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 fibrous organs have not been considered by anatomists in a general
manner; no one has yet made a system of them. Separately described with
the parts in which they are found, they cannot, in the present state of
science, present us any of those great views, so useful to the practice
of medicine, which show us each organic apparatus resulting from the
combination of different systems, to which analogous ones are found
in the other apparatus; so that though very different as it respects
their functions, these apparatus are yet subject to the same diseases,
because similar systems enter into their structure.
I presented, two years since, various general views upon the fibrous
membranes, which have opened the way; but these membranes are only a
division of the fibrous system, which must be considered here more at
length.
ARTICLE FIRST.
OF THE FORMS AND DIVISIONS OF THE FIBROUS SYSTEM.
Though all the fibrous organs have precisely the same nature, and
though the same fibre enters into the composition of all, yet the
forms which they assume are extremely various; it is this variety of
form, joined to that of their position and their functions, which has
given them a different denomination, and made us designate them by the
name of tendons, aponeuroses, ligaments, &c.; for there is no general
denomination for the whole system, no word which answers for example
to that of muscle, nerve, &c. which in the muscular, nervous systems,
&c. gives an idea of the organization, whatever may be the form of the
organ. I shall not create a word, I shall be easily understood without
it.
All the fibrous forms can be referred to two general ones; one of these
is membranous, the other in fasciæ. The organ is broad and thin in the
first; it is longer and thicker in the second. Thus the muscles, the
nerves, the bones themselves exhibit alternately this arrangement in
their conformation, as we see in the retina compared with the round
nerves, in the muscular layers of the stomach and the intestines,
compared with the muscles of locomotion, and in the bones of the
cranium compared with those of the extremities.
I. _Of the Fibrous Organs of a Membranous Form._
The fibrous organs arranged as membranes are, 1st, the fibrous
membranes, properly so called; 2d, the fibrous capsules; 3d, the
tendinous sheaths; 4th, the aponeuroses.
1st. The fibrous membranes comprehend the periosteum, the dura-mater,
the sclerotica, the albuginea, the peculiar membranes of the kidney,
the spleen, &c. &c. They are in general destined to form the covering
of certain organs, into the structure of which they enter.
2d. The fibrous capsules, very distinct, as we shall see, from the
synovial surfaces, are a kind of cylindrical sacs, which are found
around certain articulations, especially those of the humerus and
the femur, whose connexions with the scapula and the ilium they
strengthen, by embracing with their two extremities, both surfaces of
the articulation.
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