move. They determine the axis of motion of a joint by limiting the directions in which it may move. Ligaments have a blood supply and a nerve supply. They have no regenerative powers so if they are damaged they heal by repair, forming a scar. The scar is unlikely to result in healing at the correct length, and scar tissue is liable to stretch under tension. Therefore the healing of ligaments quite often leaves a less efficient structure than the original one. If the sensory receptors and nerves in a ligament are damaged this can cause the loss of the ability to provide the central nervous system with accurate sensory information. The loss of sensory information is particularly serious as this prevents the reflex contractions of antagonist muscles to protect a joint from abnormal loads or from being placed in unsatisfactory positions. 3.6 Menisci Some joints, the knee, the wrist and the jaw for example, have small fibrocartilage structures within them which separate the cartilaginous articular surfaces. These are properly called the menisci or articular discs. Their function is incompletely understood, but primarily it is almost certainly load distribution, particularly where a joint is subject to a lot of rotation. This is classically seen in the knee. It is perhaps significant that the only mammal that cannot rotate its knees, the fruit bat, has no menisci. The menisci also help in distributing synovial fluid over a larger surface area but this is probably not a major function. MENISCI ARTICULAR DISCS SAQ 9 (a) Name two functions of ligaments. (b) Name two joints which have menisci. SAQ Answers 3.7 Joints Joints, also called articulations, are the regions of contact between bones. They hold the bones together and some allow movement to take place. They are classified into three types according to their structure and degree of mobility. Immobile joints. The bones are held firmly together by short collagen fibres. These joints are known as fibrous joints and allow no movement. Examples are found in the skull and at the distal ends of the tibia and fibula (the distal tibio-fibular joint). Slightly mobile joints. The bones are held together by fibrocartilage. These joints are known as cartilaginous joints. Examples are found between the vertebrae and between the innominate bones of the pelvis. The latter joint is called the symphysis pubis and it allows a little “give” which is desirable, particularly when giving birth! Very mobile joints. The bones are held together by ligaments and muscles. The bones may also be shaped to fit well together at the joint thus helping to hold the bones in place but also allowing certain types of movement. These joints are called synovial joints (see Figure 8) and allow a wide range of movements. JOINTS IMMOBILE JOINTS SLIGHTLY MOBILE JOINTS VERY MOBILE JOINTS SYNOVIAL JOINTS Examples of this type are the hip and knee joints. The ends of the bones in a synovial joint are covered with articular cartilage. A sleeve of tough fibrous material called the capsule is attached to the bones and encloses the joint. The inner layer of the capsule is lined with a synovial membrane which produces synovial fluid. The synovial fluid fills the synovial cavity, lubricating the joint and providing nutrients to the articular cartilage. These joints in particular allow us the movement that is not only a major factor in our survival but also a prime source of our enjoyment of life. 3.7.1 Synovial Joints - general structure The synovial joint derives its name from the presence of synovial fluid. This is produced by the synovial membrane which is a thin layer of cells lining the joint capsule (see Figure 8). Unit 1 – Basic Anatomy 10 SYNOVIAL FLUID SYNOVIAL MEMBRANE
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