=Vessels and Nerves.=—The =arteries= form anastomoses around the larger
joints, and give off branches to the extremities of the bones and to the
joint capsule. The synovial membrane has a close-meshed network of
capillaries; the latter form loops around the margins of the articular
cartilages, but do not usually enter them. The =veins= form plexuses.
The synovial membrane is also well supplied with lymphatics.
Nerve-fibers are especially numerous in and around the synovial membrane
and there are special nerve-endings, _e. g._, Pacinian bodies and the
articular end-bulbs described by Krause.
=Movements.=—The movements of a joint are determined chiefly by the form
and extent of the joint surfaces and the arrangement of the ligaments.
They are usually classified as follows:
1. =Gliding.=—This refers to the sliding of one practically plane
surface on another, as in the joints between the articular processes of
the cervical vertebræ.
2. =Angular Movements.=—In these cases there is movement around one or
more axes. Motion which diminishes the angle included by the segments
forming the joint is termed =flexion=, while that which tends to bring
the segments into line with each other is called =extension=.
With reference to the joints of the lower parts of the limbs, it seems
advisable to employ the terms =dorsal= and volar or =plantar flexion=,
since these joints can be “overextended.” Similarly, the terms =dorsal=
and =ventral flexion= should be applied to the corresponding movements
of the spinal column. The meaning of the term =lateral flexion= is
evident. These movements are all rotations around axes which are
approximately either transverse or vertical. Depression, elevation, and
lateral movement of the lower jaw fall in this category.
3. =Circumduction.=—This designates movements in which the distal part
of the limb describes a circle or a segment of one. In man such movement
is easily performed, but in quadrupeds it is possible to a limited
degree only, and is to be regarded usually as an indication of disease.
4. =Rotation.=—As a matter of convenience, this term is reserved to
indicate rotation of one segment around the longitudinal axis of the
other segment forming the joint. It is seen typically in the
atlanto-axial joint.
5. =Adduction= and =abduction= designate respectively movement of a limb
toward and away from the median plane, or of a digit toward and away
from the axis of the limb.
=Classification.=—This is based on the form of the joint surfaces and
the movements which occur. The following chief classes may be
recognized:
1. =Arthrodia=, or gliding joint. In these the surfaces are practically
flat, admitting of gliding movement. Examples: carpo-metacarpal joints;
joints between the articular processes of the cervical and thoracic
vertebræ.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account