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Joint simple description with radiology

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Dr. R. S. Daisy Joint
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Page 1: Joint simple description with radiology

Dr. R. S. Daisy

Joint

Page 2: Joint simple description with radiology

Articulation or junction

between two bones

or

Articulation or junction

between more than two

bones

orArticulation or junction

between parts of a bone of

Skeleton

Movement :

• A joint may not move or

• A joint may move in a limited amount

or

• wide range of movement may occur in a joint

Joint : Features:

Page 3: Joint simple description with radiology

BONE+ MATERIALS CONNECTED BONE

+BONE

=JOINT

Page 4: Joint simple description with radiology

JOINT

Page 5: Joint simple description with radiology

Joints are 3 types: According to type of material by which bones are articulate/connected

Classification of joint

1.FIBROUS JOINTS

2.CARTILAGINOUS JOINT

3.SYNOVIAL JOINT

Page 6: Joint simple description with radiology

FIBROUS JOINT=BONE+FIBROUS TISSUE+BONE

Page 7: Joint simple description with radiology

Two important features of it :

1. Bones are separated only by connective tissue

2. No movement / negligible.

Fibrous joints:

Page 8: Joint simple description with radiology

1. Suture : this joint unite the bones of the vault of the skull. ex: sagital suture, coronal suture etc.

2. Gomphosis : dentoalveolar joint

3. Syndesmosis: radio-ulnar joint

Classification of fibrous joint

Page 9: Joint simple description with radiology

Suture Sagital SutureCoronal suture

Page 10: Joint simple description with radiology

Inter-osseous membrane

( a connective tissue membrane) articulates two bones. Exa:

• Middle radio ulnar joint

• Middle and inferior tibio fibular joint

Syndesmosis

Page 11: Joint simple description with radiology

Middle radio ulnar joint

Radius

Inter osseous membrane

Ulna

Page 12: Joint simple description with radiology

• Tooth • Fibrous tissue • Socket ( present in

alveolar process of maxilla & mandible)

Gomphosis

Bone

Bone

Page 13: Joint simple description with radiology

Cartilaginous joint =

Bone +cartilage+bone

Page 14: Joint simple description with radiology

2. Secondary cartilaginous joint= Bone+ hyaline cartilage+fibrocartilage +hyaline

cartilage+bone

Classification of cartilaginous jointare two types:

1. Primary cartilaginous joint=Bone+ hyaline cartilage+bone

Page 15: Joint simple description with radiology

Primary cartilaginous jointfeatures:

• All primary cartilaginous joint are strong and immobile

• These are temporary joint (in adult,

it is replace by bone)

Page 16: Joint simple description with radiology

Primary cartilaginous jointExamples:

• all epiphyses are primary cartilaginous joint

• head of humerus + hyaline cartilage + shaft of humerus

= Primary cartilaginous joint

Page 17: Joint simple description with radiology

Primary cartilaginous joint

Black line is cartilage

Page 18: Joint simple description with radiology

Primary cartilaginous joint is temporaryThe cartilage is replace by bone

Black line is cartilageThe primary cartilaginous joint

No black line in between head & shaft of humerusNo Primary cartilaginous joint

Adult Children

Page 19: Joint simple description with radiology

Secondary Cartilaginous joints

Articular surface of bone is covered by thin plate of hyaline cartilage

Fibrocartilage

Bone Bone

Page 20: Joint simple description with radiology

Secondary cartilaginous joint

• It is a union between bones whose articular surfaces are covered with a thin lamina of hyaline cartilage.

• The hyaline laminae are united by fibrocartilage,

but it is never lined with synovial membrane and it contains only tissue fluid

• A limited amount of movement is possible in this joint

• Usually situated in the midline of body

• Examples : pubic symphysis inter-vertebral

joint

Page 21: Joint simple description with radiology

2nd cartilaginous joint

Hyaline cartilage

Fibro cartilage cartilage

Page 22: Joint simple description with radiology

Synovial joint

Page 23: Joint simple description with radiology

Two bones are separated by a joint cavity

Page 24: Joint simple description with radiology

Red colour : articular surface of bones

Page 25: Joint simple description with radiology

Blue colour: articular surfaces of bones are covered by articular cartilage(hyaline cartilage)

Page 26: Joint simple description with radiology

Articular capsule has two layer outer fibrous layer(brown colour)

Page 27: Joint simple description with radiology

Articular capsule has two layer outer fibrous layer (brown colour) & inner synovial membrane (green colour)

Page 28: Joint simple description with radiology

Joint cavity the most unique feature of synovial joint is filled by synovial fluid (the secretion of

synovial membrane)

Page 29: Joint simple description with radiology

Synovial joint freely move due to presence of joint cavity

Page 30: Joint simple description with radiology

Plane x-ray of synovial joint

Articular capsule

Menisci

Articular cartilage

Page 31: Joint simple description with radiology

Typical synovial joint :Features:

1. Contains a joint cavity which is filled with synovial fluid

2. The articular surfaces of bones are covered by articular cartilages

3. The joint cavity is enveloped by a complete articular capsule, which consists of

outer fibrous capsule and inner synovial membrane • The articulating bones are connected by a

number of ligaments • Sometimes, the joint cavity is divided

completely or incompletely by articular disc or meniscus, which is composed of fibro-cartilage.

Page 32: Joint simple description with radiology

Classification of synovial jointit can be classify according to different logic

1. According to the number of articulating bones

2. According to the shape of articular surfaces of bones

3. According to axis of movement

Page 33: Joint simple description with radiology

Simple joint :Two bones separated by single joint cavity

Page 34: Joint simple description with radiology

Compound jointMore than two bones are separated by single

joint cavity

Page 35: Joint simple description with radiology

Complex joint :Articular disc( fibrocartilage) divide the

joint cavity into two compartment

Articular disc

Page 36: Joint simple description with radiology

According to the axis of movements

• Uni-axial• Bi-axial• Multi-axial

Page 37: Joint simple description with radiology

Uni-axial joint

Page 38: Joint simple description with radiology

Bi-axial joint

Page 39: Joint simple description with radiology

Multi axial joint

Page 40: Joint simple description with radiology

According to the axis of movements

• Uni-axial: pivot plane hinge • Bi-axial: saddle condyloid ellipsoid • Multi-axial: ball and socket

Page 41: Joint simple description with radiology

According to the shape of articular surfaces

1. pivot 2. plane 3. hinge4. saddle 5. condyloid 6. ellipsoid 7. ball and socket

Page 42: Joint simple description with radiology

Pivot

• A round process of bone that fits into a bony ligamentous socket

• Movement is rotation around one axis

• Rotation of radius during pronation and supination

Page 43: Joint simple description with radiology

Pivot joint

• Distal radio ulnar joint

Page 44: Joint simple description with radiology

Pivot joint

Articular discLooks black in xray

Page 45: Joint simple description with radiology

Hinge• Convex cylinder applied to a concave

bone • Movement in one plane, it permit flexion

and extension only

Page 46: Joint simple description with radiology
Page 47: Joint simple description with radiology

Plane

• Two flat surfaces approximately equal in size

• Movement gliding or slightly twisting

Page 48: Joint simple description with radiology

Saddle• Two concavo-convex surfaces are

applied to each other • Permit movement in two different

plane

Page 49: Joint simple description with radiology

Condyloid(bi-condylar joint) • It has two convex

condyles which articulate with concave or flat surfaces

• It is biaxial but movement is greater in one plane than in the other

Page 50: Joint simple description with radiology

Ellipsoid

• It consists of oval convex surfaces apposed to an elliptical concavity

• They are bi-axial joint • Movement flexion

extension abduction adduction and circumduction

Page 51: Joint simple description with radiology

Ball and socket• Round head fitting into a round

depression • Wide range of movement

Page 52: Joint simple description with radiology

Articular discLooks black in xray

• Articular disc:

is a thin, oval plate of

fibrocartilage present in

several joints which

separates synovial

cavities. This separation

of the cavity space

allows for separate

movements to occur in

each space.

Page 53: Joint simple description with radiology

Bursa • A bursa (plural bursae or bursas)

is a small fluid-filled sac lined by synovial membrane.

• It provides a cushion between bones and tendons and/or muscles around a joint.

• This helps to reduce friction between the bones and allows free movement.

• Bursae are filled with synovial fluid and are found around most major joints of the body.

Page 54: Joint simple description with radiology

Homework

Page 55: Joint simple description with radiology

1.Identify the joint.

ABCD

A

BC

D

Page 56: Joint simple description with radiology

2. Questions

• What do you mean by very similar terms:

1. Articular surface

2. Articular cartilage

3. Articular capsule

4. Articular disc

Page 57: Joint simple description with radiology

3. Questions

1. Which type of joint is most common in our body?

2. Which type of joint is temporary?

3. Which type of joint can’t move?

4. Which type of joint is situated in the midline?

5. Which type of joint has great range of movement?

Page 58: Joint simple description with radiology
Page 59: Joint simple description with radiology
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