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Skeleton & Joints

Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

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Page 1: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Skeleton & Joints

Page 2: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Skeletal System• Overview of the skeleton• The skull• The vertebral column

and thoracic cage

• The pectoral girdle and upper limb

• The pelvic girdle and lower limb

• Adaptations to Bipedalism

Page 3: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Overview of the Skeleton

• Regions of the skeleton– axial skeleton = central axis– appendicular skeleton = limbs and girdles

• Number of bones– 206 in typical adult skeleton

Page 4: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Surface Features of Bones

Page 5: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Axial and Appendicular Skeleton• Axial skeleton

• Appendicular skeleton

Page 6: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Major Skull Cavities

Page 7: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Skull

• 22 bones joined together by sutures• Cranial bones surround cranial cavity

– 8 bones in contact with meninges

• Facial bones support teeth and form nasal cavity and orbit– 14 bones with no direct contact with brain

or meninges– attachment of facial and jaw muscles

Page 8: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Frontal Bone

• Forms forehead

• Forms roof of the orbit

Page 9: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Parietal Bone

• Cranial roof and part of its lateral walls

• Temporal lines of temporalis muscle

Temporal lines

Page 10: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Temporal Bone• Lateral wall and part of

floor of cranial cavity– squamous part

– tympanic part

– mastoid part

– petrous portion

Page 11: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Petrous Portion of Temporal Bone

• Part of cranial floor

• Houses middle and inner ear cavities

Page 12: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Occipital Bone• Rear and base of skull

• Foramen magnum

• Skull rests on atlas

Page 13: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Sphenoid Bone• Body of the sphenoid

• Lesser wing

• Greater wing

Page 14: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Maxillary Bones

• Forms upper jaw

• Forms inferomedial wall of orbit

• Forms anterior 2/3’sof hard palate

Page 15: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Nasal Bones• Forms bridge of

nose and supports cartilages of nose

Page 16: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

• Only movable bone

• Holds the lower teeth

• Attachment of muscles of mastication

• Mandibular foramen

• Mental foramen

Mandible

Page 17: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Ramus, Angle and Body of Mandible

Page 18: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Vertebral Column

Page 19: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Newborn Spinal Curvature• Spine exhibits one

continuous C-shaped curve

Page 20: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Adult Spinal Curvatures• S-shaped vertebral

column with 4 curvatures

• Secondary curvatures develop after birth– Cervical curvature

– Lumbar curvature

Page 21: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Abnormal Spinal Curvatures

• Scoliosis

• Kyphosis

• Lordosis

Page 22: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Typical Cervical Vertebrae

• Small body and larger vertebral foramen

• Transverse process short with transverse foramen for protection of vertebral arteries

• Bifid or forked spinous process in C2 to C6

Page 23: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Typical Thoracic Vertebrae

• Spinous processes pointed and angled downward

• Rib attachment

Page 24: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Lumbar Vertebrae

• Thick, stout body and blunt, squarishspinous process

Page 25: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Thoracic Cage

• Attachment site

• Protection

• Involved in respiration

Page 26: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

True and False Ribs• True ribs (1 to 7)

• False ribs (8-12)

• 12 pairs of ribs in both sexes

Page 27: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Pectoral Girdle

• Attaches upper extremity to the body

• Scapula and clavicle

• Clavicle attaches medially to the sternum and laterally to the scapula

• Scapula articulates with the humerus

Page 28: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Clavicle

• S-shaped bone, flattened dorsoventrally

Page 29: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Scapula

• Triangular plate overlies ribs 2 to 7

Page 30: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Upper Limb• 30 bones per limb

• Brachium

• Antebrachium

• Carpus

• Manus

Page 31: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Brachium and Antebrachium

Page 32: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Carpal Bones

• Form wrist

• 2 rows (4 bones each)

Page 33: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Metacarpals and Phalanges• Phalanges are

bones of the fingers

• Metacarpals are bones of the palm

Page 34: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Sesamoid Bone

Page 35: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Pelvic Girdle• Girdle

• Pelvis

• Supports trunk on the legsand protects viscera

Page 36: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Os Coxae (Hip Bone)• Acetabulum is hip joint socket

• Ilium

• Pubis

• Ischium

Page 37: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Comparison of Male and Female

• Female lighter, shallower pubic arch( >100 degrees), and pubic inlet round or oval

• Male heavier, upper pelvis nearly vertical, coccyx more vertical, and pelvic inlet heart-shaped

Page 38: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Femur and Patella

Page 39: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Tibia

• Tibia is thick, weight-bearing bone (medial)

• Broad superior head with 2 flat articular surfaces

Page 40: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Fibula• Slender lateral strut

stabilizes ankle

• Does not bear any body weight

• Joined to tibia by interosseousmembrane

Page 41: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Ankle and Foot• Tarsal bones are shaped and

arranged differently from carpal bones

• Talus

• Calcaneus

• Distal row of tarsal bones

Page 42: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Foot• Remaining bones of foot

are similar in name and arrangement to the hand

• Metatarsal I is proximal to the great toe (hallux)

• Phalanges– 2 in great toe– 3 in all other toes

Page 43: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Bipedalism and Limb Adaptations

Page 44: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Bipedalism and Upright Stance

Page 45: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Bipedalism and Head Position

Page 46: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Skeletal System Summary

• Overview of the skeleton• The skull• The vertebral column and thoracic cage• The pectoral girdle and upper limb• The pelvic girdle and lower limb• Adaptations to Bipedalism

Page 47: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Joints• Joints Classification

– bony– fibrous– cartilaginous

• Synovial joints• Types of Movement• Anatomy of Some Joints

– Humeroscapular– Elbow– Coxal– Knee

• Joint Disease

Page 48: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Joints Classification

• Arthrology

• Kinesiology

Page 49: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Joints Classification• Classified by freedom of movement

– diarthrosis– amphiarthrosis– Synarthrosis

• Classified how adjacent bones are joined – fibrous, cartilaginous, bony or synovial

Page 50: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Bony Joint

• Gap between two bones ossifies

• Can occur in either fibrous or cartilaginous joint

Page 51: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Fibrous Joints

• Collagen fibers span the space between bones– sutures, gomphoses and syndesmoses

Page 52: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

• Immovable fibrous joints

• Serrate - interlocking lines

Fibrous Joint -- Sutures

Page 53: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

• Lap - overlapping beveled edges

• Plane - straight, nonoverlapping edges

Fibrous Joint -- Sutures

Page 54: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Types of Sutures

Page 55: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Fibrous Joint -- Gomphoses

• Attachment of a tooth to its socket

• Held in place by fibrous periodontal ligament

• Some movement while chewing

Page 56: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

• Two bones bound by ligament only

• Most movable of fibrous joints

Fibrous Joint -- Syndesmosis

Page 57: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Cartilaginous Joint

• Bones are joined by hyaline cartilage

Page 58: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Cartilaginous Joint -- Symphysis

• 2 bones joined by fibrocartilage

• Only slight amount of movement is possible

Page 59: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Synovial Joint

• Joint in which two bones are separated by a space called a joint cavity

Page 60: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

General Anatomy

• Articular capsule encloses joint cavity

• Synovial fluid = slippery fluid; feeds cartilages

Page 61: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

General Anatomy

• Articular cartilage = hyaline cartilage covering the joint surfaces

• Articular discs and menisci

• Tendon

• Ligament

Page 62: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Tendon Sheaths and Bursae

• Bursa

• Tendon sheaths

Page 63: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Components of a Lever• A lever is a rigid object that rotates around

a fixed point called a fulcrum

• Rotation occurs when effort overcomes resistance

Page 64: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Mechanical Advantage of a Lever

• Two kinds of levers– lever that helps increase output of force

– lever move object further and faster

Page 65: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Mechanical Advantage

• Mechanical advantage is calculated from the length of the effort arm (Muscle moment) divided by the length of the resistance arm (Joint moment)

Page 66: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

First-Class Lever

• Has fulcrum in the middle between effort and resistance

Page 67: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Second-Class Lever

• Resistance between fulcrum and effort

Page 68: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Third-Class Lever

• Effort between the resistance and the fulcrum

Page 69: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Range of Motion• Degrees through which a joint can move

• Determined by– structure of the articular surfaces

– strength and tautness of ligaments, tendons and capsule

– action of the muscles and tendons

Page 70: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Axes of Rotation

• Shoulder joint has 3 degrees of freedom = multiaxial joint

• Other joints – monoaxial or biaxial

Page 71: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Types of Synovial Joints

Page 72: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Types of Synovial

Joints

Page 73: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Ball-and-Socket Joints

• Smooth hemispherical head fits within a cuplike depression

• Multiaxial joint

Page 74: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Condyloid (ellipsoid) Joints

• Oval convex surface on one bone fits into a similarly shaped depression on the next

• Biaxial joints

Page 75: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Saddle Joints

• Each articular surface is shaped like a saddle, concave in one direction and convex in the other

• Biaxial joint

Page 76: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Gliding Joints

• Flat articular surfaces in which bones slide over each other

• Limited monoaxial joint

Page 77: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Hinge Joints

• One bone with convex surface that fits into a concave depression on other bone

• Monoaxial joint

Page 78: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Pivot Joints

• One bone has a projection that fits into a ringlike ligament of another

• First bone rotates on its longitudinal axis relative to the other

Page 79: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Types of Movement

Page 80: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Flexion, Extension and Hyperextension

• Flexion

• Extension

• Hyperextension

Page 81: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Flexion, Extension and Hyperextension

Page 82: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Abduction and Adduction

• Abduction– Hyperabduction

• Adduction

Page 83: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Elevation and Depression

• Elevation

• Depression

Page 84: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Protraction and Retraction

• Protraction

• Retraction

Page 85: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Circumduction

Page 86: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Rotation• Medial rotation

• Lateral rotation

Page 87: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Supination and Pronation• In the forearm and foot

• Supination

• Pronation

Page 88: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Movements of Head and Trunk

• Flexion, hyperextension and lateral flexion of vertebral column

Page 89: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Rotation of Trunk and Head

• Right rotation of trunk; rotation of head

Page 90: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Movements of Mandible

• Lateral excursion• Medial excursion • Protraction

Page 91: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Movement of Hand and Digits• Radial and ulnar

flexion• Abduction of

fingers and thumb• Opposition is

movement of the thumb to approach or touch the fingertips

• Reposition is movement back to the anatomical position

Page 92: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Movements of the Foot

• Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike)

• Plantarflexion is extension of the foot so that the toes point downward as in standing on tiptoe

• Inversion is a movement in which the soles are turned medially

• Eversion is a turning of the soles to face laterally

Page 93: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Shoulder Joint

Page 94: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Humeroscapular Joint• Most freely movable joint in the body

– shallowness and looseness

• Supported by ligaments and tendons– 3 glenohumeral, coracohumeral,

transverse humeral and biceps tendon

Page 95: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Humeroscapular Joint• Supported by rotator cuff musculature

• 4 Bursae associated with shoulder joint

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Stabilizers of the Shoulder Joint

Page 97: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Tendons of Rotator Cuff Muscles

Page 98: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Dissection of Shoulder Joint

Page 99: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Elbow Joint

Page 100: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Elbow Joint• Single joint capsule

enclosing the humeroulnar and humeroradial joints

Page 101: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Elbow Joint

Page 102: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Hip Joint

Page 103: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Coaxal (hip) Joint

• Head of femur articulates with acetabulum

Page 104: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Hip Joint

Page 105: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Dissection of Hip Joint

Page 106: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Knee Joint

Page 107: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Knee Joint• Most complex diarthrosis

– Patellofemoral

– Tibiofemoral

Page 108: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

The Knee Joint• Joint capsule anteriorly

consists of patella and extensions of quadriceps femoris tendon

Page 109: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Knee Joint – Sagittal Section

Page 110: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Knee Joint – Anterior and Posterior Views

• Anterior and lateral cruciate ligaments

• Medial and lateral collateral ligaments

Page 111: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Knee Joint – Superior View

• Medial and lateral meniscus absorb shock and shape joint

Page 112: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Dissection of Knee Joint

Page 113: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Joint Disease

Page 114: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Arthritis

• Arthritis is a broad term for pain and inflammation

Page 115: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Arthritis

• Osteoarthritis results from years of joint wear

Page 116: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Arthritis• Rheumatoid arthritis is autoimmune

attack on joint

Page 117: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Rheumatoid Arthritis

Page 118: Skeleton & Joints - Fisiokinesiterapia · Movements of the Foot • Dorsiflexion is raising of the toes as when you swing the foot forward to take a step (heel strike) • Plantarflexion

Summary• Joints Classification

– bony– fibrous– cartilaginous

• Synovial joints• Anatomy of Some Joints

– Humeroscapular– Elbow– Coxal– Knee

• Joint Disease