8
description
Transcript of 8
PowerPoint® Lecture Slides prepared by Janice Meeking, Mount Royal College
C H A P T E R
Copyright © 2010 Pearson Education, Inc.
8 Joints: Part B
Copyright © 2010 Pearson Education, Inc.
Classification of Synovial Joints
• Six types, based on shape of articular surfaces:• Plane• Hinge• Pivot• Condyloid• Saddle• Ball and socket
Copyright © 2010 Pearson Education, Inc.
Plane Joints
• Nonaxial joints
• Flat articular surfaces
• Short gliding movements
Copyright © 2010 Pearson Education, Inc. Figure 8.7a
a
bc
de
fNonaxialUniaxialBiaxialMultiaxial
a Plane joint (intercarpal joint)
Copyright © 2010 Pearson Education, Inc.
Hinge Joints
• Uniaxial joints
• Motion along a single plane
• Flexion and extension only
Copyright © 2010 Pearson Education, Inc. Figure 8.7b
b Hinge joint (elbow joint)
a
bc
de
f
NonaxialUniaxialBiaxialMultiaxial
Copyright © 2010 Pearson Education, Inc.
Pivot Joints
• Rounded end of one bone conforms to a “sleeve,” or ring of another bone
• Uniaxial movement only
Copyright © 2010 Pearson Education, Inc. Figure 8.7c
c Pivot joint (proximal radioulnar joint)
a
bc
de
fNonaxialUniaxialBiaxialMultiaxial
Copyright © 2010 Pearson Education, Inc.
Condyloid (Ellipsoidal) Joints
• Biaxial joints
• Both articular surfaces are oval
• Permit all angular movements
Copyright © 2010 Pearson Education, Inc. Figure 8.7d
d Condyloid joint(metacarpophalangeal joint)
a
bc
de
fNonaxialUniaxialBiaxialMultiaxial
Copyright © 2010 Pearson Education, Inc.
Saddle Joints
• Biaxial
• Allow greater freedom of movement than condyloid joints
• Each articular surface has both concave and convex areas
Copyright © 2010 Pearson Education, Inc. Figure 8.7e
e Saddle joint (carpometacarpal jointof thumb)
a
bc
de
fNonaxialUniaxialBiaxialMultiaxial
Copyright © 2010 Pearson Education, Inc.
Ball-and-Socket Joints
• Multiaxial joints
• The most freely moving synovial joints
Copyright © 2010 Pearson Education, Inc. Figure 8.7f
f Ball-and-socket joint (shoulder joint)
a
bc
de
fNonaxialUniaxialBiaxialMultiaxial
Copyright © 2010 Pearson Education, Inc.
Knee Joint
• Largest, most complex joint of body• Three joints surrounded by a single joint cavity:• Femoropatellar joint:• Plane joint• Allows gliding motion during knee flexion
• Lateral and medial tibiofemoral joints between the femoral condyles and the C-shaped lateral and medial menisci (semilunar cartilages) of the tibia• Allow flexion, extension, and some rotation when
knee is partly flexed
PLAY A&P Flix™: Movement at the knee joint
Copyright © 2010 Pearson Education, Inc. Figure 8.8a
(a) Sagittal section through the right knee joint
Femur
Tendon ofquadricepsfemorisSuprapatellarbursaPatellaSubcutaneousprepatellar bursaSynovial cavityLateral meniscus
Posteriorcruciateligament
Infrapatellarfat pad Deep infrapatellarbursaPatellar ligament
Articularcapsule
LateralmeniscusAnteriorcruciateligamentTibia
Copyright © 2010 Pearson Education, Inc. Figure 8.8b
(b) Superior view of the right tibia in the knee joint, showing the menisci and cruciate ligaments
Medialmeniscus
Articularcartilageon medialtibialcondyle
Anterior
Anteriorcruciateligament
Articularcartilage onlateral tibialcondyle
Lateralmeniscus
Posteriorcruciateligament
Copyright © 2010 Pearson Education, Inc.
Knee Joint
• At least 12 associated bursae
• Capsule is reinforced by muscle tendons:• E.g., quadriceps and semimembranosus tendons
• Joint capsule is thin and absent anteriorly
• Anteriorly, the quadriceps tendon gives rise to:• Lateral and medial patellar retinacula
• Patellar ligament
Copyright © 2010 Pearson Education, Inc. Figure 8.8c
Quadricepsfemoris muscleTendon ofquadricepsfemoris musclePatellaLateral patellarretinaculum
Medial patellarretinaculumTibial collateralligament
Tibia
FibularcollateralligamentFibula
(c) Anterior view of right knee
Patellar ligament
Copyright © 2010 Pearson Education, Inc.
Knee Joint
• Capsular and extracapsular ligaments• Help prevent hyperextension
• Intracapsular ligaments: • Anterior and posterior cruciate ligaments
• Prevent anterior-posterior displacement
• Reside outside the synovial cavity
Copyright © 2010 Pearson Education, Inc. Figure 8.8d
Articular capsuleOblique poplitealligamentLateral head ofgastrocnemiusmuscle
Fibular collateralligamentArcuate poplitealligamentTibia
Femur
Medial head ofgastrocnemiusmuscle
Tendon ofsemimembranosusmuscle
(d) Posterior view of the joint capsule,including ligaments
Popliteusmuscle (cut)
Tendon ofadductor magnus
BursaTibial collateralligament
Copyright © 2010 Pearson Education, Inc.
PLAY Animation: Rotatable kneeFigure 8.8e
Fibularcollateralligament
Posterior cruciateligamentMedial condyleTibial collateralligamentAnterior cruciateligamentMedial meniscusPatellar ligament
PatellaQuadriceps tendon
Lateral condyleof femurLateralmeniscus
Fibula
Tibia
(e) Anterior view of flexed knee, showing the cruciateligaments (articular capsule removed, and quadricepstendon cut and reflected distally)
Copyright © 2010 Pearson Education, Inc. Figure 8.9
Lateral MedialPatella(outline)
Tibial collateralligament(torn)Medialmeniscus (torn)Anteriorcruciateligament (torn)
Hockey puck
Copyright © 2010 Pearson Education, Inc.
Shoulder (Glenohumeral) Joint
• Ball-and-socket joint: head of humerus and glenoid fossa of the scapula
• Stability is sacrificed for greater freedom of movement
Copyright © 2010 Pearson Education, Inc. Figure 8.10a
PLAY Animation: Rotatable shoulder
Acromionof scapula
Synovial membraneFibrous capsule
Hyalinecartilage
CoracoacromialligamentSubacromialbursaFibrousarticular capsuleTendonsheath
Tendon oflong headof bicepsbrachii muscle
Synovial cavityof the glenoidcavity containingsynovial fluid
Humerus
(a) Frontal section through right shoulder joint
Copyright © 2010 Pearson Education, Inc.
Shoulder Joint
• Reinforcing ligaments:• Coracohumeral ligament—helps support the
weight of the upper limb
• Three glenohumeral ligaments—somewhat weak anterior reinforcements
Copyright © 2010 Pearson Education, Inc.
Shoulder joint
• Reinforcing muscle tendons:• Tendon of the long head of biceps:• Travels through the intertubercular groove • Secures the humerus to the glenoid cavity
• Four rotator cuff tendons encircle the shoulder joint:• Subscapularis• Supraspinatus• Infraspinatus• Teres minor
PLAY A&P Flix™: Rotator cuff muscles: An overview (a)
PLAY A&P Flix™: Rotator cuff muscles: An overview (b)
Copyright © 2010 Pearson Education, Inc. Figure 8.10c
AcromionCoracoacromialligamentSubacromialbursaCoracohumeralligament
Greatertubercleof humerusTransversehumeralligamentTendon sheathTendon of longhead of bicepsbrachii muscle
Articularcapsulereinforced byglenohumeralligamentsSubscapularbursaTendon of thesubscapularismuscleScapula
Coracoidprocess
(c) Anterior view of right shoulder joint capsule
Copyright © 2010 Pearson Education, Inc. Figure 8.10d
Acromion
Coracoid process
Articular capsuleGlenoid cavityGlenoid labrum
Tendon of long headof biceps brachii muscle Glenohumeral ligaments
Tendon of thesubscapularis muscle Scapula
Posterior Anterior(d) Lateral view of socket of right shoulder joint,humerus removed
Copyright © 2010 Pearson Education, Inc.
Elbow Joint
• Radius and ulna articulate with the humerus
• Hinge joint formed mainly by trochlear notch of ulna and trochlea of humerus
• Flexion and extension only
PLAY A&P Flix™: Movement at the elbow joint