Chapter 9 Joints
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Synovial Joints Permit Movements of the Skeleton
8 Joints Lecture Presentation by Lori Garrett © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes 8.1 Contrast the major categories of joints, and explain the relationship between structure and function for each category. 8.2 Describe the basic structure of a synovial joint, and describe common accessory structures and their functions. 8.3 Describe how the anatomical and functional properties of synovial joints permit movements of the skeleton. © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes (continued) 8.4 Describe flexion/extension, abduction/ adduction, and circumduction movements of the skeleton. 8.5 Describe rotational and special movements of the skeleton. © 2018 Pearson Education, Inc. Module 8.1: Joints are classified according to structure and movement Joints, or articulations . Locations where two or more bones meet . Only points at which movements of bones can occur • Joints allow mobility while preserving bone strength • Amount of movement allowed is determined by anatomical structure . Categorized • Functionally by amount of motion allowed, or range of motion (ROM) • Structurally by anatomical organization © 2018 Pearson Education, Inc. Module 8.1: Joint classification Functional classification of joints . Synarthrosis (syn-, together + arthrosis, joint) • No movement allowed • Extremely strong . Amphiarthrosis (amphi-, on both sides) • Little movement allowed (more than synarthrosis) • Much stronger than diarthrosis • Articulating bones connected by collagen fibers or cartilage . Diarthrosis (dia-, through) • Freely movable © 2018 Pearson Education, Inc. Module 8.1: Joint classification Structural classification of joints . Fibrous • Suture (sutura, a sewing together) – Synarthrotic joint connected by dense fibrous connective tissue – Located between bones of the skull • Gomphosis (gomphos, bolt) – Synarthrotic joint binding teeth to bony sockets in maxillae and mandible © 2018 Pearson Education, Inc. -
Chapter Nine- Joints and Articulations
Chapter 9 Activity: Joints 1. List the three structural categories of joints and briefly describe the criteria used for structural classification of joints. 2. List the three functional classifications of joints, and briefly describe the basis for the functional classification of joints. 3. Which functional class of joints contains joints that are freely movable? 1. Synarthrosis 2. Amphiarthrosis 3. Diarthrosis a) 1 only c) 3 only e) All of these choices b) 2 only d) Both 2 and 3 4. Which of the following is a type of fibrous joint composed of a thin layer of dense irregular fibrous connective tissue found between the bones of the skull? 1. Syndesmoses 2. Gomphosis 3. Suture a) 1 only c) 3 only e) None of these choices b) 2 only d) Both 1 and 2 5. The epiphyseal plate in a long bone is an example of which type of joint? a) Gomphosis c) Symphysis e) Synchondrosis b) Suture d) Synovial 6. The joint between the first rib and the manubrium of the sternum is classified as a) a synchondrosis. c) a cartilaginous joint. e) None of these choices. b) a synarthrosis. d) All of these choices. 7. Which of the following is(are) made from dense regular connective tissue? a) Ligaments c) Articular fat pads e) Synovial fluid b) Articular cartilage d) Synovial membrane 8. What unique characteristics would a person who is "double-jointed” possess? Answer: 9. Briefly describe the functions of synovial fluid. Answer: 10. Briefly describe what is happening when a person “cracks their knuckles”. Answer: 11. Which of the following structures include the fibular and tibial collateral ligaments of the knee joint? a) Synovial membranes c) Menisci e) Tendon sheath b) Articular fat pads d) Extracapsular ligaments 12. -
Juncturae Ossium Membri Superioris) Rndr
SPECIAL ARTHROLOGY Connections of the upper limb (juncturae ossium membri superioris) RNDr. Michaela Račanská, Ph.D. Lecture 8 – DENTISTRY – Autumn 2016 Connections of the shoulder girdle: scapula + clavicle – art. acromioclavicularis clavicle + sternum – art. sternoclavicularis Syndesmoses of the shoulder blade Connections of the free upper limb: Humerus + scapula – art. humeri Humerus + radius + ulna – art. cubiti Radius + ulna – membrana interossea antebrachii – art. radioulnaris distalis Radius + carpal bones– art. radiocarpea Carpal bones – art. mediocarpea carpal + metacarpal bones– art. carpometacarpea Metacarpal bones + phalanges proximales – art. metacarpophalangea Phalanges – art. interphalangea manus I. Articulatio sternoclavicularis Type: compound joint- discus articularis ball and socket (movements in connection to the scapula movements) A. head: facies articularis sternalis claviculae A. fossa: incisura clavicularis manubrii sterni AC: tough, short Ligaments: lig. sternoclaviculare anterius lig. sternoclaviculare posterius lig. interclaviculare lig. costoclaviculare Movements: small, to all direction II. Articulatio acromioclavicularis Type: ball and socket, sometimes discus articularis AS: facies art. acromialis (clavicula) + facies art. acromii (scapula) AC: tough, short ligaments: lig. acromioclaviculare lig. coracoclaviculare (lig. trapezoideum + lig. conoideum) lig. coracoacromiale - fornix humeri lig. transversum scapulae movements: restricted, in connections with movements in sternoclavicular joint Syndesmoses of the -
Morphology of Extensor Indicis Proprius Muscle in the North Indian Region: an Anatomy Section Anatomic Study with Ontogenic and Phylogenetic Perspective
DOI: 10.7860/IJARS/2019/41047:2477 Original Article Morphology of Extensor Indicis Proprius Muscle in the North Indian Region: An Anatomy Section Anatomic Study with Ontogenic and Phylogenetic Perspective MEENAKSHI KHULLAR1, SHERRY SHARMA2 ABSTRACT to the index finger were noted and appropriate photographs Introduction: Variants on muscles and tendons of the forearm were taken. or hand occur frequently in human beings. They are often Results: In two limbs, the EIP muscle was altogether absent. discovered during routine educational cadaveric dissections In all the remaining 58 limbs, the origin of EIP was from the and surgical procedures. posterior surface of the distal third of the ulnar shaft. Out of Aim: To observe any variation of Extensor Indicis Proprius (EIP) these 58 limbs, this muscle had a single tendon of insertion in 52 muscle and to document any accessory muscles or tendons limbs, whereas in the remaining six limbs it had two tendinous related to the index finger. slips with different insertions. Materials and Methods: The EIP muscle was dissected in 60 Conclusion: Knowledge of the various normal as well as upper limb specimens. After reflection of the skin and superficial anomalous tendons on the dorsal aspect of the hand is fascia from the back of the forearm and hand, the extensor necessary for evaluating an injured or diseased hand and also at retinaculum was divided longitudinally and the dorsum of the the time of tendon repair or transfer. Awareness of such variants hand was diligently dissected. The extensor tendons were becomes significant in surgeries in order to avoid damage to the delineated and followed to their insertions. -
About Your Knee
OrthoInfo Basics About Your Knee What are the parts of the knee? Your knee is Your knee is made up of four main things: bones, cartilage, ligaments, the largest joint and tendons. in your body Bones. Three bones meet to form your knee joint: your thighbone and one of the (femur), shinbone (tibia), and kneecap (patella). Your patella sits in most complex. front of the joint and provides some protection. It is also vital Articular cartilage. The ends of your thighbone and shinbone are covered with articular cartilage. This slippery substance to movement. helps your knee bones glide smoothly across each other as you bend or straighten your leg. Because you use it so Two wedge-shaped pieces of meniscal cartilage act as much, it is vulnerable to Meniscus. “shock absorbers” between your thighbone and shinbone. Different injury. Because it is made from articular cartilage, the meniscus is tough and rubbery to help up of so many parts, cushion and stabilize the joint. When people talk about torn cartilage many different things in the knee, they are usually referring to torn meniscus. can go wrong. Knee pain or injury Femur is one of the most (thighbone) common reasons people Patella (kneecap) see their doctors. Most knee problems can be prevented or treated with simple measures, such as exercise or Articular cartilage training programs. Other problems require surgery Meniscus to correct. Tibia (shinbone) 1 OrthoInfo Basics — About Your Knee What are ligaments and tendons? Ligaments and tendons connect your thighbone Collateral ligaments. These are found on to the bones in your lower leg. -
Anterior (Cranial) Cruciate Ligament Rupture
Cranial Cruciate Ligament Rupture in Dogs The cruciate ligaments are tough fibrous bands that connect the distal femur (thigh bone) to the proximal tibia (shin bone). Two cruciate ligaments, the cranial (anterior) and the posterior cruciate ligaments, are found in the knee joint of dogs and cats (and most other domestic animals). These ligaments work like a hinge joint in the knee and are responsible for providing anterior-posterior stability to the knee joint. Normal Knee Joint of a Dog Rupture of the cranial cruciate ligament is rare in cats. It occurs frequently in overweight, middle- and older-aged dogs. Certain dog breeds appear to be predisposed to cranial cruciate ligament rupture. Most commonly, the cocker spaniel and rottweiler are affected. The miniature and toy poodle, Lhasa apso, bichon frise, golden retriever, Labrador retriever, German shepherd and mastiff seem to be predisposed as well. The normal knee joint works as a hinge, keeping the knee stable as it bends. Tearing of the cranial cruciate ligament causes instability of the knee joint and it ceases to function properly. Most cranial cruciate ligament tears in dogs occur gradually, resulting in a low-level lameness that may or nay not improve over time. After the ligament tears, inflammation occurs within the joint. Continued use and weight bearing by the dog often causes the ligament to rupture completely. Dogs that rupture one cruciate ligament have about a fifty percent chance of rupturing the other. Normal Knee Joint of a Dog Rupture of the cranial cruciate ligament in dogs can also occur acutely. Similar to cranial cruciate ligament rupture in humans, resulting from athletic injuries to the knee, dogs can tear this ligament by jumping up to catch a ball or Frisbee or by jumping out of a truck or off a porch. -
Ligamentous Reconstruction of the Interosseous Membrane
r e v b r a s o r t o p . 2 0 1 8;5 3(2):184–191 SOCIEDADE BRASILEIRA DE ORTOPEDIA E TRAUMATOLOGIA www.rbo.org.br Original Article Ligamentous reconstruction of the interosseous membrane of the forearm in the treatment of ଝ instability of the distal radioulnar joint a a,∗ a Márcio Aurélio Aita , Ricardo Carvalho Mallozi , Willian Ozaki , a b Douglas Hideo Ikeuti , Daniel Alexandre Pereira Consoni , c Gustavo Mantovanni Ruggiero a Faculdade de Medicina do ABC, Santo André, SP, Brazil b Universidade da Cidade de São Paulo (Unicid), Faculdade de Medicina, Santo André, SP, Brazil c Università degli Studi di Milano, Milão, Italy a r a t i c l e i n f o b s t r a c t Article history: Objectives: To measure the quality of life and clinical outcomes of patients treated with Received 29 September 2016 interosseous membrane (IOM) ligament reconstruction of the forearm, using the brachio- Accepted 2 December 2016 radialis (BR), and describe a new surgical technique for the treatment of joint instability of Available online 23 February 2018 the distal radioulnar joint (DRUJ). Methods: From January 2013 to September 2016, 24 patients with longitudinal injury of the Keywords: distal radioulnar joint DRUJ were submitted to surgical treatment with a reconstruction procedure of the distal portion of the interosseous membrane or distal oblique band (DOB). Forearm injuries/surgery Joint range of motion The clinical-functional and radiographic parameters were analyzed and complications and Joint instability time of return to work were described. ◦ Membranes/injuries Results: The follow-up time was 20 months (6–36). -
CRANIAL CRUCIATE LIGAMENT RUPTURE Anatomy There Are Two Cruciate Ligaments in the Canine Stifle (Knee) Joint, the Cranial and Th
Robert H. Galloway, D.V.M Teresa Millar, D.V.M 7020 Francis Road, Suite 100 Richmond, BC V6Y 1A2 (604) 274-9938 www.stevestonvethospital.com CRANIAL CRUCIATE LIGAMENT RUPTURE Anatomy There are two cruciate ligaments in the canine stifle (knee) joint, the cranial and the caudal ligaments. In human knees, they are known as the ACL and PCL. The cranial cruciate ligament is the one most commonly injured in dogs resulting in discomfort and stifle instability with subsequent arthritis. Two cartilage pads called menisci are found within each knee. Femur FEMUR Patella Fabella CCL Meniscus Lateral Patellar Ligament Collateral Ligament Tibial Slope Tibia Photo credit: dfwvetsurgeons.com Why did the ligament rupture? We do not fully understand the cause of cranial cruciate ligament rupture in dogs but we do know that most cases are a result of slowly progressive cranial cruciate ligament (CrCL) degeneration. A genetic cause is being researched and there is considerable support for this belief. Once weakened, the ligament can then rupture with minimal trauma. Dogs that rupture the cruciate ligament in one stifle are at an increased risk of rupturing the ligament in the other stifle (at least a 50% chance). © 2015 – Steveston Veterinary Hospital Clinical Signs Lameness is the most common symptom seen with CrCL rupture and can range from mild intermittent lameness with mild partial ligament tears to non-weight bearing lameness with complete tears and co-existent meniscal damage. Diagnosis The CrCL rupture is diagnosed by palpation (feeling the knee) and eliciting drawer motion or laxity within the joint. Dogs with mild ligament tears and those who are very tense may require sedation. -
Posterolateral Corner Knee Injuries: Review of Anatomy and Clinical Evaluation Eric W
REVIEW Posterolateral Corner Knee Injuries: Review of Anatomy and Clinical Evaluation Eric W. Schweller, DO Peter J. Ward, PhD From the Department of The structures in the posterolateral corner of the knee, which stabilize the joint, Osteopathic Internship at are often involved in injuries to the posterior cruciate ligament. Familiar struc- Charleston Area Medical Center in West Virginia tures include the anterior cruciate ligament, posterior cruciate ligament, tibial (Dr Schweller) and the collateral ligament, and menisci. Less familiar are the structures of the postero- Department of Biomedical lateral corner, the most important of which are the fibular collateral ligament, Sciences at West Virginia School of Osteopathic popliteus tendon, and popliteofibular ligament, which resist varus angulation, Medicine in Lewisburg external rotation, or posterior translation of the tibia. Injury to the posterolateral (Dr Ward). corner can be assessed with the posterolateral drawer, dial, reverse pivot shift, Financial Disclosures: external rotation recurvatum, and varus stress tests. The purpose of this review None reported. is to highlight the posterolateral corner of the knee and injuries to its structures Support: None reported. so that physicians can more accurately diagnose these injuries and provide Address correspondence appropriate treatment. Management focuses on restoring the fibular collateral to Peter J. Ward, PhD, Department of Biomedical ligament, popliteofibular ligament, and, in certain cases, the popliteus tendon. Sciences, West Virginia J Am Osteopath Assoc. 2015;115(12):725-731 School of Osteopathic doi:10.7556/jaoa.2015.148 Medicine, 400 N Lee St, Lewisburg, WV 24901-1128. E-mail: pward @osteo.wvsom.edu njuries to the posterolateral corner of the knee have become increasingly studied in Submitted June 3, 2015; orthopedics during the past 10 to 15 years. -
Medial Meniscus Anatomy
Quantitative and Qualitative Assessment of the Posterior Medial Meniscus Anatomy Defining Meniscal Ramp Lesions Nicholas N. DePhillipo,*y MS, ATC, OTC, Gilbert Moatshe,yz§ MD, PhD, Jorge Chahla,z MD, PhD, Zach S. Aman,z BA, Hunter W. Storaci,z MSc, Elizabeth R. Morris,z BA, Colin M. Robbins,z BA, Lars Engebretsen,§ MD, PhD, and Robert F. LaPrade,*k MD, PhD Investigation performed at Steadman Philippon Research Institute, Vail, Colorado, USA Background: Meniscal ramp lesions have been defined as a tear of the peripheral attachment of the posterior horn of the medial meniscus (PHMM) at the meniscocapsular junction or an injury to the meniscotibial attachment. Precise anatomic descriptions of these structures are limited in the current literature. Purpose: To quantitatively and qualitatively describe the PHMM and posteromedial capsule anatomy pertaining to the location of a meniscal ramp lesion with reference to surgically relevant landmarks. Study Design: Descriptive laboratory study. Methods: Fourteen male nonpaired fresh-frozen cadavers were used. The locations of the posteromedial meniscocapsular and meniscotibial attachments were identified. Measurements to surgically relevant landmarks were performed with a coordinate measuring system. To further analyze the posteromedial meniscocapsular and meniscotibial attachments, hematoxylin and eosin and alcian blue staining were conducted on a separate sample of 10 nonpaired specimens. Results: The posterior meniscocapsular attachment had a mean 6 SD length of 20.2 6 6.0 mm and attached posteroinferiorly to the PHMM at a mean depth of 36.4% of the total posterior meniscal height. The posterior meniscotibial ligament attached on the PHMM 16.5 mm posterior and 7.7 mm medial to the center of the posterior medial meniscal root attachment. -
Mechanics of Movement
MECHANICS OF MOVEMENT Tissues and Structures Involved Muscle Nerve Bone Cartilage What are Tendons? Role of Joints Mechanics of Joints Making it all work Frolich, Human Anatomy, Mechanics of Movement Nerve and Muscle--the Motor Unit Motor neurons review Ventral horn spinal cord Ventral root to spinal nerve to dorsal or ventral ramus Nerve is bundle mixed neurons One motor neuron synapes with several muscle cells Motor Unit is one motor neuron plus the muscle cells it synapses “Action potential”-- controlled conduction of electrical messages in neurons and muscle by depolarization of cell Fig. 14.6, M&M membrane Frolich, Human Anatomy, Mechanics of Movement Neuro-Muscular Junction Action potential in nerves triggers chemical release at synapse which triggers action potential in muscle Fig. 14.5, M&M Frolich, Human Anatomy, Mechanics of Movement See also photo in Fig. 10.2 from M&M to see capillaries around muscle cells Frolich, Human Anatomy, Mechanics of Movement Bone and Cartilage Bone as tissue Bones as structures formed from bone, cartilage and other tissues Location of cartilage in skeleton and relation to joints Fig. 6.1, M&M Frolich, Human Anatomy, Mechanics of Movement HOW MOVEMENT HAPPENS: Muscles Pull on Tendons to Move Bones at Connections called Joints or Articulations Frolich, Human Anatomy, Mechanics of Movement Tendon Generally regular connective tissue Musculo-skeletal connections Muscle to bone Muscle to muscle Bone to bone Fig. 4.15f, M&M Frolich, Human Anatomy, Mechanics of Movement Tendons Tendons are structures that connect bone to muscle and are made up of tendon tissue Can have various shapes Typical is cord-like tendon of biceps Sheeths are common-- ”aponeuroses” e.g. -
Posterior Cruciate Ligament Injuries - Orthoinfo - AAOS 6/14/19, 11:19 AM
Posterior Cruciate Ligament Injuries - OrthoInfo - AAOS 6/14/19, 11:19 AM DISEASES & CONDITIONS Posterior Cruciate Ligament Injuries The posterior cruciate ligament is located in the back of the knee. It is one of several ligaments that connect the femur (thighbone) to the tibia (shinbone). The posterior cruciate ligament keeps the tibia from moving backwards too far. An injury to the posterior cruciate ligament requires a powerful force. A common cause of injury is a bent knee hitting a dashboard in a car accident or a football player falling on a knee that is bent. Anatomy Two bones meet to form your knee joint: your thighbone (femur) and shinbone (tibia). Your kneecap sits in front of the joint to provide some protection. Bones are connected to other bones by ligaments. There are four primary ligaments in your knee. They act like strong ropes to hold the bones together and keep your knee stable. Collateral ligaments. These are found on the sides of your knee. The medial collateral ligament is on the inside and the lateral collateral ligament is on the outside. They control the sideways motion of your knee and brace it against unusual movement. Cruciate ligaments. These are found inside your knee joint. They cross each other to form an "X" with the anterior cruciate ligament in front and the posterior cruciate ligament in back. The cruciate ligaments control the back and forth motion of your knee. https://orthoinfo.aaos.org/en/diseases--conditions/posterior-cruciate-ligament-injuries/ Page 1 of 6 Posterior Cruciate Ligament Injuries - OrthoInfo - AAOS 6/14/19, 11:19 AM Normal knee anatomy.