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anatomy

Synovium

The thin membrane lining the inside of joint capsules that produces synovial fluid. Inflammation of the synovium (synovitis) is a key feature of many arthritic conditions.

Extended Definition

The synovium (also called synovial membrane) is a specialized connective tissue that lines the inner surface of joint capsules, tendon sheaths, and bursae. It consists of two layers: an inner layer of synoviocytes (specialized cells) and an outer layer of loose connective tissue.

Key Functions

  1. Produces synovial fluid - The synoviocytes secrete hyaluronic acid and lubricin, which give synovial fluid its viscous, lubricating properties
  2. Nourishes cartilage - Since cartilage has no blood supply, it depends on nutrients diffusing from synovial fluid
  3. Removes debris - Macrophage-like cells in the synovium clear cellular debris and waste from the joint space
  4. Maintains joint homeostasis - Regulates the chemical environment within the joint

Clinical Significance

In osteoarthritis, the synovium can become inflamed (synovitis), contributing to pain and joint damage. Hyaluronic acid injections work in part by supplementing the synovium’s natural HA production, which decreases with age and arthritis.

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