The =intercornual articulation= is an amphiarthrosis formed by the
junction of the distal extremity of the great cornu with the proximal
end of the small cornu (kerato-hyal). They are united by a very short
piece of cartilage, in which there is usually a small nodule of bone in
the young subject. This nodule, the epihyal or middle cornu, is usually
fused with the great cornu in the adult. The chief movement here is also
hinge-like, the angle between the cornua being increased or diminished.
The =basi-cornual articulation= is a diarthrosis formed by the junction
of each small cornu (kerato-hyal) with the body (basi-hyal). The small
cornu has a concave facet which articulates with the convex facet on
either end of the dorsal surface of the body. The capsule is ample
enough to allow considerable movement, which is chiefly hinge-like. The
movements of the hyoid bone are concerned chiefly in the acts of
mastication and swallowing. In the latter the distal parts of the hyoid
bone are moved forward and upward, carrying the root of the tongue and
the larynx with them, and then return to their former position.
THE ARTICULATIONS OF THE THORACIC LIMB
In the absence of the clavicle the thoracic limb forms no articulation
with the trunk, unless we regard as such the union by muscles. The
movement of the shoulder on the chest-wall is chiefly rotation around a
transverse axis passing through the scapula behind the upper part of the
spine.
THE SHOULDER JOINT
The shoulder or scapulo-humeral joint (Articulatio scapulo-humeralis) is
formed by the junction of the distal end of the scapula with the
proximal end of the humerus. The =articular surfaces= are: (1) On the
scapula, the glenoid cavity; (2) on the humerus, the head. Both surfaces
are approximately spherical and similar in curvature, but the humeral
surface is much more extensive than that of the scapula.
The =joint capsule= is ample enough to allow the bones to be drawn apart
about an inch (ca. 2 to 3 cm.); but this requires a very considerable
amount of force unless air is admitted into the joint cavity. The
fibrous layer (or capsular ligament) is not attached to the margin of
the joint surfaces, but at a distance of one to two centimeters from it.
It is strengthened in front by two diverging elastic bands, which arise
on the scapular tuberosity and end on the lips of the bicipital groove.
A pad of fat is interposed between the capsule and the tendon of the
biceps.
Ligaments are absent from this joint, but the muscles and tendons around
it afford remarkable security, so that dislocation seldom or never
occurs. The large extent of the head of the humerus is also of
importance in this regard.
The principal muscles which are attached around the joint and act as
ligaments are: externally, the supraspinatus, infraspinatus, and teres
minor; internally, the subscapularis; in front, the biceps and
supraspinatus; behind, the triceps.
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