Download - Chapter 9
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PowerPoint® Lecture Presentations prepared byJason LaPresLone Star College—North Harris
9Articulations
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© 2012 Pearson Education, Inc.
An Introduction to Articulations
• Articulations
• Body movement occurs at joints (articulations) where
two bones connect
• Joint Structure
• Determines direction and distance of movement
(range of motion or ROM)
• Joint strength decreases as mobility increases
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9-1 Classification of Joints
• Two Methods of Classification
1. Functional classification is based on range of motion
of the joint
2. Structural classification relies on the anatomical
organization of the joint
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9-1 Classification of Joints
• Functional Classifications
• Synarthrosis (immovable joint)
• Amphiarthrosis (slightly movable joint)
• Diarthrosis (freely movable joint)
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9-1 Classification of Joints
• Structural Classifications
• Bony
• Fibrous
• Cartilaginous
• Synovial
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9-1 Classification of Joints
• Synarthroses (Immovable Joints)
• Are very strong
• Edges of bones may touch or interlock
• Four types of synarthrotic joints
1. Suture
2. Gomphosis
3. Synchondrosis
4. Synostosis
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9-1 Classification of Joints
• Suture
• Bones interlocked
• Are bound by dense fibrous connective tissue
• Are found only in skull
• Gomphosis
• Fibrous connection (periodontal ligament)
• Binds teeth to sockets
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9-1 Classification of Joints
• Synchondrosis
• Is a rigid cartilaginous bridge between two bones
• Epiphyseal cartilage of long bones
• Between vertebrosternal ribs and sternum
• Synostosis
• Fused bones, immovable
• Metopic suture of skull
• Epiphyseal lines of long bones
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9-1 Classification of Joints
• Amphiarthroses
• More movable than synarthrosis
• Stronger than freely movable joint
• Two types of amphiarthroses
1. Syndesmosis
• Bones connected by ligaments
2. Symphysis
• Bones separated by fibrocartilage
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9-1 Classification of Joints
• Synovial Joints (Diarthroses)
• Also called movable joints
• At ends of long bones
• Within articular capsules
• Lined with synovial membrane
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9-2 Synovial Joints
• Articular Cartilages
• Pad articulating surfaces within articular capsules
• Prevent bones from touching
• Smooth surfaces lubricated by synovial fluid
• Reduce friction
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9-2 Synovial Joints
• Synovial Fluid
• Contains slippery proteoglycans secreted by
fibroblasts
• Functions of synovial fluid
1. Lubrication
2. Nutrient distribution
3. Shock absorption
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9-2 Synovial Joints
• Accessory Structures
• Cartilages
• Fat pads
• Ligaments
• Tendons
• Bursae
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9-2 Synovial Joints
• Cartilages
• Cushion the joint
• Fibrocartilage pad called a meniscus (or articular disc; plural, menisci)
• Fat Pads
• Superficial to the joint capsule
• Protect articular cartilages
• Ligaments
• Support, strengthen joints
• Sprain – ligaments with torn collagen fibers
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9-2 Synovial Joints
• Tendons
• Attach to muscles around joint
• Help support joint
• Bursae
• Singular, bursa, a pouch
• Pockets of synovial fluid
• Cushion areas where tendons or ligaments rub
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9-2 Synovial Joints
• Factors That Stabilize Synovial Joints
• Prevent injury by limiting range of motion
• Collagen fibers (joint capsule, ligaments)
• Articulating surfaces and menisci
• Other bones, muscles, or fat pads
• Tendons of articulating bones
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Figure 9-1a The Structure of a Synovial Joint
Synovial joint, sagittal section
Medullary cavity
Spongy bone
Periosteum
Fibrous joint capsule
Synovial membrane
Articular cartilages
Joint cavity(containingsynovial fluid)
Compact bone
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Figure 9-1b The Structure of a Synovial Joint
Knee joint, sagittal section
Synovialmembrane
Intracapsularligament
Joint capsule
Meniscus
Femur
Tibia
Quadriceps tendon
Patella
Articular cartilage
Fat padPatellar ligament
Joint cavityMeniscus
Bursa
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9-2 Synovial Joints
• Injuries
• Dislocation (luxation)
• Articulating surfaces forced out of position
• Damages articular cartilage, ligaments, joint capsule
• Subluxation
• A partial dislocation
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9-3 Movements
• Three Types of Dynamic Motion
1. Linear movement (gliding)
2. Angular movement
3. Rotation
• Planes (Axes) of Dynamic Motion
• Monaxial (1 axis)
• Biaxial (2 axes)
• Triaxial (3 axes)
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9-3 Movements
• Types of Movement at Synovial Joints
• Terms describe:
• Plane or direction of motion
• Relationship between structures
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9-3 Movements
• Types of Movement at Synovial Joints
• Gliding Movement
• Two surfaces slide past each other
• Between carpal or tarsal bones
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9-3 Movements
• Angular Movement
• Flexion
• Angular motion
• Anterior–posterior plane
• Reduces angle between elements
• Extension
• Angular motion
• Anterior–posterior plane
• Increases angle between elements
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9-3 Movements
• Angular Movement
• Hyperextension
• Angular motion
• Extension past anatomical position
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Figure 9-3a Angular Movements
Flexion/extension
Extension
Extension
Extension
Flexion
Flexion
Flexion
Hyperextension
Hyperextension
Hyper-extension
Flexion
Extension
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9-3 Movements
• Angular Movement
• Abduction
• Angular motion
• Frontal plane
• Moves away from longitudinal axis
• Adduction
• Angular motion
• Frontal plane
• Moves toward longitudinal axis
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Figure 9-3b Angular Movements
Abduction/adduction
Abduction
Abduction
Abduction
Adduction
Adduction
AdductionAdduction
Abduction
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Figure 9-3c Angular Movements
Adduction/abduction
AbductionAdduction
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9-3 Movements
• Angular Movement
• Circumduction
• Circular motion without rotation
• Angular motion
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Figure 9-3d Angular Movements
Circumduction
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9-3 Movements
• Types of Movement at Synovial Joints
• Rotation
• Direction of rotation from anatomical position
• Relative to longitudinal axis of body
• Left or right rotation
• Medial rotation (inward rotation)
• Rotates toward axis
• Lateral rotation (outward rotation)
• Rotates away from axis
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Figure 9-4a Rotational Movements
Head rotation
Rightrotation
Leftrotation
Lateral(external)rotation Medial
(internal)rotation
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9-3 Movements
• Types of Movements at Synovial Joints
• Rotation
• Pronation
• Rotates forearm, radius over ulna
• Supination
• Forearm in anatomical position
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Figure 9-4b Rotational Movements
Supination Pronation
Pronation
Supination
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9-3 Movements
• Special Movements
• Inversion
• Twists sole of foot medially
• Eversion
• Twists sole of foot laterally
• Dorsiflexion
• Flexion at ankle (lifting toes)
• Plantar flexion
• Extension at ankle (pointing toes)
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Figure 9-5 Synovial Joints
Eversion Inversion
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Figure 9-5 Synovial Joints
Plantarflexion
(ankle extension)
Dorsiflexion(ankle flexion)
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9-3 Movements
• Special Movements
• Opposition
• Thumb movement toward fingers or palm (grasping)
• Reposition
• Opposite of opposition
• Protraction
• Moves anteriorly
• In the horizontal plane (pushing forward)
• Retraction
• Opposite of protraction
• Moving anteriorly (pulling back)
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Figure 9-5 Synovial Joints
Opposition
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Figure 9-5 Synovial Joints
ProtractionRetraction
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9-3 Movements
• Special Movements
• Elevation
• Moves in superior direction (up)
• Depression
• Moves in inferior direction (down)
• Lateral flexion
• Bends vertebral column from side to side
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Figure 9-5 Synovial Joints
ElevationDepression
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Figure 9-5 Synovial Joints
Lateral flexion
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9-3 Movements
• Classification of Synovial Joints by Shape
• Gliding
• Hinge
• Pivot
• Condylar
• Saddle
• Ball-and-socket
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9-3 Movements
• Gliding Joints
• Flattened or slightly curved faces
• Limited motion (nonaxial)
• Hinge Joints
• Angular motion in a single plane (monaxial)
• Pivot Joints
• Rotation only (monaxial)
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Figure 9-6 Synovial Joints
Gliding joint
Manubrium
ClavicleMovement: slight nonaxial or multiaxial
Examples:• Acromioclavicular and claviculosternal joints• Intercarpal and intertarsal joints• Vertebrocostal joints• Sacro-iliac joints
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Figure 9-6 Synovial Joints
Hinge joint
Ulna
Humerus
Movement: monaxial
Examples:• Elbow joint• Knee joint• Ankle joint• Interphalangeal joint
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Figure 9-6 Synovial Joints
Pivot joint
Axis
Atlas
Movement: monaxial (rotation)
Examples:• Atlanto-axial joint• Proximal radio-ulnar joint
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9-3 Movements
• Condylar Joints
• Oval articular face within a depression
• Motion in two planes (biaxial)
• Saddle Joints
• Two concave, straddled (biaxial)
• Ball-and-socket Joints
• Round articular face in a depression (triaxial)
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Figure 9-6 Synovial Joints
Condylar joint
Ulna
Scaphoidbone
Movement: biaxial
Examples:• Radiocarpal joint• Metacarpophalangeal joints 2–5• Metatarsophalangeal joints
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Figure 9-6 Synovial Joints
Saddle joint
Trapezium
Metacarpalbone of thumb
III II
Movement: biaxial
Examples:• First carpometacarpal joint
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Figure 9-6 Synovial Joints
Ball-and-socket joint
Humerus
Scapula
Movement: triaxial
Examples:• Shoulder joint• Hip joint
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9-3 Movements
• Joints
• A joint cannot be both mobile and strong
• The greater the mobility, the weaker the joint
• Mobile joints are supported by muscles and
ligaments, not bone-to-bone connections
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9-7 Effects of Aging on Articulations
• Degenerative Changes
• Rheumatism
• A pain and stiffness of skeletal and muscular systems
• Arthritis
• All forms of rheumatism that damage articular cartilages of synovial joints
• Osteoarthritis
• Caused by wear and tear of joint surfaces, or genetic factors affecting collagen formation
• Generally in people over age 60
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9-7 Effects of Aging on Articulations
• Rheumatoid Arthritis
• An inflammatory condition
• Caused by infection, allergy, or autoimmune disease
• Involves the immune system
• Gouty Arthritis
• Occurs when crystals (uric acid or calcium salts)
• Form within synovial fluid
• Due to metabolic disorders
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9-7 Effects of Aging on Articulations
• Joint Immobilization
• Reduces flow of synovial fluid
• Can cause arthritis symptoms
• Treated by continuous passive motion or CPM (therapy)
• Bones and Aging
• Bone mass decreases
• Bones weaken
• Increases risk of hip fracture, hip dislocation, or pelvic fracture