Joints.doc

download Joints.doc

of 4

Transcript of Joints.doc

  • 8/10/2019 Joints.doc

    1/4

  • 8/10/2019 Joints.doc

    2/4

    2. Vertebral type : Slightly mo"able

    !. Limb type: ,reely mo"able

    -) Degree of Freedom : Number of a#es at $hich the bone in a

    %oint can mo&e'

    *he structural classification is most commonly followed.

    FAT)"S

    A' Fibrous Joints

    1. $ones are #oined by fibrous tissue.

    2. Are either immo"able or permit slight degree of mo"ement.*ypes:a) Suture peculiar to s%ull and are immo"able.

    b) Syndesmosis. *he bones are connected by interosseous

    ligament. (/ample is the inferior tibiofibular #oint.

    c) Gomphosis 'peg and soc%et #oint). (/ample : tooth in its

    soc%et.

    *' Cartilaginous Joints

    1. $ones are #oined by cartilage.*wo types:

    a) rimary Cartilaginous !oints 'synchondrosis or hyaline

    cartilage #oints). *he bones are united by a plate of hyaline

    cartilage. *he #oint is immo"able and strong and temporary in

    nature. e.g. Joint between epiphysis and diaphysis of a growing

    long bone costochondral chondrosternal and sphenooccipital.b) Se"ondary Cartilaginous !oints'symphyses or

    fibrocartilaginous #oints). *he articular surfaces are co"ered by

    a thin layer of hyaline cartilage and united by a disc of

    fibrocartilage. *hese #oints are permanent and typically occur in

    the median plane of the body and permit limited mo"ements.

    (/amples : Symphysis pubis manubriosternal and

    inter"enterbral #oints.

  • 8/10/2019 Joints.doc

    3/4

    C' Sno&ial Joint

    1. 0ost common in the body.

    2. 0ost mobile type of #oints.!. *he articular surfaces are co"ered with hyaline

    'articular) cartilage.

    . Joint ca"ity filled with syno"ial fluid. *he ca"ity may

    be partially or completely subdi"ided by an articular disc or

    meniscus.

    . *he #oint is surrounded by an articular capsule.

    3. Syno"ial membrane line whole of the interior of the#oint e/cept for the articular surfaces.

    4. Syno"ial fluid or syno"ia secreted by the cells of the

    syno"ial membrane.

    5. &apsular or true ligaments representing thic%enings ofthe fibrous capsule.

    6. Accessory ligaments which may be intra or e/tra

    capsular. (/amples : plane hinge condylar pi"otellipsoid saddle and ballandsoc%et #oints.

  • 8/10/2019 Joints.doc

    4/4

    Stabilit of (sno&ial! %oints:

    Factors maintaining stabilit at a %oint

    1.#us"les.*he tone of different groups of muscles acting on the #oint

    is the most important and indispensable factor e.g. 7nee shoulder

    #oint.

    2. 8igaments are important in pre"enting any o"ermo"ement and in

    guarding against sudden accidental stresses.

    !.$ones. elp in maintaining stability only in firm type of #oint li%ethe hip and an%le.

    *lood su++l of sno&ial %oint:

    *he articular and epiphysial branches gi"en off theneighbouring arteries form a periarticular arterial ple/us in the

    deeper parts of syno"ial membrane. 'Arterial articular networ%s).

    Articular "eins are communicating "eins.

    Ner&e su++l of sno&ial %oint:

    *he capsule and ligaments possess a rich ner"e supply which

    ma%es them acutely sensiti"e to pain. Articular ner"es contain

    sensory and autonomic fibres. Some of the sensory fibres are

    propriocepti"e in nature. *hese are sensiti"e to position and

    mo"ement and are concerned with the refle/ control of postureand locomotion. ilton9s 8aw states that a motor ner"e to the

    muscle acting on #oint tends to gi"e a branch to that #oint 'capsule)

    and another branch to the s%in co"ering the #oint.