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
We have seen all the great cavities lined by the serous membranes,
which form by their folds species of sacs without an opening, and which
embrace both the organs and the parietes of these cavities. There
exists in all the moveable articulations membranes precisely analogous,
the uses of which are the same, the nature of which is not different
and which I call synovial, because their parietes constantly exhale and
absorb synovia.
_Forms._
Every synovial membrane then, should be considered as a sac without an
opening, spread upon the organs of articulation, upon the diarthrodial
cartilages, upon the internal face of the lateral and capsular
ligaments, upon the whole of the inter-articular ligaments when they
exist, upon the prominent fatty bunches in some articular cavities, &c.
It is from it that these different organs borrow the smooth, polished
and shining appearance which characterizes them in these cavities, and
which they have not elsewhere. Just as by dissecting carefully the
gastric organs, the peritoneum can be removed, its sac remaining whole,
so we can conceive of the possibility of separating this membrane,
notwithstanding the intimate adhesions it forms in some places. All
the parts that it embraces are out of the articular cavity, though
projecting into this cavity, as the lungs are found on the exterior
of the sac formed by the pleura, the liver on the exterior of the
peritoneal sac, &c. &c.
The synovial membrane is found in all the moveable articulations, the
greatest number of which has only it and the lateral ligaments. What is
commonly called the fibrous capsule is only met with around some of the
articular surfaces. The connexions of the humerus, the femur, and one
or two other bones, the extremities of which are joined by enarthrosis,
present the only examples of it. There are seen in these articulations
two very distinct coverings. One which is fibrous is external, and is
found arranged in the form of a sac open above and below, embracing
by its two great openings the surfaces of the two bones, and being
intermixed around them with the periosteum, the fibres of both
interlace with each other. The other cellular, which is the synovial
membrane, lines the first on the interior, separates afterwards from
it when it arrives towards the two diarthrodial cartilages, and is
reflected upon them, instead of being united to the periosteum. Boyer
has pointed out this arrangement in regard to the femur.
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