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 constant compression made upon the limbs by their aponeuroses,
besides the uses pointed out, has that of favouring the circulation
of the red and white fluids. Thus varices, which are very rare in the
deep veins which accompany the arteries, are extremely common in the
superficial ones placed beyond the influence of this compression, which
art imitates by the application of tight bandages, the effect of which
is so advantageous in many external diseases arising from the want of
tone, and the relaxation of the parts. I have uniformly observed that
the serous infiltrations always begin in the sub-cutaneous cellular
texture, that it is only in an advanced stage of dropsy, that we find
effusion in that which is under the aponeuroses, and that in general
it does not contain as much serum in proportion as the other. In
most of the great distensions of dropsical limbs, when the skin is
removed and the subjacent water has flown off, the limb covered by its
aponeurosis, is scarcely larger than in the ordinary state. The muscles
not protected by these coverings, like those situated on the sides of
the abdomen for example, become dropsical much more easily.
_Aponeuroses for Partial Covering._
These aponeuroses are met with in insulated parts, in front of the
abdomen, on the head, the back, &c.; they are usually destined to
retain in place a certain number of muscles which they do not surround
on all sides, like the preceding, but with which they correspond
only in one direction. Their thickness is much less than that of the
preceding ones; it is adapted to the efforts that they are to support.
All have a tensor muscle which proportions their degree of relaxation
or of tension to the effort of the neighbouring muscles. The anterior
rectus, by means of its intersections, and the pyramidalis, perform
this office for the abdominal aponeuroses; the small posterior
dorsocostals do it for that which covers the muscles of the vertebral
foramina; the auricular, the frontal and the occipital for that of the
cranium.
The aponeuroses of covering, whose use is limited to one muscle only,
like that, for example, of the temporal, want the tensor muscle, and
have consequently the same degree of tension always; it is on this
account no doubt that they have a very compact and thick texture, as
that which I have just mentioned is an example.
Public-domain text, read in full here on John Shaqi.
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