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
joint would have stimulated the blood-vessels to inordinate action, and
the sensibility of the nerves would have been the source of constant
pain: every motion of every joint would have been productive of
suffering, and have laid the foundation of disease. The facility and
ease of motion obtained by the smoothness, elasticity, and comparative
insensibility of cartilage are still further promoted by the fluid
which lubricates it, termed synovia, secreted by a membrane called
synovial, which lines the internal surface of the joint, and which
bears a close resemblance to the serous (30). Synovia is a viscid
fluid of the consistence of albumen (5). It is to the joint what oil
is to the wheel, preventing abrasion and facilitating motion; but it
is formed by the joint itself, at the moment when needed, and in the
quantity required. The motion of the joint stimulates the synovial
membrane to secretion, and hence the greater the degree of motion, the
larger the quantity of lubricating fluid that is supplied. The several
parts of the apparatus of moveable joints are retained in their proper
position by ligamentous substance, which, as has been shown (96 and
97), is oftentimes so strong that it is easier to fracture the bone
than to tear the ligament, and in every case the kind and extent of
motion possessed by the joint are dependent mainly on the form of
the articulatory surfaces of the bones and on the disposition of the
ligaments.
143. In the joint formed by the clavicle and the sternum (fig. LXVII.
_a_) an interarticular cartilage is placed between the two bones which
are united, first by a strong fibrous ligament, which envelops them
as in a capsule (fig. LXVII. 1); by a second ligament, which extends
from the cartilage of the first rib to the clavicle (fig. LXVII. 4),
by which the attachment of the clavicle to the sternum is materially
strengthened; and by a third ligament which passes transversely from
the head of one clavicle to that of the other (fig. LXVII. 3). The
joint thus formed, though so strong and firm that the dislocation of
it is exceedingly rare, yet admits of some degree of motion in every
direction, upwards, downwards, forwards, and backwards; and this
articulation is the sole point by which the scapula is connected with
the trunk, and consequently by which the upper extremity can act, or be
acted upon, by the rest of the body.
[Illustration: Fig. LXVII.
1. The fibrous capsule of the sternum and clavicle; 2. the same laid
open, showing _a_, the interarticular cartilage; 3. the ligament
connecting the two clavicles; 4. the ligament joining the clavicle to
the first rib; 5. ligaments passing down in front of the sternum.]
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