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Inside a synovial joint

Learn it here, then practice it on the patient.

A synovial joint is built for smooth, low-friction movement under load. Each part has a job, and each can be a source of pain and swelling.

Articular cartilage

Smooth hyaline cartilage covers the bone ends so they glide. It has no blood supply or nerves, so it heals poorly once damaged.

Capsule and synovial membrane

A fibrous capsule encloses the joint and is lined by the synovial membrane. The membrane makes synovial fluid, a thin, slippery liquid that lubricates and nourishes the cartilage.

Ligaments

Ligaments are bands of tough tissue that connect bone to bone and block movement in the wrong direction. Tendons, which attach muscle to bone, also cross the joint and help hold it steady.

Bursae and menisci

Bursae are small fluid sacs that cushion tendons where they rub over bone. Some joints, like the knee, also have fibrocartilage pads (menisci) that deepen the socket and spread the load.

PartMade ofJob
Articular cartilageHyaline cartilageSmooth gliding surface
Synovial membraneThin lining tissueMakes synovial fluid
LigamentDense connective tissueConnects bone to bone
BursaFluid-filled sacReduces friction

At the bedside

Fluid inside the capsule (an effusion) swells the whole joint, while bursitis swells a small area over a bony point. A hot, red, swollen joint needs its fluid tested to rule out infection or crystals.

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Written by Making Synapses. Topic reference: OpenStax, Anatomy and Physiology 2e (no text adapted).