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An articulation (joint) is the point of contact between bones or cartilage and bones.

Joints are
classified as immovable, slightly movable, or freely movable. The amount of movement
possible at a joint depends on the way in which the bones fit together, the tightness of the
tissue that surrounds the joints and the position of ligaments, muscles, and tendons.


The junction between two bones forms joints or an articulation. Joints permit varying degrees of
movements. Joints are classified into three groups: immovable, slightly movable and freely

Arthroscopy is the science concerned with the study of joints or articulations. The articulations of
the body are classified into three areas:
a. Fibrous joints: in these joints, the bones are held together by fibro-
cartilagenous tissue and the joints have no cavities.
b. Cartilagenous joints: In cartilaginous joints, the bones are held together by cartilage.
These bone also lack joint cavities.
c. Synovial joints: Synovial joints have cartilages covering the articulating surfaces and
ligaments that keep the bones together. These joints have fluid-filled joint cavities.

(Fibrous Joints)
Immovable joints are called synathrosis joints. The bones that form immovable joints are
tightly joined and are separated by a thin layer of fibrous connective tissue. E.g Skull bones except
the mandibles are joined by immovable joints called sutures (they resemble stitches). There are
three types of sutures:
Serrate suture: is characterized by jagged interlocking articulations.
Lap suture: the edge of one bone overlap another articulating bone (e.g squamous suture
between the temporal and parietal bone).
Plane suture: the edges of the articulating bones are fairly smooth (eg. Median palantine
suture where maxillae articulate to form the hard palate).

(Cartilagenous Joints)
Slightly movable joints are called amphiarthrosis joints. Bone forming slightly movable
joints. The bones forming slightly movable joints are separated by a layer ofcartilage or fibrous
connective tissues. Eg. The joints formed by adjacent vertebrae contain intervertebral disc formed
of cartilage. This arrangement in the vertebrae allow for limited movement. Other examples include
the symphysis pubis and sacroiliac joints.

(Synovial Joints)
Most articulations in the body are produced by freely movable joints. These joints are
called diarthrosis joints. The ends of the bones forming these joints are bound together by
an articular capsule formed out of ligaments. A synovial membane lines the interior of the capsule
and secretes synovial fluid that lubricates the joint. The ends of the bones forming the joints are
covered with articular cartilage which protects the bones and reduces friction. Freely movable joints
are classified into groups based on their structure and types of movement.

a. Gliding Joint

Gliding joints occur between small bones that slide over one another. They occur between carpal
bones, tarsal bones and between the clavicle and scapula.

b. Condyloid Joints
Condyloid joints allow movement in two planes: side to side or back and forth. The joints
between carpals and bones of the forearm (ulna and radius) and metacarpals and first phalanges
are examples.

c. Hinge Joint
Hinge joint allow movement in one plane only (similar to door hinge). The elbow, knee and
joints between phalanges are all hinge joints.

d. Saddle joint
Saddle joints occur where the ends of each bone are saddle-shaped; convex in one
direction and concave in the other. Movement is side to side and back and forth. This type of joint is
found between the trapezium (a carpal bone) and the metacarpal bone of the thumb.

e. Pivot joint
Pivot joints allow rotational movement in a single plane. The rotation of the atlas on the axis
is an example of a pivot joint.

f. Ball and Sucket joint
Ball and sucket joint occur in bones where the rounded head fits into the sucket or cavity of
another bone. These bones allow the greatest degree of movement. Movement may be rotational
or in any plane. The shoulder and hip joints are ball and sucket joints.

Two types of movements are discussed: Angular and Circular movements.
1. Angular joints: increase or decr the joint angle produced by articulating bone. Four types of
angular movements are : flexion, extension, abduction and adduction.
Flexion: movement that decr the joint angle on an anterior-posterior plane. Ex.
Bending the elbow or knee
Extension: the reverse of flexion; the angle joint is increased; returns the body to
anatomical position. The angle formed is 180 an exception is the ankle joint which
forms 90.
Abduction: Movement of body part away from the main axis of the body or away
from the midsagittal plane in a lateral direction. Examples:. Moving the arm inwards,
away from the body or spreading the fingers apart.
Adduction: The opposite of abduction is the movement of a body part towards the
main axis of the body.

2. Circular Movement
Rotation: movement of a bone around its own axis e.g turning the head from side to
side and twisting at the waist. Supination is a specialized rotation of the forearm that
results in the palm being turned forward. Pronation is the opposite of supination.
Movement of the forearm results in the palm being directed backwards. Applied to the
foot pronation involves eversion (movement outward) and inversion (movement
Circumduction: movement of body part resulting in the formation or tracing of cone-
shaped airspace. Ex. The shoulder, wrist, trunk, hip and ankle joints