General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
Why are the fibrous capsules found only around the first kind of
articulations? The reason of it is plain; as these articulations have
in all directions motions nearly equal, they should have on all sides
an equal resistance, whilst the others moving in one or two directions
only, the ligaments were unnecessary except at certain places, to limit
these motions. Hence why for example, the fibrous system is spread out
like a membrane around the ilio-femoral articulation, and collected
into distinct fasciæ around the femoro-tibial, where the synovial
membrane is almost everywhere bare.
We understand from all that has been said, that the only use of the
fibrous capsules is to strengthen the articular relations, and that
this use has no connexion with synovial exhalation.
When in luxations not reduced, the head of the bone has left the
articular cavity, a new membrane is formed around it in the cellular
texture which serves for a capsule; but this membrane has not the
texture of the former one. I have observed in two subjects, that no
fibre could be distinguished in it, that its texture was very analogous
to that of the different cysts that are often found in many parts of
the economy, of those especially that form round foreign bodies, the
presence of which is not a cause of suppuration, and that consequently
these preternatural capsules belong rather to the class of serous than
to that of the fibrous membranes.
ARTICLE SEVENTH.
OF THE FIBROUS SHEATHS.
The fibrous sheaths are, as we have said, partial or general.
I. _Partial Fibrous Sheaths._
The partial sheaths destined to a single tendon are of two sorts; one
runs a long course; such are those of the flexors of the foot and the
hand, which correspond to the whole concave surface of the phalanges;
the others form only a kind of rings, in which a tendon is reflected,
an example of which is seen in the great oblique muscle of the eye.
All in general form a semi-circle and make half of a canal which the
bone completes; so that the tendon slides in a canal half osseous
and half fibrous. This canal is lined by a synovial membrane, the
attachment of which to the fibrous sheath is equal to that of the
articular synovial membrane to its capsule. By their external surface,
the fibrous sheaths correspond with the neighbouring organs, to which
they are united by a loose cellular texture.
All these sheaths are of a very dense and compact texture; they are
stronger in proportion to the effort which the tendons can exert upon
them, than the fibrous capsules are in relation to the different
impulses which the bones can communicate to them and which tend to
rupture these capsules. They are confounded with the periosteum at
their two edges. Those of the flexors unite also by their extremity
with the expansion of the tendons; hence the very considerable fibrous
interlacing that is observed at the extremity of the last phalanges.
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