Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The thickened synovial membrane is projected into the cavity of the
joint, filling up its pouches and recesses, and spreading over the
surface of the articular cartilage "like ivy growing on a wall."
Wherever the synovial tissue covers the cartilage it becomes adherent to
and fused with it. The morbid process may be arrested at this stage, and
fibrous adhesions form between the opposing articular surfaces, or it
may progress, in which case further changes occur, resulting in
destruction of the articular cartilage and exposure of the subjacent
bone.

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