Difference between revisions of "Joints - Anatomy & Physiology"
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Revision as of 16:30, 29 August 2010
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Introduction
Joints comprise broadly two categories:
- Synarthroses form joints that are relatively rigid
- Diarthroses form joints that are freely movable
Joint Function:
- Absorb force of impact, transfer force via cartilage to bone
- Allow a variable degree of movement
Fibrous Joints
- Most occur in the skull: known as sutures
- Key in development: allow extension of individual bones during growth
- Gradually eliminated as ossification progresses
- Syndesmoses: facing areas of two bones joined by connective tissue ligaments, very limited movement allowed
- Eg. Joints of the metacarpus in the horse
- Gomphosis: attachment of tooth to bone within its socket
Cartilaginous Joints
- Synchondroses: eg. joints between epiphyses and diaphyses of juvenile long bones, disappear on maturity
- Permanent synchondroses: the joint between the skull and hyoid
- Symphysis: articulating bones are divided by a succession of tissues, with cartilage covering the bones or the tissue between
- Eg. mandibular, pelvic, vertebral
- Fibrocartilagenous joints
- Form major union between vertebrae, except first two cervical vertebrae
- Nucleus pulposus is position eccentrically within annulus fibrosis
- Vertebrae in thoracic region have conjugal ligaments
- Extend from rib to rib on opposite sides
- Strenghten the area over the discs
Synovial Joints
File:Synovial Joint.jpg
Synovial Joint - Wikimedia Commons 2008
- Articulating joints are separated by a fluid-filled joint cavity, which is bounded by a synovial membrane
- Synovial membrane: pink connective tissue sheet, vascular and sensitive
- Can be unsupported (membrane may pouch, allowing remote access), resting on an outer fibrous capsule, or separated from capsule by pads of fat
- No continuous covering of cells
- Where cells exist, they produce lubricant (aminoglycans) of synovial fluid
- Synovial fluid: Nourishes and lubricates articular cartilage
- Derived from synovial membrane cells and blood plasma
- Normal amount in canine joint - 0.01 - 1.0 ml; possible in equine/bovine: 20-40mL
- Transparent to light yellow (horses)
- Usually very thick due to high hyaluronic acid, forms strands
- Windrowing of cells on smear
- Normal protein < 25g/l (all species)
- Normal cell count: Large mononuclear cells, <12% neutrophils, <11% lymphocytes
- Small animals - < 3 x 10e9/L
- Horses - < 0.5 x 10e9/L
- Cows - < 1 x 10e9/L
- Synovial membrane: pink connective tissue sheet, vascular and sensitive
- Often the synovial membrane is reinforced by a fibrous capsule and ligaments restricting joint movement and providing stability
- Encloses bone and muscle insertions within joint capsule
- Supplied by blood vessels and nerve endings
- Articular cartilage covers the articular surfaces
- Usually, this is Hyaline, although Fibrocartilage or fibrous tissue can substitute
- Articular cartilage is avascular and insensitive
- Nutrients via diffusion from synovial fluid and nearby vessels (adjoining tissue and marrow cavities)
- Some joints possess intracapsular discs or menisci to provide congruence and enable complicated movements
- Eg. Temperomandibular joint, paired menisci of the stifle joint
- Limited response to injury, Little repair capacity
Joint Movements
File:Joint movements.jpg
Flexion and Extension - Wikimedia Commons 2008
- Translation: Flat surfaces slide against each other, producing no change in orientation of their bodies
- Rotation: Moving bone turns on an axis perpendicular to articulation
- Swing: Moving bone turns on an axis parallel to articulation
- Flexion:(aka palmar flexion) Angle between two segments of a limb is reduced
- Extension: Angle between two segments of a limb is increased
- Overextension: (aka dorsal flexion) Eg, Posture of equine fetlock standing at rest
- Adduction: Pendular movement toward the median plane
- Abduction: Pendular movement away from the median plane
- Circumduction: Combination of flexion and extension that allows a limb to create a circular movement
Types of Joints
- Plane Joint: describes translational movement; in reality, nonexistent, as all articular surfaces are curved
- Hinge Joint: movement allowed in one plane only, inhibited by collateral ligaments and/or bony protuberances (eg. elbow joint)
- Pivot Joint: comprises a peg fitted with a ring, movement occurs about the long axis of the peg (eg. radioulnar joint)
- Condylar Joint: knuckle-shaped condyles vary in distance from one another allowing uniaxial movement with limited rotation (eg.femorotibial joint)
- Ellipsoidal Joint: ovoid convex articulation allows movement in two planes at right angles with limited rotation (eg. radiocarpal joint)
- Saddle Joint: also biaxial with a greater scope for rotation
- Spheroidal Joint: (aka ball-and-socket) multiaxial movement allows for rotational movement in several planes (eg hip joint)