Lectures for Faculty of Nursing by Dr. Noura El Tahawy

1. Cartilage & Joints
By
Dr. Noura El Tahawy

2. Cartilage
Types
-Hyaline cartilage
-Yellow Elastic cartilage
-White fibrocartilage

3. 1) Hyaline cartilage
Articular cartilage

4. 1) Hyaline cartilage
Laryngeal cartilages

5. 1) Hyaline cartilage
Costal Cartilages

6. 2) White fibrocartilage
Intervertebral Disc

7. 2) Yellow elastic
fibrocartilage:
Ear Pinna

8. Joints
By
DR. Noura El Tahawy

9. Definition of Joint
A joint is the location at which two or more
bones articulate or make contact. Some joints
like those of the skull are fixed and have no
movement, some like those of the vertebrae
can move slightly and some are freely
moveable like the joints of the limbs.

10. Classification of joints
1. Fibrous joints.
2. Cartilaginous joints.
3. Synovial joints.

11. The three main types
of joints

12. Fibrous joints
Fibrous joints connect bones without allowing any
movement. The bones of the skull and pelvis are held
together by fibrous joints. The union of the spinous
processes and vertebrae, joints between the teeth and
maxilla and mandible are the examples of fibrous
joints.

13. Fibrous joints

14. Cartilaginous joints
Cartilaginous joints are joints in which the bones are
attached by cartilage. In this type of joint, there is a
pad of fibro cartilage between the ends of bones
which form joints, where only some movement is
required. Joints at the pubic symphysis, joint between
the manubrium sterni and body of the sternum and
joints between the vertebral bodies are the examples
of cartilaginous joint.

15. 2- Cartilagenous Joints
1) PRIMARY CARTILAGINOUS JOINT (synchondrosis)
*It does not allow any
movement
* This type is
characterized by having a
plate of cartilage between
the epiphysis & diaphysis
of the same bone. It is not
a true permanent joint, but
it is a temporary plate of
hyaline cartilage which
disappears in adulthood by
ossification.
i.e. It is represented by the
epiphysial plate of cartilage
intervening between the
epiphysis and diaphysis of
long bones.

16. SECONDARY
CARTILAGINOUS
JOINT:
Structure of Intervertebral disc

17. SECONDARY CARTILAGINOUS JOINT:

18. Synovial Joints

20. Characteristics of synovial joint
1. The capsule The joint is enclosed and surrounded by fibrous tissue. This
keeps the bones together. The capsule is such, that, it protects the bones
and joint from injury and at the same time allows free movement.
2. Articular cartilage: hyaline cartilage lines the bones which form the joint
and which are in contact with each other. Hence, the articular surfaces are
smooth. The hyaline cartilage also bears the weight of the body. It reduces
friction of the joint..
3. Synovial membrane lines the capsule,
4. Synovial fluid is secreted by the synovial membrane into the joint cavity. It
provides nutrition to the structures within the joint cavity.
5. In addition to the capsule, the bones are also attached and held together by
strong-tough ligaments made of dense connective tissue. These
ligaments prevent dislocation during normal movement.
6. The articulating surfaces of adjacent bones are reciprocally shaped.

21. Diagram showing the main structures of the Synovial Joint
Articular cartilage
Synovial joint cavity
Synovial membrane
Synovial fluid
Articular capsule
Reinforcing ligaments
Articular disc or
minscus

22. The main movement of the synovial joints are
--- flexion: bending forward.
--- extension : means straightening or bending backward
--- abduction :- moving away from the midline of the body .
--- adduction :- moving towards the midline of the body .
--- rotation :- moving round the long axis of bone .
--- pronation :- turning the palm of the hand down .
--- supination :- turning the palm of the hand up .
--- circumulation :- combination of flexion , extension,
abduction , adduction ,
--- inversion :- turning the sole of the foot inwards.
--- eversion :- turning the sole of the foot outwards .

23. Main synovial joints of the Upper
limb

24. Shoulder joint
It is a ball and socket type of joint. The head of the humerus rotates within the glenoid
cavity of the scapula. It is also known as humero-scapular joint.

25. Elbow joint
This joint is formed by
the lower end of the
humerus with the
upper ends of the
ulna and the radius. It
is a type of hinge
joint.

26. Radio-ulnar joints
– proximal
(Superior) and
distal (Inferior)
joints
The proximal
radioulnar joint is
formed by the rim of
the head of radius
rotating in the radial
notch of the ulna and
it has little movement.
The distal joint is
formed between the
distal end of the
radius and the head
of the ulna. It is a
pivot joint.

28. Wrist joint
This joint is formed by the distal end of the
radius and the proximal ends of the carpal
(wrist) bones. It is a condyloid joint.

29. Joints of wrist and fingers
These are joints between the carpal bones, between
carpal and metacarpal bones and between the
metacarpal bones and proximal phalanges and
between the phalanges. Intercarpal and carpal –
metacarpal joints are gliding joints.
Metacarpophalangeal joints are condyloid joints and
interphalangeal joints are hinge joints.

30. Coronal section through a metacarpophalangeal joint, a synovial joint. The
.collateral ligaments are thickenings of the joint capsule

31. Joints of the Lower limb

32. Bones& Joints of the
lower limb

33. Hip joint
The head of the femur bone fits into the cup-shaped acetabulum of the hip bone. It is
a ball and socket type of joint.

34. Knee joint
It is formed by the two
condyles of the femur
with the condyles of
the tibia and the
posterior surface of
the patella. It is a type
of hinge joint.

35. Ankle joint
This joint is formed by the
distal end of the tibia and
its medial malleolus, the
distal end of the fibula and
its lateral malleolus with
the talus. It is a form of
hinge joint.

36. Bones& Joints of
the foot

37. Joints of the foot and toes
Joints are formed between the tarsal bones,
between the tarsal and the metatarsals,
between the metatarsal bones and the proximal
phalanges and between the phalanges. They
are all gliding type of joints.

38. Joints of the Vertebral Column

39. Thanks
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