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
little of this substance. I would observe that the yellowish tinge and
semi-transparency of the boiled fibrous capsules are a certain means of
distinguishing the articulations in which they exist and those which
are destitute of them.
The existence of the synovial capsule in the greatest number of
articulations in which it is found alone, is placed beyond a doubt by
the slightest inspection. In those in which it is united to a fibrous
capsule, it is very clearly distinguished in several places. Thus in
the thigh, it is found upon the interarticular ligament, upon the
fatty bunch in the cotyloid cavity, and upon the neck of the bone
at the places where it leaves the fibrous capsule, to be reflected
upon the cartilages, &c.; but its adhesion to these cartilages and to
the internal face of the capsule, may excite some doubts as to its
arrangement in the form of a sac everywhere closed, which we have
attributed to it; it is then essential to offer some considerations
that may dissipate these doubts.
1st. However strong the adhesions of the synovial membrane may be,
they can be destroyed without a solution of continuity, by a slow,
careful dissection begun at the place where the membrane is reflected
from the cartilage upon the capsule. It can be taken away in parts
after long continued maceration. 2d. In consequence of certain
inflammations, this membrane acquires a thickness and opacity which
enable us to distinguish it from all the neighbouring organs, from
those even to which it adheres the most. 3d. The synovial bags are
all as adherent as the articular synovial one, to the cartilages of
their sheath and to this sheath itself; yet every one acknowledges
their distinct existence. 4th. There are articulations with a fibrous
capsule, in which the fibres are separated so as to leave a space
between them through which the synovia would escape, if the synovial
membrane did not line them. When air is forced into the articulation,
this membrane rises up in these spaces and exhibits a texture wholly
different from that of the capsule. Bertin observed this, but thought
that these pellicles were insulated, and did not see that they depended
upon the continuity of the membrane which is extended over the whole
articulation. 5th. We have observed in the article upon the serous
system, that the smooth and polished appearance which the surface
of the organs and the cavities exhibit, is always given to them by
these membranes, and that they never derive it from their peculiar
structure; now we shall see that the synovial membrane has almost
the same texture as the serous; then it appears that in the places
in which the articular organs exhibit this character, it is from it
that they receive it, though it cannot be distinguished as well upon
these organs, as where it is free. Besides, the articulations that are
evidently destitute of this membrane, have not this smooth and polished
appearance. Such are the surfaces of the symphysis pubis, and of the
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