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
151. The principal muscle that carries the arm downwards is the
latissimus dorsi (fig. LXXII. 2), the broadest muscle of the body,
which, after having covered all the lower part of the back and loins,
terminates in a thin but strong tendon which stretches to the arm, and
is implanted into the humerus (fig. LXXII. 2), near the tendon of a
muscle immediately to be described,—the great pectoral. When the arm
is raised by the deltoid and its assistant muscles, the latissimus
dorsi carries it downwards with force, and its powerful action is
increased by that of other muscles which arise from the scapula and are
inserted into the arm.
152. The principal muscle that carries the arm forwards towards the
chest, is the great pectoral (fig. LXXI. 1), which, arising partly from
the clavicle (fig. LXXI. 1), partly from the sternum (fig. LXXI. 1),
and partly from the cartilages of the second, third, fourth, fifth, and
sixth ribs (fig. LXXI. 1), covers the greater part of the breast (fig.
LXXI. 1). Its fibres, converging, terminate in a strong tendon, which
is inserted near the tendon of the longissimus dorsi into the humerus,
about four inches below its head (fig. LXXI. 1). These two muscles form
the axilla or armpit, the anterior border of the axilla consisting of
the pectoral muscle. Though each of these muscles has its own peculiar
office, yet they often act in concert, thereby greatly increasing their
power, and the result of their combined action is to carry the arm
either directly downwards or to the side of the chest.
[Illustration: Fig. LXXII.
View of the muscles seated on the back part of the trunk that act
upon the shoulder and arm. 1. The muscle called the trapezius; 2. the
latissimus dorsi; 3. the deltoid.]
153. Some of the muscles that elevate the arm carry it inwards, and
others outwards; the muscles that carry it forwards likewise carry it
inwards; while of the muscles that pull it downwards, some direct it
forwards and inwards, and others backwards and outwards (151 and 152).
154. It has been already stated that the shoulder-joint is completely
surrounded by the muscular fibres or the tendinous expansions of
several of these powerful muscles, which have a far greater effect in
maintaining the head of the humerus in its socket than the fibrous
capsule of the joint; the latter being necessarily loose, in order
to allow of the extended and varied motions of the arm, whereas the
muscles that encompass the joint adhere closely and firmly to it.
Moreover, by virtue of their vital power these muscles act with an
efficiency which a mere ligamentous band is incapable of exerting; for
they apportion the strength of resistance to the separating force, and
react with an energy proportioned to the violence applied.
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