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JOINTS
synonyms:
articulations,
junctions
A site where two or more bones come
together, whether movement occurs
between them or not, is called a joint.
JOINTS ARE CLASSIFIED ACCORDING TO
Range and type of movement they permit.
Immovable joints (SYNARTHROSIS)
Slightly movable joints (AMPHIARTHROSIS)
Movable joints (DIARTHROSIS)
Anatomical structure
Fibrous joints,
Cartilaginous joints,
Synovial joints.
Functions:
• Permit movement
• Growth
• Molding during childbirth
• Concerned with differential growth
• Transmission of forces
Structural Classification
a) Fibrous e.g. i) Sutures,
ii) Syndesmosis
iii) Gomphosis
b) Cartilaginous e.g. i) Primary Cartilaginous
ii) Secondary cartilaginous
c) Synovial e.g. i) Uniaxial: Hinge, Pivot
ii) Biaxial: Condylar, Ellipsoid
iii) Multiaxial: Ball & Socket, Saddle
Movements
 Flexion
 Extension
 Adduction
 Abduction
 Circumduction
 Rotation
SYNARTHROSES / FIBROUS JOINTS
 Bones connected by fibrous tissue: dense
regular connective tissue
 No joint cavity
 Slightly movable or immovable
BONE— fibrous connective tissue—BONE
SUTURES
SCHINDYLESIS
SYNDESMOSIS
GOMPHOSIS
-Present only between bones of skull.
-Fibrous tissue is
continuous with
periosteum
-Sutures ossify and
fuse in middle age:
Called “synostoses”
SUTURES
bone—collagenous sutural ligament—bone
TYPES OF SUTURES
PLANE SUTURE
•Simple apposition of contiguous surfaces,
• usually rough and
reciprocally irregular,
Examples
• sutures between the
palatine bones,
• between the maxillae and
at the palatomaxillary sutures.
Denticulate Suture
Has small tooth like projections,
often widening towards their
ends to provide effective
interlocking.
When united by sutural
ligament and periosteum, such
sutures are almost completely
immobile
The lambdoid suture is a
denticulate suture.
The sagittal suture is serrated.
SERRATED SUTURE
Squamous suture
Where bones overlap,
as at the temporo-
parietal suture, a
squamous suture is
formed; the adjacent
bone surfaces are
reciprocally bevelled.
Schindylesis
Between Ala of
Vomer and
Rostrum of Sphenoid
Syndesmoses
In Greek: “ligament”
Bones connected by
ligaments only
Amount of movement
depends on length of
the fibers: longer than
in sutures
Gomphoses
Is a “peg-in-socket”
Only example is tooth
with its socket
Ligament is a short
periodontal ligament
Cartilagenous joints
Articulating bones united by cartilage
Lack a joint cavity
Not highly movable
Two types
Synchondroses (singular:
synchondrosis)
Symphyses (singular: symphysis)
Synchondroses
Primary Cartilaginous Joints
Literally: “junction of cartilage”
A plate or bar of Hyaline cartilage unites the
bones
Immovable (synarthroses)
Examples:
Epiphyseal plates between epiphysis and
diaphysis of growing bone.
Joint between first rib’s costal cartilage and
manubrium of the sternum
Synchondrosis
Symphysis
Symphyses
Secondary Cartilaginous Joints
Literally “growing together”
Fibrocartilage unites the bones
Slightly movable (amphiarthroses)
Resilient shock absorber
Provide strength and flexibility
Hyaline cartilage on articular surfaces of bones
to reduce friction
Examples
Intervertebral discs
Pubic symphysis of the pelvis
Symphysis
Intervertebral Disc
Pubic Symphysis
The lambdoid suture is an example of a(n)
A. Diarthrosis
B. Amphiarthrosis
C. Synarthrosis
D. Synarthrosis and fibrous
The lambdoid suture is an example of a(n)
A. Diarthrosis
B. Amphiarthrosis
C. Synarthrosis
D. Synarthrosis and fibrous
Which of the following is an example of a
synchondrosis?
A. First sternocostal articulation
B. Humeroscapular articulation
C. Symphysis pubis
D. Tibiofibular articulation
Which of the following is an example of a
synchondrosis?
A. First sternocostal articulation
B. Humeroscapular articulation
C. Symphysis pubis
D. Tibiofibular articulation
The procedure arthroscopy refers to:
A. Examining interior of joint
B. Reducing inflammation of a bursa
C. Re-establishing blood supply of muscles
D. Repair of bone fractures
The procedure arthroscopy refers to:
A. Examining interior of joint
B. Reducing inflammation of a bursa
C. Re-establishing blood supply of muscles
D. Repair of bone fractures
Which of the following joints are held
together by cartilage?
A. Diarthrosis
B. Gomphosis
C. Symphysis
D. Synovial
Which of the following joints are held
together by cartilage?
A. Diarthrosis
B. Gomphosis
C. Symphysis
D. Synovial
The radioulnar joint is an example of a
A. Hinge
B. Pivot
C. Planar
D. Synarthroses
The radioulnar joint is an example of a
A. Hinge
B. Pivot
C. Planar
D. Synarthroses
Synovial joints
DIARTHROSES
•Structure: bone—articular cartilage—
synovial fluid in cavity – articular cartilage—
bone
•Bond : surrounding sleeve of collagenous
fibrous capsule lined by synovial membrane;
extrinsic and intrinsic ligaments. Occasional
intracapsular ligaments, tendons, fat pads,
fibrocartilaginous discs or menisci.
Synovial Joint
SHOULDER JOINT
ARTICULAR
CARTILAGE
ARTICULAR
CAPSULE
SYNOVIAL
MEMBRANE
*
*
*
JOINT
CAVITY
PAD OF FAT
SYNOVIAL
MEMBRANE
CAPSULE
ARTICULAR
CARTILAGE
SYNOVIAL JOINT
KNEE JOINT
MENISCUS
JOINT CAVITY
General Structure of Synovial Joints
b
1. Articular cartilage
 Hyaline
 Spongy cushions absor
compression
 Protects ends of bones
from being crushed
2. Joint (synovial) cavity
 Potential space
 Small amount of
synovial fluid
3. Articular (joint) capsule
 Two layered
 Outer*: fibrous capsule of
dense irregular connective
tissue continuous with
periosteum.
 Inner*: synovial membrane
of loose connective tissue
(makes synovial fluid)
Lines all internal joint surfaces
except the cartilages*
4. Synovial fluid
 Filtrate of blood
 Contains special
glycoproteins
 Nourishes cartilage and
functions as slippery
lubricant
5. Reinforcing ligaments
 Capsular (most) –
thickened parts of capsule
 Extracapsular
 Intracapsular
6. Nerves
Detect pain
Monitor stretch (one of the
ways of sensing posture
and body movements)
7. Blood vessels
Rich blood supply
Extensive capillary beds in
synovial membrane
(produce the blood filtrate)
Articular disc or
meniscus
(literally “crescent”)
Only some joints
Those with bone
ends of different
shapes or fitting poorly
Some to allow two kinds of movement (e.g. jaw)
Fibrocartilage
Examples: knee
TMJ (Temporomandibular joint)
sternoclavicular joint
•Fatty pads are found in
some synovial joints lying
between the synovial
membrane and the
fibrous capsule or bone.
•Examples are found in
the hip and knee joints.
Bursae and tendon sheaths
 Contain synovial fluid
 Not joints but often associated with them
 Act like ball bearings
 Bursa means “purse” in Latin
 Flattened sac lined by synovial membrane
 Where ligaments, muscles, tendons, or bones overlie each other and rub
together
 Tendon sheath
 Only on tendons subjected to friction
Bursae and tendon sheaths
UNI-AXIAL Hinge Joint , Pivot Joint, Condylar
Joint
BI-AXIAL Condylar Joint, Ellipsoid Joint,
Saddle Joint
MULTI-AXIAL Ball and Socket
NON-AXIAL Plane Joint
Plane joints:
•In plane joints, the apposed articular surfaces
are flat or almost flat, and this permits the
bones to slide on one another.
•Examples of these joints are the sternoclavicular
and acromioclavicular joints
Hinge joints:
•Hinge joints resemble the hinge on a door,
so that flexion and extension movements are
possible.
Examples of these joints are the elbow, knee, and
ankle joints
Pivot joints:
•In pivot joints, a central
bony pivot is
surrounded by a bony-
ligamentous ring and
rotation is the only
movement possible.
• E.g atlantoaxial and
superior radioulnar
joints
Condylar joints
•Condyloid joints have
two distinct convex
surfaces that
articulate with two concave surfaces.
•The movements of flexion, extension, with a
small amount of rotation.
•E.g. knee joint , temporo-mandibular joint
Ellipsoid joints
•In ellipsoid joints, an
elliptical convex
articular surface fits
into an elliptical
concave articular
surface. The movements of flexion, extension,
abduction, adduction and circumduction can
take place, but rotation is impossible.
•E.g. wrist joint, metacarpophalangeal joint
Saddle joints:
•The articular surfaces are
reciprocally concavoconvex
and resemble a saddle on a
horse's back.
•These joints permit flexion, extension,
abduction, adduction, and rotation.
•E.g. carpometacarpal joint of the thumb,
sternoclavicular joint
Ball and socket joints:
•In ball-and-socket joints,
a ball-shaped head of
one bone fits into a socket
like concavity of another.
•This arrangement permits free movements,
including flexion, extension, abduction,
adduction, medial rotation, lateral rotation, and
circumduction.
• E.g. shoulder and hip joints
Stability of Joints
The stability of a joint depends on three main
factors:
•the shape,
•size,
•arrangement of the articular surfaces;
•the ligaments;
•and the tone of the muscles around the joint.
MECHANISM OF LUBRICATION OF SYNOVIAL
JOINT
•Synovial fluid
•Hyaline cartilage
•Harvesian fatty pads
•Bursa
Nerve Supply of Joints
•The capsule and ligaments receive an
abundant sensory nerve supply.
•A sensory nerve supplying a joint also
supplies the muscles moving the joint and
the skin overlying the insertions of these
muscles, a fact that has been codified as
Hilton's law.
Classification of Synovial Joints
(According to the number of bones)
•SIMPLE JOINT Interphalangeal joint
•COMPOUND JOINT elbow ,wrist
•COMPLEX JOINT temporomandibular
joint
Cartilage Tendons Ligaments
Tough Attaches bone to
muscle
Attaches bone to
bone
Flexible Sturdy Elastic
At end of
bone
Non elastic Stabilise
Cushions Size changes
depending on
muscle
Made of many
fibres
Anchor Strong
Types of Joint Movement
• There are six different kinds of movement the
joints can allow
• These are:
– Extension
– Flexion
– Abduction
– Adduction
– Circumduction
– Rotation
Extension:
straightening or
extending a limb.
(Opening a Joint)
Flexion: Bending
or flexing a limb.
(Closing a joint)
Abduction: Moving
a limb away from the
centre line of the
body.
Rotation: This is a
turning or rotational
movement of a limb
or body part.
Circumduction:
The ability of a
limb to be moved
in circles.
Adduction:
moving a limb
towards the centre
line of the body
Plantarflexion (or plantar flexion)
Is the movement which increases
the approximate 90 degree angle
between the front part of the foot
and the shin, as when pressing
down on a car pedal
Dorsiflexion is the movement which
decreases the angle between the dorsum
(superior surface) of the foot and the leg, so
that the toes are brought closer to the shin.
The movement moving in opposite directions
is called plantarflexion. Put more simply: it
applies to the upward movement of the foot
at the ankle joint
Pronation – A rotation of the forearm
that moves the palm from an
anterior-facing position to a
posterior-facing position, or palm
facing down. This is not medial
rotation as this must be performed
when the arm is half flexed
Supination – The opposite of pronation,
the rotation of the forearm so that the palm
faces anteriorly, or palm facing up. The
hand is supine (facing anteriorly) in the
anatomical position
Hyperextension - Movement at a joint to a
position beyond the joint's normal
maximum extension
The knee (HINGE JOINT) is used when flexing (bending)
and extending (straightening) the leg to kick a football

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joints and its classification different types of joints .pptx

  • 1. JOINTS synonyms: articulations, junctions A site where two or more bones come together, whether movement occurs between them or not, is called a joint.
  • 2. JOINTS ARE CLASSIFIED ACCORDING TO Range and type of movement they permit. Immovable joints (SYNARTHROSIS) Slightly movable joints (AMPHIARTHROSIS) Movable joints (DIARTHROSIS) Anatomical structure Fibrous joints, Cartilaginous joints, Synovial joints.
  • 3. Functions: • Permit movement • Growth • Molding during childbirth • Concerned with differential growth • Transmission of forces
  • 4. Structural Classification a) Fibrous e.g. i) Sutures, ii) Syndesmosis iii) Gomphosis b) Cartilaginous e.g. i) Primary Cartilaginous ii) Secondary cartilaginous c) Synovial e.g. i) Uniaxial: Hinge, Pivot ii) Biaxial: Condylar, Ellipsoid iii) Multiaxial: Ball & Socket, Saddle
  • 5. Movements  Flexion  Extension  Adduction  Abduction  Circumduction  Rotation
  • 6. SYNARTHROSES / FIBROUS JOINTS  Bones connected by fibrous tissue: dense regular connective tissue  No joint cavity  Slightly movable or immovable BONE— fibrous connective tissue—BONE
  • 10. -Present only between bones of skull. -Fibrous tissue is continuous with periosteum -Sutures ossify and fuse in middle age: Called “synostoses” SUTURES bone—collagenous sutural ligament—bone
  • 11. TYPES OF SUTURES PLANE SUTURE •Simple apposition of contiguous surfaces, • usually rough and reciprocally irregular, Examples • sutures between the palatine bones, • between the maxillae and at the palatomaxillary sutures.
  • 12. Denticulate Suture Has small tooth like projections, often widening towards their ends to provide effective interlocking. When united by sutural ligament and periosteum, such sutures are almost completely immobile The lambdoid suture is a denticulate suture.
  • 13. The sagittal suture is serrated. SERRATED SUTURE
  • 14. Squamous suture Where bones overlap, as at the temporo- parietal suture, a squamous suture is formed; the adjacent bone surfaces are reciprocally bevelled.
  • 15. Schindylesis Between Ala of Vomer and Rostrum of Sphenoid
  • 16. Syndesmoses In Greek: “ligament” Bones connected by ligaments only Amount of movement depends on length of the fibers: longer than in sutures
  • 17. Gomphoses Is a “peg-in-socket” Only example is tooth with its socket Ligament is a short periodontal ligament
  • 18. Cartilagenous joints Articulating bones united by cartilage Lack a joint cavity Not highly movable Two types Synchondroses (singular: synchondrosis) Symphyses (singular: symphysis)
  • 19. Synchondroses Primary Cartilaginous Joints Literally: “junction of cartilage” A plate or bar of Hyaline cartilage unites the bones Immovable (synarthroses) Examples: Epiphyseal plates between epiphysis and diaphysis of growing bone. Joint between first rib’s costal cartilage and manubrium of the sternum
  • 21. Symphyses Secondary Cartilaginous Joints Literally “growing together” Fibrocartilage unites the bones Slightly movable (amphiarthroses) Resilient shock absorber Provide strength and flexibility Hyaline cartilage on articular surfaces of bones to reduce friction Examples Intervertebral discs Pubic symphysis of the pelvis
  • 23. The lambdoid suture is an example of a(n) A. Diarthrosis B. Amphiarthrosis C. Synarthrosis D. Synarthrosis and fibrous
  • 24. The lambdoid suture is an example of a(n) A. Diarthrosis B. Amphiarthrosis C. Synarthrosis D. Synarthrosis and fibrous
  • 25. Which of the following is an example of a synchondrosis? A. First sternocostal articulation B. Humeroscapular articulation C. Symphysis pubis D. Tibiofibular articulation
  • 26. Which of the following is an example of a synchondrosis? A. First sternocostal articulation B. Humeroscapular articulation C. Symphysis pubis D. Tibiofibular articulation
  • 27. The procedure arthroscopy refers to: A. Examining interior of joint B. Reducing inflammation of a bursa C. Re-establishing blood supply of muscles D. Repair of bone fractures
  • 28. The procedure arthroscopy refers to: A. Examining interior of joint B. Reducing inflammation of a bursa C. Re-establishing blood supply of muscles D. Repair of bone fractures
  • 29. Which of the following joints are held together by cartilage? A. Diarthrosis B. Gomphosis C. Symphysis D. Synovial
  • 30. Which of the following joints are held together by cartilage? A. Diarthrosis B. Gomphosis C. Symphysis D. Synovial
  • 31. The radioulnar joint is an example of a A. Hinge B. Pivot C. Planar D. Synarthroses
  • 32. The radioulnar joint is an example of a A. Hinge B. Pivot C. Planar D. Synarthroses
  • 33.
  • 34. Synovial joints DIARTHROSES •Structure: bone—articular cartilage— synovial fluid in cavity – articular cartilage— bone •Bond : surrounding sleeve of collagenous fibrous capsule lined by synovial membrane; extrinsic and intrinsic ligaments. Occasional intracapsular ligaments, tendons, fat pads, fibrocartilaginous discs or menisci.
  • 37. General Structure of Synovial Joints b 1. Articular cartilage  Hyaline  Spongy cushions absor compression  Protects ends of bones from being crushed 2. Joint (synovial) cavity  Potential space  Small amount of synovial fluid
  • 38. 3. Articular (joint) capsule  Two layered  Outer*: fibrous capsule of dense irregular connective tissue continuous with periosteum.  Inner*: synovial membrane of loose connective tissue (makes synovial fluid) Lines all internal joint surfaces except the cartilages*
  • 39. 4. Synovial fluid  Filtrate of blood  Contains special glycoproteins  Nourishes cartilage and functions as slippery lubricant 5. Reinforcing ligaments  Capsular (most) – thickened parts of capsule  Extracapsular  Intracapsular
  • 40. 6. Nerves Detect pain Monitor stretch (one of the ways of sensing posture and body movements) 7. Blood vessels Rich blood supply Extensive capillary beds in synovial membrane (produce the blood filtrate)
  • 41. Articular disc or meniscus (literally “crescent”) Only some joints Those with bone ends of different shapes or fitting poorly Some to allow two kinds of movement (e.g. jaw) Fibrocartilage Examples: knee TMJ (Temporomandibular joint) sternoclavicular joint
  • 42. •Fatty pads are found in some synovial joints lying between the synovial membrane and the fibrous capsule or bone. •Examples are found in the hip and knee joints.
  • 43. Bursae and tendon sheaths  Contain synovial fluid  Not joints but often associated with them  Act like ball bearings  Bursa means “purse” in Latin  Flattened sac lined by synovial membrane  Where ligaments, muscles, tendons, or bones overlie each other and rub together  Tendon sheath  Only on tendons subjected to friction
  • 44. Bursae and tendon sheaths
  • 45. UNI-AXIAL Hinge Joint , Pivot Joint, Condylar Joint BI-AXIAL Condylar Joint, Ellipsoid Joint, Saddle Joint MULTI-AXIAL Ball and Socket NON-AXIAL Plane Joint
  • 46. Plane joints: •In plane joints, the apposed articular surfaces are flat or almost flat, and this permits the bones to slide on one another. •Examples of these joints are the sternoclavicular and acromioclavicular joints
  • 47. Hinge joints: •Hinge joints resemble the hinge on a door, so that flexion and extension movements are possible. Examples of these joints are the elbow, knee, and ankle joints
  • 48. Pivot joints: •In pivot joints, a central bony pivot is surrounded by a bony- ligamentous ring and rotation is the only movement possible. • E.g atlantoaxial and superior radioulnar joints
  • 49. Condylar joints •Condyloid joints have two distinct convex surfaces that articulate with two concave surfaces. •The movements of flexion, extension, with a small amount of rotation. •E.g. knee joint , temporo-mandibular joint
  • 50. Ellipsoid joints •In ellipsoid joints, an elliptical convex articular surface fits into an elliptical concave articular surface. The movements of flexion, extension, abduction, adduction and circumduction can take place, but rotation is impossible. •E.g. wrist joint, metacarpophalangeal joint
  • 51. Saddle joints: •The articular surfaces are reciprocally concavoconvex and resemble a saddle on a horse's back. •These joints permit flexion, extension, abduction, adduction, and rotation. •E.g. carpometacarpal joint of the thumb, sternoclavicular joint
  • 52. Ball and socket joints: •In ball-and-socket joints, a ball-shaped head of one bone fits into a socket like concavity of another. •This arrangement permits free movements, including flexion, extension, abduction, adduction, medial rotation, lateral rotation, and circumduction. • E.g. shoulder and hip joints
  • 53. Stability of Joints The stability of a joint depends on three main factors: •the shape, •size, •arrangement of the articular surfaces; •the ligaments; •and the tone of the muscles around the joint.
  • 54. MECHANISM OF LUBRICATION OF SYNOVIAL JOINT •Synovial fluid •Hyaline cartilage •Harvesian fatty pads •Bursa
  • 55. Nerve Supply of Joints •The capsule and ligaments receive an abundant sensory nerve supply. •A sensory nerve supplying a joint also supplies the muscles moving the joint and the skin overlying the insertions of these muscles, a fact that has been codified as Hilton's law.
  • 56. Classification of Synovial Joints (According to the number of bones) •SIMPLE JOINT Interphalangeal joint •COMPOUND JOINT elbow ,wrist •COMPLEX JOINT temporomandibular joint
  • 57.
  • 58.
  • 59. Cartilage Tendons Ligaments Tough Attaches bone to muscle Attaches bone to bone Flexible Sturdy Elastic At end of bone Non elastic Stabilise Cushions Size changes depending on muscle Made of many fibres Anchor Strong
  • 60. Types of Joint Movement • There are six different kinds of movement the joints can allow • These are: – Extension – Flexion – Abduction – Adduction – Circumduction – Rotation
  • 61. Extension: straightening or extending a limb. (Opening a Joint) Flexion: Bending or flexing a limb. (Closing a joint) Abduction: Moving a limb away from the centre line of the body.
  • 62. Rotation: This is a turning or rotational movement of a limb or body part. Circumduction: The ability of a limb to be moved in circles. Adduction: moving a limb towards the centre line of the body
  • 63. Plantarflexion (or plantar flexion) Is the movement which increases the approximate 90 degree angle between the front part of the foot and the shin, as when pressing down on a car pedal Dorsiflexion is the movement which decreases the angle between the dorsum (superior surface) of the foot and the leg, so that the toes are brought closer to the shin. The movement moving in opposite directions is called plantarflexion. Put more simply: it applies to the upward movement of the foot at the ankle joint
  • 64. Pronation – A rotation of the forearm that moves the palm from an anterior-facing position to a posterior-facing position, or palm facing down. This is not medial rotation as this must be performed when the arm is half flexed Supination – The opposite of pronation, the rotation of the forearm so that the palm faces anteriorly, or palm facing up. The hand is supine (facing anteriorly) in the anatomical position
  • 65. Hyperextension - Movement at a joint to a position beyond the joint's normal maximum extension
  • 66. The knee (HINGE JOINT) is used when flexing (bending) and extending (straightening) the leg to kick a football