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
In general, the use of all the aponeuroses of covering whether general
or partial, relative to the compression of muscles, is required by
the displacements of which they would be susceptible in contracting,
displacements evident, 1st, when we place the hand upon a muscle in
action, and which is destitute of aponeurosis, as the masseter; 2d,
when a wound having injured a considerable part of an aponeurosis of
covering, the subjacent muscles become accidentally contiguous to
the integuments; 3d, when in an animal we lay bare the muscles of a
limb, and leave only the cellular texture to confine them, and in this
state excite their contraction; 4th, in certain wounds of the muscles
happening at the instant of their contraction, it is difficult to
probe these wounds, because in their relaxation the muscles taking a
different position, the relations change between the parts that formed
the two edges of the wound.
_Of the Aponeuroses of Insertion._
We have divided into three species the aponeuroses of insertion.
_Aponeuroses of Insertion with a Broad Surface._
They are very numerous. Sometimes they arise from the expansion of
a tendon, as we see in those of the anterior rectus of the thigh;
sometimes, as in the masseter, they derive their origin immediately
from the bones. Sometimes it is on one side only that the insertion is
made; at others it is on both at the same time, and then they appear
like partitions placed between the fleshy fasciæ, which they serve at
the same time to separate and unite, as we observe in the muscles that
arise from each of the condyles of the humerus.
These aponeuroses always receive in a very oblique direction the
insertion of the fleshy fibres. Their mutual adhesion is intimate; I
shall speak of it in treating of the tendons.
They have the great advantage of multiplying prodigiously the points
of insertion, without requiring great osseous surfaces. The width
of the whole of the temporal fossa would not be sufficient for the
masseter, if it was inserted by separate fibres. By means of the
aponeurotic partitions which receive its fibres and are afterwards
fixed in the bone, its insertion is concentrated upon one of the edges
of the zygomatic arch. Thus in general, all the very strong muscles,
whose fibres are consequently very numerous, are crossed by similar
aponeuroses, as the deltoid, the pterygoids, &c. are a proof.
Almost all these aponeuroses are exactly like the tendons; many
are continuous with them and then their fibres remain in the same
direction. In general, it is a character of these aponeuroses not to
have their fibres crossed in different directions, like those of the
aponeuroses of covering; the reason of it is plain; the fleshy fibres
to which they give attachment being all nearly in one direction, or at
least not crossing, it is necessary that these should be like them as
they are continuous with them.
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