Joints

You're watching a preview. 300,000+ students are watching the full lesson.
Master
To Master a topic you must score > 80% on the lesson quiz.

Included In This Lesson

Study Tools For Joints

Joint Anatomy (Image)
Various Joints (Image)
Joint Anatomy (Cheatsheet)
NURSING.com students have a 99.25% NCLEX pass rate.

Outline

Overview

  1. Joints (articulations)
    1. Allow for movement between bones using musculoskeletal leverage system
    2. Defined by:
      1. Amount of movement
      2. Tissues present between joints
      3. Presence of joint cavity

Nursing Points

General

  1. Types of Joints
    1. Synarthroses → immovable, no cavity
      1. Sutures of skull & pelvic bone
      2. Syndesmosis – bones connected by ligaments (ankle)
      3. Gomphosis – teeth in alveolar socket
    2. Amphiarthroses → some movement, no cavity
      1. Synchondroses—hyaline cartilage
        1. Epiphyseal plate (temporary)
        2. Costal cartilages (permanent)
      2. Symphyses—fibrocartilage
        1. Pubic symphysis
        2. Intervertebral discs
    3. Diarthroses → movable, joint cavity filled w/ fluid
      1. Arms and legs
        1. Hinge (elbow, fingers, knee, toes)
        2. Ball & socket (shoulder, hip)
        3. Planar ( wrist and ankle)
      2. Structure
        1. Joint capsule surrounds joint
          1. Outer layer
            1. WFCT and elastic fibers
            2. Blends in with periosteum of articulating bones
          2. Inner layer
            1. Synovial membrane
            2. Areolar CT and Adipose tissue
            3. Does not connect to periosteum
            4. Produces clear synovial fluid
              1. Viscous due to hyaluronic acid
              2. Lubricate & decrease friction
  2. Bursae—closed fluid-filled sacs
    1. Structure
      1. Wall identical joint capsule
        1. WFCT w/ elastic fibers
        2. Synovial membrane
        3. Synovial fluid
    2. Function
      1. Reduce friction
      2. Found OVER joints
      3. Between muscles & ligaments
      4. Between muscles & tendons
      5. Between muscles & bone
      6. Between bony structures & skin
    3. Examples
      1. Pre-patellar bursa
        1. Between patella & skin
      2. Sub-acromial bursa
        1. Between acromion and coracoacromial ligament

References
Betts, J.G., et al. (2017). Anatomy and physiology. Houston, TX: OpenStax, Rice University. Retrieved from https://openstax.org/details/books/anatomy-and-physiology?Book%20details

Unlock the Complete Study System

Used by 300,000+ nursing students. 99.25% NCLEX pass rate.

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

Transcript

In this lesson, we’re going to talk about joints, and their structure and function.

As with any good A&P lesson, you should start with the function and the structure of the joint. But we also need to figure out what the purpose of a joint is.

The main purpose for joints is that they allow for movement between two different bones.

As we get going through these joints, we need to think about what the important parts of a join are. We need to look at the amount of movement in between the two bones, we need to look at any tissues in these joints, we also need to look for a presence of a joint cavity which gives us more information about how bones are supposed to move either separately or in unison.

What start with the different types of joints. You have amphiarthroses, synarthroses, and diarthroses.

In amphiarthrosis, there is some movement, and there is no cavity within the bone. Synarthroses, this is where you have a movable joints. So these are things like cranial bones, that join at suture lines.

Then you have diarthroses, which are movable joints and they have a joint cavity that’s filled with fluid. We’re going to look at is the complexities of a diarthrotic joints.

Now this is not a completely cumulative list, but these are the big types of joints that you’re going to see throughout the entire body. There are three different joint classes at we’re going to look at it, which are the hinge joint, on the ball and socket joint, and a planar joint. The hinge joint is one where it acts just like a hinge. This occurs at the ankle, elbow, and knee.

Then you have the ball and socket joint. This is where you have a ball that fits into a socket and you have more rotation throughout. These are joints like the hip and shoulder.

Then you have planar joints. These are the joints like wrists and ankles. They move along each other but they don’t necessarily articulate with each other at a particular point.

The structure of the diarthrotic joint is really important too. There’s typically a joint capsule, and there’s an outer layer and an inner layer. The outer layer is covered in something called white functional connective tissue and fibers and it creates this capsule, and this capsule is really important because it has things like the synovial membrane, and different types of connective tissue. Typically you’re going to see things like areolar and adipose connective tissue, and there’s also synovial fluid inside these joints. The synovial fluid is really important because it provides a cushion and lubrication for the joint to move fluidly.

A really important part of anatomical structure of joints, is that you have these things called bursa.

Bursa are essentially fluid filled capsules or cushions, if you will that go between bones and tendons. They reduce friction and they allow for free movement. The two though you can think of are the prepatellar bursa seen here, and a subacromial bursa in the shoulder. What they do is add extra padding to really help with movement and to reduce pain. Their structure is identical to a joint capsule.
Okay so let’s recap.

What defines a joint, well there a place of articulation and they allow for movement between two bones.

There are three different types of joints, which are amphiarthroses, diarthroses, and synarthroses.

There are three main types of diarthroses classes, which are hinge, ball and socket, and planer.

The synovial fluid is really important because it lubricates and cushions inside the joint capsule.

And then you have bursa which are responsible for cushioning reducing friction and improving movement in between bones and tendons.
That’s it for our lesson on joints.

Make sure you check out all the resources attached to this lesson. Now go out and be your best selves today, and as always happy nursing

Study Faster with Full Video Transcripts

99.25% NCLEX Pass Rate vs 88.8% National Average

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

🎉 Special Offer 🎉

Nursing School Doesn't Have To Be So Hard

Go from discouraged and stressed to motivated and passionate

rn rn

Concepts Covered:

  • Test Taking Strategies
  • Basics of NCLEX
  • Communication
  • Note Taking
  • Immunological Disorders
  • Studying
  • Legal and Ethical Issues
  • Infectious Respiratory Disorder
  • Cardiac Disorders
  • Lower GI Disorders
  • Anxiety Disorders
  • Infectious Disease Disorders
  • Adulthood Growth and Development
  • Medication Administration
  • Concepts of Pharmacology
  • Neurological Emergencies
  • Bipolar Disorders
  • Integumentary Disorders
  • Fetal Development
  • Substance Abuse Disorders
  • Neurologic and Cognitive Disorders
  • EENT Disorders
  • Oncology Disorders
  • Newborn Care
  • Central Nervous System Disorders – Brain
  • Peripheral Nervous System Disorders
  • Gastrointestinal Disorders
  • State of Consciousness
  • EENT Disorders
  • Circulatory System
  • Emergency Care of the Cardiac Patient
  • Nervous System
  • Neurological
  • Respiratory
  • Urinary System
  • Respiratory System
  • Endocrine System
  • Hematologic System
  • Skeletal System
  • Tissues and Glands
  • Digestive System
  • Reproductive System
  • Endocrine and Metabolic Disorders
  • Preoperative Nursing
  • Urinary Disorders
  • Muscular System
  • Noninfectious Respiratory Disorder
  • Sensory System
  • Basics of Human Biology

Study Plan Lessons

12 Points to Answering Pharmacology Questions
5 Things You Never Knew About The NCLEX – Live Tutoring Archive
9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Anatomy of an NCLEX Question
Bloom’s Taxonomy
Caring Practices for Progressive Care Certified Nurse (PCCN)
Critical Thinking
Drawing Pictures
Essential NCLEX Meds by Class
Goal Setting
Legal Considerations
License Maintenance
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Pneumonia
Oncology nurse
Pain Management for the Older Adult – Live Tutoring Archive
Pharmacology Course Introduction
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
SATA like a BOSS – Live Tutoring Archive
Stroke for Progressive Care Certified Nurse (PCCN)
Study Tips for Success
Test Taking Course Introduction
Tenet 1 Filet Mignon
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
What are the NCLEX Categories? – Live Tutoring Archive
Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)
What is the NCLEX?
Transition To Practice
Time Management
Fetal Circulation
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Omphalocele
Sensation & Perception
Nursing Care Plan for Macular Degeneration
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
07.02 Neuro Anatomy for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
ABG Course (Arterial Blood Gas) Introduction
Adrenal Gland
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Autonomic Nervous System (ANS)
Arterial Pressure Monitoring
Arterial Blood Gases Nursing Mnemonic (ROME)
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Blood Grouping
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Atropine (Atropen) Nursing Considerations
Blood Pressure (BP) Control
Blood Plasma
Breathing Movements
Bone Structure
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Cardiac (Heart) Physiology
Calculating Heart Rate
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)
Connective Tissues
Cranial Nerves
Development of Bones
Digestion & Absorption
Digestive System Anatomy
EKG (ECG) Course Introduction
EKG (ECG) Waveforms
EKG Basics – Live Tutoring Archive
Electrical Activity in the Heart
Electroencephalography (EEG)
Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Electrolytes Involved in Cardiac (Heart) Conduction
Esophagus
Female Reproductive Anatomy (Anatomy and Physiology)
Fluid & Electrolytes Course Introduction
Epithelial (Skin) Tissues
Fluid Volume Deficit
Formation & Excretion of Urine
Gastrointestinal (GI) Course Introduction
Glands
Health Assessment Course Introduction
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hygiene
Hypernatremia – Causes Nursing Mnemonic (MODEL)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Increase MAP Nursing Mnemonic (VAK)
Intro to Circulatory System
Inserting a Foley (Urinary Catheter) – Male
Joints
Large Intestine
Liver & Gallbladder
Membrane Potentials
Membranes
Muscle Physiology
Order of Lab Draws
Oxygen Delivery Module Intro
Normal Sinus Rhythm
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Fluid Volume Deficit
Pancreas
Parasympathomimetics (Cholinergics) Nursing Considerations
Pituitary Gland
Renal (Kidney) Acid-Base Balance
Renal (Kidney) Fluid & Electrolyte Balance
Renal (Kidney) Structure & Function
Renin Angiotensin Aldosterone System
Renin Angiotensin Aldosterone System (RAAS)
Respiratory A&P Module Intro
Respiratory Functions of Blood
Sensory Basics
Respiratory Structure & Function
Skeletal Anatomy
Skeletal Muscle
Skin Structure & Function
Small Intestine
Spinal Cord
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Stomach Video
The EKG (ECG) Graph
Trach Care
Tonicity of Solutions – Live Tutoring Archive
The Heart
Thyroid Gland
Trach Suctioning
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Urinary Elimination
Urinary System Anatomy (Anatomy and Physiology)
Renal (Kidney) Structure & Function
Renal (Kidney) Acid-Base Balance
Renal (Kidney) Fluid & Electrolyte Balance
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Formation & Excretion of Urine
Fluid Volume Deficit
Renin Angiotensin Aldosterone System
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Urinary System Anatomy (Anatomy and Physiology)