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APHY 101 Exam3

Ch. 6 & 8 Bones, joints, and articulations

TermDefinition
true or false, cartilage contains no blood vessels or nerves true
cartilage is surrounded by what? perichondrium (dense irregular connective tissue) that resists outward expansion
where is perichondrium not found? in articular hyaline cartilage (cartilage found over the ends of long bones involved in joints)
what are the 2 types of cartilage associated with the skeleton? hyaline and fibrocartilage, NOT elastic
hyaline cartilage has these characteristics provides support, flexibility, and resilience; is the most abundant cartilage in the skeleton
which areas of cartilage is hyaline cartilage present? articular & constal, respiratory (makes up larynx, reinforces air passages) & nasal
true or false, elastic cartilage is directly associated with the skeleton false
fibrocartilage characteristics highly compressed with great tensile strength, contains collagen fibers
where is fibrocartilage found menisci of the knee and in intervertebral discs
growth of cartilage is 1 of 2 ways appositional, interstitial
appositional growth of cartilage cells in the perichondrium secrete matrix against the external face of existing cartilage
interstitial growth of cartilage lacunae-bound chondrocytes inside the cartilage divide and secrete new matrix, expanding the cartilage from within
calcification of cartilage occurs when? during normal bone growth, and during old age e.g. knees
ectopic meaning wrong place; often results from tissue damage (dystrophic calcification) or high levels of calcium
axial skeleton bones of the skull, vertebral column, and rib cage
appendicular skeleton bones of the upper and lower limbs, shoulder, and hip (an appendage is a limb (upper or lower extremity))
classification of bones by shape long, short, sesamoid (form within tendons), flat (sternum and most skull bones), irregular (vertebrae, sphenoid bone, hip bones)
function of bones support (framework supports body and cradles soft organs), protection, movement (levers for muscles), mineral storage (esp. calcium and phosphorus), blood cell formation within marrow cavities
bone markings PROJECTIONS that help to form joints
DEPRESSIONS and OPENINGS allowing blood vessels and nerves to pass meatus=canal-like passageway, sinus=cavity within a bone, fossa=shallow basin-like depression, groove=furrow, fissure=narrow slit-like opening, foramen/mina=round or oval opening through a bone
bone textures within the gross anatomy of bones compact/lamellar (dense outer layer), spongy (honeycomb of trabeculae with space between filled with yellow or red bone marrow)
true or false, spongy bone is soft like a sponge false
other names for spongy bone DWTSC Dancing with the Stars Clumsily: Diploe (not a good term if it is long bone), woven, trabecular, spongy, cancellous (aka trabecular or spongy)
diaphysis of long bone tubular shaft that forms the axis of long bones, composed of compact bone that surrounds the medullary cavity, with yellow bone marrow (fat) contained there [can be red in children as it actively makes RBCs]
epiphysis of long bones expanded ends of long bones, exterior ir compact bone, and interior is spongy bone; joint surface is covered with articular (hyaline) cartilage; epiphyseal line separates the diaphysis from the epiphyses
true or false, the only arm bone is the humerus true
where and what are the perforating (Sharpey's) fibers? securing the periosteum to the shaft of the long bone; made of collagen
true or false, periosteum is a single layer of membrane false, it is a double-layered membrane
periosteum's 2 layers outer fibrous layer of dense regular connective tissue; inner osteogenic layer of osteoblasts and osteoclasts
How does the periosteum get its nutrients? it is richly supplied with nerve fibers, blood, and lymphatic vessels, which enter the bone via nutrient foramina
what is the other bone membrane besides periosteum? endosteum
what is the endosteum? delicate membrane covering internal surfaces of bone
structure of short, irregular, and flat bones thin plates of periosteum-covered compact bone on the outside with endosteum-covered spongy bone (diploe) on the inside; contain bone marrow between the trabeculae
true or false: short, irregular and flat bones have no diaphysis or epiphyses true
location of hematopoietic tissue (red marrow) in infants: medullary cavity and all areas of spongy bone; in adults: found in the diploe of flat bones, and the head of femur and and humerus
red marrow note on anemics anemics may go from yellow back to red marrow
what is the structural unit of compact bone? a Haversian system, aka osteon
what comprises an osteon? lamellae, central (Haversian) canal, and Volkmann's canals
lamellae weight-bearing, column-like matrix tubes composed mainly of collagen p. 183
Haversian or central canal central channel containing blood vessels and nerves
Volkmann's canals channels lying at right angles to the central canal, connecting blood and nerve supply of the periosteum to that of the Haversian canal
what structures are around osteons? osteocytes, lacunae, canaliculi
osteocytes mature bone cells
lacunae small cavities in bone that contain osteocytes Fig. 6.6b and 6.6c
canaliculi hairlike canals that connect lacunae to each other and the central canal
canaliculi function allow sequestered osteocytes to pass nutrients, oxygen, and chemical message to each other
organic chemical components of bone osteoblasts, osteocytes that maintain bone structure, osteoclasts, and osteoid secreted by osteoblasts
osteoid unmineralized bone matrix composed of proteoglycans, glycoproteins, and COLLAGEN. osteoid is the organic component of bone that makes it slightly flexible and not so brittle
inorganic chemical components of bone hydroxyapatites, or mineral salts making up 65% of bone by mass--mainly calcium phosphates
hydroxyapatites function the inorganic compoment of bone responsible for bone hardness and its resistance to compression
PROJECTIONS sites of muscle and ligament attachment (1 of 2) tuberosity=rounded projection crest=narrow prominent ridge of bone trochanter=large, blunt, irregular surface line=narrow ridge of bone less prominent than a crest
PROJECTIONS sites of muscle and ligament attachment (2 of 2) tubercle=small rounded projection smaller than trochanters epicondyle=raised area above condyle spine=sharp slender projection process=any bony prominence
bone development takes place by which process (2 names)? osteogenesis and ossification - formation and calcification
bone development leads to 3 points: formation of the bony skeleton in embryos, bone growth until early adulthood, bone thickness/modeling/repair
formation of the bony skeleton begins at what week of embryo development? week 8
what are the two ways bony skeleton develops? intramembranous and endochondral ossification
what is intramembranous ossification? bone develops from a fibrous membrane
what is endochondral ossification? bone forms by replacing hyaline cartilage
intramembranous ossification is responsible for? formation of most of the flat bones of the skull and the clavicles
in intramembranous ossification, its fibrous connective tissue membranes are formed by? mesenchymal cells
what're the first 2 stages of intramembranous ossification? 1 an ossification center appears in the fibrous connective tissue membrane; 2, bone matrix (osteoid) is secreted within the fibrous membrane
what are the last 2 stages of intramembranous ossification? 3, woven bone and periosteum form; 4, bone collar of compact bone forms, and red marrow appears
endrochondral ossification begins when? second month of development
what does endrochondral ossification use for bone construction? uses hyaline cartilage "bones" as models for bone construction (! requires breakdown of hyaline cartilage prior to ossification)
what are the 1st and 2nd of 5 stages of endrochondral ossification? 1, formation of bone collar; 2, CAVITATION of the hyaline cartilage (deterioration to make a cavity/space)
what are the 3rd and 4th of 5 stages of endrochondral ossification? 3, invasion of internal cavities by the periosteal bud, and spongy bone formation; 4, formation of the medullary cavity; appearance of secondary ossification centers in the epiphyses
what is the 5th of 5 stages of endrochondral ossification? ossification of the epiphyses, with hyaline cartilage remaining only in the epiphyseal plates
what happens in postnatal bone growth? growth in length of long bones
postnatal bone growth note 1 cartilage on the side of the epiphyseal plate closest to the epiphysis is relative inactive
postnatal bone growth note 2 cartilage abutting the shaft of the bone organizes into a pattern that allows fast, efficient growth
postnatal bone growth note 3 cells of the epiphyseal plate proximal to the resting cartilage form three functionally different zones: growth, transformation, and osteogenic
3 functional zones in long bone growth growth zone, transformation zone, osteogenic zone
what happens in the growth zone? cartilage cells undergo mitosis, pushing the epiphysis away from the diaphysis
what happens in the transformation zone? older cells enlarge, the matrix becomes calcified, cartilage cells die, and the matrix begins to deteriorate
what happens in the osteogenic zone? new bone formation occurs
what are the 5 zones of growth in length of long bones? resting, proliferation, hypertrophic, calcification, ossification
where is the resting zone? closest to epiphysis
what happens in the growth (proliferation) zone? cartilage cells undergo mitosis
what happens in the hypertrophic zone? older cartilage cells enlarge
what happens in the calcification zone? matrix becomes calcified, cartilage cells die, matrix begins deteriorating
what happens in the ossification (osteogenic) zone? new bone formation is occurring
long bone growth and remodeling growth in length - cartilage continually grows and is replaced by bone as shown; remodeling - bone is resorbed and added by appositional growth as shown
during infancy and childhood, epiphyseal plate activity is stimulated by what? growth hormone released by anterior pituitary
what do testosterone and estrogens do during puberty? initially promote adolescent growth spurts, cause masculinization and feminization of specific parts of the skeleton, and later induce epiphyseal plate closure, ending longitudinal bone growth
bone remodeling units adjacent osteoblasts and osteoclasts deposit and resorb bone at periosteal and endosteal surfaces
where does bone deposition occur? where bone is injured or added strength is needed (Wolff's law!)
what does bone deposition require? requires a diet rich in protein, vitamins C, D, A, calcium, phosphorus, magnesium, and manganese
why is protein important in bone deposition? Protein is essential for bone deposition because it constitutes roughly 50% of bone volume and one-third of its mass, providing the necessary organic matrix (collagen) for mineral deposition.
what enzyme is essential for mineralization of bone? alkaline phosphatase
what cell accomplishes bone resorption? osteoclasts
what are resorption bays? grooves formed by osteoclasts as they break down bone matrix
in resorption, osteoclasts secrete what? lysosomal enzymes that digest organic matrix & acids that convert calcium salts into soluble forms
note about bone resorption dissolved matrix is transcytosed across the osteoclast's cell where it is secreted into the interstitial fluid and then into the blood
importance and necessity of calcium in the body (5 things): transmission of nerve impulses, muscle contraction, blood coagulation(!), secretion by glands and nerve cells, cell division
what two control loops regulate bone remodeling? hormonal mechanism maintains calcium homeostasis in the blood; mechanical and gravitational forces acting on the skeleton
hormonal mechanism to lower Ca2+ rising blood Ca2+ levels trigger thyroid to release calcitonin; calcitonin stimulates calcium salt from blood to deposition into bone
high blood calcium is called? hypercalcemia, dangerous because heart can go into cardiac arrest if it goes flaccid and refuses to contract
hormonal mechanism to raise blood Ca2+ falling calcium levels in blood signals parathyroid glands to release PTH, AND tells body to produce calcitriol (activated vitamin D); PTH and calcitriol both signal osteoclasts to degrade bone matrix and release Ca2+ into the blood
low blood calcium is called? hypocalcemia, dangerous because it causes muscles like larynx muscles to contract spasmodically; laryngospasm can cut off one's air supply (asphyxiation)
Fig. 6.11 on the left when blood calcium is too high, thyroid gland is triggered and calcitonin is released; on the right when calcium blood is too low, PT glands release PTH and osteoclasts claw/release calcium into the blood
what law summarizes the bone's response to mechanical stress Wolff's law
Wolff's law says what? bone grows or remodels in response to the forces or demands put on it
Observations supporting Wolff's law: long bones are thickest midway along the shaft where bending stress is greatest, curved bones are thickest where they are most likely to buckle
Notes IRL about Wolff's law dental braces take advantage of this property, and astronauts must limit their mission times
True or False, teeth are bones False, and they cannot regenerate themselves
what is the body's response to mechanical stress? trabeculae form along lines of stress, and large, bony projections occur where heavy, active muscles attach
Fig. 6.12, where is the load on the femur? on the head
Fig. 6.12, where is the point of no stress? right at the green arrow below the surgical neck...
bone fractures are classified by what 4 things? the position of the bones' ends after fracture; the completeness of the break, the orientation of the fracture to the long axis; whether the bones' ends penetrate the skin
what 2 types of positions can bones' ends be after fracture? nondisplaced (normal position) or displaced (bone ends are out of normal alignment)
what 2 types of positions can bones have depending on completeness of the break? complete (broken all the way through), incomplete (not)
what are the 2 types of bone fractures depending on orientation to the long axis? linear (fracture is parallel to long axis), transverse (perpendicular to the long axis)
what are the 2 types of fracture classification depending on whether the bone ends penetrate the skin? open (compound) or closed (simple) where bone ends do not penetrate skin
6 common types of fractures comminuted, spiral, depressed, compression, epiphyseal, greenstick
comminuted fracture bone fragments into 3+ pieces, common in elderly because their bones are more brittle
spiral fracture ragged break when bone is excessively twisted; common sports injury
depressed fracture broken bone portion pressed inward; typical skull fracture
compression fracture bone is crushed, common in porous bones subjected to trauma such as vertebra in a fall
epiphyseal fracture epiphysis separates from diaphysis along epiphyseal plate; occurs where cartilage cells are dying and calcification of the matrix is occurring
greenstick fracture common in children; incomplete fracture where one side of the bone breaks and the other side bends
stages in the healing of a bone fracture Hematoma formation; fibrocartilaginous callus forms; bony callus formation; bone remodeling
what happens in hematoma formation? torn blood vessels hemorrhage, a mass of clotted blood (hematoma) forms at the fracture site, site becomes swollen, painful, and inflamed
what happens in fibrocartilaginous callus formation? fibrocartilaginus callus forms, granulation tissue (soft callus) forms a few days after the fracture, capillaries grow into the tissue and phagocytic cells begin cleaning debris
what happens in textbook fibrocartilaginous callus formation? within days, blood vessels grow into clot. Fibro- & chondroblasts invade from periosteum&endosteum. fibroblasts secrete a cartilaginous matrix bulging externally; later calcifies; this callus spans break and connects the broken ends as a splint
what happens in the powerpoint fibrocartilaginous callus formation? osteo-+fibroblasts migrate to fracture & begin reconstxn; fibroblasts secrete collagen tht connect broken bone ends; osteoblasts begin forming spongy bone; osteoblasts furthest from capillaries secrete externally bulging matrix that calcifies
what happens in bony callus formation? new bone trabeculae appear in the fibrocartilaginous callus; it converts into a bony (hard) callus; bone callus begins 3-4 weeks after injury, and continues till firm union is formed 2-3 months later
what happens in bone remodeling? excess material on the bone shaft exterior and in the medullary canal is removed; compact bone is laid down to reconstruct shaft walls
true or false: compact bone is laid down during the last stage of bone fracture healing true
homeostatic imbalances include these conditions: osteomalacia, rickets, osteoporosis
osteomalacia is caused by? inadequate mineralization due to insufficient calcium in the diet or by vitamin D deficiency
rickets results in? soft, weakened, inadequately mineralized bones of children causing bowed legs and deformities of the pelvis, skull, and rib cage are common. same cause as osteomalacia
facts about rickets essentially eliminated in the US, and only isolated cases appear; ex., infants of breastfeeding mothers deficient in vitamin D will also be deficient and develop rickets
osteoporosis group of diseases in which bone resorption outpaces bone deposit, and spongy bone of the spine is most vulnerable
osteoporosis occurs most often in whom? postmenopausal women--bones become so fragile that sneezing or stepping off a curb can cause fractures
osteoporosis treatment calcium and vitamin D supplements, increased weight-bearing exercise prevents best
powerpoint claim about hormone replacement therapy that estrogen slows bone loss at risk of cancers of female reproductive organs (!)
osteoporosis cream treatment natural progesterone cream prompts new bone growth
osteoporosis statins treatment statins increase bone mineral density
another name for joints articulations
true or false: joints are the strongest parts of the skeleton false, they are the weakest parts of the skeleton
2 functions of joints give the skeleton mobility & hold the skeleton together
the 3 structural classifications of joints (focuses on the binding material and whether a joint cavity is present) fibrous, cartilaginous, synovial
the 3 FUNCTIONAL classifications of joints synarthroses, amphiarthroses, diarthroses ------ immovable, slightly movable, and freely movable
fibrous joints (structure) are joined by fibrous tissues, NO joint cavity, and most are immovable (synarthrotic)
3 types of fibrous joints sutures, syndesmoses, and gomphoses
3 types of sutures plane/butt, squamous, serrate
sutures characteristics occur between bones of the skull, comprised of interlocking junctions completely filled with connective tissue fibers; bind bones tightly together but allow for growth during youth
what are they called when skull bones fuse in middle age? synostoses
syndesmoses characteristics connected by a fibrous tissue ligament, movement varies from immovable to slightly variable; ex.) connection between tibia/fibula, and radius/ulna
gomphoses characteristics peg-in-socket fibrous joint between a tooth and its alveolar socket; the fibrous connection is the PERIODONTAL LIGAMENT "gum"phosis
cartilaginous joints characteristics articulating bones are united by cartilage as a definition; NO joint cavity; have 2 types
2 types of cartilaginous joints synchrodroses and symphyses
synchondroses characteristics bar or plate of hyaline cartilage unites the bones; ALL SYNCHONDROSES ARE SYNARTHROTIC = immovable ex.) epiphyseal plates of children, and joint between the costal cartilage of the first rib and the sternum
symphyses characteristics hyaline cartilage covers the articulating surface of the bone and is fused to an intervening pad of fibrocartilage; AMPHIARTHROTIC designed for strength and flexibility ex.) intervertebral joints and pubic symphysis (enhanced during pregnancy)
synovial joints characterized by? articulating bones separated by a fluid-containing joint cavity; ALL ARE DIARTHROTIC = freely movable, ex.) all limb joints and most bodily joints
5 characteristics of synovial joint structure articular cartilage, joint (synovial) cavity, articular capsule, synovial fluid, and reinforcing ligaments
skull joint cranial and facial bones articulating; are fibrous; suture; synarthrotic; no movement
temporomandibular joint temporal bone of skull and mandible articulating; synovial; modified hinge (structurally bicondylar); contains articular disc
atlanto-occipital joint occipital bone of skull and atlas articulating; synovial; condyloid; diarthrotic, biaxial, flexion, extension, lateral flexion, circumduction of head on neck
atlantoaxial joint atlas (C1) and axis (C2) articulating; synovial; pivot; diarthrotic, uniaxial, rotation of the head
intervertebral joint between adjacent vertebral bodies cartilaginous; symphysis; amphiarthrotic, slight movement
intervertebral joint between articular processes synovial; plane; diarthrotic, gliding
vertebrocostal joint vertebrae (transverse processes or bodies) and ribs articulating; synovial; plane; diarthrotic, gliding of ribs
sternoclavicular joint sternum and clavicle articulating; synovial; shallow saddle (contains articular disc); diarthrotic; multiaxial (allows clavicle to move in all axes)
sternocostal joint between sternum and rib 1 cartilaginous; synchondrosis; synarthrotic; no movement
sternocostal joint between sternum and ribs 2-7 synovial; double plane; diarthrotic; gliding
acromioclavicular joint acromion of scapula and clavicle articulating; synovial; plane (contains articular disc); diarthrotic, gliding and rotation of scapula on clavicle
shoulder joint (glenohumeral) scapula and humerus articulating; synovial; ball and socket; diarthrotic; multiaxial; flexion, extension, abduction, adduction, circumduction, rotation of humerus
elbow joint ulna (and radius) articulating with humerus; synovial; hinge; diarthrotic; uniaxial, flexion, extension of forearm
radioulnar joint (proximal) synovial; pivot; diarthrotic; uniaxial; rotation of radius around long axis of forearm to allow pronation and supination
radioulnar joint (distal) synovial; pivot (contains articular disc); diarthrotic; uniaxial; rotation (convex head of ulna rotates in ulnar notch of radius)
wrist joint (radiocarpal) radius and proximal carpals articulating; synovial; condyloid; diarthrotic; biaxial; flexion, extension, abduction, adduction, circumduction of hand
intercarpal joint adjacent carpals articulating; synovial; plane; diarthrotic; gliding
carpometacarpal joint of digit 1 (thumb) carpal (trapezium) and metacarpal 1 articulating; synovial; saddle; diarthrotic; biaxial; flexion, extension, abduction, adduction, circumdution, opposition of metacarpal 1
carpometacarpal joint of digits 2-5 synovial; plane; diarthrotic, gliding of metacarpals
knuckle joint (metacarpophalangeal) metacarpal and proximal phalanx articulating; synovial; condyloid; diarthrotic; biaxial; flexion, extension, abduction, adduction, circumduction of fingers
finger joint (interphalangeal) adjacent phalanges articulating; synovial; hinge; diarthrotic, uniaxial; flexion, extension of fingers
sacroiliac joint sacrum and coxal bone articulating; synovial; plane in childhood, increasingly fibrous in adult; diarthrotic in child; amphiarthrotic in adult; more movement during pregnancy
pubic symphysis joint pubic bones articulating; cartilaginous; symphysis; amphiarthrotic; slight movement (enhanced in pregnancy)
hip (coxal) joint hip bone and femur articulating; synovial; ball and socket; diarthrotic; multiaxial; flexion, extension, abduction, adduction, rotation, cirumduction of thigh
knee (tibiofemoral) joint femur and tibia articulating; synovial; modified hinge (contains articular discs); diarthrotic, biaxial, flexion, extension of leg, some rotation allowed
knee (femoropatellar) joint femur and patella articulating; synovial; plane; diarthrotic; gliding of patella
tibiofibular joint (proximally) synovial; plane; diarthrotic; gliding of fibula
tibiofibular joint (distally) fibrous, syndesmosis (connected by ligaments); synarthrotic; slight "give" during dorsiflexion
ankle joint tibia and fibula with talus articulating; synovial; hinge; diarthrotic; uniaxial; dorsiflexion, and plantar flexion of foot
intertarsal joint adjacent tarsals articulating; synovial; plane; diarthrotic; gliding; inversion and eversion of foot
tarsometatarsal joint tarsal(s) and metatarsal(s) articulating; synovial; plane; diarthrotic; gliding of metatarsals
metatarsophalangeal joint metatarsal and proximal phalanx articulating; synovial; condyloid; diarthrotic; biaxial; flexion, extension, abduction, adduction, circumduction of great toe
toe joint (interphalangeal) adjacent phalanges articulating; synovial; hinge; diarthrotic; uniaxial; flexion; extension of toes
synovial joints as having which friction-reducing structures? bursae and tendon sheaths
bursae flattened, fibrous sacs lined with synovial membranes and containing synovial fluid, common where ligaments, muscles, skin, tendons or bones rub together
tendon sheath elongated bursa that wraps completely around a tendon like in the digits
stability in synovial joints is determined by which 3 things? articular surfaces, ligaments, and muscle tendons
shape determines what movements are possible in __? articular surfaces
what unites bones and prevents excessive or undesirable motion? ligaments
what crosses joints and helps to stabilize them? muscle tendons
what are the 4 ranges of motions for synovial joints? nonaxial (slipping movements only), uniaxial, biaxial, multiaxial (all 3 planes)
one flat bone surface slipping over another similar surface describes what kind of movement? gliding
examples of gliding movements intercarpal and intertarsal joints, and between the flat articular processes of the vertebrae
plane joint characteristics articular surfaces are essentially flat; allow only slipping or gliding movements; are the ONLY examples of nonaxial joints
hinge joint characteristics cylindrical projections of one bone fits into a trough-shaped surface on another; motion is along a single plane; uniaxial joints permit flexion and extension only
hinge joint examples elbow and interphalagneal joints
pivot joint characteristics rounded end of one bone protrudes into a "sleeve" or ring, composed of bone (and possibly ligaments of another; ONLY UNIXIAL MOVEMENT ALLOWED
pivot joint examples joint between the ATLAS and the dens (altantoaxial joint), and the proximal radioulnar joint
axles examples... shoulder multiaxial, elbow uniaxial, thumb and metacarpal biaxial, carpals nonaxial
condyloid or ellipsoidal joints characteristics oval articular surface of one fits into a complementary depression in another; both articular surfaces are oval; BIAXIAL joints permit all angular motions
condyloid joint examples radiocarpal (wrist) joints, and metacarpophalangeal (knuckle) joint
saddle joint characteristics similar to condyloid joints but allow greater movement; each articular surface has both a concave and a convex surface, ex.) carpometacarpal joint of thumb
ball and socket joint characteristics spherical or hemispherical head of one articulates with a cuplike socket of another; MULTIAXIAL joints permit the most freely moving synovial joints
ball and socket joint examples shoulder and hip joints
the 6.5 angular movements flexion, extension, dorsiflexion, plantar flexion, abduction, adduction, circumduction
dorsiflexion upwards movement of foot towards shin
plantar flexion downwards movement of the foot (pointing toes)
circumduction cone in space -- actually a combination of flexion, abduction, extension, and adduction sequentially
gliding example flat hand moving at wrist side to side
what is the extreme opposite of flexion? hyperextension
rotation is? the turning of a bone around its own long axis
rotation examples between first two vertebrae; hip and shoulder joints
special movements include 5 pairs of movements supination/pronation, inversion/eversion of foot, protraction and retraction of mandible, elevation/depression of shoulders or mandible, opposition of thumb and reposition
supination radius and ulna are parallel
pronation radius rotates over ulna
Created by: elianayu
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