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Chapter 86
The Hyoidean Articulations
The temporo-hyoid articulation is an amphiarthrosis, in which the dorsal angle of the proximal end of the great cornu (Stylo-hyal) is attached by a short bar of cartilage to the hyoid process of the petrous temporal bone. The cartilage (Arthrohyal) is about half an inch (ca. 1 to 1.5 cm. ) in length. The chief movement is hinge-like, the axis of motion passing transversely through both joints.
The intercornual articulation is an amphiarthrosis formed by the junction of the distal extremity of the great cornu with the proximal end of the small cornu (kerato-hyal). They are united by a very short piece of cartilage, in which there is usually a small nodule of bone in the young subject. This nodule, the epihyal or middle cornu, is usually fused with the great cornu in the adult. The chief movement here is also hinge-like, the angle between the cornua being increased or diminished.
The basi-cornual articulation is a diarthrosis formed by the junction of each small cornu (kerato-hyal) with the body (basi-hyal). The small cornu has a concave facet which articulates with the convex facet on either end of the dorsal surface of the body. The capsule is ample enough to allow considerable movement, which is chiefly hinge-like. The movements of the hyoid bone are concerned chiefly in the acts of mastication and swallowing. In the latter the distal parts of the hyoid bone are moved forward and upward, carrying the root of the tongue and the larynx with them, and then return to their former position.
The Articulations of the Thoracic Limb
In the absence of the clavicle the thoracic limb forms no articulation with the trunk, unless we regard as such the union by muscles. The movement of the shoulder on the chest-wall is chiefly rotation around a transverse axis passing through the scapula behind the upper part of the spine.