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
141. The figure of the scapula is that of an irregular triangle (fig.
LXVI.). Its anterior surface is concave (fig. LXV. 4), corresponding to
the convexity of the ribs (fig. XLV. 7); its posterior surface is very
irregular (fig. LXVI. 1), being in some parts concave and in others
convex, giving origin especially to two large processes (figs. LXV. 5,
and LXVI. 3); one of which is termed the _acromion_ (fig. LXVI. 3),
and the other the _coracoid_ process of the scapula (fig. LXV. 5). The
margins of the bone, whatever the thinness of some portions of it, are
always comparatively thick and strong (fig. LXVI. 2), affording points
of origin or of insertion to powerful muscles. At what is called the
anterior angle of the bone there is a shallow oval depression covered
with cartilage and deepened by a cartilaginous margin, called the
_glenoid_ cavity of the scapula (figs. LXV. 7, and LXVI. 4), which
receives the head of the humerus or bone of the arm (figs. LXV. 9, and
LXVI. 7, 6).
142. The clavicle, the second bone of the shoulder, is a long and
slender bone, of the form of an italic [Illustration], projecting
a little forwards towards its middle, so as to give a slight convexity
of outline to the top of the chest and the bottom of the neck (fig.
LXV. 2). It is attached by one extremity to the sternum (fig. LXV. 2)
and by the other to the scapula (fig. LXV. 2), by moveable joints. The
nature of an immoveable joint has been explained (63). In the connexion
of the bones of the trunk, while the main object is to secure firmness
of attachment, some degree of motion is at the same time obtained (81
et seq.): but the mode in which the several bones of the extremities
are connected with each other and with the trunk, admits of so great a
degree of motion, that these articulations are pre-eminently entitled
to the name of moveable joints. The component parts of all moveable
joints are bone, cartilage, synovial membrane, and ligament. The great
character of a moveable joint is the approximation of two or more
bones; yet these bony surfaces are never in actual contact, but are
invariably separated from each other by cartilage. The cartilage either
covers the entire extent of the articulating surface of the bones,
as in the shoulder-joint, where both the head of the humerus and the
cavity of the scapula that receives it are enveloped in this substance
(fig. LXV. 7. 9), or a portion of it is placed between the articulating
surfaces of the bones, as in the joint between the clavicle and sternum
(fig. LXVII. _a_); which, when so placed, is termed an interarticular
cartilage (fig. LXVII. _a_). By its smooth surface cartilage lessens
friction; while by its elasticity it facilitates motion and prevents
concussion. Slightly organized cartilage is provided with comparatively
few blood-vessels and nerves. Had it been vascular and sensible like
the skin and the muscle, the force applied in the movements of the
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