General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The bones have very strongly marked physical properties. Solidity and
hardness are their peculiar portion; they derive these properties
from the phosphate of lime which penetrates them, thus they are
constantly increasing with age, because this substance becomes more
and more predominant. Elasticity is another physical property of the
bones, which is found combined with the two preceding, but which is
in an inverse order; as it is in the gelatinous substance, in the
cartilaginous portion of the bone that it resides, it is, like this
portion, greater in childhood. In old age, the bones lose entirely
their suppleness and elasticity; they break more easily. Elasticity
is more evident in the long and small bones, than in those which are
larger; the fibula bends and evidently goes back again, this the tibia
could not do without difficulty. It is not that the one is more elastic
than the other, but it is that its conformation is more favourable to
the development of this property.
II. _Properties of Texture._
Although the hardness and solidity of the osseous texture seem to be
opposed to every kind of extension and contraction, yet these two
phenomena and the properties of texture from which they arise, are
often very evident in it.
The extensibility of the osseous fibres is proved by the observation
of many diseases, for example, the spina-ventosa, the swelling of the
maxillary sinus when it contains a polypus, by the enlargement of
the bones of the cranium in hydrocephalus, &c. I would remark on the
subject of these different distensions, that often by the influence
of analogous causes, the bones which yield and are distended in the
above cases, are broken, worn and destroyed in others. A polypus of
the nose breaks through the naso-palatine partition, without having
first distended it; aneurism of the aorta does not bend the sternum
or the vertebræ, but it breaks through and destroys these bones.
Whence arises this difference from causes nearly the same? This is not
easily determined. The contractility of texture is very evident in the
bones, when the cause which distended the fibres is removed. We see
the alveoli contract, and become effaced, when a tooth has been drawn
from them. The diminution of the thickness of the jaw after cutting
the teeth arises only from the contraction of its fibres, which are
no longer distended as much, because the root is not so broad as the
crown, which had till then been wholly in the bone. The maxillary sinus
contracts when a fungus is removed from it, or pus is discharged from
the carious bone, &c. If death was not too soon the consequence of the
puncture of the head of hydrocephalic patients, I am persuaded that we
should see the bones gradually contract, and restore the cavity of the
cranium to its natural dimensions. When we remove the dead piece from
a long bone in necrosis, the new bone, formed on the exterior by means
of the periosteum contracts in an evident manner. In paralysis of the
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