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
The medullary membrane has a direct relation with the nutrition of the
bone, a relation which has been proved by the beautiful experiments of
Trojat, from which it follows that the destruction of this membrane
produces the death of the bone, which has necrosis and is replaced
by new bone, for which the periosteum serves for the nutritive
parenchyma. These experiments are usually made by sawing a long bone
at its extremity, and introducing into the medullary cavity a red hot
probe, which destroys the whole organization. Soon after the periosteum
swells, inflames and has an extreme sensibility to the external touch.
This sensibility is gradually lessened; the inflammation disappears.
A considerable quantity of gelatine penetrates the internal layers of
this membrane, which becomes a cartilaginous sac, with which the bone
is covered. At the end of some time, which varies according to the
class of animals subjected to the experiment, according to their age,
their temperament and other causes, the vascular system, destroyed on
the interior of the canal, and expended wholly upon the periosteum,
deposits there the phosphate of lime destined for the bone. To the
cartilaginous cylinder then succeeds the osseous one. The bone within
has no connexion with the life of the living body that surrounds it
on all sides. There are then in artificial ossifications three very
distinct periods, 1st, swelling and inflammation of the periosteum;
2d, cartilaginous state of the internal layers of this membrane; 3d,
osseous state. Besides, these two last states are not as regular and
distinct, nor as easy to be observed as in natural ossification.
Does the medullary membrane serve indirectly to furnish a part of
the synovia by the transudation of the marrow through the extremity
of the long bones? Most authors assert it. We know at the present
day, what must be thought of these mechanical transudations, which
are observed in dead bodies, but which are repugnant to the known
phenomena of vitality; besides, the following experiment leaves no
doubt upon this point. I have opened upon the sides two long bones of
one of the hind legs of a dog, so as to pass in a red hot probe, which
having been carried in several times, completely destroyed the two
medullary systems; necrosis has been pretty soon the consequence of
this experiment, and yet the articulation between the two bones with
necrosis, has continued to receive synovia as usual, a circumstance
that would not have happened, if the transudation of the marrow was
necessary to the production of this fluid. Who does not know, on the
other hand, that in diseases of the articulations in which the synovia
is altered and vitiated, the marrow of the corresponding bones is
almost always in a perfectly sound state, and that vice versa, in the
diseases which attack the medullary organ, the synovia is not altered
in its nature like the fluid which this organ contains in its cells?
CARTILAGINOUS SYSTEM.
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