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
Hence we see that the callus is cellular and vascular in the first
period; that in the second it contains cellular texture and vessels,
with gelatine; that in the third, it has cellular texture, vessels, and
gelatine, with calcareous substance.
It has not the regular forms of the sound bone, because the parenchyma
of cicatrization arising irregularly upon the osseous surfaces, the
exhalation and absorption of gelatine cannot be made in a precise and
regular manner. The callus is so much the larger in proportion to the
separation of the ends of the bone, because the fleshy granulations
having had more space to go over in order to meet, are more extensive,
and consequently have absorbed more nutritive substance.
If the constant motion of the fractured ends prevents on each side
the granulations, or what is the same thing, the two parenchymas of
cicatrization from uniting, then, notwithstanding the exhalation of
the nutritive substances in each of them, the bone does not unite, and
hence the preternatural articulations.
Callus is formed with difficulty when the ends divided and laid
bare, suppurate with the neighbouring parts, as happens in compound
fractures, because the formation of pus expends the nutritive
substances destined to repair the fracture. The further considerations
upon this singular production belong to pathology.
I have not exposed in this chapter the ideas of the ancients, who
thought that the bones were formed by the hardening of an osseous
juice, the existence of which there is nothing to demonstrate; nor
those of Haller, who imagined that the heart hollowed out arterial
channels in the osseous substance by its own impulse, and hardened this
substance by the pulsation of the arteries; nor those of Duhamel, who
made every thing depend upon the periosteum; I refer to various works
that have a thousand times refuted these opinions.
Without refuting any one in particular, I would remark that they have
one fundamental error, viz. that of considering osseous nutrition in
an insulated manner, of not presenting it as a division of general
nutrition, of admitting for its explanation reasonings only applicable
to the bones, and which are not derived as consequences from those
which serve to establish the nutrition of all the organs. Let us
never lose sight of this essential principle, upon which rest all the
phenomena of the economy, viz. that over a multitude of effects, a very
small number of causes only presides. Let us mistrust every explanation
which is partial and mutilated, which circumscribes the resources of
nature according to the limits of our weak understandings.
IV. _Peculiar Phenomena of the Development of the Teeth._
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