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 have already observed in the article on the fibrous capsules, that
when the head of a bone remains displaced in a luxation, it is not a
membrane analogous to these capsules that is developed around it; it
is a real cyst, smooth on its internal surface, moistened with serum,
formed at the expense of the cellular texture, and presenting, with a
little more thickness, the true appearance of the synovial membranes;
it is a preternatural synovial membrane. The motions imparted to the
displaced limb appear to increase the serous exhalation in this new
membrane; hence no doubt the great advantage of these motions, in
order to re-establish in part the mobility of the bones which remain
out of their sockets. I have seen a dancer, the head of whose humerus
was lodged in the hollow of the axilla, after a luxation that was not
reduced, perform very varied motions with it.
ARTICLE SECOND.
SYNOVIAL SYSTEM OF THE TENDONS.
This system noticed by many authors and described by Fourcroy,
Soemmering, &c. is precisely of the same nature as the preceding, from
which it differs only by its situation; it is often even confounded
with it. Thus the synovial membrane of the tendon of the biceps is
continuous with that of the scapulo-humeral articulation; thus those
of the gemelli are so with the synovial membrane of the femoro-tibial
articulation; it is the same membrane which belongs at the same time to
the tendon and to the articulation. A remarkable example of it is seen
in the extensors of the leg and the ham, to the tendons of which the
same articular synovial membrane of the knee serves for a capsule.
But very few tendinous synovial membranes are found in the trunk;
almost all are on the extremities where they serve to assist the
slipping of the tendons. They are met with, 1st, where a tendon is
reflected at an angle upon a bone, as around those of the great lateral
peroneus, the peroneus medius, the obturator internus, the great
oblique of the eye, &c.; 2d, where a tendon slips upon an osseous
surface without being reflected, as at the extremity of the tendo
Achillis, as under that of the great glutæus, and those of the psoas
and iliacus united; 3d, where a tendon slips in a fibrous capsule,
as in those of all the flexors, &c. Their extent is uniformly in
proportion to that of the tendons upon which they are spread.
_Forms; Relations; Synovial Fluid._
The tendinous synovial membranes, are, like the articular ones, sacs
without an opening, spread on the one hand on the tendon and on
the other upon the neighbouring organs. These sacs are differently
shaped according to the arrangement of the tendon, but their general
conformation is uniform. We see from this that every tendinous synovial
membrane has two faces, one which forms the interior of the sac, which
is everywhere free and contiguous to itself, the other which lines the
adjacent organs.
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