Lesson Block 8: The Skeletal System III: Joints Introduction In the Lesson Blocks 6 and 7, your study of the skeletal system included learning about the different bones of the axial and appendicular skeletons. You learned about the names of bones, their locations, markings, shape, and functions- a lot of information to memorize! This is the last Lesson Block before the final and will be on the final exam!! In the last lesson, you were asked to think about the following questions to prepare for this system: What are the functions of joints? How many different types of joints are there? Why is it important to study joints and their functions? Consider the following additional questions as you work through this lesson: How are joints classified? What is the difference between fibrous, cartilaginous, and synovial joints? What are some homeostatic imbalances of joints? Lesson Block 8 Readings, Resources, and Assignments Required Textbook Readings Read Chapter 8: Joints: pp.248-274 Multimedia Resources "Anatomy and Physiology Revealed" CD MyAandP.com Chapter 8:Joints Required Synovial Joint Research Group Project & Presentation- Due 02/01/12 Assignments Lab Quiz on Exercise 13 – 01/30/2012 Lab Exercise 13: Articulations and Body Movements - Due 01/30/12 Ch. 8 - Joints Test - Due 02/03/12 Approaching the Objectives Classification of Joints Joints can be classified by their structure and by their function. Structural classification of joints involves the material binding the bones together - regardless of the presence or absence of a joint cavity. Structurally, joints are classified as fibrous, cartilaginous, and synovial. Functional classification of joints involves the amount of movement allowed at the joints. Joints are classified functionally as synarthroses (immovable joints), amphiarthroses (slightly movable joints), and diarthroses (freely movable joints). Structural Classification Fibrous joints are joined by fibrous tissue and lack a joint cavity. There are three types of fibrous joints: Sutures, syndesmoses, and gomphoses. Sutures are found between bones of the skull and are immovable. Syndesmoses are bones connected by a ligament or band of fibrous tissue, such as the joint between the distal ends of the tibia and fibula. Depending on the length of the ligament, these types of joints have slight to considerable mobility. Gomphoses are peg-in-socket fibrous joints. The only gomphoses in the body are the articulation of teeth with their bony alveolar socket. Figure 8.1 of your text illustrates the different types of fibrous joints. Cartilaginous joints are found where bones are united by cartilage; but they lack a joint cavity. There are two types of cartilaginous joints: Synchondroses and symphyses. Synchondroses occur when hyaline cartilage unites the two bones. Virtually all synchondroses are immovable. An example of this type of joint is the immovable joint between the costal cartilage of the first rib and the manubrium of the sternum. Symphyses occur when the articular surfaces of the bones are covered with articular cartilage, which is then fused to a pad of fibrocartilage. These joints act as shock absorbers and exhibit limited movement (for example, the intervertebral joints). Figure 8.2 of your text illustrates the different types of cartilaginous joints. Synovial joints are found where articulating bones are separated by a fluid-containing joint cavity. All synovial joints move freely (diarthroses). Most joints of the body, including all of the joints in the limb, are synovial joints. Read about the distinguishing features of synovial joints in your text, using Figure 8.3 as a guide. Also read about the associated bursae and tendon sheaths and how they relate to synovial joints (using Figure 8.4), as well as factors such as articular surfaces, ligaments, muscle tone and how they relate to the stability of synovial joints. Table 8.1 of your text summarizes the different joint classes discussed above. In addition, you may want to create a matrix of your own, similar to the one below. The first row has been completed for you: Structural Description Subtypes Classification Fibrous Description Examples of of each Subtypes Bones joined Sutures Bone edges by fibrous interlock tissue; no joint Syndesmoses Bones cavity connected by ligament Bones of the skull Gomphoses Tooth with its bony alveolar socket Peg-in-socket Movement allowed Bones of the skull Ends of the Slightly movable tibia and (amphiarthroses) fibula Immovable (syarthroses) Cartilagenous Synovial Synovial Joint Movements The movements at synovial joints can be described by the geometric planes they intersect. I find this part of the lesson confusing. Go back and review the three anatomical planes; frontal, midsagittal and transverse. Study Figure 8.7 and 8.8 and move each joint. Notice which category that movements falls into; nonaxial, uniaxial, biaxial or multiaxial. Also practice the various movements shown in Figure 8.5 (pages 255 – 258). As you study the specific synovial joints, note the ligaments involved in stabilizing that joint. Movement at joints is possible because of muscles that are attached to bone or other connective tissue structures. The origin of the muscle is attached to the immovable (or less movable) bone and the insertion of the muscle is attached to the movable bone. When muscles contract, movement occurs. Synovial joints demonstrate a range of motion: nonaxial movement (slipping movements), uniaxial movement (movement in one plane), biaxial movement (movement in two planes), or multiaxial movement (movement in or around three planes). Within these ranges of motion, there are three general types of movements (illustrated in Figure 8.5 of your text): Gliding, angular movements, and rotation. Gliding movements occur when flat bone surfaces glide or slip over each other. An example of gliding movements occurs with the bones in your hand when you wave it at the wrist. Angular movements increase or decrease the angle between two bones. There are six general types of angular movements: Flexion, extension, dorsiflexion and plantar flexion, abduction, adduction, and circumduction. Rotation occurs when a bone turns around its own axis. It occurs at the hip and shoulder joints. In addition to these general types of movements, five categories of special movements can also occur. These special movements do not fit into any of the above categories and only occur within a few places in the body. These movements include: supination and pronation: inversion and eversion: protraction and retraction: elevation and depression: Opposition: Figure 8.6 of your text illustrates the special body movements. To help you learn the movements allowed in synovial joints, create flashcards for each movement with the movement name on one side of the card & its description & an example on the other side. Then spend time in front of the mirror to demonstrate the movement in the mirror as you read the movement type written on the flashcard. Types of Synovial Joints There are six major categories of synovial joints: Plane: Hinge: Pivot: Condyloid: Saddle: Ball-and-socket: In your text, read about each type of joints, using Figure 8.7 as a guide. Use MyAandP.com to help you review for each type of joint to help you remember their characteristics and examples of each. Also read about the selected synovial joints in your text to help you with your joint project: The Knee: Shoulder: Hip: Elbow: Temporomandibular: Be able to describe the joint, its characteristics, movements allowed, classification, articulating surfaces & tissues, & homeostatic imbalances that may occur. Use Fig. 8.8 - 8.13 as a guide. Create flashcards for each of the body joints covered in Table 8.2. Include on one side of the card the name of the joint, and on the other include the articulating bones, structural type, functional type, and movements allowed. Common Joint Injuries and Conditions Read about the homeostatic imbalances of joints in your text, including sprains, cartilage injuries, dislocations, bursitis and tendonitis, and arthritis. Complete a matrix like the one below as you read: Homeostatic Imbalance Description How it occurs Treatment Examples Sprains Cartilage Injuries Dislocations Bursitis and Tendonitis Arthritis Note: Although osteoarthritis is common and anti-inflammatory drugs can relieve the pain, Rheumatoid Arthritis is considered the “inflammatory arthritis”. RA (rheumatoid arthritis) is a serious and sometime debilitating disorder. Gouty arthritis is treatable but can be very serious if left untreated. Summarizing Your Learning In this lesson, you studied joints. You should be able to name, describe, locate major joints, and classify them according to their structure and function. In addition, think about the following questions: How are joints classified? What is the difference between fibrous, cartilaginous, and synovial joints? What are some homeostatic imbalances of joints? Additional Resources This website gives you a video showing shoulder movement and details the rotator cuff and bursa. It also has a video describing hip replacement surgery and knee replacement surgery. If you look around the website, you will also learn about meniscus tears and knee pain. http://video.about.com/orthopedics/Hip-Replacement.htm This website is an easy to read review of joints. It covers carpal tunnel syndrome and gives you images of the actual joints. http://www.ithaca.edu/faculty/lahr/LE2000/LE_index.html