By Nigel Palastanga, Roger Soames

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Ruffini-type and paciniform endings are responsible for detecting stretch and pressure applied to joint capsules and/or ligaments and so are involved in position sense. Permit some limited and controlled movement: there are two types – primary and secondary cartilaginous. In primary cartilaginous joints a layer of hyaline cartilage separates the bones. In secondary cartilaginous joints a fibrocartilage pad separates the hyaline cartilage layers. Synovial joints • • • • No direct connection between the articular surfaces, therefore freely mobile; movement is limited by the joint capsule, ligaments and muscles crossing the joint.

The distal end of the nail is free, while the proximal covered part constitutes the nail root. There is an abundant supply of sensory nerve endings and blood vessels to the nail bed. The nails grow at approximately 1 mm per week, being faster in summer than in winter. Hairs Hairs are widely distributed over the body surface, notable exceptions being the palm of the hand and the sole of the foot. Hairs vary in thickness and length; most are extremely fine so that the skin may appear hairless. There is a marked sexual difference in the distribution of coarse hair, particularly on the face and trunk, and in its loss from the scalp.

In adults, examples are the inferior tibiofibular joint where the two bones are held together by an interosseous ligament, and the interosseous membrane between the radius and ulna. Flexibility of the membrane or twisting and stretching of the ligament permit movement at the joint; however, the movement allowed is restricted and controlled. Bone Bone A Vertebral body Ligament Intervertebral disc Cartilaginous joints In cartilaginous joints the two bones are united by a continuous pad of cartilage.

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