Broadly considered a bursa is a sac lined by synovial membrane, and an
extreme example of the simplest form in which it is found may be said
to be that of the condition found in a domestic dog. Under its skin,
except on such regions as the snout, the tail and the feet, there is
hardly a place where a bursal surface does not exist. Here and there
trabeculæ may divide the great sac imperfectly, but from the protective
and selective point of view this mechanism under a dog’s skin may be
compared to the oil with which an Indian criminal lubricates his naked
body so as to elude capture. To us who are too familiar with dog-fights
(to which the Hon. Bertrand Russell likened the recent Great War, as we
all remember) and who know how much noise and ferocious attempts are
made by the warriors to bite one another, and how little success they
achieve, the beautiful adaptation of nature in the dog far surpasses
that of the Indian criminal. Indeed the latter may well have been
suggested by the former.
Between such a simple and undifferentiated bursal surface as this and
another such as the small but essential bursa under the tendo achillis
there are endless variations adapted to particular uses and regions.
The description of bursæ given by Macalister is too clear and good not
to be given in his own words.[67]
“Synovial membranes are found either as the lining of joints, or as
_Bursæ_, which are closed sacs (_a_) between contiguous soft parts,
or (_b_) beneath soft parts which glide tensely over a bone. Bursæ
are formed around and beneath tendons in the neighbourhood of joints;
and the hard part on which the tendon plays is often invested with a
layer of cartilage over which the synovial membrane does not extend.
When they completely surround tendons, as in the finger and toes they
are called _thecæ_ or sheaths, and the tendons are connected to the
sheaths by synovial reflections. Sometimes bursæ lie between exposed
areas of skin and projecting bony points, such as the patella,
olecranon, ankles, etc.
Public-domain text, read in full here on John Shaqi.
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