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
It is the destruction of these relations, when the periosteum is
diseased or destroyed for a considerable extent, that produces the
death and separation of the bone. There is however this difference
between this phenomenon and the death of the bone by the injury of the
medullary membrane, that if this is disorganized, necrosis seizes upon
the whole bone, whilst if we irritate and tear the periosteum in the
middle part of a long bone, for an extent nearly equal to that of this
medullary membrane, the external laminæ of the compact texture alone
are detached by exfoliation, and the bone remains the same. I have made
this experiment the year past upon two dogs. As to that which consists
in removing the periosteum, not only from the middle part, but from the
whole surface of the bone, I do not know that any one has been able to
try it; it has appeared to me impossible; it might be practicable, but
the animal would soon die from the extent of the injury, and thus we
could have no result from it.
The relations of the periosteum with the neighbouring organs vary
remarkably. In the greatest number of bones, there are muscles that
slide upon it; the cellular texture unites it to them more or less
closely according as the motions are more or less considerable. In
consequence of inflammations, it loses this laxity, and often all
motion ceases.
_Organization of the Periosteum._
The direction of the fibres of the periosteum is nearly analogous to
that of the bones, the long bones especially as well as the short; but
it has not the radiated structure of the flat bones that it covers.
These fibres placed upon each other, have different lengths; the
superficial ones are the longest; those which correspond immediately
with the bone run but a short distance. In general all become very
evident in some diseases of the bones. I recollect among other examples
of the preternatural development of the fibres, a man affected with
elephantiasis, and at the same time a swelling of the compact texture
of the tibia, which was of a remarkable thickness. The periosteum of
this bone was very thick, and adhered so little to the bone, that
the slightest effort was sufficient to raise it in its whole extent,
and its fibres were so distinct, that it might have been taken, when
separated from the bone, for a portion of plantar or palmar aponeurosis.
The periosteum borrows its vessels from those of the neighbouring
parts. Their innumerable branches ramify in it ad infinitum, form there
a net-work, which injections, especially in infants, make very evident,
they are afterwards lost in it, or penetrate the compact texture of the
bone, or return to the neighbouring parts to form anastomoses.
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