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What is the joint commission


The place where two or more bones meet. Some joints are fixed or immobile attachments of bones; other joints allow the bones to move along each other. A joint usually has a thin, smooth articular cartilage on each bony surface and is enclosed by a joint capsule of fibrous connective tissue. A joint is classified as immovable (synarthrodial), slightly movable (amphiarthrodial), or freely movable (diarthrodial). A synarthrodial joint is one in which the two bones are separated only by an intervening membrane, such as the cranial sutures. An amphiarthrodial joint is one having a fibrocartilaginous disk between the bony surfaces (symphysis), such as the symphysis pubis; or one with a ligament uniting the two bones (syndesmosis), such as the tibiofibular articulation. A diarthrodial joint is one in which the adjoining bone ends are covered with a thin cartilaginous sheet and joined by a joint capsule lined by a synovial membrane, which secretes synovial fluid. Synonym: arthrosis (1) See: illustration


Joints are

also grouped according to their motion: ball and socket (enarthrodial); hinge (ginglymoid); condyloid; pivot (trochoid); gliding (arthrodial); and saddle joint.

Joints can move in four ways: gliding. in which one bony surface glides on another without angular or rotatory movement; angulation. occurring only between long bones, increasing or decreasing the angle between the bones; circumduction. occurring in joints composed of the head of a bone and an articular cavity, the long bone describing a series of circles, the whole forming a cone; and rotation. in which a bone moves about a central axis without moving from this axis. Angular movement, if it occurs forward or backward, is called flexion or extension, respectively; away from the body, abduction; and toward the median plane of the body, adduction.

Because of their location and constant use, joints are prone to stress, injury, and inflammation. The main diseases affecting the joints are rheumatic fever, rheumatoid arthritis, osteoarthritis, and gout. Injuries comprise contusions, sprains, dislocations, and penetrating wounds.

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