Chapter 3 Articular System Copyright 2001, F. A. Davis Company Objectives Differentiate types of joints Describe structures associated with synovial joints State the plane and axis for joint movements Identify the degrees of freedom for various joints Copyright 2001, F. A. Davis Company Joint Connection between two bones Functions: Allow motion Bear weight Provide stability Contain synovial fluid ⌧Lubricate joint ⌧Nourishes Cartilage Copyright 2001, F. A. Davis Company Fibrous Joint Thin layer of fibrous periosteum between the two bones Three types Synarthrosis = Suture Joint Syndesmosis = Ligamentous Joint Gomphosis = “bolting together,” tooth and dental socket Copyright 2001, F. A. Davis Company Fibrous: Synarthrodial = Suture Thin layer of fibrous periosteum between the two bones Bone ends interlock No movement Purpose: Provide shape Provide stability Example: Sutures of the skull Copyright 2001, F. A. Davis Company Fibrous: Syndesmosis = Ligamentous Great deal of fibrous tissue Ligaments and interosseous membranes hold joint together Small amount of twisting or stretching movement can occur Examples: Distal tibiofibular joint Distal radioulnar joint Copyright 2001, F. A. Davis Company Cartilaginous = Amphiarthrodial Hyaline cartilage or fibrocartilage between the two bones Allow a small amount of motion Bending Twisting Compression Provide a great deal of stability Examples: Symphysis pubis - fibrocartilage between First sternocostal joint - hyaline cartilage between Copyright 2001, F. A. Davis Company Synovial = Diarthrodial No direct union between the bone ends Allows free motion Components Cavity filled with synovial fluid Sleeve-like capsule ⌧Outer layer strong fibrous tissue ⌧Inner layer synovial membrane secretes synovial fluid Articular surface smooth ⌧Covered with hyaline or articular cartilage Example: Hip, elbow, knee Copyright 2001, F. A. Davis Company Joint Classification Type Synarthrosis Motion None Structure Fibrous-suture Example Bones in the skull Syndesmosis Slight Fibrous-ligamentous Distal tibiofibular Amphiarthrosis Little Cartilaginous Symphysis pubis, vertebrae Diarthrosis Synovial Hip, elbow, knee Copyright 2001, F. A. Davis Company Free Joint Classifications By Axes Nonaxial Linear movement (not angular) Gliding motion Joint surfaces flat example: Intercarpal Biaxial 2 axes, 2 planes Condyloid or saddle example: Metacarpophalangeal and radiocarpal Uniaxial 1 axis, 1 plane Hinge or pivot example: elbow and interphalangeal joints Copyright 2001, F. A. Davis Company Triaxial or Multiaxial 3 axes, 3 planes Ball and socket example: hip and shoulder Synovial Joints Components Bones Ligaments Joint Capsule Synovial Fluid Cartilage Muscles Bursae Copyright 2001, F. A. Davis Company Types of Synovial Joints Plane Hinge Pivot Condyloid Saddle Ball and Socket Plane Joint Synovial/Diarthrodial Nonaxial Relatively flat joint surfaces Glide over one another No degrees of movement Example: Intercarpal or intertarsal joints Copyright 2001, F. A. Davis Company Hinge or Ginglymus Joint Synovial/Diarthrodial Uniaxial One plane, one axis One degree of freedom Example: Elbow, knee, or interphalangeal Copyright 2001, F. A. Davis Company Pivot or Trochoid Joint Synovial/Diarthrodial Uniaxial One plane, one axis One degree of freedom Example: Radioulnar joint or A-A joint of C1-C2 Copyright 2001, F. A. Davis Company Condyloid or Ellipsoidal Joint Synovial/Diarthrodial Biaxial Two planes, two axes Two degrees of freedom Example: Wrist Copyright 2001, F. A. Davis Company Saddle Joint Synovial/Diarthrodial Biaxial Rotation component is not active Active motion around two axes Bones fit like a horseback rider in a saddle Example: Carpometacarpal (CMC) joint of the thumb Copyright 2001, F. A. Davis Company Ball and Socket Joint Synovial/Diarthrodial Triaxial or Multiaxial Three planes, three axes Three degrees of freedom Example: Shoulder or hip Copyright 2001, F. A. Davis Company Joint Structure of Synovial Joints Bones Ligaments Synovial Fluid Cartilage Muscles Bursae Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Bones - two articulating Ligaments - holds bones together Bands of fibrous connective tissue ⌧Provide attachment for cartilage, fascia, and muscle Flexible but not elastic Allows joint motion Capsular ligaments surround and protect joints ⌧Example: Anterior talofibular ligament Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Capsule - surrounds and encases the joint Protects the articular surfaces of the bone Example: shoulder joint encases and create a partial vacuum Two layers Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Capsule -Two layers Outer Layer ⌧Fibrous tissue ⌧Provides support and protection Inner Layer ⌧Lined with synovial membrane ⌧Thick vascular connective tissue ⌧Secretes synovial fluid Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Synovial Fluid Thick, clear fluid, like the white of an egg Lubricates the articular cartilage ⌧Reduces friction ⌧Helps to keep the joint moving freely Provides some shock absorption Major source of nutrition for articular cartilage Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Cartilage Dense fibrous connective tissue Withstanding a great amount of pressure and tension Three types: ⌧Hyaline = Articular ⌧Fibrocartilage ⌧Elastic Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Cartilage - Three Types Hyaline = Articular Cartilage - Ends of opposing bones Smooth articular surface No blood supply or nerve supply Nutrition from synovial fluid Fibrocartilage Shock absorption, important in weight bearing joints ⌧Example: menisci knee, disk between sternum and clavicle, labrum, IV disks Elastic Cartilage Certain amount of motion ⌧Example: symphysis pubis, larynx Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Cartilage - Three Types Fibrocartilage Labrum of shoulder ⌧Deepens the shallow glenoid fossa Copyright 2001, F. A. Davis Company Joint Structure (cont’d) Muscles Provide the contractile force that causes joints to move Attach to bone through tendon ⌧Cylindrical cord or flattened band ⌧In certain locations in tendon sheaths • Fibrous sheaths surround tendon when subject to pressure or friction • When passing between muscles and bones or through a tunnel between bones • Lubricated by fluid secreted from their lining Copyright 2001, F. A. Davis Company Joint Structure Muscles (cont’d) Aponeurosis - broad, flat tendinous sheet Found in several places where muscles attach to bones Examples: ⌧Latissimus dorsi ⌧Abdominal muscles - linea alba Copyright 2001, F. A. Davis Company Joint Structure Bursa (cont’d) Small padlike sacs In areas of excessive friction Under tendons or over bony prominences Example: Olecranon bursa Two-types Natural Acquired - develop where excessive friction Example: “Student’s bursa” - third finger Copyright 2001, F. A. Davis Company Planes of Action Fixed lines of reference along which the body is divided There are 3 planes, each at right angles of perpendicular to the other 2 planes (Adapted from Lehmkuhl, LD and Smith, LK: Brunnstrom’s Clinical Kinesiology, ed 4. FA Davis, Philadelphia, 1983, with permission.) Copyright 2001, F. A. Davis Company Sagittal Plane Divides the body into right and left sides Motions of flexion and extension occur in this plane Copyright 2001, F. A. Davis Company Frontal/Coronal Plane Movement abduction and adduction Passes through the body from side to side Divides the body into front and back Copyright 2001, F. A. Davis Company Transverse/Horizontal Plane Divides the body into top and bottom parts Passes through the body horizontally Movement rotation Copyright 2001, F. A. Davis Company Cardinal Plane When a plane passes through midline of a part Center of gravity is the intersection of three cardinal planes (Adapted from Lehmkuhl, LD and Smith, LK: Brunnstrom’s Clinical Kinesiology, ed 4. FA Davis, Philadelphia, 1983, with permission.) Copyright 2001, F. A. Davis Company Axes Points that run through each of the cardinal planes Copyright 2001, F. A. Davis Company Axes (cont’d) A. Sagittal Axis - runs from front to back B. Frontal Axis - runs from side to side C. Vertical/ Longitudinal Axis - runs from top to bottom Copyright 2001, F. A. Davis Company Joint Motions PLANE AXIS MOVEMENT Sagittal Frontal Flexion/extension Frontal Sagittal Abduction/adduction Radial/ulnar deviation Inversion/eversion Transverse Vertical Medial/lateral rotation Supinate/Pronate Horizontal abduction/ adduction Copyright 2001, F. A. Davis Company Joint Classifications by Degrees of Freedom Joints can be classified by the number of planes in which the segments of the joint move or the number of axes the joint possesses One Degree of Freedom 1 axis, 1 plane Example: elbow and IP Two Degrees of Freedom 2 axes, 2 planes Example: MCP and RC Three Degrees of Freedom 3 axes, 3 planes Example: hip and shoulder Copyright 2001, F. A. Davis Company