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
172. The carpus (fig. LXXXII. 4) consists of eight small wedge-shaped
bones, placed in a double row, each row containing an equal number, and
the whole disposed like stones in an arch (fig. LXXXII. 4). They do in
fact form an arch, the convexity of which is upwards, on the dorsal
surface (fig. LXXXIII. 4); and the concavity downwards, on the palmar
surface (fig. LXXXII. 4). But they differ from the stones of an arch
in this, that each bone is joined to its fellow by a distinct moveable
joint, each being covered with a smooth articulating cartilage. At the
same time all of them are tied together by ligaments of prodigious
strength, which cross each other in every direction (fig. LXXVII. 6),
so that the several separate joints are consolidated into one great
joint. The consequence of this mechanism is that some degree of motion
is capable of taking place between the several bones, which, when
multiplied together, gives to the two rows of bones such an extent of
motion, that when the wrist is bent the arch of the carpus forms a kind
of knuckle. By this construction a facility and ease of motion, and
a power of accommodation to motion and force, are obtained, such as
belong to no arch contrived by human ingenuity.
[Illustration: Fig. LXXXII.
1. Lower extremity of the radius; 2. lower extremity of the ulna;
3. styloid process of the ulna; 4. bones of the carpus or wrist;
5. metacarpal bones; 6. first phalanges of the fingers; 7. second
phalanges of the fingers; 8. third phalanges of the fingers.]
173. The metacarpus (fig. LXXXII. 5), the middle portion of the hand,
interposed between the wrist and the fingers, is composed of five
bones, which are placed parallel to each other (fig. LXXXII. 5). They
are convex outwardly, forming the back (fig. LXXXIII. 5), and concave
inwardly, forming the hollow of the hand (fig. LXXXII. 5). They are
large at each end, to form the joints by which they are connected with
the wrist and fingers (figs. LXXXII. and LXXXIII.): they are small in
the middle, in order to afford room for the lodgment and arrangement
of the muscles, that move the fingers from side to side (fig. LXXXVI.
2). Their ends, which are joined to the carpus, are connected by nearly
plane surfaces (figs. LXXXII. and LXXXIII.): their ends, which support
the fingers, are formed into rounded heads, which are received into
corresponding cup-shaped cavities, excavated in the top of the first
bones of the fingers (fig. LXXXII. 5.). The powerful ligaments that
unite these bones pass, both on the dorsal and the palmar surface, from
the inferior extremity of the second row of the carpal to the bases of
the metacarpal bones (fig. LXXVII, 7, 8). The ligaments are arranged in
such a manner as to limit the motions of the joints chiefly to those
of flexion and extension, allowing, however, a slight degree of motion
from side to side.
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