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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. -
Anatomy and Physiology
Anatomy and Physiology By Dr. Marwan Arbilei SYSTEMS INSIDE THE BODY What Is Anatomy and Physiology? • Skeletal system • Muscular system • Anatomy is the study of the • Cardiovascular system structure and relationship • Digestive system between body parts. • Endocrine system • Nervous system • Physiology is the study of the • Respiratory system function of body parts and • Immune/ Lymphatic system the body as a whole. • Urinary system • Male and Female Reproductive system • Integumentary system Skeletal system The axial skeleton runs along the body’s midline axis and is made up of 80 bones in the following regions: Skull Hyoid Auditory ossicles Ribs Sternum Vertebral column The appendicular skeleton is made up of 126 bones in the following regions: Upper limbs Lower limbs Pelvic girdle Pectoral (shoulder) girdle Joints Fibrous Joint -non movable. eg: skull Cartilaginous Joint –chest bone, vertebrae Synovial Joint – elbow,knee,hip,shoulder,finger Vertebral column • Vertebral column • Total 33 vertebrae • Cervical 7 • Thoracic 12 • Lumber 5 • Sacral 5 • Coccygeial 4 Muscular system There are three types of muscle tissue: Visceral Stomach, intestines, blood vessels Cardiac Heart Skeletal Muscles attached to two bones across a joint Cardiovascular system Anatomy • The Heart • Circulatory Loops Functions • Blood Vessels Transportation • Coronary Circulation Protection • Hepatic Portal Circulation Regulation • Blood Digestive system Anatomy Mouth-Pharynx – Esophagus – Stomach - Small Intestine - Liver and Gallbladder – Pancreas -
Isaac Newton Academy Revision Booklet- Exam 1
Isaac Newton Academy Revision Booklet- Exam 1 Component 01: Physical factors affecting performance 1.1 Applied anatomy and physiology 1.2 Physical training. Functions of the skeleton Location of Major Bones Bone stores crucial nutrients, minerals, and lipids and produces blood cells that nourish the body and play a vital role in protecting the body against infection. Bones have many functions, including the following: Support: Bones provide a framework for the attachment of muscles and other tissues. Bone Location Arm - humerus, radius and ulna. Hand - Carpals, Metacarpals and Phalanges. Sternum and Ribs. Femur – the thigh bone. Patella – the knee cap. Tibia – the shin bone, the larger of the two leg bones located below the knee cap. Fibula – the smaller of the two leg bones located below the knee cap. The OCR Spec expects us to know the following regarding synovial joints: The definition of a synovial joint, Articulating bones of the knee and elbow hinge joints and also the articulating bones of the shoulder and hip Ball and socket joints Hinge Joint- A hinge joint is found at the knee and the elbow, Synovial Joint- This is a freely moveable joint in thich the bones’ surfaces are covered Articulating bones of the elbow by cartilage and connected by joint are the Humerus radius fibrous connective tissue and Ulna . Articulating bones of capsule lines with synovial the knee are the Femur and fluid Tibia. Ball and socket joint- Allows a wide range of movement, they can be Articulating bones- These found at the hip and shoulder. are bones that move within a joint Articulating bones of the shoulder are Humerus and Scapula. -
Lecture Notes on Human Anatomy. Part One, Fourth Edition. PUB DATE Sep 89 NOTE 79P.; for Related Documents, See SE 051 219-221
DOCUMENT RESUME ED 315 320 SE 051 218 AUTHOR Conrey, Kathleen TITLE Lecture Notes on Human Anatomy. Part One, Fourth Edition. PUB DATE Sep 89 NOTE 79p.; For related documents, see SE 051 219-221. Black and white illustrations will not reproduce clearly. AVAILABLE FROM Aramaki Design and Publications, 12077 Jefferson Blvd., Culver City, CA 90506 ($7.75). PUB TYPE Guides - Classroom Use - Materials (For Learner) (051) EDRS PRICE MF01 Plus Postage. PC Not Available from EDRS. DESCRIPTORS *Anatomy; *Biological Sciences; *College Science; Higher Education; *Human Body; *Lecture Method; Science Education; Secondary Education; Secondary School Science; Teaching Guides; Teaching Methods ABSTRACT During the process of studying the specific course content of human anatomy, students are being educated to expand their vocabulary, deal successfully with complex tasks, anduse a specific way of thinking. This is the first volume in a set of notes which are designed to accompany a lecture series in human anatomy. This volume Includes discussions of anatomical planes and positions, body cavities, and architecture; studies of the skeleton including bones and joints; studies of the musculature of the body; and studiesof the nervous system including the central, autonomic, motor and sensory systems. (CW) *****1.**k07********Y*******t1.****+***********,****A*******r****** % Reproductions supplied by EDRS are the best that can be made from the original document. **************************************************************A**t***** "PERMISSION TO REPRODUCE -
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) . -
The Digestive System
69 chapter four THE DIGESTIVE SYSTEM THE DIGESTIVE SYSTEM The digestive system is structurally divided into two main parts: a long, winding tube that carries food through its length, and a series of supportive organs outside of the tube. The long tube is called the gastrointestinal (GI) tract. The GI tract extends from the mouth to the anus, and consists of the mouth, or oral cavity, the pharynx, the esophagus, the stomach, the small intestine, and the large intes- tine. It is here that the functions of mechanical digestion, chemical digestion, absorption of nutrients and water, and release of solid waste material take place. The supportive organs that lie outside the GI tract are known as accessory organs, and include the teeth, salivary glands, liver, gallbladder, and pancreas. Because most organs of the digestive system lie within body cavities, you will perform a dissection procedure that exposes the cavities before you begin identifying individual organs. You will also observe the cavities and their associated membranes before proceeding with your study of the digestive system. EXPOSING THE BODY CAVITIES should feel like the wall of a stretched balloon. With your skinned cat on its dorsal side, examine the cutting lines shown in Figure 4.1 and plan 2. Extend the cut laterally in both direc- out your dissection. Note that the numbers tions, roughly 4 inches, still working with indicate the sequence of the cutting procedure. your scissors. Cut in a curved pattern as Palpate the long, bony sternum and the softer, shown in Figure 4.1, which follows the cartilaginous xiphoid process to find the ventral contour of the diaphragm. -
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. -
Gen Anat-Joints
JOINTS Joint is a junction between two or more bones Classification •Functional Based on the range and type of movement they permit •Structural On the basis of their anatomic structure Functional Classification • Synarthrosis No movement e.g. Fibrous joint • Amphiarthrosis Slight movement e.g. Cartilagenous joint • Diarthrosis Movement present Cavity present Also called as Synovial joint eg.shoulder joint Structural Classification Based on type of connective tissue binding the two adjacent articulating bones Presence or absence of synovial cavity in between the articulating bone • Fibrous • Cartilagenous • Synovial Fibrous Joint Bones are connected to each other by fibrous (connective ) tissue No movement No synovial cavity • Suture • Syndesmosis • Gomphosis Sutural Joints • A thin layer of dens fibrous tissue binds the adjacent bones • These appear between the bones which ossify in membrane • Present between the bones of skull e.g . coronal suture, sagittal suture • Schindylesis: – rigid bone fits in to a groove on a neighbouring bone e.g. Vomer and sphenoid Gomphosis • Peg and socket variety • Cone shaped root of tooth fits in to a socket of jaw • Immovable • Root is attached to the socket by fibrous tissue (periodontal ligament). Syndesmosis • Bony surfaces are bound together by interosseous ligament or membrane • Membrane permits slight movement • Functionally classified as amphiarthrosis e.g. inferior tibiofibular joint Cartilaginous joint • Bones are held together by cartilage • Absence of synovial cavity . Synchondrosis . Symphysis Synchondrosis • Primary cartilaginous joint • Connecting material between two bones is hyaline cartilage • Temporary joint • Immovable joint • After a certain age cartilage is replaced by bone (synostosis) • e.g. Epiphyseal plate connecting epiphysis and diphysis of a long bone, joint between basi-occiput and basi-sphenoid Symphysis • Secondary cartilaginous joint (fibrocartilaginous joint) • Permanent joint • Occur in median plane of the body • Slightly movable • e.g. -
Biomechanics
BIOMECHANICS SAGAR BIOMECHANICS The study of mechanics in the human body is referred to as biomechanics. Biomechanics Kinematics Kinetics U Kinematics: Kinematics is the area of biomechanics that includes descriptions of motion without regard for the forces producing the motion. [It studies only the movements of the body.] Kinematics variables for a given movement may include following: y Type of motion. y Location of motion. y Direction of motion. y Magnitude of motion. y Rate or Duration of motion. Ö Type of Motion: There are four types of movement that can be attributed to any rigid object or four pathways through which a rigid object can travel. < Rotatory (Angular) Motion: It is movement of an object or segment around a fixed axis in a curved path. Each point on the object or segment moves through the same angle, at the same time, at a constant distance from the axis of rotation. Eg – Each point in the forearm/hand segment moves through the same angle, in the same time, at a constant distance from the axis of rotation during flexion at the elbow joint. < Translatory (Linear) Motion: It is the movement of an object or segment in a straight line. Each point on the object moves through the same distance, at the same time, in parallel paths. Translation of a body segment without some concomitant rotation rarely occurs. EgSAGAR – The movement of the combined forearm/hand segment to grasp an object, in this all points on the forearm/hand segment move through the same distance at the same time but the translation of the forearm/hand segment is actually produced by rotation of both the shoulder and the elbow joints. -
The Anatomy of the Knee the Knee Is a Hinge Joint Formed by the Tibia
The Anatomy of the Knee The knee is a hinge joint formed by the tibia (shinbone), femur (thighbone) and patella (kneecap). The ends of the bones in the joint are covered with cartilage a tough lubricating tissue that helps cushion the bones during movement. Diagram 1: The Human Knee The Joints The joint mainly allows for bending (flexion) and straightening (extension) of your knee. The knee joint consists of two articulations-tibiofemoral and patellofemoral. The joint surfaces are lined with cartilage, and are enclosed within a single joint cavity. 1 Tibiofemoral (Knee joint)-medial and lateral condyles of the femur articulate with the tibial condyles. It is the weight-bearing component of the knee joint. Patellofemoral (kneecap)-(Anterior) aspect of the femur at the knee joint articulates with the Patella. It allows the tendon of the quadriceps femoris (muscle that extends knee) to be inserted directly over the knee-increasing its efficiency. The Ligaments There are a number of ligaments related to the knee. However the main ones are the collateral and the cruciate ligaments. These ligaments work to stabilise the knee and give the knee its awareness of its position in space. The Muscles Diagram 2: The 'Knee' Muscles The main muscles of the knee joint consist of two groups that work together to extend and flex the knee joint during activities such as walking and running. The muscles at the front of the thighs are called the quadriceps. They are a group of four muscles which work to extend or straighten the knee. They attach to the shin bone by a thick tendon called the Patellar tendon. -
Human Anatomy
Human Anatomy Articulations 1 Articulations A joint, or articulation, is the place of contact between bones, between bone and cartilage, or between bones and teeth. 9-2 Naming of Joints Usually derived from the names of the articulating bones. 9-3 Mobility and Stability in Joints Motion permitted ranges from none to various extensive motions. Structure determines both its mobility and its stability. more mobile = less stable 9-4 5 Classification of Joints Type of connective tissue that binds the articulating surfaces of the bones. Whether a space occurs between the articulating bones. 9-6 Classification of Joints A fibrous joint occurs where bones are held together by dense regular (fibrous) connective tissue. A cartilaginous joint occurs where bones are joined by cartilage. A synovial joint has a fluid-filled synovial cavity bones are enclosed within a capsule bones are joined by various ligaments 9-7 Classification of Joints Functionally based on the extent of movement they permit: Synarthrosis is an immovable joint. Amphiarthrosis is a slightly movable joint. Diarthrosis is a freely movable joint. 9-8 9 Fibrous Joints Most are immovable or only slightly movable. Have no joint cavity. Three types. gomphoses sutures syndesmoses 9-10 Types of Fibrous Joints − Syndesmoses Fibrous joints in which articulating bones are joined by ligaments only. Allow for slight movement. classified as amphiarthroses 9-11 Cartilaginous Joints Bones are attached to each other by cartilage. Lack a joint cavity. Two types. synchondroses