SlideShare a Scribd company logo
1 of 46
REPRESENTED BY
MD MEHBUB ALAM
Free Education Channel // Md Nursing Education // 1k subscribers
Articulation:- joint or point of contact.
Arthrology:- it a scientific study of joints.
Kinesiology :- It is the study of the motion of the human body.
Arthritis:- it is a inflammation of joint.
Osteoarthritis:- it is a degenerative joint disease.
Osteoporosis:- osteoporosis is a condition in which bones
become weak and brittle.
Free Education Channel // Knowledge of Nursing // 1k subscribers
TERMINOLOGY
Free Education Channel // Md Nursing Education // 1k subscribers
Osteomyelitis:- bone infection.
Fibromyalgia:- inflammation of fibrous connective tissue
(fibrositis).
Fibrous dysplasia:- it is a benign bone condition in which
abnormal fibrous tissue growth in place of normal bone.
Dislocation:- also known as luxation, means bone is out of it’s
place.
Subluxation:- partial displacement of joint.
Free Education Channel // Knowledge of Nursing // 1k subscribers
TERMINOLOGY
Free Education Channel // Md Nursing Education // 1k subscribers
DEFINITIONOF JOINTS
• Joints or articulations are
junctions between two or
more bones or cartilages.
• It is a point where two or
more bone connected
together.
Free Education Channel // Knowledge of Nursing // 1k subscribers
Functions of bones
Movement:- Allows for
muscles attachment therefore
the bones are used as levers.
Flexibility
Attachment bone to bone
Free Education Channel // Knowledge of Nursing // 1k subscribers
JOINTS
STUCTURAL
CLASSIFICATION:-
1) Fibrous joints
2) Cartilaginous joints
3) Synovial joints
 Joint is point of contact between two or more bones,
bone and cartilage or between bone and teeth. It is
also called articulation. Joints can classified
according to structure and their functions.
FUNCTIONAL CLASSIFICTION :-
a) Synarthroses - Immovable joints
b) Amphiarthrosess –slight movable
joint
c) Diarthroses –Freely movable joint
Free Education Channel // Knowledge of Nursing // 1k subscribers
Free Education Channel // Md Nursing Education // 1k subscribers
 Fibrous joints are defined as the joints in which the
bones are connected by fibrous tissue.
 They are called fixed or immovable joints as they do
not allow any movement between the bones.
 They do not have a joint cavity, and the fibrous tissue
which connects the bones is made up of collage
fibres.
TYPES OF FIBROUS JOINTS:
1) Sutures
2) Syndesmosis
3) Gomphosis
FIBROUS JOINTS
STUCTURAL CLASSIFICATION
Free Education Channel // Md Nursing Education // 1k subscribers
 A fibrous joint composed
of thin layer of dense
fibrous connective tissue.
Suture joints are present
between the skull bones.
 example:- coronal
suture between frontal
and parietal bone.
SUTURES
Free Education Channel // Md Nursing Education // 1k subscribers
TYPES OF SUTURES
There main four suture on the skull:
1. Coronal suture:- present between
frontal and parietal bones.
2. Sagittal suture:-present between two
parietal bone.
3. Squamous suture:- joins the parietal
and temporal bone.
4. Lambdoid suture:- separating to
parietal and occipital bone.
Free Education Channel // Md Nursing Education // 1k subscribers
Other suture of skull
 Occipitomastoid suture
 Squamosal suture:-
 Sphenofrontal suture
 Sphenosquamosal suture:- sphenoid and temporal bone.
 parietomastoid suture:- between parietal and mastoid
process.
 Zygomaticofrontal:-
 Sphenoparietal
 Zygomaticotemporal
Petrosquamous suture
Cranial suture
Sphenozygomatic suture
Frontoethmoid suture
Intermaxillary suture
Free Education Channel // Md Nursing Education // 1k subscribers
 Syndesmosis is a fibrous joint in which
two adjacent (attached) bones are linked
by a strong membrane or ligament.
 It’s located near the ankle joint, between
the tibia, or shinbone, and the distal
fibula, or outside leg bone.
 Example: distal tibiofibular joint
interosseous membrane between tibia
and fibula.
SYNDESMOSIS
Free Education Channel // Md Nursing Education // 1k subscribers
 A fibrous joint in which a cone shaped
peg fits into a socket.
It is a fibrous mobile peg and socket
joint.
Eg:- Dentoalveolar joint(root of teeth
with socket).
Gomphosis
Free Education Channel // Md Nursing Education // 1k subscribers
 The articulating bones are tightly
connected by hyaline cartilage or fibro
cartilage called cartilaginous joint.
It is a slightly movable joint.
It is lack of joint cavity ( synovial cavity)
TYPES OF CARTILAGINOUS JOINTS :-
1) Synchondroses joint
2) Symphyses joint
CARTILAGINOUS JOINT
Free Education Channel // Md Nursing Education // 1k subscribers
Free Education Channel // Md Nursing Education // 1k subscribers
SYNCHONDROSIS
It is a cartilaginous
joint where bones are
joined together by
hyaline cartilage.
Eg :- Epiphyseal plate
between epiphysis and
diaphysis of a growing
bone .
SYMPHYSIS
A cartilaginous joint where the
articulating bones are covered
with hyaline cartilage and with a
broad , flat disc of fibrocartilage
connects the bones
Example :-
Pubic
Symphysis ,
Intervertebral
joints
 A synovial cavity is present between the articulating bones .
 It is a freely movable joint .
 The bones at a synovial joint are covered by articular
cartilage that reduce friction between the bone .
 Articular capsule surrounds a synovial joint and
encloses the synovial cavity .
Articular capsule has two layers :-
 An outer fibrous capsule
 An inner synovial membrane
SYNOVIAL JOINTS
Free Education Channel // Md Nursing Education // 1k subscribers
FIBROUS CAPSULE
Permits considerable movement at a joint and the strength to resist stretching
prevents the bones from dislocation .
SYNOVIAL MEMBRANE
It is made up of areolar connective tissue and secrets synovial fluid . The
synovial fluid consist hyaluronic acid , Interstitial fluid .It helps to reduce
friction, supply nutrients and remove metabolic waste and microbes .
SYNOVIAL JOINTS
Free Education Channel // Md Nursing Education // 1k subscribers
 Accessory ligaments :- They are extracellular and intracellular
ligaments . Extracapsular ligaments are outside enticular
capsule intracapsular ligaments like inside the articular
capsule.
Articular disc/menisci:-They are pads of fibrocartilage that lie
between articular surface of bones .these disc modify the shape of
joint surface and helps to fit two bones of different shape tightly .
. Eg :- lateral & medial menisci of knee joint .
. the nerve and blood vessels supply the synovial joints
SYNOVIAL JOINTS
Free Education Channel // Md Nursing Education // 1k subscribers
Movement of synovial joint are grouped into four :-
Gliding Angular
movement
Rotation Special
movement
-Flexion
-Extension
-Abduction
-Adduction
-Medial rotation
-Lateral rotation
-Circumduction
- Inversion & Eversion
- Elevation & Depression
- Dorsiflexion & Plantar
flexion
- Protraction &
Retraction
- Opposition
TYPE OF MOVEMENTS
Free Education Channel // Md Nursing Education // 1k subscribers
According to the shape of articulating surface , there are six ( 6) types of synovial joints
Synovial
joint
Ball &
Socket
Joint
Planar
joint
Hinge
Joint
Pivot
Joint
Condyloid
joint/
Ellipsoid
Joint
Saddle
Joint
TYPE OF SYNOVIAL JOINTS
Free Education Channel // Md Nursing Education // 1k subscribers
Synovial joints
Free Education Channel // Md Nursing Education // 1k subscribers
 Articular surfaces of the bones are flat
slightly carved.
 It is a provide side to side and back &
front movement/ gliding movement
 example :- Intercarpal or intertarsal
joint , sternoclavicular joint.
Planer joint
Free Education Channel // Md Nursing Education // 1k subscribers
 The convex surface of one bone
fits into the concave surface of
another bone .
 It is a monaxial joint :-
Example :- Knee joint
Elbow joint
Ankle joint
Hinge Joint
Free Education Channel // Md Nursing Education // 1k subscribers
• It is a largest and most complex joint which consist of three
joints within a single synovial cavity.
Knee joint
Knee joint
Lateral
tibiofemoral
joint
Patellofemural
joint
Medial
tibiofemoral
joint
Free Education Channel // Md Nursing Education // 1k subscribers
The three joints are -
Note
The condyles of femur are attached with the condyles of tibia
below and behind while as these condyles will attach with the
patella in front .This joint is formed by the condyles of the femur,
condyles of the tibia and posterior surface of the patella.
Ligaments that arise
1. Capsular ligament
2. Cruciate ligament
 They are intra capsular ligament, 2 in member
1.Cruciate
ligament
Anterior cruciate
ligament
Posterior cruciate
ligament
Free Education Channel // Knowledge of Nursing // 1k subscribers
 These two ligaments extends from inter condyles notch and
gets inserted into the intercondylar eminence.
 These two ligaments are crossing each other
Patellar ligament:-
 It is a ligament between patella and tibia
 It arise from patella and inserted into tibial tibirosity.
Medial collateral ligament:-
 It is a ligament between the medial condyle of femur and medial
condyle.
 It is also called tibial collateral ligament.
 It is a ligament between the lateral condyle of femur and fibula is
also know as fibula collateral ligament.
Free Education Channel // Knowledge of Nursing // 1k subscribers
Bursae
 Bursae are sac like structure which filled with synovial fluid.
There function is reduce the friction of the joints.
 There are 2 bursae present in the synovial joint :
1. Pre patellar bursa:- it is present in front of the patella
bone.
2. Intra patella bursal:- it is present below the patella bone
 The articular surfaces between femur and tibia are separated
by a complete disc of fibro cartilage which is known as
menisci or semi-lunar cartilages .
 There are line on the top of the condyle of tibia.
 Due to the presence of this disc, it is a complex joint.
 They act as a shock absorbers.
Free Education Channel // Knowledge of Nursing // 1k subscribers
MOVEMENT OF KNEE JOINT :-
The possible movements of knee joint are
1.flexion
2. extension
Free Education Channel // Knowledge of Nursing // 1k subscribers
 Articulating surface
There are 3 articulating surfaces
1. Condyles of the femur
2. Condyles of the tibia
3. Posterior surface of patella
Free Education Channel // Knowledge of Nursing // 1k subscribers
It is between lateral condyle of femur medial meniscus and
lateral condyle of tibia .
It is between medial condyle of femur medial meniscus and
medial condyle of tibia .
It is between patella and patellar surface of femur .
Pattillo- femoral joint
Medial tibiofemoral joint
Lateral tibiofemoral joint
Free Education Channel // Md Nursing Education // 1k subscribers
Articular capsule :- very thin and is not present anteriorly
Patellar ligament:- extend from the patella to the tibial tuberosity
Oblique popliteal ligament:- broad flat ligament that extends from the
intercondylar fossa of femur to the head of tibia. This strengthens
posterior surface of joint.
Tibia collateral ligament:- broad , flat ligament that extends from the
medial condyle of tibia to medial condyle of femur.
Anatomical Components :-
Free Education Channel // Md Nursing Education // 1k subscribers
Free Education Channel // Knowledge of Nursing // 1k subscribers
 Fibial collater ligament :- stoor round ligament on the lateral surface that extends
from the lateral condyle of femur to the lateral side heed of the fibula.
Intracapsular ligament :- ligaments withincapsule that connects tibia & femur
1. Anterior cruciate ligament
2. Posterior cruciate ligament
Anterior cruciate ligament :- connects medial surface of lateral femoral condyle to the
posterior inter condylar area of tibia
Posterior cruciate ligament :- connects lateral surface of medial femoral condyle
to posterior part of intercondylar area of tibia .
Anatomical Components :-
Free Education Channel // Md Nursing Education // 1k subscribers
 Articular disc/menisci :- two
fibrocartilage disc between the tibial &
femoral condyles to compensates irregular
shapes of bone
medial meniscus c-shaped
Lateral meniscus o-shaped
 Bursae :- Prepatellar, intra patellar &
suprapatellar Bursa.
 Blood supply :- femoral ,tibial & popliteal .
 Nerve supply :- femoral nerve , obturator nerve.
 movements :- flexion & extension
Anatomical Components :-
Free Education Channel // Md Nursing Education // 1k subscribers
It is a hinge joint formed by trochlea of humerus,
trochlear notch of ulna and head of the radius
 Anatomical components :-
1) Articular capsule :- It completely envelops
the joint on the anterior , posterior, lateral & medial part
.
2) Ulnar collateral ligament :- Thick triangular
ligament that extends from the medial epicondyle of
humerus to the coronoid process & olecranon process of
ulna.
ELBO JOINT
Free Education Channel // Md Nursing Education // 1k subscribers
3) Radial collateral ligament :- Strong , triangular ligament
, that extends from the lateral epicondyle of the humerus to the ulnar
ligament of radius and radial notch of ulna.
 Movements :- flexion & extension of forearm.
 Blood supply :- anterior & posterior blood vessels.
 Applied anatomy :- tennis elbow.
ELBO JOINT
Free Education Channel // Md Nursing Education // 1k subscribers
 The rounded or pointed
surface of one bone
articulates with ring formed
partly by another bone .
 It is monaxial (comitial)
joint.
Eg :- atlanto-axial joint
PIVOT JOINT
Free Education Channel // Md Nursing Education // 1k subscribers
→ The convex oval-shaped projections of one bone
fits into the oval shaped depression of another
bone.
→ The convex oval shaped projection of one bone
is fits into the concave oval shaped depression of
another bone.
→ It is biaxial joint.
eg :- wrist joint metacarpophalangeal (knuckles)
joint.
CONDYLOID JOINT
Free Education Channel // Md Nursing Education // 1k subscribers
 The articular surface of one bone is
saddle shaped and the articular surface
of another bone fits into the saddle .
 It is a biaxial joint.
eg :- carpometacarpal joint.
SADDLE JOINT
Free Education Channel // Md Nursing Education // 1k subscribers
 The ball like surface of one
bone fits into the cup like
depression of another bone.
 It is multiaxial joint.
eg :- Shoulder joint
Hip joint.
BALL & SOCKET
JOINT
Free Education Channel // Md Nursing Education // 1k subscribers
 It is a ball and socket joint formed by the head of
the humerus and the glenoid cavity of the scapula .
 Anatomical component :-
1) Articular capsule :- thin loose sac that complete
covers the joint . It extends from the glenoid cavity of
scapula to the neck of humerus .
2) Coracohumeral ligament :- Strong , broad ligament
that strengthens superior part of articular capsule . It
extends from coracoid process of scapula to greater
tubercle of humerus .
Shoulder joint
Free Education Channel // Md Nursing Education // 1k subscribers
3) Glenohumeral ligament :- 3 thickening of articular capsule on the anterior
surface of the joint . It extends from glenoid cavity to lesser tubercle.
4) Transverse humeral ligament :- extends from the greater tubercle to lesser tubercle of
humerus .
5) Glenoid labrum :- narrow fibrocartilage around the edge of glenoid cavity .
6) Bursa :- 4 bursae -subscapular bursa -subacromial bursa
-subdeltoid bursa -sub coracoid bursa
Shoulder joint
Free Education Channel // Md Nursing Education // 1k subscribers
 Movements :- flexion, extension , abduction , medial rotation
,lateral rotation & circumduction of arm
 Blood supply :- circumflex humeral blood vessels .
 Nerve supply :- axillary nerve .
 Applied anatomy :- frozen shoulder, dislocation
Shoulder joint
Free Education Channel // Md Nursing Education // 1k subscribers
It is a ball & socket joint that is formed by the
head of the femur & acetabulum of hip bone .
Anatomical components :-
→ Articular capsule :- strong capsule that
extends from the rich of acetabulum to neck
of the femur . The capsule consists of the
circular and longitudinal fibres . The curtailer
fibres are iliofemoral , pubofemoral and
ischiofemoral ligaments .
Hip joint
Free Education Channel // Md Nursing Education // 1k subscribers
 Iliofemoral ligament :- it is extends from anterior inferior iliac spine
of the hip bone to the inter trochanteric of the femur
 Pubofemoral ligament :- it is extends from pubis part of the rim of acetabulum to the
neck of the femur .
 Ischiofemoral ligament :- it is extends ischia wall of the acetabulum to the neck of the
femur .
 Ligament of the head of the femur :- flat , triangular band extends from the fossa of the
acetabulum to the fogies capilis of the head of the femur .
 Acetabular labarum :- fibrocartilage rim attached to the margin of acetabulum .
 Transverse ligament of acetabulum :- strong ligament that crosses outer the acetabular
notch.
Hip joint
Free Education Channel // Md Nursing Education // 1k subscribers
Movements :- flexion , Extension , Abduction , adduction ,
medial rotation , lateral rotation of thigh.
Blood supply :- Superior and Inferior artery , femoral artery.
Nerve supply :- femoral nerve , Obturator nerve.
Applied Anatomy :- Osteoarthrosis , dislocation.
Hip joint
Free Education Channel // Md Nursing Education // 1k subscribers
Thank
Free Education Channel // Md Nursing Education // 1k subscribers

More Related Content

Similar to Human Joints (Skeleton system) (20)

The Joints
The JointsThe Joints
The Joints
 
JOINt.pptx
JOINt.pptxJOINt.pptx
JOINt.pptx
 
Joints anatomy and physiology
Joints anatomy and physiologyJoints anatomy and physiology
Joints anatomy and physiology
 
Nikku pdf on joints
Nikku pdf on jointsNikku pdf on joints
Nikku pdf on joints
 
Anatomy of Joints & its classification
Anatomy of Joints & its classificationAnatomy of Joints & its classification
Anatomy of Joints & its classification
 
Arthology
ArthologyArthology
Arthology
 
Share_784_Joints.pdf
Share_784_Joints.pdfShare_784_Joints.pdf
Share_784_Joints.pdf
 
Classification of joints dr.gosai
Classification of joints dr.gosaiClassification of joints dr.gosai
Classification of joints dr.gosai
 
L.19. JOINTS.pdf
L.19. JOINTS.pdfL.19. JOINTS.pdf
L.19. JOINTS.pdf
 
Chapter 9
Chapter 9Chapter 9
Chapter 9
 
Joints_Skeleton system.pptx
Joints_Skeleton system.pptxJoints_Skeleton system.pptx
Joints_Skeleton system.pptx
 
Joints and its classification.
Joints and its classification.Joints and its classification.
Joints and its classification.
 
Lp 4 joints 2008
Lp 4 joints 2008Lp 4 joints 2008
Lp 4 joints 2008
 
GENERAL ANATOMY OF SKELETAL SYSTEM-JOINTS .pptx
GENERAL ANATOMY OF SKELETAL SYSTEM-JOINTS .pptxGENERAL ANATOMY OF SKELETAL SYSTEM-JOINTS .pptx
GENERAL ANATOMY OF SKELETAL SYSTEM-JOINTS .pptx
 
Classification of joints
Classification of jointsClassification of joints
Classification of joints
 
JOINTS.pptx
JOINTS.pptxJOINTS.pptx
JOINTS.pptx
 
Joints
JointsJoints
Joints
 
4. Joints,,Articulations.pptx
4. Joints,,Articulations.pptx4. Joints,,Articulations.pptx
4. Joints,,Articulations.pptx
 
Joints ].pdf
Joints ].pdfJoints ].pdf
Joints ].pdf
 
joints.pdf
joints.pdfjoints.pdf
joints.pdf
 

Recently uploaded

Résumé (2 pager - 12 ft standard syntax)
Résumé (2 pager -  12 ft standard syntax)Résumé (2 pager -  12 ft standard syntax)
Résumé (2 pager - 12 ft standard syntax)Soham Mondal
 
(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...
(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...
(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...gurkirankumar98700
 
Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...
Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...
Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...ranjana rawat
 
Escorts Service Cambridge Layout ☎ 7737669865☎ Book Your One night Stand (Ba...
Escorts Service Cambridge Layout  ☎ 7737669865☎ Book Your One night Stand (Ba...Escorts Service Cambridge Layout  ☎ 7737669865☎ Book Your One night Stand (Ba...
Escorts Service Cambridge Layout ☎ 7737669865☎ Book Your One night Stand (Ba...amitlee9823
 
CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service 🧳
CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service  🧳CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service  🧳
CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service 🧳anilsa9823
 
Delhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip CallDelhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Callshivangimorya083
 
Internship Report].pdf iiwmoosmsosmshkssmk
Internship Report].pdf iiwmoosmsosmshkssmkInternship Report].pdf iiwmoosmsosmshkssmk
Internship Report].pdf iiwmoosmsosmshkssmkSujalTamhane
 
Delhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip CallDelhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Callshivangimorya083
 
Delhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip CallDelhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Callshivangimorya083
 
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen DatingDubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen Datingkojalkojal131
 
Motilal Oswal Gift City Fund PPT - Apr 2024.pptx
Motilal Oswal Gift City Fund PPT - Apr 2024.pptxMotilal Oswal Gift City Fund PPT - Apr 2024.pptx
Motilal Oswal Gift City Fund PPT - Apr 2024.pptxMaulikVasani1
 
Dark Dubai Call Girls O525547819 Skin Call Girls Dubai
Dark Dubai Call Girls O525547819 Skin Call Girls DubaiDark Dubai Call Girls O525547819 Skin Call Girls Dubai
Dark Dubai Call Girls O525547819 Skin Call Girls Dubaikojalkojal131
 
女王大学硕士毕业证成绩单(加急办理)认证海外毕业证
女王大学硕士毕业证成绩单(加急办理)认证海外毕业证女王大学硕士毕业证成绩单(加急办理)认证海外毕业证
女王大学硕士毕业证成绩单(加急办理)认证海外毕业证obuhobo
 
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...Pooja Nehwal
 
内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士
内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士
内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士obuhobo
 
Presentation on Workplace Politics.ppt..
Presentation on Workplace Politics.ppt..Presentation on Workplace Politics.ppt..
Presentation on Workplace Politics.ppt..Masuk Ahmed
 
VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130
VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130
VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130Suhani Kapoor
 
Resumes, Cover Letters, and Applying Online
Resumes, Cover Letters, and Applying OnlineResumes, Cover Letters, and Applying Online
Resumes, Cover Letters, and Applying OnlineBruce Bennett
 
Experience Certificate - Marketing Analyst-Soham Mondal.pdf
Experience Certificate - Marketing Analyst-Soham Mondal.pdfExperience Certificate - Marketing Analyst-Soham Mondal.pdf
Experience Certificate - Marketing Analyst-Soham Mondal.pdfSoham Mondal
 

Recently uploaded (20)

Résumé (2 pager - 12 ft standard syntax)
Résumé (2 pager -  12 ft standard syntax)Résumé (2 pager -  12 ft standard syntax)
Résumé (2 pager - 12 ft standard syntax)
 
(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...
(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...
(Call Girls) in Lucknow Real photos of Female Escorts 👩🏼‍❤️‍💋‍👩🏻 8923113531 ➝...
 
Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...
Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...
Book Paid Saswad Call Girls Pune 8250192130Low Budget Full Independent High P...
 
Escorts Service Cambridge Layout ☎ 7737669865☎ Book Your One night Stand (Ba...
Escorts Service Cambridge Layout  ☎ 7737669865☎ Book Your One night Stand (Ba...Escorts Service Cambridge Layout  ☎ 7737669865☎ Book Your One night Stand (Ba...
Escorts Service Cambridge Layout ☎ 7737669865☎ Book Your One night Stand (Ba...
 
CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service 🧳
CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service  🧳CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service  🧳
CALL ON ➥8923113531 🔝Call Girls Husainganj Lucknow best Female service 🧳
 
Delhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip CallDelhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls South Ex 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
 
Internship Report].pdf iiwmoosmsosmshkssmk
Internship Report].pdf iiwmoosmsosmshkssmkInternship Report].pdf iiwmoosmsosmshkssmk
Internship Report].pdf iiwmoosmsosmshkssmk
 
Delhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip CallDelhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Munirka 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
 
Delhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip CallDelhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
Delhi Call Girls Nehru Place 9711199171 ☎✔👌✔ Whatsapp Hard And Sexy Vip Call
 
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen DatingDubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
Dubai Call Girls Starlet O525547819 Call Girls Dubai Showen Dating
 
Motilal Oswal Gift City Fund PPT - Apr 2024.pptx
Motilal Oswal Gift City Fund PPT - Apr 2024.pptxMotilal Oswal Gift City Fund PPT - Apr 2024.pptx
Motilal Oswal Gift City Fund PPT - Apr 2024.pptx
 
Dark Dubai Call Girls O525547819 Skin Call Girls Dubai
Dark Dubai Call Girls O525547819 Skin Call Girls DubaiDark Dubai Call Girls O525547819 Skin Call Girls Dubai
Dark Dubai Call Girls O525547819 Skin Call Girls Dubai
 
女王大学硕士毕业证成绩单(加急办理)认证海外毕业证
女王大学硕士毕业证成绩单(加急办理)认证海外毕业证女王大学硕士毕业证成绩单(加急办理)认证海外毕业证
女王大学硕士毕业证成绩单(加急办理)认证海外毕业证
 
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
Pooja 9892124323, Call girls Services and Mumbai Escort Service Near Hotel Sa...
 
Sensual Moments: +91 9999965857 Independent Call Girls Paharganj Delhi {{ Mon...
Sensual Moments: +91 9999965857 Independent Call Girls Paharganj Delhi {{ Mon...Sensual Moments: +91 9999965857 Independent Call Girls Paharganj Delhi {{ Mon...
Sensual Moments: +91 9999965857 Independent Call Girls Paharganj Delhi {{ Mon...
 
内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士
内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士
内布拉斯加大学林肯分校毕业证录取书( 退学 )学位证书硕士
 
Presentation on Workplace Politics.ppt..
Presentation on Workplace Politics.ppt..Presentation on Workplace Politics.ppt..
Presentation on Workplace Politics.ppt..
 
VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130
VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130
VIP Call Girls Service Film Nagar Hyderabad Call +91-8250192130
 
Resumes, Cover Letters, and Applying Online
Resumes, Cover Letters, and Applying OnlineResumes, Cover Letters, and Applying Online
Resumes, Cover Letters, and Applying Online
 
Experience Certificate - Marketing Analyst-Soham Mondal.pdf
Experience Certificate - Marketing Analyst-Soham Mondal.pdfExperience Certificate - Marketing Analyst-Soham Mondal.pdf
Experience Certificate - Marketing Analyst-Soham Mondal.pdf
 

Human Joints (Skeleton system)

  • 1. REPRESENTED BY MD MEHBUB ALAM Free Education Channel // Md Nursing Education // 1k subscribers
  • 2. Articulation:- joint or point of contact. Arthrology:- it a scientific study of joints. Kinesiology :- It is the study of the motion of the human body. Arthritis:- it is a inflammation of joint. Osteoarthritis:- it is a degenerative joint disease. Osteoporosis:- osteoporosis is a condition in which bones become weak and brittle. Free Education Channel // Knowledge of Nursing // 1k subscribers TERMINOLOGY Free Education Channel // Md Nursing Education // 1k subscribers
  • 3. Osteomyelitis:- bone infection. Fibromyalgia:- inflammation of fibrous connective tissue (fibrositis). Fibrous dysplasia:- it is a benign bone condition in which abnormal fibrous tissue growth in place of normal bone. Dislocation:- also known as luxation, means bone is out of it’s place. Subluxation:- partial displacement of joint. Free Education Channel // Knowledge of Nursing // 1k subscribers TERMINOLOGY Free Education Channel // Md Nursing Education // 1k subscribers
  • 4. DEFINITIONOF JOINTS • Joints or articulations are junctions between two or more bones or cartilages. • It is a point where two or more bone connected together. Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 5. Functions of bones Movement:- Allows for muscles attachment therefore the bones are used as levers. Flexibility Attachment bone to bone Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 6. JOINTS STUCTURAL CLASSIFICATION:- 1) Fibrous joints 2) Cartilaginous joints 3) Synovial joints  Joint is point of contact between two or more bones, bone and cartilage or between bone and teeth. It is also called articulation. Joints can classified according to structure and their functions. FUNCTIONAL CLASSIFICTION :- a) Synarthroses - Immovable joints b) Amphiarthrosess –slight movable joint c) Diarthroses –Freely movable joint Free Education Channel // Knowledge of Nursing // 1k subscribers Free Education Channel // Md Nursing Education // 1k subscribers
  • 7.  Fibrous joints are defined as the joints in which the bones are connected by fibrous tissue.  They are called fixed or immovable joints as they do not allow any movement between the bones.  They do not have a joint cavity, and the fibrous tissue which connects the bones is made up of collage fibres. TYPES OF FIBROUS JOINTS: 1) Sutures 2) Syndesmosis 3) Gomphosis FIBROUS JOINTS STUCTURAL CLASSIFICATION Free Education Channel // Md Nursing Education // 1k subscribers
  • 8.  A fibrous joint composed of thin layer of dense fibrous connective tissue. Suture joints are present between the skull bones.  example:- coronal suture between frontal and parietal bone. SUTURES Free Education Channel // Md Nursing Education // 1k subscribers
  • 9. TYPES OF SUTURES There main four suture on the skull: 1. Coronal suture:- present between frontal and parietal bones. 2. Sagittal suture:-present between two parietal bone. 3. Squamous suture:- joins the parietal and temporal bone. 4. Lambdoid suture:- separating to parietal and occipital bone. Free Education Channel // Md Nursing Education // 1k subscribers
  • 10. Other suture of skull  Occipitomastoid suture  Squamosal suture:-  Sphenofrontal suture  Sphenosquamosal suture:- sphenoid and temporal bone.  parietomastoid suture:- between parietal and mastoid process.  Zygomaticofrontal:-  Sphenoparietal  Zygomaticotemporal Petrosquamous suture Cranial suture Sphenozygomatic suture Frontoethmoid suture Intermaxillary suture Free Education Channel // Md Nursing Education // 1k subscribers
  • 11.  Syndesmosis is a fibrous joint in which two adjacent (attached) bones are linked by a strong membrane or ligament.  It’s located near the ankle joint, between the tibia, or shinbone, and the distal fibula, or outside leg bone.  Example: distal tibiofibular joint interosseous membrane between tibia and fibula. SYNDESMOSIS Free Education Channel // Md Nursing Education // 1k subscribers
  • 12.  A fibrous joint in which a cone shaped peg fits into a socket. It is a fibrous mobile peg and socket joint. Eg:- Dentoalveolar joint(root of teeth with socket). Gomphosis Free Education Channel // Md Nursing Education // 1k subscribers
  • 13.  The articulating bones are tightly connected by hyaline cartilage or fibro cartilage called cartilaginous joint. It is a slightly movable joint. It is lack of joint cavity ( synovial cavity) TYPES OF CARTILAGINOUS JOINTS :- 1) Synchondroses joint 2) Symphyses joint CARTILAGINOUS JOINT Free Education Channel // Md Nursing Education // 1k subscribers
  • 14. Free Education Channel // Md Nursing Education // 1k subscribers SYNCHONDROSIS It is a cartilaginous joint where bones are joined together by hyaline cartilage. Eg :- Epiphyseal plate between epiphysis and diaphysis of a growing bone . SYMPHYSIS A cartilaginous joint where the articulating bones are covered with hyaline cartilage and with a broad , flat disc of fibrocartilage connects the bones Example :- Pubic Symphysis , Intervertebral joints
  • 15.  A synovial cavity is present between the articulating bones .  It is a freely movable joint .  The bones at a synovial joint are covered by articular cartilage that reduce friction between the bone .  Articular capsule surrounds a synovial joint and encloses the synovial cavity . Articular capsule has two layers :-  An outer fibrous capsule  An inner synovial membrane SYNOVIAL JOINTS Free Education Channel // Md Nursing Education // 1k subscribers
  • 16. FIBROUS CAPSULE Permits considerable movement at a joint and the strength to resist stretching prevents the bones from dislocation . SYNOVIAL MEMBRANE It is made up of areolar connective tissue and secrets synovial fluid . The synovial fluid consist hyaluronic acid , Interstitial fluid .It helps to reduce friction, supply nutrients and remove metabolic waste and microbes . SYNOVIAL JOINTS Free Education Channel // Md Nursing Education // 1k subscribers
  • 17.  Accessory ligaments :- They are extracellular and intracellular ligaments . Extracapsular ligaments are outside enticular capsule intracapsular ligaments like inside the articular capsule. Articular disc/menisci:-They are pads of fibrocartilage that lie between articular surface of bones .these disc modify the shape of joint surface and helps to fit two bones of different shape tightly . . Eg :- lateral & medial menisci of knee joint . . the nerve and blood vessels supply the synovial joints SYNOVIAL JOINTS Free Education Channel // Md Nursing Education // 1k subscribers
  • 18. Movement of synovial joint are grouped into four :- Gliding Angular movement Rotation Special movement -Flexion -Extension -Abduction -Adduction -Medial rotation -Lateral rotation -Circumduction - Inversion & Eversion - Elevation & Depression - Dorsiflexion & Plantar flexion - Protraction & Retraction - Opposition TYPE OF MOVEMENTS Free Education Channel // Md Nursing Education // 1k subscribers
  • 19. According to the shape of articulating surface , there are six ( 6) types of synovial joints Synovial joint Ball & Socket Joint Planar joint Hinge Joint Pivot Joint Condyloid joint/ Ellipsoid Joint Saddle Joint TYPE OF SYNOVIAL JOINTS Free Education Channel // Md Nursing Education // 1k subscribers
  • 20. Synovial joints Free Education Channel // Md Nursing Education // 1k subscribers
  • 21.  Articular surfaces of the bones are flat slightly carved.  It is a provide side to side and back & front movement/ gliding movement  example :- Intercarpal or intertarsal joint , sternoclavicular joint. Planer joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 22.  The convex surface of one bone fits into the concave surface of another bone .  It is a monaxial joint :- Example :- Knee joint Elbow joint Ankle joint Hinge Joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 23. • It is a largest and most complex joint which consist of three joints within a single synovial cavity. Knee joint Knee joint Lateral tibiofemoral joint Patellofemural joint Medial tibiofemoral joint Free Education Channel // Md Nursing Education // 1k subscribers The three joints are -
  • 24. Note The condyles of femur are attached with the condyles of tibia below and behind while as these condyles will attach with the patella in front .This joint is formed by the condyles of the femur, condyles of the tibia and posterior surface of the patella. Ligaments that arise 1. Capsular ligament 2. Cruciate ligament  They are intra capsular ligament, 2 in member 1.Cruciate ligament Anterior cruciate ligament Posterior cruciate ligament Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 25.  These two ligaments extends from inter condyles notch and gets inserted into the intercondylar eminence.  These two ligaments are crossing each other Patellar ligament:-  It is a ligament between patella and tibia  It arise from patella and inserted into tibial tibirosity. Medial collateral ligament:-  It is a ligament between the medial condyle of femur and medial condyle.  It is also called tibial collateral ligament.  It is a ligament between the lateral condyle of femur and fibula is also know as fibula collateral ligament. Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 26. Bursae  Bursae are sac like structure which filled with synovial fluid. There function is reduce the friction of the joints.  There are 2 bursae present in the synovial joint : 1. Pre patellar bursa:- it is present in front of the patella bone. 2. Intra patella bursal:- it is present below the patella bone  The articular surfaces between femur and tibia are separated by a complete disc of fibro cartilage which is known as menisci or semi-lunar cartilages .  There are line on the top of the condyle of tibia.  Due to the presence of this disc, it is a complex joint.  They act as a shock absorbers. Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 27. MOVEMENT OF KNEE JOINT :- The possible movements of knee joint are 1.flexion 2. extension Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 28.  Articulating surface There are 3 articulating surfaces 1. Condyles of the femur 2. Condyles of the tibia 3. Posterior surface of patella Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 29. It is between lateral condyle of femur medial meniscus and lateral condyle of tibia . It is between medial condyle of femur medial meniscus and medial condyle of tibia . It is between patella and patellar surface of femur . Pattillo- femoral joint Medial tibiofemoral joint Lateral tibiofemoral joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 30. Articular capsule :- very thin and is not present anteriorly Patellar ligament:- extend from the patella to the tibial tuberosity Oblique popliteal ligament:- broad flat ligament that extends from the intercondylar fossa of femur to the head of tibia. This strengthens posterior surface of joint. Tibia collateral ligament:- broad , flat ligament that extends from the medial condyle of tibia to medial condyle of femur. Anatomical Components :- Free Education Channel // Md Nursing Education // 1k subscribers
  • 31. Free Education Channel // Knowledge of Nursing // 1k subscribers
  • 32.  Fibial collater ligament :- stoor round ligament on the lateral surface that extends from the lateral condyle of femur to the lateral side heed of the fibula. Intracapsular ligament :- ligaments withincapsule that connects tibia & femur 1. Anterior cruciate ligament 2. Posterior cruciate ligament Anterior cruciate ligament :- connects medial surface of lateral femoral condyle to the posterior inter condylar area of tibia Posterior cruciate ligament :- connects lateral surface of medial femoral condyle to posterior part of intercondylar area of tibia . Anatomical Components :- Free Education Channel // Md Nursing Education // 1k subscribers
  • 33.  Articular disc/menisci :- two fibrocartilage disc between the tibial & femoral condyles to compensates irregular shapes of bone medial meniscus c-shaped Lateral meniscus o-shaped  Bursae :- Prepatellar, intra patellar & suprapatellar Bursa.  Blood supply :- femoral ,tibial & popliteal .  Nerve supply :- femoral nerve , obturator nerve.  movements :- flexion & extension Anatomical Components :- Free Education Channel // Md Nursing Education // 1k subscribers
  • 34. It is a hinge joint formed by trochlea of humerus, trochlear notch of ulna and head of the radius  Anatomical components :- 1) Articular capsule :- It completely envelops the joint on the anterior , posterior, lateral & medial part . 2) Ulnar collateral ligament :- Thick triangular ligament that extends from the medial epicondyle of humerus to the coronoid process & olecranon process of ulna. ELBO JOINT Free Education Channel // Md Nursing Education // 1k subscribers
  • 35. 3) Radial collateral ligament :- Strong , triangular ligament , that extends from the lateral epicondyle of the humerus to the ulnar ligament of radius and radial notch of ulna.  Movements :- flexion & extension of forearm.  Blood supply :- anterior & posterior blood vessels.  Applied anatomy :- tennis elbow. ELBO JOINT Free Education Channel // Md Nursing Education // 1k subscribers
  • 36.  The rounded or pointed surface of one bone articulates with ring formed partly by another bone .  It is monaxial (comitial) joint. Eg :- atlanto-axial joint PIVOT JOINT Free Education Channel // Md Nursing Education // 1k subscribers
  • 37. → The convex oval-shaped projections of one bone fits into the oval shaped depression of another bone. → The convex oval shaped projection of one bone is fits into the concave oval shaped depression of another bone. → It is biaxial joint. eg :- wrist joint metacarpophalangeal (knuckles) joint. CONDYLOID JOINT Free Education Channel // Md Nursing Education // 1k subscribers
  • 38.  The articular surface of one bone is saddle shaped and the articular surface of another bone fits into the saddle .  It is a biaxial joint. eg :- carpometacarpal joint. SADDLE JOINT Free Education Channel // Md Nursing Education // 1k subscribers
  • 39.  The ball like surface of one bone fits into the cup like depression of another bone.  It is multiaxial joint. eg :- Shoulder joint Hip joint. BALL & SOCKET JOINT Free Education Channel // Md Nursing Education // 1k subscribers
  • 40.  It is a ball and socket joint formed by the head of the humerus and the glenoid cavity of the scapula .  Anatomical component :- 1) Articular capsule :- thin loose sac that complete covers the joint . It extends from the glenoid cavity of scapula to the neck of humerus . 2) Coracohumeral ligament :- Strong , broad ligament that strengthens superior part of articular capsule . It extends from coracoid process of scapula to greater tubercle of humerus . Shoulder joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 41. 3) Glenohumeral ligament :- 3 thickening of articular capsule on the anterior surface of the joint . It extends from glenoid cavity to lesser tubercle. 4) Transverse humeral ligament :- extends from the greater tubercle to lesser tubercle of humerus . 5) Glenoid labrum :- narrow fibrocartilage around the edge of glenoid cavity . 6) Bursa :- 4 bursae -subscapular bursa -subacromial bursa -subdeltoid bursa -sub coracoid bursa Shoulder joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 42.  Movements :- flexion, extension , abduction , medial rotation ,lateral rotation & circumduction of arm  Blood supply :- circumflex humeral blood vessels .  Nerve supply :- axillary nerve .  Applied anatomy :- frozen shoulder, dislocation Shoulder joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 43. It is a ball & socket joint that is formed by the head of the femur & acetabulum of hip bone . Anatomical components :- → Articular capsule :- strong capsule that extends from the rich of acetabulum to neck of the femur . The capsule consists of the circular and longitudinal fibres . The curtailer fibres are iliofemoral , pubofemoral and ischiofemoral ligaments . Hip joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 44.  Iliofemoral ligament :- it is extends from anterior inferior iliac spine of the hip bone to the inter trochanteric of the femur  Pubofemoral ligament :- it is extends from pubis part of the rim of acetabulum to the neck of the femur .  Ischiofemoral ligament :- it is extends ischia wall of the acetabulum to the neck of the femur .  Ligament of the head of the femur :- flat , triangular band extends from the fossa of the acetabulum to the fogies capilis of the head of the femur .  Acetabular labarum :- fibrocartilage rim attached to the margin of acetabulum .  Transverse ligament of acetabulum :- strong ligament that crosses outer the acetabular notch. Hip joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 45. Movements :- flexion , Extension , Abduction , adduction , medial rotation , lateral rotation of thigh. Blood supply :- Superior and Inferior artery , femoral artery. Nerve supply :- femoral nerve , Obturator nerve. Applied Anatomy :- Osteoarthrosis , dislocation. Hip joint Free Education Channel // Md Nursing Education // 1k subscribers
  • 46. Thank Free Education Channel // Md Nursing Education // 1k subscribers