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
144. The scapular extremity of the clavicle (fig. LXVIII. 6) is
attached to the processes of the scapula (fig. LXVIII. 4. 3) by several
ligaments of great strength (fig. LXVIII. 7, 8, 9). First by very
strong fasciculi which pass from the upper surface of the clavicle
to the acromion of the scapula (fig. LXVIII. 6); and secondly by two
ligaments which unite the clavicle with the coracoid process of the
scapula (fig. LXVIII. 8, 9). These ligaments are so powerful that they
resist a force capable of fracturing the clavicle; and they need to be
thus strong, for the clavicle is a shaft which sustains the scapula,
and through the scapula the whole of the upper extremity; and the main
object of the joint by which these bones are united, is to afford a
firm attachment of the scapula to its point of support.
[Illustration: Fig. LXVIII.
1. The clavicle; 2. the anterior part of the scapula; 3. the coracoid
process; 4. the acromion process; 5. the humerus; 6. ligaments binding
the scapular end of the clavicle to the acromion; 7. 8. 9. ligaments
passing from one process of the scapula to the other; 10. the fibrous
capsule of the shoulder-joint.]
145. The clavicle serves the following uses: it sustains the upper
extremity; it connects the upper extremity with the thorax; it prevents
the upper extremity from falling forwards upon the thorax; and it
affords a fixed point for steadying the extremity in the performance of
its various actions.
146. The glenoid cavity of the scapula (fig. LXV. 7) receives the head
of the humerus, the bone of the arm (fig. LXV. 9), and the two bones
being united by ligament form the shoulder-joint (fig. LXVIII.). This
joint is what is termed a ball and socket joint, the peculiarities
of which are two: first, beyond all others this mode of articulation
admits of free and extensive motion; in the present case, there is
the utmost freedom of motion in every direction, upwards, downwards,
backwards, and forwards. In the second place, this mode of articulation
admits of the motion of the limb without that of the body, or of the
motion of the body without that of the limb. When at rest, the arm may
be moved in almost any direction without disturbing the position of any
other part of the frame; the manifold advantages of which are obvious.
On the other hand, by careful management, very considerable variations
in the posture of the body may be effected without the communication
of any degree of motion to the limb; an unspeakable advantage when the
limb has sustained injury, or is suffering from disease.
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