뒤로Chapter 9: Joints – Fundamentals of Anatomy & Physiology
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Joints (Articulations)
Introduction to Joints
Joints, also known as articulations, are the locations where two bones meet and where body movement occurs. The structure of a joint determines its function, and there is a tradeoff between strength and mobility: the more mobile a joint, the less stable it tends to be.
Joints are essential for movement and flexibility in the skeletal system.
There are two main methods of classifying joints:
Structural classification (based on anatomy)
Functional classification (based on range of motion)
Joint structure determines joint function.
Classification of Joints
Structural Classifications
Joints are classified structurally according to the material binding the bones and the presence or absence of a joint cavity.
Fibrous joints: Bones joined by dense connective tissue; no joint cavity.
Cartilaginous joints: Bones joined by cartilage; no joint cavity.
Bony joints: Bones fused together; no joint cavity.
Synovial joints (diarthrosis): Bones separated by a fluid-filled joint cavity; freely movable.
Functional Classifications
Joints are also classified by the degree of movement they allow.
Synarthrosis: Immovable joint
Amphiarthrosis: Slightly movable joint
Diarthrosis (synovial): Freely movable joint
Synarthrosis (Immovable Joints)
Synarthroses are very strong joints where the edges of bones may touch or interlock. They may be fibrous or cartilaginous.
Four types of synarthrotic joints:
Suture: Found only between bones of the skull; edges interlock and are bound by dense fibrous connective tissue.
Gomphosis: Binds teeth to bony sockets; fibrous connection via the periodontal ligament.
Synchondrosis: Rigid cartilaginous bridge between two bones; found between vertebrosternal ribs and sternum, and in the epiphyseal cartilage of growing long bones.
Synostosis: Created when two bones fuse; example is the epiphyseal lines of mature long bones.
Amphiarthrosis (Slightly Movable Joints)
Amphiarthroses allow limited movement and may be fibrous or cartilaginous.
Two types of amphiarthroses:
Syndesmosis: Bones connected by a ligament (e.g., tibia/fibula, ulna/radius).
Symphysis: Bones connected by fibrocartilage (e.g., pubic symphysis, intervertebral discs).
Diarthrosis (Synovial Joints)
General Structure and Function
Synovial joints are freely movable and are the most common type of joint in the body, especially between long bones. They are surrounded by a joint capsule (articular capsule) and contain synovial fluid.
Joint capsule has two layers:
Outer: fibrous membrane
Inner: synovial membrane
Synovial fluid functions:
Made of proteoglycans
Lubrication
Nutrient distribution
Shock absorption
Articular cartilage (hyaline cartilage) covers articulating surfaces to reduce friction and absorb shock.
Components of Synovial Joints
The following table summarizes the main components of a synovial joint, as shown in the sagittal section image:
Component | Description |
|---|---|
Fibrous joint capsule | Encloses the joint and provides stability |
Synovial membrane | Lines the joint capsule and produces synovial fluid |
Articular cartilages | Cover bone surfaces within the joint |
Joint cavity | Space containing synovial fluid |
Ligament | Connects bone to bone, stabilizing the joint |
Metaphysis | Region between the diaphysis and epiphysis of a long bone |
Compact bone | Dense bone tissue providing strength |
Spongy bone | Porous bone tissue within the epiphysis |
Medullary cavity | Central cavity containing bone marrow |
Periosteum | Outer fibrous layer covering bone |
Example: The knee joint is a classic synovial joint, containing all these components and allowing significant movement while maintaining stability.