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 organization of the tendinous synovial membranes is precisely
analogous to that of the articular ones. Principally cellular, the
texture of these membranes is without any apparent fibre; its softness
is very evident; very few blood vessels are distributed to it, though
the contrary has been said; absorbents and exhalants especially
predominate in it. These, filled with blood in inflammation, give to
the membrane, a reddish tinge, more or less deep. In this state the
synovia is not exhaled; sometimes even adhesions are formed, as I have
observed in a subject in whom the fibrous sheaths and their tendons of
the index and the middle finger seemed to be united. The inflammatory
phenomena of the tendinous synovial membranes are especially remarkable
in whitlows, a disease, one species of which has evidently its seat in
the synovial membrane of the fingers, is analogous to the inflammation
of the pleura, the peritoneum, and to that of the articulations. It is
more dangerous than the inflammation of the synovial membranes in the
form of bladders or bags, because the fibrous sheath which surrounds
the inflamed membrane, not being able to stretch and yield to the
swelling, like the cellular texture which surrounds the synovial bags,
produces real strangulations, which it is often necessary to remove. I
do not know whether the synovial texture of the tendons is exposed to
the slow and tubercular inflammations, common to the articular serous
and synovial systems. Its vital properties and those of texture appear
to be precisely the same as those of this last. Like it, it receives
with difficulty the sympathetic influence of the other organs; it
is unaffected during the derangement of the other systems in acute
diseases; it remains sound in their alterations arising from chronic
affections. I would observe also that all its affections are almost
local. For example, there is not, as in the serous system, species of
dropsical diathesis, that is to say of cases in which all the synovial
sacs are filled at the same time.
The tendinous synovial membranes, fine and delicate in the fœtus and in
infancy, readily yield to the numerous motions which constantly succeed
that age. More dense and compact in the adult, they become rigid in old
age, exhale less fluid, are dry, and do not contribute a little, by the
state in which they are, to the general slowness of the motions which
that age brings with it.
There are many synovial membranes the existence of which is variable;
such as, for example, that of the great glutæus, in the place of which
there is often found only a cellular mass. These membranes are in
general very dry when they exist. Synovia can scarcely be discovered in
them. They resemble in this respect the articular synovial membranes of
the vertebræ, the clavicle, &c.
GLANDULAR SYSTEM.
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