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Dental Histology - Joint
Exam 3
32
Medical
Professional
11/05/2008

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Term

Joint

 

(Definition) 

Definition
-regions of the skeleton where bones articulate, sometimes allowing moveent between bones, and sometimes facilitating growth of the bones they interconnect
Term
3 Types of Joints
Definition
1. Synarthrosis
    a. synostosis
    b. synchondrosis
    c. syndesmosis 
2. Amphiarthrosis
3. Diarthrosis 
Term
Synarthrosis Joint
Definition
-characterized by little/no movement between                 opposoing bones
 
3 types
a. synostosis
b. synchondrosis
c. syndesmosis 
Term
Synarthrosis Joint - Synostosis
Definition
-bones joined by bones (no movement)
-stabilize parts of skeleton after bone growht stops
   
ex. cranial bones 
Term
Synarthrosis Joint - Synchondrosis
Definition
-bones connected by hyaline cartilage (little movem)
-permit continued bine growth and expansion via
        endochondral ossification
 
ex. epiphyseal plates
     union of first rib to sternum (adults)
 
Term
Synarthrosis Joint - Syndesmosis
Definition
-bones that are far apart are united by ligament             composed of dense connective tissue
        (limited movement)
 
-shock absorbers 
-sites of appositional bone growth
 
ex. union between distal tibia and fibula 
Term
Amphiarthrosis
Definition
-found where fibrocartilage is the interosseous             medium
 
-capable of slight movement
 
ex. intervertebral joints
     pubic symphysis
Term

Diarthrosis

(synovial joint) 

Definition
-found between long bones
 
-wide range of movement 
Term

Organization of Diarthroidal Joint

 

5 components 

Definition
1. Articular Capsule
2. Articular Activity
3. Articular Cartilage
4. Intra-articular Menisci (discs)
5. Classification 
Term
Articular Capsule
Definition
Bones of diarthroidal join lined by ligaments and outer capsule
 
Outer Capsul composed of:
 
1. fiberous layer
2. synovial membrane (synovium) 
Term
Articular Capsule - Fiberous Layer
Definition
-outer layer
-dense fiberous connective tissue
-continuous with periosteum containing blood vessels         and nerves 
Term

Articular Capsule - Synovial Membrane

(synovium) 

Definition
-inner layer
-lined by 1-3 layers of synovial cells (synovocytes)
-produces and resorbes synovial fliud
-removes material shed into articular cavity
-richly vascularized and innervated
-arranged in folds and villi
-faces articular cavity
-does NOT line articular cartilage
 
Term

Articular Capsule - Synovial Membrane

(synovium)

2 Cell Typed 

Definition
Type A (machrophage-like) cells: 
        -light staining phagocytic cells
 
Type B (fibroblast-like) cells: 
        -dark staining
        -secret hyaluronic acid
        -secrete glycoprotein lubricant in synovial fluid
Term
Aricular Cavity
Definition
-space enclosed by the capsule
-contians colorless, viscous synovial fluid
        -lubricates articular surfaces 
        -provides nutrients + oxygen for articular cavity
 
-synovial fluid is noted for a high amount of hyaluronic acid and glycoproteins and a small population of leukocytes (mainly monocytes)
 
Term
Articular Cartilage
Definition
-surfaces bones of joint
-type of hyaline cartilage
-absence of perichondrium
-collagen fibers form wide arches
        -arranged perpendicularly to surface of bone
        -parallel to articular surface near that surface
 
Term
Articular Cartilage - Chondrocytes
Definition
-stacked in columns near osseous surface
 
-solitary and flat near articular surface 
Term
Articular Cartilage - Structure
Definition
-resilient and efficient absorber of intermittent                 mechanical pressure
-consists of cells and matrix
      (type II collagen, proteoglycans, up to 80% H2O)
Proteoglycans: 
    -rich
    -highly branched hydrophilic glycosaminoglycans
    -contain lots of H2O = function as biochemical                                                     spring 
Term
Articular Cartilage - Biochemical Spring
Definition
Pressure = water forced out of matrix to synovial fluid
 
Reciprocal electrostatic repulsion of negatively charged carboxyl and sulfate groups in GAG molecules         =seperate GAG branches
        = creates space to be filled with H2O
 
Pressure released = H2O attracted back into the                                         spaces 
Term
Articular Cartilage - water movement
Definition
-due to use of the joint
-responsible for resiliency of cartilage
-essential for nutrition
-facilitate interchage of O2, CO2, and other molecules        b/w synovial fluid and articular cartilage
Term

Articular Cartilage

 

3 Zones 

Definition
1. Superficial Zone
        -chondrocytes small, flat
        -collagen fibers parallel to surface
2. Middle (transitional) Zone
        -chondrocytes in columns
            (deeper chondrocytes enlarged)
        -collagen fibers go from horizontal to veritcal
3. Deep Zone
        -calcified cartilage
        -small chondrocytes
        -adjacent to subchondral bone
        -collagen perpendicular to surface
Term

Intra-Articular Menisci

(discs) 

Definition
-cushions of fibrocartilage or dense fiberous                     connective tissue
-free or transverse the joint 
Term

Classification

 

(2) 

Definition
1. simple = 2 articulating surfaces
                    ex. knee joint
2. compound = 3+ articulating surfaces
                        ex. TMJ
 
Term

Temporomandibular Joint

(TMJ) 

Definition
-type of gliding-hinge synovial joint
-found only in mammals
-articulation of mandibular condyle with temporal             bone by way of glenoid fossa 
Term

Components of TMJ

(6) 

Definition
1. Mandibular Condyles
2. Articular Surface of the Temporal Bone
3. Capsule
4. Articular Disk
5. Ligaments
6. Muscle 
Term

Mandibular Condyle

 

(5 layers) 

Definition
-ovoid structure
-long axes oriented posteromedially
 
Composed of (several layers):
1. dense fiberous connective tissue
2. proliferative zone
     -layer of cells acting as replicating pool for                 underlying cartilage
3. fibrocartilage (hyaline during growth period)
4. calcified cartilage
5. sub-articular bone
Term

Articular Surface of Temporal Bone

 

(2 components) 

Definition
1. Articular Eminence - composed of several layers
           superficial --> deepest
                 a. dense fiberous con. tis. (fiberous layer)
                 b. proliferating zone
                 c. fibrocartilage
                 d. bone
 
2. Glenoid Fossa
           -concave depression
           -squamous part of temporal bone
           -covered by thin fiberous layer (periosteum)
Term
Capsule
Definition
-fiberous membrane that surrounds the joint
-incorporates articular eminence 
-dense fiberous connective tissue
    upper half = loose envelope
-posterior attachment at squamotympanic fissure
-anterior attachment at articular eminence
-lateral attachment at glenoid fossa 
-attached to articular disk: medially, laterally, poste.
-capsule firmly attached to neck of mandibular                     condyle  
Term
Articular Disk
Definition
-functions as articular surface
-divides TMJ into 2 distinct compartments
        -anterior and posterior
-fiberous connective tissue
-avascular + aneural centrally
-vascular + innervated at periphery
-biconcave
-attached to medial and lateral poles of condyle
-attachment to capsule in previous card 
Term

Anterior Portion of Articular Disk

 

(2 lamellae) 

Definition
-appears to split into 2 lamellae
 
Upper Lamellae=
    -runs foward
    -fuses with capsule and periosteum of anterior             slope of articular eminence
Lower Lamellae=
    -attached to anterior surface of condylar neck
 
Superior head of lateral pterygoid inserts b/w                     lamellae 
Term

Posterior Portion of Articular Disk

 

(2 lamellae) 

Definition
-also appears to split into upper + lower lamellae
 
Upper Lamellae= 
        -fiberous + elastic connective tissue
        -inserts into squamotympanic fissure
                    (as part of capsule)
Lower Lamellae=
        -merges with periosteum of condylar neck
 
Between posterior lamellae = zone containing retrodiscal tissue = loose vascular connective tissue
Term

Ligaments

 

Temporomandibular Ligament 

Definition
-lateral portion of capsule
-thickened and fan-shaped
-runs in an oblique course
           -posteriorly and inferiorly form lateral aspect                 of articular eminence to posterior part of                 condylar neck
Term
Muscle
Definition
Lateral Pterygoid
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