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PSE4U  FIBROUS JOINT ◦ Bound tightly together by connective tissue and allow no movement ◦ Ex. Joints between skull bones (sutures)  CARTILAGINOUS JOINT ◦ Body of one bone connects to the other by means of cartilage ◦ Slight movement ◦ Ex. Intervetebral discs between vertebrae.  SYNOVIAL JOINT ◦ Bony surfaces are separated by lubricating fluid (synovial fluid) and cartilage. ◦ Joined by ligaments (enclose ends of bones to form a capsule) ◦ Ex. Knee joint  JOINT CAVITY: filled with synovial fluid (acts as a lubricant for joint)  JOINT CAPSULE  BURSA: small flattened fluid sac found at friction points between tendons, ligaments and bones  ARTICULATING CARTILAGE: found at the end of a bone that comes into contact with another bone  Fibrous Capsule: stops synovial fluid from leaking out. Is located on the outside of the joint.  Synovial Membrane: allows certain nutrients to pass through. Located right below the fibrous capsule.  Purpose: protection, creates smooth contact, acts as a shock absorber INTRINSIC LIGAMENTS Thick bands of fibrous connective tissue that help to thicken and reinforce the joint capsule EXTRINSIC LIGAMENTS Separate from joint capsule and help to reinforce the joint by attaching the bones together. BALL & SOCKET ‘ball’ of one bone fits into ‘socket’ of another * Movement around 3 axes* GLIDING Connects flat or slightly curved bones PIVOT A rounded point of one bone fits into a groove of another * Allows rotation in one plane* SADDLE Allows movements in 2 planes F &E, ABD & ADD but not rotation ELLIPSOID Allows movement in 2 planes HINGE Convex portion of bone fitting into concave portion of bone * Movement in 1 plane*  Tendons: attach bone to muscle ◦ Composed of collagen ◦ Can stretch further than ligaments ◦ Dynamic stabilizers  Ligaments: attached bone to bone ◦ Tough connective tissue ◦ Can stretch but have less movement than tendons ◦ Static stabilizers of joints ◦ Can strengthen through training = stronger joint  Strains, sprains, tears and pulls:  Sprains and tears – associated with ligaments  Strains and pulls - associated with tendons  1st, 2nd and 3rd degree  Tendinitis:  Inflammation of a tendon caused by irritation due to prolonged or abnormal use  Dislocations:  Bone displaced from its original location  Damage to join capsule and ligament occurs.  SYMPTOMS – joint looks deformed, joint is painful touch or move, joint is not useable.  Separations:  Occurs when bones held together by fibrous ligaments tear and separate from each other  Cartilage:  Usually known as `torn cartilage`  Arthroscopy – surgical procedure to diagnose injury  Shin Splints  Painful condition occurring on medial/lateral side of tibia cause by tearing of interosseus membrane or the periosteum  SHARP  S – swelling  H – heat  A – Altered (will not function properly)  R- red  P - painful  PIER  P – pressure  I – ice  E – Elevation  R – restriction    Articulation of femur and tibia Modified hinge joint: flexion and extension, however, some medial and lateral rotation can occur (technically modified ellipsoid joint – movement in 2 planes) 2 menisci (meniscus singular) ◦ sit on tibial condyles and sit on either side of intercondyle eminence  6 ligaments ◦ CRUCIATE LIGAMENTS: cross each together over the intercondylar eminence  Anterior cruciate ligament (ACL) – stops anterior movement  Posterior cruciate ligament (PCL) – stops posterior movement ◦ Ligaments that hold fibrous tissue together  Medial collateral ligament (MCL) – stops medial movement  Lateral collateral ligament (LCL) – stops lateral movement ◦ Other ligaments  Posterior meniscofemoral ligament – strengthens posterior aspect of joint  Oblique popliteal ligament – strengthens posterior aspect of joint  Patellar ligament – hold patella in place    Synovial ball-and-socket joint : unstable Joint – this unstableness gives the shoulder joint its versatility and movement Joint made up of scapula and humerus and indirectly the clavicle Athletes who are involved in sports where actions like throwing, swimming and lifting occur are susceptible to shoulder injuries  4 Ligaments  Coracoclavicular ligament – attaches the coracoid process and clavicle  Acromioclavicular ligament – attaches the acromion process and clavicle together  Glenoid humeral ligament – attaches the scapula and humerus  Coracoacromial ligament – attaches the acromion process and coracoid process  Biceps tendinitis – overuse of biceps brachii  Shoulder separation – tearing of acromioclavicular   ligament Shoulder dislocation – occurs when the humerus ‘pops’ out of the glenoid cavity. Rotator cuff tears – rotator cuff: supraspinatus, infraspinatus, teres minor and subscapularis  Supraspinatus, infraspinatus and teres minor share the common insertion on the greater tubercle. When part of the tendon is torn it affects all muscles.