Joints 9-1 Classification of Joints ▪ Synarthrosis 1

Total Page:16

File Type:pdf, Size:1020Kb

Joints 9-1 Classification of Joints ▪ Synarthrosis 1 Lab 10: Joints 9-1 Classification of Joints ▪ Synarthrosis 1. Suture - Found only between bones of skull • Edges of bones interlock • Bound by dense fibrous connective tissue 2. Gomphosis - Binds teeth to bony sockets • Fibrous connection (periodontal ligament) 3. Synchondrosis - Rigid cartilaginous bridge between two bones • Found between vertebrosternal ribs and sternum • Also, epiphyseal cartilage of growing long bones 4. Synostosis - Created when two bones fuse • Example: metopic suture of frontal bone • And epiphyseal lines of mature long bones 2 9-1 Classification of Joints ▪ Amphiarthrosis • More movable than a synarthrosis • Stronger than a diarthrosis • May be fibrous or cartilaginous • Two types of amphiarthroses 1. Syndesmosis—bones connected by a ligament 2. Symphysis—bones connected by fibrocartilage 3 9-2 Synovial Joints ▪ Synovial joints (diarthroses) • Freely movable joints • At ends of long bones • Surrounded by joint capsule (articular capsule) • Contains synovial membrane • Synovial fluid from synovial membrane • Fills joint cavity • Articular cartilage covers articulating surfaces • Prevents direct contact between bones 4 Medullary cavity Spongy bone Periosteum Components of Synovial Joints Fibrous joint capsule Synovial membrane Articular cartilages Joint cavity (contains synovial fluid) Ligament Metaphysis Compact bone a Synovial joint, sagittal section 5 Quadriceps tendon Patella Accessory Structures Joint capsule Femur of a Knee Joint Synovial Bursa membrane Joint cavity Fat pad Articular Meniscus cartilage Ligaments Tibia Extracapsular ligament (patellar) Intracapsular ligament (cruciate) b Knee joint, sagittal section 6 9-3 Movements at Synovial Joints Axes of Motion ▪ Movements are described in terms that reflect the Movement of joints can also be described by the number of axes that they can rotate around. A joint • Plane or direction of that permits movement around one axis is called movement monaxial, a joint that permits movement around two axes is called biaxial, and one that permits • Relationship between movement around three axes, is called triaxial. structures Superior–inferior axis ▪ Planes of movement • Monaxial—1 plane (e.g., Lateral–medial axis elbow) • Biaxial—2 planes (e.g., Anterior–posterior axis wrist) • Triaxial—3 planes (e.g., shoulder) 7 9-3 Movements at Synovial Joints ▪ Plane joint (gliding joint) • Flattened or slightly curved surfaces • Limited motion (nonaxial) Plane joint Plane joints, or gliding Movement: Examples: joints, have flattened or Gliding. • Acromioclavicular and slightly curved surfaces Slight claviculosternal joints that slide across one nonaxial • Intercarpal joints another, but the amount of Manubrium • Vertebrocostal joints movement is very slight. • Sacro-iliac joints ▪ Hinge joint – Angular motion in a single plane (monaxial) Hinge joint Hinge joints permit angular Movement: Humerus Examples: motion in a single plane, Angular. • Elbow joint like the opening and Monaxial • Knee joint closing of a door. Ulna • Ankle joint • Interphalangeal joint 8 9-3 Movements at Synovial Joints ▪ Condylar joint – Oval articular face within a depression – Motion in two planes (biaxial) Condylar joint Movement: Examples: Condylar joints, or ellipsoid Angular. • Radiocarpal joint joints, have an oval articular face Biaxial Scaphoid • Metacarpophalangeal nestled within a depression on bone joints 2–5 the opposing surface. • Metatarsophalangeal Radius Ulna joints ▪ Saddle joint – Articular faces fit together like a rider in a saddle – Biaxial Saddle joint Saddle joints have complex Movement: Metacarpal Examples: articular faces and fit together Angular. III II bone of • First carpometacarpal like a rider in a saddle. Each Biaxial thumb joint face is concave along one axis and convex along the other. Trapezium 9 9-3 Movements at Synovial Joints ▪ Pivot joint • Rotation only • Monaxial Pivot joint Movement: Examples: Rotation. • Atlanto-axial joint Pivot joints only Atlas Monaxial • Proximal radio-ulnar permit rotation. joint Axis ▪ Ball-and-socket joint – Round head in a cup-shaped depression – Triaxial Ball-and-socket joint Movement: Examples: Angular, In a ball-and-socket • Shoulder joint circumduction, Scapula joint, the round head • Hip joint and rotation. of one bone rests within Triaxial a cup-shaped depression Humerus in another. 10 Figure 9–8a The Right Knee Joint. Quadriceps tendon Ligaments that Stabilize Patella the Knee Joint Patellar retinaculae Tibial collateral ligament Fibular collateral Patellar ligament ligament Fibula Tibia a Anterior view, superficial layer 11 Figure 9–8b The Right Knee Joint. Patellar surface Ligaments that Stabilize the Knee Joint Posterior cruciate ligament Lateral Medial Anterior cruciate condyle condyle ligament Tibial collateral ligament Menisci Medial Fibular collateral ligament Tibia Cut tendon of Lateral biceps femoris muscle Fibula b Deep anterior view, flexed 12 Figure 9–8c The Right Knee Joint. Plantaris muscle Gastrocnemius Femur muscle, Gastrocnemius muscle, medial head lateral head Ligaments that Stabilize the Knee Joint Bursa Tibial collateral Joint ligament capsule Fibular collateral ligament Popliteal ligaments Cut tendon of Popliteus biceps femoris muscle Tibia muscle Fibula c Posterior view, superficial layer 13 Figure 9–8d The Right Knee Joint. Femur Ligaments that Stabilize the Knee Joint Anterior cruciate Fibular ligament collateral ligament Posterior cruciate ligament Medial Lateral Menisci condyle condyle Lateral Medial Cut tendon Tibia Fibula d Deep posterior view, extended 14 Figure 9–3a Angular Movements and Circumduction. Extension Flexion Hyperextension Flexion Flexion Hyper- extension Extension Extension Flexion Hyperextension Extension a Flexion/extension 15 Figure 9–3b Angular Movements and Circumduction. Abduction Abduction Adduction Adduction Abduction Abduction Adduction Adduction b Abduction/adduction relative to the midline of the body 16 Figure 9–3c Angular Movements and Circumduction. Adduction Abduction c Adduction/abduction relative to central digit 17 Figure 9–4a Rotational Movements. Head rotation Right Left rotation rotation Atlanto-axial joint Lateral (external) Medial rotation (internal) rotation a Rotation 18 Figure 9–4b Rotational Movements. Supination Pronation b Supination/pronation Supination Pronation 19 Figure 9–5a Special Movements. a Eversion Inversion 20 Figure 9–5b Special Movements. Dorsiflexion (flexion at ankle) Plantar flexion (extension at ankle) b 21 Figure 9–5c Special Movements. – Opposition • Movement of thumb toward palm or other fingers – Reposition • Opposite of opposition c Opposition – Protraction • Anterior movement in horizontal plane (forward) – Retraction • Opposite of protraction (pulling back) d Retraction Protraction 22 9-3 Movements at Synovial Joints ▪ Special movements – Depression • Moving a structure inferiorly (down) – Elevation • Moving a structure superiorly (up) e Depression Elevation 23 © 2018 Pearson Education, Inc. Figure 9–5f Special Movements. – Lateral flexion • Bending vertebral column to the side f Lateral flexion 24.
Recommended publications
  • Synovial Joints Permit Movements of the Skeleton
    8 Joints Lecture Presentation by Lori Garrett © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes 8.1 Contrast the major categories of joints, and explain the relationship between structure and function for each category. 8.2 Describe the basic structure of a synovial joint, and describe common accessory structures and their functions. 8.3 Describe how the anatomical and functional properties of synovial joints permit movements of the skeleton. © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes (continued) 8.4 Describe flexion/extension, abduction/ adduction, and circumduction movements of the skeleton. 8.5 Describe rotational and special movements of the skeleton. © 2018 Pearson Education, Inc. Module 8.1: Joints are classified according to structure and movement Joints, or articulations . Locations where two or more bones meet . Only points at which movements of bones can occur • Joints allow mobility while preserving bone strength • Amount of movement allowed is determined by anatomical structure . Categorized • Functionally by amount of motion allowed, or range of motion (ROM) • Structurally by anatomical organization © 2018 Pearson Education, Inc. Module 8.1: Joint classification Functional classification of joints . Synarthrosis (syn-, together + arthrosis, joint) • No movement allowed • Extremely strong . Amphiarthrosis (amphi-, on both sides) • Little movement allowed (more than synarthrosis) • Much stronger than diarthrosis • Articulating bones connected by collagen fibers or cartilage . Diarthrosis (dia-, through) • Freely movable © 2018 Pearson Education, Inc. Module 8.1: Joint classification Structural classification of joints . Fibrous • Suture (sutura, a sewing together) – Synarthrotic joint connected by dense fibrous connective tissue – Located between bones of the skull • Gomphosis (gomphos, bolt) – Synarthrotic joint binding teeth to bony sockets in maxillae and mandible © 2018 Pearson Education, Inc.
    [Show full text]
  • Module 6 : Anatomy of the Joints
    Module 6 : Anatomy of the Joints In this module you will learn: About the classification of joints What synovial joints are and how they work Where the hinge joints are located and their functions Examples of gliding joints and how they work About the saddle joint and its function 6.1 Introduction The body has a need for strength and movement, which is why we are rigid. If our bodies were not made this way, then movement would be impossible. We are designed to grow with bones, tendons, ligaments, and joints that all play a part in natural movements known as articulations – these strong connections join up bones, teeth, and cartilage. Each joint in our body makes these links possible and each joint performs a specific job – many of them differ in shape and structure, but all control a range of motion between the body parts that they connect. 6.2 Classifying Joints Joints that do not allow movement are known as synarthrosis joints. Examples of synarthroses are sutures of the skull, and the gomphoses which connect our teeth to the skull. Amphiarthrosis joints allow a small range of movement, an example of this is your intervertebral discs attached to the spine. Another example is the pubic symphysis in your hip region. The freely moving joints are classified as diarthrosis joints. These have a higher range of motion than any other type of joint, they include knees, elbows, shoulders, and wrists. Joints can also be classified depending on the kind of material each one is structurally made up of. A fibrous joint is made up of tough collagen fiber, examples of this are previously mentioned sutures of the skull or the syndesmosis joint, which holds the ulna and radius of your forearm in place.
    [Show full text]
  • Joints Classification of Joints
    Joints Classification of Joints . Functional classification (Focuses on amount of movement) . Synarthroses (immovable joints) . Amphiarthroses (slightly movable joints) . Diarthroses (freely movable joints) . Structural classification (Based on the material binding them and presence or absence of a joint cavity) . Fibrous mostly synarthroses . Cartilagenous mostly amphiarthroses . Synovial diarthroses Table of Joint Types Functional across Synarthroses Amphiarthroses Diarthroses (immovable joints) (some movement) (freely movable) Structural down Bony Fusion Synostosis (frontal=metopic suture; epiphyseal lines) Fibrous Suture (skull only) Syndesmoses Syndesmoses -fibrous tissue is -ligaments only -ligament longer continuous with between bones; here, (example: radioulnar periosteum short so some but not interosseous a lot of movement membrane) (example: tib-fib Gomphoses (teeth) ligament) -ligament is periodontal ligament Cartilagenous Synchondroses Sympheses (bone united by -hyaline cartilage -fibrocartilage cartilage only) (examples: (examples: between manubrium-C1, discs, pubic epiphyseal plates) symphesis Synovial Are all diarthrotic Fibrous joints . Bones connected by fibrous tissue: dense regular connective tissue . No joint cavity . Slightly immovable or not at all . Types . Sutures . Syndesmoses . Gomphoses Sutures . Only between bones of skull . Fibrous tissue continuous with periosteum . Ossify and fuse in middle age: now technically called “synostoses”= bony junctions Syndesmoses . In Greek: “ligament” . Bones connected by ligaments only . Amount of movement depends on length of the fibers: longer than in sutures Gomphoses . Is a “peg-in-socket” . Only example is tooth with its socket . Ligament is a short periodontal ligament Cartilagenous joints . Articulating bones united by cartilage . Lack a joint cavity . Not highly movable . Two types . Synchondroses (singular: synchondrosis) . Sympheses (singular: symphesis) Synchondroses . Literally: “junction of cartilage” . Hyaline cartilage unites the bones . Immovable (synarthroses) .
    [Show full text]
  • NOTES: Joints and Types of Movements, Continued (Ch 7, Part 4)
    NOTES: Joints and Types of Movements, continued (Ch 5, part 4) *Joints are functional junctions between bones. TYPES OF JOINTS **Joints can be classified according to the type of tissue that binds the bones together.** FIBROUS JOINTS: • bones at fibrous joints are tightly joined by a layer of dense connective tissue. • little or no movement occurs at a fibrous joint • Example: the sutures between the flat bones of the skull CARTILAGINOUS JOINTS: • a layer of hyaline cartilage, or fibrocartilage, joins bones of cartilaginous joints • allow limited movement • Example: the joints that separate the vertebrae SYNOVIAL JOINTS: • most joints in the body are synovial joints • allow free movement • bones at synovial joints are covered with hyaline cartilage (“articular cartilage”) and held together by a fibrous JOINT CAPSULE. SYNOVIAL JOINTS: • the joint capsule consists of an outer layer of ligaments and an inner lining of synovial membrane (which secretes synovial fluid to lubricate the joint). • some synovial joints have flattened, shock- absorbing pads of fibrocartilage called MENISCI between the articulating surfaces of the bones SYNOVIAL JOINTS: • some synovial joints may also have BURSAE, which are fluid-filled sacs located between the skin and the underlying bony prominences. • Example: at the knee joint, the patella is sandwiched between 2 bursae. TYPES OF SYNOVIAL JOINTS: • Ball-and-socket - round head of one bone rests within a cup-shaped depression of another - all angular and rotational movements, including circumduction can be performed by this joint TYPES OF SYNOVIAL JOINTS: • Gliding (planar) – Have flattened or slightly curved faces – Flat articular surfaces slide across one another – Amount of movements is slightly TYPES OF SYNOVIAL JOINTS: • Condylar (ellipsoid) – Oval articular face nests within a depression in opposing surface – Angular movements occur in 2 planes: along or across length of oval TYPES OF SYNOVIAL JOINTS: • Hinge – Permits angular motion in single plane (e.g.
    [Show full text]
  • 1. Synarthrosis - Immovable
    jAnatomy Lecture Notes Chapter 9 I. classification A. by function - 1. synarthrosis - immovable 2. amphiarthrosis - slightly movable 3. diarthrosis - freely movable B. by structure - material attaching bones together 1. fibrous -.dense c.t., no joint cavity a. suture - very thin, short fibers synostosis - ossification of fibrous c.t. in a suture joint b. syndesmosis - ligament (the longer the fibers the more movement is possible) c. gomphosis - periodontal ligament holds teeth in alveoli 2. cartilaginous - cartilage, no joint cavity a. synchondrosis - hyaline cartilage b. symphysis - fibrocartilage 3. synovial - joint capsule and ligaments II. structure of a synovial joint A. bone and articular cartilage (hyaline) • articular cartilage cushions bone ends by absorbing compression stress Strong/Fall 2008 page 1 jAnatomy Lecture Notes Chapter 9 B. articular capsule 1. fibrous capsule - dense irregular c.t.; holds bones together 2. synovial membrane - areolar c.t. with some simple squamous e.; makes synovial fluid C. joint cavity and synovial fluid 1. synovial fluid consists of: • fluid that is filtered from capillaries in the synovial membrane • glycoprotein molecules that are made by fibroblasts in the synovial membrane 2. fluid lubricates surface of bones inside joint capsule D. ligaments - made of dense fibrous c.t.; strengthen joint • capsular • extracapsular • intracapsular E. articular disc / meniscus - made of fibrocartilage; improves fit between articulating bones F. bursae - membrane sac enclosing synovial fluid found around some joints; cushion ligaments, muscles, tendons, skin, bones G. tendon sheath - elongated bursa that wraps around a tendon Strong/Fall 2008 page 2 jAnatomy Lecture Notes Chapter 9 III. movements at joints flexion extension abduction adduction circumduction rotation inversion eversion protraction retraction supination pronation elevation depression opposition dorsiflexion plantar flexion gliding Strong/Fall 2008 page 3 jAnatomy Lecture Notes Chapter 9 IV.
    [Show full text]
  • Medial Meniscus Anatomy
    Quantitative and Qualitative Assessment of the Posterior Medial Meniscus Anatomy Defining Meniscal Ramp Lesions Nicholas N. DePhillipo,*y MS, ATC, OTC, Gilbert Moatshe,yz§ MD, PhD, Jorge Chahla,z MD, PhD, Zach S. Aman,z BA, Hunter W. Storaci,z MSc, Elizabeth R. Morris,z BA, Colin M. Robbins,z BA, Lars Engebretsen,§ MD, PhD, and Robert F. LaPrade,*k MD, PhD Investigation performed at Steadman Philippon Research Institute, Vail, Colorado, USA Background: Meniscal ramp lesions have been defined as a tear of the peripheral attachment of the posterior horn of the medial meniscus (PHMM) at the meniscocapsular junction or an injury to the meniscotibial attachment. Precise anatomic descriptions of these structures are limited in the current literature. Purpose: To quantitatively and qualitatively describe the PHMM and posteromedial capsule anatomy pertaining to the location of a meniscal ramp lesion with reference to surgically relevant landmarks. Study Design: Descriptive laboratory study. Methods: Fourteen male nonpaired fresh-frozen cadavers were used. The locations of the posteromedial meniscocapsular and meniscotibial attachments were identified. Measurements to surgically relevant landmarks were performed with a coordinate measuring system. To further analyze the posteromedial meniscocapsular and meniscotibial attachments, hematoxylin and eosin and alcian blue staining were conducted on a separate sample of 10 nonpaired specimens. Results: The posterior meniscocapsular attachment had a mean 6 SD length of 20.2 6 6.0 mm and attached posteroinferiorly to the PHMM at a mean depth of 36.4% of the total posterior meniscal height. The posterior meniscotibial ligament attached on the PHMM 16.5 mm posterior and 7.7 mm medial to the center of the posterior medial meniscal root attachment.
    [Show full text]
  • Gen Anat-Joints
    JOINTS Joint is a junction between two or more bones Classification •Functional Based on the range and type of movement they permit •Structural On the basis of their anatomic structure Functional Classification • Synarthrosis No movement e.g. Fibrous joint • Amphiarthrosis Slight movement e.g. Cartilagenous joint • Diarthrosis Movement present Cavity present Also called as Synovial joint eg.shoulder joint Structural Classification Based on type of connective tissue binding the two adjacent articulating bones Presence or absence of synovial cavity in between the articulating bone • Fibrous • Cartilagenous • Synovial Fibrous Joint Bones are connected to each other by fibrous (connective ) tissue No movement No synovial cavity • Suture • Syndesmosis • Gomphosis Sutural Joints • A thin layer of dens fibrous tissue binds the adjacent bones • These appear between the bones which ossify in membrane • Present between the bones of skull e.g . coronal suture, sagittal suture • Schindylesis: – rigid bone fits in to a groove on a neighbouring bone e.g. Vomer and sphenoid Gomphosis • Peg and socket variety • Cone shaped root of tooth fits in to a socket of jaw • Immovable • Root is attached to the socket by fibrous tissue (periodontal ligament). Syndesmosis • Bony surfaces are bound together by interosseous ligament or membrane • Membrane permits slight movement • Functionally classified as amphiarthrosis e.g. inferior tibiofibular joint Cartilaginous joint • Bones are held together by cartilage • Absence of synovial cavity . Synchondrosis . Symphysis Synchondrosis • Primary cartilaginous joint • Connecting material between two bones is hyaline cartilage • Temporary joint • Immovable joint • After a certain age cartilage is replaced by bone (synostosis) • e.g. Epiphyseal plate connecting epiphysis and diphysis of a long bone, joint between basi-occiput and basi-sphenoid Symphysis • Secondary cartilaginous joint (fibrocartilaginous joint) • Permanent joint • Occur in median plane of the body • Slightly movable • e.g.
    [Show full text]
  • MRI of the Posterolateral Corner of the Knee, Please Have a Look
    Alexandria Journal of Medicine (2017) 53, 261–270 HOSTED BY Alexandria University Faculty of Medicine Alexandria Journal of Medicine http://www.elsevier.com/locate/ajme ORIGINAL ARTICLE MRI of the posterolateral corner of the knee, please have a look Mahmoud Agha * Diagnostic Imaging, Medical Research Institute, Alexandria University, Egypt Diagnostic Imaging, Almana Hospital, Saudi Arabia Received 13 May 2016; revised 19 August 2016; accepted 6 September 2016 Available online 23 September 2016 KEYWORDS Abstract The knee PLC injuries are frequently seen, with other major knee injuries, such as ACL posterolateral corner; and PCL. Objective: This article aimed to clarify PLC injuries that could be diagnosed by MRI, and ITB band; may have an impact on the management of the associated major knee injuries. Patient and methods: biceps tendon; It was conducted through retrospective MRI revision of 1000 patients who were presented with FCL; post-traumatic knee complaints, from January 2011 to March 2016. Results: ITB band injuries were Popliteus; seen in 113 patients (11.3%), biceps tendon injury in 59 patients (5.9%), FCL injuries in 223 PFL patients (22.3%), popliteus muscle injury in 53 patients (5.3%), PFL in 17 (1.7%), arcuate ligament injury in 38 patients (3.8%) and arcuate bone fracture (fibular styloid fracture) in 22 patients (2.2%). Overall PLC injuries recorded 283 patients, either as separate or combined PLC items. Of these 283 patients, 96 patients had associated ACL tear (33.9%), 19 had PCL tear (6.7%), 73 had medial corner injury (25.7%), 55 combined injuries (19.4%) and 40 isolated PLC injuries (14.1%).
    [Show full text]
  • Effectiveness of Physical Therapy Intervention to the Proximal Tibiofibular Joint for a Marathon Runner with Lateral Knee Pain
    Case Report Clinical Case Reports International Published: 19 Dec, 2017 Effectiveness of Physical Therapy Intervention to the Proximal Tibiofibular Joint for a Marathon Runner with Lateral Knee Pain Steven Jackson1* and Sarah Macrowski2 1Department of Physical Therapy and Rehabilitation, Orange Park Medical Center, USA 2Department of Physical Therapy and Rehabilitation, Houston Methodist Orthopedics &Sports Medicine, USA Abstract Background & Purpose: The knee is the most common site of injury in running athletes. An often overlooked contributor to lateral knee pain is the Proximal Tibiofibular Joint (PTFJ). There is a paucity of literature regarding physical therapy management of those with PTFJ dysfunction. The purpose of this case study is to report the physical therapy management for a patient with lateral knee pain. Case Description: A 26-year-old female marathon runner presented with right lateral knee pain after slipping on ice while running. The patient presented with difficulty running, squatting, descending stairs, sitting greater than 30 minutes, and walking on uneven surfaces. After two weeks of rest, foam rolling, and hip abductor strengthening, the patient had reduced pain with all functional activities, but was still unable to run without pain. Oscillatory Grade III anterior to posterior mobilizations were performed to the PTFJ. Following this addition to her plan of care, the patient was able to return to running pain free. Discussion: When examining a patient with lateral knee pain, the PTFJ should be considered in the differential diagnosis as a source of pain and the mechanisms regarding manual therapy-induced hypoalgesia. OPEN ACCESS Background and Purpose *Correspondence: Steven Jackson, Department of The knee is the most common site of injury in running athletes, with a prevalence of 42.1% [1].
    [Show full text]
  • Connections of Bones
    Connections of bones Reinitz László Z. Arthrologia generales- general arthrology Classification based on the freedom of movement • Synarthrosis [Articulationes fibrosae] • limited movement, connection through connective tissue • Amphiarthrosis • limited movement • narrow articular gap • may be through cartilage or ligaments • art. carpometacarpea • Diarthrosis – [Articulationes synoviales] • unlimited movement • (Synsarcosis) • connection via muscles Synarthrosis [Articulationes fibrosae] • No joint gap • Synostosis - ossification • Ru McIII-IV. • Gomphosis – penetration • alveolus-tooth • Suturae - suture • Sutura serrata – saw suture • Ossa parietalia • Sutura foliata – leaf suture • Sutura frontonasalis • Sutura squamosa –squamosal suture • Sutura squamosofrontalis • Sutura plana – flat suture • Sutura internasalis • Syndesmosis – through connective tissue, ligament • Car: radius-ulna Amphiarthrosis [Articulationes cartilagineae] • minimal joint gap • able to move in every directions • but those are very limited • Art. carpometacarpea • Synchondrosis • hyalin cartilage • Art. sternocostalis • Symphysis • fibrous cartilage • Symphysis pelvis Diarthrosis [Articulationes synovialis] • Joint gap • Free movement • General description of joints [drawing] • [video] • Ligaments of joints • Ligg. Intracapsularia – part of the joint capsule • Ligg. Extracapsularia – outside the joint capsule • Ligg. Intercapsularia - within the joint cavity • If the surfaces do not match (incongruent surfaces) • Cartilage supplement • discus – separates the joint
    [Show full text]
  • Joint Capsule Collagen in Osteoarthrosis
    Ann Rheum Dis: first published as 10.1136/ard.32.6.510 on 1 November 1973. Downloaded from Ann. rheum. Dis. (1973), 32, 510 Joint capsule collagen in osteoarthrosis C. HERBERT, M. I. V. JAYSON, AND A. J. BAILEY From the Department ofMedicine, University ofBristol, the Royal National Hospitalfor Rheumatic Diseases, Bath, and the Agricultural Research Council, Meat Research Institute, Langford, Bristol It has long been recognized that although osteoarth- and stability of the capsular collagen could lead to rosis is characterized by degenerative changes in the the observed symptoms. articular cartilage and bones, changes in the capsule Recent studies have established that the stability play an important part in the symptoms. The capsule of the collagen fibre depends upon the formation of becomes thickened and lacks its normal pliability, inter-molecular cross-links between the tropocollagen thus restricting normal movement (Gade, 1947; molecules making up the fibre (Bailey, 1968; Traub Apley, 1969) and resulting in pain in the joint. and Piez, 1971). These cross-links are formed Similarly, Jayson (1969) described a series of patients extracellularly through reaction of aldehydes derived with arthralgia and increased joint capsule stiffness. from specific lysine and hydroxylysine on the collagen Incision, or partial removal of the osteoarthritic molecule (see Scheme). capsule, relieves the pain and improves the range of There is now a well-documented pattern of evolu- movement and degree of deformity (Lloyd-Roberts, tion of these inter-molecular cross-links. The links 1953; Gade, 1947). The joint cavity and articular initially formed are labile Schiff-bases and may be by copyright.
    [Show full text]
  • Medial Meniscus Anatomy—From Basic Science to Treatment
    See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/270004929 Medial meniscus anatomy—from basic science to treatment Article in Knee Surgery Sports Traumatology Arthroscopy · December 2014 DOI: 10.1007/s00167-014-3476-5 · Source: PubMed CITATIONS READS 40 1,012 4 authors, including: Robert Smigielski Roland Becker Medical University of Warsaw Hospital Brandenburg, Teaching Hospital of the Charite University of Berlin 55 PUBLICATIONS 408 CITATIONS 206 PUBLICATIONS 2,659 CITATIONS SEE PROFILE SEE PROFILE Urszula Zdanowicz Carolina Medical Center 31 PUBLICATIONS 196 CITATIONS SEE PROFILE Some of the authors of this publication are also working on these related projects: Surgical Anatomy of the Knee Joint View project vitamys VEPE View project All content following this page was uploaded by Urszula Zdanowicz on 28 August 2016. The user has requested enhancement of the downloaded file. Medial meniscus anatomy—from basic science to treatment Robert Śmigielski, Roland Becker, Urszula Zdanowicz & Bogdan Ciszek Knee Surgery, Sports Traumatology, Arthroscopy ISSN 0942-2056 Knee Surg Sports Traumatol Arthrosc DOI 10.1007/s00167-014-3476-5 1 23 Your article is protected by copyright and all rights are held exclusively by European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA). This e-offprint is for personal use only and shall not be self- archived in electronic repositories. If you wish to self-archive your article, please use the accepted manuscript version for posting on your own website. You may further deposit the accepted manuscript version in any repository, provided it is only made publicly available 12 months after official publication or later and provided acknowledgement is given to the original source of publication and a link is inserted to the published article on Springer's website.
    [Show full text]