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
Thus separated from the mass of blood, the synovia has the appearance
of a white, viscid and transparent fluid. It ropes, like some syrups,
when it flows from the articulations. This unctuous property renders it
peculiarly fit to lubricate the articular surfaces which rub together,
and to protect them from violent shocks.
Its quantity varies; there are articulations which contain much of it;
that of the ankle has always appeared to me to have the most of it.
Then come the ilio-femoral, the scapulo-humeral, the humero-cubital,
&c. There are others in which there is scarcely any; such are the
sterno-clavicular, the sterno-costals, the costo-vertebrals, &c. It
is not the smallness of the synovial surfaces that occasions in these
articulations the constant dryness that is observed in them; for the
synovial sacs of the larynx, which are much smaller, are much more
moist.
Besides, the synovia does not vary in quantity in each articulation,
like the serum in the serous membranes. Those who have opened
peritoneums, pleuras, pericardiums, &c. must have seen that hardly
two are similar; sometimes there is only a mere dew, at others there
is a real collection of fluid. Here on the contrary there is always
nearly the same quantity; which is owing to this, that the synovial
surface does not feel as easily as the serous surfaces, the sympathetic
influences of the other organs when diseased.
The synovia is not subject to the different alterations which the
serous fluids exhibit. I have never seen upon the articular surfaces
what are called false membranes from inflammation. The preternatural
collections of synovia never contain those white flakes, so common in
the serous collections. I do not know of an example of milky serum
effused in an articulation. One of the most frequent alterations of
the synovia is that, I think, in which it takes the consistence of a
jelly and is of a reddish colour, analogous, if I may be allowed the
comparison, to currant jelly. Now this alteration is wholly foreign to
the serous fluids.
These essential differences which the synovia and the serum exhibit
in their alterations, evidently suppose a diversity of nature in the
principles which compose them in the natural state. The viscidity of
one and the greater fluidity of the other, also declare it, as Fourcroy
has observed. This diversity of nature appears to depend especially
upon a peculiar substance which enters into the composition of the
synovia, which few animal fluids possess, which Marguerron who has
observed it designates by the name of albumen of a peculiar nature, and
which should be the object of new researches.
I shall not give here the details of the analysis of the synovia; they
belong to animal chemistry.
III. _Of the Synovial Membranes._
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