The connections between the large bones of the skull are categorized as which type of joint

The question of how many joints there are in the human body is a difficult one to answer because it depends on a number of variables. This includes:

  • The definition of joints. Some define a joint as a point where 2 bones connect. Others suggest it is a point where bones connect for the purpose of moving body parts.
  • The inclusion of sesamoids. Sesamoids are bones imbedded in tendons, but not connected to other bones. The patella (kneecap) is the largest sesamoid. These bones vary in number from person to person.
  • The age of the human. Babies start out with about 270 bones. Some of these bones fuse together during growth. Adults have about 206 named bones, with 80 in the axial skeleton and 126 in the appendicular skeleton.

In short, there’s no definite answer to this question. The estimated number is between 250 and 350.

The human body has three main types of joints. They’re categorized by the movement they allow:

  • Synarthroses (immovable). These are fixed or fibrous joints. They’re defined as two or more bones in close contact that have no movement. The bones of the skull are an example. The immovable joints between the plates of the skull are known as sutures.
  • Amphiarthroses (slightly movable). Also known as cartilaginous joints, these joints are defined as two or more bones held so tightly together that only limited movement can take place. The vertebrae of the spine are good examples.
  • Diarthroses (freely movable). Also known as synovial joints, these joints have synovial fluid enabling all parts of the joint to smoothly move against each other. These are the most prevalent joints in your body. Examples include joints like the knee and shoulder.

There are six types of freely movable diarthrosis (synovial) joints:

  • Ball and socket joint. Permitting movement in all directions, the ball and socket joint features the rounded head of one bone sitting in the cup of another bone. Examples include your shoulder joint and your hip joint.
  • Hinge joint. The hinge joint is like a door, opening and closing in one direction, along one plane. Examples include your elbow joint and your knee joint.
  • Condyloid joint. The condyloid joint allows movement, but no rotation. Examples include your finger joints and your jaw.
  • Pivot joint. The pivot joint, also called the rotary joint or trochoid joint, is characterized by one bone that can swivel in a ring formed from a second bone. Examples are the joints between your ulna and radius bones that rotate your forearm, and the joint between the first and second vertebrae in your neck.
  • Gliding joint. The gliding joint is also called the plane join. Although it only permits limited movement, it’s characterized by smooth surfaces that can slip over one another. An example is the joint in your wrist.
  • Saddle joint. Although the saddle joint does not allow rotation, it does enable movement back and forth and side to side. An example is the joint at the base of your thumb.

The adult human skeletal system has a complex architecture that includes 206 named bones connected by cartilage, tendons, ligaments, and three types of joints:

  • synarthroses (immovable)
  • amphiarthroses (slightly movable)
  • diarthroses (freely movable)

Although the actual number of joints in any one person depends on a number of variables, the estimated number is between 250 and 350.

Introduction[edit | edit source]

The connections between the large bones of the skull are categorized as which type of joint

Joints, also known as articulations, are a form of connection between bones. They provide stability to the skeletal system as well as allowing for specialized movement.

Joints can be classified:

  1. Histologically, on the dominant type of connective tissue. ie fibrous, cartilaginous, and synovial.
  2. Functionally, based on the amount of movement permitted. ie synarthrosis (immovable), amphiarthrosis (slightly moveable), and diarthrosis (freely moveable)[1].

Generally speaking, the greater the range of movement, the higher the risk of injury because the strength of the joint is reduced

The two classification schemes correlate:

  1. Synarthroses are fibrous joints
  2. Amphiarthroses are cartilaginous joints
  3. Diarthroses are synovial joints

The 5 minute video outlines the basics.

Fibrous Joints[edit | edit source]

The connections between the large bones of the skull are categorized as which type of joint

In fibrous joints (synarthrodial joint) the bones are joined by fibrous tissue, namely dense fibrous connective tissue, and no joint cavity is present. The amount of movement allowed depends on the length of the connective tissue fibers uniting the bones. Although a few are slightly movable, most fibrous joints are immovable.

The three types of fibrous joints are sutures, syndesmoses, and gomphoses.

  1. Sutures are immobile joints in the cranium. The plate-like bones of the skull are slightly mobile at birth because of the connective tissue between them, termed fontanelles. This initial flexibility allows the infant’s head to get through the birth canal at delivery and permits the enlargement of the brain after birth. As the skull enlarges, the fontanelles reduce to a narrow layer of fibrous connective tissue that suture the bony plates together. Eventually, cranial sutures ossify- the two adjacent plates fuse to form one bone (termed synostosis).
  2. Gomphoses are the immobile joints between the teeth and their sockets in the mandible and maxillae. The periodontal ligament is the fibrous tissue that connects the tooth to the socket.
  3. Syndesmoses are slightly movable joints (amphiarthroses). In syndesmosis joints, the two bones are held together by an interosseous membrane. Eg Middle Tibiofibular Joint, a fibrous joint formed by the interosseus membrane connecting the shafts of the tibia and the fibula[1].

Cartilaginous Joints[edit | edit source]

The connections between the large bones of the skull are categorized as which type of joint

Cartilaginous joints are a type of joint where the bones are entirely joined by cartilage, either hyaline cartilage or fibrocartilage. These joints generally allow more movement than fibrous joints but less movement than synovial joints.

  • Primary cartilaginous joints: These cartilaginous joints are composed entirely of hyaline cartilage and are known as synchondroses. Most exist between ossification centres of developing bones and are absent in the mature skeleton, but a few persist in adults. eg First Sternocostal Joint, between first rib and manubrium (all other sternocostal joints are plane synovial joints); Growth plates. Image 3: synchondroses eg. growth plate
  • The secondary cartilaginous joint, also known as symphysis, may involve either hyaline or fibrocartilage. These joints are slightly mobile (amphiarthroses). eg The pubic symphysis: Intervertebral discs[2].

Synovial Joints[edit | edit source]

The connections between the large bones of the skull are categorized as which type of joint

The primary purpose of the synovial joint is to prevent friction between the articulating bones of the joint cavity. While all synovial joints are diarthroses, the extent of movement varies among different subtypes and is often limited by the ligaments that connect the bones. Nearly all joints of the limbs and most joints of the body fall into this class.

A key structural characteristic for a synovial joint that is not seen at fibrous or cartilaginous joints is the presence of a joint cavity. The joint cavity contains synovial fluid, secreted by the synovial membrane (synovium), which lines the articular capsule. This fluid-filled space is the site at which the articulating surfaces of the bones contact each other. Hyaline cartilage forms the articular cartilage, covering the entire articulating surface of each bone. The articular cartilage and the synovial membrane are continuous. A few synovial joints of the body have a fibrocartilage structure located between the articulating bones. This is called an articular disc, which is generally small and oval-shaped, or a meniscus, which is larger and C-shaped.[1]

See Synovial Joint Link for full explaination.

Physiotherapy[edit | edit source]

Physiotherapists are qualified health care professionals who are experienced at assessing joints of the human body. See links to below conditions for some examples.

  • Arthritis – inflammation that causes stiffness and pain in the joints eg rheumatoid arthritis or gout, or degeneration (osteoarthritis)
  • Bursitis – inflammation of the bursae (fluid-filled sacs that cushion and pad bones)
  • Tendonitis – inflammation, irritation and swelling of a tendon that is attached to the joint.
  • Injury – including strain or sprain of a ligament or nearby tendon or muscle, or bone fracture.[3]

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 Juneja P, Hubbard JB. Anatomy, Joints.Available: https://www.ncbi.nlm.nih.gov/books/NBK507893/ (accessed 21.6.2021)
  2. Radiopedia Cartilaginous Joints Available: https://radiopaedia.org/articles/cartilaginous-joints(accessed 21.6.2021)
  3. Better Health Joints Available: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/joints#joint-conditions (accessed 21.6.2021)

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