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
Luxations are here very difficult, because the rotation being made upon
the axis of the bone, the ligaments are hardly more distended on one
side than the other, and are hence broken with difficulty, whatever may
be the extent of the motion. The inferior part of the radius forms a
slight exception to this rule, because it is upon the ulna, and not
exactly upon its own axis, that the bone turns in this place.
There is no rotation in the leg as in the fore-arm, because, as we have
seen, that of the thigh which is very extensive, supplies the place of
it; which the humerus could hardly do for the fore-arm, as we know when
this last is anchylosed.
_Fifth Genus._
Every kind of rotation, opposition and circumduction are wanting
in this genus, which is the most numerous, and which embraces the
articulations of the carpus, the metacarpus, the tarsus and metatarsus,
of the vertebræ between themselves by their articular processes, of
the atlas with the occiput, of the humeral extremity of the clavicle,
the sternal of the ribs, and the superior of the fibula. There is only
a kind of slipping more or less obscure, and in which the osseous
surfaces hardly ever leave each other. These surfaces are almost
all plain, very close together, united by a considerable number of
ligaments, and so strong in their connexion, that luxations hardly ever
happen to them. Another reason moreover which renders them difficult,
is that all this genus of articulations belongs almost wholly to short
bones; now we know, that the motion imparted to a bone has a power
of action which is in direct ratio of its length, and in the inverse
of its smallness; for example, the same power applied to the tibial
extremity of the femur, would luxate much more easily the ischiatic
extremity, than if it acted upon the middle of this bone.
As the separate motion of each of the articulations of the fifth genus
is almost nothing, nature usually unites several at the same place, for
the purpose of producing a sensible, general motion, as we see in the
carpus, the tarsus, the vertebræ, &c.; this is also a reason of the
difficulty there is in luxating this genus of articulations. In fact,
how great the general motions may be, two bones, taken separately,
move but little upon each other; now it is only the extent of the
motion of the two separate bones from each other, that can produce the
displacement.
III. _Observations upon the Immoveable Articulations._
We have only pointed out orders in this class, because its varieties
are not sufficiently great to assign genera for them.
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