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
3d. The order of articulations with implanted surfaces borrows none of
its solidity from the mechanism of the part; it owes it entirely to
the relation of the surfaces, which are so united and embraced by each
other, that displacement is impossible. There is but one example of
this articular order, it is the teeth with the jaws.
Age does not here efface the articulation, and thus confound the two
bones as in the preceding orders, because the medium of union is the
palatine membrane, which belongs to the mucous system, and which by its
organization has no tendency to ossification; whereas in the preceding
cases, the intermediate cartilage has a natural disposition to become
encrusted with the phosphate of lime.
IV. _Of the Means of Union between the Articular Surfaces._
The articular surfaces would soon separate, if different organs did not
retain them in place. These organs are the cartilages and the membranes
for the immoveable articulations, the ligaments and the muscles for the
moveable.
_Union of the Immoveable Articulations._
The two first orders of immoveable articulations, those with inserted
surfaces and those with surfaces in juxta-position, have cartilages
between the osseous surfaces, the breadth and thickness of which
are found so much the greater in proportion as they are examined in
subjects nearest infancy. Almost all the bones of the head are held
together in this manner, which allows them to yield a little, and
consequently prevents their fracture.
In the articulations of the pelvis, there are besides the cartilages,
ligaments; but as these articulations perform in certain cases small
sliding motions, we can consider them as intermediate between the
moveable and immoveable articulations; it is on this account that they
have the two kinds of organs especially destined to strengthen the
articular surfaces of each of the classes, viz. the cartilages and the
ligaments.
The immoveable articulations with implanted surfaces, an order which
comprehends only the teeth, have nothing between the surfaces as a
means of union, but a mucous membrane, the palatine. Hence why in the
swellings of this membrane, in scorbutic affections, after the use of
mercury, &c. the teeth become loose.
_Union of the Moveable Articulations._
The moveable articulations with contiguous surfaces have the ligaments
especially as a means of union, which are found in the five genera,
but under different forms which will be examined hereafter. This
kind of organ unites much suppleness with great resistance, a double
attribute which it derives from its peculiar texture, and which renders
it very proper for this function. Let us observe however that these
two properties are in an inverse ratio in the two extreme ages of
life, that suppleness is the companion of infancy, that stiffness and
resistance are the character of the ligaments in old age. Hence in
part the multiplicity of motions in one age, and their slowness and
difficulty in the other.
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