:

Between C1 and C2 vertebrae

Rotation of humerus and femur

Rotation

Page 28: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Special Movements

• Movements of radius around ulna:

Supination (turning hand backward)

Pronation (turning hand forward)

Supination(radius and ulna are parallel)

(a) Pronation (P) and supination (S)

Pronation(radius rotatesover ulna)

Page 29: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Special Movements

• Movements of the foot:

Dorsiflexion (upward movement)

Plantar flexion

(downward movement)

Dorsiflexion

Plantar flexion

Dorsiflexion

Plantar flexion

(b) Dorsiflexion and plantar flexion

Page 30: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Special Movements

• Movements of the foot:

Inversion (turn sole medially)

Eversion (turn sole laterally)

EversionInversion

(c) Inversion and eversion

Page 31: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Special Movements

• Movements in a transverse plane:

Protraction (anterior movement)

Retraction (posterior movement)

Protractionof mandible

Retractionof mandible

(d) Protraction and retraction

Page 32: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Special Movements

Elevation (lifting a body part superiorly)

Depression (moving a body part inferiorly) Elevation

of mandibleDepressionof mandible

(e) Elevation and depression

Page 33: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Special Movements

• Opposition of the thumb

Movement in the saddle joint so that the thumb touches the tips of the other fingers

(f) Opposition

Opposition

Page 34: Copyright © 2010 Pearson Education, Inc. Chapter 8 Joints Part A Shilla Chakrabarty, Ph.D

Copyright © 2010 Pearson Education, Inc.

Summary: Classification Of Joints