miércoles, agosto 16, 2006

CLASE 3: ARTROLOGIA

ARTROLOGIA

Clase dictada el dia Lunes 10 de julio de 2006
Prof. Dr. Miguel Angel Velázquez Blanco
Carrera de Odontologia
Universidad Catolica de Itapua – Encarnacion
Sitio donde se unen dos o mas huesos o partes de los huesos del esqueleto con forma y funcion variables

Clasificacion anatomica
- Articulaciones sinoviales
- Articulaciones fibrosas
- Articulaciones cartilaginosas
Clasificacion funcional
- Articulaciones moviles o diartrosis
- Articulaciones semimoviles o anfiartrosis
- Articulaciones inmoviles o sinartrosis
Subclasificación de las diartrosis
- Enartrosis
- Condilares o condilartrosis
- Por encaje recíproco
- En tróclea o trocleartrosis
- Trocoides
- Artrodias
Según su clasificacion anatomica
- Articulaciones sinoviales
Unidas por una capsula articular
Las superficies articulares estan tapizadas por cartilago articular
La cavidad articular contiene liquido sinovial
El periostio se mezcla con la capsula articular
Todas las estructuras articulares estan tapizadas por la membrana sinovial
Los huesos se unen por una capsula articular
- Articulaciones fibrosas
El grado de movimiento de la articulacion depende de la longitud de sus fibras
Son ejemplos: suturas craneales, gonfosis o sindesmosis dentoalveolar
- Articulaciones cartilaginosas
Se unen por cartilago hialino o fibrocartilago
Clasificacion:
Primarias: union de epifisis y diafisis por cartilago epifisario
Secundarias: separadas por discos fibrocartilaginosos
Según su clasificacion funcional
- Sinartrosis
Sin movimientos
Sin elementos típicos de una articulación
Clasificación
- Con sustancia interpuesta cartilaginosa: Apófisis estiloides con el peñasco
- Con sustancia interpuesta fibrosa:
- Suturas dentadas: huesos del cráneo
- Suturas escamosas: huesos de la cara
- Suturas planas armónicas: huesos de la nariz
- Esquindilesis: vomer con cresta esfenoidal
-Gonfosis: dentoalveolar
- Anfiartrosis
Movimientos limitados y poco amplios
No tienen membrana sinovial
Posee cartílago articular
Posee ligamentos periarticulares
Ejemplos Articulaciones intervertebrales - Sínfisis pubiana- Articulaciones cartilaginosas
- Diartrosis
Muy móviles
Superficies articulares revestidas de cartílago
Con cápsula articular
Con ligamentos
Con membrana sinovial
Clasificación
- Enartrosis o esferoides: Superficies esféricas o casi esféricas alojadas en cavidades cóncavas
Ejemplo:HombroCadera
- Condíleas Dos segmentos elipsoidales dispuestos en forma inversa
Clasificación:
Bicondíleas simples:Dos superficies convexas que se deslizan una sobre otra. Ejemplo: articulación temporomaxilar
Bicondíleas dobles:Los dos cóndilos entran en contacto con una superficie plana o plana cóncava. Ejemplo: rodilla
Por encaje recíproco: También llamadas selares o en silla de montar. Una superficie es cóncava y la otra convexa y encajan una en la otra. Ejemplos: Trapeciometacarpiana - Calcaneocuboidea
Trocleares o trocleartrosis: Una superficie tiene forma de polea o tróclea y en su garganta se aloja la otra superficie. Ejemplo: codo
Trocoide: Ambas superficies articulares son segmentos de cilindro. Ejemplo: articulación radiocubital superior
Artrodia: Superficies articulares planas que se deslizan una sobre otra. Ejemplo: vértebras, navicular sobre 2º y 3º cuneiforme

Elementos de una articulación
Clasificación
- Superficies articulares
- Extremidades óseas
- Cartílagos articulares
- Labios articulares
- Discos articulares
- Cápsula y ligamentos
- Sinovial

a. Superficies articulares
Extremidades óseas variables
Sus formas las subclasifican
Cartílago articular: Se adhiere íntimamente al hueso. Maleable, extensible, compresible. Extensión directamente proporcional al grado de movilidad de la articulación. Espesor variable: 0,2 a 2 mmNutrición por imbibición

Labios articulares: Fibrocartilaginosos. Se disponen en anillo alrededor de las superficies articulares. Aumentan el tamaño de la articulación

Discos articulares: Mejoran la concordancia entre dos superficies. Se fijan a la cápsula articular y a la extremidad ósea

Cápsula y ligamentos: Contactan ambos extremos óseos. Se fija al hueso. Actúa como un manguito fibrosoSu espesor depende de la función articular. Sus engrosamientos forman los ligamentos. Se fijan fuertemente al hueso por el periostio donde se continúan
Sinovial: Membrana que tapiza la cápsula por dentro. Forma pliegues y fondos de saco. Es la parte más vascularizada de una articulación. Segrega el líquido sinovial
Líquido sinovial: Acuoso. Formado por: agua, proteínas, grasa, mucina, sales minerales, células deterioradas óseas y cartilaginosas. Sensible a patologías
Vascularización
Arterias: plexo periarticular
Venas: satélites comunicantes
Linfáticos: principalmente a la sinovial
Inervación
Sensibilidad al dolor
Sensibilidad profunda inconsciente, de posición o propioceptiva
Ley de Hilton: los nervios de una articulacion tambien inervan los musculos que mueven la articulacion o la piel que cubre sus inserciones
Movimientos de las articulaciones
Flexión
Extensión
Abducción
Aducción
Elevación
Descenso
Supinación
Pronación
Circunducción

120 Comments:

Anonymous Anónimo said...

Hola doctor:)

Muchas gracias por publicar su clase! Esta semana inicie mis clases en la facultad de odontología de la UABJO (en Oaxaca)y estos apuntes son de gran ayuda para mi:), todo muy claro y facil de aprender :)

Gracias!

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Anonymous Anónimo said...

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Blogger 89draconian89 said...

Hola! Gracias por sus apuntes, mi duda es la siguiente, en la articulación glenoidehumeral u hombro:
¿El rodete o labrum glenoidal se encuentra dentro de la cápsula, viene siendo la cápsula o rodea a la misma cápsula? es mi duda!...

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Anonymous osvaldo said...

fui alumno de este doctor..en verdad un maestro en toda la extension de la palabra.. gracias doctor..aguante la universidad catolica sede regional Itapua.

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