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
147. It does not seem possible to construct a joint of great strength,
capable, at the same time, of the degree of motion possessed by the
joint of the shoulder. So shallow is the socket of the scapula, and
so large the head of the humerus, that it seems as if the slightest
movement must dislodge it from its cavity (fig. LXVI. 4. 7). For
sustaining heavy weights or resisting a great amount of pressure,
applied to it suddenly and in various directions, the arm is obviously
unfitted. But this is not its office. The superior extremities are the
organs of apprehension—the instruments by which the mind executes
the commands of the will. They do not need the strength required by
the organs that sustain the weight of the body and that perform the
function of locomotion; but they do need freedom and extent of motion:
to this strength may be sacrificed, and so it is; yet what can be
done to combine strength with mobility is effected. Large and strong
processes of bone, proceeding as has been shown (141), from the convex
surface of the scapula (figs. LXV. and LXVI.), overhang, and to a
considerable extent surround, the head of the arm-bone, especially
resisting the force that would dislodge it from its socket and drive
it upwards, inwards, and backwards (fig. LXV.), the directions in
which force is most commonly applied to it. By these processes of bone
the joint is greatly strengthened, especially in those directions.
Moreover, a strong ligament, termed the fibrous capsule (fig. LXVIII.
10) envelops the joint. This ligament, arising from the neck of
the scapula (fig. LXVIII. 10), expands itself in such a manner as
completely to surround the head of the humerus (fig. LXVIII. 10); and
then again contracts in order to be inserted into the neck of the bone
(fig. LXVIII. 10). This ligament is strengthened by the tendons of no
less than four muscles which are expanded over it, as well as by the
powerful substance termed fascia which is reflected upon it from both
the processes and ligaments of the scapula. In addition to all these
expedients for fortifying the joint, it receives a further security
in the position of the scapula, which is loose and unattached; which
slides easily over the ribs upon its cushion of flesh; which thus
obtains, by its facility of yielding, some compensation for its want of
strength, eluding the force which it cannot resist.
148. The arm consists of numerous and powerful muscles, and of a
single bone, the humerus, which belongs to the class of bones termed
cylindrical (185).
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