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
1st. The two ends retract in opposite directions; there exists between
these divided ends a space proportional to the retraction. This
retraction is not in proportion, as has been thought, to the degrees of
the contractions of the muscle; if it was, it would be sufficient in
a transverse wound, in order to bring the divided edges together, to
place the limb in the greatest possible relaxation; now oftentimes, in
these cases, these ends still remain at a distance; then the retraction
is often superior to the greatest contraction of the muscle considered
in its natural state.
2d. The antagonist of the divided muscle which has no effort to
overcome, contracts and makes the moveable part incline from its side,
if there are not other muscles, which acting in the direction of the
first supply its functions. This last phenomenon takes place also to a
certain extent in paralysis of the face. The mouth is then drawn from
the sound side. I have observed however in this respect, that this
deviation is never as evident as it would be by the division of the
paralytic muscle, which has preserved its contractility of texture.
This remaining contractility forms a partial equilibrium with that of
the muscles of the sound side, during the absence of motions; thus
the deviations do not become very evident until the patients wish
to speak, until consequently the vital forces bring into action the
sound muscles, which the others cannot oppose. The paralysis of the
sterno-mastoideus exhibits for the whole head a phenomenon analogous to
that which the preceding muscles produce for the mouth. Strabismus also
oftentimes arises from this cause.
In general in all the phenomena, it is necessary to distinguish that
which belongs to the vital forces, from that which arises from the
contractility of texture. The muscles are antagonists as it respects
these forces, as well as it respects this contractility; now as the
contraction dependant on the nervous influence or irritability, is
much more conspicuous than that arising from the organic texture, the
phenomena of the antagonists are much more striking in paralysis, when
the sound muscles are brought into action in the first manner. It
appears that in many cases of paralysis, the contractility of texture
of the affected side is also a little altered; but it is never so
completely destroyed, that in the amputation of a paralyzed limb, there
is no muscular retraction. I have made this experiment upon a dog; the
nerves having been cut ten days before, and the limb having remained
immoveable since that period, the division of the muscles produced
a manifest separation between their edges; and even, in afterwards
cutting for the sake of comparison the limb that remained sound, I did
not find any difference.
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