Joints, Ligaments, and Bone Anatomy: A Comprehensive Review
Joint Types
Joint Types:
- Synarthrosis: Exhibits minimal mobility due to dense fibrous tissue. Example: skull sutures.
- Amphiarthrosis: Allows limited movement and elasticity due to a higher fiber content. Movement depends on the fiber arrangement. Example: intervertebral discs.
- Diarthro-Amphiarthrosis: Permits slight mobility and fixation. Example: sacroiliac joint (sacrum and innominate).
- Diarthrosis: Highly mobile joints with liquefied tissue and a fibrous joint capsule. Example: knee joint, containing synovial fluid.
Synovial Joint Classifications
Synovial Joint Classifications:
- Plane (Articular) Joints (Arthrodias): Allow poor gliding movements. Example: carpal bones.
- Hinge Joints (Trochlear): Permit bending and restrict mobility to one plane. Example: phalanges of fingers.
- Pivot Joints (Trochoid): Feature a cylindrical bone rotating within a ligament ring, allowing rotation. Example: radioulnar joint at the elbow.
- Condylar Joints: Allow movement in multiple planes but limited rotation.
- Ball and Socket Joints: Offer the greatest mobility, including rotation. Example: hip joint (coxofemoral).
- Saddle Joints (Reciprocal): One bone fits into the other, providing stability and mobility. Example: carpometacarpal joint of the thumb.
- Gomphosis: A dental joint where the tooth root fits into the alveolar socket, secured by periodontal ligaments.
Tarsal Bones
Tarsal Bones: Calcaneus, talus, cuboid, navicular, and three cuneiform bones.
Ankle Sprain Grades
Ankle Sprain Grades:
- Grade I: Some ligament fibers are stretched but not torn.
- Grade II: Significant stretching of the ligaments.
- Grade III: Complete rupture of ligament fibers.
Cruciate Ligament Insertions in the Knee
Cruciate Ligament Insertions in the Knee:
- Anterior Cruciate Ligament (ACL): Inserts on the anterior portion of the tibial spine and the internal portion of the external femoral condyle.
- Posterior Cruciate Ligament (PCL): Inserts on the retrospinal portion of the tibial spine and the medial condyle of the femur.
Knee Ligaments
Knee Ligaments:
- Anterior Cruciate Ligament (ACL): Inserts on the tibial tuberosity.
- Posterior Cruciate Ligament (PCL): Inserts near the semimembranosus muscle tendon.
- Medial Collateral Ligament (MCL): Inserts near the medial meniscus.
- Lateral Collateral Ligament (LCL): Extends from the external femoral condyle to the fibular head.
Muscles of the Upper Limb
Muscles of the Upper Limb:
- Levator Scapulae: Elevates the scapula.
- Rhomboids: Retract and elevate the scapula, contributing to trunk fixation.
- Latissimus Dorsi: Adducts and internally rotates the arm, important for climbing.
Scapula and Humerus Anatomy
Scapula and Humerus Anatomy:
- Scapula: Posterior spine, anterior coracoid process.
- Humerus: Rounded head, greater tubercle (trochiter) located laterally, lesser tubercle (trochin) located centrally.
Ulna and Radius Anatomy
Ulna and Radius Anatomy:
- Ulna: Olecranon and coronoid process, styloid process.
- Radius: Rounded head, styloid process.
Carpal Bones
Carpal Bones (Two Rows):
- Proximal Row: Scaphoid, lunate, triquetrum, and pisiform.
- Distal Row: Trapezium, trapezoid, capitate, and hamate.
Carpal Ligament and Carpal Tunnel
Carpal Ligament and Carpal Tunnel: The transverse carpal ligament joins the scaphoid and pisiform, forming the carpal tunnel through which the median nerve passes. Compression of the median nerve can lead to carpal tunnel syndrome.