Chapter 8 Joints of the Skeletal System • Articulations • Functional junctions between bones • Bind parts of skeletal system together • Make bone growth possible • Permit parts of the skeleton to change shape during childbirth • Enable body to move in response to skeletal muscle contraction 1 Classification of Joints • Fibrous Joints • dense connective tissues connect bones • between bones in close contact • Cartilaginous Joints • hyaline cartilage or fibrocartilage connect bones • synarthrotic • immovable • amphiarthrotic • slightly movable • diarthrotic • freely movable • Synovial Joints • most complex • allow free movement 2 Fibrous Joints •Held together by dense connective tissue •Interosseous membrane •Interosseous ligament 3 Types • Syndesmosis • Suture • Gomphosis Syndesmosis •a sheet or bundle of fibrous tissue connects bones • amphiarthrotic • lies between tibia and fibula 3 1 Fibrous Joints Suture • between flat bones • synarthrotic • thin layer of connective tissue connects bones Gomphosis • cone-shaped bony process in a socket • tooth in jawbone • synarthrotic 4 Cartilaginous Joints •Connected by hyaline cartilage or fibrocartilage 2 Types • Synchondrosis • Symphysis Synchondrosis • bands of hyaline cartilage unite bones • epiphyseal plate (temporary) • between manubrium and first rib • synarthrotic 5 Cartilaginous Joints Symphysis • pad of fibrocartilage between bones • pubis symphysis • joint between bodies of adjacent vertebrae • amphiarthrotic 6 2 Synovial Joints •Most common type of joint • diarthrotic •More complex structurally 7 General structure of a synovial joints •Articular cartilage •Joint (articular) capsule •Outer layer •ligaments •Inner layer - synovial membrane •synovial cavity •synovial fluidlubricates and protects joint •Menisci-pad of cartilage • bursae-fluid filled sac 8 Types of Synovial Joints Ball-and-Socket Joint Condyloid Joint • hip • shoulder •Allow the greatest degree of movement • between metacarpals and phalanges 9 3 Types of Synovial Joints Gliding Joint • between carpals • between tarsals Hinge Joint • elbow • between phalanges 10 Types of Synovial Joints Pivot Joint • between proximal ends of radius and ulna Saddle Joint • between carpal and metacarpal of thumb 11 Types of Joint Movements • abduction/adduction-moving away from midline/moving toward the midline of the body • dorsiflexion/plantarflexion-moving toes toward shin/pointing toes down • flexion/extension/hyperextensiondecreasing the angle between two bones/increasing the angle between two bones/extending the joint past the anatomical position 12 4 Types of Joint Movements • rotation/circumduction-rotating around a point/moving a structure in a circle • supination/pronation-rotating a structure laterally/rotating a structure medially 13 Types of Joint Movements • eversion/inversion-rotating toes inward/rotating toes outward •protraction/retraction-moving a structure anteriorly/moving a structure posteriorly • elevation/depression-moving a structure superiorly/moving a structure inferiorly 14 Life-Span Changes •Fontanels close at 2, 3, 12, 18 - 24 months •Fibrous joints strength with age •Joint stiffness is an early sign of aging •Fibrous joints first to change; can strengthen over a lifetime • Changes in symphysis joints of vertebral column diminish flexibility and decrease height • Synovial joints lose elasticity • Disuse hampers the blood supply • Activity and exercise can keep joints functional longer 15 5 Clinical Application Joint Disorders Sprains • damage to cartilage, ligaments, or tendons associated with joints • forceful twisting of joint Bursitis • inflammation of a bursa • overuse of a joint Arthritis • inflamed, swollen, painful joints • Rheumatoid Arthritis • Osteoarthritis • Gout 16 Clinical Application Joint Disorders Dislocations • bones in a joint are displaced from their normal position Torn Cartilage • meniscus tares 17 6
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