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
sacro-iliac symphysis which are found, though contiguous, unequal,
rough, &c. We have also proved that this organic form is never owing to
compression.
From these different considerations we may be easily convinced, I
think, that notwithstanding the adhesion of the synovial membrane
at different points, it should be considered in a manner precisely
analogous to that of the serous membranes, that is to say as a real
sac without an opening, everywhere contiguous and spread upon all the
organs of the articulation. Besides, do not the fibroserous membranes
exhibit similar adhesions, though the separate existence of the two
layers which compose them is generally admitted?
From the idea we have formed of the synovial membrane, it is easy to
conceive how certain organs pass through the articulation, without
the escape of the synovia by the opening which receives or by that
which transmits them. The synovial membrane then reflected around
these organs, forms for them a sheath which separates them from the
fluid and keeps them distinct from the articulation. Thus the tendon
of the biceps is no more contained in the articulation of the arm with
the scapula, than the umbilical vein, the urachus, &c. are in the
peritoneal cavity. With the least care it may be separated from the
portion of membrane which forms its sheath.
The preceding considerations lead us also to find a perfect identity in
the synovial capsules of the tendons and the articular synovial ones.
In the preceding example, these two kinds of membranes are evidently
continuous; for the capsule of the groove of the biceps is of the same
nature as that of the tendons which have a separate one from it, as the
flexors, for example.
_Organization._
We have just seen, that the synovial membrane resembles very much in
its external conformation the class of serous membranes, it does not
less so in its internal organization. This organization is cellular,
as is proved by dissection, inflation and especially maceration. The
sac which the ganglions form is evidently only a production of the
cellular organ; now it is known that this sac exhales and contains a
fluid similar to the synovia. Wherever the synovial membrane is free,
it is attached externally to this organ and is confounded with it in so
direct a manner, that by raising successively its different layers they
are seen to be gradually condensed and finally united together to form
it. So that in the serous membranes no fibre is visible. It becomes
transparent when it is separated accurately on both sides, which is
easily done at the knee to a great extent.
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