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General
Anatomy
JOINTS
DR. Danyal khattak
BDS (SBDC)
M Phil (IBMS-KMU)
Anatomy KMU-IDS
General Anatomy
JOINTS
Objectives
By the end of this lecture student will be able to
classify different joints of the body.
Be
Student will be able to differentiate various
types of joints in the body
Be
Student will be able to recognize a single joint
which can be placed under different
classifications
Be
students will get idea of different
terminologies used for joints
Get
Definition….
•The site of junction or
union between 2 or more
bones
•Responsible for
movement and
stability
Classification Of Joints
Classification Of Joints
A:- Functional classification:
(degree of mobility)
1)Synarthrosis – immovably fixed joint
2)Amphiarthrosis - slightly movable
3)Diarthrosis - freely movable
B:- Regional
classification
1) Skull type- immovable
2) Vertebral type- slightly
movable
3) Limb type- freely movable
C:- No Of Articulating Bones
1. Simple joint:
2 bones articulate e.g
interphalangeal joints
2. Compound joint:
more than 2 bones within 1
capsule e.g elbow joint,
wrist joint
3. Complex joint:
joint cavity divided by an
intra articular disc e.g TMJ
D:- Structural classification
(tissue binding the bones and presence or
absence of joint cavity)
1) Bony joints
2) Fibrous joints
3) Cartilaginous joints
4) Synovial joints
1.Bony joints (type of str. classification)
• Gap between 2 bones ossifies
• Examples:-
• Frontal bones in infants
• Mandibular bones in infants
• Epiphyseal lines
• Can occur in fibrous or
cartilaginous joints
2.Fibrous joints (type of str.
classification)
Bones connected by fibrous tissue
No joint cavity
Immovable or slight degree of movement
Types
• Sutures
• Syndesmosis
• Gomphosis
SUTURES
Bind skull bones together
Are named according to bony
margins
1) serrate- interlocking lines
e.g coronal, sagittal,
lambdoid
2) Lap - overlapping beveled
edges
e.g temporoparietal suture
3) Plane- straight,
nonoverlapping edges(e.g
internasal suture)
Syndesmosis
Bones united by interosseous
ligament
Most movable of fibrous joint
Examples
• Mid radioulnar joint
• Midtibiofibular joint
• Inferior tibiofibular joint
Gomphosis
Peg and socket joint
 Peg shaped root of tooth fits
into the bony socket either in
maxilla or mandible
The fibrous tissue intervening is
periodontal ligament
Tooth in its socket is only
example of gomphosis
Slight movement during
chewing
3.Cartilaginous joints (type of str.
Classification)
Bones are joined by cartilage
No joint cavity
Slightly movable
Types
• primary - synchondrosis
• secondary - symphyses
Synchondrosis
Hyaline cartilage
Immovable
Temporary
Examples
• Epiphyseal plate
• Costochondral joints
• First chondrosternal joint
Symphyses
Fibrocartilage
Slightly movable
Examples
• Intervertebral discs
• Pubic symphysis
• Manubriosternal
joint
4.Synovial joints (type of str.
Classification)
• A synovial joint/ diarthrosis,
• Has five distinguishing features:
• (1) articular cartilage(Hyalain type)
• (2) joint cavity,
• (3) articular (fibrous) capsule,
• (4) synovial membrane
• (5) synovial fluid.
Classification of synovial joints
(by shape of articular surfaces and movement)
• Translations-plane joints
• Uniaxial
Hinge joints
Pivot joints
• Biaxial
Condylar/ellipsoid joints
• Multiaxial
Saddle joints
Ball and Socket joints
Plane/gliding joint
• Articular surfaces plane/flat
• Gliding movements
• Examples
• Intercarpal joints
• Intertarsal joints
Hinge joints
• Articular surfaces pulley shaped
• Movements in 1 plane-transverse axis
• Examples
• Elbow joint
• Interphalangeal joints
• Knee joint
Uniaxial joint
Pivot/Trochoid joints
• A central bony pivot surrounded by an osteocartilaginous ring
• Movements in 1 plane-vertical axis
• Examples
• Atlantoaxial joint
• Radioulnar joints(sup and inferior)
Uniaxial joint
Condylar/Ellipsoid joints
• 2 distinct condyles
• Convex surface fitting into a concave
surface
• Flexion,extension,adduction,abduction,ci
rcumduction
• Examples
• Wrist joint
• Metacarpophalangeal joints
• Metatarsophalangeal joints
Biaxial joints
Saddle(sellar) joints
• Articular surfaces-reciprocally
concavoconvex
• Movements similar to
ellipsoid
• With addition of some
rotation
• Examples
• First carpometacarpal joint
Multiaxial joint
Ball and socket(spheroidal) joints
• A globular head fitting into cup
shaped socket
• Multiaxial,permits movement in
several axes
• Examples
• Hip joint
• Shoulder joint
Multiaxial joint
Structure of synovial joint
• Articular cartilage- hyaline
• Joint(synovial) cavity
• Articular capsule-fibrous
• Reinforcing ligaments
1. Capsular/true
2. Accessory
• Synovial membrane
Blood supply of synovial joint
• Periarticular arterial plexus
• Articular
• Epiphysial arteries
• Rich blood supply
• Extensive capillary beds in
synovial membrane
Nerve supply of synovial joint
• Sensory - some proprioceptive
• Autonomic
• Capsule and ligaments - rich nerve supply
• Synovial membrane - poor nerve supply
• Articular cartilage - non nervous
Clinical anatomy
• Injuries
• Sprains
• Dislocations
• Subluxation
• Inflammatory and degenerative conditions
• Osteoarthritis
• Rheumatoid arthritis
• Gout
3JOINTS.pptx
3JOINTS.pptx

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3JOINTS.pptx

  • 1. General Anatomy JOINTS DR. Danyal khattak BDS (SBDC) M Phil (IBMS-KMU) Anatomy KMU-IDS
  • 3. Objectives By the end of this lecture student will be able to classify different joints of the body. Be Student will be able to differentiate various types of joints in the body Be Student will be able to recognize a single joint which can be placed under different classifications Be students will get idea of different terminologies used for joints Get
  • 4. Definition…. •The site of junction or union between 2 or more bones •Responsible for movement and stability
  • 6.
  • 7. Classification Of Joints A:- Functional classification: (degree of mobility) 1)Synarthrosis – immovably fixed joint 2)Amphiarthrosis - slightly movable 3)Diarthrosis - freely movable
  • 8. B:- Regional classification 1) Skull type- immovable 2) Vertebral type- slightly movable 3) Limb type- freely movable
  • 9. C:- No Of Articulating Bones 1. Simple joint: 2 bones articulate e.g interphalangeal joints 2. Compound joint: more than 2 bones within 1 capsule e.g elbow joint, wrist joint 3. Complex joint: joint cavity divided by an intra articular disc e.g TMJ
  • 10. D:- Structural classification (tissue binding the bones and presence or absence of joint cavity) 1) Bony joints 2) Fibrous joints 3) Cartilaginous joints 4) Synovial joints
  • 11. 1.Bony joints (type of str. classification) • Gap between 2 bones ossifies • Examples:- • Frontal bones in infants • Mandibular bones in infants • Epiphyseal lines • Can occur in fibrous or cartilaginous joints
  • 12. 2.Fibrous joints (type of str. classification) Bones connected by fibrous tissue No joint cavity Immovable or slight degree of movement Types • Sutures • Syndesmosis • Gomphosis
  • 13. SUTURES Bind skull bones together Are named according to bony margins 1) serrate- interlocking lines e.g coronal, sagittal, lambdoid 2) Lap - overlapping beveled edges e.g temporoparietal suture 3) Plane- straight, nonoverlapping edges(e.g internasal suture)
  • 14. Syndesmosis Bones united by interosseous ligament Most movable of fibrous joint Examples • Mid radioulnar joint • Midtibiofibular joint • Inferior tibiofibular joint
  • 15. Gomphosis Peg and socket joint  Peg shaped root of tooth fits into the bony socket either in maxilla or mandible The fibrous tissue intervening is periodontal ligament Tooth in its socket is only example of gomphosis Slight movement during chewing
  • 16. 3.Cartilaginous joints (type of str. Classification) Bones are joined by cartilage No joint cavity Slightly movable Types • primary - synchondrosis • secondary - symphyses
  • 17. Synchondrosis Hyaline cartilage Immovable Temporary Examples • Epiphyseal plate • Costochondral joints • First chondrosternal joint
  • 18. Symphyses Fibrocartilage Slightly movable Examples • Intervertebral discs • Pubic symphysis • Manubriosternal joint
  • 19. 4.Synovial joints (type of str. Classification) • A synovial joint/ diarthrosis, • Has five distinguishing features: • (1) articular cartilage(Hyalain type) • (2) joint cavity, • (3) articular (fibrous) capsule, • (4) synovial membrane • (5) synovial fluid.
  • 20. Classification of synovial joints (by shape of articular surfaces and movement) • Translations-plane joints • Uniaxial Hinge joints Pivot joints • Biaxial Condylar/ellipsoid joints • Multiaxial Saddle joints Ball and Socket joints
  • 21. Plane/gliding joint • Articular surfaces plane/flat • Gliding movements • Examples • Intercarpal joints • Intertarsal joints
  • 22. Hinge joints • Articular surfaces pulley shaped • Movements in 1 plane-transverse axis • Examples • Elbow joint • Interphalangeal joints • Knee joint Uniaxial joint
  • 23. Pivot/Trochoid joints • A central bony pivot surrounded by an osteocartilaginous ring • Movements in 1 plane-vertical axis • Examples • Atlantoaxial joint • Radioulnar joints(sup and inferior) Uniaxial joint
  • 24.
  • 25. Condylar/Ellipsoid joints • 2 distinct condyles • Convex surface fitting into a concave surface • Flexion,extension,adduction,abduction,ci rcumduction • Examples • Wrist joint • Metacarpophalangeal joints • Metatarsophalangeal joints Biaxial joints
  • 26. Saddle(sellar) joints • Articular surfaces-reciprocally concavoconvex • Movements similar to ellipsoid • With addition of some rotation • Examples • First carpometacarpal joint Multiaxial joint
  • 27. Ball and socket(spheroidal) joints • A globular head fitting into cup shaped socket • Multiaxial,permits movement in several axes • Examples • Hip joint • Shoulder joint Multiaxial joint
  • 28. Structure of synovial joint • Articular cartilage- hyaline • Joint(synovial) cavity • Articular capsule-fibrous • Reinforcing ligaments 1. Capsular/true 2. Accessory • Synovial membrane
  • 29. Blood supply of synovial joint • Periarticular arterial plexus • Articular • Epiphysial arteries • Rich blood supply • Extensive capillary beds in synovial membrane
  • 30. Nerve supply of synovial joint • Sensory - some proprioceptive • Autonomic • Capsule and ligaments - rich nerve supply • Synovial membrane - poor nerve supply • Articular cartilage - non nervous
  • 31. Clinical anatomy • Injuries • Sprains • Dislocations • Subluxation • Inflammatory and degenerative conditions • Osteoarthritis • Rheumatoid arthritis • Gout