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
They are, in their conformation, analogous to the form of the limb,
which they in part determine, and which they especially maintain, by
preventing the displacement of the subjacent parts, a displacement
which would continually take place, from the laxity of the cutaneous
organ. Their thickness varies. In general, the greater the number of
the muscles they cover, the greater their thickness; hence why the
aponeurosis of the fascia lata is superior in this respect to the
brachial; why that of the fore-arm is thicker in front than behind; why
the plantar and palmar are so considerable, whilst hardly any fibres
are found on the back part of the foot and the hand. There are however
some exceptions to this rule; for example, the aponeurotic covering
of the posterior part of the leg is not in proportion to the power
of the gastrocnemii and solæus muscles; thus these muscles are more
than all the others exposed to displacements, frequently very painful,
which constitute cramp, and which it is necessary to distinguish from
the pains or numbness which result from the compression of one of the
nerves of the lower limbs, as of the sciatic, or the external plantar,
a compression produced by a bad position, or any other analogous cause.
Externally, the aponeuroses of the general covering are contiguous to
the integuments. A very loose texture unites them, so that the latter
can easily slide over them in external pressures. Immoveable between
these motions and those of the muscles, they entirely separate them; so
that the skin and the muscles that correspond to it, have not, in this
respect, any influence upon each other.
Within, these aponeuroses are in general loosely joined to the muscles
by cellular texture. Here and there they send between the different
muscular layers numerous elongations, which are afterwards attached
to the bone, and which, at the same time that they furnish points of
attachment, increase the solidity of the covering of the limb.
_Tensor Muscles._
The aponeuroses for general covering have almost all one or two
particular muscles that are inserted in them in whole or in part, and
which are destined to give them a degree of tension or relaxation
proportioned to the state of the limb. This arrangement is remarkable
in the insertion, 1st, of the great dorsal and pectoral muscles in
the brachial aponeurosis; 2d, of the biceps in that of the fore-arm;
3d, of the palmaris longus in the palmar; 4th, of the glutæus maximus
and of the fascia lata in the aponeuroses of that name; 5th, of the
semi-tendinosus, semi-membranosus and biceps in the tibial.
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