Podcast
Questions and Answers
Under which classification criterion are joints categorized based on the primary type of connective tissue present?
Under which classification criterion are joints categorized based on the primary type of connective tissue present?
- Functional range of movement
- Histological composition (correct)
- Embryological origin
- Kinesiological assessment
Which joint type permits movement in only one plane, exemplified by flexion and extension?
Which joint type permits movement in only one plane, exemplified by flexion and extension?
- Ball and Socket (Spheroid) joint
- Pivot (Trochoidal) joint
- Hinge (Ginglymus) joint (correct)
- Plane (Gliding) joint
Which motion is NOT typically associated with a ball and socket joint?
Which motion is NOT typically associated with a ball and socket joint?
- Rotation
- Flexion
- Abduction
- Gliding (correct)
Which type of synovial joint allows for movements such as flexion/extension and abduction/adduction?
Which type of synovial joint allows for movements such as flexion/extension and abduction/adduction?
What unique movement is primarily facilitated by the saddle joint of the thumb?
What unique movement is primarily facilitated by the saddle joint of the thumb?
Which type of joint is characterized by having the LEAST amount of movement?
Which type of joint is characterized by having the LEAST amount of movement?
Which functional category of joints primarily allows for little to no movement?
Which functional category of joints primarily allows for little to no movement?
Which characteristic is most indicative of the articular surfaces in the Sternoclavicular joint?
Which characteristic is most indicative of the articular surfaces in the Sternoclavicular joint?
Why is a posterior dislocation of the sternoclavicular joint considered more dangerous than an anterior dislocation?
Why is a posterior dislocation of the sternoclavicular joint considered more dangerous than an anterior dislocation?
Which ligaments provide primary support to the Acromioclavicular joint?
Which ligaments provide primary support to the Acromioclavicular joint?
If a patient presents with superior displacement following an A-C joint injury, which ligaments are most likely to have been ruptured?
If a patient presents with superior displacement following an A-C joint injury, which ligaments are most likely to have been ruptured?
Which statement best describes the mechanical function of abduction in the glenohumeral joint?
Which statement best describes the mechanical function of abduction in the glenohumeral joint?
What is the ratio between glenohumeral and scapulothoracic motion during abduction of the arm, and why is this rhythm important?
What is the ratio between glenohumeral and scapulothoracic motion during abduction of the arm, and why is this rhythm important?
Which set of muscles is collectively known as the 'rotator cuff' and what is their primary function?
Which set of muscles is collectively known as the 'rotator cuff' and what is their primary function?
What type of joint is the elbow joint, and what specific movements does it primarily facilitate?
What type of joint is the elbow joint, and what specific movements does it primarily facilitate?
Which structure is responsible for creating a 'socket' that allows the head of the radius to rotate, facilitating pronation and supination?
Which structure is responsible for creating a 'socket' that allows the head of the radius to rotate, facilitating pronation and supination?
How does the annular ligament contribute to the overall function of the elbow and forearm?
How does the annular ligament contribute to the overall function of the elbow and forearm?
The movement of the radius rotating laterally (outward) around its longitudinal axis so that the dorsum of the hand faces posteriorly, and the palm faces anteriorly is known as:
The movement of the radius rotating laterally (outward) around its longitudinal axis so that the dorsum of the hand faces posteriorly, and the palm faces anteriorly is known as:
What is the primary function of the triangular fibrocartilage complex (TFCC) at the wrist?
What is the primary function of the triangular fibrocartilage complex (TFCC) at the wrist?
Which set of bones articulates to form the radiocarpal joint?
Which set of bones articulates to form the radiocarpal joint?
Why is it important to maintain the integrity of joints?
Why is it important to maintain the integrity of joints?
Which of the following is NOT a type of synovial joint?
Which of the following is NOT a type of synovial joint?
A patient reports pain and reduced range of motion in their wrist. Radiographic imaging reveals a disruption in the alignment of the carpal bones. Which of the following ligaments, if damaged, could contribute to instability between the scaphoid and lunate carpal bones?
A patient reports pain and reduced range of motion in their wrist. Radiographic imaging reveals a disruption in the alignment of the carpal bones. Which of the following ligaments, if damaged, could contribute to instability between the scaphoid and lunate carpal bones?
Which specific anatomical feature contributes to the stability of the shoulder joint, given its inherent shallow articulation?
Which specific anatomical feature contributes to the stability of the shoulder joint, given its inherent shallow articulation?
Which of the following ligaments is LEAST involved in stabilizing the sterno-clavicular joint (SCJ)?
Which of the following ligaments is LEAST involved in stabilizing the sterno-clavicular joint (SCJ)?
When assessing a patient with a suspected acromioclavicular (AC) joint injury, which clinical finding is MOST indicative of a complete AC separation with significant disruption of both the AC and coracoclavicular ligaments?
When assessing a patient with a suspected acromioclavicular (AC) joint injury, which clinical finding is MOST indicative of a complete AC separation with significant disruption of both the AC and coracoclavicular ligaments?
A patient presents with pain and weakness during shoulder abduction, particularly between 60 and 120 degrees. Strength testing reveals weakness specifically in external rotation. Which muscle is MOST likely involved?
A patient presents with pain and weakness during shoulder abduction, particularly between 60 and 120 degrees. Strength testing reveals weakness specifically in external rotation. Which muscle is MOST likely involved?
Following a direct blow to the lateral aspect of the elbow, a patient is diagnosed with a radial head fracture. Which of the following associated injuries should the physician most urgently assess for, considering the biomechanical relationships at the elbow?
Following a direct blow to the lateral aspect of the elbow, a patient is diagnosed with a radial head fracture. Which of the following associated injuries should the physician most urgently assess for, considering the biomechanical relationships at the elbow?
A gymnast falls off the balance beam and lands on their outstretched hand, resulting in a wrist injury. Radiographs reveal a fracture of the scaphoid bone. What is the PRIMARY concern regarding a scaphoid fracture, considering its blood supply and potential long-term complications?
A gymnast falls off the balance beam and lands on their outstretched hand, resulting in a wrist injury. Radiographs reveal a fracture of the scaphoid bone. What is the PRIMARY concern regarding a scaphoid fracture, considering its blood supply and potential long-term complications?
A carpenter repetitively uses a hammer throughout his day, leading to chronic wrist pain. Clinical examination reveals tenderness over the anatomical snuffbox, and a positive Finkelstein's test. Which of the following anatomical structures is MOST likely involved in this individual’s condition:
A carpenter repetitively uses a hammer throughout his day, leading to chronic wrist pain. Clinical examination reveals tenderness over the anatomical snuffbox, and a positive Finkelstein's test. Which of the following anatomical structures is MOST likely involved in this individual’s condition:
A patient presents with acute wrist pain after falling onto their outstretched hand. Radiographs are negative for fracture, but the patient has significant pain and instability with forearm rotation. Which of the following injuries should be suspected, considering the mechanism and reported instability?
A patient presents with acute wrist pain after falling onto their outstretched hand. Radiographs are negative for fracture, but the patient has significant pain and instability with forearm rotation. Which of the following injuries should be suspected, considering the mechanism and reported instability?
A rock climber with complaints of dorsal wrist region pain, particularly during wrist extension and gripping activities. On examination, the physician notes mild swelling on the dorsum of the wrist and tenderness upon palpation between the extensor carpi radialis longus and brevis tendons. Which of the following conditions is MOST likely contributing to this presentation?
A rock climber with complaints of dorsal wrist region pain, particularly during wrist extension and gripping activities. On examination, the physician notes mild swelling on the dorsum of the wrist and tenderness upon palpation between the extensor carpi radialis longus and brevis tendons. Which of the following conditions is MOST likely contributing to this presentation?
A patient presents with chronic elbow pain, particularly with resisted wrist flexion and pronation. Palpation reveals tenderness over the medial epicondyle of the humerus. Considering the common anatomical involvement, which of the following structures is MOST likely contributing directly to the patient’s symptoms?
A patient presents with chronic elbow pain, particularly with resisted wrist flexion and pronation. Palpation reveals tenderness over the medial epicondyle of the humerus. Considering the common anatomical involvement, which of the following structures is MOST likely contributing directly to the patient’s symptoms?
Which statement is true regarding joints?
Which statement is true regarding joints?
Which of the following are NOT a supporting ligament of the Acromio-Clavicular joint?
Which of the following are NOT a supporting ligament of the Acromio-Clavicular joint?
What is the most frequent injury of the Sterno-Clavicular Joint?
What is the most frequent injury of the Sterno-Clavicular Joint?
Which of the following is a key distinction between the structural and functional classification systems for joints?
Which of the following is a key distinction between the structural and functional classification systems for joints?
Which distinguishing feature characterizes a synovial joint compared to fibrous and cartilaginous joints?
Which distinguishing feature characterizes a synovial joint compared to fibrous and cartilaginous joints?
During a biomechanical analysis of human movement, what is the significance of understanding how a joint is classified?
During a biomechanical analysis of human movement, what is the significance of understanding how a joint is classified?
Damage to the articular cartilage within a synovial joint can lead to which of the following pathological outcomes?
Damage to the articular cartilage within a synovial joint can lead to which of the following pathological outcomes?
In a patient with rheumatoid arthritis affecting the metacarpophalangeal joints, what type of synovial joint is primarily involved?
In a patient with rheumatoid arthritis affecting the metacarpophalangeal joints, what type of synovial joint is primarily involved?
Which of the following scenarios would MOST directly result from damage to the interclavicular ligament?
Which of the following scenarios would MOST directly result from damage to the interclavicular ligament?
When evaluating a patient with suspected sternoclavicular joint injury, what clinical finding would raise highest suspicion for a posterior dislocation?
When evaluating a patient with suspected sternoclavicular joint injury, what clinical finding would raise highest suspicion for a posterior dislocation?
A direct blow to the superior aspect of the shoulder results in a visible step-off deformity at the acromioclavicular joint. What is the MOST appropriate initial imaging modality to assess the extent of the injury?
A direct blow to the superior aspect of the shoulder results in a visible step-off deformity at the acromioclavicular joint. What is the MOST appropriate initial imaging modality to assess the extent of the injury?
After sustaining a shoulder injury, a patient exhibits pain and instability during overhead activities. What functional test would MOST specifically assess the integrity of the coracoclavicular ligaments?
After sustaining a shoulder injury, a patient exhibits pain and instability during overhead activities. What functional test would MOST specifically assess the integrity of the coracoclavicular ligaments?
A baseball pitcher reports anterior shoulder pain and decreased throwing velocity. Clinical examination reveals pain with resisted internal rotation and weakness in external rotation. Which rotator cuff muscle is MOST likely implicated?
A baseball pitcher reports anterior shoulder pain and decreased throwing velocity. Clinical examination reveals pain with resisted internal rotation and weakness in external rotation. Which rotator cuff muscle is MOST likely implicated?
What is the primary biomechanical implication of the oblique orientation of the medial collateral ligament (MCL) at the elbow?
What is the primary biomechanical implication of the oblique orientation of the medial collateral ligament (MCL) at the elbow?
During elbow dislocation, what structural relationship predisposes the ulnar nerve to injury?
During elbow dislocation, what structural relationship predisposes the ulnar nerve to injury?
What is the functional significance of the convergence of wrist ligaments on the capitate bone?
What is the functional significance of the convergence of wrist ligaments on the capitate bone?
Following a fall on an outstretched hand, a patient complains of persistent wrist pain. Imaging reveals no fracture, but there is significant pain with resisted wrist extension and grip. If this also involved the anatomical snuffbox, what injury should be suspected?
Following a fall on an outstretched hand, a patient complains of persistent wrist pain. Imaging reveals no fracture, but there is significant pain with resisted wrist extension and grip. If this also involved the anatomical snuffbox, what injury should be suspected?
In a patient presenting with chronic wrist pain and clicking, what is the MOST likely long-term consequence of untreated scapholunate ligament injury?
In a patient presenting with chronic wrist pain and clicking, what is the MOST likely long-term consequence of untreated scapholunate ligament injury?
Considering the movements at the Proximal Radio-Ulnar Joint, what specific anatomical feature MOST directly facilitates pronation and supination of the forearm?
Considering the movements at the Proximal Radio-Ulnar Joint, what specific anatomical feature MOST directly facilitates pronation and supination of the forearm?
Why is the triangular fibrocartilage complex (TFCC) prone to injury?
Why is the triangular fibrocartilage complex (TFCC) prone to injury?
How might injury to the triangular fibrocartilage complex (TFCC) specifically affect wrist function?
How might injury to the triangular fibrocartilage complex (TFCC) specifically affect wrist function?
What is the significance of the palmar radiocarpal ligaments?
What is the significance of the palmar radiocarpal ligaments?
What is the clinical implication of the scaphoid crossing both rows of carpals?
What is the clinical implication of the scaphoid crossing both rows of carpals?
Flashcards
What is a Joint?
What is a Joint?
The connection between bones, linking the skeletal system into a functional unit.
Fibrous Joints
Fibrous Joints
Connect bones with dense connective tissue; allows very little movement.
Cartilaginous Joints
Cartilaginous Joints
Connect bones with cartilage ; allows slight movement.
Synovial Joints
Synovial Joints
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Hinge Joint (Ginglymus)
Hinge Joint (Ginglymus)
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Pivot Joint (Trochoidal)
Pivot Joint (Trochoidal)
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Ball and Socket Joint (Spheroid)
Ball and Socket Joint (Spheroid)
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Oval Joint (Condyloid)
Oval Joint (Condyloid)
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Saddle Joint (Sellar)
Saddle Joint (Sellar)
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Plane Joint (Gliding)
Plane Joint (Gliding)
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Synarthrotic Joint
Synarthrotic Joint
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Amphiarthrotic Joint
Amphiarthrotic Joint
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Diarthrotic Joint
Diarthrotic Joint
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Sterno-Clavicular Joint
Sterno-Clavicular Joint
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Costo-clavicular Ligaments
Costo-clavicular Ligaments
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Fibrous Disc
Fibrous Disc
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Clavicle Fracture
Clavicle Fracture
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Anterior Sterno-Clavicular Ligaments
Anterior Sterno-Clavicular Ligaments
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Inter-Clavicular Ligament
Inter-Clavicular Ligament
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Costo-Clavicular Ligaments
Costo-Clavicular Ligaments
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Acromio-Clavicular Joint
Acromio-Clavicular Joint
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Supporting Ligaments of AC Joint
Supporting Ligaments of AC Joint
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Coraco-Acromial Arch
Coraco-Acromial Arch
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Acromion and Clavicle
Acromion and Clavicle
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Gleno-Humeral Joint
Gleno-Humeral Joint
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Gleno-Humeral Ligaments
Gleno-Humeral Ligaments
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Glenoid Labrum
Glenoid Labrum
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Shoulder Abduction
Shoulder Abduction
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Humeral Head Position
Humeral Head Position
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Elbow Joint
Elbow Joint
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Normal Elbow Joint
Normal Elbow Joint
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Radial Collateral Ligament
Radial Collateral Ligament
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Anular Ligament
Anular Ligament
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Function of Anular Joint
Function of Anular Joint
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Fat Pads and Bursae
Fat Pads and Bursae
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Supination
Supination
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pronation
pronation
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Proximal Radio-Ulnar Joint
Proximal Radio-Ulnar Joint
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Normal Forearm
Normal Forearm
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Proximal Joint Action
Proximal Joint Action
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Triangular Fibrocartilage Complex
Triangular Fibrocartilage Complex
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Radio-carpal joint
Radio-carpal joint
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Capitate-Hamate Ligament
Capitate-Hamate Ligament
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Name of the distal carpal row?
Name of the distal carpal row?
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Adduction
Adduction
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Abduction
Abduction
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Study Notes
What is a Joint?
- Joints are the connections between bones in the body
- They link the skeletal system into a functional unit
- Depending on the joint type, separated elements may or may not move on one another
- Joints can be classified histologically, based on connective tissue type, or functionally, based on the amount of movement allowed
- The 3 types of joints in the body, histologically, include: Fibrous, cartilaginous, and Synovial
Synovial joints
- There are six types of synovial joints
- Hinge (Ginglymus) joints allow movement in one plane and are responsible for flexion and extension
- Elbow and IP joints of digits are hinge joints
- Pivot (Trochoidal) joints are constructed for rotation around a longitudinal axis
- C1-C2 articulation and forearm rotation are pivot joints
- Ball and Socket (Spheroid) joints have articulation with the greatest freedom of movement
- Flexion, extension, abduction/adduction, and rotation occur at ball and socket joints
- Shoulder & hip joints are ball and socket joints
- Oval (Condyloid) joints are biaxial joints where movements of flexion/extension and abduction/adduction occur
- Wrist joint, MP joints of fingers are oval joints
- Saddle (Sellar) joints have unique opposition movement of the thumb
- Plane (Gliding) joints have the least amount of movement
- They allow for gliding or sliding movements between bones
- Intercarpal and carpometacarpal joints of fingers are plane joints
Functional categories of joints
- Synarthrotic joints have no movement
- Amphiarthrotic joints allow for little movement
- Diarthrotic joints allow for free movement
Sterno-Clavicular Joint
- The sternum and 1st costal cartilage articulate with the medial end of the clavicle
- The S-C joint is formed through this articulation
- The capsule of the sterno-clavicular joint is strengthened by ligaments
- Costo-clavicular ligaments strengthen this capsule
- Articular surfaces of the sterno-clavicular joint are largely fibrocartilaginous and separated by a fibrous disc
- Anterior dislocation of the sterno-clavicular joint is more common than posterior dislocation
- Posterior dislocation of the joint is more dangerous
- The sternoclavicular ligaments are very strong
- The clavicle would likely break before the S-C joint dislocates
- The sterno-clavicular joint is supported by anterior sterno-clavicular ligaments, costo-clavicular ligaments, and inter-clavicular ligaments
Acromio-Clavicular Joint
- Four supporting ligaments of the Acromio-Clavicular Joint include: Coraco-acromial ligament, Acromio-clavicular ligaments, Coraco-clavicular Ligaments, Conoid ligament (medial), and Trapezoid ligament (lateral)
- If a 52-year-old man fell onto his left shoulder, the Acromion process of the scapula and the Acromion end of the clavicle make up the acromio-clavicular joint
- Rupture of the Acromio-clavicular ligaments and Coraco-clavicular ligaments is necessary to have superior displacement of the A-C joint
Gleno-Humeral Joint
- Gleno-humeral ligaments include the superior, middle, and inferior glenohumeral ligaments
- The shoulder moves in a 2:1 ratio, scapulohumeral rhythm
Shoulder Motion
- 0-20 degrees of abduction of the shoulder come from the supraspinatus
- 20-90 degrees of abduction come from the middle deltoid
- 90-140 degrees of abduction come from the serratus anterior and trapezius
Shoulder Dislocation
- In an anterior shoulder dislocation, the humeral head is displaced
Elbow Joint
- The Radial head articulates with the capitellum of the humerus
- The trochlear notch of the ulna articulates with the trochlear of the humerus
Radio-Ulnar Joints
- Supination is the movement of the forearm that rotates the radius laterally about it's longitudinal axis
- This causes the dorsum of the hand faces posteriorly and the palm to face anteriorly
- Pronation is the movement of the forearm produced by the pronator teres and pronator quadratus
- Pronation rotates the radius medially around its longitudinal axis so that the palm of the hand faces posteriorly and the dorsum faces anteriorly
- The annular ligament attaches to the radial notch of the ulna, forming a collar around the head of the radius
- This creates a pivot type of synovial joint, and the articular cavity of the joint is continuous with that of the elbow joint
- The head of the radius rotates in the socket formed by the annular ligament and radial notch of the ulna
Distal Radio-Ulnar Joint
- The articular disc is referred to clinically as the triangular ligament of the distal radio-ulnar joint to firmly unite joints
Wrist and Hand
- Bones of the radio-carpal joint include the radius and proximal carpal row (scaphoid, lunate, triquetrum)
- Bones of the distal carpal row are trapezium, trapezoid, capitate, and hamate
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Description
Explore the connections between bones known as joints, which unite the skeletal system. Learn about the classification of joints based on tissue type and function, including the types of synovial joints. Understand the movements allowed by hinge, pivot, and ball and socket joints.