JOINTS AND THE SKELETON THE HUMAN SKELETON IS MULTI-FUNCTIONAL •Gives structure to the body •Provides for red and white blood cell development •Allows for movement in a variety of directions, depending on the type of joint •Protects internal organs Terminology Articulation (joint): the point at which two bones meet or at which bone and cartilage meet Arthrology: study of joints Kinesiology: study of movement Rheumatology: medical field devoted to studying joint diseases and conditions More Terminology Arthroscopy: procedure that involves the examination of the interior of a joint using an arthroscope (lighted instrument the size of a pencil) Disorders Dislocation: displacement of articulating bones from their normal position Rheumatism: painful state of a body structure (joint, muscle, tendon, etc.) Arthritis: form of rheumatism which causes joint inflammation Sprain: wrenching or twisting of a joint that may tear ligaments Strain: stretched or partially torn muscle Stating the obvious… Looser joints • More movable/flexible – More vulnerable to injury Tighter joints • Less movable/flexible – Less vulnerable to injury Joint Classifications Structural Classification • There are 3 • Based on the presence or absence of a synovial cavity • Based on which type of connective tissue is present Functional Classification • There are 3 • Based on degree of movement Structural Classes of joints 1. Fibrous 1. No cavity 2 Fibrous connective tissue Ex: suture 2. Cartilaginous 1. No cavity 2. Cartilage connective tissue Ex: epiphyseal plate 3. Synovial 1. Cavity present 2. Ligament connective tissue Ex: shoulder, hip, etc. Functional Classifications 1. 2. 3. Synarthrosis: immovable joint Amphiarthrosis: slightly movable joint Diarthrosis: freely movable joint Fibrous joints (synarthrotic) Sutures • Irregular, interlocking edges • Immovable Ex: skull sutures Syndemoses Gomphoses Cartilaginous joints (amphiarthrotic) Synchondroses Symphysis • Articulating bones are covered with hyaline cartilage Ex: pubis symphysis; intervertebral joints Synovial joints (diarthrotic) Contain ligaments Contain menisci: pads of cartilage between bones Contain bursae: fluid-filled pouches that reduce joint friction • Inflammation = bursitis Types of diarthrotic/synovial joints Planar Hinge Pivot Condyloid Saddle Ball and socket Planar joint flat or slightly curved Ex: intercarpal, sternoclavicular Hinge joint one convex & one concave Ex: elbow, knee, ankle, wrist Pivot joint rounded bone covered by a ring-shaped bone Ex: atlas & axis, radius-ulna Condyloid joint one convex, oval-shaped and one concave oval-shape Ex: wrists, jaw Saddle joint saddle shape Ex: thumb Ball and socket joint ball-like surface that fits into a cup-like surface Ex: shoulder, hip Diarthrotic/Synovial joint movement types Flexion: decrease in an angle at a joint • All joints except planar Extension: increase in an angle at a joint • All joints except planar Hyperextension: extension beyond anatomical position Abduction: movement away from midline of body • Condyloid, saddle, ball & socket Adduction: movement toward the midline of the body • Condyloid, saddle, ball & socket Rotation: bone revolving around its own longitudinal axis Pivot, ball & socket Circumduction: movement in a circular path Inversion: the plantar surface facing medially Eversion: the plantar surface facing laterally Types of movement Other special movements Elevation: upward movement • Ex: closing the mouth; raising shoulders Depression: downward movement • Ex: opening the mouth; lowering shoulders Dorsiflexion: bending the foot dorsally • Ex: stand on heels Plantar flexion: bending the foot toward the plantar surface • Ex: point the toe Supination: palms turned forward or upward Pronation: palms turned backward or downward Protraction: movement forward Retraction: movement backward Special Movements NAME THE JOINT On the following slides: •name the type of joint •decide what kind of motion occurs there NAME THE JOINT Hinge joint Allows movement back and forth in one plane. NAME THE JOINT Ball and socket joint Allows for most range of movement. NAME THE JOINT Pivot joint Rotation of the head on the spine NAME THE JOINT Planar joints Bones slide over one another. NAME THE JOINT Suture No movement NAME THE JOINT Hinge joint Allows movement back and forth in one plane. Fractures A CRACK OR BREAK OF A BONE TYPES OF FRACTURES (P. 136) SIMPLE: COMPLETE BREAK WITH NO DAMAGE TO SKIN COMPOUND: BREAK IN BONE THAT RUPTURES THROUGH SKIN GREENSTICK: CRACK IN A BONE TRANSVERSE: BREAK IS AT RIGHT ANGLE OBLIQUE: BREAK IS AT AN ANGLE FRACTURE (continued) COMMINUTED: BONE SPLINTERED OR CRUSHED AND BONE FRAGMENTS ARE PRESENT FISSURE: INCOMPLETE LONGITUDINAL BREAK SPIRAL: SEVERE TWISTING OF A BONE CAUSES BREAK • COMMON IN SKIING & SKATING ACCIDENT Fracture Video Interactive Table Table 1 Table 2