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The Skeletal System

Tuesday, 23 October 12

The Skeletal System


Functions of the Skeletal System

Support against gravity


Leverage for muscle action - movement
Protection of soft internal organs
Blood cell production
Storage - calcium, phosphorous, fat

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The Skeletal System


The skeletal system includes:

Tuesday, 23 October 12

Cartilages
Bones
Joints
Ligaments
Other connective tissues

Cartilage
Embryo
More prevalent than in
adult
Skeleton initially mostly
cartilage
Bone replaces cartilage
in fetal and childhood
periods

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Specialized connective tissue


Rigid, Elastic, Resilient RESISTS COMPRESSION
AVASCULAR
nutrients diffuse through
matrix

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Location of cartilage in adults


External ear
Nose
Articular covering
the ends of most bones
and movable joints
Costal connecting
ribs to sternum
Larynx - voice box
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Epiglottis flap
keeping food out of
lungs
Cartilaginous rings
holding open the air
tubes of the
respiratory system
(trachea and bronchi)
Intervertebral discs
Pubic symphysis
Articular discs such as
meniscus in knee joint
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Cartilage is connective tissue


Cells called
chondrocytes
Abundant extracellular
matrix
Fibers: collagen & elastin
Jellylike ground
substance of complex
sugar molecules
60-80% water
(responsible for the
resilience)
No nerves or vessels
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PERICHONDRIUM
Dense irregularly
arranged connective
tissue (type I
collagen)
Ensheaths the
cartilage
Houses the blood
vessels that nourish
chondrocytes
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CHONDROBLAST
Progenitor of
chondrocytes
Lines border
between
perichondrium and
matrix
Secretes type II
collagen and other
ECM components

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CHONDROCYTE
Mature cartilage
cell
Reside in a space
called the lacuna
Clear areas =
Golgi and lipid
droplets
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Chondrocytes
completely fill their
lacunae
RER and
euchromatic nuclei
Synthetically
active, secrete
matrix

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N
RER
Cartilage matrix

Provides the rigidity,


elasticity, & resilience
FIBERS

MATRIX

Collagenous and elastic

GROUND SUBSTANCE
Glycosaminoglycans
(chondroitin sulfates,
keratin sulfate, hyaluronic
acid)
Proteoglycans: GAGs +
core protein
Water

Basophilic
Territorial matrix - high [ ]
of sulfated
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CARTILAGE GROWTH

Appositional
Growth from outside
Chrondroblasts in perichondrium
(external covering of cartilage) secrete
matrix
Interstitial
Growth from within
Chondrocytes within divide and secrete
new matrix
Cartilage stops growing in late teens
(chrondrocytes stop dividing)
Regenerates poorly in adults

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TYPES OF CARTILAGE
HYALINE
ELASTIC
FIBROUS

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Types of cartilage: 3
1. Hyaline cartilage: flexible and
resilient

Chondrocytes appear spherical


Lacuna cavity in matrix holding
chondrocyte
Collagen the only fiber

2. Elastic cartilage: highly bendable

Matrix with elastic as well as


collagen fibers
Epiglottis, larynx and outer ear

3. Fibrocartilage: resists
compression and tension

Rows of thick collagen fibers


alternating with rows of
chondrocytes (in matrix)
Knee menisci and annunulus
fibrosis of intervertebral discs

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Hyaline Cartilage

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Elastic Cartilage

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FIBROCARTILAGE
FUNCTION
Support with great
tensile strength

MATRIX
Type I collagen Oriented parallel to
stress plane

LOCATION
Intervertebral disks,
pubic symphysis
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Types of
Cartilage

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Bone (Osseous Tissue)


Specialized cells - 2% of bone weight
Strong flexible matrix
Calcium phosphate crystals - two-thirds of bone
weight (hydroxyapatite Ca10(PO4)6(OH)2)
Collagen fibers

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General Shapes Of Bones


Long bones (e.g., humerus, femur)
Short bones (e.g., carpals, tarsals, patella
Flat bones (e.g., parietal bone, scapula, sternum)
Irregular bones (e.g., vertebrae, hip bones)

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Structure of Typical Long Bone


Diaphysis - tubular shaft forming the axis
of long bones.

Composed of compact bone


Central medullary cavity
Contains bone marrow

Epiphysis expanded end of long bones.


Composed mostly of spongy bone
Joint surface is covered with articular
(hyaline) cartilage
Epiphyseal lines separate the diaphysis
from the epiphyses

Metaphysis where epiphysis and


diaphysis meet

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Structure of Short, Flat and irregular


Bones
Thin plates of periosteumcovered compact bone on the
outside and endosteumcovered spongy bone within.
Have no diaphysis or
epiphysis because they are
not cylindrical.
Contain bone marrow
between their trabeculae, but
no marrow cavity.
In flat bones, the internal
spongy bone layer is known
as the diplo, and the whole
arrangement resembles a
stiffened sandwich.
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Bone Membranes
Periosteum
Provides anchoring points for
tendons and ligaments
Double-layered protective
membrane, supplied with nerve
fibers, blood, and lymphatic
vessels entering the bone via
nutrient foramina.
Inner osteogenic layer is
composed of osteoblasts and
osteoclasts

Endosteum
Delicate CT membrane covering
internal surfaces of bone
Covers trabeculae of spongy
bone
Lines canals in compact bone
Also contains both osteoblasts
and osteoclasts
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Gross Anatomy of Bones

External Features of Bones projections, depressions, and


openings that serve as sites of muscle, ligament, and tendon
attachment, as joint surfaces, or conduits for blood vessels and
nerves

Compact Bone dense outer layer


Spongy Bone (cancellous bone) honeycomb of trabeculae
(needle-like or flat pieces) filled with bone marrow

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Gross Anatomy - Bone Markings

Superficial surfaces of bones reflect stresses on them

There are three broad categories of bone markings

Projections for muscle attachment

Surfaces that form joints

Depressions and openings

Table 6.1
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Histology of Compact Bone


Osteon the structural unit of compact bone
Lamellae column-like matrix tubes composed of
collagen and crystals of bone salts
Central canal - (Haversian canal) canal containing
blood vessels and nerves

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Histology of Compact Bone

Lacunae - cavities in bone containing osteocytes

Canaliculi - hairlike canals that connect lacunae to each other and


the central canal
Perforating canal (Volkmanns) channels lying at right angles to the
central canal, connecting blood and nerve supply of the periosteum
to the central canal

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Osteons

Each osteon consists of a single


central canal, known as a haversian
canal, surrounded by concentric
layers of calcified bone matrix.
Haversian canals allow the
passage of blood vessels,
lymphatic vessels, and nerve
fibers.
Each of the concentric matrix
tubes that surrounds a
haversian canal is known as a
lamella.
All the collagen fibers in a
particular lamella run in a single
direction, while collagen fibers in
adjacent lamellae will run in the
opposite direction. This allows
bone to better withstand twisting
forces.

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Tuesday, 23 October 12

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Cells in Bone
Osteoprogenitor cells precursors to osteoblasts
Osteocytes - mature bone cells between lamellae
Osteoclasts - bone-destroying cells, break down
bone matrix for remodeling and release of calcium
Source of acid, enzymes for osteolysis
Calcium homeostasis

Osteoblasts - bone-forming cells


Responsible for osteogenesis (new bone)
Source of collagen, calcium salts

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1. Osteoblasts
Bone-building cells.
Synthesize and
secrete collagen
fibers and other
organic
components of
bone matrix.
Initiate the process
of calcification.
Found in both the
periosteum and the
endosteum

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2. Osteocytes
Mature bone
cells.
Osteoblasts that
have become
trapped by the
secretion of
matrix.
No longer secrete
matrix.
Responsible for
maintaining the
bone tissue.
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Yellow arrows indicate


osteocytes notice
how they are
surrounded by the
pinkish bone matrix.
Blue arrow shows an
osteoblast in the
process of becoming an
osteocyte.

3.

Osteoclasts

Huge cells derived from the fusion of as many as 50


monocytes (a type of white blood cell).
Cells that digest bone matrix this process is called bone
resorption and is part of normal bone growth, development,
maintenance, and repair.
Concentrated in the endosteum.
On the side of the cell that faces the bone surface, the PM is
deeply folded into a ruffled border.

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The Structure of Spongy Bone


No osteons
Lamellae as trabeculae
Arches, rods, plates of
bone
Branching network of
bony tissue
Strong in many
directions
Red marrow (blood
forming) spaces

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Short, Irregular, and Flat Bones


Plates of periosteumcovered compact bone
on the outside with
endosteum-covered
spongy bone, diplo,
on the inside
Have no diaphysis or
epiphyses
Contain bone marrow
between the trabeculae

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Bone Development
Osteogenesis or Ossification the
process of bone tissue formation that
leads to:
The formation of the skeleton in embryos
Bone growth until early adulthood
Bone thickness, remodeling, and repair

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Formation of the Skeleton


Before week 8, the skeleton of a
human embryo consists of
fibrous membanes and hyaline
cartilage
Intramembranous ossification
bone develops from a fibrous
connective tissue membrane.
The flat bones of the skull
(frontal, parietal, temporal,
occipital) and the clavicles are
formed this way.
Endochondral ossification bone
forms by replacing hyaline
cartilage, uses hyaline cartilage
bones as patterns
Bone Formation in 16-Week-Old Fetus
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Bone Formation and Growth


Intramembranous Ossification
OssificationProcess of converting other
tissues to bone
Forms flat bones of skull, mandible,
clavicle
Stem cells differentiate to osteoblasts
Produces spongy bone, then compact
bone

Copyright 2007 Pearson Education, Inc., publishing as Benjamin Cummings

Tuesday, 23 October 12

Intramembranous Ossification
An ossification center
appears in the fibrous
connective tissue
membrane
Osteoblasts secrete
bone matrix within the
fibrous membrane
Osteoblasts mature
into osteocytes

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Intramembranous Ossification
The bone matrix develops
into trabeculae.
The trabeculae formed from
various ossification centers
fuse with one another to
create spongy bone.
Eventually the spaces
between trabeculae fill with
red bone marrow.

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Bone Formation and Growth


Endochondral Ossification

Most bones formed this way


Cartilage model replaced by bone
Replacement begins in middle (diaphysis)
Replacement follows in ends (epiphyses)

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Endochondral Ossification
Chondrocytes at
the center of the
growing cartilage
model enlarge and
then die as the
matrix calicifies.

Newly derived
osteoblasts cover
the shaft of the
cartilage in a thin
layer of bone.

Blood vessels
penetrate the
cartilage. New
osteoblasts form a
primary ossification
center.

The bone of the


shaft thickens, and
the cartilage near
each epiphysis is
replaced by shafts
of bone.

Blood vessels invade the


epiphyses and osteoblasts form secondary
centers of ossification.
Articular
cartilage

Enlarging
chondrocytes within
calcifying matrix
Epiphysis
Diaphysis

Epiphyseal
cartilage
Marrow
cavity
Primary
ossification
center

Bone
formation

Marrow
cavity

Blood
vessel

Secondary
ossification
center

Blood
vessel

Cartilage
model

Figure 6-5
1 of 6
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Longitudinal Bone Growth


Longitudinal Growth (interstitial) cartilage continually grows
and is replaced by bone
Bones lengthen entirely by growth of the epiphyseal plates
Cartilage is replaced with bone CT as quickly as it grows
Epiphyseal plate maintains constant thickness

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Epiphyseal Plate
Cartilage is organized for
quick, efficient growth
Cartilage cells form tall stacks
Chondroblasts at the top of
stacks divide quickly
Pushes the epiphysis away
from the diaphysis
Lengthens entire long bone

Older chondrocytes signal


surrounding matrix to calcify,
then die and disintegrate
Leaves long trabeculae
(spicules) of calcified
cartilage on diaphysis side
Trabeculae are partly eroded
by osteoclasts
Osteoblasts then cover
trabeculae with bone tissue
Trabeculae finally eaten away
from their tips by osteoclasts
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At puberty, growth in bone length


is increased dramatically by the
combined activities of growth
hormone, thyroid hormone, and
the sex hormones.
As a result osteoblasts begin
producing bone faster than the
rate of epiphyseal cartilage
expansion. Thus the bone grows
while the epiphyseal plate gets
narrower and narrower and
ultimately disappears. A remnant
(epiphyseal line) is visible on Xrays (do you see them in the
adjacent femur, tibia, and fibula?)

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Appositional Bone Growth

Growing bones widen as they lengthen

Appositional growth growth of a bone by addition of bone tissue to its


surface
Bone is resorbed at endosteal surface and added at periosteal surface

Osteoblasts add bone tissue to the external surface of the diaphysis


Osteoclasts remove bone from the internal surface of the diaphysis

Figure 6-6

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Bones get thicker by


appositional growth
Osteoblasts form
new extracellular
matrix
Blood vessel
becomes enclosed,
supports new osteon
Osteoblasts lay
down extracellular
matrix

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CLEIDOCRANIAL DYSPLASIA

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Bone - Remodeling/Homeostasis
Role of Remodeling in Support
RemodelingContinuous breakdown and
reforming of bone tissue
Shapes reflect applied loads
Mineral turnover enables adapting to new
stresses

What you dont use, you lose. The stresses


applied to bones during exercise are
essential to maintaining bone strength and
bone mass

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Bone Remodeling
Bone is active tissue small changes in bone architecture
occur continuously 5 to 7% of bone mass is recycled weekly
spongy bone is replaced every 3-4 years and compact bone
approximately every 10 years
Remodeling Units adjacent osteoblasts and osteoclasts
deposit and reabsorb bone at periosteal and endosteal
surfaces

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Bone Remodeling
Bone Depostition
Occurs when bone is injured or extra strength is needed
Requires a healthy diet - protein, vitamins C, D, and A, and
minerals (calcium, phosphorus, magnesium, manganese, etc.)

Bone Resorption
Accomplished by Osteoclasts (multinucleate phagocytic cells)
Resorption involves osteoclast secretion of:
Lysosomal enzymes that digest organic matrix
HCl that converts calcium salts into soluble forms
Dissolved matrix is endocytosed and transcytosed into the
interstitial fluid the blood

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Bone - Remodeling/Homeostasis
Homeostasis and Mineral Storage
Bones store calcium
Contain 99% of body calcium
Store up to two kg calcium
Hormones control storage/release
PTH, calcitriol release bone calcium
Calcitonin stores bone calcium
Blood levels kept constant

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Process of fracture repair

Bone grows slowly; blood supply may be


affected

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Tuesday, 23 October 12

Fractures

Despite its mineral strength, bone


may crack or even break if
subjected to extreme loads,
sudden impacts, or stresses from
unusual directions.
The damage produced
constitutes a fracture.
The proper healing of a fracture
depends on whether or not, the
blood supply and cellular
components of the periosteum
and endosteum survive.

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Fracture
Repair

Step 1:
A. Immediately
after the
fracture,
extensive
bleeding
occurs. Over a
period of
several hours,
a large blood
clot, or fracture
hematoma,
develops.
B. Bone cells at
the site become
deprived of
nutrients and
die. The site
becomes
swollen,

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Step 2:
A. Granulation tissue is formed as the hematoma is
infiltrated by capillaries and macrophages, which
begin to clean up the debris.
B. Some fibroblasts produce collagen fibers that span
the break , while others differentiate into
chondroblasts and begin secreting cartilage
matrix.
C. Osteoblasts begin forming spongy bone.
D. This entire structure is known as a
fibrocartilaginous callus and it splints the broken
bone.

Fracture
Repair

Step 3:
A. Bone trabeculae
increase in
number and
convert the
fibrocartilaginous
callus into a bony
callus of spongy
bone. Typically
takes about 6-8
weeks for this to
occur.

Step 4:
A. During the next several months, the bony callus is continually
remodeled.
B. Osteoclasts work to remove the temporary supportive structures
while osteoblasts rebuild the compact bone and reconstruct the
bone so it returns to its original shape/structure.

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Fracture Types
Fractures are often classified according to the
position of the bone ends after the break:
Open (compound) bone ends penetrate the
skin.
Closed (simple) bone ends dont penetrate the
skin.
Comminuted bone fragments into 3 or more
pieces.
Common in the
elderly (brittle bones).
Greenstick
bone breaks incompletely. One
side bent,
one side broken.
Common in children
whose bone contains more collagen and
are
less mineralized.
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Osteoporosis

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This bone:
a. Has been demineralized
b. Has had its organic component removed

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Joints
Rigid elements of the skeleton meet at joints
or articulations
Greek root arthro means joint
Functions of joints
Hold bones together
Allow for mobility

Articulations can be
Bone to bone
Bone to cartilage
Teeth in bony sockets

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Classification of Joints
Joints can be classified by function or
structure
Functional
Synarthroses immovable joints
Amphiarthroses slightly moveable joints
Diarthroses freely moveable joints

Structural
Fibrous joints - generally immovable
Cartilaginous joints - immovable or slightly
moveable
Synovial joints - freely moveable

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Functional Classification
Functional classification based on amount of
movement
Synarthroses immovable joints
Suture very short CT fibers, e.g. between cranial bones
Gomphosis teeth in sockets
Synchondrosis hyaline cartilage unites bones, e.g.
epiphyseal plate, costal cartilage of 1st rib and manubrium

Amphiarthroses slightly moveable joints


Syndesmosis bones connected by ligaments, e.g. between
tibia and fibula
Symphysis - bones are covered by hyaline cartilage fused
with fibrocartilage, e.g. between vertebrae, pubic bones of
the hip
Diarthroses - freely moveable; knee, elbow, etc

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Classifications of Joints
Structural classification based on
Material that binds bones together
Presence or absence of a joint cavity
Structural classifications include
Fibrous
Cartilaginous
Synovial

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Fibrous Joints
Bones are connected by fibrous
connective tissue
Primarily dense regular CT
Do not have a joint cavity
Most are immovable or slightly movable
Types
Sutures

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Fibrous Joints - Sutures


Bones are tightly bound by a minimal amount of fibrous tissue
Only occur between the bones of the skull
Allow bone growth so the skull can expand with brain during
childhood
Fibrous tissue ossifies in middle age
Synostoses closed sutures

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Fibrous Joints - Syndesmoses


Bones are connected exclusively by ligaments
Amount of movement depends on length of fibers
Tibiofibular joint immovable synarthrosis
Interosseous membrane between radius and ulna
Freely movable diarthrosis

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Fibrous Joints - Gomphoses


Tooth in a
socket
Connecting
ligament the
periodontal
ligament

Figure 9.1c
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Cartilaginous Joints

Bones are united by cartilage


Lack a joint cavity
Two types

Synchondroses - hyaline cartilage unites bones


Epiphyseal plates
Rib and sternum

Symphyses

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Symphyses
Fibrocartilage unites bones resists tension and
compression
Hyaline cartilage also present as articular cartilage
Slightly movable joints that provide strength with flexibility
Intervertebral discs
Pubic symphysis

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Synovial Joints
Most movable type of joint
All are diarthroses
Each contains a fluid-filled joint cavity

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General Structure of Synovial Joints


Articular cartilage
Ends of opposing bones are
covered with hyaline cartilage
Absorbs compression

Joint cavity (synovial cavity)


Unique to synovial joints
Cavity is a potential space that
holds a small amount of
synovial fluid

Tuesday, 23 October 12

General Structure of Synovial Joints


Articular capsule joint
cavity is enclosed in a twolayered capsule
Fibrous capsule dense
irregular connective tissue,
which strengthens joint
Synovial membrane loose
connective tissue
Lines joint capsule and
covers internal joint surfaces
Functions to make synovial
fluid

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General Structure of Synovial Joints


Synovial fluid
A viscous fluid similar to
raw egg white
A filtrate of blood
Arises from capillaries in
synovial membrane
Contains glycoprotein
molecules secreted by
fibroblasts

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General Structure of Synovial Joints


Reinforcing ligaments
Often are thickened parts
of the fibrous capsule
Sometimes are
extracapsular ligaments
located outside the
capsule
Sometimes are
intracapsular ligaments
located internal to the
capsule

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Structures Associated with the Synovial Joint


Tendon sheath - elongated bursa that wraps around a tendon
Bursae flattened fibrous sacs
Lined with synovial membranes
Filled with synovial fluid
Not actually part of the joint
Menisci
Fat pads

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Structural Classification of Synovial Joints

Gliding (plane joint, e.g., vertebravertebra)


Hinge (e.g., knee)
Pivot (e.g., atlasaxis)
Ellipsoidal (condyloid plant, e.g., distal
radius)
Saddle (e.g., thumb)
Ball-and-Socket (e.g., hip)

Tuesday, 23 October 12

Types of Synovial Joints Based on Shape

(Gliding)

Figure 5.29ac
Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Tuesday, 23 October 12

Slide

Types of Synovial Joints Based on Shape

(Ellipsoidal)

Figure 5.29df
Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings

Tuesday, 23 October 12

Slide

Summary of Joint Classes

Tuesday, 23 October 12

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