JOINT
A joint or articulation (or articular
surface) is the connection made between
bones in the body which link the skeletal system into a functional
whole. They are constructed to allow for different degrees and types of
movements.
Some joints, such as the
hip joint, knee joint, ankle joint,tibiofibular joint and the joints of foot
are lower limb joints.
JOINTS OF LOWER LIMB:
1. HIP JOINT-
The head of the femur articulates
with the acetabulum of the hip bone to form the hip joint.
The hip joint is unique in having
a high degree of stability as well as mobility that depend on:
A.Tension and strength of ligaments
B.Length and obliquity of neck of the femur
C.femur has along neck which is narrower than the equatorial diameter of
the head
LIGAMENTS:
a. The fibrous capsule
b. The iliofemoral ligament
c. The pubofemoral ligament
d. The ischiofemoral ligament
e. The ligament of the head of femur
f. The ace tabular ligament
g. the transverse acetabula ligament
The hip joint has anterior, posterior, superior, and inferior relations.
The blood supply is obturator artery, two circumflex femoral and two gluteal arteries.
The hip joint is supplied by the femoral nerve.
MOVEMENTS:
Flexion and extension occur around a transverse axis.
Adduction and abduction occur around an anteroposterior axis.
Medial and lateral rotation occur around a verticle axis,
Circumduction is the combination of the foregoing movements,
Knee Joint
The knee is largest and the complex joint of the body. The complexity is
the result of fusion of the three joints in one. It is formed by fusion of the
lateral femorotibial,medial femoral tibial,and femoropatellar joints,It is
condylar synovial joint, in cooperating two condylar joints between the
condyles of the femur and tibia, and one saddle joint between the femur and
patella.
LIGAMENTS:
1. Fibrous capsule
2. Ligamentous patella
3. Tibial collateral or medial ligament
4. Fibular collateral or lateral ligament
5. Oblique popliteal ligament
6. Arcuate popiliteal ligament
7. Anterior cruciate ligament
8. Posterior cruciate ligament
9. Medial meniscus
10. Lateral meniscus
11. Transverse ligament
The knee joint is supplied by the anatomoses around it.The nerve supply is
femoral nerve, sciatic nerve and obturator nerve.
MOVEMENTS:
a.Extension
b.Flexion
C.Medial rotation of flexed leg
D.lateral rotation of flexed leg.
ANKLE JOINT
This is a synovial joint of the hinge variety
LIGAMENTS
1.Fibrous capsule
2.The deltoid or medial ligament
3.A lateral ligament
The blood supply from anterior tibial,posterior tibial and peroneal
artery.The nerve supply from deep peroneal and tibial nerves.
The joints of the foot are numerous.They can be classified as:
1.Intertarsal
2.Tarsometatarsal
3.Metatarsaophalangeal
4.Intermetatarsul
5.Interphalangeal
The main
intertarsal joints are the subtalar or talocalcanean joint, the
talocalcaneonavicular joint and the calcenocuboid joint.Smaller intertarsal
joints include cuneonavicular, cuboidonavicular,intercuniform and cunecoboid
joints.
MOVEMENTS
The joint
participates in the movements of inversion and eversion of the foot.
SMALLER JOINTS OF FOREFOOT:
These are
the plan joints between the navicular,the cuniform,the cuboid and the
metatarsal bones.They permit small gliding movements, which allow elevation and
depression of the heads of the metatarsal, as well as pronation and supination
of the foot.
There are
only six joint cavities in the proximal part of the foot.
THE END!