Joint cracking: Difference between revisions
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→Source: The gas is mostly carbon dioxide, not nitrogen - see Unswort et al 1971 |
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# Intra-articular (within-joint) adhesions being broken.<ref name=Protopapas/> |
# Intra-articular (within-joint) adhesions being broken.<ref name=Protopapas/> |
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Of these theories perhaps the most popular is cavitation. When a manipulation is performed, the applied force separates the [[articular]] surfaces of a fully encapsulated synovial joint, which in turn creates a reduction in pressure within the joint cavity. In this low pressure environment, some of the [[gases]] that are dissolved in the [[synovial fluid]] (which are naturally found in all bodily fluids) leave the solution creating a [[liquid bubble|bubble]] or [[cavity]], which rapidly collapses upon itself, resulting in a "clicking" sound. This process is known as [[cavitation]]. The contents of the resultant gas bubble are thought to be mainly [[ |
Of these theories perhaps the most popular is cavitation. When a manipulation is performed, the applied force separates the [[articular]] surfaces of a fully encapsulated synovial joint, which in turn creates a reduction in pressure within the joint cavity. In this low pressure environment, some of the [[gases]] that are dissolved in the [[synovial fluid]] (which are naturally found in all bodily fluids) leave the solution creating a [[liquid bubble|bubble]] or [[cavity]], which rapidly collapses upon itself, resulting in a "clicking" sound. This process is known as [[cavitation]]. The contents of the resultant gas bubble are thought to be mainly [[carbon dioxide]].<ref>{{cite journal | author = Unsworth A, Dowson D, Wright V. | title = 'Cracking joints'. A bioengineering study of cavitation in the metacarpophalangeal joint. | journal = Ann Rheum Dis | volume = 30 | issue = 4 | pages = 348–58 | year = 1971 | pmid = 5557778 | doi = 10.1136/ard.30.4.348}}</ref> The effects of this process will remain for a period of time known as the "[[refractory period]]", which can range from a few seconds to some hours while it is slowly reabsorbed back into the [[synovial fluid]]. There is some evidence that ligament laxity may be associated with an increased tendency to cavitate.<ref name="Fryer">{{cite journal | author = Fryer, Gary and Jacob, Mudge and McLaughlin, Patrick | year = 2002 | url = http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?pmd=Retrieve&db=PubMed&list_uids=12183696&dopt=Abstract | title = The Effect of Talocrural Joint Manipulation on Range of Motion at the Ankle | journal = [[Journal of Manipulative and Physiological Therapeutics]] | issue = 25 | pages = pp.384–390 | pmid = 12183696 | doi = 10.1067/mmt.2002.126129 | volume = 25}}</ref> |
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== Repercussions == |
== Repercussions == |
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Revision as of 21:46, 8 May 2009
Cracking joints is the occurrence of moving one's joints such that they produce a sharp sound, likened to cracking or popping, etc. The most common form of this occurs during deliberate knuckle cracking, a process different from snapping one's fingers. It is possible to crack many other joints, such as those between the back and neck vertebrae, [1] wrists, elbows, shoulders, toes, knees, jaws, and the Achilles tendon area.
Causes
To deliberately produce the clicking sounds, many people bend their fingers into unusual positions. These positions are usually ones that their own muscles are unable to achieve, and which are not commonly experienced in everyday use. For example, bending a finger backwards away from the palm (into extension), pulling them away from the hand (distraction), compressing a finger knuckle toward the palm (into flexion), or twisting a finger about (torsion).
The snapping of tendons or scar tissue over a prominence (as in snapping hip syndrome) can also generate a loud snapping or popping sound.[2]
Source
The physical mechanism is as yet unproven, but suggested theories include:
- Cavitation within the joint—small cavities of partial vacuum form in the fluid and then rapidly collapse, producing a sharp sound. This explains the popping that can occur in any joint, such as during spinal manipulation. Synovial fluid cavitation is the most likely theory and substantial evidence exists in support of it. Cracking your knuckles releases gases from the joints. (Discussed in detail below.) [3]
- Rapid stretching of ligaments.[2]
- Intra-articular (within-joint) adhesions being broken.[2]
Of these theories perhaps the most popular is cavitation. When a manipulation is performed, the applied force separates the articular surfaces of a fully encapsulated synovial joint, which in turn creates a reduction in pressure within the joint cavity. In this low pressure environment, some of the gases that are dissolved in the synovial fluid (which are naturally found in all bodily fluids) leave the solution creating a bubble or cavity, which rapidly collapses upon itself, resulting in a "clicking" sound. This process is known as cavitation. The contents of the resultant gas bubble are thought to be mainly carbon dioxide.[4] The effects of this process will remain for a period of time known as the "refractory period", which can range from a few seconds to some hours while it is slowly reabsorbed back into the synovial fluid. There is some evidence that ligament laxity may be associated with an increased tendency to cavitate.[5]
Repercussions
A single event is not enough to cause damage to the joint, although there is a hypothesis that prolonged joint stress due to cracking knuckles may eventually lead to a higher risk of joint damage.[citation needed] However, the long-term consequences of this practice have not been studied thoroughly, and the scientific evidence is inconclusive. The common parental advice "cracking your knuckles gives you arthritis" is not supported by any evidence, but habitual knuckle crackers are more likely to have hand swelling and lower grip strength attributed to stretched tendons.[6] It is unknown whether these effects are caused by knuckle cracking or if knuckle cracking is a symptom, as it relieves excess pressure in joints.
References
- ^ "What makes your knuckles pop?". HowStuffWorks. Retrieved 2006-09-08.
- ^ a b c Protopapas M, Cymet T, Protapapas M (2002). "Joint cracking and popping: understanding noises that accompany articular release". J Am Osteopath Assoc. 102 (5): 283–7. PMID 12033758.
{{cite journal}}: Unknown parameter|day=ignored (help); Unknown parameter|month=ignored (help)CS1 maint: multiple names: authors list (link) - ^ Brodeur R. (1995). "The audible release associated with joint manipulation". J Manipulative Physiol Ther. 18 (3): 155–64. PMID 7790795.
- ^ Unsworth A, Dowson D, Wright V. (1971). "'Cracking joints'. A bioengineering study of cavitation in the metacarpophalangeal joint". Ann Rheum Dis. 30 (4): 348–58. doi:10.1136/ard.30.4.348. PMID 5557778.
{{cite journal}}: CS1 maint: multiple names: authors list (link) - ^ Fryer, Gary and Jacob, Mudge and McLaughlin, Patrick (2002). "The Effect of Talocrural Joint Manipulation on Range of Motion at the Ankle". Journal of Manipulative and Physiological Therapeutics. 25 (25): pp.384–390. doi:10.1067/mmt.2002.126129. PMID 12183696.
{{cite journal}}:|pages=has extra text (help)CS1 maint: multiple names: authors list (link) - ^ Castellanos J., Axelrod D. (1990). "Effect of habitual knuckle cracking on hand function". Annals of the Rheumatic Diseases. 49: 49(5):308–9. doi:10.1136/ard.49.5.308.