General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
What establishes a real line of demarcation between these two systems
is, 1st, that the fluids which lubricate their membranes appear to
differ in their composition, though there is much resemblance between
them. 2d. In dropsical diatheses which affect at the same time the
cellular texture and all the serous surfaces of the peritoneum, the
pleura, &c. the affection does not extend to the synovial membranes,
which indicates a difference of structure, though we do not know
what this difference is. 3d. And reciprocally in dropsies of the
articulations, an affection in general very rare, and in those of the
tendinous synovial capsules, there is no concomitant affection of
the membranes of the great cavities. 4th. The fluid of the articular
dropsies does not resemble that which fills the great cavities in the
same disease. 5th. The synovial membranes are much more rarely than
the serous, the seat of those slow and tubercular inflammations which
the serous surfaces so often exhibit. I have however seen two examples
of it in the synovial membrane of the knee. I believe that these two
systems are the only ones in which this disease is observed; so that
it is by its existence a character of resemblance, and by its rarity
or frequency, a distinguishing attribute. 6th. The different kinds of
adhesions of which I have spoken as taking place on the serous surface,
are not met with on the synovial surfaces, where we see only that which
identifies these two adhering surfaces, a mode which frequently takes
place in anchylosis, which is also as often occasioned by it, as by the
stiffness of the parts surrounding the articulation. 7th. The synovial
surfaces are not as often as the serous, the seat of those remarkable
locomotions of which we have spoken; which depends on this, that the
articular organs are not, like the most of those covered with serous
surfaces, subject to alternate dilatations and contractions.
The synovial system exhibits evidently two great divisions. To one
belongs the articular system, to the other that of the tendinous
grooves. Each shall be examined separately.
ARTICLE FIRST.
ARTICULAR SYNOVIAL SYSTEM.
I believe that I first described this essential portion of the synovial
system. I shall relate here what I have said of it elsewhere. I shall
examine first how it is separated from the blood, afterwards the fluid
itself, and then I shall describe the organ which furnishes it.
I. _How the Synovia is separated from the mass of Blood._
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