1. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Joints  AKA “Articulations” of bones  Sites where two or more bones meet  Functions of joints:  Hold bones together  Allow for mobility  Ways joints are classified:  Functionally  Structurally

2. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Functional Classification of Joints  Based on amount of movement the joint allows  Synarthroses  Immovable joints  Found in axial skeleton for firm attachments & protection  Amphiarthroses  Slightly moveable joints  Found in axial skeleton for firm attachments & protection  Diarthroses  Freely moveable joints  Found in limbs where mobility is important

3. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Structural Classification of Joints  Based on whether fibrous tissue, cartilage, or joint cavity separates bony regions at joint  Fibrous joints  Generally immovable  Cartilaginous joints  Immovable or slightly moveable (mostly amphiarthrotic)  Synovial joints  Freely moveable

4. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Summary of Joint Classes [Insert Table 5.3 here] Table 5.3

5. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Fibrous Joints  Bones united by fibrous tissue  Examples :  Sutures of the skull  Syndesmoses  Allows more movement than sutures because fibers are longer  Example : Distal end of tibia and fibula

6. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Fibrous Joints Figure 5.28a–b

7. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Cartilaginous Joints  Bones connected by cartilage  Examples :  Pubic symphysis of pelvis (where pubic bones meet)  Intervertebral joints of spinal column  Articulating bone surfaces are connected by pads of fibrocartilage  Hyaline cartilage epiphyseal plates of growing long bones & cartilaginous joints between ribs & sternum  Immovable (synarthrotic) joints

8. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Cartilaginous Joints Figure 5.28c–e

9. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Synovial Joints  Articulating bones are separated by a joint cavity  Synovial fluid is found in the joint cavity  All limb joints are synovial joints  Examples:  Shoulder joint  Elbow joint  Intercarpal joints of hands

10. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Synovial Joints Figure 5.28f–h

11. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Features of Synovial Joints  Articular cartilage (hyaline cartilage) covers the ends of bones  A fibrous articular capsule encloses joint surfaces & is lined with a synovial membrane  A joint cavity is filled with synovial fluid  Ligaments reinforce the joint

12. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Structures Associated with the Synovial Joint  Bursae—flattened fibrous sacs  Lined with synovial membranes  Filled with synovial fluid  Not actually part of the joint  Tendon sheath  Elongated bursa that wraps around a tendon  Both bursa & tendon sheaths function to reduce friction between adjacent structures during joint activity

13. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings The Synovial Joint Figure 5.29

14. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Types of Synovial Joints Based on Shape  PLANE JOINT  Surfaces are flat so gliding motion  Example = intercarpal joints of wrist  HINGE JOINT  Cylinder fits into trough  Examples = elbow joint, ankle joint, & phalange joints of fingers  PIVOT JOINT  Rounded end fits into ring of bone  Examples = radioulnar joint & atlas/axis joint

15. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Types of Synovial Joints Figure 5.30a–c

16. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Types of Synovial Joints Continued...  CONDYLOID JOINT  Egg-shaped surface fits into oval cave  Side-to-side & back-&-forth motion  Example = knuckle (metacarpophalangeal joints)  SADDLE JOINT  Each surface has convex & concave area  Example = carometacarpal joints of thumb  BALL-AND-SOCKET JOINT  Head of one bone fits into socket of another  Examples = shoulder & hip joints

17. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Types of Synovial Joints Figure 5.30d–f

18. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Inflammatory Conditions Associated with Joints  Bursitis—inflammation of a bursa usually caused by a blow or friction (“water on the knee”)  Sprain – ligaments or tendons reinforcing joint are damaged by excessive stretching or torn away from bone; heal slowly & are painful  Tendonitis—inflammation of tendon sheaths  Arthritis—inflammatory or degenerative diseases of joints (“Arth” = joint, “ritis” = inflammation)  Over 100 different types  The most widespread crippling disease in the United States

19. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Clinical Forms of Arthritis  Osteoarthritis  Most common chronic arthritis  “Wear & tear” arthritis  Probably related to normal aging processes  Rheumatoid arthritis  An autoimmune disease—the immune system attacks the joints  Symptoms begin with bilateral inflammation of certain joints  Often leads to deformities

20. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Clinical Forms of Arthritis  Gouty arthritis  Inflammation of joints is caused by a deposition of uric acid crystals from the blood  Can usually be controlled with diet

21. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Developmental Aspects of the Skeletal System  At birth, the skull bones are incomplete  Bones are joined by fibrous membranes called fontanels  Fontanels are completely replaced with bone within two years after birth

22. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Ossification Centers in a 12-week-old Fetus Figure 5.32 Red areas indicate ossification centers. Lighter regions are still fibrous or cartilaginous.

23. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life  Fetus  Long bones are formed of hyaline cartilage  Flat bones begin as fibrous membranes  Flat and long bone models are converted to bone  Birth  Fontanels remain until around age 2

24. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life  End of Adolescence  Epiphyseal plates become ossified and long bone growth ends  Size of cranium in relationship to body  2 years old—skull is larger in proportion to the body compared to that of an adult  8 or 9 years old—skull is near adult size and proportion  Between ages 6 and 11, the face grows out from the skull

25. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life Figure 5.33a

26. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life Figure 5.33b Arms & legs grow faster than head & trunk

27. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life  Curvatures of the spine  Primary curvatures (thoracic & sacral) are present at birth and are convex posteriorly  Secondary curvatures (cervical & lumbar) are associated with a child’s later development and are convex anteriorly  Abnormal spinal curvatures (scoliosis and lordosis) are often congenital

28. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life Figure 5.16

29. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life  Osteoporosis  Bone-thinning disease afflicting  50% of women over age 65  20% of men over age 70  Disease makes bones fragile and bones can easily fracture  Vertebral collapse results in kyphosis (also known as dowager’s hump)  Estrogen aids in health and normal density of a female skeleton

30. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life Figure 5.34 Osteoporotic Bone Normal Bone

31. Copyright © 2009 Pearson Education, Inc., publishing as Benjamin Cummings Skeletal Changes Throughout Life Figure 5.35