A point of contact between: two or more bones, cartilage and bone, teeth and bone
Arthrology
The scientific study of joints
Structural classification of joints
Fibrous
Cartilaginous
Synovial
Functional classification of joints
Synarthroses (immovable)
Amphiarthroses (partially movable)
Diarthroses (freelymovable)
Fibrous joints
Lack a synovial cavity
Articulating bones are held together with dense irregular fibrous connective tissue
Permit little or nomovement
Types of fibrous joints
Sutures
Syndesmoses
Interosseous membranes
Suture
A fibrous joint composed of a thin layer of dense fibrous connective tissue that unites skull bones
Synostosis
A suture joint that has ossified
Syndesmosis
A fibrous joint in which there is morefibrous connective tissue than in a suture
Gomphosis (dentoalveolar)
A fibrous joint in which a cone-shaped peg fits into a socket, e.g. the root of a tooth in its socket
Cartilaginous joints
Lack a synovial cavity
Articulating bones are held together with cartilage connective tissue (fibrocartilage or hyaline cartilage)
Permit little or nomovement
Types of cartilaginousjoints
Synchondroses
Symphyses
Synchondrosis
A cartilaginous joint in which the connecting material is hyaline cartilage, e.g. epiphysial growth plate
Symphysis
A cartilaginous joint in which the connecting material is a disc of fibrocartilage, e.g. intervertebral discs and pubic symphysis
Synovial joints
Have a synovial cavity
Articulatingbones are covered with articular cartilage
Heldtogether by ligaments
Containsynovial fluid
Have a nerve and blood supply
Permitalargerange of motion
Surroundedby an articular capsule
Synovial fluid
Secreted by the synovial membrane, lubricates and reduces friction in the joint and supplies nutrients to and removes metabolic wastes from the joint
When disease or injuryleadstoabuildupofsynovial fluid, the fluid may be aspirated and medications may be injected into the cavity
Torn cartilage, occurring frequently in the knees of athletes, is damage to the articular discs that lie between the ends of some bones. Removal, to prevent erosion and arthritis, is usually accomplished by arthroscopy
Autologous Chondrocyte Implantation
A technique for cartilage replacement where chondrocytes are removed from the patient, grown in culture, and then placed in the damaged joint
Sprain
The forcible wrenching or twisting of a joint that stretches or tears its ligaments but doesnot dislocate the bone
Strain
A stretched or partially torn muscle
Bursae
Sac-like structures filled with synovial fluid that cushion movement of one body part over another
Tendonsheaths
Tube-like bursae that wrap around tendons subject to a great deal of friction
Gliding movements
Occur when relativelyflat bone surfacesmoveback and forth and fromside to side with respect to one another, with nosignificant alteration of the angle between the bones
Angular movements
Involve an increase or decrease in the angle between articulating bones
Flexion
Results in a decrease in the angle between articulating bones
Extension
Results in an increase in the angle between articulating bones
Lateral flexion
Involves the movement of the trunk sideways to the right or left at the waist, in the frontal plane
Hyperextension
A continuation of extension beyond the anatomical position, usually prevented by ligaments and bone alignment
Abduction
Movement of a bone away from the midline
Adduction
Movement of a bone toward the midline
Rotation
Abonerevolving around its own longitudinal axis, permitted by pivot and ball-and-socket joints
Medial rotation
The anteriorsurface of a limb bone is turned toward the midline
Lateral rotation
The anterior surface of a limb bone is turned away from the midline
Circumduction
Movement of the distal end of a part of the body in a circle, resulting from a continuous sequence of flexion, abduction, extension, and adduction