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    Related Topics

    From Musculoskeletal System

    Obliques (External and Internal)
    Muscles responsible for torso rotation.
    Triceps Brachii
    Muscle responsible for elbow extension.
    Ligamentum Flavum
    Spinal ligament connecting the laminae of adjacent vertebrae.
    Pivot Joints
    e.g., atlanto-axial joint
    Sartorius
    Longest muscle in the body responsible for hip flexion.
    Posterior Longitudinal Ligament
    Spinal ligament running along the back of the vertebral column.
    Coccygeus
    Pelvic floor muscle supporting the coccyx.
    Saddle Joints
    e.g., thumb joint
    Zygomaticus
    Muscle that raises the corners of the mouth.
    Flexor Tendons
    Tendons that help flex the fingers and toes.
    Anterior Scalene Muscle
    The anterior scalene muscle is a deep neck muscle that elevates the first rib during inspiration and aids in neck flexion and stability, located between key neurovascular structures.
    Annular Ligament
    The annular ligament is a strong fibrous band encircling the head of the radius, stabilizing the proximal radioulnar joint and allowing smooth rotation of the forearm.
    Lumbar Vertebrae (L1 - L5)
    Vertebrae in the lower back (L1-L5).
    Scapula
    Shoulder blade providing attachment for muscles of the upper limb.
    Sacroiliac Ligaments
    Ligaments connecting the sacrum to the iliac bones.
    Buccinator
    Muscle that helps with chewing and blowing air out.
    Pectoralis Major
    Chest muscle responsible for shoulder movement.
    Coracoacromial Ligament
    Ligament that connects the acromion to the coracoid process.
    Carpals (8 bones)
    8 wrist bones.
    Sesamoid Bones
    e.g., patella, some found in hands/feet.
    Maxillae
    Upper jaw bones that house the teeth and form part of the orbit.
    Diaphragm
    Primary muscle for breathing.
    Rotator Cuff Muscles
    Supraspinatus, Infraspinatus, Teres Minor, Subscapularis.
    Ethmoid Bone
    Bone forming part of the nasal cavity and the orbit.
    Ribs (12 Pairs)
    12 pairs of bones that form the sides of the thoracic cage.

    Hinge Joints

    Reviewed by our medical team

    e.g., elbow, knee

    1. Overview

    A hinge joint is a type of synovial joint that allows movement in one plane, similar to the motion of a door hinge. These joints are designed primarily for flexion and extension, enabling bending and straightening motions. Hinge joints are crucial in everyday movements and are known for their strength and stability, particularly in the limbs where weight-bearing and repetitive motion are frequent.

    2. Location

    Hinge joints are found in multiple areas of the body, especially in the upper and lower limbs:

    • Elbow joint: Between the humerus and ulna (humeroulnar joint).

    • Knee joint: Primarily functions as a modified hinge joint between the femur and tibia.

    • Interphalangeal joints: Between the phalanges of fingers and toes (both proximal and distal).

    • Ankle joint: The talocrural joint allows hinge-like plantarflexion and dorsiflexion.

    • Temporomandibular joint (partially): While it allows other movements, the hinge mechanism contributes to jaw opening and closing.

    3. Structure

    Hinge joints are structured to allow uniaxial motion while maintaining stability:

    • Articulating surfaces: One bone has a convex (rounded) surface that fits into a concave surface of another bone.

    • Joint capsule: A fibrous capsule encloses the joint and maintains alignment of articulating surfaces.

    • Synovial membrane: Lines the capsule and secretes synovial fluid for lubrication and nourishment.

    • Ligaments: Reinforce the capsule and limit motion to one plane; e.g., ulnar collateral ligament at the elbow, medial and lateral collateral ligaments at the knee.

    • Articular cartilage: Covers the bone surfaces to minimize friction and absorb shock.

    4. Function

    Hinge joints primarily enable uniaxial movement:

    • Flexion: Bending the joint, decreasing the angle between bones (e.g., bending the elbow).

    • Extension: Straightening the joint, increasing the angle between bones (e.g., straightening the knee).

    These joints do not permit rotation or side-to-side movement, which adds to their mechanical stability.

    5. Physiological role(s)

    Hinge joints support essential physiological functions:

    • Locomotion: Knee and ankle hinge joints play a central role in walking, running, and jumping.

    • Manipulation: Elbow and finger joints allow gripping, lifting, and tool use.

    • Load transfer: Designed to absorb and distribute compressive and tensile forces during weight-bearing or movement.

    • Precision movement: Finger hinge joints contribute to fine motor control in tasks like writing or buttoning a shirt.

    6. Clinical Significance

    Hinge joints are commonly involved in orthopedic and rheumatologic conditions:

    • Osteoarthritis:

      • Degeneration of articular cartilage in hinge joints (especially knees and fingers) can lead to pain, stiffness, and reduced motion.

    • Ligament injuries:

      • Collateral ligament sprains or tears can destabilize hinge joints (e.g., medial collateral ligament injury in the knee).

    • Fractures near hinge joints:

      • Fractures of bones forming hinge joints (e.g., distal humerus or proximal ulna) can impair joint function and require surgical repair.

    • Inflammatory arthritis:

      • Conditions like rheumatoid arthritis frequently affect small hinge joints in the hands and feet.

    • Joint contractures:

      • Prolonged immobilization or neurological injury can lead to stiffness or permanent loss of motion in hinge joints.

    • Joint replacement:

      • In severe cases, especially at the knee or elbow, joint prostheses can be used to restore hinge function.

    Did you know? Bones are living tissue that is constantly remodeling and repairing itself.