Joints

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JOINTS

JOINTSDefinition: A place where two or more bones get articulated with one another is called a joint.Joints help to connect different parts of skeleton and form a basic framework of body.Study of structure and functions of various joints is called arthrology. LIGAMENTS:At a joint the bones are connected to each other by ligaments. Ligaments are tough, elastic fibrous connective tissue bands or threads which connect bone to bone at a joint.Ligaments keep the bones in proper position and avoid dislocation of bones during the movement.SIGNIFICANCE OF JOINTS:They help in locomotion.Joints also help in desirable voluntary movements of body parts. Joints bring flexibility in rigid skeleton.Some joints are protective and act as shock absorbers.dr. aarif

dr. aarifJOINTSImmovable OR Fibrous ORSynarthrosesSlightly movableORCartilagenousORAmphiarthrosesFreely movableORSynovialORDiarthroses1. SUTURES2. GOMPHOSIS3. SYNDESMOSIS1.SYNCHONDROSIS2. INTERVERTEBRAL3. PUBIC SYMPHYSIS1. BALL & SOCKET2. HINGE3. GLIDING4. CONDYLOID5. SADDLE6. PIVOT

dr. aarifSYNARTHROSESFEATURES :

The bones are united at the joints by thin or dense layer of white fibrous connective tissue.

The white fibers are made up of a protein collagen.

These joints are fixed i.e. cannot permit any movement of articulating bones.

Short and thick fibers do not allow movement of articulating bones.

The line of fusion at joint is called sutureFUNCTIONS: Fixed joints are primarily meant for growth and may permit molding during childbirth.

Usually these joints are the places of growth. When growth period is over these joints tend to ossify

dr. aarifSUTURES OF SKULL (SERRATE SUTURES)

These joints are found in flat and curved roofing bones of the skull.

These joints are also called serrate joints because articulating surfaces of the bones show serrated margins.

The bones are repeatedly interlocked. Therefore joints become fixed and protective in function.

In young or newborn, the roofing bones of skull leave about six gaps called fontanelles.Fontanelles permit flexibility for parturition and brain growth.

At about 2 years of age the gaps are closed by ossification

4 Types : Coronal : Betn frontal & parietal

Sagittal Betn both parietals

Lambdoidal : Betn parital and occipital

Lateral : Betn temporal and parital

dr. aarifSYNDESMOSIS

It is the fibrous connective tissue that connects two bones. E.g. tibia and fibula

dr. aarifGOMPHOSIS(Peg and Socket)

It is the characteristic of thecodont teeth.

The roots of the teeth are fixed in sockets (alveoli) of jaw bones. The fibrous connections in this case are many short periodontal ligaments.

dr. aarifAMPHIARTHROSESThese are called amphiarthroses because they are neither fixed nor freely movable.

It is intermediate stage of joints when related to development and movement. They allow some movement in response to compression, tension or twisting. The line of fusion between articulating bones is called synchondrosis or symphysis.

dr. aarifThe connecting material is a hyaline cartilage.

It is very soft and elastic with minimum strength. E.g. Epiphyseal Plate: This epiphyseal plate is present between epiphysis & diaphysis of long bones.It is a temporary joint present in children and it gets ossified in adults.

This joint provides the sites and means for growth of the long bones in children.

It also contributes to the flexibility in the endoskeleton of children

SYNCHONDROSIS

dr. aarifThe connecting material is a fibrocartilage.

Fibrocartilage is an opaque, comparatively strong but flexible structure, due to the presence of numerous white fibers of collagen.

It is present between two pubic bones of the pelvic girdle.

The pubic bones are connected by a disc of fibrocartilage.

It allows slight movements as compression, bending, twisting etc. It makes the joint more flexible.

In females, it helps to increase the size of the birth canal for easy parturition.

In males, it is comparatively less flexible.

SYMPHYSIS

dr. aarifThese joints are present between the centers of adjacent vertebrae of backbone.

The connecting discs are fibro-cartilaginous.

These joints help in shock absorption and protect the spinal cord from mechanical injury.

These joints make the vertebral column slightly flexible.

INTER VERTEBRAL JOINT

dr. aarifDIARTHROSES

These are called perfect joints due to the presence of all well-developed structures needed for free movement.

These are most evolved and therefore freely movable type of joints

It consists of, synovial cavity, synovial fluid, synovial membrane, capsule, ligaments and articulating surfaces covered by hyaline cartilage

dr. aarif

dr. aarifSynovial Membrane: It lines the synovial cavity and forms a synovial capsule. The synovial membrane secretes synovial fluid. It encloses fluid filled synovial cavity and protects internal parts of joint.Synovial fluid: It is a clear, yellowish, slimy and viscous fluid similar to lymph. The viscosity of fluid is due to hyaluronic acid secreted by the cells of the synovial membrane. It contains nutrients and mucus. The fluid lubricates the joint and nourishes hyaline cartilage.The fluid also contains phagocytes, which removes microorganisms and cellular debris.Deficiency of this fluid causes arthrosclerosis.Hyaline cartilage: It covers the end of articulating surfaces of bone and avoids direct contact or friction between bones.Ligaments: The joints are provided with capsular ligaments and numerous accessory ligaments. Accessory ligament may be intra or extra capsular. Ligaments avoid dislocation of bones and make the joints stronger.

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dr. aarifThe spherical head of one bone fits into a cup-shaped socket of other bone.

These joints are prone for easy dislocation or separation on sudden strain.

These joint allow multi-axial movements.

The shoulder joint allows rotatory or circular movements (360) and hip joint allows straight movement (180).Examples: Shoulder joints, Hip joint etc. are examples of ball and socket joint.BALL & SOCKET

dr. aarifSpoon shaped surface of one-bone fits into the concave cavity of other bone.

There are strong collateral ligaments.

These joints resist dislocation.

These joints allow uniaxial movements and resemble with the movements of door and window.

In elbow joint, the ulna works as hinges, so only forward movement is possible.

In knee joint the patella or knee cap works as hinges so only backward movement is possible.Examples: Elbow joints, Knee joints, etc. are examples of hinge joint.

HINGE

dr. aarifThe articular bones are permitted for gliding or sliding movements.

These joints allow non-axial movements, which are neither back-forth nor side to side but irregular.

The articulating surface is convex so friction is avoided.Examples: Intercarpal joints, Intertarsal joints, etc., are examples of gliding joint.

GLIDING

dr. aarifThese are also called as ellipsoid joints.

Oval-shaped condyle of one bone fits into elliptical cavity of other bone.

These joints allow biaxial movements i.e. forward backward and side to side but not rotation. Examples: Radius carpal, Metacarpo - phalangeal joints are examples of Condyloid joint.

CONDYLOID

dr. aarifThe characteristic of this joint is that the articulating surfaces of bones are saddle shaped, i.e. each surface has both concave and convex area.

Each surface is convex in one plane, concave in the perpendicular plane.

It resembles with Condyloid joint but it allows greater freedom of movement for the joint.

This joint allows biaxial movement.

It is the most flexible joint in the body. Saddle joint has evolutionary significance in human evolution.

It increases grasping power of fingers and helps in skillful work like writing, drawing, painting, etc.Examples: Edges of metacarpal and first phalange of thumb is peripherally articulated so saddle joint makes free movement. Carpo metacarpal joint of thumb are examples of saddle joint.

SADDLE

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dr. aarifArticular surfaces comprise of a central bony pivot (dense) surrounded by an osteo-ligamentous ring. One bone remains fixed while the other bone rotates freely around the pivot-shaped process of fixed bone.

It allows uniaxial movement i.e. rotation. Examples: 1. Atlanto-axial joint. Atlas moves along with skull around the pivot-like odontoid process of axis. This joint allows rotation movement of the skull

2. Radio Ulnar joint

PIVOT