Syndesmology

The shoulder articulation [articulatio humeri] is one of the most perfect and most movable of joints, the large upper end of the humerus playing upon the shallow glenoid cavity. Like the hip, it is a ball-and-socket joint. It is retained in position much less by ligaments than by muscles, and, owing to the looseness of its capsule, as well as to all the other conditions of its construction and position, it is exceedingly liable to be displaced; on the other hand, it is sheltered from violence by the two projecting processes - the acromion and coracoid. The ligaments of the shoulder-joint are:

  • Articular capsule
  • Gleno-humeral.
  • Coraco-humeral.
  • Glenoid.

Class. - Diarthrosis. Subdivision. - Enarthrodia.

The knee is the largest joint in the body. It is rightly described as a ginglymoid joint, but there is also an arthrodial element; for, in addition to flexion and extension, there is a sliding backward and forward of the tibia upon the femoral condyles, as well as slight rotation round a vertical axis. It is one of the most superficial, and, as far as adaptation of the bony surfaces goes, one of the weakest joints, for in no position are the bones in more than partial contact.

The sterno-costo-clavicular articulation Class. - Diarthrosis. Subdivision. - Condylarthrosis.

At this joint the large medial end of the clavicle is united to the superior angle of the manubrium sterni, the first costal cartilage also assisting to support the clavicle. It is the only joint between the upper extremity and the trunk, and takes part in all the movements of the upper limb. Looking at the bones, one would say that they were in no way adapted to articulate with one another, and yet they assist in constructing a joint of security, strength, and importance. The bones are nowhere in actual contact, being completely separated by an articular disc. The interval between the joints of the two sides varies from one inch to an inch and a half (2.5-4 cm.).

The hip is the most typical example of a ball-and-socket joint in the body, the round liead of the femur being received into the cup-shaped cavity of the acetabulum.

The scapula is connected with the clavicle by a synovial joint with its ligaments at the acromio-clavicular articulation; and also by a set of ligaments passing between the coracoid process and the clavicle. So, that we have to consider: the acromio-clavicular articulation, the coraco-clavicular ligaments, the proper scapular ligaments are also best described in this section - viz., the coraco-acromial and transverse.

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