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
Though the medullary system is only met with in the bones, and
though its principal uses appear to relate entirely to them, yet its
properties and life differ so much from the properties and life of
these organs, that we are compelled to examine them in a separate
manner.
We distinguish two kinds of medullary systems; one occupies the texture
of the cells of the extremities of the long bones, and the whole of the
interior of the short and flat bones; the other is found only in the
middle part of the first; let us examine each separately.
ARTICLE FIRST.
MEDULLARY SYSTEM OF THE FLAT AND SHORT BONES, AND THE EXTREMITIES OF
THE LONG ONES.
I. _Origin and Conformation._
This system appears to be the expansion of the vessels which penetrate
the bones through the foramina of the second order, that is to say,
through those that go to the common texture of the cells. These
vessels having arrived on the internal surface of the cells, divide
ad infinitum and anastomose in a thousand ways. Their interlacing
gives to the interior of the texture of the cells that red appearance
that characterises it, and which is so much the more evident, as it is
examined at an age nearer infancy, because in fact the vascular system
which is very evident at this period, becomes contracted and effaced as
we recede from it.
These are the vessels which, in the section of the bones of the cranium
by the trephine, give to the saw-dust the redness that is observed.
It is these that produce the same phenomenon in the amputation of the
extremity of the limbs. Though in general they remain loaded with blood
at the moment of death, yet we can, as I have often done, accumulate in
them still more by fine injections, which drive before them that which
is found in the vessels, and concentrate it at their extremities; then
the spongy texture of the adult is almost as red as that of the child
which has not been prepared.
II. _Organization._
Authors speak of a delicate membrane that lines the interior of all
the osseous cells, and which they consider to be the exhalant organ of
the medullary fluid. I have never been able, though my researches have
been numerous, to discover a similar membrane. We see only the vascular
elongations of which I have spoken, which, greatly multiplied, appear
in fact to form a membrane, but when examined attentively are found to
be very distinct from each other, not continuous, except at the place
of the anastomoses, and leaving between them many small spaces in which
the bone is not covered, but is in contact with the medullary fluid.
The exhalation then of this fluid appears to arise only from this
vascular net-work, and in this respect it is analogous to that of the
compact substance, which evidently contains no membrane, and the pores
of which are however found filled with this medullary fluid, as is
proved by the combustion of the compact texture and its exposure to the
sun or artificial heat.
III. _Properties._
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