The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Philosophy
The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
128. The base or upper part of the sacrum receives the last vertebra
of the loins on a large and broad surface (fig. XLV. 4), forming a
moveable joint; and the degree of motion at this point is greater than
it is at the higher points of the spinal column. Firmly united at its
sides with the haunch bones, it admits there of no degree of motion.
129. The coccyx, so named from its resemblance to the beak of the
cuckoo, when elongated by a succession of additional bones, forms the
tail in quadrupeds; but in man it is turned inwards to support the
parts contained in the pelvis, and to contract the lower opening of
the cavity. By means of a layer of cartilage, the medium by which this
bone is connected with the sacrum, it forms a moveable articulation,
continuing moveable in men until the age of twenty-five, and in women
until the age of forty-five; continuing moveable in women thus long, in
order that by yielding to the force which tends to push it backwards
during the period of labour, it may enlarge the lower aperture of the
pelvis, and so facilitate the process of parturition and diminish its
suffering.
130. The lateral boundaries of the pelvis are formed by the ilium,
the haunch bone (fig. XLV. 11), and by the ischium, the hip bone (fig.
XLV. 12). The ilium forms the lower part of the abdomen and the upper
part of the pelvis (fig. XLV. 11); its broad expanded wing supports the
contents of the abdomen, and gives attachment to the muscles that form
the anterior portion of its walls (figs. XLV. 11, and LXIII. 9); its
external convex surface sustains the powerful muscles that extend the
thigh; and along its internal surface is the prominent line which marks
the brim of the pelvis (fig. XLV. 15), and which divides this cavity
from that of the abdomen.
131. The ischium or hip bone is the lower part of the pelvis (fig.
XLV. 12); at its undermost portion is a rounded prominence called
the tuberosity (fig. XLV. 12), in its natural condition covered with
cartilage, upon which is superimposed a cushion of fat. It is this part
on which the body is supported in a sitting posture.
132. The pubis or share bone forms the upper and fore part of the
pelvis (fig. XLV. 13), and together with the two former bones,
completes the large and deep socket, termed the acetabulum (fig. XLV.
14), into which is received the head of the thigh-bone (fig. XXXIV.
4). The margin of the acetabulum and the greater part of its internal
surface is lined with cartilage, so that in its natural condition it is
much deeper than it appears to be when the bones alone remain.
133. The lower aperture of the pelvis, which appears large when all
the soft parts are removed, is not really large, for in its natural
state it is filled up partly by muscles and partly by ligaments, which
sustain and protect the pelvic organs, leaving only just space enough
for the passage to and from those which have their opening on the
external surface.
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