types of joint
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Types of Joint
A joint is the point where two or more bones meet . There arethree main types of joints;Fibrous
(immoveable)
Cartilagenous (partially moveable)
Synovial (freely moveable).
Fibrous joints
Fibrous (synarthrodial): This type of joint is held together by
only a ligament. Examples are where the teeth are held to
their bony sockets and at both the radioulnar and tibiofibular
joints.
Cartilagenous
Cartilagenous (synchondroses and sympheses): These joints
occur where the connection between the articulating bones is
made up of cartilage for example between vertebrae in thespine.
A cartilagenous joint between two vertebrae
Synchondroses are temporary joints which are only present in
children, up until the end of puberty. For example
theepiphyseal platesin long bones. Symphesis joints are
permanant cartilagenous joints, for example the pubic
symphesis.
Synovial Joints
Synovial (diarthrosis): Synovial joints are by far the most
common classification of joint within the human body. They
are highly moveable and all have a synovial capsule
(collagenous structure) surrounding the entire joint, a synovial
membrane (the inner layer of the capsule) which secretes
synovial fluid (a lubricating liquid) and cartilage known as
hyaline cartilage which pads the ends of the articulating
bones. There are 6 types of synovial joints which are classified
by the shape of the joint and the movement available.
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Types of Synovial Joint
Joint Type Movement at joint Examples Structure
Hinge Flexion/Extension
Elbow/Knee Hinge joint
PivotRotation of one bone around
another
Top of the neck
(atlas and axis bones)Pivot Joint
Ball and
Socket
Flexion/Extension/Adduction/
Abduction/Internal & External
Rotation
Shoulder/Hip Ball and socket joint
Saddle
Flexion/Extension/Adduction/
Abduction/Circumduction
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CMC joint of the
thumb
Saddle joint
Condyloid
Flexion/Extension/Adduction/
Abduction/Circumduction
Wrist/MCP & MTP
jointsCondyloid joint
Gliding Gliding movements
Intercarpal joints Gliding joint
Planes of Motion and Terms of MovementThere are three planes of motion in which we move. If you think about it, most of our
movements are not straight up and down, or side to side etc, especially in sports. They tend to
combine a mixture of movements in different planes.
The three planes of motion are:
Sagittal Plane
The Sagittal plane passes through the body front to back, so dividing it into left and right. Movements in this
plane are the up and down movements of flexion and extension
Frontal Plane
The frontal plane divides the body into front and back. Movements in this plane are sideways movements, calledabduction and adduction
Transverse Plane
This plane divides the body into top and bottom. Movements in this plane are rotational in nature, such as
internal and external rotation, pronation and supination
Anatomical Neutral
This is the starting position for describing any movement. It is important that you know this to be able to
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understand what is meant by certain movement patterns. It is sometimes also called the anatomical starting
position or fundamental starting position.
Anatomical neutral is:
Standing upright
Legs together and knee straight
Toes pointing straight forwards
Arms by the side
Palms facing forwards
Movements
Flexion and Extension
Flexion is a movement in the sagittal plane, which decreases the angle at the moving joint. Extension is the
opposite movement, which increases the angle at the joint. Many types of synovial joint are capable of flexion
and extension (hinge; ball and socket; saddle; condyloid) including the shoulder, elbow, wrist, hip and knee. Here
are some examples:
shoulder flexion is the action of raising the arm above the head. Extension is then the downward movement. In
the photo, the shoulder is in an extended position. For the knee, bending the knee is flexion, as the angle is
reduced (as shown in the picture) and straightening it is called extension.
Flexion and extension at the ankle joint is called dorsiflexion and plantarflexion. Dorsiflexion is when you point
your toes towards the ceiling and plantarflexion is when you point your toes away, towards the floor. Remember
to start in the anatomical starting position!
Abduction and Adduction
These are movements in the frontal plane and involve moving the body part away or towards an imaginary
centre line. Abduction is taking the body part away from the central line and adduction is moving it towards
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(remember this by thinking adduction adds the body part to the centre). Adduction can also be moving the body
part across the centre line and to the other side of the body, shown in the hip abduction video below. Amongst
the joints capable of abduction and adduction are the shoulder and hip.
Other abduction and adduction movements include the fingers. If you splay your fingers and move them apart,
this is abduction as they are moving away from the centre position. When you bring the fingers back together,this is adduction, as you are adding them back to the centre line.
Rotation
Rotation movements are in the transverse plane and include any twisting motion. Joints which permit rotation
include the shoulder and hip. These are both ball and socket joints. We can also rotate our necks and backs due
to a series of smaller joints, including the atlanto-axial joint which is a pivot joint in the neck between the first
two vertebrae (C1 and C2).
Rotation of the hip and shoulder can be broken down into internal or external rotation (also sometimes known as
medial and lateral rotation respectively). In the example of the shoulder video below, internal rotation is the
movement of the hand either inwards towards the body (when the shoulder is adducted) or down to point
towards the floor (when the shoulder is abducted). External rotation is therefore the opposite, when the hand
moves away from the body (when the shoulder is adducted) or up towards the ceiling (when the shoulder is
abducted).
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Circumduction
Circumduction is a combination of all of the movements above. It is possible at ball and socket, condyloid and
saddle joints such as the shoulder, hip, wrist and ankle. It involves moving the entire connecting limb through its
full range of motion. Here is an example of shoulder circumduction:
Pronation, Supination, Inversion and Eversion
Pronation and supination are specialised movements of the forearm and ankle. In the forearm, pronation is the
movement of turning the palm over to face downwards (or backwards if starting in anatomical neutral).
Supination is the opposite movement, of turning the palm up or forwards. The movement here comes from the
proximal radio-ulnar joint (the joint just below the elbow, between the Radius and Ulna bones) which is a pivot
joint, allowing the Radius to move around the Ulna.
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At the ankle, supination is the movement of turning the sole of the foot inwards. This is sometimes called
inversion. Pronation is the movement of turning the sole of the foot outwards, sometimes called eversion. You
will sometimes hear people saying they have over-pronated feet, meaning their sole turns outwards slightly more
than it should when they walk or run, giving the appearance of a flat foot, without an arch.