In: Anatomy and Physiology
Identify/List descriptions, characteristics, and examples of the following: fibrous, cartilaginous & synovial joints.
1 -Fibrous Joint -
A fibrous joint is a fixed joint where fibrous tissue comprised
primarily of collagen connects bones. Fibrous joints are usually
immoveable (synarthroses) and have no joint cavity. They are
subdivided in to following types -
Suture
Sutures are immobile joints in the cranium. The plate-like bones of
the skull are slightly mobile at birth because of the connective
tissue between them, termed fontanelles. This initial flexibility
allows the infant’s head to get through the birth canal at delivery
and permits the enlargement of the brain after birth. As the skull
enlarges, the fontanelles reduce to a narrow layer of fibrous
connective tissue, called Sharpey’s fibers, that suture the bony
plates together. Eventually, cranial sutures ossify- the two
adjacent plates fuse to form one bone; this fusion is termed
synostosis.
Gomphoses-
Gomphoses are the immobile joints between the teeth and their
sockets in the mandible and maxillae. The periodontal ligament is
the fibrous tissue that connects the tooth to the socket.
Syndesmosis -
these are slightly movable joints (amphiarthroses). In syndesmosis joints, the two bones are held together by an interosseous membrane. For example, the tibia connects to the fibula, forming the middle tibiofibular joint, and the ulna attaches to the radius, forming the middle radio-ulnar joint.
Example - joints between teeth , tibiofibular joint
2-Cartilaginous Joint -
In cartilaginous joints, the bones attach by hyaline cartilage or fibrocartilage. Depending on the type of cartilage involved, the joints further classify as primary and secondary cartilaginous joints.
Primary cartilaginous joints, also known as synchondroses, only
involve hyaline cartilage. These joints may be slightly mobile or
immobile.
The secondary cartilaginous joint, also known as symphysis, may
involve either hyaline or fibrocartilage. These joints are slightly
mobile .
Example - Pubic Symphysis
Joint between epiphysial and diaphysis of growing bones.
Synovial
Arthritis is inflammation of the synovial joint. There are many
types of arthritis, distinguished by different mechanisms of
injury. The most common type of arthritis is osteoarthritis, which,
by definition, is gradual damage to and subsequent thinning of the
articular cartilage. This condition is considered a “wear and tear”
injury and presents in older patients; it often correlates with
prior injury to the joint and longstanding high-impact stress on
the joint (due to sports or excessive body weight). Because the
articular cartilage has no innervation, the degradation itself does
not cause pain. Instead, as the articular cartilage becomes
thinner, more pressure is placed on the bones. The joint responds
by overproducing synovial fluid, which leads to swelling and
inflammation, that stretches the highly innervated articular
capsule to cause pain and stiffness of the joint. The underlying
bone also has a rich nerve supply that perceives pain.
Gout is another form of arthritis caused by the deposition of uric
acid crystals within a joint. Uric acid causes gout when there is
an excessive amount in the body; this is either due to
over-production or improper excretion by the kidneys. The most
commonly affected joint is the metatarsophalangeal (MTP) joint of
the big toe. Patients often present with excruciating pain and
swelling.
Synovitis is inflammation of the synovial membrane that lines the
articular capsule of synovial joints. The most common cause is the
overuse of a synovial joint in an active, healthy person.
Persistent synovitis in multiple joints can indicate rheumatoid
arthritis, where the synovium is the target of the autoimmune
attack. Patients with synovitis often present with pain out of
proportion to examination; in fact, sometimes the patient has pain
without swelling or tenderness, or arthralgia.
Example - Ball and Shocket Joint.