Introduction of Arthrology
The study about joints is termed arthrology or syndesmology. A joint or articulations are the structures, where two or more bones of the skeleton meet one another by certain determined areas of their surface named articular areas with the help of certain binding materials.
In immovable joints, the adjacent margins of the bones in contact, being separated merely by a thin layer of fibrous membrane called the sutural ligament eg. joints in the skull. In certain regions at the base of the skull this fibrous membrane is replaced by a layer of cartilage.
Where slight movement combined with great strength is required, the osseous surfaces are united by tough and elastic fibrocartilages E.g. joints in the vertebral bodies.
In freely movable joints, the surfaces are completely separated and the bones forming the joints are expanded for greater convenience of mutual connection are covered by cartilage and enveloped by capsules of fibrous tissue. The cells lining the interior of the fibrous capsule form an imperfect membrane—the synovial membrane—which secretes a lubricating fluid. The joints are strengthened by strong fibrous bands called ligaments, which extend between the bones forming the joint.
Bone
Bone constitutes the fundamental element of all the joints In the long bones, the extremities are the parts which form the articulations. They are generally enlarged and consist of spongy cancellous tissue with a thin coating of compact substance. In the flat bones, the articulations usually take place at the edges. In the short bones at various parts of their surfaces. The layer of compact bone which forms the joint surface where the articular cartilage is attached is called the articular surface. It differs from ordinary bone tissue in that it contains no Haversian canals, and its lacunae are larger and have no canaliculi. The vessels of the cancellous tissue as they approach the articular surface, turn back in loops, and do not perforate it. This layer is consequently denser and firmer than ordinary bone, and is evidently designed to form an unyielding support for the articular cartilage.
Cartilage
Cartilage is a non-vascular structure which is found in various parts of the body in adult life chiefly in the joints, in the parietes of the thorax, and in various tubes, such as the trachea and bronchi, nose, and ears, which require to be kept permanently open. In the early period of fetus, the greater part of the skeleton is cartilaginous and are replaced by bone. Cartilage is divided according to its structure into hyaline cartilage, white fibrocartilage, and yellow or elastic fibrocartilage.
Hyaline Cartilage
Hyaline cartilage consists of a gristly mass of a firm consistence, but of considerable elasticity and pearly bluish color. Except where it coats the articular ends of bones, it is covered externally by a fibrous membrane, the perichondrium
It contains no nerves. Microscopically it consist of cells of a rounded or bluntly angular form, lying in groups of two or more in a granular or almost homogeneous matrix.
Articular cartilage, costal cartilage, and temporary cartilage are all of the hyaline variety. They present differences in the size, shape, and arrangement of their cells.
White Fibrocartilage
White fibrocartilage consists of a mixture of white fibrous tissue and cartilaginous tissue in various proportions; to the former of these constituents it owes its flexibility and toughness, and to the latter its elasticity
When examined under the microscope it is found to be made up of fibrous connective tissue arranged in bundles, with cartilage cells between the bundles; the cells to a certain extent resemble tendon cells, but may be distinguished from them by being surrounded by a concentrically striated area of cartilage matrix and by being less flattened.
Ligaments
Ligaments are composed mainly of bundles of white fibrous tissue placed parallel closely interlaced with one another and present a white, shining, silvery appearance
Ligaments are pliant and flexible to allow perfect freedom of movement, but strong, tough, and inextensible to yield readily to applied force.
Some ligaments consist entirely of yellow elastic tissue, as the ligamenta flava which connect together the laminæ of adjacent vertebrae. In these cases the elasticity of the ligament is intended to act as a substitute for muscular power.
Capsules
Articular Capsules
The articular capsules form complete envelopes for the freely movable joints. Each capsule consists of two strata—an external (stratum fibrosum) composed of white fibrous tissue, and an internal (stratum synoviale) which is a secreting layer and is usually described separately as the synovial membrane.
Fibrous capsules
Fibrous capsules is attached to the whole circumference of the articular end of each bone entering into the joint, and thus entirely surrounds the articulation
Synovial membrane
Synovial membrane invests the inner surface of the fibrous capsule and is reflected over any tendons passing through the joint cavity It is composed of a thin, delicate, connective tissue with branched connective-tissue corpuscles. Its secretion is thick, viscid, and glairy, like the white of an egg, and is hence termed synovia
They consist of connective tissue covered with endothelium and contain fat cells in variable quantities with isolated cartilage cells.
Synovial sheath
Synovial sheath serve to facilitate the gliding of tendons in fibro-osseous canals.
Each sheath is arranged in the form of an elongated closed sac, one layer of which adheres to the wall of the canal and the other is reflected upon the surface of the enclosed tendon.
These sheaths are chiefly found surrounding the tendons of the Flexor and Extensor muscles of the fingers and toes as they pass through fibroosseous canals in or near the limb.
Synovial bursae
Synovial bursae are interposed between surfaces which glide upon each other. They consist of closed sacs containing a minute quantity of clear viscid fluid.
