points of contact between bones and cartilage and bones, and teeth and bones of the body which link the skeletal system into a functional whole
bones are rigid and therefore movement can only occur at joints
the structure of a joint determines the type of movements that may occur
some joints e.g., sutures of the skull – do not allow for much movement, instead, they form sutures that protect the organ e.g., the brain
arthrology
study of joints
kinesiology
study of motion of the body
cartilage
a resilient, strong connective tissue that is less hard and more flexible than bone
ligament
a tough band of connective tissue that attaches bone to bone
tendon
a tough band of connective tissue that attaches muscles to bones
functional classification of joints
refers to the degree of motion a joint permits
synarthroses
amphiarthrosis
diarthroses (synovial)
synarthroses (no movement)
the bones are close together and may even overlock
extremely strong joints - located where movement between bones must be prevented
amphiarthrosis (little movement)
permits more movement than a synarthrosis but is much stronger than a freely movable joint. the articulating bones are connected by collagen fibers or cartilage (cartilaginous joints), 2 types:
syndesmosis - the articulating bones are connected by a ligament e.g. distal articulation between the tibia and fibula
symphysis - the articulating bones are separated by a wedge or pad of fibrocartilage e.g. connection between the two pubic bones (the punic symphysis)
diarthrosis (free movement)
also known as synovial joints, they permit a wider range of motion, typically located at the end of long bones
structure of a synovial joint (knee)
joint cavity/ joint space
joint (articular) capsule
fibrous capsule
synovial membrane - lines the articular cavity
synovial fluid - nourishes and lubricates the articular cartilage, shock absorber to distribute compressive forces
articular hyaline cartilage - reduce friction during movement of the joint
may contain intra-articular structures such as menisci (knee), articular disc (TMJ) and articular labrum (shoulder)
classification of a synovial joint
ball and socket – e.g. hip joint, shoulder joint
hinge - permits movement in one plane, usually flection and extension e.g. knee joint
ellipsoid/condyloid - contains a convex surface which articulates with a concave elliptical cavity e.g. metatarsophalangeal joint
saddle - opposing articular surfaces with a reciprocal concave-convex shape e.g. carpometacarpal joints
pivot - allows for rotation only e.g. distal radioulnar joints
plane - the articular surfaces are relatively flat, allowing bones to glide over one another e.g. subtalar joint
structural classification of joints
this refers to the type of connective tissue that binds the joint together and whether there is a synovial cavity between the joints or not
structurally, joints are classified as:
fibrous joints
cartilaginous joints
synovial joints
fibrous joints
in fibrous joints, bone ends are held together by fibrous or collagenous connective tissues without synovial cavity between them
these are strong joints that inhibit movement
in general, these are synarthroses
cartilaginous joints
bone ends are held together by cartilage, and they do not have synovial cavity between them
these are strong joints with minimal movements only
most cartilaginous joints are amphiarthrotic, but some are also synarthrotic
synovial joints
bone ends separated by synovial cavity which allows for great deal of movement
all synovial joints are diarthrotic
synovial joints predominate the limbs
it has synovial cavity, articular cartilage, synovial capsule or articular capsule and reinforcing ligaments; same has articular discs, menisci, and bursae
accessory structures
fat pad – commonly superficial to the joint capsule, protect the articular cartilages.
ligaments:
accessory ligament are localised thickenings of the capsule.
extracapsular ligaments interconnect the articulating bones and pass across the outside of the capsule.
intracapsular ligaments help to prevent excessive movement that might damage the joint.
tendons – may limit the range of motion and provide mechanical support.
fascia – help to maintain shape and position of muscles and allow adjacent muscles to move past each other