Rheology of synovial fluid and its role in joint lubrication

A review of studies by Barnett, Davies, MacConaill, Charnley, Ogston, Sundblad, and others indicates that there exists a tendency to explain the lubricating mechanism existing in synovial joints by either the lubricating properties of synovial fluid or the lubricating properties of the articular surfaces. The proponents of the respective hypothesis attempted to apply either the theory of hydrodynamic lubrication or the theory of boundary lubrication. Neither of these theories, however, can represent the lubrication mechanism in joints; both theories are too crude for this purpose. The nearest approach to reality appears to be represented by more recent elastohydrodynamic theories. It is the aim of this paper to show that both the synovial fluid and the articular cartilage play an important role in the joint lubrication, and that thixotropy of synovial fluid is the key parameter in the lubricating performance of the synovial fluid itself, and of the cartilage whose pores it fills. It will be suggested also that any pathological changes in either the synovial fluid or the articular cartilage, lead to a breakdown of joint lubrication.