Encyclopaedia Britannica, 11th Edition, "Joints" to "Justinian I." / Volume 15, Slice 5

by Various

JOINTS, in anatomy. The study of joints, or articulations, is known as Arthrology (Gr. ἄρθρον), and naturally begins with the definition of a joint. Anatomically the term is used for any connexion between two or more adjacent parts of the skeleton, whether they be bone or cartilage. Joints may be immovable, like those of the skull, or movable, like the knee.

Fig. 1.—Vertical section through a synchondrosis. b, b, the two bones; Sc, the interposed cartilage; l, the fibrous membrane which plays the part of a ligament.	Fig. 2.—Vertical section through a cranial suture, b, b, the two bones; s, opposite the suture; l, the fibrous membrane, or periosteum, passing between the two bones, which plays the part of a ligament, and which is continuous with the interposed fibrous membrane.

Immovable joints, or synarthroses, are usually adaptations to growth rather than mobility, and are always between bones. When growth ceases the bones often unite, and the joint is then obliterated by a process known as synostosis, though whether the union of the bones is the cause or the effect of the stoppage of growth is obscure. Immovable joints never have a cavity between the two bones; there is simply a layer of the substance in which the bone has been laid down, and this remains unaltered. If the bone is being deposited in cartilage a layer of cartilage intervenes, and the joint is called synchondrosis (fig. 1), but if in membrane a thin layer of fibrous tissue persists, and the joint is then known as a suture (fig. 2). Good examples of synchondroses are the epiphysial lines which separate the epiphyses from the shafts of developing long bones, or the occipito-sphenoid synchondrosis in the base of the skull. Examples of sutures are plentiful in the vault of the skull, and are given special names, such as sutura dentata, s. serrata, s. squamosa, according to the plan of their outline. There are two kinds of fibrous synarthroses, which differ from sutures in that they do not synostose. One of these is a schindylesis, in which a thin plate of one bone is received into a slot in another, as in the joint between the sphenoid and vomer. The other is a peg and socket joint, or gomphosis, found where the fangs of the teeth fit into the alveoli or tooth sockets in the jaws.

Fig. 3.—Vertical section through an amphiarthrodial joint. b, b, the two bones; c, c, the plate of cartilage on the articular surface of each bone; Fc, the intermediate fibro-cartilage; l, l, the external ligaments.

Movable joints, or diarthroses, are divided into those in which there is much and little movement. When there is little movement the term half-joint or amphiarthrosis is used. The simplest kind of amphiarthrosis is that in which two bones are connected by bundles of fibrous tissue which pass at right angles from the one to the other; such a joint only differs from a suture in the fact that the intervening fibrous tissue is more plentiful and is organized into definite bundles, to which the name of interosseous ligaments is given, and also that it does not synostose when growth stops. A joint of this kind is called a syndesmosis, though probably the distinction is a very arbitrary one, and depends upon the amount of movement which is brought about by the muscles on the two bones. As an instance of this the inferior tibio-fibular joint of mammals may be cited. In man this is an excellent example of a syndesmosis, and there is only a slight play between the two bones. In the mouse there is no movement, and the two bones form a synchondrosis between them which speedily becomes a synostosis, while in many Marsupials there is free mobility between the tibia and fibula, and a definite synovial cavity is established. The other variety of amphiarthrosis or half-joint is the symphysis, which differs from the syndesmosis in having both bony surfaces lined with cartilage and between the two cartilages a layer of fibro-cartilage, the centre of which often softens and forms a small synovial cavity. Examples of this are the symphysis pubis, the mesosternal joint, and the joints between the bodies of the vertebrae (fig. 3).

The true diarthroses are joints in which there is either fairly free or very free movement. The opposing surfaces of the bones are lined with articular cartilage, which is the unossified remnant of the cartilaginous model in which they are formed and is called the cartilage of encrustment (fig. 4, c). Between the two cartilages is the joint cavity, while surrounding the joint is the capsule (fig. 4, l), which is formed chiefly by the superficial layers of the original periosteum or perichondrium, but it may be strengthened externally by surrounding fibrous structures, such as the tendons of muscles, which become modified and acquire fresh attachments for the purpose. It may be said generally that the greater the intermittent strain on any part of the capsule the more it responds by increasing in thickness. Lining the interior of the capsule, and all other parts of the joint cavity except where the articular cartilage is present, is the synovial membrane (fig. 4, dotted line); this is a layer of endothelial cells which secrete the synovial fluid to lubricate the interior of the joint by means of a small percentage of mucin, albumin and fatty matter which it contains.

Fig. 4.—Vertical section through a diarthrodial joint. b, b, the two bones; c, c, the plate of cartilage on the articular surface of each bone; l, l, the investing ligament, the dotted line within which represents the synovial membrane. The letter s is placed in the cavity of the joint.	Fig. 5.—Vertical section through a diarthrodial joint, in which the cavity is subdivided into two by an interposed fibro-cartilage or meniscus, Fc. The other letters as in fig. 4.

A compound diarthrodial joint is one in which the joint cavity is divided partly or wholly into two by a meniscus or interarticular fibro-cartilage (fig. 5, Fc).

The shape of the joint cavity varies greatly, and the different divisions of movable joints depend upon it. It is often assumed that the structure of a joint determines its movement, but there is something to be said for the view that the movements to which a joint is subject determine its shape. As an example of this it has been found that the mobility of the metacarpo-phalangeal joint of the thumb in a large number of working men is less than it is in a large number of women who use needles and thread, or in a large number of medical students who use pens and scalpels, and that the slightly movable thumb has quite a differently shaped articular surface from the freely movable one (see J. Anat. and Phys. xxix. 446). R. Fick, too, has demonstrated that the concavity or convexity of the joint surface depends on the position of the chief muscles which move the joint, and has enunciated the law that when the chief muscle or muscles are attached close to the articular end of the skeletal element that end becomes concave, while, when they are attached far off or are not attached at all, as in the case of the phalanges, the articular end is convex. His mechanical explanation is ingenious and to the present writer convincing (see Handbuch der Gelenke, by R. Fick, Jena, 1904). Bernays, however, pointed out that the articular ends were moulded before the muscular tissue was differentiated (Morph. Jahrb. iv. 403), but to this Fick replies by pointing out that muscular movements begin before the muscle fibres are formed, and may be seen in the chick as early as the second day of incubation.