- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- 19.1 Joints and connective tissue—structure and function
- 19.2 Clinical presentation and diagnosis of rheumatological disorders
- 19.3 Clinical investigation
- 19.4 Back pain and regional disorders
- 19.5 Rheumatoid arthritis
- 19.6 Spondyloarthritis and related conditions
- 19.7 Infection and arthritis
- 19.8 Reactive arthritis
- 19.9 Osteoarthritis
- 19.10 Crystal-related arthropathies
- 19.11 Autoimmune rheumatic disorders and vasculitides
- 19.12 Miscellaneous conditions presenting to the rheumatologist
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
(p. 4379) Joints and connective tissue—structure and function
- Chapter:
- (p. 4379) Joints and connective tissue—structure and function
- Author(s):
Thomas Pap
, Adelheid Korb-Pap
, Christine Hartmann
, and Jessica Bertrand
- DOI:
- 10.1093/med/9780198746690.003.0442
Synovial joints are complex functional elements of the vertebrate body that provide animals with motion capabilities and hence the ability for locomotion and direct physical interaction with their environment. They are composed of different connective tissues structures that are derived from the same developmental structures in the embryo but have distinct cellular and biochemical properties. Articular cartilage and synovial membrane are key components of synovial joints and show several peculiarities that makes them different from other tissues. An in-depth knowledge of these features is important not only for understanding key features of articular function, but also providing explanations for important characteristics of both degenerative and inflammatory joint diseases. This chapter reviews the structure, biochemical composition, and function of articular cartilage and synovium, and points to important links between physiology and pathologic conditions, particularly arthritis.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- 19.1 Joints and connective tissue—structure and function
- 19.2 Clinical presentation and diagnosis of rheumatological disorders
- 19.3 Clinical investigation
- 19.4 Back pain and regional disorders
- 19.5 Rheumatoid arthritis
- 19.6 Spondyloarthritis and related conditions
- 19.7 Infection and arthritis
- 19.8 Reactive arthritis
- 19.9 Osteoarthritis
- 19.10 Crystal-related arthropathies
- 19.11 Autoimmune rheumatic disorders and vasculitides
- 19.12 Miscellaneous conditions presenting to the rheumatologist
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine