Synovial Knee Joint

  • Isabel Oliveira
  • Cristiana Gonçalves
  • Rui Luís Reis
  • Joaquim Miguel Oliveira
Chapter
Part of the Studies in Mechanobiology, Tissue Engineering and Biomaterials book series (SMTEB, volume 21)

Abstract

The knee is a synovial knee joint that allows flexion, extension and also a slight ability to rotate medially and laterally, being able to move on two planes, being known as a modified hinge joint. The main features of a synovial joint are the articulating cartilage, the joint capsule, the joint cavity, the bursae and the ligaments. The joint capsule is composed by the synovium and a fibrous capsule, keeping the synovial fluid that fills the joint cavity inside the joint. The most common injuries or diseases that affects this complex biomechanical system are arthritis, bursitis and dislocations. In fact, the synovium the central area of pathology in a number of inflammatory joint diseases, such as rheumatoid arthritis (RA) and spondyloarthritis (SpA).

References

  1. 1.
    Goldblatt JP, Richmond JC (2003) Anatomy and biomechanics of the knee. Oper Tech Sports Med 11(3):172–186CrossRefGoogle Scholar
  2. 2.
    Scott WN, Colman C, Gotlin RS (1996) Dr. Scott’s knee book: symptoms, diagnosis, and treatment of knee problems including torn cartilage, ligament damage, arthritis, tendinitis, arthroscopic surgery, and total knee replacement. Simon and Schuster, New YorkGoogle Scholar
  3. 3.
    Blackburn TA, Craig E (1980) Knee anatomy a brief review. Phys Ther 60(12):1556–1560Google Scholar
  4. 4.
    Pujari A, Alton NS (2010) The healthy back book: a guide to whole healing for outdoor enthusiasts and other active people. SkipstoneGoogle Scholar
  5. 5.
    Fullerton A (1916) The surgical anatomy of the synovial membrane of the knee–joint. Br J Surg 4(13):191–200CrossRefGoogle Scholar
  6. 6.
    Saavedra MÁ, Navarro-Zarza JE, Villasenor-Ovies P, Canoso JJ, Vargas A, Chiapas-Gasca K, Hernández-Díaz C, Kalish RA (2012) Clinical anatomy of the knee. Reumatol Clin 8:39–45CrossRefGoogle Scholar
  7. 7.
    Flandry F, Hommel G (2011) Normal anatomy and biomechanics of the knee. Sports Med Arthrosc Rev 19(2):82–92CrossRefGoogle Scholar
  8. 8.
    Fenn S, Datir A, Saifuddin A (2009) Synovial recesses of the knee: MR imaging review of anatomical and pathological features. Skelet Radiol 38(4):317–328CrossRefGoogle Scholar
  9. 9.
    Ralphs J, Benjamin M (1994) The joint capsule: structure, composition, ageing and disease. J Anat 184(Pt 3):503Google Scholar
  10. 10.
    Kiener HP, Karonitsch T (2011) The synovium as a privileged site in rheumatoid arthritis: cadherin-11 as a dominant player in synovial pathology. Best Pract Res Clin Rheumatol 25(6):767–777CrossRefGoogle Scholar
  11. 11.
    O’Connell JX (2000) Pathology of the synovium. Am J Clin Pathol 114(5):773–784CrossRefGoogle Scholar
  12. 12.
    Revell P (1989) Synovial lining cells. Rheumatol Int 9(2):49–51CrossRefGoogle Scholar
  13. 13.
    Smith MD (2011) The normal synovium. Open Rheumatol J 5(1):100–106Google Scholar
  14. 14.
    Gray H (1918) Anatomy of the human body. Lea & Febiger, PhiladelphiaCrossRefGoogle Scholar
  15. 15.
    de Sousa EB, Casado PL, Neto VM, Duarte M, Aguiar DP (2014) Synovial fluid and synovial membrane mesenchymal stem cells: latest discoveries and therapeutic perspectives. Stem Cell Res Ther 5(5):112CrossRefGoogle Scholar
  16. 16.
    Bobick J, Balaban N (2008) The handy anatomy answer book. Visible Ink Press, MichiganGoogle Scholar
  17. 17.
    Korochina K, Polyakova V, Korochina I (2016) Morphology of synovial membrane and articular cartilage in the knee joint in experimental chronic heart failure. Bull Exp Biol Med 160(3):376–380CrossRefGoogle Scholar
  18. 18.
    Fujii K, Tsuji M, Tajima M (1999) Rheumatoid arthritis: a synovial disease? Ann Rheum Dis 58(12):727–730CrossRefGoogle Scholar
  19. 19.
    Ospelt C, Gay S (2008) The role of resident synovial cells in destructive arthritis. Best Pract Res Clin Rheumatol 22(2):239–252CrossRefGoogle Scholar
  20. 20.
    El-Gabalawy H (1999) The challenge of early synovitis: multiple pathways to a common clinical syndrome. Arthritis Res 1(1):31–36CrossRefGoogle Scholar
  21. 21.
    de Lange-Brokaar B, Ioan-Facsinay A, Yusuf E, Visser A, Kroon H, Andersen S, Herb-van Toorn L, van Osch G, Zuurmond A-M, Stojanovic-Susulic V (2014) Degree of synovitis on MRI by comprehensive whole knee semi-quantitative scoring method correlates with histologic and macroscopic features of synovial tissue inflammation in knee osteoarthritis. Osteoarthr Cartil 22(10):1606–1613CrossRefGoogle Scholar
  22. 22.
    Haugen I, Mathiessen A, Slatkowsky-Christensen B, Magnusson K, Bøyesen P, Sesseng S, van der Heijde D, Kvien T, Hammer H (2015) Synovitis and radiographic progression in non-erosive and erosive hand osteoarthritis: Is erosive hand osteoarthritis a separate inflammatory phenotype? Osteoarthr Cartil 24(4):647–654Google Scholar
  23. 23.
    Oei E, McWalter E, Sveinsson B, Alley M, Hargreaves B, Gold G (2014) Non-contrast diffusion weighted imaging for the assessment of knee synovitis: a comparative study against contrast-enhanced MRI. Osteoarthr Cartil 22:S252CrossRefGoogle Scholar
  24. 24.
    Park J, Lakes RS (2007) Biomaterials: an introduction. Springer, BerlinGoogle Scholar
  25. 25.
    Pan X, Zhang X, Liu Z, Wen H, Mao X (2012) Treatment for chronic synovitis of knee: arthroscopic or open synovectomy. Rheumatol Int 32(6):1733–1736CrossRefGoogle Scholar
  26. 26.
    Migliore A, Procopio S (2015) Effectiveness and utility of hyaluronic acid in osteoarthritis. Clin Cases Miner Bone Metab 12(1):31Google Scholar
  27. 27.
    Swann D, Radin E, Nazimiec M, Weisser P, Curran N, Lewinnek G (1974) Role of hyaluronic acid in joint lubrication. Ann Rheum Dis 33(4):318CrossRefGoogle Scholar
  28. 28.
    Wen DY (2000) Intra-articular hyaluronic acid injections for knee osteoarthritis. Am Fam Phys 62(3):565–572Google Scholar
  29. 29.
    De Sousa RPRA, Gertrudes ACF, Correia C, da Silva Morais AJ, da Mota Martins Gonçalves C, Radhouani H, Gomes CAV, dos Santos TSXC, de Oliveira JMAC, do Sameiro Espregueira-Mendes JDC (2015) Viscosupplement composition comprising ulvan for treating arthritis. Google PatentsGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Isabel Oliveira
    • 1
    • 2
  • Cristiana Gonçalves
    • 1
    • 2
  • Rui Luís Reis
    • 1
    • 2
  • Joaquim Miguel Oliveira
    • 1
    • 2
  1. 1.3B’s Research Group—Biomaterials, Biodegradables and Biomimetics, European Institute of Excellence on Tissue Engineering and Regenerative MedicineUniversity of MinhoBarco, GmrPortugal
  2. 2.ICVS/3B’s—PT Government Associate LaboratoryBraga, GuimarãesPortugal

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