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JOINTS


CAPT RISHI POKHREL
INTRODUCTION




               2
CLASSIFICATIONS

Fibrous                   Cartilaginous     Synovial
Fixed             Slightly movable           Freely movable
(Synarthroses)    (Amphiarthroses)          (Diarthroses)
Types              Types                    Types
Sutures              Pri.cart. joints     Plane
 Plane             (Synchondroses)       Hinge
 Squamous                                Pivot
 Limbous          Sec.cart. Joints       Bicondylar
 Serrate          (Syndesmoses)          Ellipsoid
 Dentate                                  Saddle

   Schindylesis                            Ball and socket
Gomphosis
Syndesmosis


                                                         3
CLASSIFICATIONS



                 JOINTS

 SYNARTHROSES             SYNOVIAL
FIBROUS
   
       SUTURES
   
       SYNDESMOSIS
   
       GOMPHOSES


CARTILAGENOIS
   
       SYNCHONDROSES
   
       SYMPHYSES




                                     4
FIBROUS JOINTS




SUTURES



                      5
Sutures




    6
Syndesmosis




              7
GOMPHOSES




            8
CARTILAGENOUS JOINTS




     SYNCHONDROSES


                       9
SYMPHYSES



            10
SYNOVIAL JOINT




                 11
ARTICULAR SURFACE OF BONES




                             12
ARTICULAR CARTILAGE MIC. STR.


                 LAMINA SPLENDENS
                 
                     Bright line at free surface of
                     articular cartilage seen on
                     oblique sections on negative
                     phase microscopy

                 
                     Not an anatomically distinct
                     surface layer.

                 
                     Artifect at border between
                     regions of different ref index


                                          13
Joint capsule




                14
SYNOVIAL MEMBRANE




                    15
SYNOVIAL MEMBRANE




                    16
SYNOVIAL FLUID

           Volume  0.5 ml in knee jt
           Color  clear or pale
            yellow
           pH - slightly alkaline
           Proteins  0.9 mg/dl
           Cells  60/ml
           Amorphous
            metachromatic particles




                                 17
INTRAARTICULAR MENISCUS & DISC




                                 18
LABRUM




         19
BLOOD SUPPLY




               20
NERVE SUPPLY




   Hilton's law   21
NERVE RECEPTORS
Ruffini endings
Lamellated articular corpuscles
Golgi tendon organs
Simple nerve endings




                                    22
CLASSIFICATION OF SYNOVIAL JOINTS



    Based on shape of articular surface
     Plane jt                Ellipsoid jt
     Hinge jt                Saddle jt
     Pivot jt                Ball and socket jt
     Bicondylar jt


     Articular shapes are never truly flat, spherical,
    cylinder, cone or ellipsoids but part of a spheroid.


                                                           23
PLANE JOINT




              24
HINGE JOINT




              25
PIVOT JOINT




              26
BICONDYLAR JOINT




                   27
ELLIPSOIDAL JOINT




                    28
SADDLE JOINT




               29
BALL & SOCKET JOINT




                      30
FACTORS INFLUENCING MOVEMENTS OF SYNOVIAL JOINTS


        
            Complexity of form

        
            Degrees of freedom




                                             31
ARTICULAR MOVEMENTS AND MECHANISMS


    Combination of translation and angulation

    Movement
              
                   slight  similar sized reciprocal surfaces
              
                   wide  habitually more mobile bone has larger
               articular surface




                                                            32
ARTICULAR MOVEMENTS AND MECHANISMS            contd...


  
      Translation
  
      Angulation
                   Flexion and extension
                   Abduction and adduction
                   Axial rotation
                   Circumduction




                                                   33
Development
Mesodermal origin with some neural
  crest contribution.

  Regions of developing cartilage
  consist of widely spaced cells
  surrounded by matrix.

  Condensation of somatopleuric
  mesenchymal cells develop
  between developing skeletal
  elements to form plates of
  interzonal mesenchyme

  Their subsequent development
  varies acc. to type of joint
       
            Fibrous joint
       
            Cartilagenous joint
       
            Synovial joint
                                     34
Development




              35
APPLIED ANATOMY




1.Craniosynostosis   36
2. JOINT REPLACEMENTS




                        37
3. Premature fusion of synchondroses
4. Arthritis




                                       38
DISCUSSION   39

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