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Synarthroses
Synostoses (no movement) Skull bones
Syndesmoses (dense CT only) Interosseous ligament of ITJ
Posterior region of sacroiliac joints
Symphyses (pad of fibrocartilage) Pubic symphyses, midline of body.
Diarthroses
Diarthroses (has capsule with synovial
Elbow and knee
fluid)
Synovial fluid is derived from blood plasma but with a high concentration of hyaluronan
There are two types of synoviocytes that are specialized
1. Macrophage-like (Type A) (25% of cells)
- Derived from monocytes
- Remove tissue debris from synovial fluid
- Resemble epithelium, has no basal lamina, no cell junctions
- Important in regulating inflammation
2. Fibroblast-like (Type B)
- Derived from mesenchyme
- Synthesizes hyaluronan
3. Define terms associated with musculoskeletal complaints
APMC BB
Extension Triceps brachii Raise your arms behind
Posterior deltoid you
Latissumus dorsi
Teres major
Scapulothoracic motion:
Patient turns palms up and
raise the arms an
additional 60 degrees
Adduction Pectoralis major Cross your arm in front of
Corachobrachialis your body
Latissimus dorsi
Teres major
Subscapularis
Internal Rotation Subscapularis, anterior deltoid, Place one hand behind
Pectoralis major, teres major, your back and touch the
latissimus dorsi shoulder blade
External rotation Infraspinatus, Teres minor, Panatang Makabayan
posterior deltoid pose
Acromioclavicular joint Palpate and compare both joints. Adduct the patients arm
across the chest. This is called the crossover test.
Overall shoulder rotation Touch the opposite scapula. Touching from above tests
abduction and external rotation. Touching from below
tests adduction and internal rotation. (Apley scratch test)