Skip to content
EvidenceHelixEvidenceLib · Scientific Encyclopedia
⌘ K

Scientific library

EvidenceLib encyclopediaAll articles A–Z2,100Open textbooks2Cancer study catalog458How it is made

My workspace this browser

Saved pages0Notes & annotations0

Recently viewed

Explore by field

Cancer and Oncology107Genetics and Genomics95Neuroscience110Cardiovascular Medicine105Immunology90Pharmacology99Molecular Biology100Infectious Diseases102Rare and Inherited Diseases106Clinical Research98Anatomy and Physiology542Drugs and Chemicals546
Plans & pricingCompare EvidenceHelix workspace plans
Library›EvidenceLib›Anatomy and Physiology›Joints
Explore more with EvidenceHelix Workspace

Compare studies, analyze evidence and create research reports with premium tools.

Explore Researcher plans

Research reading room

Joints

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 4 min read

Also known as articulations, these are points of connection between the ends of certain separate bones, or where the borders of other bones are juxtaposed.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (663 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Also known as articulations, these are points of connection between the ends of certain separate bones, or where the borders of other bones are juxtaposed.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Joint.

Where it fits in the MeSH classification

Broader topics
Skeleton
Narrower topics
Acromioclavicular Joint; Atlanto-Axial Joint; Atlanto-Occipital Joint; Bursa, Synovial; Cartilage, Articular; Elbow Joint; Foot Joints; Hand Joints; Hip Joint; Joint Capsule; Knee Joint; Ligaments, Articular; Pubic Symphysis; Sacroiliac Joint
See also
Arthrography; Arthroplasty; Arthroscopy

Research landscape

PubMed indexes 306,671 records tagged with the MeSH heading “Joints” (counts retrieved 2026-10-31). 63,652 of them (20.8%) were published from 2020 onward, and the busiest period so far is through 1999 with 96,203 records.

Reviews account for 30,775 records (10.0%) and meta-analyses for 2,707. Randomized controlled trials number 9,290 (3.0%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 96,203 records; 2000-2009: 56,130 records; 2010-2019: 90,686 records; 2020 onward: 63,652 records96,203through 199956,1302000-200990,6862010-201963,6522020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199996,203
2000-200956,130
2010-201990,686
2020 onward63,652
Share of records by publication typeReviews: 10.0 percent; Meta-analyses: 0.9 percent; Randomized controlled trials: 3.0 percentReviews10.0% (30,775)Meta-analyses0.9% (2,707)Randomized controlled trials3.0% (9,290)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 306,671 PubMed records
TypeRecordsShare
Reviews30,77510.0%
Meta-analyses2,7070.9%
Randomized controlled trials9,2903.0%

Method: PubMed query "Joints"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Synovial fluid level of myeloperoxidase enzyme following ultrasound-guided regenerative injections in patients with irreducible temporomandibular disc displacement: a double-blinded parallel randomized clinical trial
Bahgat MM, El-Helw NR, Abdel-Hamid AM, Fata MM, Ashour MS, Atteya AM
2026Randomized controlled trial
Design not recorded in structured metadata
2cc by
PMID 42472796 · DOI · PMC13383524
Restoring pre-osteoarthritis cartilage matrix integrity via Col9 mRNA halts osteoarthritis progression
Zhou J, Hu J, Yada E, Zhong J, Terai Y, Winlove CP, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42685225 · DOI · PMC13537250
Validation of markerless human pose estimation methods for clinical assessment of elbow range of motion
Rode D, Willi R, Schulz E, Schneller T, Moroder P, Audigé L, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42490640 · DOI · PMC13395372

Synovial fluid level of myeloperoxidase enzyme following ultrasound-guided regenerative injections in patients with irreducible temporomandibular disc displacement: a double-blinded parallel randomized clinical trial [1]

Randomized controlled trial Bahgat MM, El-Helw NR, Abdel-Hamid AM, Fata MM, Ashour MS, Atteya AM · · 2026 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundIrreducible temporomandibular disc displacement (DDwoR) is a subtype of internal derangement of temporomandibular joint (TMJ-ID).
Closing excerpt
gov with identification number: NCT04557878, 1/4/2020.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (257 words)

BackgroundIrreducible temporomandibular disc displacement (DDwoR) is a subtype of internal derangement of temporomandibular joint (TMJ-ID). Recognizing the risks related to DDwoR with its pathogenesis, the treatment of this disorder becomes essential. Prolotherapy, also known as regenerative injection therapy, has been emerging as one of the most promising approaches to treat patients with TMJ-ID. The current prospective parallel randomized clinical trial (RCT) was done to assess the effect of hypertonic dextrose (HD) regenerative injection and that of concentrated growth factors (CGF) in conjunction with a stabilization occlusal appliance (SA) in the management of DDwoR.MethodsTwenty-four patients suffering from DDwoR were randomly assigned to 2 equal groups; Group I (HD + SA), Group II (CGF + SA). Assessments were done before treatment, 1 week, 4 weeks, and 24 weeks after the treatment using the Visual Analogue Scale of Pain (VAS) and assisted maximum mouth opening (MMO). Moreover, synovial fluid (SF) samples were obtained for the analysis of the Myeloperoxidase enzyme (MPO) levels, before and 6 months after treatment.ResultsA significant relief in pain was found in both groups at 1 month and lasted up to 6 months postoperatively (p ConclusionsWe concluded that injection of HD or CGF in the superior joint space could be a valuable treatment option for patients suffering from DDwoR. As both led to a positive impact on MMO, and the relief of joint pain with the decrease in levels of inflammatory biomarker inside the joint.Trial registrationThe current trial is a prospective assessor and analyst blinded RCT that has been registered at ClinicalTrials.gov with identification number: NCT04557878, 1/4/2020.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42472796 · DOI · PMC13383524

Restoring pre-osteoarthritis cartilage matrix integrity via Col9 mRNA halts osteoarthritis progression [2]

Research article Zhou J, Hu J, Yada E, Zhong J, Terai Y, Winlove CP, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Osteoarthritis (OA) is a prevalent degenerative joint disease characterized by the progressive breakdown of cartilage.
Closing excerpt
Together, these results provide a translatable framework in which quantitative mechanical-ultrastructural metrics guide ultra-early, presymptomatic intervention for degenerative diseases.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (163 words)

Osteoarthritis (OA) is a prevalent degenerative joint disease characterized by the progressive breakdown of cartilage. Here, we sought to define a pre-osteoarthritis (pre-OA) state using nanoindentation-based mechanical testing and evaluation of collagen organization in cartilage matrix. The reductions in elastic modulus and impaired viscoelasticity preceded any overt histological degeneration. This mechanical dysfunction was primarily driven by early disorganization of type II collagen, occurring before substantial depletion of cartilage components. We subsequently identified type IX collagen (Col IX), which played a critical role at the pre-OA stage. Intra-articular administration of Col9 mRNAs delivered by polymer-based nanomicelle restored pre-OA cartilage to a healthy, native-like collagen network architecture and preserved cartilage mechanical integrity, ultimately halting OA progression in the rat model. These findings identify viscoelastic dysfunction as an early biomechanical hallmark of pre-OA cartilage and establish Col9 mRNA as a potential anti-OA drug to prevent its onset. Together, these results provide a translatable framework in which quantitative mechanical-ultrastructural metrics guide ultra-early, presymptomatic intervention for degenerative diseases.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42685225 · DOI · PMC13537250

Validation of markerless human pose estimation methods for clinical assessment of elbow range of motion [3]

Research article Rode D, Willi R, Schulz E, Schneller T, Moroder P, Audigé L, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Clinicians rely on the assessment of joint range of motion to determine the necessity of clinical interventions and to track rehabilitation progress.
Closing excerpt
Thus, HSMR represented a viable alternative to visual assessment for measuring elbow flexion range of motion in a clinical population, but neither RTMW nor HSMR offered an improvement over visual assessment for measuring elbow extension range of motion.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (243 words)

Clinicians rely on the assessment of joint range of motion to determine the necessity of clinical interventions and to track rehabilitation progress. They often perform visual assessments of these joint angles due to limited time for longer but more accurate methods. Markerless monocular human pose estimation methods could help reduce the workload of physicians in clinical practice, allow patients to conduct regular assessments remotely, and be used to provide reliable assessments in the absence of expert raters, but they have not been validated extensively on clinical populations. We measured the elbow flexion and extension ranges of motion of 46 patients with shoulder and elbow pathologies. These values were assessed by RTMW and HSMR, two different monocular pose estimation methods, and an experienced physician who performed visual assessments. A state-of-the-art passive-marker optical motion capture system was used as the reference system. For elbow flexion, HSMR outperformed visual assessment. HSMR had a higher concordance correlation coefficient of 0.92 and a lower minimal detectable change of 6.74° as determined by a concordance analysis and a linear mixed-effects model. Conversely, for elbow extension, visual assessment outperformed both markerless methods. RTMW was the best-performing markerless method with a concordance correlation coefficient of 0.83 and a minimal detectable change of 7.93°. Thus, HSMR represented a viable alternative to visual assessment for measuring elbow flexion range of motion in a clinical population, but neither RTMW nor HSMR offered an improvement over visual assessment for measuring elbow extension range of motion.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42490640 · DOI · PMC13395372

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Robotic and navigated pedicle screws are safer and more accurate than fluoroscopic freehand screws: a systematic review and meta-analysis [4]
    Matur AV, Palmisciano P, Duah HO, Chilakapati SS, Cheng JS, Adogwa O · Spine J · 2023 · cited 86 times (Europe PMC)
  • Research article Lower donor site morbidity with hamstring and quadriceps tendon autograft compared with bone-patellar tendon-bone autograft after anterior cruciate ligament reconstruction: a systematic review and network meta-analysis of randomized controlled trials [5]
    Kunze KN, Moran J, Polce EM, Pareek A, Strickland SM, Williams RJ · Knee Surg Sports Traumatol Arthrosc · 2023 · cited 65 times (Europe PMC)
  • Research article Recurrence in traumatic anterior shoulder dislocations increases the prevalence of Hill-Sachs and Bankart lesions: a systematic review and meta-analysis [6]
    Rutgers C, Verweij LPE, Priester-Vink S, van Deurzen DFP, Maas M, van den Bekerom MPJ · Knee Surg Sports Traumatol Arthrosc · 2022 · cited 57 times (Europe PMC)
  • Research article May the force be with you: understanding how patellofemoral joint reaction force compares across different activities and physical interventions-a systematic review and meta-analysis [7]
    Hart HF, Patterson BE, Crossley KM, Culvenor AG, Khan MCM, King MG, et al. · Br J Sports Med · 2022 · cited 48 times (Europe PMC)
  • Research article Genicular Artery Embolization as a Treatment for Osteoarthritis Related Knee Pain: A Systematic Review and Meta-analysis [8]
    Epelboym Y, Mandell JC, Collins JE, Burch E, Shiang T, Killoran T, et al. · Cardiovasc Intervent Radiol · 2023 · cited 44 times (Europe PMC)
  • Research article Inlay versus onlay humeral design for reverse shoulder arthroplasty: a systematic review and meta-analysis [9]
    Larose G, Fisher ND, Gambhir N, Alben MG, Zuckerman JD, Virk MS, et al. · J Shoulder Elbow Surg · 2022 · cited 43 times (Europe PMC)

References

  1. Bahgat MM, El-Helw NR, Abdel-Hamid AM, Fata MM, Ashour MS, Atteya AM. Synovial fluid level of myeloperoxidase enzyme following ultrasound-guided regenerative injections in patients with irreducible temporomandibular disc displacement: a double-blinded parallel randomized clinical trial. . 2026. PMID 42472796 · DOI · PMC13383524
  2. Zhou J, Hu J, Yada E, Zhong J, Terai Y, Winlove CP, et al.. Restoring pre-osteoarthritis cartilage matrix integrity via Col9 mRNA halts osteoarthritis progression. . 2026. PMID 42685225 · DOI · PMC13537250
  3. Rode D, Willi R, Schulz E, Schneller T, Moroder P, Audigé L, et al.. Validation of markerless human pose estimation methods for clinical assessment of elbow range of motion. . 2026. PMID 42490640 · DOI · PMC13395372
  4. Matur AV, Palmisciano P, Duah HO, Chilakapati SS, Cheng JS, Adogwa O. Robotic and navigated pedicle screws are safer and more accurate than fluoroscopic freehand screws: a systematic review and meta-analysis. Spine J. 2023. PMID 36273761 · DOI
  5. Kunze KN, Moran J, Polce EM, Pareek A, Strickland SM, Williams RJ. Lower donor site morbidity with hamstring and quadriceps tendon autograft compared with bone-patellar tendon-bone autograft after anterior cruciate ligament reconstruction: a systematic review and network meta-analysis of randomized controlled trials. Knee Surg Sports Traumatol Arthrosc. 2023. PMID 37000243 · DOI
  6. Rutgers C, Verweij LPE, Priester-Vink S, van Deurzen DFP, Maas M, van den Bekerom MPJ. Recurrence in traumatic anterior shoulder dislocations increases the prevalence of Hill-Sachs and Bankart lesions: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2022. PMID 34988633 · DOI · PMC9165262
  7. Hart HF, Patterson BE, Crossley KM, Culvenor AG, Khan MCM, King MG, et al.. May the force be with you: understanding how patellofemoral joint reaction force compares across different activities and physical interventions-a systematic review and meta-analysis. Br J Sports Med. 2022. PMID 35115309 · DOI
  8. Epelboym Y, Mandell JC, Collins JE, Burch E, Shiang T, Killoran T, et al.. Genicular Artery Embolization as a Treatment for Osteoarthritis Related Knee Pain: A Systematic Review and Meta-analysis. Cardiovasc Intervent Radiol. 2023. PMID 36991094 · DOI
  9. Larose G, Fisher ND, Gambhir N, Alben MG, Zuckerman JD, Virk MS, et al.. Inlay versus onlay humeral design for reverse shoulder arthroplasty: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2022. PMID 35671928 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

See how EvidenceLib is built. Spotted an error? Email support@evidencehelix.com.

Evidence strength

EvidenceHelix's computed view of the study designs behind this topic: how common meta-analyses, randomized trials and reviews are, how recent the literature is, and a plain-language reading. It describes the design mix of the literature. It is not a quality appraisal of any study, and it is not medical advice.

Included with the Researcher plan

Reading every article stays free. This computed view is part of the paid plans.

See plans Sign in

Your notes

Notes and highlights stay in this browser only; they are not sent to EvidenceHelix.

Related research topics

  • Temporomandibular JointAnatomy and Physiology
  • Hip JointAnatomy and Physiology
  • Shoulder JointAnatomy and Physiology
  • Wrist JointAnatomy and Physiology
  • Patellofemoral JointAnatomy and Physiology
  • Acromioclavicular JointAnatomy and Physiology

All 542 articles in Anatomy and Physiology →

At a glance

306,671
PubMed records on this heading
21%
published since 2020
30,775
review articles
9,290
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Temporomandibular JointAnatomy and Physiology
  • Hip JointAnatomy and Physiology
  • Shoulder JointAnatomy and Physiology
  • Wrist JointAnatomy and Physiology
  • Patellofemoral JointAnatomy and Physiology

My notes & annotations (0)

Nothing yet. Select text and press Highlight, or write a note in the Notes tab. Stored in this browser only.

Sources

  • NLM MeSH record ↗
  • PubMed search used ↗

EvidenceLib is a research-education resource, not medical advice. It does not diagnose, prescribe or recommend starting, stopping or changing any treatment. Talk to a qualified clinician about your own situation. Methods, sources and licences · Legal · Support