Intro to joints anatomy presenter Dr Dildar Hussain

Joints anatomy

1. Introduction to Joints and
Anatomy
Dr. Dildar Hussain,PGT
Department of Orthopedics,
Assam Medical College and Hospital

2. Introduction
•Arthrology: Study of joints
•Synonyms: Articulation (Latin)
Arthron (Greek)
•Joint: a junction between two or more bones
or cartilages.
•A device to permit movements

3. Classification of joints
Joints are classified according to structure and function-
(A) Functional (based on degree of mobility):
1.Synarthroses: immovable joints (cranial sutures in
adults, primary cartilaginous joints in
growing children).
2.Amphiarthroses: slightly movable joints (joints
between adjacent laminae of vertebrae).

3.Diarthroses: freely movable joints (synovial joints).

4. Functional classification (cont….)
Synarthroses Amphiarthroses Diarthroses

5. (B) Structural classification
Based on type of connecting tissue and presence or absence of
joint cavity:
1.
  Fibrous
: composed of intervening fibrous tissue with no joint
cavity. Immovable or slightly movable.
2.
  Cartilaginous
: articulating bones are united by cartilage
(hyaline or fibrocartilage) with no joint cavity.
3.
  Synovial
: articulating bones are separated by a fluid-filled joint
cavity.

6. Structural classification (cont….)
Fibrous Cartilaginous
Synovial

7. Fibrous joints
1. Sutures: articular surfaces are connected by a thin layer of
connective tissue. They are confined to the skull and
are immovable.
2. Syndesmoses: bones are connected by a considerably greater
amount of connective tissue than in sutures in
the form of interosseous ligaments and
membranes. Slight movement is permitted.
e.g. interosseous
 tibiofibular joints,
interroseous radioulnar joints.
3. Gomphoses (peg and socket joint): articulation of teeth in
alveolar sockets of mandible and maxilla by
periodontal ligament.
 

8. Fibrous joints (cont….)
Sutures Syndesmoses Gomphoses

9. Sutures
•Plane
•Serrate
•Denticulate
•Squamous
•Schindylesis

10. Cartilaginous joints
1.Primary (Synchondroses)

2.Secondary (Symphyses)

11. Synovial joints
•Most evolved and freely movable joints
•Have a joint cavity filled with synovial fluid
•Often termed as diarthrodial joints
•Components:
1.
  Fibrous capsule
2.
  Synovial membrane
3.
  Ligaments
4.
  Articular cartilage
5. Articular disc or meniscus
6. Bursae
7. Fat pads (Haversian glands)

12. Classification of Synovial joints
(A) According to shape of articular surfaces:
1. Plane
2. Hinge
3. Pivot
4. Condylar
5. Ellipsoid
6. Saddle
7. Ball and socket

13. Plane joints
•Articular surfaces are
nearly flat.
•Allow gliding
movements.
•e.g. intercarpal and
intertarsal joints.

14. Hinge joints (Ginglymus)
•Articular surfaces are
pulley shaped.
•Movements are
permitted only in one
plane (transverse axis).
•Most common
joints.
•e.g. elbow, knee, ankle
and interphalangeal
joints.

15. Pivot joints (Trochoid joints)
•Rounded end of one bone
fits into
the concavity of another
bone.
•The rounded
part is surrounded by a
ligament.
• Limited rotation
around a central axis.
• e.g. superior radio-ulnar and
median atlanto-axial joints.

16. Condylar joints
•Round articular surface
of one bone fits into a
socket-type articular
surface of another bone.

•Permit movements in
two directions.
• e.g. knee and temporo-
mandibular joints.

17. Ellipsoid joints
•Elliptical convex surface of
one bone articulates with
elliptical concave surface
of another.
•Permit movements in two
directions.
•Combination of
movements cause
circumduction.
•e.g. wrist and atlanto-
occipital joints.

18. Saddle (sellar) joints
•Articular surfaces are
reciprocally saddle
shaped i.e.
concavo-convex.
•Allows a
wide range of
movement.
•e.g. first
carpo-metacarpal,
sterno-clavicular,
incudo-
malleolar joints.

19. Ball and socket (spheroidal) joints
•Rounded convex surface
of one bone fits into the
cup-like socket of another
bone.
•Permits greatest range
of
movements.
•e.g. shoulder, hip and
incudo-
stapedial joints.

20. (B) According to plane of movements
•Uniaxial: Hinge and Pivot
•Biaxial: Condylar, ellipsoid, saddle
•Multiaxial: Ball and socket
Uniaxial Biaxial
Multiaxial

21. (C) According to number of articulating bones
•Simple (2 bones)
•Compound (more than 2 bones)

22. Movements of synovial joints
 
 
1. Gliding (slipping)
2.
 Angular: flexion, extension, abduction, adduction
3. Rotary (circular): rotation (supination, pronation),
circumduction
 
    

23. Special movements:
1.
   Inversion: movement of the foot medially
2.
   Eversion: movement of the foot laterally
3.
   Protraction: movement of the mandible
forward
4.
   Retraction: movement of the protracted part back
to its starting position
5.
   Elevation: lifting a body part superiorly
6.
   Depression: moving the elevated part inferiorly
7.
   Opposition: touching the thumb to the tips of
other fingers

24. REFERENCES
1. Cunningham’s Manual of Practical Anatomy, Vol.1.
2. Grant’s Method of Anatomy, 11
th
Edition.
3. Vishram Singh. General Anatomy, 1
st
Edition.

25. MCQs
1. All of the following are examples of the
fibrous joint except:
a) Suture
b) Syndesmosis
c) Symphysis
d) Gomphosis

26. MCQs
2. All of the following are examples of the
synovial joint except:
a) Pivot
b) Saddle
c) Syndesmosis
d)Ellipsoid

27. MCQs
3. Subtype gomphosis is classified under:
a) Biaxial synovial joint
b) Symphysis
c) Fibrous joint
d) Synchondrosis

28. MCQs
4. All of the following are characteristic features
of a synovial joint except:
a)Articular surfaces are covered by a articular
cartilage
b) Have a joint cavity filled with synovial fluid
c)Mostly are freely movable joints
d) Articular cartilage are covered by synovial
membrane

29. MCQs
5. All of the following secondary cartilaginous
joints belong to axial skeleton except:
a)Manubriosternal joint
b) Intervertebral discs
c) Symphysis pubis
d) Symphysis menti