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
I shall not go back to the various proofs which establish the
cellular structure of the serous system; almost all these proofs are
applicable to the synovial system, which appears to be but a net-work
of absorbents and exhalants. Hence it is easy to understand what the
red and fatty bunches are that are found around the articulations.
They perform in regard to this membrane the functions of the abundant
cellular texture which envelops the peritoneum, the pleura, &c. &c. It
is there that the blood vessels divide ad infinitum before arriving
at the membrane where their ramifications, successively decreasing,
finally terminate in the exhalants.
If a remarkable redness sometimes distinguishes these bunches from
the cellular texture, it is because the vessels are more concentrated
and nearer together in them. For example, in the articulation of the
hip, the synovial membrane of which, almost everywhere adherent, only
corresponds in the fissure of the cotyloid cavity with the cellular
texture, nature has placed there almost all the arterial ramifications
that furnish the synovia; hence the reddish tinge of the cellular bunch
that is found there. On the contrary, at the knee where much cellular
texture surrounds the whole external face of the synovial sac, the
vessels more scattered leave to this texture the same colour as that
of the external face of the serous membranes, &c. This redness of
some pretended synovial glands, the only character that distinguishes
them, is then as it were merely accidental; it no more indicates their
glandular nature, than it proves it in the pia-mater, in which it is
owing to the same cause.
Though the synovial membrane is very analogous to the serous surfaces,
it must however exhibit differences of texture, since the fluid
it exhales is a little different. In fact, by examining it at the
femoro-tibial articulation, where it can be found in considerable
pieces, it is seen to be more dense and compact than the serous
membranes. Its texture has not the suppleness of theirs; when dried, it
is much more brittle; it remains stiff, whilst the serous texture is
moved in all directions without the least effort. It resists maceration
longer.
_Properties._
The properties of texture become evident in articular dropsies, in
which the synovial membranes are at first much distended, and in
which they contract after the puncture, an operation however that is
very rare. Yet it appears that these membranes are only susceptible
of a slow and gradual extension. We know that suddenly separated in
luxations, their parietes tear instead of stretching; they unite again
after the reduction.
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