classification and structure of joints

Cards (17)

  • what is a joint?
    • also called articulations
    • 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
    1. synarthroses
    2. amphiarthrosis
    3. 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:
    1. syndesmosis - the articulating bones are connected by a ligament e.g. distal articulation between the tibia and fibula
    2. 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
    1. ball and socket – e.g. hip joint, shoulder joint
    2. hinge - permits movement in one plane, usually flection and extension e.g. knee joint
    3. ellipsoid/condyloid - contains a convex surface which articulates with a concave elliptical cavity e.g. metatarsophalangeal joint 
    4. saddle - opposing articular surfaces with a reciprocal concave-convex shape e.g. carpometacarpal joints
    5. pivot - allows for rotation only e.g. distal radioulnar joints
    6. 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:
    1. fibrous joints 
    2. cartilaginous joints 
    3. 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