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
As to circumduction, the length of the neck of the thigh is an obstacle
to it. In fact, let us remark that this motion is much the more easy,
when it is performed by a rectilinear lever, because then the axis of
the motion is the axis of the lever; that on the contrary, if the lever
is angular, the motion becomes so much the more difficult because the
axis of the motion is not that of the lever; and in general we can
say, that the difficulty of the motion is in the direct ratio of the
distance of the two axes.
This being settled, let us observe that the axis of the motion of
circumduction of the thigh is evidently a straight line, obliquely
directed from the head to the condyles, and distant consequently
above from the axis of the bone, the whole length of the neck. Now,
from what has just been said, it is evident, that the difficulty of
circumduction will be in the direct ratio of the length of the neck,
and consequently very great. In the humerus, on the contrary, the neck
being very short, the axis of the bone and that of the motion are
almost the same; hence the facility and extent of the circumduction. We
might fix precisely the relation of these motions by this proportion;
the circumduction of the humerus is to that of the femur, as the length
of the neck of the humerus is to the length of the neck of the femur;
which shows us how much more difficult the circumduction of the femur
is than that of the humerus. To know this, it is sufficient in fact to
know the excess of the length of the neck of the first over that of the
second.
It is easy to perceive the advantages of this very great extent in
the circumduction of the superior limbs destined to seize, and of the
limits placed by nature to that of the inferior limbs destined to
standing and locomotion. We understand also why luxations are more easy
in the first than in the second. The displacement almost always takes
place in fact, in one of the simple motions, the succession of which
forms the compound motion of circumduction, for example, in elevation
or depression, in adduction or abduction, &c. Now all these motions
being carried much further in the humerus than in the femur, the
surfaces are more easily separated.
_Second Genus._
This genus differs from the first by the absence of the motion of
rotation. Opposition and circumduction are alone met with in it. We
find examples of it in the temporal maxillary, sterno-clavicular,
radio-carpal, meta-carpo-phalangeal articulations, &c.
The want of rotation evidently supposes, from what has been said above,
the absence of an osseous head, the axis of which would make, as in the
preceding genus, an angle with the axis of the body of the bone. Thus
in all the bones of the articulations that I have just mentioned, the
articular surface is at the extremity even of the bone, and not upon
the side; the axis is the same in both cases. They form a rectilinear
lever, instead of an angular one.
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