JOINTS
Dr. SOMESH M.S.
MBBS, MD
Associate Professor
OVERVIEW
Joints -definition
Classification -Structural &Functional
Different Varieties of Joints with Examples
Synovial Joint -Classification with Examples
Synovial Joint -Blood supply & Nerve supply
Applied Aspects / Clinical Anatomy
JOINTS
Definition:
Junction between 2 or
more bones or
cartilages, a device to
permit movement
Related terms:
Arthron(G),
Articulation(L),
Junctura(L),
Syndesmology(G)
STRUCTURAL CLASSIFICATION
Presence of Space & Type of Connective tissue that
binds two bones:
1. FIBROUS JOINTS(solid joints) –Fibrous Tissue binds
two bones
2. Cartilaginous Joints(solid joints) -Pad of cartilage
between two bones
3. Synovial Joints (Cavitatedjoints) –synovial fluid with
Synovial cavity
FIBROUS JOINTS
SUTURES
A . Serrate -Sagittal
B. Denticulate –
Lambdoid
C. Squamous –Parietal
&Temporal
D . Plane –Maxillae
E . Wedge & Groove
(schindylesis)
SYNDESMOSIS
Two Bones are united by-
INTEROSSEOUS
LIGAMENT ( Collagen
fibres)
Persist throughout life
Partially Movable
Eg: Beween radius & ulna
Inferior tibio-fibular joint
GOMPHOSIS
PEG & SOCKET JOINT
Roots of tooth fits into
Socket (alveolar) of jaw
United by Fibrous
membrane
CARTILAGINOUS JOINTS
PRIMARY CARTILAGINOUS
(Synchondrosis)
Plate of hyaline cartilage
Strong & Immovable &Temporary
Eg: Epiphysis& Diaphysis
Body of sphenoid* basilar of occipital
SECONDARY CARTILAGINOUS
(Symphysis)
Disc of Fibrocartilage
Slightly Movable & Permanent
Median Plane of body
Eg: Intervertebral jts.,
Pubic Symphysis, ManubriosternalJt.
General Structure of Synovial Joints
1.Articular cartilage
Hyaline
Spongy cushions absorb
compression
Protects ends of bones from
being crushed
2.Joint (synovial) cavity
Potential space
Small amount of synovial fluid
General structure of synovial joints (cont.)
3. Articular (or joint) capsule
Two layers
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
notcovered by cartilage*
*
*
*
General structure of synovial joints (cont.)
4. Synovial fluid
Filtrate of blood
Contains special glycoproteins
Nourishes cartilage and
functions as slippery lubricant
“Weeping” lubricatioin
5. Reinforcing ligaments (some
joints)
Capsular (most) –thickened
parts of capsule
Extracapsular
Intracapsular
DIARTHROSIS (SYNOVIAL JOINTS)
UNIAXIAL-only 1°freedom
1.Hingejoint-flexion & extension
2.–Transverse Axis
Eg: ELBOW JT. , Ankle Jt.
2. Pivotjoint-rotation -
Vertical Axis
Eg: ATLANTO-AXIAL JT.,
Superior Radio-Ulnar Jt.
BIAXIAL -2°freedom, Two Axis
CondylarJt-TransverseAxis & Rotation–
Flexion & Extension, Side-side & limited rotation
Eg: Knee Jt, MetacarpoPhalangeal Jt.
TemporoMandibularjt.
EllipsoidJt-Convex Elliptical -Concave Elliptical
TransverseAxis & Antero-Posterior Axis
Flexion, extension, abduction & adduction
Little rotation
Eg: Wrist Jt. ( RadiocarpalJt.)
MULTIAXIAL -3°freedom, Three Axis
SADDLE Jt-Reciprocally Concavo –Convex
TransverseAxis & Antero-Posterior Axis & rotation
flexion, extension, rotation
abduction, adduction,
Eg: 1
st
Carpometacarpal jt
BALL & SOCKET Jt-
Above + circumduction
Eg: Hip Jt, Shoulder Jt.
PLANE SYNOVIAL JOINT
PLANE Jt-
gliding movement,
One bone slips over
other bone
Intercarpal
Intertarsal
acromioclavicular
CLASSIFICATION
other type
SIMPLE -only 2bones -eg: Interphalangeal jt
COMPOUND -More than 2 bones, but single capsule -
eg: Ankle jt
COMPLEX -More than 2 bones & divided into 2
compartments by articular disc eg: Knee Jt
Blood Supply:
Articular &Epiphyseal br. From neighboring A form
Periarticular Arterial Plexus
Br. From these –pierce fibrous capsule –Vascular plexus –
Supplies Synovial Membrane, Epiphysis
Articular CARILAGE IS AVASCULAR
Nerve Supply:
Capsule&Ligaments –Rich Nerve supply–Pain Sensitive
Synovial Membrane & Articular Cartilage –Poor nerve
Supply
Hilton’s Law: Nerve that supplies the jt. Also supplies to
Muscles producing its movements & also to skin over the jt.