A joint, also known in medical terms as an articulation, is the place where two or more bones come together. Ligaments hold the joints firmly in place, while allowing movement. The ends of the bone are covered with cartilage, a tissue composed mostly of fibers. The cartilage does not contain blood vessels, so when it is damaged it may not heal.

Connective tissue forms a capsule or cavity around the ends of the bones where they join together, this is called the synovial capsule.  Lining the inside of this capsule is a membrane which secretes thick synovial fluid.  The fluid helps to lubricate the joint and reduce friction as the bones move next to each other.  Ligaments and tendons also surround the joint providing further support.

There are several types of joints in your body. Joints are classified depending on the type of movement the joint allows.
 

  • Hinge joint - The hinge joint allows flexion and extension of the joint.  The joint acts like a hinge on a door, allowing the joint to “open” and “close.” The elbow and knee joints are hinge joints, as well as the joints in the fingers and toes.
  • Ball and socket - The ball and socket joints are made up of one bone that is shaped like a round ball sitting inside another bone with a socket.  This type of bone placement allows for rotation around in a circular motion.  Examples are the shoulder and hip.
  • Pivot -   A pivot joint allows bones to pivot or rotate against each other.  The atlas (first cervical vertebrae) and the axis (second cervical vertebrae) pivot against each other. The top of the radius also pivots against the bottom of the humerus in the elbow.

 
  • Condyloid - Similar to the ball and socket joint, the condyloid joint allows circular motion.  In the condyloid joint, the ball component, however, rests up against the end of a bone rather than inside a socket.  The carpals of the wrist rest against the end of the radius bone of the forearm, making a condyloid joint.  At the knee, there is a condyloid joint between the femur and the top of the tibia.

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  • Saddle - The saddle joint allows movement in various directions.  For example,  where the thumb meets the wrist the bones fit up against each other like a saddle fits over the back of a horse.


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