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Fibrous joints
- solid unions of bone formed by connective tissue fibers
- amount of movement allowed depends on shape of articulating surface and length of collagen fibers
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Sutures
- sutural ligament connecting bone of the skull
- very little if any movement is allowed in the adult
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gomphosis
- peg-and-socket joint,
- relatively immovable and restricted to the teeth held in alveolar socekts in the mandible and maxillae by a periodontal ligament
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syndesmosis
- type of fibrous joint in which closely opposed bony surfaces are held together by an interosseous ligament or membran
- all small amounts of movement
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examples of syndesmosis
- distal tib-fib
- interosseous membranes of forearm and leg
- interosseous sacroiliac ligament
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Cartilaginous joints
solid unios of bone formed by either hyalin cartilage or fibrocartilage
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hyaline cartilage / synchondroses
- immovable temproary joints in the developing skeleton that serve as growth zones
- plates of hylaine cartilage (epiphyseal plates) joinging the shafts (diaphyses) and ends (epiphyses) of long bones
- also costal cartilage
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fibrocartilaginous joints or symphyses
- limited rang of movemnet produced by deformation of connecting pad or disc of fibracartilage
- unpaired midline joints
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examples of fibrocartilaginous joints
- adjacent vertebral bodies united by intervertebral discs of fibracartilage
- pubic symphysis
- sacrococcygeal joint
- manubriosternal joint
- xiphisternal joint
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diarthrosis / synovial joints
characterized by a joint cavty that permits free movement
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criteria of classification of diarthroses joints
- number of articulating surfaces and complexity
- number of axes of movement
- general shape of synovial joints and movements allowed
- geometric shape of articular surfaces
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simple joints
2 articulating surfaces
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compound joints
3 or more surfaces
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complex joints
articular disc or meniscus that completely or partially subdivides the joint
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uniaxial joints
1 degree of freedom because they lmiit movement to a single axis
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biaxial joints
2 degrees of freedom because they allow independent movmenets around 2 axes at right angles
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multiaxial joints
- 3 degree of freedom
- allow independent movements around 3 axes
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plane joints
almost flat surfaces that allow sliding or translation between bones
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example of plane joints
- zygapophysial joints (facet joints)
- AC joint
- intercarpl joints
- CMC & IP joints
- Proximal TibFib joint
- small tarsal joints
- tarsometatarsal and intermetatrsal joints
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hinge joints
- uniaxial joints that are shpaed allow only FLEX and EXT.
- strong collateral ligaments at the sides
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examples of hinge joints
- humeroulnar
- ankle joint / talocrural joint
- interphalangeal joints of fingers and toes
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pivot joint
uniaxial joint ollowing rotation of either a bony pivot in an osseofibrous ring or around a pivot
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example of pivot join
- proximal and distal radioulnar joints
- median atlanto-axial joint
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bicondular joints
- biaxial joints allowing a principla movements around one axis and limited independent (adjunct) rotation about a 2nd axis
- have 2 convex condyle articulating with concave surfaces
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examples of bicondylar joints
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ellipsoid joints
- biaxial joints alling FLEX-EXT in one plane, ADD-ABD in another, and combinatino of all 4 in circumduction
- oval or elliptical convex surface articulating with an elliptical concave surface
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example of ellipsoid joints
- radiocarpal joint
- MCP joing
- metatarsophalangeal joints
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saddle joints
- biaxial joints allowing FLEX EXT, ABD-ADD, and circumduction by conjunct rotation
- each earticular surface is convex in 1 diretion and concave at right angles to this
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examples of saddle joints
- CMC joint of thumb
- SC joint
- calcaneocuboid joint
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Ball-and-socket joint
multiaxial joints allowing flex-ext, abd-add, circumduction, and med-lateral ROT. convex articulating with concave
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example of ball and socket
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ovoid shaped
egg-shaped surfaces are either convex (male) in all directions or concave (female)
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Sellar or saddle shaped
convex in one plane and concave at right angles to this
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hyaline cartilage
- cover articular surfaces of bones that develop by endochondral ossificiation
- provides smooth, wear-resistant surfaced bathed by synovial fluid
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fibrocartilage
- cover surfaces of TMJ, SC, and AC joints
- mandible and clavicle developed by intramembranous ossification
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articular cartilage
- convex surfaces are thickest centrally and concave surfaces are thickest perifpherally
- aneural and avascular
- nourished by diffusion of nutrients from synovial fluid and blood vessels in the adjacent synovial membrane and bone marrow
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articular cartilage zones
- tangential zone
- transitional zone
- radial zone
- calcified cartilage zone attached to bone
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Synovial membrane
lines all non-articular structures within joints: fibrous capsules, bones, tendons, ligaments. lines bursae and tendon sheaths outside
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synovial villi
increase in size and number with age in inner surface
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Synovial Intima
lines the synovial cavity and consists of 1-3 layers of type A and type B synoviocytes that resemble macrophages and fibroblasts respectively
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synoviocytes
remove debris from the synovial fluid and synthesize components of synovial fluid such as hyaluronic acid.
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subsynovial layer
- blends with the fibrous capsule and consists of either loose areolar tissue, fibrous tissue or fat
- numerous capillaries and lymphatics lie beneath the intima.
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synovial fluid
- found in synocial joints, bursae, tenon sheaths
- secreted and absorbed by the synocial membrane and a byproduct of blood plasma with added hyaluronic acid
- lubricant of the joint and helps to absorb compressive forces
- provides nutrition for articular cartilage, discs, and menisci
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articular discs and menisci
- consist of fibrocartilage with more fibers than cells
- attached to fibrous capsule of bone and have a vascular and nerve supply to their periphery only
- act as shock absorbers, increase joint congruency and stability, facilitate movements, distribute weight, protect joint margins and assist in lubrication
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articular disc
completely separates the articular surfaces dividign the joint into 2 cavities
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meniscus
an incomplete disc that partially separates the joint surfaces
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fibrous capsule
- sleeve of dense irregular connective tissue attached around the peripery of the articular surfaces of the bone
- lined on its inner surface by synovial membrane
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Hilton's Law
joints are innervated by the nerves that innervate the muscles that move or cross that joint
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blood of capsule
vessels and nerves pierces the capsule and it may have openings for bursae that are continuous with the synovial membrane of the joint
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capsule ligaments
- local thickenings of dense regular connective tissue
- stabilize joints by restricting and guiding movements
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accessory ligaments
separate from the joint capsule and may be exracapsular or intracapsular
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Tenons and aponeuroses
- connec muscle to bone
- continuous with muscle at myotendinal junction
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sharpey's fibers
tendon attach to cortical bone
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tendons
- consist of dense regular connective tissue
- collagen fibers are organized into cord-like bundles with loose CT between them
- associated with joints at their attachments to bone
- sensory nerve supply but a poor blood supply
- high tensile strength and are slightly elastic
- transmit force of muscle contraction o bone
- some stabilize joint by acting as "dynamic ligaments"
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