Articulations Points of contact between bones (Joints) Primary Joint Classifications Functional...
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Transcript of Articulations Points of contact between bones (Joints) Primary Joint Classifications Functional...
ArticulationsPoints of contact between bones
(Joints)
Primary Joint Classifications
Functional Name Structural Name Degree of Movement
Example
Synarthroses Fibrous Immovable Sutures of skull
Amphiarthroses Cartilaginous Slightly movable Symphysis Pubis
Diarthroses Synovial Freely movable Shoulder joint
SynarthrosesFibrous Joints
AmphiarthrosesCartilaginous Joints
DiarthrosesSynovial Joints
•Most mobile joints•Most numerous joints•Most complex joints•Structures Joint Capsule – sleevelike casing around ends of bones to bind them together Synovial Membrane – membrane lining capsule; secretes synovial fluid Articular Cartilage – cartilage covering articular
surface of bones Joint Cavity – small space between articulating
surfaces Menisci – pads of fibrocartilage between articulating bones Ligaments – strong dense white fibrous tissue
that hold bones of a synovial joint firmly together
Bursae – synovial membranes filled with synovial fluid; cushions joints and help movement of tendons
Types of Synovial Joints
uniaxial
biaxial
multiaxial
Between C1 & C2
Elbow, knee
Thumb Between radius and carpals
Shoulder, hip
Vertebrate
Shoulder Joint(ball and socket)
Hip Joint(ball and socket)
Knee Joint(hinge)
Vertebral Joints(gliding)
Range of Motion (ROM)
•ROM assessment used to determine extent of joint injury
•Goniometer – instrument used to measure ROM
Circular Movements
Circumduction
Gliding Movements
Special Movements
Inversion
Eversion
Noninflammatory Joint DiseasesOsteoarthritis
•Degenerative Joint Disease (DJD)•most common NIJD of moveable joints
•Wear and tear deterioration •Atrophy of articular cartilage•Formation of new bone at joint surface•Most common in weight-bearing joints (hips, lumbar spine, knees)•Symptoms: stiffness, pain, limited movement•Cause: unknown•Treatment: none to stop progression•Treatment for symptoms: NSAIDs (nonsteroidal anti-inflammatory drugs)
•aspirin, ibuprofen, Celebrex, Vioxx
Noninflammatory Joint DiseasesTraumatic Injuries - Dislocation
•articular surfaces of bones not in proper contact•can damage blood vessels and nerves•can tear ligaments•pain and swelling•Treatment: realignment
Noninflammatory Joint DiseasesTraumatic Injuries - Dislocation
Noninflammatory Joint DiseasesTraumatic Injuries – Meniscus Tear
•one of most common athletic injuries•severe tears produce: edema, pain,•instability, limited motion•Treatment: arthroscopic surgery
Normal Meniscus Linear Tear of Medial Meniscus
Noninflammatory Joint DiseasesTraumatic Injuries – Sprain
•acute musculoskeletal injury to ligaments surrounding joint•Cause: twisting movement•Symptoms: bruising from rupture of blood vessels, limited motion
Inflammatory Joint DiseasesArthritis - Rheumatoid Arthritis
•chronic and systemic inflammatory connective tissue disease
•Cause: unknown
•Inflammation of synovial membrane, destruction of cartilage, bone erosion, progressive crippling and deformity
•Small joints effected first (hand, wrist, feet) but progresses to larger joints
•Symptoms: pain, inflammation, decreased mobility, aching, stiffness, fever, anemia, weight loss, profound fatigue
•May cause damage to blood vessels, eyes, lungs, heart
•Treatment: Corticosteroid drugs reduce immune activity along with NSAIDs to relieve pain and inflammation
Inflammatory Joint DiseasesArthritis - Rheumatoid Arthritis
•more severe than adult form
•more common in girls
•destroys cartilage growth and stops long bone growth
Inflammatory Joint DiseasesArthritis – Juvenile Rheumatoid Arthritis
•metabolic disorder in which excess uric acid (nitrogenous waste) in blood deposits crystals within synovial fluid and other tissues•chronic inflammation and tissue damage•Symptoms: swelling, tenderness, pain in fingers, wrists, ankles, knees, elbows•Treatment: Allopurinol – drug to inhibit uric acid synthesis
Inflammatory Joint DiseasesArthritis – Gouty Arthritis
Osteoarthritis
Rheumatoid arthritis Gouty arthritis