Pivot joints allow for rotation, which can be external (for example when rotating an arm outward), or internal (as in rotating an arm inward). When rotating the forearm, these movements are typically called pronation and supination. In the standard anatomical position, the forearms are supinated, which means that the palms are facing forward, and the thumbs are pointing away from the body. In contrast, a forearm in pronation would have the palm facing backward and the thumb would be closer to the body, pointing medially.
In contrast, spherical joints (or ball and socket joints) such as the hip joint permit rotation and all other directional movement, while pivot joints only permit rotation.
