Tuesday 31 July 2012

Bones and Joints, lecture presentation

Joints and Muscles
Joints (articulations)
  • Where parts of skeleton meet
  • Allows varying amounts of mobility
  • Classified by structure or function
  • Arthrology: study of joints
Classification of Joints
  • Function:
    • Synarthroses = no/little movement
    • Amphiarthroses = slight movement
    • Diarthroses = great movement
Joints by Functional Classification
Type Movement Example
Synarthrosis None (minimal) Sutures, Teeth,
Epiphyseal plates,
1 st rib and costal cart.
Amphiarthrosis Slight Distal Tibia/fibula
Intervertebral discs
Pubic symphysis
Diarthrosis Great Glenohumeral joint
Knee joint
TMJ
Joint Classification
  • Structure
    • Cartilagenous
      • Synchondrosis: connected by hyaline cartilage
      • Symphysis: connected by fibrocartilage
    • Fibrous
      • Sutures: connected by short strands of dense CT
      • Syndesmoses: connected by ligaments
      • Gomphosis: peg in socket w/short ligament
    • Synovial
  • Page 20 & 23
Joints by Structural Classification
Structure Type Example
Cartilagenous Synchondrosis
Symphysis
Epiphyseal plates
Intervertebral discs
Fibrous Sutures
Syndesmoses
Gomphosis
Skull
Distal Tibia/fibula
Teeth in sockets
Synovial 6 Shapes Glenohumeral joint
Knee joint
TMJ
Components of SYNOVIAL JOINTS:
(Structural Joint Classification continued)

  • Articular cartilage: hyaline; covers ends of both bones articulating
  • Synovial (joint) cavity: space holding synovial fluid
  • Articular capsule: Made of 2 layers
    • Fibrous: external, dense CT for strength
    • Synovial membrane: internal, produces synovial fluid
  • Synovial fluid: viscous; lubricates and nourishes; contained in capsule and articular cartilages
  • Reinforcing ligaments: extracapsular/intracapsular
  • Nerves + vessels: Highly innervated, Highly vascular
  • Meniscus (some): fibrocartilage; improves the fit of 2 bones to increase stability
pg 21
Bursae & Tendon Sheaths
  • Bursae: flat, fibrous sac w/synovial membrane lining
  • Tendon Sheaths: elongated bursae that wraps around tendons
  • 3 Factors in Joint Stability:
    • Muscle Tone
    • Ligaments
    • Fit of Articular Surface
Shapes of Synovial Joints
  • Hinge: cylindrical end of 1 bone fits into trough shape of other
    • Uniaxial movement
    • (eg) elbow, ankle, interphalangeal
  • Plane: articular surface in flat plane
    • Short gliding movement
    • (eg) intertarsal, articular processes of vertebrae
Joint Shapes
  • Condyloid: egg-shape articular surface + oval concavity
    • Multiaxial movement
    • (eg) metacarpophalangeal (knuckle)
  • Pivot: round end fits into ring of bone + ligament
    • Uniaxial movement
    • rotation on long axis
    • (eg) prox. radius/ulna, atlas/dens
Joint Shapes
  • Saddle: articular surface both concave + convex
    • side-to-side, back-forth movement
    • Multiaxial movement
    • (eg) carpometacarpal jt of thumb

  • Joint Shapes Ball + Socket: spherical head + round socket
    • multiaxial movement
    • (eg) shoulder, femur
!Muscles!
Function: 
1) movement
2) maintain posture
3) joint stability
4) generate heat
!Muscles!
  • 3 Types: Skeletal, Cardiac, Smooth
  • Origin vs. Insertion
  • Direct vs. Indirect Attachments
    • direct = right onto bone
    • indirect = via tendon/aponeurosis
      • more common
      • leave bony markings = tubercle, crest, ridge, etc.
      • Sometimes attach to skin
Special Features of Muscle
  • Contractibility = cells generate pulling force
  • Excitibility = nervous impulses travel through muscle plasma membrane to stimulate contraction
  • Extensibility = after contraction, muscle can be stretched back to original length by opposing muscle action
  • Elasticity = after being stretched, muscle passively recoils to resume its resting length
Muscle System: uses levers to move objects
  • How it works: A rigid bar moves on fixed point when a force is applied to it, to move object
  • Lever = rigid bar = bone
  • Fulcrum = fixed point = joint
  • Effort = force applied = muscle contraction
  • Load = object being moved = bone
Movements of Muscles
    • Extension: increasing angle between body parts
  • Flexion: decreasing angle between body parts
    • Dorsiflexion vs. Plantarflexion
    • Inversion vs. Eversion
  • Abduction: moving away from the median plane
  • Adduction: moving towards the median plane
  • Rotation: moving around the long axis
  • Circumduction: moving around in circles
Movements of Muscles
  • Elevation: lifting body part superiorly
  • Depression: moving body part inferiorly
  • Protraction: Anterior movement
  • Retraction: Posterior movement
  • Supination: rotating forearm laterally
  • Pronation: rotating forearm medially
  • Opposition: movement of thumb against other fingers
Functional Muscle Groups
  • Agonist = primary mover of a muscle, major response produces particular movement
    • (eg) biceps brachii is main flexor of forearm
  • Antagonists = oppose/reverse particular movement, prevent overshooting agonistic motion
    • (eg) triceps brachii is antagonist to biceps brachii
Functional Muscle Groups
  • Synergists = muscles work together, adds extra force to agonistic movement, reduce undesirable extra movement
    • (eg) muscles crossing 2 joints
  • Fixators = a synergist that holds bone in place to provide stable base for movement
    • (eg) joint stablilizers
Naming Muscles
  • Location: (eg) brachialis = arm
  • Shape: (eg) deltoid = triangle
  • Relative Size: (eg) minimus, maximus, longus
  • Direction of Fascicles: (eg) oblique, rectus
  • Location of Attachment: (eg) brachioradialis
  • Number of Origins: (eg) biceps, quadriceps
  • Action: (eg) flexor, adductor, extensor
  download lecture presentation Bones and Joints
source by  faculty.ccri.edu

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