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 two corresponding cartilages of a moveable articulation are so
arranged and adapted to each other, that in the medium position of
the articulation, they touch exactly at all their points; now we know
that the medium position of an articulation is that in which the bone
inclines in neither direction, in which all the muscles contracting
uniformly and making an equal resistance, keep it equally from
extension and flexion, from adduction and abduction, &c. &c. and hold
it in the exact medium. It is this position which the limbs take, when
the will does not direct the muscular effort, as for example, in the
fœtus, in sleep, in rest, &c.; this is what some convulsions produce,
in which all the muscles of a limb are agitated with an equal effort,
by an extraordinary influx of the nervous power, &c. In no other
position does the contact of the two articular cartilages take place at
all their points; one portion of the surface of each always pushes with
more or less force the parts surrounding the articulation, and distends
them. The softness of the cartilaginous texture renders less painful
this pressure, which would be distressing in the great motions, if the
bones preserved their hardness at the extremity of the lever which they
represent.
The cartilaginous forms of which we are treating, besides these common
characters, have others peculiar to each kind of moveable articulations.
1st. In the first kind, the convex crust which covers the osseous head,
is thick in the centre, but not at the circumference. An opposite
arrangement takes place in the concave crust which receives this head;
often even as in the humerus, and the femur, the thickness of this
crust is increased at its circumference by a fibro-cartilaginous band.
In this way, the effort is borne unequally by the two cartilages; but
the uniformity of contact is established.
2d. In the second kind, which differs from the first by the absence
of the motion of rotation, though in general a convexity is also
received into a concavity, the arrangement for both the cartilages is
nearly the same. Yet if two convex surfaces slide upon each other, an
example of which we have in the condyle of the jaw and the transverse
apophysis, then the cartilage is constantly becoming thinner towards
the circumference of each; but then an inter-articular cartilage, thick
at the circumference, thin in the middle, supplies the place of this
arrangement, and establishes at all points a contact, which, without
it, would only take place at the centre.
3d. In the third kind, the cartilaginous crust which covers the
prominences and depressions, which reciprocally receive each other upon
the extremities of the two bones, exhibits nearly an uniform thickness,
as we see at the elbow, the knee, &c.; so that the pressure comes
equally upon the whole articular surface.
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