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
At this period of life, the calcareous substance predominates so
much in the economy, that it is thrown upon different organs, such
as the arteries, the cartilages, the tendons, which then take the
osseous character. We might say that by accumulating in our parts this
substance foreign to life, nature wishes to prepare them insensibly for
death.
In general, it is those organs whose nutritive substance is gelatine,
which have the greatest tendency to be placed in relation with the
calcareous substance, and consequently to be encrusted with it. Hence
why the cartilages especially are ossified; why those of the sutures
disappearing, the bones of the cranium become continuous; why the
larynx is finally almost all osseous; why the cartilages of the ribs
are often as solid as the ribs themselves; why oftentimes many vertebræ
united form a more or less considerable continuous mass. I would
observe however that the arteries, which have so great a tendency to
ossification, are not so evidently gelatinous as many other substances
which ossify much less easily, as the tendons for example.
III. _Peculiar Phenomena of the Development of the Callus._
Nothing is easier after what has been said upon the osseous nutrition,
than to understand the formation of the callus. We know that it has
three periods, 1st, the development of the fleshy granulations; 2d,
their change into cartilage; 3d, the change of this cartilage into
bone. This triple phenomenon takes place in a space of time that varies
according to the age, the fracture, the kind of bone, &c. but which is
in general longer than that of the other cicatrices.
The development of fleshy granulations is a phenomenon common to
every species of organ which has experienced a solution of continuity
and whose divided edges are not in immediate contact. Here these
granulations arise from every part of the divided surface, from the
periosteum, the compact texture and that of the cells, the last
especially. Those of one side unite to those of the opposite. Thus far
the osseous cicatrix does not differ from that of the other parts. This
state corresponds with the mucous state of natural ossification. As the
fleshy fibres are but the extension of the nutritive parenchyma, they
have its vital forces; their organic sensibility follows the same laws
as in ordinary nutrition; at first it is in relation with gelatine;
this is then exhaled; then commences the cartilaginous state; then the
osseous cicatrix takes a peculiar character, which distinguishes it
from that of the other organs.
At the end of a longer time, the organic sensibility increases in the
parenchyma of cicatrization which the fleshy granulations form; then
these become in relation with the calcareous substance which comes to
the bone, and which they had until then repelled; they admit it then,
as well as the red portion of the blood which always precedes it in
every species of ossification.
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