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
In all the ginglymoid articulations, as in those of the elbow, the
knee, the phalanges, the hand, the foot, &c. &c. the fibrous capsule
is wholly wanting. The fibres, instead of extending and interlacing
in the form of a membrane, are collected into fasciculi more or less
thick, which form the lateral ligaments. There is only found in them
the internal layer of the enarthrodial articulations, that is to say
the synovial membrane, which does not contract here any adhesion with
the periosteum, but is reflected upon the cartilages. By taking it at
the place of this reflection, it can be detached far enough to prove
that it has an external organization wholly different from that which
the idea of a capsular ligament at first presents to the mind. This
arrangement is very easily perceived by the least dissection, at the
knee behind the tendon of the cruræus and the inferior ligament of the
patella, at the elbow under the tendon of the triceps, at the phalanges
under that of the extensor, &c. All the arthrodial articulations have
also an analogous organization, as will be seen in the Descriptive
Anatomy; so that it is ascertained that the fibrous capsules exist but
in a very small number of articulations, that almost all have only
synovial sacs which are spread out and reflected upon the osseous
surfaces, without being attached around them, as all authors have said.
I have proved this remarkable difference of the articulations by many
dissections. Some anatomists were in the way to discover it, when they
observed that the different capsules appeared to be wholly formed of
cellular texture. It is in fact the texture of the synovial membrane,
which differs essentially in this from the fibrous capsules. The mode
of capsule for all articulations may be preserved, if it is wished, but
different ideas must then necessarily be attributed to it. Compare, for
example, the fibrous capsule of the femur with the synovial capsule
of the knee; you will find on the one hand, 1st, a cylindrical sac
with two great openings for the osseous extremities, and with many
small ones for the vessels; 2d, a fibrous interlacing, similar to
that of the tendons, the aponeuroses, &c.; 3d, a mode of sensibility
analogous to that of these organs; 4th, the use of retaining strongly
in place the articulated bones, which have only this bond to strengthen
their union. On the other hand you will observe, 1st, a sac without
an opening; 2d, a cellular structure, the same as that of the serous
membranes; 3d, a sensibility of the same nature as theirs; 4th, the
simple function of containing the synovia and separating it, the bones
being tied by strong ligaments. Besides, the different reagents have
upon the fibrous capsules an influence wholly different from that which
they exert upon the synovial. Ebullition yellows them, renders them
semi-transparent, softens them like tendons and gradually melts them
like gelatine. The synovial ones boiled remain whitish, and furnish but
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account