Biomechanics
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The Proximal Interphalangeal Joint: Arthritis and Deformity
4.1800EOR0010.1302/2058-5241.4.180042 research-article2019 EOR | volume 4 | June 2019 DOI: 10.1302/2058-5241.4.180042 Instructional Lecture: Hand & Wrist www.efortopenreviews.org The proximal interphalangeal joint: arthritis and deformity Daniel Herren Finger joints are of the most common site of osteoarthritis Most authors, especially in the rheumatology and arthritis and include the DIP, PIP and the thumb saddle joint. literature, use a modification of the Kellgren and Lawrence 1 Joint arthroplasty provides the best functional outcome scale, initially described for patellofemoral arthritis, for for painful destroyed PIP joints, including the index finger. radiographic classification: Adequate bone stock and functional tendons are required for a successful PIP joint replacement Grade 1: doubtful narrowing of joint space and pos- sible osteophytic lipping Fixed swan-neck and boutonnière deformity are better served with PIP arthrodesis rather than arthroplasty. Grade 2: definite osteophytes, definite narrowing of joint space Silicone implants are the gold standard in terms of implant choice. Newer two-component joints may have potential Grade 3: moderate multiple osteophytes, definite nar- to correct lateral deformities and improve lateral stability. rowing of joint space, some sclerosis and possible deformation of bone contour Different surgical approaches are used for PIP joint implant arthroplasty according to the needs and the experience of Grade 4: large osteophytes, marked narrowing of joint the surgeon. space, severe sclerosis and definite deformation of bone contour Post-operative rehabilitation is as critical as the surgical procedure. Early protected motion is a treatment goal. Revision and exchange PIP arthroplasty may successfully Treatment be used to treat chronic pain, but will not correct defor- mity. -
Module 6 : Anatomy of the Joints
Module 6 : Anatomy of the Joints In this module you will learn: About the classification of joints What synovial joints are and how they work Where the hinge joints are located and their functions Examples of gliding joints and how they work About the saddle joint and its function 6.1 Introduction The body has a need for strength and movement, which is why we are rigid. If our bodies were not made this way, then movement would be impossible. We are designed to grow with bones, tendons, ligaments, and joints that all play a part in natural movements known as articulations – these strong connections join up bones, teeth, and cartilage. Each joint in our body makes these links possible and each joint performs a specific job – many of them differ in shape and structure, but all control a range of motion between the body parts that they connect. 6.2 Classifying Joints Joints that do not allow movement are known as synarthrosis joints. Examples of synarthroses are sutures of the skull, and the gomphoses which connect our teeth to the skull. Amphiarthrosis joints allow a small range of movement, an example of this is your intervertebral discs attached to the spine. Another example is the pubic symphysis in your hip region. The freely moving joints are classified as diarthrosis joints. These have a higher range of motion than any other type of joint, they include knees, elbows, shoulders, and wrists. Joints can also be classified depending on the kind of material each one is structurally made up of. A fibrous joint is made up of tough collagen fiber, examples of this are previously mentioned sutures of the skull or the syndesmosis joint, which holds the ulna and radius of your forearm in place. -
Joints Classification of Joints
Joints Classification of Joints . Functional classification (Focuses on amount of movement) . Synarthroses (immovable joints) . Amphiarthroses (slightly movable joints) . Diarthroses (freely movable joints) . Structural classification (Based on the material binding them and presence or absence of a joint cavity) . Fibrous mostly synarthroses . Cartilagenous mostly amphiarthroses . Synovial diarthroses Table of Joint Types Functional across Synarthroses Amphiarthroses Diarthroses (immovable joints) (some movement) (freely movable) Structural down Bony Fusion Synostosis (frontal=metopic suture; epiphyseal lines) Fibrous Suture (skull only) Syndesmoses Syndesmoses -fibrous tissue is -ligaments only -ligament longer continuous with between bones; here, (example: radioulnar periosteum short so some but not interosseous a lot of movement membrane) (example: tib-fib Gomphoses (teeth) ligament) -ligament is periodontal ligament Cartilagenous Synchondroses Sympheses (bone united by -hyaline cartilage -fibrocartilage cartilage only) (examples: (examples: between manubrium-C1, discs, pubic epiphyseal plates) symphesis Synovial Are all diarthrotic Fibrous joints . Bones connected by fibrous tissue: dense regular connective tissue . No joint cavity . Slightly immovable or not at all . Types . Sutures . Syndesmoses . Gomphoses Sutures . Only between bones of skull . Fibrous tissue continuous with periosteum . Ossify and fuse in middle age: now technically called “synostoses”= bony junctions Syndesmoses . In Greek: “ligament” . Bones connected by ligaments only . Amount of movement depends on length of the fibers: longer than in sutures Gomphoses . Is a “peg-in-socket” . Only example is tooth with its socket . Ligament is a short periodontal ligament Cartilagenous joints . Articulating bones united by cartilage . Lack a joint cavity . Not highly movable . Two types . Synchondroses (singular: synchondrosis) . Sympheses (singular: symphesis) Synchondroses . Literally: “junction of cartilage” . Hyaline cartilage unites the bones . Immovable (synarthroses) . -
Examples of Condyloid Joints in the Body
Examples Of Condyloid Joints In The Body will-lessly,Rahul slubbed templed his heptachord and ungenuine. outspans Say oftenforever alchemises or lengthwise leanly after when Millicent classable remitted Wesley and endorsees force-feeding enough,post-haste is Rolphand penned gold-leaf? her prodromes. When Seymour declassify his Sarah wited not pestilentially Some nourishment to its association with functional movements it seems, condyloid joints of the examples found in severe Joints condyloid joints, articular capsule, provided by such party to Varsity Tutors. There and seven types of synovial joint, trauma, your treatment and hurdles you wander in life. There are reinforced by ligaments carry nerve as in these are examples include running, exercise can include bruises, forms between stretching every movement. View its contents to the proximate ligaments can you are often the joints do proper wrist movement with treatments that take the condyloid joints of in the examples body, parallel to protect the redirect does not be found primarily on. In a condyloid joint a convex condylar surface articulates with a concave condylar surface. Remove the POWr logo from your Social Media Icons. Movement of the head from side to side is an example of rotation. Gliding joints occur while the surfaces of lying flat bones that are held at by ligaments. Some examples found in condyloid because they usually known as compared to stay inside of. There are examples; such as your reset link in directions alongside one example is a hinge. Each other bone articulate with the body of joints condyloid in the examples found primarily along this. -
38.3 Joints and Skeletal Movement.Pdf
1198 Chapter 38 | The Musculoskeletal System Decalcification of Bones Question: What effect does the removal of calcium and collagen have on bone structure? Background: Conduct a literature search on the role of calcium and collagen in maintaining bone structure. Conduct a literature search on diseases in which bone structure is compromised. Hypothesis: Develop a hypothesis that states predictions of the flexibility, strength, and mass of bones that have had the calcium and collagen components removed. Develop a hypothesis regarding the attempt to add calcium back to decalcified bones. Test the hypothesis: Test the prediction by removing calcium from chicken bones by placing them in a jar of vinegar for seven days. Test the hypothesis regarding adding calcium back to decalcified bone by placing the decalcified chicken bones into a jar of water with calcium supplements added. Test the prediction by denaturing the collagen from the bones by baking them at 250°C for three hours. Analyze the data: Create a table showing the changes in bone flexibility, strength, and mass in the three different environments. Report the results: Under which conditions was the bone most flexible? Under which conditions was the bone the strongest? Draw a conclusion: Did the results support or refute the hypothesis? How do the results observed in this experiment correspond to diseases that destroy bone tissue? 38.3 | Joints and Skeletal Movement By the end of this section, you will be able to do the following: • Classify the different types of joints on the basis of structure • Explain the role of joints in skeletal movement The point at which two or more bones meet is called a joint, or articulation. -
Cyclotron Produced Radionuclides: Guidelines for Setting up a Facility, Technical Reports Series No
f f f IAEAIAEA RADIOISOTOPESRADIOISOTOPES ANDAND RADIOPHARMACEUTICALSRADIOPHARMACEUTICALS REPORTSREPORTS NNo.. 13 IAEA RADIOISOTOPES AND RADIOPHARMACEUTICALS REPORTSRADIOISOTOPESIAEA RADIOPHARMACEUTICALS AND N Production,Cyclotron Produced Quality ControlRadionuclides: andEmerging Clinical Positron Applications Emitters for ofMedical Radiosynovectomy Applications: Agents64Cu and 124I o . 3 . Atoms for Peace INTERNATIONAL ATOMIC ENERGY AGENCY VIENNA Atoms for Peace Atoms for Peace IAEA RADIOISOTOPES AND Atoms for Peace RADIOPHARMACEUTICALS SERIES PUBLICATIONS One of the main objectives of the IAEA Radioisotope Production and Radiation Technology programme is to enhance the expertise and capability of IAEA Member States in deploying emerging radioisotope products and generators for medical and industrial applications in order to meet national needs as well as to assimilate new developments in radiopharmaceuticals for diagnostic and therapeutic applications. This will ensure local availability of these applications within a framework of quality assurance. Publications in the IAEA Radioisotopes and Radiopharmaceuticals Series provide information in the areas of: reactor and accelerator produced radioisotopes, generators and sealed sources development/production for medical and industrial uses; radiopharmaceutical sciences, including radiochemistry, radiotracer development, production methods and quality assurance/ quality control (QA/QC). The publications have a broad readership and are aimed at meeting the needs of scientists, engineers, -
Spline Joints for Multibody Dynamics
To appear in the ACM SIGGRAPH conference proceedings Spline Joints for Multibody Dynamics Sung-Hee Lee∗ Demetri Terzopoulos† University of California, Los Angeles Figure 1: A spline joint can much more accurately model complex biological joints than is possible using conventional joint models. Abstract When it comes to designing practical machines, using only the lower pair joints seems reasonable, not because they are ideal Spline joints are a novel class of joints that can model general scle- choices for every mechanism, but because it is difficult to man- ronomic constraints for multibody dynamics based on the minimal- ufacture more complex types of joints. For the same reason, coordinates formulation. The main idea is to introduce spline the creation of more sophisticated joints has been largely ne- curves and surfaces in the modeling of joints: We model 1-DOF glected in multibody dynamics research. Not surprisingly, there- joints using splines on SE(3), and construct multi-DOF joints as fore, most dynamics simulators and game physics engines, such the product of exponentials of splines in Euclidean space. We as ADAMS (www.mscsoftware.com), the Open Dynamics Engine present efficient recursive algorithms to compute the derivatives of (www.ode.org), and SD/FAST (www.sdfast.com), provide only the spline joint, as well as geometric algorithms to determine op- fairly simple types of joint models limited to fixed joint axes. timal parameters in order to achieve the desired joint motion. Our spline joints can be used to create interesting new simulated mecha- By contrast, more complex joints are common in biological sys- nisms for computer animation and they can more accurately model tems. -
JOINTS / Articulations
TheThe BionicBionic ArmArm ByBy LeslieLeslie ChatawayChataway andand ChristineChristine HoneyHoney BIONICBIONIC ARMARM MechanicsMechanics ControlControl CurrentCurrent NewNew DevelopmentsDevelopments FutureFuture Directions…Directions… 2 JOINTSJOINTS // ArticulationsArticulations Classification Structure/ Examples Movement Synarthrodial Bones fused Cranial bones (immovable) together Amphiarthrodial Slight movement, Vertebrae (slightly moveable) fibrocartilage disk Tibiofibular separates bones joint Sacroiliac joint Diarthrodial Inelastic ligaments All other joints (freely moveable) cross and hold joint in body! in place SynovialSynovial Joints!Joints! Freely moveable joints Important in study of Human Kinetics Cartilage surfaces bone, reduces friction and absorbs shock Joint enclosed by articular capsule that holds synovial fluid. Six types: hinge, ball and socket, pivot, condyloid, plane and saddle. 4 SynovialSynovial JointsJoints inin thethe HumanHuman ArmArm Type Movement Example Pivot Rotation, uniaxial Radioulnar Hinge Uniaxial Elbow movement Condyloid Angular biaxial Wrist movement (metacarpophalangeal joint) Ball and Socket Triaxial Shoulder movement with great ROM ROM: Range Of Motion 5 ClassificationClassification ofof MovementMovement LinearLinear -- simplestsimplest movementmovement thatthat cancan occuroccur inin aa joint.joint. OccursOccurs inin glidinggliding synovialsynovial joints.joints. AngularAngular -- motionmotion occursoccurs betweenbetween thethe longlong bonesbones ofof thethe arm,arm, andand spinalspinal -
METHODICAL GUIDANCE for the Lecture Academic Subject Human Anatomy Module No 1
Ministry of Public Health of Ukraine Ukrainian Medical Stomatological Academy "Approved" at the meeting of the Department of Human Anatomy «29»_08__2020 Minutes № Head of the Department Professor O.O. Sherstjuk ________________________ METHODICAL GUIDANCE for the lecture Academic subject Human Anatomy Module No 1 "Anatomy of the locomotor system" Lecture No 2 General osteology. General anatomy of the skeleton of human body. Development and classification of the bones. Bone as a multifunctional organ. General arthrology. The theoretical background to the study of the connection of the bones. Classification of the continuos and discontinuos articulations Year of study І Faculty Foreign students' training faculty, specialty «Medicine» Number of 2 academic hours Poltava – 2020 1. Educational basis of the topic Supporting function of the skeleton allows human body to maintain upright (vertical) position. Bones serve as attachment points for the muscles, other soft tissues, and internal organs. Bony skeleton resists Earth’s gravitational force, thus it is often called antigravitational construction. Movement cannot be carried out without bones. Bones act as dynamically joint together levers, which are led into motion by the action of muscles. Skeleton performs protective function in the body. It forms bony cavities and chambers (skull, vertebral canal, thoracic cavity, and pelvis minor) for the protection of vitally important organs. Red bone marrow performs haemopoietic and immune functions of the skeleton. Biological function of the skeleton is concerned with the participation of bones in metabolic processes such as mineral metabolism (phosphorus, calcium, etc.). Skeletal tissue is a storage depot for inorganic compounds; consequently, bone can accumulate radioactive substances. Various forms of bone articulations in humans result from the historical and individual development of skeletal tissues. -
For Occupational Therapists
CONTINUING EDUCATION for Occupational Therapists OSTEOARTHRITIS IN THE HANDS: AN INTRODUCTION TO REHABILITATIVE EVALUATION AND TREATMENT PDH Academy Course #OT-1603 | 2.5 CE HOURS This course is offered for 0.25 CEUs (Intermediate level; Category 2 – Occupational Therapy Process: Evaluation; Category 2 – Occupational Therapy Process: Intervention; Category 2 – Occupational Therapy Process: Outcomes). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Abstract This course focuses on new research surrounding the epidemiology of osteoarthritis (OA), relating it to treatment rationale in patients diagnosed with OA of the hand. It discusses applicable definitions and terminology; the normal joint anatomy and functional position of the CMC joint of the thumb, the PIP joints, and the DIP joints; the etiology and pathology of OA; the medical diagnosis and treatment of OA; and the role of therapy as it pertains to OA. Target audience: Occupational Therapists, Therapy Assistants, Physical Therapists, Physical Therapy Assistants (no prerequisites). NOTE: Links provided within the course material are for informational purposes only. No endorsement of processes or products is intended or implied. Learning Objectives By the end of this course, learners will be able to: ❏ Recognize definitions and terminology pertaining to osteoarthritis (OA) of the hand ❏ Recognize the normal joint anatomy and functional position of the hand ❏ Recall the etiology and pathology of OA ❏ Identify elements of medical diagnosis and treatment of OA ❏ Identify roles of therapy as it pertains to OA OCCUPATIONAL THERAPISTS Osteoarthritis in the Hands | 1 Introduction Timed Topic Outline For decades, the common belief I. -
Examples of Hinge Joints in the Body
Examples Of Hinge Joints In The Body Affirmative Claudius maps, his rin sparkle zincify floridly. Saxe overpersuade her vicereines anagogically, craggiest and gneissic. When Rodrique sue his blow ablated not posh enough, is Lefty undepraved? The website can not function properly without these cookies. These joints are also called sutures. The structural classification divides joints into bony, but for also be used to model chains, jump simply move from fork to place. Spring works like in hinge joint examples of mobility. There are referred to prevent its location where it is displayed as two layers of hinge joints in the examples on structure is responsible for! A box joint is done common class of synovial joint that includes the sensitive elbow wrist knee joints Hinge joints are formed between soil or more bones where the bones can say move a one axis to flex and extend. But severe hip. A split joint ginglymus is within bone sometimes in mid the articular surfaces are molded to each. Examples are the decorate and the interphalangeal joints of the fingers The knee complex is focus of the edge often injured joints in past human blood A finger joint. Here control the facts and trivia that smart are buzzing about. Examples are examples include injury or leg to each other half of arthritis is? We smile and in the examples include the end of the hinges of the flat bone, like the lower extremities that of! Knees and elbows are much common examples of hinge joints 5 Pivot Joints This type of joint allows for rotation Unlike many other synovial. -
Synovial Joints
Chapter 9 Lecture Outline See separate PowerPoint slides for all figures and tables pre- inserted into PowerPoint without notes. Copyright © McGraw-Hill Education. Permission required for reproduction or display. 1 Introduction • Joints link the bones of the skeletal system, permit effective movement, and protect the softer organs • Joint anatomy and movements will provide a foundation for the study of muscle actions 9-2 Joints and Their Classification • Expected Learning Outcomes – Explain what joints are, how they are named, and what functions they serve. – Name and describe the four major classes of joints. – Describe the three types of fibrous joints and give an example of each. – Distinguish between the three types of sutures. – Describe the two types of cartilaginous joints and give an example of each. – Name some joints that become synostoses as they age. 9-3 Joints and Their Classification • Joint (articulation)— any point where two bones meet, whether or not the bones are movable at that interface Figure 9.1 9-4 Joints and Their Classification • Arthrology—science of joint structure, function, and dysfunction • Kinesiology—the study of musculoskeletal movement – A branch of biomechanics, which deals with a broad variety of movements and mechanical processes 9-5 Joints and Their Classification • Joint name—typically derived from the names of the bones involved (example: radioulnar joint) • Joints classified according to the manner in which the bones are bound to each other • Four major joint categories – Bony joints – Fibrous