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
The adhering surface of the tendinous synovial membranes is spread,
1st, on the one hand upon the tendons, with which it is more or less
intimately united. It is easily detached from those of the internal
obturator, the psoas, &c. It is closely connected with those of the
flexors. 2d. On the other hand, it commonly lines the periosteum,
which, in this place, is penetrated with gelatine, and forms a
fibro-cartilage. Its mode of relation is there analogous to that of the
articular synovial membrane with the cartilage of the bone. Sometimes
it is reflected upon a fibrous capsule after having lined the tendon;
such are those which are in the neighbourhood of the scapulo-humeral
articulation. In some cases, after having lined the tendon, they
mount up to the fleshy fibres, as on the obturator internus. 3d. By
reflecting from the tendon upon the neighbouring organs, they answer
in general instead of much cellular texture; but in the grooves of the
flexors, it is the fibrous sheaths which they clothe.
In all the great motions, the tendinous synovial membranes, stretched
more or less, undergo various locomotions, always less however than
those of the serous surfaces.
The very various forms, which the sac without opening of the
tendinous synovial membranes exhibits, can be reduced to two general
modifications. 1st. Some are rounded sacs, species of bladders; such
are those upon the supra-spinatus, the psoas, iliacus, obturator
internus, &c. All these membranes are remarkable for this, that they
never cover the tendon entirely, but only on one side; that they never
form internal folds and that they are never surrounded by fibrous
sheaths. 2d. The others, belonging especially to the flexors, and to
the different tendons which traverse the sole of the foot, form at
first a kind of cylindrical sac which lines the canal half fibrous,
half cartilaginous in which the tendon slips; then they are reflected
around it, cover it wholly and form for it a true sheath which prevents
it from being moistened by the synovia. This kind of tendinous synovial
membrane represents then truly two canals, at the superior and inferior
extremities of which are found two cul-de-sacs which unite them and
complete the sac without an opening. Internal folds are here frequently
found going from one canal to the other. All the synovial membranes of
the flexors have one of them under the tendon.
_Organization; Properties; Development._
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