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SKELETAL SYSTEM
BONE
CARTILAGE
Dr. Gitanjali Khorwal
Cartilage
In Developing Embryo
More prevalent than in adult
Skeleton initially mostly
cartilage
Bone replaces cartilage in fetal
and childhood periods.
Cartilage is
connective
tissue.
Types of cartilage
1. Hyaline cartilage
2. Elastic cartilage
3. Fibrocartilage
Bones
•Support
•Movement: muscles attach by tendons and
use bones as levers to move body
•Protection
•Mineral storage
•Blood cell formation and energy storage
•Bone marrow: red makes blood, yellow stores fat
Classification of bones by shape
•Long bones
•Short bones
•Flat bones
•Irregular bones
•Pneumatic bones
•Sesamoid bones
(Short bones include sesmoid bones)
%
Gross anatomy of bones
JOINTS
synonyms:
articulations,
junctions
A site where two or more bones come
together, whether or not movement
occurs between them, is called a joint.
JOINTS ARE CLASSIFIED ACCORDING TO
Range and type of movement they permit.
Immovable joints (SYNARTHROSIS)
Slightly movable joints (AMPHIARTHROSIS)
Movable joints (DIARTHROSIS)
Anatomical structure
Fibrous joints,
Cartilaginous joints,
Synovial joints.
Functions:
• Permit movement
• Growth
• Molding during childbirth
• Concerned with differential growth
• Transmission of forces
Structural Classification
a) Fibrous e.g. i) Sutures,
ii) Syndesmosis
iii) Gomphosis
b) Cartilaginous e.g. i) Primary Cartilaginous
ii) Secondary cartilaginous
c) Synovial e.g. i) Uniaxial: Hinge, Pivot
ii) Biaxial: Condylar, Ellipsoid
iii) Multiaxial: Ball & Socket, Saddle
Movements
 Flexion
 Extension
 Adduction
 Abduction
 Circumduction
 Rotation
SYNARTHROSES / FIBROUS JOINTS
 Bones connected by fibrous tissue: dense
regular connective tissue
 No joint cavity
 Slightly movable or immovable
BONE— fibrous connective tissue—BONE
SUTURES
SCHINDYLESIS
SYNDESMOSIS
GOMPHOSIS
bone—collagenous sutural ligament—bone
-Present only between bones of skull.
-Fibrous tissue is
continuous with
periosteum
-Sutures ossify and
fuse in middle age:
Called “synostoses”
SUTURES
•Simple apposition of contiguous surfaces,
• usually rough and
reciprocally irregular,
Examples
• sutures between the
palatine bones,
• between the maxillae and
at the palatomaxillary sutures.
TYPES OF SUTURES
PLANE SUTURE
Denticulate Suture
Has small tooth like projections,
often widening towards their
ends to provide effective
interlocking.
When united by sutural
ligament and periosteum, such
sutures are almost completely
immobile
The lambdoid suture is a
denticulate suture.
The sagittal suture is serrated.
SERRATED SUTURE
Squamous suture
Where bones overlap,
as at the temporo-
parietal suture, a
squamous suture is
formed; the adjacent
bone surfaces are
reciprocally bevelled.
Schindylesis
Between Ala of
Vomer and
Rostrum of Sphenoid
Syndesmoses
In Greek: “ligament”
Bones connected by
ligaments only
Amount of movement
depends on length of
the fibers: longer than
in sutures
Gomphoses
Is a “peg-in-socket”
Only example is tooth
with its socket
Ligament is a short
periodontal ligament
Cartilagenous joints
Articulating bones united by cartilage
Lack a joint cavity
Not highly movable
Two types
Synchondroses (singular:
synchondrosis)
Symphyses (singular: symphysis)
Synchondroses
Primary Cartilaginous Joints
Literally: “junction of cartilage”
A plate or bar of Hyaline cartilage unites the
bones
Immovable (synarthroses)
Examples:
Epiphyseal plates between epiphysis and
diaphysis of growing bone.
Joint between first rib’s costal cartilage and
manubrium of the sternum
Synchondrosis
Symphysis
Symphyses
Secondary Cartilaginous Joints
Literally “growing together”
Fibrocartilage unites the bones
Slightly movable (amphiarthroses)
Resilient shock absorber
Provide strength and flexibility
Hyaline cartilage on articular surfaces of bones
to reduce friction
Examples
Intervertebral discs
Pubic symphysis of the pelvis
Symphysis
Intervertebral Disc
Pubic Symphysis
The lambdoid suture is an example of a(n)
A. Diarthrosis
B. Amphiarthrosis
C. Synarthrosis
D. Synarthrosis and fibrous
The lambdoid suture is an example of a(n)
A. Diarthrosis
B. Amphiarthrosis
C. Synarthrosis
D. Synarthrosis and fibrous
Which of the following is an example of a
synchondrosis?
A. First sternocostal articulation
B. Humeroscapular articulation
C. Symphysis pubis
D. Tibiofibular articulation
Which of the following is an example of a
synchondrosis?
A. First sternocostal articulation
B. Humeroscapular articulation
C. Symphysis pubis
D. Tibiofibular articulation
The procedure arthroscopy refers to:
A. Examining interior of joint
B. Reducing inflammation of a bursa
C. Re-establishing blood supply of muscles
D. Repair of bone fractures
The procedure arthroscopy refers to:
A. Examining interior of joint
B. Reducing inflammation of a bursa
C. Re-establishing blood supply of muscles
D. Repair of bone fractures
Which of the following joints are held
together by cartilage?
A. Diarthrosis
B. Gomphosis
C. Symphysis
D. Synovial
Which of the following joints are held
together by cartilage?
A. Diarthrosis
B. Gomphosis
C. Symphysis
D. Synovial
The radioulnar joint is an example of a
A. Hinge
B. Pivot
C. Planar
D. Synarthroses
The radioulnar joint is an example of a
A. Hinge
B. Pivot
C. Planar
D. Synarthroses
Synovial joints
DIARTHROSES
•Structure: bone—articular cartilage—
synovial fluid in cavity – articular cartilage—
bone
•Bond : surrounding sleeve of collagenous
fibrous capsule lined by synovial membrane;
extrinsic and intrinsic ligaments. Occasional
intracapsular ligaments, tendons, fat pads,
fibrocartilaginous discs or menisci.
Synovial Joint
SHOULDER JOINT
ARTICULAR
CARTILAGE
ARTICULAR
CAPSULE
SYNOVIAL
MEMBRANE
*
*
*
*
*
*
JOINT
CAVITY
KNEE JOINT
JOINT CAVITY
PAD OF FAT
SYNOVIAL
MEMBRANE
CAPSULE
ARTICULAR
CARTILAGE
SYNOVIAL JOINT
MENISCUS
General Structure of Synovial Joints
1. Articular cartilage
 Hyaline
 Spongy cushions absorb
compression
 Protects ends of bones
from being crushed
2. Joint (synovial) cavity
 Potential space
 Small amount of
synovial fluid
3. Articular (joint) capsule
 Two layered
 Outer*: fibrous capsule of
dense irregular connective
tissue continuous with
periosteum.
 Inner*: synovial membrane
of loose connective tissue
(makes synovial fluid)
Lines all internal joint surfaces
except the cartilages*
4. Synovial fluid
 Filtrate of blood
 Contains special
glycoproteins
 Nourishes cartilage and
functions as slippery
lubricant
5. Reinforcing ligaments
 Capsular (most) –
thickened parts of capsule
 Extracapsular
 Intracapsular
6. Nerves
Detect pain
Monitor stretch (one of the
ways of sensing posture
and body movements)
7. Blood vessels
Rich blood supply
Extensive capillary beds in
synovial membrane
(produce the blood filtrate)
Articular disc or
meniscus
(literally “crescent”)
Only some joints
Those with bone
ends of different
shapes or fitting poorly
Some to allow two kinds of movement (e.g. jaw)
Fibrocartilage
Examples: knee
TMJ (Temporomandibular joint)
sternoclavicular joint
•Fatty pads are found in
some synovial joints lying
between the synovial
membrane and the
fibrous capsule or bone.
•Examples are found in
the hip and knee joints.
Bursae and tendon sheaths
 Contain synovial fluid
 Not joints but often associated with them
 Act like ball bearings
 Bursa means “purse” in Latin
 Flattened sac lined by synovial membrane
 Where ligaments, muscles, tendons, or bones overlie each other and rub
together
 Tendon sheath
 Only on tendons subjected to friction
Bursae and tendon sheaths
UNI-AXIAL Hinge Joint , Pivot Joint, Condylar
Joint
BI-AXIAL Condylar Joint, Ellipsoid Joint,
Saddle Joint
MULTI-AXIAL Ball and Socket
NON-AXIAL Plane Joint
Plane joints:
•In plane joints, the apposed articular surfaces
are flat or almost flat, and this permits the
bones to slide on one another.
•Examples of these joints are the sternoclavicular
and acromioclavicular joints
Hinge joints:
•Hinge joints resemble the hinge on a door,
so that flexion and extension movements are
possible.
Examples of these joints are the elbow, knee, and
ankle joints
Pivot joints:
•In pivot joints, a central
bony pivot is
surrounded by a bony-
ligamentous ring and
rotation is the only
movement possible.
• E.g atlantoaxial and
superior radioulnar
joints
Condylar joints
•Condyloid joints have
two distinct convex
surfaces that
articulate with two concave surfaces.
•The movements of flexion, extension, with a
small amount of rotation.
•E.g. knee joint , temporo-mandibular joint
Ellipsoid joints
•In ellipsoid joints, an
elliptical convex
articular surface fits
into an elliptical
concave articular
surface. The movements of flexion, extension,
abduction, adduction and circumduction can
take place, but rotation is impossible.
•E.g. wrist joint, metacarpophalangeal joint
Saddle joints:
•The articular surfaces are
reciprocally concavoconvex
and resemble a saddle on a
horse's back.
•These joints permit flexion, extension,
abduction, adduction, and rotation.
•E.g. carpometacarpal joint of the thumb,
sternoclavicular joint
Ball and socket joints:
•In ball-and-socket joints,
a ball-shaped head of
one bone fits into a socket
like concavity of another.
•This arrangement permits free movements,
including flexion, extension, abduction,
adduction, medial rotation, lateral rotation, and
circumduction.
• E.g. shoulder and hip joints
Stability of Joints
The stability of a joint depends on three main
factors:
•the shape,
•size,
•arrangement of the articular surfaces;
•the ligaments;
•and the tone of the muscles around the joint.
MECHANISM OF LUBRICATION OF SYNOVIAL
JOINT
•Synovial fluid
•Hyaline cartilage
•Harvesian fatty pads
•Bursa
Nerve Supply of Joints
•The capsule and ligaments receive an
abundant sensory nerve supply.
•A sensory nerve supplying a joint also
supplies the muscles moving the joint and
the skin overlying the insertions of these
muscles, a fact that has been codified as
Hilton's law.
PLANE
SYNOVIAL
JOINT
PLANE SYNOVIAL JOINT
FIRST CERVICAL
VERTEBRA
DENS OF SECOND
CERVICAL
VERTEBRA
PIVOT
PIVOT
JOINT
HINGE JOINT
HINGE JOINT
ELBOW
JOINT
BIAXIAL CONDYLAR JOINT
ELLIPSOID JOINT
MULTIAXIAL JOINT
SHOULDER
JOINT
HIP JOINT
SADDLE JOINT BALL & SOCKET
JOINT
SADDLE JOINT
Classification of Synovial Joints
(According to the number of bones)
•SIMPLE JOINT Interphalangeal joint
•COMPOUND JOINT elbow ,wrist
•COMPLEX JOINT temporomandibular
joint
Share_784_Joints.pdf

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Share_784_Joints.pdf

  • 2. Cartilage In Developing Embryo More prevalent than in adult Skeleton initially mostly cartilage Bone replaces cartilage in fetal and childhood periods.
  • 4. Types of cartilage 1. Hyaline cartilage 2. Elastic cartilage 3. Fibrocartilage
  • 5. Bones •Support •Movement: muscles attach by tendons and use bones as levers to move body •Protection •Mineral storage •Blood cell formation and energy storage •Bone marrow: red makes blood, yellow stores fat
  • 6. Classification of bones by shape •Long bones •Short bones •Flat bones •Irregular bones •Pneumatic bones •Sesamoid bones (Short bones include sesmoid bones)
  • 7. %
  • 9. JOINTS synonyms: articulations, junctions A site where two or more bones come together, whether or not movement occurs between them, is called a joint.
  • 10. JOINTS ARE CLASSIFIED ACCORDING TO Range and type of movement they permit. Immovable joints (SYNARTHROSIS) Slightly movable joints (AMPHIARTHROSIS) Movable joints (DIARTHROSIS) Anatomical structure Fibrous joints, Cartilaginous joints, Synovial joints.
  • 11. Functions: • Permit movement • Growth • Molding during childbirth • Concerned with differential growth • Transmission of forces
  • 12. Structural Classification a) Fibrous e.g. i) Sutures, ii) Syndesmosis iii) Gomphosis b) Cartilaginous e.g. i) Primary Cartilaginous ii) Secondary cartilaginous c) Synovial e.g. i) Uniaxial: Hinge, Pivot ii) Biaxial: Condylar, Ellipsoid iii) Multiaxial: Ball & Socket, Saddle
  • 13. Movements  Flexion  Extension  Adduction  Abduction  Circumduction  Rotation
  • 14. SYNARTHROSES / FIBROUS JOINTS  Bones connected by fibrous tissue: dense regular connective tissue  No joint cavity  Slightly movable or immovable BONE— fibrous connective tissue—BONE
  • 18. bone—collagenous sutural ligament—bone -Present only between bones of skull. -Fibrous tissue is continuous with periosteum -Sutures ossify and fuse in middle age: Called “synostoses” SUTURES
  • 19. •Simple apposition of contiguous surfaces, • usually rough and reciprocally irregular, Examples • sutures between the palatine bones, • between the maxillae and at the palatomaxillary sutures. TYPES OF SUTURES PLANE SUTURE
  • 20. Denticulate Suture Has small tooth like projections, often widening towards their ends to provide effective interlocking. When united by sutural ligament and periosteum, such sutures are almost completely immobile The lambdoid suture is a denticulate suture.
  • 21. The sagittal suture is serrated. SERRATED SUTURE
  • 22. Squamous suture Where bones overlap, as at the temporo- parietal suture, a squamous suture is formed; the adjacent bone surfaces are reciprocally bevelled.
  • 23. Schindylesis Between Ala of Vomer and Rostrum of Sphenoid
  • 24. Syndesmoses In Greek: “ligament” Bones connected by ligaments only Amount of movement depends on length of the fibers: longer than in sutures
  • 25. Gomphoses Is a “peg-in-socket” Only example is tooth with its socket Ligament is a short periodontal ligament
  • 26. Cartilagenous joints Articulating bones united by cartilage Lack a joint cavity Not highly movable Two types Synchondroses (singular: synchondrosis) Symphyses (singular: symphysis)
  • 27. Synchondroses Primary Cartilaginous Joints Literally: “junction of cartilage” A plate or bar of Hyaline cartilage unites the bones Immovable (synarthroses) Examples: Epiphyseal plates between epiphysis and diaphysis of growing bone. Joint between first rib’s costal cartilage and manubrium of the sternum
  • 29. Symphyses Secondary Cartilaginous Joints Literally “growing together” Fibrocartilage unites the bones Slightly movable (amphiarthroses) Resilient shock absorber Provide strength and flexibility Hyaline cartilage on articular surfaces of bones to reduce friction Examples Intervertebral discs Pubic symphysis of the pelvis
  • 31. The lambdoid suture is an example of a(n) A. Diarthrosis B. Amphiarthrosis C. Synarthrosis D. Synarthrosis and fibrous
  • 32. The lambdoid suture is an example of a(n) A. Diarthrosis B. Amphiarthrosis C. Synarthrosis D. Synarthrosis and fibrous
  • 33. Which of the following is an example of a synchondrosis? A. First sternocostal articulation B. Humeroscapular articulation C. Symphysis pubis D. Tibiofibular articulation
  • 34. Which of the following is an example of a synchondrosis? A. First sternocostal articulation B. Humeroscapular articulation C. Symphysis pubis D. Tibiofibular articulation
  • 35. The procedure arthroscopy refers to: A. Examining interior of joint B. Reducing inflammation of a bursa C. Re-establishing blood supply of muscles D. Repair of bone fractures
  • 36. The procedure arthroscopy refers to: A. Examining interior of joint B. Reducing inflammation of a bursa C. Re-establishing blood supply of muscles D. Repair of bone fractures
  • 37. Which of the following joints are held together by cartilage? A. Diarthrosis B. Gomphosis C. Symphysis D. Synovial
  • 38. Which of the following joints are held together by cartilage? A. Diarthrosis B. Gomphosis C. Symphysis D. Synovial
  • 39. The radioulnar joint is an example of a A. Hinge B. Pivot C. Planar D. Synarthroses
  • 40. The radioulnar joint is an example of a A. Hinge B. Pivot C. Planar D. Synarthroses
  • 41.
  • 42. Synovial joints DIARTHROSES •Structure: bone—articular cartilage— synovial fluid in cavity – articular cartilage— bone •Bond : surrounding sleeve of collagenous fibrous capsule lined by synovial membrane; extrinsic and intrinsic ligaments. Occasional intracapsular ligaments, tendons, fat pads, fibrocartilaginous discs or menisci.
  • 44. KNEE JOINT JOINT CAVITY PAD OF FAT SYNOVIAL MEMBRANE CAPSULE ARTICULAR CARTILAGE SYNOVIAL JOINT MENISCUS
  • 45. General Structure of Synovial Joints 1. Articular cartilage  Hyaline  Spongy cushions absorb compression  Protects ends of bones from being crushed 2. Joint (synovial) cavity  Potential space  Small amount of synovial fluid
  • 46. 3. Articular (joint) capsule  Two layered  Outer*: fibrous capsule of dense irregular connective tissue continuous with periosteum.  Inner*: synovial membrane of loose connective tissue (makes synovial fluid) Lines all internal joint surfaces except the cartilages*
  • 47. 4. Synovial fluid  Filtrate of blood  Contains special glycoproteins  Nourishes cartilage and functions as slippery lubricant 5. Reinforcing ligaments  Capsular (most) – thickened parts of capsule  Extracapsular  Intracapsular
  • 48. 6. Nerves Detect pain Monitor stretch (one of the ways of sensing posture and body movements) 7. Blood vessels Rich blood supply Extensive capillary beds in synovial membrane (produce the blood filtrate)
  • 49. Articular disc or meniscus (literally “crescent”) Only some joints Those with bone ends of different shapes or fitting poorly Some to allow two kinds of movement (e.g. jaw) Fibrocartilage Examples: knee TMJ (Temporomandibular joint) sternoclavicular joint
  • 50. •Fatty pads are found in some synovial joints lying between the synovial membrane and the fibrous capsule or bone. •Examples are found in the hip and knee joints.
  • 51. Bursae and tendon sheaths  Contain synovial fluid  Not joints but often associated with them  Act like ball bearings  Bursa means “purse” in Latin  Flattened sac lined by synovial membrane  Where ligaments, muscles, tendons, or bones overlie each other and rub together  Tendon sheath  Only on tendons subjected to friction
  • 52. Bursae and tendon sheaths
  • 53. UNI-AXIAL Hinge Joint , Pivot Joint, Condylar Joint BI-AXIAL Condylar Joint, Ellipsoid Joint, Saddle Joint MULTI-AXIAL Ball and Socket NON-AXIAL Plane Joint
  • 54. Plane joints: •In plane joints, the apposed articular surfaces are flat or almost flat, and this permits the bones to slide on one another. •Examples of these joints are the sternoclavicular and acromioclavicular joints
  • 55. Hinge joints: •Hinge joints resemble the hinge on a door, so that flexion and extension movements are possible. Examples of these joints are the elbow, knee, and ankle joints
  • 56. Pivot joints: •In pivot joints, a central bony pivot is surrounded by a bony- ligamentous ring and rotation is the only movement possible. • E.g atlantoaxial and superior radioulnar joints
  • 57. Condylar joints •Condyloid joints have two distinct convex surfaces that articulate with two concave surfaces. •The movements of flexion, extension, with a small amount of rotation. •E.g. knee joint , temporo-mandibular joint
  • 58. Ellipsoid joints •In ellipsoid joints, an elliptical convex articular surface fits into an elliptical concave articular surface. The movements of flexion, extension, abduction, adduction and circumduction can take place, but rotation is impossible. •E.g. wrist joint, metacarpophalangeal joint
  • 59. Saddle joints: •The articular surfaces are reciprocally concavoconvex and resemble a saddle on a horse's back. •These joints permit flexion, extension, abduction, adduction, and rotation. •E.g. carpometacarpal joint of the thumb, sternoclavicular joint
  • 60. Ball and socket joints: •In ball-and-socket joints, a ball-shaped head of one bone fits into a socket like concavity of another. •This arrangement permits free movements, including flexion, extension, abduction, adduction, medial rotation, lateral rotation, and circumduction. • E.g. shoulder and hip joints
  • 61. Stability of Joints The stability of a joint depends on three main factors: •the shape, •size, •arrangement of the articular surfaces; •the ligaments; •and the tone of the muscles around the joint.
  • 62. MECHANISM OF LUBRICATION OF SYNOVIAL JOINT •Synovial fluid •Hyaline cartilage •Harvesian fatty pads •Bursa
  • 63. Nerve Supply of Joints •The capsule and ligaments receive an abundant sensory nerve supply. •A sensory nerve supplying a joint also supplies the muscles moving the joint and the skin overlying the insertions of these muscles, a fact that has been codified as Hilton's law.
  • 66. FIRST CERVICAL VERTEBRA DENS OF SECOND CERVICAL VERTEBRA PIVOT
  • 75. SADDLE JOINT BALL & SOCKET JOINT
  • 77. Classification of Synovial Joints (According to the number of bones) •SIMPLE JOINT Interphalangeal joint •COMPOUND JOINT elbow ,wrist •COMPLEX JOINT temporomandibular joint