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
Extensibility is seen in the dura-mater, in hydrocephalus, in the
periosteum; in the different enlargements of which the bones are
susceptible; in the aponeuroses, in the swelling of the extremities,
and the distension of the abdominal parietes, which, as we know, are
aponeurotic as well as fleshy; in the fibrous capsules, in articular
dropsies; in the tunica sclerotica and albuginea in the swelling of
their respective organs.
This extensibility of the fibrous system is subjected to an uniform
law, which is unknown to the extensibility of most of the other
systems; it can only take place in a slow, gradual and insensible
manner. Thus when it is too quickly put into action, two different
phenomena take place, which equally suppose the impossibility of its
extending suddenly, as for example, a muscle, the skin, the cellular
texture, &c. do. 1st. If the fibrous organ makes a resistance greater
than the effort which it experiences, then it does not yield, and
different accidents result from it. We have many examples of this,
in the inflammatory swellings that appear under the aponeuroses of
the limbs, under those of the cranium, within the fibrous sheaths of
the tendons, &c. Then these fibrous organs not being able to stretch
with the same rapidity as the subjacent parts which swell, compress
painfully these swollen parts, and sometimes even expose them to
gangrene; this is what takes place in those strangulations so frequent
in surgical practice, and which require different operations to relieve
them. 2d. If the fibrous organ is inferior in its resistance to the
sudden effort which it experiences, it breaks instead of yielding;
hence the rupture of the tendons, the tearing of the fibrous capsules
and of the ligaments in luxations, that of the aponeuroses in certain
very rare cases reported by different authors, &c. &c. We easily
understand that the great resistance with which the fibrous texture is
endowed, is principally owing to the impossibility of yielding suddenly
to the impulse that is given to it.
In the slow and gradual extension of the fibrous organs, we observe
that often instead of becoming thinner and enlarging at the expense of
their thickness, they increase, on the contrary, in this dimension.
The albuginea of a scirrhous testicle, the sclerotica of a dropsical
or cancerous eye, the periosteum of a ricketty bone, &c. show us this
phenomenon, the reverse of which is sometimes observed, as in the
distensions of the abdominal aponeuroses produced by pregnancy, by
ascites, and also in hydrocephalus, &c.
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