the anatomy OF T H human bones, nerve sr AND LACTEAL SAC and DUCT. Jv Alexander Monro, femor, M. D. and F. R. Ss. "Fellow of rhe Royal College of Phyfitians, and Profeflor of Medicine and Anatomy in the • Cniverfity of Edinburgh. A NEW EDITION. TO WHICH IS ADDED, A N ESSAY \ O N COMPARATIVE ANATOMY. EDINBURGH*: Printed for W. GORDON, Parliament-Square, acd J. DICKSON, Front of the Exchange, M,DCC,LKKXH. ' •». r? ■•V- r /: y u x ’ r • ' . jf- r t r a. Jj. X. J.. i. K - . ■; c ;;:i y;i :i a /; c r: •ci a i r ** * f ’ # _ < » r- ir . r v ** a L |J KJ ' fc •* » A 1- C x . V* a u J\ tj. /i r n. Cl ‘ )f. '; -.a;- v ^ «*( ■. . '■ i 1 - ; / ;> y ‘ • ’’l ’! v I .ftiifte • .r t #•.!, l i v„ iiiiiu iiyssr.i j Y : o i t : a a w * k a ,a « a j A it r o tnr ct H A a a a 3 .1 MOT/.::/. HVlTAfcAIMOO : TI 0 H U ft !•' ! tt 3 A {•a " -sir 1 t7f "5 'I POO .W t*1 T«.t i»? i.j. .a 1 i A J 1 •r. JjM.iju TO THE STUDENTS of ANATOMY IN THE University of EDINBURGH. Gentlemen, WHEN this Oncology was fir ft printed in 1726, I did not know that Albinus, Winfxow, and Palfyn, were to pabiiih defcrip- tions of the bones ; othenvife, my papers pro- bably would have remained yet undelivered to the printers. I however flatter myfelf, that this ejjhy has been of ufe to the gentlemen who did me the honour to attend my lectures, by aflifting them to underftand my fenfe and reprefentation of things in this fundamental part of anatomy ; and that it has poiflbly been of more advantage to them than a more com- plete work from an abler hand, unlefs my de- monftrations had been in the order and method of fuch an author. This view of your improvement, Gentlemen, is a prevailing argument with me to caufe this eflay to be reprinted ; and you cannot reafon- ably blame me, if I like wife acknowledge an- other motive for it, which more particularly re- lates to myfelf. In a new edition, an author A 2 has ( iv ) has an opportunity of making his works more correct, complete, and confequently acceptable to the public, who may perhaps be indulgent enough to think this little treatife not altoge- ther ufelefs ; fince more reafoning on the ftruc- ture and morbid phenomena of bones is to be found in it, thau in the other writers, who have confined themfeives almoft entirely to the de- feriptive or proper anatomical part of the ojleo- k W- 1 have here kept to the plan of the former editions, by firft confidering, in the order that feemed to me mod natural and methodical, every thing which I thought necefiary to be known concerning bones in general ; and, in the fe- cond parr, I have described the fcveral bones compofing the fkeleton. The bones of adults are what I principally endeavour to defer .'be ; but I have added as much of the ofleogenca as I think ferviccable in the practice of phyfic and forgery. That little might be omitted of hr.t was formerly done on this fubjeft, I have taken all the afiiftance 1 could from books ; but have never ailcrtcd any anatomical faft on then* au- thority, without confulting nature, from which all the defer iptions are made ; and therefore, the quotations from fuch books ferve only to do juftice to the authors, who have remarked any thing in the lirufture of the parts that was commonly omitted, and to initiate you in the hiftory of anatomy ; which I once propefed to make complete, fo far as related to this fubjeft: But not being able to procure fe?eral books, onn ■; ‘ ( v ) and being fenfible how many more may have never come to my knowledge, I laid afide this defign, of purpofe omitted many I could have inferted, and in fome places 1 have changed an older author for a later one, who has more ful- ly or clearly defcribed what I treated of. Be- fide anatomifts, I have alfo named feveral other authors to confirm my reafoning by pra&ical cafes ; of which it is not to be fuppofed my own experience could furnifh. a fufficient va- riety. You will readily obferve, that I quote no paffages with a view to criticife or condemn them. This precaution of giving no offence, is very neceffary in thofe who are fufificiently confcious of their being liable to lay themfelves open to juft cenfure ; and it prevents occafions of ufelefs wrangling, in which generally both parties are lofers, and the public has little ad- vantage. In this treatife I always make ufe of the moft common name of each part, and have put the fynonimous names to be met writh in books at tiie foot of the page, that the reading might be fmoother, and you might confult them at your leifure to affift you in underftanding dif- ferent authors. The deferiptions and reafoning, are here blended, without which I always find young ana- tomifts are foon difgufted with authors: Their imaginations cannot follow a long chain of de- feriptions, efpecially when they are not taught at the fame time the ufes which the defcribed parts ferve : Their minds muft have fome re- a 3 laxation, ( Vi ) laxation, by a mixture of reafoning, which ne- ver miffes to Strike the fancy agreeably, and raifes a ftrong defire to understand the prin- ciples on which it depends. The phenomena of difeafes are all deduced in this ellay from the Structure of the parts, by way of corollaries and questions ; which Such an anatomical work confined me to. And this method has otherwife a good effect: For, when one meets with an ufeful propofition, and is obliged to employ a little thought to find out its Solution, the impreflion it makes is deeper, and he acquires a fondnefs for it, as being, in part, his own difcovery. My pupils have fre- quently allured me, that they could, with very fmall reflection, trace out the whole reafoning from which my conclufions were drawn ; I hope their fucceffors will alfo think this an agree- able manner of being inftruCted. Thofe gentlemen who defired I would add the leCtures which 1 pronounce in my colleges as a commentary upon the text, where the dif- eafes are mentioned, will, I perfuade myfelf, excufe me for not complying with their defire, when they confider the defign of this is to be a fchool-book, and how great the difference is between inftruCting youth in private, and pre- tending to inform the public. Art. xxiv. vol. v. of Medical Effays and Observations, publifhed in this place, is one of thefe leCtures which I gave as a commentary on the paragraph (p. 9.) concerning the diiferent kinds of caries. In this edition, I have corrected the miflakes and obfeure paffages which I difeovered in the former ; ( ™ ) former ; and, in fome places, I have made the defcriptions more full and exa(! r ojjJq brjrcoV :t {f ir.' : .ztt inn i f?r Tif ]!}>.;/$ ban lint 3''orr; ' ?nc ■ir ' ' iv r. ?. vrr. rt: 4 oi L .<>d . vi tv sa:- 1; ... . i.? :i o/j;3 1 . i ):r^S:-ri ::Lnif ai'.> -asl AO(f (i ! : !» !•) ;i;rfr , rv* iep o |{ll? rr?i: "1 v fli .. 'b:> t:. i ivj ■ a an' -ii> t :c UnoV/* - A) f . [ ’!i b'i OJ taf? .» Jf . ;cf ■ 1 “ V..' "rf rf * : .1'* 1 ,-Ju A .id ',n: ' pi i ii. h >;;; . ’tnjjpb ill /l h. iff. : ; 3*J>|{‘J(n v.-*' fcji.; r::bc* , L !i j ' : fjrw .ilb -;Iik i 4., _v. « iri ./•'( o: fu r i ;•/ [ j,?« j; _ ,«! fl • -:«?>& I • ^ .plf Vs :•<; v i i/-i i> p-nn; ./ /Hf* fi>.' fj i • : -tM. -it '■ X -if ... - '.-'J fi I .0 . r •4 fin; -I r!'v c!» THE ANATOMY OF THE HUMAN BONES. PART I. Of the BONES in general. BONES are covered by a membrane, named, on that account, Periosteum*, which is fo neceffary to them, that we mud examine its texture and uies, before we can underdand their drudhure. • The periojleum, as well as mod other membranes, can be divided into layers of fibres. The exterior ones, compofed of the fibres of the mufcles con- nected to the bones, vary in their number, fize, and. direction, and confequently, occafion a very great difference in the thicknefs and drength of the perio - Jleum of different bones, and even of the different parts of the fame bone. The internal layer is every where nearly of a fimilar drudture, and has its fibres in the fame direction with thofe of the bone to which they are contiguous. Ought nob' then the name per iojleum to be applied, dridtly fpeaking, only to this internal layer, to which the others are joined in an uncertain manner and number ? # A Some * Membrana circtunoflalis, omentum ofCbus impofitum. 2 Of the BONES in GENERAL. Some authors (a) endeavour to prove the internal layer of fibres ot the pariojieum to be derived from the dura mater : For, fay they, fince the membrane covering the fcull is plainly a produ&ion or conti- nuation of the dura matery which paffes out between the futures ; and fince there are mufcles on the head, as well as in other parts, which might furnifh a pe~ ricjleumt it is needlefs to afiign different origins to membranes which have the fame texture an). Thefe proceftes being of a very delicate texture, the adhefion of this membrane to the bone is fo fmall, that it feparates commonly more eafily from the bone than from the marrow which it contains : Wherefore, one might call it the common membrane of the marrow, rather than by the name it now has. But whether the one or the other defignation ought to be given it, is not worthy a difpute. From the internal furface of the internal pericjleum, a great number of thin membranes are produced ; which, pafling acrofs the cavity, unite with others of the fame kind, and form fo many diftinCl bags, which communicate with each other ; and thefe a- gain are fubdivided into communicating veficular cells, in which the marrow is contained. Hence it is, ( b ) Window Expodtion anat. dcs os frais, § 8a, 8j. »3 Of the BONES in GENERAL. is, that the marrow, when hardened, and viewed with a microicope, appears like a duller of fmall pearl ; and that the hardened marrow of bones buried tong under ground, or laid fome time in water, and* then dried, is granulcus (a). This texture is much the fame with what obtains in the other cellu- lar parts of the body, where fat is colleded ; only that the cells containing the marrow are fmaller than thofe of the tunica adipofa or cellttlofa elfewhere, which probably is owing to their being inclofed in the bones, where they are not fo much dretched or extended as in other parts. The Marrow is the oily part of the blood, fepa- rated by fmall arteries, and depofirated in thefe cells. Its colour and confidence may therefore vary accord- ing to the date of the •vefiels, and their didi ibution on the membranes of the cells. The marrow, as well as the other fat of the body chemically analyfed, yields, befides oil and water, a confiderable proportion of an acid liquor, but no r.l- cali (b). This may be the reafon of its being lei's pu- trefeent than the blood or mod other parts of animals (e), which is a net diary quality in a fubltance that is condantly expofed to a confiderable degree of heat, and is fcuvre in a dagnating condition than the other liquors. Befides the arteries, which I mentioned already (p. 7.), to be fent from the bones to the marrow, there is at lead one artery for each bone ■, feveral bones have more, whole principal ufe is to convey and ie- cern this oily matter. After thefe arteries have pier- ced the folid fide of a bone, they are divided into fe- veral branches ; which foon are didributed every where on the internal periojbeutn, and afterwards fpread their branches inwards on the medullary cells, and out- wards through the tables of the bone. < B The (") Ruyfch. Thcfaur. 9. num. a. et Adverf. dee. in. obi 9. (J) Grutzmaker Difiert. de oflium medulla.— Haller Element. phy- fiolog. lib. 4. left. 4. (0 Pringle Append, to camp diicalcs, exper. 47. 14 Of the BONES in GENERAL. The blood which remains after the fecretion of the marrow, is returned by proper veins, which are col- lected from the membranes into one or two large trunks, to pafs out at the fame holes or palTages at which the artery or arteries enter. The general rule of the fmall vefTels decreafing in their capacities as animals advance in age, to which many phaenomena in the animal oeconomy are owing, obtains here : For though the trunks of the medulla- ry vefTels enlarge as animals turn older; yet the fmall branches become fmaller ; as is evident from injec- tions, which cannot be made to pafs near fo far in thele vefTels of adults as of children. Hence the marrow is bloody in children, oily and balmy in middle age, and thin and watery in old people. By experiments made on the marrow, when bones of living animals are opened or cut through (a), and from the racking pain with which fuppurations within bones are frequently attended, we have fufficient proof that the membranes here are fenfible, and con- fequently have nerves diflributcd to them. Hippo- crates ( b ) might therefore fay juflly, that a wound pe- netrating into the cavity of a bone may produce a de- lirium. The vefTels of the marrow, wrapt up in oim com- mon coat from the per iofieumy pafs through the bones by proper canals ; the molt confiderable of which are about the middle of each bone, and are very oblique. Sometimes thefe vefTels continue at a little diflance in their pafTage when the canal is divided by a fmall bony partition or two. From the flrudure of the contents of the bones, we may judge how thefe parts, as well as others, may be fubje£t to oidema, phlegmon, eryfipelas, fchir- rhus, tsV. and may thence be led to a cure of each, before the common confequence, putrefa&ion, takes place, and frequently occaGons the lofs of the limb, if not of the patient. ' The (j) Du Verney Memoires dc l’ Acad, dcs fcicnccs, 1 7 00. (i) Aphorifin. § 7. aph, 24. *5 Of the BONES in GENERAL. The marrow is of very confiderable ufe to the bones; for, by entering their tranfverfe canals, and pa fling from them into the longitudinal ones, it is communicated to all the plates, to foften and connect their fibres, whereby they are preferved from becom- ing too brittle ; as we fee they do in burnt bones, or thofe long expofed to the air; in people labouring un- der old age, pox, or fcurvy : In all which cafes, the oil is either in too little quantity, or has its natural good qualities changed for worfe ones. Befides this advantage which the fu'oflance of bones has from the marrow, their articulations are faid (a) to receive no lefs benefit from it : for it is thought that the marrow pafles into the articular cavities, through the holes which are in the bones near the large joints. And, as a proof of this, it is alledged, that butchers, upon feeing the greater or Jcfl'er quan- tity of marrow, in the bones of cows, can tell whe- ther they have travelled far or little before they were flaughtered. When the marrow, after having ferved the ufest mentioned, is reafi'umed into the mafs of blood, (as it is continually, in common with all other fecreted li- quors that have not pafl’ages formed for conveying them out of the body), it corrects the too great acri- mony communicated to the faline particles of our fluids by their circulation and heat ; in the fame manner as lixivial falts are blunted by oil in making foap. Hence, in acute difeafes, the marrow, as well as the other fat of the body, is quickly wafted, but muft be immediately fupplied by liquors from the vefiels ; feeing the cells within the bones, which have, no afliftance to their contraction from che preiTure of the atmofphere, cannot collapfe, as the tela cel~ lularis under the fkin does, when the liquor in its cells is abforbed ; the bones therefore are always lull. Since it is the nature of all oil to become thin and rancid when expofed long to heat, and bones hare B 2 much (a) Joan dc Murallo Vade mccum scat, exercit. 5,. § 3,— Have;; Ofteolog. nov. elite, j. p. 179. 16 Of the BONES in GENERAL. much oil in their firm hard fubdance, we may know why an ungrateful l'mell, and dark coloured thin ichor, proceed more from corrupted bones than from other parts of the body ; and we can underfland the reaion of the changes of colour which bones undergo-, according to their different degrees of mortification. — Hence likewife we may learn the caufe of a Jpitia ventofa , and of the difficulty of curing all caries of bones proceeding from an obdruCfion, and con- sequent putrefatfion of the marrow ; and of the quick pulfe, third, and heBic paroxyfms, fo often at- tending thefe difeafes. Thefe phenomena alfo teach us the reafon of the fatal prognofis taken from black fetid urine in fevers. Though bones fo far agree in their dru&ure and annexed parts, yet we may obferve a confiderable difference among them in their magnitude, figure, iituation, fubltance, connection, ufes, &c. From •which authors have taken occalion to didinguifh them into as many claffes as they could enumerate of thefe different circumdancesi But thefe being obvious to every perfon that looks on bones, I fliall only men- tion one of them; which comprehends very near the whole bones of the body, and at the fame time leads us to examine the mod confiderable variety that is to be found in the difpofition of their condituent parts, and in their ufes. It is this, that fome bones are broad and_//u/, while others are long and round . The broad bones have thin fides, by the plates being foon and equally fent off to form the lattice- work ; which therefore is thicker, and nearly of an equal form ail through. By this dru&ure, they are Avell adapted to their ufes, of affording a large e- nough furface for the mufcles to rife from, and move upon, and of defending fudiciently the parts which they inclofe. The round bones have thick drong walls in the mid- dle, and become very thin towards their ends, which is owing to very few plates feparating at their mid- dle ; where, on that account, the cancelli are fo fine and *7 Of the BONES in GENERAL. and fmall, that they are not taken notice of: But fuch bones are faid to have a large refervoir of oil in this place. Towards their ends the lattice- work becomes very thick, and rather more complete than in the other l'ort of bonCs. — i hefe round bones ! having ftrong forces naturally applied to them, and being otherwil'e expofed to violent injuries, have need of a cylindrical figure to refill external prefiure, and of a confiderable quantity of oil to preferve them from becoming too brittle. Befides which, they are advantageoufly provided with thick fides towards their middle, where the greateft forces are applied to in- jure them ; while their hollownefs increafes their diameter, and confequently their ftrength to refill: forces applied to break them tranfverfely (a). Thus, for inftance, in eflimating the proportional refiftance of two cylindrical bones of unequal diameters, but confifting of an equal number of fimilar fibres uni- formly difpofed round each, it is plain, 1. That the abfolute force of thefe two bones is equal, becaule they confift of equal numbers of fimi~ lar fibres. 2. That the abfolute forces of all the fibres in each bone have the fame efiec human, corp. fabrics, lib, I. cap. 3, Of the BONES in GENERAL. 21 this purpofe they are wifely framed of a larger dia- meter than the bone they belong to ; for by this means, the furface of contact between the two bones of any articulation being increafed, their conjunction becomes firmer, and the mufcles inferted into them atf with greater force, by reafon of their axes being further removed from the centre of motion. Thefe advantages might indeed have been obtained by the expanfion of the end of the bone itfelf, to a thick- nefs equal to that of the epiphyfes ; but then the con- flant feparation of new plates to form fo wide a cel- lular ftru&ure, muft have left the folid fides of the bones fo thin, as to yield eafily, either to the action of the mufcles fixed to them, and palling over them, to the weight feveral of them are obliged to fupport, or to the application of any other external force. Several anatomifts (f) thought that the epiphyfes ferve other purpofes : fuch as, fecuring the ligaments of the articulations which rife out from between the bones and them ; for, as foon as thefe parts are inti- mately jcined, the ligaments infinuated betwixt them muft have a much ftronger connexion than they could have to the fmooth furface of the bones. Such an interception of the ligament between the body of the bone and its epipkyfe is not to be feen ; but as, at this place, the bone remains longer foft than any .where elfe, and the adhefion of the periojleum , and of ligaments to bones, is always ftronger in propor- tion to the bones being neareft to the confidence of thofe parts, which is, being lbfteft, the opinion of thefe writers concerning the ftronger connexion of the ligaments, where the bones and epiphyfes join, is not without fome foundation. Poffibly, too, by the fibres of epiphyfes not extend- ing themfelves fo longitudinally as thofe of the bones, there may be lefs chance of the former running into .each other, than of the latter. The (f) Collumb. De re anatomica, lib. r. cap. J. — Fallcp. Expel. <*e oflibus, cap. 11. 22 Of the BONES in GENERAL. The foftnefs of .the ends of bones may be of fome advantage in the womb, and at birth, after which the oflification begins at different points to form epi- phyfes , before the oflification can extend from the middle to the ends of the bones (g). However folid and compaft adult bones are, yet they were once cartilages, membranes', nay, a mere jelly. This needs no further proof, than repeated obfervations of embryos when differed : And how much more tender muff the bones be before that time, when neither knife nor eye is capable to dif- cover the lead rudiments of them ? By degrees they become more folid, then aflume the nature of griflles, and at lad oflify ; the cohefion of their plates and fibres always increafing in proportion, to their increaf- ed folidities ; as is evident from the time neceffary to unravel the texture of bones of people of different ages, or of denfe and of fpongy bones, or of the dif- ferent parts of the fame bone, and from the more tedious exfoliations of the bones of adults than of children. After any part of a bone is fully odified, its fibres are extended little more in length at that part, though they increafe there in thicknefs, and though their fofter parts continue to become longer ( h ). As the folidity of bones increafes, their periojleum more eafily feparates from them. When bones are membranous, the periojleum and they cannot be di- flinguifhed ; thev appear to be the fame fubdance. "When they are cartilages, their membrane adhere fo firmly to them, that it is difficult to feparate it from them. Where the rigid bony fibres are, the periojle- um is eafdy taken off. Is the fimilarity of drutture and confequent greater attra£lion of the membrane and fubdance it inclofes, while they are both flexible, the caufe of their greater adhefion ? or is it owing to the velTels that go from the one to the other be- ing (g) Haller de Audio medic, p. 267. (h) Hales’s Vegetable ftatics, p. 293. — Da Hamel Mcmoires »), and in Several other creatures. Nay, the mufcular fub- flance of the heart has been oflified in fuch («), and the arteries of old men often become bony. — The cartilages of the larynx are generally oflified in ad-' lilts. — In beafts of burden, the cartilages between the vertebra of the back very often change into com- plete bones •, and, being intimately united with the vertebra, the whole appears one continued bone : — Nor is the periojleum exempted from -fuch an indura- tion [o). To confirm this argument flill farther, we may obferve, that bones begin their offification at the places where they are moft expofed to thefe caufes, viz. in the cylindrical bones from a middle ring, and in the broad ones, at or near their centre, from one or more diftindb points. The reafon of which is, that thefe parts are contiguous to the bellies of the mufcles annexed to the bones, where the dwel- ling of thefe moving powers is greatefl:. What the effe&s of this may be, let any judge, who view fome of the bones, as the fcapula , and ojfa ilium , which are covered with mufcles on each fide j how compact and thin they are in adults, where the bellies of the mufcles were lodged', whereas in children they are thicker. But this being the middle part of thefe bones, (») Riolan. Comment, de oflib. cap. 3a. — Bartholin. Hi ft. med. cent. 1. hilt. 50. — Ibid. cent. a. hilt. 45. (») Chefelden’s Anatomy, book I. introd. — Garengeot Hitt, de 1'aoad. des fciences, I7a6. (0) Peycr. Ephcmerid. German, dccur. 2. anil. 7. obferv. 20J. Of the BONES in GENERAL. 25 bones, where the greateft number of fibres is, this particular place would have been much thicker in adults, had not this forcible caufe been applied, which has not had luch effe&s in children, whofe mufcles have not been much exercifed. — Befides, if we allow that all the parts of a bone are equally in- creafed by the conftant fupply of new particles, each fibre, and every particle of a fibre, endeavours to make way for its own growth, by pufliing the one next to it •, aiid confequently by far the greateft pref- fure is on the middle, to make the particles firm, and therefore to begin their ofiification there. Lafily , The pulfation of the medullary arteries, which enter the bones near to this middle part, may, as authors have al- ledged, contribute perhaps fomewhat to this induration. From the effe£ls of prelfure only it is, that we can account for the bones of old people having their fides much thinner, yet more denfe and folid, while the cavities are much larger than in thofe of young people ; and for the prints of mufcles, vefiels, 5sV. being fo much more ftrongly marked on the furfaces of the former than of the latter, if they belong to people of near the fame condition in life. — Prelfure mull likewife be the caufe which, in people of equal ages, makes thefe prints ftronger in the bones of thofe wrho had much labour and exercife, than they are in people who have led an indolent inactive life. Perhaps both the caules of ofiification above men- tioned, may be aflifted by the nature of the climate people live in, and the food they ufe. Whence, in hot countries, the inhabitants fooner come to their height of ftature than in the northerly cold regions : And thence feems to have arifen the common prac- tice among the ladies, of making puppies drink brandy or fpirit of wine, and of bathing them in thefe liquors, to prevent their growing big. Nay, it has been obferved, that much ufe of fuch fpirits has occafioned parts, naturally foft, to petrify in fome, and to oflify in other people of no great age (/>). C From {p) Littre Hiftoire de l’acad. des fcienccs, 1706.— Geoffroy Me- moires dc Vacad. des fcienccs, 1706. 2 6 Of the BONES in GENERAL. From the foregoing account of the ftrufture of bones, and of their ofiification, we may underftand the reafons of the following phenomena. How the natural colour of bones may be changed by fome forts of food ( q ). Why the bones of fome people are fo long in har- dening, and in others never completely indurate. Why, in fuch whofe ofiification is flow, the bones are generally thicker in proportion to their lengths, efpecially at their ends ; as in the rickets. How hard firm bones have become foft and pliable by difeafes (r). Why in fome difeafes, epiphyfes feparate from bones (s), and the ends of frattured bones come afun- der many years after their fradlures appeared to be cured (r). How bones may wafle and diminifh -(//). How bones may become folid all through, without any appearance or cancetli (at). How nodes , tophi , and exojiofes , happen after the e- rofion of the external plates of bones in the lues ve- nerea,/curvy, rheumatifm, and gout. How bones exfoliate by the rifing of granulated flefh from their furface. How, and from what callus is formed after a frac- ture (y). Philofoph. Tranfaft. Num. 44*- art. 8. Num. 443. art. 3. Num. 457. art. 4.— Mem de l’acad. des fciences, 1739. I74i- (r) Hiftoire de l’acad. des fcienccs, X700. — Mem. 1722.— Gagli- ardi Anat. odium; cap. 2. obfcrv. 3. — Ephcm. Germ, decur. 1. ann. I. obf. 37. et fchol. decur. 2. anil. 7. obf. 212, 235. decur. 3. ann. 2. obf. 3. — Philof. Tranf. Num. 470. § 3. — Ibid. vol. 40. § 4» and 44* (j) Mcmoires de l’acad. des fciences, 1699.— Diemerbroek Anat. lib. 9. cap. 19. — Cowper’s Anat. explic. tab. 96. fig. I. (/) Anfon’s Voyage. (a) Chefclden’s Anat. book I. introd. — Hift. de l’acad. des fciences, J\x) Ruyfch. Thefaur. 2. nrc. 5. thef. 3. loc. I. Num. 5. thef. 9. Num. 2. not. 3. — Boehmer de callo odium. (y) Mcmoires de I'acad. des fgitnccs, 1741.— Delitlcef dc ofliiun callo. Of the BONES in GENERAL. 27 Why callus appears to be rather the continued fub- fiance of the periofleum than of the bone, while it remains foft and flexible ; but feems continued witb the bone after it oflifies (2). Why callus is fenfible, while it is foft, but becomes infenfible when it hardens. What occafions fometimes fuch difficulty in cur- ing fractured bones ; or why they never reunite, though they are reduced, and all proper means to- wards a cure are ufed (a). — Are the bones of women with child more tedious in reuniting than thofe of o- ther people ( b ) ? Why callufcsy after fra&ures, are fometimes very thick and protuberant. What difference there ought to be in the applica- tion of bandages to fractures of the bones of old and of young patients. How bones, remaining long unreduced after a luxation, may have their form fo changed as to make their reduction very difficult, if not impoffible (r). Whoever is defirous to know, in what time and or- der each bone and its feveral parts begin to afl'ume a bony nature, let him confult Kerckingius () Axtcpfyuns, dearticulatio, abarticulatio. Of THfe BONES in GENERAL. 31 low large motion. This is fubdivided into three kinds. The firft is enarthrojis, or the ball and focket, when a large head is received into a deep cavity ; as the head of the os femor'ts is into the acetabulum coxendicis. The fecond is arthrodia , when a round head is re- ceived into a fuperficial cavity ; as in the articulation of the arm-bone and fcapula . Thefe two fpccies of diarthrojts allow motion to all fides. The third is ginglimus (c), which properly fignifies the hinge of a door or window ; in it the parts of the bones mutually receive and are received, and allow of motion two ways : Workmen call it churned. The ging/imus is generally divided into three kinds, to which fome (d) give the names of contiguous («•), dijlant (f)i and compound (g). The firft kind of ginglimus is, when a bone has fe- veral protuberances and cavities, which anfwer to as many cavities and proceflcs of the other bone, with which it is articnlated : as in the conjunction of the femur with the tibia. The fecond fpecies is, when a bone receives ano- ther at one end, and is received by the fame bone at the other end •, as in the radius and ulna. The laft fort is, when a bone receives another, and is received by a third ; as in the oblique proceflts of the vertebrae. When I firft mentioned the articulations of bones, I faid there were different opinions concerning the ufe of their technical names; e. g. It has been faid, that fymphyfts fhould be the name for the immoveable articulations, and fynarthrofs fhould be underllood to be the conjunction of bones by fome connecting me- dium— Thofe who have taken fympkfis in the fenfe I did, of its exprefling the conjunction of bones with a connecting fubftance, have difagrecd in their defi- nition of it ; fome inferting, and others leaving out, its (f) Articulatio mutua. (d) Baker Curf. oftcolog. demonftr. I. (f) Proximus. (f) Longus. Cj) Compofitus. 3*2 Of the BONES in GENERAL. its allowing motion. — "Where they have agreed in their definition, they have not been of the fame mind concerning the fpecies of it. For feveral think the Syffdrcoftsznd. fytidefmofts applicable to fo many joints which are univerfally allowed to be clalTed under the diarthreftSy that it mud create confufion to name them by any fpecies of the fymphyfts. — Few keep to fuch a general definition of the fynchondro/is as 1 have done ; and, whether they determine it to allow no motion, or an obfcure or a manifeft one, bring themfelves in- to difficulties, becaufe there are examples of all thefe three kinds. — Some again, by too nicely diftinguiffi- ing obfcure and manifeft motions of bones, have blended ihtfynnrthrofis and diarthrofis y and from thence have branched out the different compound fpecies of articulations that may be formed of them, fo far, that they could find no examples in the body to illuftrate them by. — It would be tedious to enumerate more of the jarring opinions, and it would be far more fo to give a detail of the arguments ufed by the difputants. It is fufficient for my purpofe, rhat it is underftood in what fenfe I take thefe technical terms ; which I do in the following manner : When I mention the fymphyJJs or fynarthrofis, or any fpecies of them, I fhall always uuderftand them ac- cording to the explication already given of them. But though the preceding account of the diarthrofisy or articulation of moveable bones, has been almoft uni- verfally received; yet, feeing it does not comprehend all the moveable articulations of the body, and one of its fpecies does not anfwer to any notion we can have ot the conjunction of two bones, I muft beg leave to change the definitions and kinds of thefe joints. 4 I would call diarthrnfis that conjunction of bones, whereby they are fitted tor motion, being- each co- vered with a fmooth cartilage, connected by one or more common ligaments, and lubricated with liquor at the conjoined parts. In which definition, I hare no regard to the quantity of motion which they real- Of the B 0 N E S in G E NER A L. 33 ly do perform ; the motion being often confined or enlarged by fome other caufe not immediately depen- ding on the frame of the two furfaces of the bones forming the particular joint which then is confidered. The firft fpecies of the diarthrofis, viz. the enar- throfis , or ball and foclcet, I would define more gene- rally than above, That articulation where a round head of one bone is received into a cavity of ano- ther, and confequently, without fome foreign impedi- ment, is capable of motion to all fides. Examples of this kind are to be feen in the articulation of the thigh- bone and offa innominata ; arm-bone and fcapula ; aflragalus and os naviculare ; magnum of the wrift, with the fcaphoides and lunare ; firft bone of the thumb with the fecond, &c. The fecond fort, or the arthrodia, differing from the enarthrojis , in the preceding account, only in the cavity’s being more fuperficial, which makes no ef- fential difference, efpecially that, in the recent fub- je£t, cartilages or ligaments fupply the deficiency of bone, ought, in my opinion, to be called with Vefa - lius (a), that articulation of two bones adapted for motion, where it is not at firft fight obvious which of the two has the head or cavity, or where they are joined by plain furfaces, or nearly fo ; fuch is the conjunction of the clavicle with the fcapula ; offa cunei - for mi a with the os naviculare; metatarfal bones with the offa cuneiformia, &c. From the nature of thi3 fort of joint, it is plain, that very great motion cannot be allowed, without the bones going farther out of their natural fituation, than is convenient or i'afe. Ginglimi/s, 1 would reckon that articulation by the form ol which the motion of the joined bones muft be chiefly confined to two directions, which hinges of doors are. The firft fpecies of this is the trochoides, when one bone turns on another, as a wheel does on its axis : rJ hus the fiilt vertebra of the neck moves on the tooths 00 De corp. human, fabrics, lib. I. cap. 4. 34 Of the BONES in GENER AL. tooth-like procefs of the fecond. This is the moft proper kind of ginglimus. The fecond fpecies fhould be efteemed that articu- lation where feveral prominent and hollow furfaces of two hones move on each other, within the fame com- mon ligament; as in the knee, elbow, &c. The third fort of ginglimus is, when two bones are articulated to each other at different parts, with a diftind: apparatus of the motory machines at each ; fuch is the articulation of the os occipitis with the firft; vertebra of the neck ; of any two contiguous vertebra , by their oblique procefles ; of the ribs with the bo- dies and traofverfe procefles of the vertebra ; of the ra- dius with the ulna, tibia with the fibula , ajlragalus with the calcaneum , fsV. I would entirely throw out what is commonly called the third kind of ginglimus : For, in examining the conjunction of a bone with two others, as in the common example of a vertebra joined with the one a- bove and below, the connection of the middle one with each of the other two ought to be confidered fe- parately ; otherwife we might with the fame proprie- ty efteem the articulations that the long bones, the femur , tibia , humerus , CsV. have at their different ends, as one articulation ; which is abfurd. If the moveable bones are not connected and kept firm by fome itrong fubftance, they would be lux- ated at every motion of the joints : and if their hard, rough unequal furfaces were to play on each other, their motion would not only be difficult, but the lofs of fubftance from attrition would be great. There- fore ligaments are made to obviate the firft, and carti- lages to prevent the other inconveniency. But be- caufe ligaments and cartilages turn rigid, inflexible, and rough, unlefs they are kept moift, a fufficient quantity of proper liquors is fupplied for their lubri- cation, and to preferve them in a flexible ftate. Seeing then thefe parts are fo neceflary to the articulations, I fhall next conftder their ftruCfture, fituation, and ufes, Of the BONES in GENERAL. 35 tifes, fo far as they are fubfervient to the bones, and their motions. Ligaments (a) are white flexible bodies, thick- er and firmer than membranes, and not fo hard or firm as cartilages, without any remarkable cavity in their fubflance, difficultly ftretcbed, and with little elafticity ; ferving to connett one part to another, or to prevent the parts to which they are fixed from being removed out of that fituation which is ufeful and fafe. After maceration in water, the ligaments can ea- fily be divided •, and each ligamentous layer appears compofed of fibres, the largeft of which are difpofed in a longitudinal direction. The arteries of ligaments are very confpicuous af- ter a tolerable injeftion, and the larger trunks of . their veins are fometimes to be feen full of blood. Such ligaments as form the fides of cavities, have numerous orifices of their arteries opening upon their internal furface, which keep it always moift : If we rub off that moifture, and then prefs the ligament, we can fee the liquor oozing out from fmall pores ; and we can force thin liquors inje£led by the arteries into the cavities formed by ligaments. Thefe exhalent arteries mull have correfponding abfoibent veins , otherwife the cavities w ould foon be too full of liquor. Ligaments then muft be fubjeft to the difeafes common to other parts, where there is a circulation of fluids, allowance always being made for the fize of veffels, nature of the fluids, and firmnefs of the texture of each part. Authors generally fay, that ligaments are infenfi- hle : and conlequently it may be inferred, that they have no nerves bellowed on them. But the violent racking_pain felt on the lead motion of a joint la- bouring under a rheumatifm , the feat of which difeafe feems often to be in the ligaments, and the infuflerable torture occafioned by incifions of ligaments, and by a col- (*) copulse, vinculai 36 Of the BONES in GEN ER AL. a colleCHon of acrid matter in a joint, or by tophi in the gout, would perfuade us, that they are abundant- ly fupplied with nerves. The ligaments which conneCt the moveable bones commonly rife from the conjunction of the epiphyfis of the one bone, and are inferted into the fame place of the other •, or where epiphyfes are not, they come out from the cervix, and beyond the fupercilia of the ar- ticulated bones ; and after fuch a manner, in both cafes, as to include the articulation in a purfe or bag, with this difference, depending on their different mo- tions, that where the motion is only to be in two di- rections, the ligaments are ftrongeft on thofe Tides towards which the bones are not moved ; and when a great variety of motions is defigned to be allowed, the ligaments are weaker than in the former fort of articulations, and are nearly of the fame ftrength all round. Part of the capfular ligaments is compofed of the periojleutn, continued from one bone to another, as was obferved p. 2. and their internal layer is conti- nued on the parts of the bone or cartilage which the ligament includes ( a ). Befides thefe common capfular ligaments of the joints, there are particular ones in feveral places, either for the firmer connection of the articulated bones, or for reftraining and confining the motion to fome one fide; fuch are the crofs and lateral ligaments of the knee, the round one of the thigh, &C. From this account of the ligaments, we may con- clude, that, cateris paribus, in whatever articulation the ligaments are few, long, and weak, the motion is more free and quick ; but luxations happen fre- quently : And, on the contrary, where the ligaments are numerous, fhort, and ftrong, the motion is more confined ; but fuch a joint is lefs expofed to luxations (£). — Whence we may judge how neceffary it is to attend to the different ligaments, and the changes which (d) Nefbit Ofleogen. — Philof. tranfaA. No. 470. feet 6. ( b ) Fabric, ab. Aquapcnd. 4c articul. part, utilit. pars 3. 0* the BONES in GENERAL. 37 which have been made on them by a luxation, when it is to be reduced. Ligaments alfo fupplf the place of bones in feveral cafes to advantage : Thus the parts in the pelvis are more fafely fupported below by ligaments than tney could have been by bone. — The ligaments placed in the great holes of the offa innominata , and between the bones of the fore-arm and leg, afford convenient origin to mufcles. — Immoveable bones are firmly con- verted by them; of which the conjunction of the os facrum and inmminatum is an example. — They afford a focket for moveable bones to play in, as we fee part of the ajlragalus does on the ligament ftretch- ed from the heel-bone to the fcaphoid. Numerous inconveniencic- may arife from too long or (liort, flrong or weak, lax or rigid ligaments. Cartilages * are foiid, fmooth, white, elafiic fubftances, between the haidnefs of bones and liga- ments, and covered with a membrane, named peri- chondrium, which is of the fame flructure and ufe to them as the periajieum is to the bones. Cartilages are compofed of plates, which are form- ed of fibres, difpofed much in the fame way as thofe of bones are; as might be reafonably concluded, from obferving bones in a cartilaginous ftate before they oflify, and from feeing, on the other hand, fo many cartilages become bony. This may be dill further confirmed by the exfoliation which cartilages are fubjeCf to as well as bones. The perichondrium of. feveral cartilages, for exam- ple, thofe of the ribs and larynx , has arteries which can be equally well injected with thofe of the peri- ojleum ; but the veffels of that membrane in other parts, e. g. the articular cartilages, are fmaller, and in none of them does injection enter deep into the fubflance of the cartilages ; nay, madder, mixed with the food of animals, does not change the colour of cartilages as it does that of bones (a). D The * XovJ 'pat, (a) Philof. Tranfaft. No. 442. art. 8. No. 443. art. 3. No. 457. art. 4.— Mem. tie l'acad. dcs fences, 1739 ct 174*.— Dditlccf Jc ■0 ilium c:llo. 38 Of the BONES xn GENERAL. The granulated flc(h which rifes from the ends of metacarpal or metatarfal bones, when the cartilage exfoliates, after a finger or toe has been taken off at the firfl joint, is very fenfible, from which the ex- iftence of nerves in cartilages may be inferred. While cartilages are in a natural ftate, it is to be remarked, firjl , That they have no cavity in their middle for marrow. Secondly, That their outer fur- face is fofteft, which renders them more flexible. Thirdly , That they do not appear to change their texture near fo much by acids as bones do. And, laJHy , That as the fpecific gravity of cartilages is near a third lefs than that of bones ; fo the cohefion of their feveral plates is not fo ftrong as in bones ; whence cartilages laid bare in wounds or ulcers, are not only more liable to corrupt, but exfoliate much fooner than bones do. Cartilages feem to be principally kept from offifying, either by being fubje&ed to alternate motions of flexion and extenfion, the effe&s of which are very different from any kind of Ample preffure, or by being con- ftantly moiftened (a); Thus, the cartilages on the articulated ends of the great bones of the limbs, and the moveable ones placed between the moving bones in fome articulations, which are obliged to fuffer many and different flexions, and are plentifully moift- ened, fcarce ever change into bone ; while thofe of the ribs and larynx are often oflified. — The middle angular part of the cartilages of the ribs, which is conftantly in an alternate (fate of flexion and exten- fion, by being moved in refpiration, is always the lad of becoming bony. — In the larynx , the epiglottis, which is oftener bended and more moiftened than the other four cartilages, fcldom is oflified, while the others as feldom efcape it in adults. The cartilages fubfervient to bones, are fometimes found on the ends of bones which are joined to no other ; but are never wanting on the ends, and in the cavities of fuch bones as are defigned for motion ( b ). Cartilages (hulay and fpina ventofa} or from old age, and long immobility of joints (a) ■ — Hence we may know what the annihilation is which is faid to be made of the head of a bone, and of the cavity for lodging it, af- ter an unreduced frafture (b). The moveable carti- lages interpofed in joints, ferve to make the motions both freer and more fafe than they would otherwife be. — 1 hofe placed on the ends of bones that are not articulated, as on the J pine of the os ilium , bafe of the fcapula , &c. ferve to prevent the bony fibres from growing out too far. — Cartilages fometimes ferve as ligaments, either to faften together bones that are immoveably joined, fuch are the cartilages between the osfacrum and ojfa ilfum, the ojfa pubisi &c. or to 2 connect (a) Columb. de re anat. lib. 15.— Deflaades Hid. de I'acad. des^ fcicnces, 1716. — Phil, traalaft. No. 215. — Ibid. No. 461. § 16. (b) Hildas, de ichor, et mclicer. acri Celfi, cap. 5.— Ruyfch, Tihef. 8. No. 103. — Salesman in aft. Pctropolit. tom. 3. p. 275, 40 Of the BONES in GENERAL. connect bones that enjoy manifeft motion, as thole- do which are placed between the bodies of the true vertebra, &c. — Cartilages very often do the office of bones to greater advantage than thefc laft could, as. in the cartilages of the ribs, thofe which fupply brims to cavities, fsV. Too great thicknefs or thinnefs, length or fhort- nefs, hardnefs or fupplenefs of cartilages, may there* fore caufe great diforders in the body. The liquor, which principally ferves to moifteir the ligaments and cartilages of the articulations, is lup- plied by glands, which are commonly fituated in the joint, after fuch a manner as to be gently preffed, but not deflroyed by its motion. By this means, •when there is the greateft neceffity for this liquor, that is, when the molt frequent motions are perform- ed, the greateft quantity of it mult be feparated. Thefc glands are foft and pappy, but not friable: In fome of the large joints they are of the conglomerate kind, or a great number of fmall glandules are wrapt up in one common membrane. Their excretory du£ts arc long, and hang loofe, like fo many fringes,, •within the articulation; which, by its motion and prefTure, prevents obllrudlions in the body of the gland or its excretories, and promotes the return of this liquor, when fit to be taken up by the abforbent velfels, which muft be in the joints, as well as in the other cavities of the body ; and, at the fame time, the prefTure on the excretory du£ts hinders a fuper- fluous unnecefl'ary fecretion, while the fimbriated dif- pofition of thefe excretories does not allow any of the fecreted liquor to be pufhed back again by thefe canals towards the glands (r). Very often thefe fountains of flimy liquor appear only as a net-work of vefl'ds. — Frequently they are almoft concealed by cellular membranes containing, the fat — and fometimes fmall fimple mucous follicu/i may be feen (d). The (c) Cowpcr Anat. explicat. tab. 79. lit. E. E. (dj Morgaga. Advcrfar. 2. animad. 23, 41 Of the BONES in GENERAL. The different joints have thefe organs in different numbers and fizes; the conglomerate ones do not vary much, efpecially as to fituation, in the (imilar joints of different bodies but the others are more uncertain. Upon preffing any of thefe glands with the finger, one can l'queeze out of their excretories a mucilagi- nous liquor, which fomewhat refembles the white of on egg, or feritm of the blood ; but it is manifeftly fait to the tafte. It does not coagulate by acids, or by heat, as the ferum does, but by the latter turns, firft thinner, and, when evaporated, leaves only a thin fait film. The quantity of this mucilage conftantly fupplied,. muff be very confiderable, fince we fee what a plen- tiful troublefome difcharge of glary matter follows a , wound or ulcer of any joint ; of which liquor the mucilage is a confiderable part. The veffels which fupply liquors for making the fecretion of this mucilage, and the veins which bring back the blood remaining after the fecretion, are to be feen without any preparation ; and, after a tole- rable injection of the arteries, the glands are cover- ed with them. In a found- date, we are not confcious of any fen- fibility in thofe glands ; but,: in fome cafes which I have feen, when they inflame and fuppurate, the molt racking pain is felt in them : a melancholy, though, a fure proof that they have nerves. Thefe mucilaginous glands are commonly lodged in a cellular fubdance ; which is alio to be obferved in other parts of the bag formed by the ligaments of the articulation ; and contains a fatty matter, that mud necefl'arily be attenuated, and forced through the including memhranes into the cavity of the joint, by the prefl'ure which it fuffers from the moving bones. If then the oil is conveyed from this cellular fub- llanceand if the attenuated marrow paffts from the sancelli of the bones by the large pores near their D 3, ends„ 42 Of riTE BONES in GENERAL. ends, or in their cavities, and fweats through the cartilages there into the articulations; which it may, when a (lifted by the conftant heat and a&ion of the body, more eafily do, than when it efcapes through the compact fubftance of the bones in a fkeleton : If, I fay, this oil is fent to a joint, and is incorporated with the mucilage, and with the fine lymph that is conftantly oozing out at the extremities of the fmall arteries diflributed to the ligaments, one of the fitted liniments imaginable mud be produced ; for the mu- cus diluted by the lymph, contributes greatly to its lubricity, and the oil preferves it from hardening. How well fuch a mixture ferves the purpofe it is de- figned for, Boyle ( e ) tells us he experienced in work- ing his air-pump; for the fucker could be moved with much lefs force after being moiftened with wa- ter and oil, than when he ufed either one or other of thefe liquors : And I believe every one, at firft view, will allow the diluted mucilage to be much preferable to fimple water. The fynovia (f), as this liquor com- pofed of oil, mucilage, and lymph, is commonly now called, while in a found date, effeftually pre- ferves all the parts concerned in the articulations foft and flexible, and makes them Aide eafily on each o* iher, by which their mutual detrition and overheat- ing is prevented, in the manner daily pradlifed in coach and cart wheels, by befmearing them with greafe and tar. After the liquor of the articulations becomes too thin and unferviceable, by being conftantly pounded and rubbed between the moving bones, it is reaflum- ed into the mafs of blood by the abforbent vefiels. When the fynovia is not rubbed betwixt the bones, it infpiflates. And fometimes, when the head of a bone has been long out of its cavity, this liquor is faid to fill up the place of the bone, and hinder its reduction ; or if a joint continues long unmoved, it is alfo faid to cement the bones, and occafion a true anchylofts . ( e ) Phyfico-mechanic. experim. (fj MvJ*, mucus, axungia. Of the BONES in GENERAL. 43. anchylofts (g). — If the fyrnvia becomes too acrid, it e- rodes the cartilages and bones \ as frequently happens- to thofe who labour under the lues venerea , /curvy, , fcrophula , or fpina ventofa.— If this liquor is leparated in too fmall quantity, the joint becomes ftifF; and when with difficulty it is moved, a crackling noife is. heard, as people advanced in years frequently expe- rience (A).— If the mucilage and lymph are depofited. in too great quantity, and the abforbent veffiels do not perform their office fufficiently, they may occafion a dropfy of the joints (i). — From this fame caufe alfo the ligaments are often fo much relaxed, as to make the conjunction of the bones very weak : Thence a- rife the luxations from an internal caufe, which are eafily reduced, but difficultly cured (*).— Frequent- ly, when fuch a fuperfluous quantity of this liquor is pent up, it becomes very acrid, and occafions a great train of bad fymptoms fuch as fwelling and pain of the joints, long finuous ulcers, and fiftulx, rotten bones, immobility of the joints, marcor and atrophia of the whole body, heCtic fevers* bV. (/). — From a depravity in the blood, or difeafes in the organs that furniffi the fyrnvia of the joints, it may be greatly changed from its natural ftate; it may be purulent after inflammation, mucous in the white fwelling, gelatinous in the rheumatifm, chalky from the gout, bV. ; hence a great variety of diforders in the joints ( m ), THE (g) Pare Chirurgie, lirre Ig. chap. 1 8. et livre 16. chap. 5. (/;) Galen de ufu part. lib. I a. cap. a. — Fabric, ab Aquapend. de 1 articul. part, utilitat. pars 3. — Bartholin. Hift. medic, cent. 3. hift. II. (i) Hildan. de ichore et meliceria acri Cclfi. (k) Hippocrat. de locis in homine, § 14. et de articul* (/) Hildan. de ichore et meliceria acri Cclfi. (/«) See Reimar, Didert. de fungo articulor. ■» • rf V * ’ ' . • . •. • H • • , " fe. - • V'. * r ,-r\v ,» y.. v..' y!r 4;: 1.. j _{,...■. • ■{• .<<. — . V. y ^ > ■ : ; • • _ ... i mi' . . , tr v , • - ■ It . . ' t t. .j i SV .. •'? .1 -j: . : : iv v... . . • • »• ; : a . . j' r: &£ *' : ; ft ■ »-■-*- #. . . * v « i’ '» •* ■; ri. ,. . .• ■ . •: { i ’\ r'3 . . ) Iti' 1 I - . i; ■? 1 . *j; * .. . : l ‘ . , • . iVv L : ■ » ij 1 '* ~ :: - ** - * ! , - ir . :•} <> ‘ J i ! ct'>r ; . . . , _ . . : J.; { . t - ! Hi iO.iil J * ^ t * % ’ . * r • * - m J, li JL t’> ’ ' «<('■. • ■■ . t . 1 ■ : i ■ ■ . i . . i \’i **t* . . ' t *”* . » * 'J ^ s'.' /.. . ... _ ‘ , THE M Y A N A T O OF THE HUMAN BONES. PART II. Of the SKELETON. THOUGH any dry fubftance may be called Jkeleton, yet, among anatomifls, this word is universally underftood to fignify the bones of animals connefted together, after the teguments, mufcles, bowels, glands, nerves, and vefl'els are taken away (a). A fkeleton is faid to be a natural one, when the bones are kept together by their own ligaments ; and it is called artificial, when the bones are joined with wire, or any other fubftance which is not part of the creature to which they belonged. Small fubjefls, and fuch whole bones are not fully oflified, are com- monly prepared the firlt way ; becaufe, were all their parts divided, the niceft artift could not rejoin them, by rcafon of their fmallnefs, and of the feparation of their unolTified parts j whereas the bones of large adr* ult animals are foonelt and moll conveniently clean- ed when fingle, and are eafily reftored to, and kept in their natural fituation. — Sometimes the lkele$on of {a\ Cadavcris crates. 4<5 Of the SKELETON". of the fame animal is prepared in both thefe ways ; that is, the fmaller bones are kept together by their natural ligaments, and the larger ones are connected by wires, or fome fuch fubftances. Before we proceed to the divifion and particular defcription of the fkeleton, it is worth while to re- mark, that when the bones are put into their natural fituation, fcarce any of them is placed in a perpen- dicular bearing to another ; though the fabric com- pofed of them is fo contrived, that, in an ereCk po- flure, a perpeivdicular line, from their common centre of gravity, falls in the middle of their common bafe ( b ). On this account, we can fupport ourfelves as firmly, as if the axis of all the bones had been a ftraight line perpendicular to the horizon •, and we have much greater quicknefs, eafe, and llrength, in feveral of the moft neceffary motions we perform. It is true, indeed, that where-ever the bones, on which any part of our body is fuftained, decline, from a ftraight line, the force required in the mufcles, to counteract the gravity of that part, is greater than, otherwife it needed to have been : But then this is effectually provided for in fuch places by the number and ftrength of the mufcles. So long therefore as •we remain in the fame pofture, a confiderable num- ber of mufcles muft be in a conftant ftate of contrac- tion; which, we know, both from reafon and expe- rience, muft foon create an uneafy fenfation. This we call, being weary of one pofture : An inconveni- ence that we fhould not have had in Handing ereCt, if the bearing of all the bones to each other had been perpendicular; but is more than compenfated by the advantages above mentioned. The human fkeleton is generally divided into the Head, the Trunk, the Superior, and the In- ferior Extremities. Of (J) Cowpcr's Aaat of human bodies, cxplic. of tab. 87, 88. Of the SKELETON. 47 Of the HEAD. BY the HEAD, is meant all that fpheroidal part which is placed above the firft bone of the neck. It therefore comprehends the cranium and bones of the face. The cranium (c), helmet, or brain-cafe, confifts of feveral pieces, which form a vaulted cavity, for lodg- ing and defending the brain and cerebellum , with their membranes, veffels, and nerves. The cavity of the cranium is proportioned to its contents.1- Hence fuch a variety of its Gze is obferv- ed in different fubjeOs •, and hence it is neither fo broad nor fo deep at its fore-part, in which the an- terior lobes of the brain are lodged, as it is behind, where the large poflerior lobes of the brain, and the whole cerebellum , are contained. The roundifh figure of the fkull, which makes it more capacious, and better able to defend its con- tents from external injuries, is chiefly owing to the equal preffure of thefe contained parts as they grow and increafe before it is entirely offfied. — It is to be obferved, however, that the fides of the cranium are depreffed below a fpherical furface by the ftrong tem- poral mufcles, whofe a£lion hinders here the uniform protrufion of the bones, which is more equally perform- ed in other parts, where no fuch large mufcles are. In children, whofe mufcles have not adled much, and confequently have not had great effefts on the bones, this depreffion is not fo remarkable ; and therefore their heads are much rounder than in adults. Thefe natural caufes, differently difpofed in different peo- ple, produce a great variety in the fhapes of fkulls, which is flill increafed by the different management of the heads of children when very young : So that one may know a Turk* s fkull by its globular figure, a German’s by its breadth and flatnefs of the occiput , Dutch (0 hvtoc, cruapioy, calva, calvaria, cerebri galea, ! theca et oUa capitis, tefta capitis, icutella capitis. Of the SKELETON. Dutch and E>igli/b by their oblong fhapes, &c. ( d ). Two advantages are reaped from this flatnefs of the Tides of the cranium , viz. the enlargement of our fphere of vifion, and more advantageous fituation of our ears, for receiving a greater quantity of found, and for being lefs expofed to injuries. The external furface of the upper part of the cra- nium is very fmooth, and equal, being only covered with the periojleum , (common to all the bones ; but in the fkull, diftinguifhed by the name of pericra- niumJ, the thin frontal and occipital mufcles, their tendinous apotieurofs, and with the common tegu- ments of the body ; while the external furface of its lower part has numerous rifings, deprefhons, and holes, which afford convenient origin and infertion to the mufcles that are connected to it, and allow fafe paffage for the veffels and nerves that run through and near it. The internal furface of the upper part of the fkull is commonly fmooth, except where the veffels of the dura mater have made furrows in it, while the bones were foft. — Surgeons fhould be cautious when they trepan here, lelt, in Tawing or raifing the bone where fuch furrows are, they wound thefe veffels.— In the upper part of the internal furface of feveral fkulls, there are likewife pits of different magnitudes and figures, which feem to be formed, by fome parts of the brain being more luxuriant and prominent than others. Where thefe pits arc, the fkull is fo much thinner than any where elfe, that it is often rendered diaphanous, the two tables being clofely compacted without a diploe ; the want of which is fupplied by veffels going from the dura mater into a great many fmall holes obfervable in the pits. Thefe veffels are larger, and much more confpicuous than any others that are fent from the dura mater to the fkull ; as evidently appears from the drops of blood they pour out, when the fkull is raifed from the dura mater in a recent fubjeft ; and therefore they may furnifh (4) Vcfal. lib. 1. c.J. 49 Of the SKELETON. furnifh a fuflicient quantity of liquors neceuary to prevent the brittlenefs of this thin pait. — The know- ledge of thefe pits fhould teach furgeons to faw cau- tioully and llowly through the external table of the fkull, when they are performing the operation of the trepan s fince, in a patient whofe cranium has thefe pits, the dura mater and brain may be injured, be- fore the inftrument has pierced near the ordinary thickneis of a table of the fkull. — The internal bafe of the fkull is extremely unequal, for lodging the fe- veral parts and appendices of the brain and cerebellum , and allowing paflage and defence to the veflels and nerves that go into, or come out from thefe parts. The bones of the cranium are compofed of two tables, and intermediate cancelli , commonly call- ed their diploe (e). The external table is thickefl ; the inner, from its thinnefs and confequent brittle- nefs, has got the name of vitnea. Whence we may fee the reafon of thofe mifehievous confequences which fo often attend a collection of matter in the diploe , either from an external or internal caufe, be- fore any fign of fuch a collection appears in the te- guments that cover the part of the fkull where it is lodged {/). The diploe has much the fame texture and ufes in the fkull, as the cancelli have in other bones. The diploe of feveral old fubiects is fo obliterated, that fcarce any veftige of it can be feen ; neither is it obfervable in fome of the hard craggy bones at the bafe of the fkull. Hence an ufeful caution to fur- geons who trufl to the bleeding, want of reft fiance, and change of found, as certain marks in the opera- tion of the trepan, for knowing when their inflru- ment has fawed through the firil table, and reached the diploe (g). In other people, the diploe becomes of a monftrou5 tbicknefs, while the tables of the lkull are thinner than paper. E The (#) Mcditullium, commiflura. CfJ Bonct. Sepulchret. anat. lib. I. § I. obC 96.— IOJ- (g) Bartholin, Anat, reform, lib. 4. cap, 4, 50 Of the SKELETON. The cranium confifts of eight bones, fix of which are faid to be proper, and the other two are reckoned common to it and to the face. — — The fix proper are, the os frontis, two ojfa parietctlia , .two ojfa temporum, and the os occipitis. — The common are the os ethmoides and fphen aides. The os frontis forms the whole fore part of- the vault ; the two ojfa parietalia form the upper and middle part of it; the ojfa temporum , compofe the lower part of the fides; the os occipitis makes the whole hinder part, and fome of the bafe ; the os eth- vnidcs is placed in the fore part of the bafe, and the os fphenoides is in the middle of it. Thefe bones are joined to each other by five futures ; the names of which are, the coronal , lambdoid,Jaggit- tal , and two fquamous. The coronal (h) future is extended over the head, from within an inch or fo of the external canthus of one eye, to the like diftance from the other; which being near the place where the ancients wore their vitt.r, corona, or garlands, this future has hence got its name. — Though the indentations of this future are confpicuous in its upper part, yet an inch or more of its end on each fide has none of them ; for it is fquamous and fmooth there. ’ The Unr.bdoidal (i) future begins fome way below, and farther back than the vertex or crown of the head, whence its two legs are llretched obliquely downwards, and to each fide, in form of the Greek letter a, and are now generally faid to extend them- felves to the bafe of the fkull ; but formerly anato- mies (l) reckoned the proper lambdoid future to ter- minate at the fquamous futures, and what is extended at an angle down from that on each fide, where the indentations are lefs confpicuoos than in the upper part of the future, they called additamentum futura lambdoidis (/). ’ This ( b ) XrtfancTa, arcualis, puppis. (i) Lauda;, prora, hypfyloidcs. (*) Vefal. Anat. Ub. I. cap. 6. (/) Lamb4oi4« harmonialisj lamb4oi4cs inferior, occipitis corona. Of the SKELETON. 51 This future is fometimes very irregular, being made up of a great many fmall futures, which furround fo many little bones that are generally larger and more confpicuous on the external furface of the fkull, than internally- Thefe bones are generally called tri- quetra , or Wormiana; but fome other name ought to be given them, for they are not always of a triangu- lar figure ; and older anatomifls ( m ) than Olaus Wormius (;/) have defcribed them. — The fpecific vir- tue which thefe bones were once thought to have in the cure of the epilepfy ( 0 ) is not now aferibed to them ; and anatomifts generally agree, that their for- mation is owing to a greater number of points than ordinary of ofhfication in the fkull, or to the ordinary bones pf the cranium not extending their ofhfication far enough or foon enough ; in which cafe, the un- offified interflice between fuch bones begins a feparate ofhfication in one or more points : from which the ofhfication is extended to form as many diflindf bones as there were points that are indented into the large ordinary bones, and into each other. — Probably thofe children who have a largs opening in this place at their birth, will have the largeft ojfa triquetra. To confirm this account of the formation of thefe little bones, we may remark, that fuch bones are fome- times feen in other futures, as well as in the lamh~ doid. (/), and they are fometimes in one table of the ficull, and not in the other (7.) The JhgittaJ future (r) is placed longitudinally in the middle of the upper part of the fkull, and com- bi 2 monly (m) Euftach. Odium examen. — Bauhin. Thcat. anat. lib. 3< cap- 5- — Paaw in Hippocrat. de vulncr. cap. p. 56. ( n ) Mufatum, lib. 3. cap. 16. (0) Bauhin. ct Paaw. ibid. — Baitholin.- Anat. reform, lib. 4. cap. 5. — Hihlan. Epift. 65. (/>) See E samples in Vcfol. lib. 1. cap. 6. fig. 4.— Paaw in Hip-i pocrat. dc cap. vuln. — Bartholin. Hifl. anat. cent. I. hift. 51.— Ruyfch. Muf. anat. — Sue Trad, d’ofteolog. p. 47. (7) Ilunaul.l Me m. dc l’acad. des. (cicncts, 1730. (r) ’Pa/Sd'ofiJ'nf, oCfAaia, (\tj£iu ywaa, Inftar virgse, ncrvaKs, inftar tcli, inffar vei n, fccundum capitis loagitiuuucm proreperu, copiungcns, cnlumnalis, retfa, acualis. 52 Of the SKELETON monly terminates at the middle of the coro?ml, and of the lambdoid futures; between which it is faid to be placed, as an arrow is between the firing and bow. — However, this future is frequently continued through the middle of the os front is , down to the root of the nofe ; which, fome (s) fay, oftener happens in women than men ; but others ( 1 ) alledge, that it is to be met with more frequently in male fkulls than in fe- male : Among the flaills which I have feen thus di- vided, the female are the mofl numerous. — Several (u) have delineated and deferibed the fagittal future, femetimes dividing the occipital bone as far down a3 the great hole through which the medulla fpinalis paf- ies. This 1 never faw. " In fome old fculls that are in my pofleflion, there is fcarce a veflige of any of the three futures which I have now deferibed. In other heads, one or two of the futures only difappear ; but I never could difeo- ver any reafon for thinking them difpofed in fueh dif- ferent manners in fculls of different fhapes, as fome ancients alledge they are (r/). The / quamous agglutinations , or falfe futures (e), are one on each fide, a little above the ear, of a femicir- cular figure, formed by the ovcrlopping (like one fcale upon another) of the upper part of the temporal bones on the lower part of the parietal, where, in both bones, there are a great many fmall rifings and fur- rows, which are indented into each other; though .thelc inequalities do not appear till the bones are fe* parated- In fome fculls indeed the indentations here are as confpicuous externally as in other futures (f) ; and what is commonly called the pofterior part of this t fquamoua ( s ) Riolan. Comment, dcortib cap. 8. (/) Vefal. lib. i. cap. 6. et in epitome. (;<) Vefal. lib. i. cap. j. fig 4. et in text. cap. 6. Paaw in Celf. de re medic, cap. r. — Laurent.' Hid. anat. lib. 2. cap. 16. ( efpecially near its anterior angle, where fometimes a full canal is formed. They afterwards divide into fmall furrows, in their progrefs upwards — In fome fculls a large furrow begins at the hole neai the up- per edge, and divides into branches, which join with thofe which come upwards, fhew'ing the communica- tions of the upper and lower veflels of the dura ma- ter. — In thefe furrows we frequently fee paflages into the diploc ; and fometimes I have obferved canals go- ing off, which allowed a fmall "probe to pafs :e F 3 inches (J>) Hunauld Mem. de l’acad. dcs fciences, 1730. 66 Of the SKELETON. inches into the bony fubftance Some ( i ) tell us* that they have obferved thefe canals piercing the bone towards the occiput. — On the infide of the upper edge of the ojfa parietalia, there is a large finuofity, fre- quently larger in the bone of one fide than of the o- ther, where the upper part of the falx is fattened, and the fuperior longitudinal ftnus is lodged. — Gene- rally part of the latter finufcs makes a depreflion near the angle, formed by the lower and pofterior fides of thefe bones ; and the pits made by the prominent parts of the brain are to be feen in. no part of the fcull more frequent, or more confiderable, than in. the internal furface of the parietal bones. The ojfa parietalia are amongft the thinneft bones of the cranium ; but enjoy the general ftru£ture of two tables and diploe the complete!!, and are the mod equal and fmooth. Thefe bones are joined at their fore-fide to the os frorrtis by the coronal future ; at their long inferior angles, to the fphenoid bene , by part of the future of this name ; at their lower edge, to the ojfa temporum, by the fquamous future, and its pofterior additament- am ; behind, to the os occipitis , or ojfa triquetra , by the Jambdoid future j and above, to one another, by the fagittal future. They have no particular ufes befides thofe men- tioned in the defeription of their feveral parts, except what are included in the account of the general ttruc- ture of the cranium. In a child born at the full time, none of the fides of this bone are completed ; and there never is a hole in the ollified part of it near to the fagittal future. The large unoffified ligamentous part of the crani- um obfervable between the parietal bones, and the middle of the divided os frontis of new-born children, called by the vulgar the open of the h ad, was imagin- ed by the ancients tc ferve for the evacuation of the fuperfluous moifture of the brain ; and therefore they named (i) Cowpcr's Anatom, exp lie. of 90 tab. fig. 2. Of the S K E L E T O N». 67 named it bregma (/), or the fountain ; fometimes add- ing the epithet pulfatilis^ or beating, on account of the pulfation of the brain felt through this flexible ligamento-cartilaginous fubftance. Hence very fre- quently the parietal bones are called ojfa bregmatis. The upper middle part of the head of a child, in a natural birth, being what prefents itfelf firft at the os uteri ( m ), an accoucheur may reach the bregma with his finger, when the os uteri is a little opened.. If the bregma is flretched, and the pulfation of the brain is felt through it, the child is certainly alive But if it is fhrivelled and flaccid, without any ob- feivable pulfation in it, there is fome reafon to fufpe£t: the child to be very weak, or dead. Thofe who prac- tice midwifery fhould therefore examine the ftate of the bregma accurately. All the bregma is generally oflified before feven years of age. Several authors ( n ) fay, they have ob- served it unoffified in adults ; and phyficians, who order the application of medicines at the meeting of the coronal and fagittal futures, feem yet to think, that a derivation of noxious humours from the ence- phalon is more eafily procured at this part than any other of the fcull * and that medicines have a greater efiett here than elfcwhere, in the internal diforders of the head. OSSA TEMPORUM (0), fo named, fay authors, from the hair’s firft becoming gray on the temples, and thus difcovering peoples ages, are each of them equal and fmooth above, with a very thin femicircu- lar edge ; which, from the manner of its connection with the neighbouring bones, is diftinguilhed by the name of os J'quamoJum. Behind this the upper part of (/) Palpitans vertex, foliolum, folium, triangularis lacuna. (m) Burton’s Midwifery, § j I Smellic’s Midwilery, book r, chap. 1 § 5. («) Bartholin. Anat. reform, lib. 4. cap. 6 — Dicmerbroek Anat. lib. 9. cap. 6. — Kerckring Ofteogen cap. a. (0) KofTAji!», xopa-un, xop pav, Xt-riSn liti, rtWufn, \idonS», tem- poralis, lapidofa, memiofa, dura, arcualia, tympanum, armalia, iaxea, parietal!*, 68 Of the SKELETON. of the temporal bone is thicker, and more unequal, and is fometimes defcribed as a diftintt part, under the name of pars mammillaris (p). — Towards the bafe of the fcull, the temporal bone appears very irregu- lar and unequal ; and this part, inflead of being broad, and placed perpendicularly, as the others are, is contracted into an oblong very hard fubltance, ex- tended horizontally forwards and inwards, which in its progrefs becomes fmaller, and is commonly called os petrofum. Three external procefles of each temporal bone are generally defcribed. — The firft placed at the lower and' hind part of the bone, from its refemblance to a nip- ple, is called tnaftoides, or mammillaris . It is not fo- ] id, but within is compofed of cancelli , or fmall cells, which have a communication with the large cavity of the ear, the drum ; and therefore founds, being mul- tiplied in this vaulted labyrinth, are increafed, before they are applied to the immediate organ of hearing. Into the maftoid procefs, the JlenomaJloideus mufcle is inferted ; and to its back part, where the furface is rough, the trachelomajloideus , and part of the fplenius are fixed. — About an inch farther forward, the fecond procefs begins to rife out from the bone ; and having its origin continued obliquely downwards and for- wards for fome way, it becomes fmaller ; and is ftretched forwards to join with the os mala-, they to- gether forming the bony jugum, under which the temporal mufcle pafies. Hence this procefs has been named zygomatic (a). Its upper edge has the ftrong' aponeurolis of the temporal mufcle fixed into it; and its lower part gives rife to a fhare of the majfeter. — The fore part of the bafe of this procefs is an oblong tubercle, which in a recent fubjeft is covered with a fmooth polilhed cartilage, continued from that which lines the cavity immediately behind this tubercle — From the under craggy part of the os temporum, the third (p) Alhin. de oflib. fe£t. 26. (a) Kuyr.po(, pans, anlac oflium temporum, ofla arcualia, paria,. jugalia, conjugalia. Of the SKELETON. 69 third prooefs ftands out obliquely forwards. The fhape of it is generally faid to refemble the ancient Jlylos fcriptorius ; and therefore it is called the Jlyloid "procefs (b). Some authors ( c ) however contend, that it ought to be named Jleloid , from its being more like to a pillar. Several mufcles have their origin from this procefs, and borrow one half of their name from it ; as Jlylo-gloJJhs, Jlylo-hyoideus, Jly/o-pharyngeus ; to it a ligament of the os hyoides is fometimes fixed ; and ano- ther is extended from it to the infide of the angle of the lower jaw. This procefs is often, even in adults, not entirely offified, but is ligamentous at its root, and fometimes is compofed of two or three diftincfc pieces. R.ound the root of it, efpecially at the fore-part, there is a remarkable rifing of the os peiro- funty which fome have efteemed a procefs ; and, frcm the appearance it makes with the Jlyliform , have named it vaginalis. — Others again have, under the name of auditory procefs, reckoned among the exter- nal proceffes that femicircular ridge, which, running between the root of the majloid and zygomatic procef- fes, forms the under part of the external meatus audi - tonus. The finuofities or depreffions on the external fur- face of each os temporutn, are thefe : — A \or\g fojfa at the inner and back part of the root of the mammary procefs, where the poflerior head of the digajlric muf- cle has its origin. — Immediately before thtroot of the zygomatic procefs, a confiderable hollow is left, for lodging the crotaphite mufcle. — Between the zygoma - tic, auditory , and vaginal proceffes, a large cavity is formed ; through the middle of which, from top to bottom, a fifluie is obfervable, into which part of the ligament that fecures the articulation of the lower jaw with this bone is fixed. The fore-part of the ca- vity being lined with the fame cartilage which covers the tubercle before it, receives the condyle of the jaw ; and vO T paiipotifn, (Zt\ovotiSr, xKMTpov, os calaminum, fagitt.ale, da- vale, acuale, calcar capitis. C-) Galen, «lc ufu part. lib. 2. cap 4. Fallop. obferr. anatom. 7o Of the S K E L E T O N. and in the back part a fmall fhare of the parotid ■ gland and a cellular fatty fubflance, are lodged. — . | At the infide of the root of th t Jiyloid apophyfe, there is a thimble-like cavity, where the beginning of the internal jugular vein, or end of the lateral fnus is lodged. — And as the finufes of the two lides are fre- quently of unequal fize ; fo one of thefe cavities is as often larger than the other (d). — Round the exter- nal meatus auditorius , feveral finuofities are formed for receiving the cartilages and ligaments of the car, and for their firm adhelion. The holes that commonly appear on the outfide of each of thefe bones, and are proper to each of them, are five. — The frfy fituated between the zygomatic and majioid procefies, is the orifice of a large tunnel- like canal, which leads to the organ of hearing ; therefore is called meatus auditorius extemus (e). — The fecond gives paffage to the portio dura of the fe- venth pair of nerves, ami from its fituation between' the majloid and Jiyloid procefies, is called foramen fiylo - tnajloideum (g). — Some way before, and to the infide of the Jiyloid procefs, is the third hole ; the canal from which runs firfl upwards, then forwards, and re- ceives into it the internal carotid artery, and the be- ginning of the intercoftal nerve; where this canal is about to make the turn forwards, one, or fometimes two very fmall holes go off towards the cavity of the ear, called tympanum j through thefe Valfalva (h) af- firms the proper artery or arteries of that cavity are fent. — On the anterior edge of this bone, near the former, a fourth hole is obfervable, being the orifice of a canal which runs outwards and backwards, in a. horizontal direflion, till it terminates in the tympa- num. This, in the recent fubjedt, is continued for- ward and inward, from the parts which I mentioned juft now as its orifice in the lkeleton, to the fide o£ (rf) Ilunauld Mem. de l'acad. drs fciences, 1730. (e) Tltpe ; rup ok#k. ra> tra*, tcncftra aurium. (g) Aquacduftus Fallopii. Dc aure Humana, cap 3. § 22. ct tab. 7. fig. 1. Of the SKELETON. 71 % tbenoftrils; being partly cartilaginous, and partly li- gamentous. The whole canal is named, Iter a pala~ to adauretn , or Eufiachian tube . — On the external fide of the bony part of this canal, and a-top of the chink in the cavity that receives the condyle of the lower jaw, is the.courfe of the little nerve faid com- monly to be reflected from the lingual branch of the “fifth pair, till it enters the tympanum , to run acrofs this cavity, and to have the name of chorda tympanic — The fifth hole is very uncertain, appearing fome- times behind the mafioid procefs ; fometimes it is common to the temporal and occipital bones ; and in feveral fculls there is no fuch hole. The ufe of it, when found, is for the tranfmifiion of a vein from the external teguments to the lateral fitnus : But, in fome fubje&s, a branch of the occipital artery pafles through this hole, to ferve the back part of the dura mater ; in others,! have feen two or three fuch holes: But they are oftener wanting than found. And we may, once for all, in general remark, That the large- iefs, number, fituation, and exiftence of all fuch ides, that for the mod part allow only a pafiage for /eins from without to the internal receptacles, are ;ery uncertain. The internal furface of the ojfia temporum is une- qual j the upper circular edge of the fquamous part laving numerous fmall ridges and furrows for its con- un&ion with the parietal bones ; and the reft of it is rregularly marked with the convolutions of the mid- lie part of the brain, and with furrows made by the [tranches of the ateries of the dura mater. From the under part of this internal furface, a arger tranfverfe hard craggy protuberance runs hori- :ontally inwards and forwards, with a fharp edge a- •ove, and two flat fides, one facing obliquely for- wards and outwards, and the other as much back- yards and inwards. To the ridge between thefe two ides, the large lateral procefs of the dura mater is xed. Sometimes a fmall bone, akin to the fefamoidt is found Of the SKELETON. 72 found between the fmail end of this petrous procefs and the fphenoid bone (a). Towards the back part of the infide of the os tem- porum , a large deep fojfa is confpicuous, where the lateral firms lies ; and frequently on the top of the petrous . ridge, a furrow may be obferved, where a fmail Gnus is fituated. The internal proper foramina of each of thefe bones ar e,frf, the internal meatus auditorius in the pofterior plain fide of the petrous procefs. This hole foon divides into two ; one of which is the be- ginning of the aqueedudl of Fallopius ; the other ends in feveral very fmail canals (b) that allow a pafiage to the branches of the portio mollis of the feventh pair of nerves, into the ve/tibule and cochlea. Through it alfo an artery is lent, to be dillributed to the organ of hearing. — The fecotid hole, which is on the ante- rior plain fide of the craggy procefs, gives pafiage to a relieved branch of the fecond branch of the fifth pair of nerves, which joins the portio dura of the au- ditory nerve, while it is in the aquaduEl (c), fmail branches of blood- vefiels accompanying the nfcrves or palling through fmaller holes near this one. — The pafiage of the cutaneous vein into the lateral fnustl or of a branch of the occipital artery, is feen about the middle of the larg t fojfa for that firms ; and the orifice of the canal of the carotid artery is evident at the under part of the point of the petrous procefs. Befides thefe proper holes of the temporal bones ■which appear on their external and internal furfaces,. there are two others in each fide that are common to this bone and to the occipital and fphenoidal bones ; which fhall be mentioned afterwards in the delcrip- tion of thefe bones. The upper round part of the fquamous bones is thin, but equal ; while the low petrous part is thick and (a) Riolan. Comment, de offib. cap. 31. — Window Expofition a- natomique du corps humain, traitc dcs os fees, § 266. (b) Valfalv. De aurc humana, cap. 3. § II, (c) Valfalv. de aure, cap. 3. § 10. Of the SKELETON. 73 and flrong, but irregular and unequal, having the di- ftinftion of tables and diploe confounded, with feve- ral cavities, procelTes, and bones within its fubftance, which are parts of the organ of hearing. That a clear idea may be had of this beautiful, but intricate organ, anatomifts generally choofe to demonstrate all its parts together. I think the method good ; and therefore, Since it would be improper to infert a com- plete treatife on the ear here, mall omit the descrip- tion of the parts contained within the os petrofum of the Skeleton. The temporal bones are joined above to the parie- tal bones by the Squamous futures, and their polte- rior additamenta : Before, to the fphenoid bone by the future of that name ; to the cheek-bones by the zy- gomatic futures : Behind, to the occipital bone, by the lambdoid future and its additamenta ; and they are ar- ticulated with the lower jaw , in the manner which Shall be deferibed when this bone is examined. The purpofes wh'ich thefe two bones ferve, are ea- fily collected, from the general ufe of the cranium , and from what has been faid in the defeription of their Several parts. In an infant, a fmall fiffiire is to be obferved be- tween the thin upper part, and the lower craggy part of each of thefe bones •, which points out the recent union of thefe parts. — Neither majloid nor Jly- loid procelTes are yet to be Seen. — Inftead of a bony funnel-like external meatus auditcrius, there is only a fmooth bony ring, within which the membrane of the drum is faltened. — At the entry of the Eujlachian tube, the fide of the tympanum is not completed A little more outward than the internal auditory canal, there is a deep pit, over the upper part of whofe ori- fice the interior femicircular canal of the ear is flretched ; and fome way below this, the polteiior fe- micircular canal alfo appears manifeftly. OS OCCIPITIS (d), fo called from its fitua- G tion, (<0 1 voir, bafilare, proras, memorise, pixidis, fibrofuin, nervofum, lambde. 74 Of the SKELETON. tion, is convex on the outfide, and concave internal- ly. Its figure is an irregular fquare, or rather rhom- boid ; of which rhe angle above is generally a little rounded ; the two lateral angles are more finifhed, but obtufe ; and the lower one is ftretched forward in form of a wedge, and thence is called by fome the cuneiform procefs. — If onfc would, however, be very nice in obferving the feveral turns which the edges of the os occipitis make, five or feven Tides, and as ma- ny angles of this bone might be defcribed. The external furface is convex, except at the cu- neiform apophyfe, where it is flatted. At the bafe of this triangular piocefs, on each fide of the great hole, but more advanced forwards than the middle of it, the large oblong protuberances, named the cot i- dy/es , appear, to ferve for the articulation of this bone •with the firft vertebra of the neck. The fmooth fur- face of each of thefe condyloid procelfes is longed: from behind forwards, where, by their oblique fitua- tion, they come much nearer to each other than they are at their back part. Their inner Tides are lower than the external, by which they are prevented from Hiding to either fide out of the cavities of the firft vertebra ( e ). In fome fubjeCts each of thefe plain fmooth furfaces Teems to be divided by a fmall riling in its middle ; and the lower edge of each condyle, next the great foramen , is difcontinucd about the middle, by an intervening notch : Whence fome (f) alledge, that each of thefe apophyfes is made up of two protuberances. — Round their root a fmall depref- fion and fpongy roughnefs is ohfervable, where the ligaments for furrounding and fecuring their articu- lations adhere. — Though the motion of the head is performed on the condyles, yet the centre of gravi- ty of that globe does not fall between them, but is a good way further forward ; from which mechanifm it is evident, that the mufcles which pull the head back, mult be in a conftant Rate of contraction ; which (*) Galen, de ufu part. lib. II. cap. 7. (f) Diemerbrotk Anat. lib. 9. cap. 6. which is ftronger than the natural contraction or the proper flexors, elfe the head would always fall for- wards, as it does when a man is afleep, or labours under a palfy, as well as in infants, where the weight of the head far exceeds the proportional ftrength of thele mufcles. This feeming difad vantageous fitua- tion of the condyles, is however of good ufe to us, by allowing fufficient fpace for the cavities of the mouth and fauces , and for lodging a fufficient num- ber of mufcles, which commonly ferve for other ufes ; but may at pleafure be directed to act on the head, and then have an advantageous lever to a£t with, fo as to be able to fuflain a confiderable weight appended, or other force applied, to pull the head back. Somewhat more externally than the condyles , there is a fmall rifing and femilunated hollow in each fide, which make part of the holes, common to the occipi- tal and petrous bones. — Immediately behind this, on each fide, a fcabrous ridge is extended from the mid- dle of the condyle, towards the root of the mafoid procefs. Into this ridge the mufculus lateralis , com- monly aferibed to Fallopius , is inferted. — About the middle of the external convex furface, a large arch runs crofs the bone ; from the upper lateral parts of which the occipital mufcles have their rife ; to its middle the trapezii are attached : And half way be- tween this and the great hole, a Idler arch is extend- ed.— In the hollows between the middle of thefe aiches the complexi are inferted ; and in the depref- fions more external and further forward than thefe, the fplpnii are inferted. — Between the middle of the leffer arch and. the great hole, the little hollow marks of the reEli minores appear ; and on each fide of thefe the flefhy infertions of the obliqui fuperiores and reefi majores make depreflions. — Through the middle of the two arches a fmall fharp Jpir.e is placed, which ferves as fome fort of partition between the mufcles of different fides, or rather is owing to the action o‘f the mufcles deprdlirfg the bone on each fide of it, ■uhile this part is free from their compreflion. — Thefe G 2 prinis- 7 6 Of the SKELETON. prints of the mufcles on this bone are very ftrong and plain in fome fubjects, but are not fo diftinCt in others. — All round the great foramen, the edges are unequal, for the firmer adhefion of the ftrong circular liga- ment, which goes thence to the firft vertebra. — One end of each lateral or moderator ligament of the head, is fixed to a rough furface at the fore part of each condyle, and the perpendicular one is connected to a rough part of the edge of the great hole between the two condyles. — Immediately before the condyles, two little depreffions are made in the external furface of the cuneiform procefs, for the infertion of the recli anteriores minores mufcles which are unjuftly a- fcribed to Coivper : And ftill further forward, near the fphenoid bone, are two other fuch depielfions, for the reception of the refti anteriores majores. — When we confider the fize of the prints of mufcles on the occipital bone, before and behind its condyles, and, at the fame time, compare their diftances from thefe centres of motion of the head, we muft fee how- much ftronger the mufcles are t which pull the head backwards, than thofc are which bend it forward ; and how much greater force the former acquire by the long lever they att with, than the latter which are inferted fo near the condyles. This great force in the extenfor mufcles is altogether neceflary, that they might not only keep the head from falling for- ward in an erecl pofture, but that they might fupport it when we bow forward in the moft necelfary offices of focial life, when the weight of the head comes to aCt at right angles on the vertebree of the neck, and obtains a long lever to a£t with. On the inner furface of the os occipitis we fee two ridges; one ftanding perpendicular, the other run- ning horizontally acrofs the firft. The upper part of the perpendicular limb of the crofs, to which the falx is fixed, is hollowed in the middle, or often on one fide, for the reception of the fuperior longitudinal ftnusy and the lower part of it has the fmall or third procefs of the dura mater faflened to it, and is fome- times j* 77 Of the SKELETON. times hollowed by the occipital ftnus. Each fide of the horizontal limb is made hollow by the lateral fi- nufes inclofed in the tranfverfe procefs of the d ura mater ; the foffa in the right fide being generally a continuation of the one made by the longitudinal fi- nus in the perpendicular limb, and therefore is larger than the left one (g). — Round the middle of the crofi? there are four large deprellions feparated by its limbs ; the two upper ones being formed by the back parr of the brain, and the two lower ones by the cerebel- lum.— Farther forward than the lad mentioned de- preflions, is the lower part of the fojfa for the lateral ftnus on each fide. — The inner furface of the cunei- form apophyfe is made concave for the reception of the medulla oblongata , and of the bafilar artery. — A- furrow is made on each fide, near the edges of this- procefs, by a firms of the dura mater , which empties- itfelf into the lateral ftnus ( h ). The holes of this bone are commonly five proper, and two common to it and to the temporal bones. — The firfi: of the proper holes, called foramen mag - num (/), from its fize, is immediately behind the wedge-like procefs, and allows a pafl'age to the me- dulla oblongata , nervi accefforii , to the vertebral arte- ries, and fometimes to the vertebral veins- — At each fide of this great hole, near its fore part* ami imme- diately above the condyles, we always find a hole, fometimes two, which loon unite again into one that opens externally ; through thefe the ninth pair of' nerves go out of the fkull. — The fourth and fifth holes pierce from behind the condyle of each fide into* the fojja of the lateral fnujes ; they lerve for the pafl'age of the cervical veins to thefe finufes. Often one of thefe holes is wanting, fometimes both, when the veins pafs through the great foramen. — Belides thele five, we frequently meet with other holts near the edges of this bone, for the tranlmillion of veins , G 3 but: C?) Morgagn. Adverf. anat. 6. a aim ad. X, (6) Albin. de offib. § 6'. Rachitidb nudullit iginalis. Of the SKELETON, but their number and diameter are very uncertain. The two common foramina are the large irregular holes, one in each fide, between the fides of the cu- neiform procefs, anil the edges of the petrous bones. In a recent fubjedl, a ftrong membrane runs crofs from one fide to the other of each of thefe holesr ; in fome heads I have feen this membrane oflified, or a bony partirion dividing each hole ; and in the greater number of adult fkulls, there is a fmal! fiiarp-pointed procefs Hands out from the os petrofum, and a more obtufe riling in the occipital bone, between which the partition is ilretched. Behind this partition, where the largellfpace is left, the lateral ftnus has its pafiage ; and before it the eighth pair of nerves and accejforius make their exit out of the lkull ; and fome authors fay, an artery paiVes through this hole, to be bellowed on the dura via ter. The occipital bone is among the thickeft of the cranium , though unequally fo ; for it is llronger a- bove, where it has no other defence than the com- mon teguments, than it is below, where, being pref- ft'd by the lobes of the brain and cerebellum on one fide, and by the a£lion of the mufcles on the o- ther, it is fo very thin, as to be diaphanous in many fkulls : But then thefe mufcles ward off injuries, and the ridges and fpines, which are frequent here, make it fulliciently ftrong to refill ordinary forces. The tables and diploe are tolerably diftimfl in this bone> except where it is fo thin as to become diaphanous. The occipital bone is joined above to the ojfa pa - rietalia and triquetra when prefent, by the lambdoid future ; — laterally to the tempoial bones, by the ad - ditamenta of the lambdoid future ; — below to the /phe- nol d bone, by the end of its cuneiform procefs, in the fame way that epiphyfes and ‘heir bones are joined : Tor in childi en, a ligamentous cartilage is imerpoted between : he occipital and fphenoid bones, which gradually turns thinner, as each of the bones ad- vances, till their fibres at lalt run into each other; and, about fixteen or eighteen years of age, the union Of the SKELETO N. 7? of thefe two bones becomes fo intimate, that a repa- ration cannot be made without violence. — The os oc - cipitis is -joined by a double articulation to the firft vertebra of the neck, each condyle being received in- to a fuperior oblique procefs of that vertebra. What motion is allowed here, we fhall confider afterwards,, where the vertebra are defciibed. The ul'es of this bone appear from the preceding defcription, and therefore need not be repeated. An infant born at the full time, has this bone di- vided, by unoflified cartilages, into four parts. — The firft of thefe is larger than the other three, is of a? triangular fhape, and conftitutes all the part of the bone above the.great foramen. Generally fifiures ap- pear in the upper part and fides of this triangulap bone, when all the cartilage is feparated by macera- tion •, and fometimes little diftin£t bones are feen to- wards the edges o-f it. — The fecond and third pieces of this bone are exactly alike, and fituated on each fide of the great foramen ; from which very near the whole condyle6 are produced ; and they are extend- ed forwards aim oft to the fore part of the hole fop the ninth pair of nerves. — The fourth piece is the cuneiform procefs, which forms a fmall {hare of the great hole, ami of thefe for the ninth pair of nerves, and of the condyles : Betwixt it and the fphenoid bone, a cartilage is interpofed. Of the eight bones which belong to the cranium , there are only two which are not yet defcribed, viz*. the ethmoid and fphenoid. Thefe we already mention- ed, in complaifance to the generality of writers on this iubjedf, as bones common to the cranium and face, becaufe they enter into the eompofirion of both : But the fame reafon might equally be ufed for calling the frontal bone a common one too. I (ball, how- ever, pals any idle difpute about the propriety of ranging them, and proceed to examine the ftru&ure of the bones themfelves. OS ETHMOIDES (h), or the fieve-like bone, has W Cribriformc, rroyyoufoi, fpongifocmc, criflatum. So Of the SKELETON. has got its name from the great number of fmall> holes with which that part of it firffc taken notice of is pierced. When this bone is entire, the figure of. it is not eafily defcrihed ; but, by a detail of its fe- veral parts, fome idea may be afforded of the whole j and therefore I fliall diflinguifh it into the cribriform lamella with its procefs, the nafal lamellay. cellulce , and off a fpongicfa. The thin horizontal lamella , is all (except its back, part) pierced obliquely by a great number of fmall holes, through which the filaments of the olfa£tory nerves pafs. In a recent fubjett, thefe holes are fo clofely lined by the dura mater , that they are much lefs confpicuous than in the fkeleton . — From the mid- dle of the internal fide of this plate, a thick procefs rifes upwards, and, being higheft at che fore part,, gradually becomes lower, as it is extended back- wards. From fome refemblance which this procefs was imagined to have to a cock’s comb, it has been called crijla galli (/). The falx is connected to its ridge, and to the unperforated part of the cribriform plate. — When the crijla is broke, its bafe is fomc- times found to be hollow, with its cavity opening in- to the nofe (m). — Immediately before the higheft part of this procefs, is the blind hole of the frontal bone, which, as was formerly remarked, is often in a good meafure formed by a notch in the fore part of the root of the crijla. From the middle of the outer furface of the cribri- form lamellay a thin folid plate is extended down- wards and forwards, having the fame common bafe with the crijla galli. Generally it is not exactly per- pendicular, but is inclined to one fide or other,, and therefore divides the cavity of the nofe unequal- ly. Its inclination to one fide, and flexure in. the middle, is fometimes fo great, that it fills up a large- Ihare of one of the noftrils, and has been miitook for a polypus there. — It is thin at its rife, and rather ftill. thinner. (/) Verruca rraedura, feptum oflls fpongiofi. (m) Paifyn Auat. chir. tr. 4. chap, ij. Of the SKELETON. 8i thinner in its middle; yet afterwards, towards its lower edge, it becomes thicker, that its conjunction with the bones and middle cartilage of the nofe might be firmer. At a little difiance from each fide of this external procefs, a cellular and fpongy bony fubfiance depends from the cribriform plate. The number and figure of the cells in this irregular procefs of each fide, are very uncertain, and not to be reprefented in words ; only the cells open into each other, and into the ca- vity of the nofe : The uppermoft, which are below the aperture of the frontal finufes , are formed like funnels. The outer furface ot thefe cells is fmooth and plain, where this bone affifts in compofing the orbit ; at which place, on each fide, it has got the name of os planum ; on the upper edge of which, a, fmall notch or two may fometimes be obferved, which go to the formation of the internal orbitar holes ; as was remarked in the defcription of the frontal bone. Below the cells of each fide, a thin plate is extend- ed inwards, and then, bending down, it becomes thick and of a fpongy texture. — This fpongy part is triangular, with a ftraight upper edge placed hori- zontally, an anterior one flanting from above* down- wards and forwards, and with a pendulous convex one below. — The upper and lower edges terminate in a fharp point behind.— The fide of this pendulous fpon- gy part next to the feptum narium is convex, and its ex- ternal fide is concave. — Thefe two procefi'es of th zeth- moidbotic have got the nameof offa Jpongiofa, or Uirlinata fuperiora, from their fubfiance, figure, and fituation. All the prominences, cavities, and meanders t .his ethmoid bone, are covered with a continuation ol the membrane ol the nofinis, in a recent fubjedf. — Its hoiizontal cribriform plate is lodged between the or- bitar procefies of the frontal bone, to which it is join- ed by the ethmoid future, except at the ‘. back-part, where at is conne£led with the cuneiform bone, by a a future common to both thefe bones, though it is generally efieemed part of 4. he fphenoidol. — Where the offa. 82 Of the SKELETON. ojfa plana are contiguous to the frontal bone within the orbit, their conjundion is reckoned part of the tranfverfe future.— Farther forward than the ojfa plana , the cells are covered by the ojfa unguis, which are not only contiguous to thele cells, but cannot be feparat- ed from them, without breaking the bony fubftance ; and therefore, in juftice, thofe bones ought to be de- monftrated as part of the ethmoid bone. — Below the ojfa unguis and plana, thefe cells and ojfa fpongiofi are overlopped by the maxillary bones. — The cellular part of each palate bone is contiguous to each os planum and cells backwards. — The lower edge of the nafal perpendicular plate is received into the furrow of the vomer. — Its pofterior edge is joined to the fore-part of the procejfus azygos of the J'phenoid bone. — Its upper edge joines the nafal procefs of the frontal and nafal bones, and its anterior one is conneded to the mid- dle cartilage of the nole. From all which, the ufes of this bone are evident, viz. to fuitain the anterior lobes of the brain j to give palfage to the olfadory nerves, and attachment to the falx ; to enlarge the organ of fmelling, by allow- -ing the membrane of the nofe a great extent ; to -ftraiten the paflage of the air through the nofe, by leaving only a narrow winding canal, on the fenfible membranous fides of which the fubftances conveyed along with the air mull Itrike ; to form part of the orbit of the eyes and feptum narium j while all its parts are fo light as not to be in hazard of feparating by their weight ; and they are fo thin, as to form a large furface, without occupying much fpace. This brittle fubftance, however, is fulRciently proteded from external injuries by the firm bones which co- ver it. If this bone is feized on by any corroding matter, ■we may eafily conceive what deltrudion may enfue. Hence it is, that an ozaena is difficult to cure -x and that, in violent feurvies, or in the lues venerea, the fa- bric of the nofe, the eyes, and life itfelf are in dan- ger.— The fituation of the nafal plate may fiiew us, * bow Of the SKELETON. - 83 how dangerous a fra&ure of the bones of the nofc may be, when made by a force applied to their middle fore part, of a perfon in- whom this nafal plate is per- pendicular. The ethmoid bone of ripe children is divided into two, by a perpendicular cartilage, which, when ofli- fied, is the crtfta galli, and nafal plate : but its o- ther parts are oflified and complete. OS SPHENOIDES *, or wedge-like bone, fo called becaufe of its fituation in the middle of the bones of the cranium and face, is of fuch an irregular figure, that I know not any thing to which it may be likened, unlefs, perhaps, it bear fome faint referft- blance to a bat with its wings extended. When we view the external furface of the os fphe- noirfes, two or three remarkable procefles from each fide of it may be obferved, which are all of them a- gain fubdivided. — The firfh pair is the two large la- teral procefies or wings j the upper part of each of which is called the temporal procefs ^ becaufe they join with the temporal bones in forming the temples, and the feat for fome fliare of the crotaphite mufcles. That part of the wings which juts out towards the inlide, fomewhat lower than the temporal apopbyfes , and is fmooth and hollowed, where it makes up part of the orbit, is thence named orbitar procejfes. Be- hind the edge, feparating thefe two procefi'es, there is often a fmall groove, made by a branch of the fu- perior maxillary nerve, in its pafiage to the temporal mufcle. The lowed; and back part of each wing, which runs out (harp to meet the ojfa petrofa, has been ftyled the fpinous procefs: From near the point of which a lliarp pointed procefs is frequently produced downwards, which fome call Jlyliform , that affords origin to the ptery-Jlaphylinus externus mufcle. From this ftyloid procels a very fmall groove is extended a- long the edge of the bone to the hollow at the root of the internal plate of the following proceifes, which forms • Cnnelfornje, *okv^opjov, multiforme, paxillnm, cribratum pa- lati, colatorii, cavilla, balilarc. 84 Of the SKELETON. forms part of the Eujiachian tube (a). — The fecond pair of external procefles of the cuneiform hone is the two which Hand out almoft perpendicular to the bafe of the fcull. Each of them has two plates, and a middle fojja facing backwards, and ftiould, to carry- on our comparifon, be likened to the bat’s legs, but are commonly faid to refemble the wings of that creature ; and therefore are named pterygoid or ali- form * procefles. The external plates are broadeft, and the internal are longeft. From each fide of the external plates the pterygoid mufcles take their rife. At the root of each internal plate, a fmall hollow may be' remarked, where the tnufculus ptery-Jlaphy- linus internus , or circumjlexus palati rifes, and fome fhare of the cartilaginous end of the Eujiachian tube refts •, atid, at the lower end of the fame plate, is a hook-like rifing or procefs, round which the tendon of the laft-named mufcle, plays as on a pulley. From the edge of the external plate fome fmall fharp fpikcs Hand out ■, but their number and bulk are un- certain. To thefe another pair may be added, to wit, the little triangular thin procefs, which comes from each fide of the body of the fphenoid bone, • where the pterygoid procefles are rifing from it, and are extended over the lower part of the aperture of the ftnus as far as to join the ethmoid bone, while their body hangs down into the nares (It). — Befides thefe pairs of procefles, there is a {harp ridge which {lands* out from the middle of its bafe : Becaufe it wants a fellow, it may be called procejfus azygos. The lower part of this procefs, where it is received into the • vomer , is thick, and often not quite perpendicular, but inclining more to one fide than the other. The fore part of this procefs, where it joins the nafal plate of the os ethmoides , is thin and liraight. Thefe two *. 4 (a) Window Expofition anatomiquc du corps humain, traitc des os fees, § 233. * Naviculares. (i) Albin. Tab. ofT. 5'. fig 2. 6. A A.— Berth Mem. de l’acad. des fcienccs, 1744. — Sue, planchc viii. fig. %. 3. 4. 6. Of the SKELETON. . 8; two parts have been defcribed as two diflincb precedes by tome. The depreffions, finuofities, and fojfae , on the ex- ternal furface of this fphenoid bone, may be reckoned up to a great number, viz. two on the temporal apophyfes where the crotaphyte mufcles lodge. — Two on the orbitar precedes, to make way for the globes of the eyes. — Two between the temporal and fpincns precedes, for receiving the temporal bones. — Two between the plates of the pterygoid precedes, where th tmufeuli pterygoidei intend and ptcry-ftnphylini inter id are placed. — Two between the pterygoid and orbitar precedes, for forming the holes common to this and to the cheek and maxillary bones. — Two on the lower ends of the aliform precedes, which the palate bones enter into. — Two at the roots of the temporal and pterygoid precedes, where the larged fliare of the ex- ternal pterygoid mufcles have their rife. — Two at the ddes of the procejfus azygos, for forming part of the nofe, &c. What I defcribed under the name of temporal and Jpinous protejjes on the outfide of the fcull, are like- wife feen on its infide, where they are concave, for receiving part of the brain; and commonly three apophyfes on the internal furface of the fphenoid bone are only mentioned. Two riling broad from the fore-part of its body, become final! er as they are ex- tended obliquely backwards. — The third (landing on a long tranfverfe bafe, near the back-part of the body of this bone, rifes nearly eredl, and of an equal breadth, terminating often in a little knob on each fide. 'I he three are called clinoid, from fome refem- blance which they were thought to have to the fup- porters of a bed. Sometimes one or both the ante- rior clinoid precedes are joined to the fides of the po- fterior one, or the body of the bone itfelf From the roots of the anterior clinoid precedes the bone is ex- tended on each fide outwards and forwards, till it ends in a fliarp point, which may have the name of the tranfverfe Jpinous precedes — Between, but a little H farther 86 Of the SKELETON. farther back than the two anterior clinoid procefles, we fee a protuberance confiderably fmaller than the poftcrior clinoid procefs, but of its fliape Another procefs from between the tranfverfe procefles, often forces itfelf forwards into the os ethmoides. Within the fcull, there are two finuofities in the internal part of each wing of the fphemid bone, for receiving the middle part of the brain. — One between the tranfverfe fpinous procefles, for lodging the part of the brain where the crura mtdullae oblongatae are. — Immediately before the third or middle clinoid procefs, a Angle pit generally may be remarked, from which a fojja goes out on each fide to the holes through which the optic nerves pafs. The pit is formed by the conjoined optic nerves ; and in the foffx thefe nerves are lodged, as they run divided within the fcull. — Between that third protuberance and the po- lder ior clinoid procefs, the larger pit for the glatidula pituitaria may be remarked, l'his cavity, becaufe of its refemblance to a TurkifJj faddle, is always deferib- ed under the name of fella ’Turcica , or epbippium. — On the fides of the poftcrior clinoid procefs, a foffa may be remarked, that ftretches upwards, then is con- tinued forwards along the Tides of the fella Turcica , near to the anterior clinoid procefles, where a pit on each fide is made. Thefe foffx point out the courfe of the two internal carotid arteries, after they have entered the fcull. — Befides all thefe, feveral other foffa may be obferved, leading to the feveral holes, and imprinted by the nerves and blood -veflels. The holes on each fide of the os fpbenoides are fix proper, and three common. — The fitjl is the round One immediately below the anterior clinoid procefles, for the paflage of the optic nerve, and of the branch of the internal carotid artery that is fent to the eye. — The fecond is the foramen lacerumy or large flit be- tween the tranfverfe fpinous and orbitar procefles : The interior end of which flit is large ; and, as it is extended outwards, it becomes narrower. The outer cud of it is formed in the os frontis -7 and therefore Of the SKELETON. 87 this might be reckoned among the common foramina. Through it the third, fourth, the firft branch of the fifth, and the greater fhare of the Gxthpairof nerves, and an artery from the internal carotid, go into the orbit. Sometimes a fmall branch of the external ca- rotid enters near its end, to be diftributed to the dura mater (a) \ and a vein, fome call it the venous ducl> or, NucVs aqtueduB , returns through it to the ca-' vernous finus. — The third hole, fituated a little below the one juft now defcribed, is called rotundurff'i from its fhape. It allows paffage to the feccn^i branch of the fifth pair of nerves, or fuperior maxillary nerve, into the bottom of the orbit. The fourth is the fora- men ovale , about half an inch behind the round hole* Through it the third branch of the fifth pair, or in- ferior maxillary nerve, goes out ; and fometitnes a vein from the dura mater pafies out here ( h ). — Very near the point of the fpinous procefs is the fifth hole of this bone: It is fmall and round, for a paflage to the largeft artery of the dura mater , which often is accompanied with a vein. The fixth proper hole (c) cannot be well feen, till the cuneiform bone is fepa- ratcd from all the other bones of the cranium ; for one end of it is hid by a fmall protuberance of the in- ternal plate of the pterygoid procefs, and by the point of the proceffus petrcfus of the temporal bone. Its ca- nal is extended above the inner plate of the pterygoid procefs i and where it opens into the cavity of the nofe, it is concealed by the thin laminous part of the palate bone. Through it a confiderable branch of the fecond branch of the ffth pair of nerves is refletff- ed. — Often in the middle of the fella Turcica a fmall hole or two pierce as far as the cellular i'ubftartce of the bone) and fometimes at the fides of this fellay one or more fmall holes penetrate into the fphenoidah H 2 ftnufei. (a) Window Expofition anatomique du corps hijmain, traite d<* arteries, § 60. et de la tete, § %t>. (b) Ingral!’. Com men tar. in Galen, de odib. lib. I. comment. 8. fc) Vela I . Anat. lib. i. cap. ra.— Euftach. tab. 46. fig, 13. & 16 — Vidus Viuius Anat. lib. a. cap. a. explicate tab. 5. & tab. 5. i>g. 8. 9. 10. lit. O. 88 Of the SKELETON. fmufes. Thefe obfervations afforded fome an ato miffs ( () arc Of the SKELETON. ys are formed, is reckoned the fifth. — The fixth is the horizontal plate, which forms the greater part of the bafe offthe noflrils, and roof of the mouth-, its up- per furface, which belongs to the noflrils, is very fmooth, but the other below is arched and rough, for the flronger adhefion of the membrane of the mouth, which is flretched upon it, and in chewing, fpeaking, life, might otherwife be liable to be fepa- rated. — The feventb rifes like a fpine from the inner edge of the laft, and forms a fmall part of the par- tition of the nollrils. The deprefTions in each maxillary bone are, i. A finuofity behind the orbitar procefs, made by the temporal mufcle. 2. A pit immediately before the fame procefs, where the origin of the mufculus eleva- tor lahiorum communis, and elevator labii fuperioris, with a branch of the fifth pair of nerves, are lodged fecurely. 3. The hollow arch of the palate. 4. The femicircular great notch, or entry to the lower part of the noflrils, betwixt the root of the nafal procefs and fpine of the palate-plate. — Below this, the fore-part of the bone is flatted, or fometimes hollowed by the mufculus depreffor labii fuperioris. 5. Sockets for the teeth u) : The number of thefe fockets is uncertain; for the, fame number of teeth is not in all people, and the four backmofl teeth of each fide of each jaw vary greatly in their number of roots; and when the teeth of a living perfon fall out, or are taken away, the fockets fill up with an offeous net-work, which becomes folid afterwards. 6. The lacrymal foffa in the nafal procefs, which afiifls the os unguis to form a pillage for the lacrymal duel. This part of the bone forming this foffa , is lb firm and flrong, that a furgeon fcarce can perforate it with the ordinary inflruments for ihcfifiula laerymalis, and therefore ought to avoid it in doing this operation. — Immediately on the out- fide of this, there is a fmall depreffion, from which the inferior or lefTer oblique mufcle of the eye has its origin. (c-) Bofyia, oxftirxoi, alveoli, foflulK, mortariola, frauia, locclli, ca- va;, pralltpiola, loculamenta. f 99 Of the SKELETON. origin {d). 7. The canal on the upper part of the great tuberofity within the orbit, which is almoft a complete hole ; in this a branch of the fuperior max- illary nerve pafles. — Befides thefe, the fuperior fur- face of the great bulge is concave, to receive the un- der part of the eye. — Immediately above the tranf- verfe ridge in the nafal procefs, a fmall hollow is formed by the os fpongiofum. In fome fubjects, the nafal procefs has a fmall round pit above the lacrymal dudb, where 'the little tendon or ligament of the or- bicular mufcle of the eye-lids is inserted. It is this tendon, and not the tendon of the larger oblique mufcle of the eye, which there is fome hazard of cutting in the operation of the fifula lacrymalis. The holes of this bone are, two proper and two common, which are always to be found ; befides fc- veral others, whofe magnitude, number, £tY. are un- certain.— The firll of the proper is the external orbi- tary immediately below the orbit, -by which the infra- Orbitar branch of the fecond branch of the fifth pair of nerves, and a fmall artery, come out, after hav- ing paffed in the canal, at the bottom of the orbit, defcribed numb. 7. of the depreffions. — This hole is often double, and that when the nerve has happened to fplit before it has efcaped from the bone. — The fecond is the foramen incifivum , jufi: behind the fore- teeth, which, at its under part, is one irregular hole common to both the maxillary bones when they are joined; but, as it afcends, loon divides into two, three, or fometimes more holes : fome of which open into each nofiril. Through them fmall arteries and veins, and a twig of the fecond branch of the fifth pair of nerves pals, and make a communication be- tween, or join the lining coats of tbe nofe and mouth. In fome fubjefts Steno’s duwy- (lachial future ; — fometimes they are connected to the cjfa fpongio/a inferiora , by a plain concretion or union of fubftance. Thefe bones form the greater part of the nofe and of the roof of the mouth, and a confiderable {hare of the orbit. They contain fixteen teeth, give rife to mufcles, tranfmillion to nerves, l&c. as mention- ed in the description of their feveral parts. In each of the maxillary bones of a new-born child, the external orbitar procefs is hollow, with re- markable holes in it ; — there are five fockets for the teeth, of which the two polterior are very large, and, when divided by a fecond crofs partition, make the number of fockets fix (/). — The palate-plate is cribri- form about the middle. — The great tuberofity is not formed ; — inftead of the antrum , there is only an ob- long depreflion at the fide of the noftrils. OSSA PALATI are commonly deferibed as two fmall fquare bones, at the back-part of the palate or i oof of the mouth, though they are of much greater extent, being continued up the back-part of the no- itrils to the orbit (k). Each palate-bone may there- fore be divided into four parts, the palate fquare bone, the pterygoid procefs, nafal lamella, and orbi- tar procefs. * The (i) Albin. Oftcologen. tab. J. fig. 45.— Ungebav. de dentit. fecund, jun. § x. (4) Euflach. tab. 47- fig- *>3. 6> 7. 8;— Vidus Vidius dc Anat. lib. 2. cap. 2. explicat. tab. 6. fig. 19. — Winilow Memoircs dc 1 acad. dcs fciences, 1720. Of the SKELETON. 103 The fquare-bone is unequally concave, for enlar- ging both the mouth and cavity of the nofe. The upper part of its internal edge rifes in a fpine, after the fame manner as the palate-plate of the maxillary bone does, to be joined with the vomer. — Its anterior edge is unequally ragged, for its firmer connection with the palate procefs of the os maxillare. — The in- ternal edge is thicker than the reft, and of an equal furface, for its conjuhftion with its fellow of the o- ther fide. — Behind, this bone is fomewhat in form of a crefceni, and thick, for the firm connexion of the velum pendulum palati ; the internal point being pro- duced backwards, to afford origin to the palatc-flaphy - linns or azygos mufcle. — This fquare bone is well di- ftinguifhed from the pterygoid procefs by a perpendi- cular fojpi, which, applied to fuch another in the maxillary bone, forms a paffage for the palatine branch of the fifth pair of nerves ; and by ano.ther fmall hole behind this, through which a twig of the fame nerve pafi'es. The pterygoid procefs is fomewhat triangular, hav- ing a broad bafe, and ending fmaller above. The back-part of this proqefs has three fojfe formed in it; the two lateral receive the ends of the two plates of the fphenoid bone, that are commonly compared to a hat’s wing ; the middley^^ makes up a part of what is commonly called thej^ri pteryge)idia\ the fore-Gde of this palatine pterygoid procefs is an irregular con- cave, where it receives the back-part of the great tu- beroftty of the maxillary bone. Frequently feveral fmall holes may be obferved in this triangular prb- cefs, particularly one nefar the middle ’of ij^s bafe, which a little above communicates with the common and proper holes of this bone already taken no- tice of. The nafal lamella of this bone is extremely thin and brittle, and rifes upwards from the upper fide of the external edge of the fquare bone, and from the narrow extremity of the pterygoid procefs ; where it is fo weak, and, at the fame time, fo firmly fixed to the. 104 Of tite SKELETO N. the maxillary hone, as to be very liable to be broken- in feparating the bones. — From the part where the plate rifes, it runs up broad on the infide of the tube- rqfity of the maxillary bone, to form a confiderable (bare of the Tides of the maxillary Jim/s, and to clofe up the fpace between the fphenoid and the great bulge of the maxillary bone, where there would otherwife be a large flit opening into the noftrils (/). From the middle internal fide of this thin plate, a crofs-ridge placed on fuch another of the maxillary bone is- extended ; on it, the back-part of, the os fpongiofum. inferius refts. — Along the outfide of this plate, the perpendicular fojfa made by the palate nerve is ob- > fervable. At the upper part of this nafal plate, the palate- bone divides into two procefles, which I already nam- ed orbitar ; — between which and the body of the fphe- noid bone, that hole is formed, which I mentioned as the lad of the holes common to the fphenoid bone. Sometimes this hole is wholly formed in the os palatiy , by a crofs plate going from the one orbitar procefs to the other. A nerve, artery, and vein belonging to the noftrils pafs here. — The anterior of the two orbi- tar procefles is the largeft, and has its fore-part con- tiguous to the back-part of the maxillary fnus , and its upper furface appears in the bottom of the orbit, behind the back-part of the os maxillare and planum. — It has cells behind, refembling thofe of the eth- moid bone, to which it is contiguous ; it is placed on the aperture of the Jinus fphenoidalisy fo as to leave only a round hole at its upper fore-part. — The other part of the orbitar procefs is extended along the in- ternal fide of the upper back-part of the maxillary tuberqfity, to the bafe of the fphenoid bone, between the root of the procejfus azygos and the pterygoid pro- cefs. The palate fquare part of this palate-bone, and its- pterygoid procefs, are firm and ftrong, with fome cancelli j (/) Altjiji, ) are of opinion, that they fhould be edeemed part of the palate-bones ; others (7) -think, that fince their upper edge is continued by a plate to a part of the os ctkmoides , they ought to be e- fteemcd to be a part of this bone. Their ufe is, to draiten the nodrils, to afford a largo furface for extending the organ of fmelling, to cover part of the antra maxiltaria , and to aflid in forming the under part of the lacrymal duffs, the orifices of which into the nofc are concealed by thefe •bones. The oJa turbinata are nearly complete in a new- born infant. VOMER, or bone refembling a plough-fhare, is the thirteenth of the upper jaw, without a fellow, forming the lower and back parts of the partition of the nofe (r). The (») Covper in Drake’s Anthropolog. book 3- chap. TO. (0) Santorin. Obfcrvat. anatomic, cap. 5. § 9. iP) Id. ibid. cap. 5. § 7. ( q ) Hunauld Mcmoires de l’acad. dcs kicnccs, 1 730> (r) Columb. dc re anat. lib. I. cap. 8. — Fallop. Oblirvvat anatom. Of the SKELETON. lot . The figure of this bone is an irregular rhom- boid.— Its fides are flat and fmooth. — Its pofterior edge appears in an oblique direction at the back-part of the noftrils. — The upper one is firmly united to the bafe of the fphenoid bone, and to the nafal plate of the ethmoid ; and, when ft can be got feparated, is hollow, for receiving the procejfus azygos of the fphenoid. — The anterior edge has a long furrow in it, where the middle cartilage of the nofe enters. — The lower edge is firmly united to the nafal fpines of the maxillary and palate bones. — Thefe edges of this bone are much thicker than its middle, which is as thin as the fineft paper ; by which, and the firm u- nion or connection this bone has above and below, it can very feldom be feparated entire in adults : But, in a child, it is much more eafily feparated entire, and its ftru&ure is more diflin&ly feen : Wherefore I fhall examine all its parts of fuch a fubjeft. Its fituation is not always perpendicular, but often inclined and bended to one fide, as well as the nafal plate of the ethmoid bone. The vomer is convex at its upper part, and then is ftraight, as it is extended downwards and forwards, where it is compofed of two plates ; the edges of which have a great number of fmall procefles, dif- pofed fomewhat like the teeth of a faw, but more ir- regularly, and feveral of them are reflected back. Between thefe plates a deep fojfa is left, which, fo far as the top of the curvature, is wide, and has ftrong fides, for receiving the procejfus azygos of the fphenoid bone. Beyond the arch forwards, the fojfa is nar- rower and fhallower gradually to the point of the bone, receiving for feme way the nafal lamella eth - moidea; which, after the ofiification is complete, is fo clofely united to the vomer by the little procefles piercing into its fubftance, as to prevent any fepara- tion •, on which account, it has been efteemed by fome (s) a part of the ethmoid bone. The middle cartilage of the nofe fills up what remains of the /# (r) Lieutaud. ElTais anatomiques I. fe£t, l’os ctLmcidc. io8 Op the SKELETON. fcjja at its fore-part. — Tlie pofterior edge of the w- mery which appears above the back-part of the palate bones, is broader above ; but as it defcends forwards," becomes thinner, though it is ftill folid and firm. — The lower edge of this bone, which refts on the na- fal fpine of the palate and maxillary bones, has a lit- tle furrow on each fide of a fmall middle ridge, an- fwering to the fpines of the bones of different fides, and the interffices between them. This edge, and the upper one, meet in the pointed fere-end of this bone. The body of the vomer has a fmooth furface, and folid, but thin fubftance ; and towards its fides, where it is thickeff, fome cancelli may be obferved, when the bone is broken. It is joined above to the fphenoid and cthmoidbones, and to the middle cartilage of the nofe by fchyndele- fis ; — below, to the maxillary and palate bones, by the fpinous future. The vomer divides the noftrils, enlarges the organ of fmelling, by allowing place for expanding the membrane of the nofe on its fides, and fuftains the palate-plates of the maxillary and palate bones, which otherwife might be in hazard of being prefled into the noftrils ; while the vomer is fecured from (huffling to one fide or other by the double fchyndclc- ftSy by which it is joined to the bones above and be- low. Thefe, then, are all the bones which compofe the upper jaw, except the teeth, which are fo much akin to thofe of the lower jaw, that I choofe to make one defeription ferve for both, in which the differences obfervable in them fhall be remarked, after the fe- cond part of the face, the lower jaw, is examined ; becaufe the ftru&ure of the teeth cannot be well underftood, until the cafe in which they are fet is ex- plained. MAXILLA INFERIOR (t), the lower jaw, con— i fills (/) Tr V0t, o-/«y»y, mandibula, fades. fifts only of one moveable bone, and fixteen teeth in- cafed into it. This bone, which is fomewhat of the figure of the Greek letter is fituated at the lower part of the face, fo as its convex middle part is forwards, and its legs are ftretched back. It is commonly divided into the chin, fides, and proceffes. — The chin is the mid- dle fore-part, the extent of which to each Gde is marked on the external furface by the holes obferv- able there, and internally by the beginning of an ob- lique ridge. — Beyond thefe the j ides appear, and are continued till the bone, by bending upwards, begins to form the proceffes. On the fore-part of the chin, a tranfverfe ridge ap- pears in the middle, on each fide of which the mufcu~ li quadrati , or deprejfores iahii inferiority and the leva- tores Iahii inferiority deprefs the bone : And below thefe prints, a fmall rifing may be obferved, where the deprejfores commence. — On the back-part of the chin, fometinies three, always two, fmall protube- rances appear in the middle. To the uppermoft, when it is feen, the franuin of the tongue is con- nected. From the middle one, the mufeuii genio-g/of- fi rife ; and from the lowelt, the genio-hyoidei have their origin. Below the laft, we fee two rough finuofities formed by the diga/iric mufcles. At the lower and fore-part of the external furface of each fide of the lower jaw, a fmall eminence may be obferved, where the deprejfor labiorum communis rifes. Near the upper edge of the fide, a ridge runs length-ways, to which the under-part of the mufculus buccinator is connedted. — Internally, towards the up- per edge of each fide, another ridge appears, from which the tnylo-hyoidei have their origin, and to which the internal membrane of the gums adheres. In the upper edge of both chin and fides are z great many deep pits or fockets, for receiving the roots of the teeth. The number and magnitude of thefe fockets are various, becaufe of the different number, as well of the teeth themfelves, as of their K , roots, r io Of the skeleton. roots, in different people. Thefe fockets in this lower jaw, as well as in the upper one, are Jefs deep as old age comes on •, when freed from the teeth by any means, they are fome time after filled up with an offeous net-work, which at laft becomes entirely folid, and as fmooth as any other part of the bone ; fo that in a great many old jaws, one cannot obferve a veftige of the fockets: But then the jaw becomes lefs, and much narrower (r<). — Hence we may know why the chin and nofe of edentulous people are much nearer than before the teeth were loft; while their lips either fall in towards the mouth, or (land promi- nent forwards. — When new teeth are protruded, new fockets are formed (at). — The lower edge of the chin and fides is fmooth and equal, and is commonly call- ed the bafe of the lower jaw. — The ends of the bafe, where the jaw turns upwards, are called its angles; the external furface of each of which has feveral in- equalities upon it, where the majfeter mufcle is in- ferted ; as the internal furface alfo has, where the pterygoideus internus is inferred, and a ligament ex- tended from the Jlyloid procefs of the temporal bone js fixed. The proceffes are two on each fide. — The anterior fharp thin corotioid ones have the crctaphyte mufcles inferted into them. — The pofterior proceffes or con- dyles (y) terminate in an oblong fmooth head, fup- ported by a cervix. The heads, whofegreateft length is tranfverfe, and whofe convexity is turned forwards, are tipped with a cartilage, as the articulated parts of all other moved bones are. — The fore-part of the root and neck of thefe condyloid proceffes are a little hollow and rough, where the external pterygoid muf- cles are inferted. The holes of the lower jaw are two on each fide; one at the root of the proceffes internally, where a large branch of the third branch of the fifth pair of nerves (a) Vefal. Anat. lib. I. cap. IO, (at) Fallop. Obferv. anat. (yj Articulatorii. Of the SKELETON. mi nerves enters with an artery, and a vein returns. A fmall fhaip procefs frequently juts out backwards from the edge at the fore-part of this hole, to which a ligament extended from the temporal bone is fixed ( y ), which faves the nerve and veflels from being too much prefled by the pterygoid mufcles. — From the lower fide of this hole, either a fmall fuperficial ca- nal or a furrow defeends, where a branch of the nerve is lodged, in its way td the mylo-hyoideus mufcle and fublingual gland The other hole is external, at the confines of the chin, where branches of the nerve and veflels come out. — The canal be- twixt thefe two holes is formed in the middle of the fubftarice of the bone, and is pierced by a great num- ber of fmall holes, by which the nerves and blood- vefiels of the cancelli and teeth pafs. — This canal is continued a little further than the external hole at the chin. — On account of the veflels and nerves- in the lower jaw, fradhures of it may be attended with dangerous fymptoms. The furface of the lower jaw is hard and firm, ex- cept at the fpongy fockets, where however it is ftronger than the upper jaw. — Its internal fubftance is cellular, without any folid partition between the cancelli in its middle. — At the bafe, efpecially of the chin, where this bone is molt expofed to injuries, the folid fides of' it are thick, compadh, and hard. The lower jaw generally receives the roots of fix- teen teeth into its fockets, by gompheju ; and its con- dyloid procefles, covered with cartilage, are articulated with the temporal bones, in a manner that is not com- monly deferibed right : For, as was already mentioned in the defeription of the temporal bones, not only the fore-part of the cavity between the zygomatic , auditory , and vaginal procefles, but alfo the adjoining tubercle at the root of the zygomatic procefs of each os temporum is covered with a fmooth cartilage, for this articulation. Here alfo an intermediate moveable cartilage is pla- K 2 ced, (y) Weitbrecht Sy ndcfmolog. fig. 32. r. (x) Palfyn. Anat. cbirur. traite j. chap. 6. 1 11 Of the SKELETON. ced, which being thin in the middle, and thick at the edges, is concave on both Tides ; and is connected To firmly by ligaments to each condyle , as to follow the motions of the condyle ; and fo loofely to the temporal bone, as readily to change its fituation from the ca- vity to the tubercle, and to return again ; while the common ligament of the articulation affords fpace e- nough for fuch a change of place backwards and forwards; but, like other ligaments of the joints by ginglimus, is ftrong and fbort at the fide3, to confine the lateral motions. When therefore the teeth of both jaws coincide, the condyles are lodged fecurely in the temporal cavi- ties, but their motions to either Tide muff be- confin- ed both by the firmnefs of the ligaments, and the riling brims which are on each fide of the cavities. — When the jaw is brought dire£Uy forwards, the con- dyle and intermediate cartilages dcfcend and advance forwards upon the tubercles. — In this fituation the lateral motions are a little more free than in the for- mer one, from the want of rifing brims to flop the condyles. — When the fore-teeth of the lower jaw are moved forwards, and to a fide, the condyle of the oppofite fide is either advanced from the cavity to the tubercle, while the condyle of the fame fide remains in the cavity ; or if both condyles are on the tu- bercles, when the jaw is moved obliquely to a fide, the condyle of the fide to which the motion is made, Hides back from the tubercle to the cavity — When the mouth is opened by the defeent of the lower jaw, the fore-part of it, where the dcprejjing mufcles are fixed, is drawn backwards, as well as downwards, while refinance is made to the angles moving back- wards by the majjeter and internal pterygoid mufcles, and, at the fame time, the external pterygoid draw the. condyles and their moveable cartilages forwards ; and therefore, when the mouth is opened, the condyles are carried forwards upon the tubercles, and the axis of motion of the bone is a little above its angles. But in this fituation there is lefs refinance than in any Of the SKELETON. ”3 any other, to the condyles luxating forwards ; a dif- eafe which feldom happens, except when people are gaping too wide j and therefore the common pradtice of nurfes, who fupport the jaw of infants when they are yawning, is reafonable. — In chewing there is a fuccefiion of the rations above defcribed (a). Here a general remark may be made, That w'here- ever moveable cartilages are found in joints, either the articulated bones are of fuch a figure, or fo join- ed and fixed by their ligaments, that little motion would be allowed without fuch cartilages ; or elfe fome motions are neceffary to the right ufe of the member, which the form of the articulation would, not otherwife admit of. This will more fully appear after the other joints with fuch cartilages are de- fcribed. In a child born to the full time, the low-er jaw is compofed of two bones, connected by a thin carti- lage in the middle of the chin, which gradually ofli- fies, and the two bones intimately unite. — In each of thefe bones there are five or fix fockets for teeth, as in the upper jaw. After I have thus defcribed the incafement of the teeth, the infertion of fo many mufclesof the tongue,, and of the os hyoides , the connection of the mem- brane of the tongue to the maxillary bone, and the motions of this bone ; it is eafy to fee, that the lower jaw mult be a principal inftrument in manducation, deglutition, and fpeech. The TEETH are the hard white bodies placed in the fockets of both jaws. Their number is general- ly fixteen above, and as many below j though fome people have more, others have fewer. The broad thick part of each tooth which appears without the focket, is the bafe or body (b). — The fmaller procefles funk into the maxilla: , are the roots K 3 or (a) For a more full account of this articulation, vide Edinburgh Medical E flays and oblerv. xol. I. art, XI, and vol. 3. art. 13. — Memcircs de l’acad, des fcicnces, 1744. (!’) Coronal 1 14 Of the SKELETON. or fangs, which become gradually fmaller towards the end fartheft from the bafe, or are nearly conical, by which the ftirface of their fides divides the preffure made on the bafes, to prevent the foft parts, which are at the fmall points of the fockets, to’ be hurt by fuch preflure. — At the place where the bafe ends, and the roots begin, there is generally a fmall circu- lar depreflion, which fome call the neck or collar. "Without the gums, the teeth are covered with no membrane, and they are faid to have no proper perio- Jleum within the fockets •, but that is fupplied by the refle£led membrane of the gums ; which, after a good injection, mav be evidently feen in a young fubject, with the veffels from it penetrating into the fubftance of the teeth •, and it may be difcovered in any tooth recently pulled, by macerating it in wa- ter (r). The adhetion of this membrane to thefe roots is ftrengthened by the fmall furrows obfervable on them. Each tooth is compofed of its cor/ex, or enamel , and an internal bony fubftance. The cortex has no cavity or place for marrow ; and is fo folid and hard, that faws or files can with difficulty make imprelfion on it. It is thickeft upon the bafe, and gradually, as the roots turn fmaller, becomes thinner, but not proportionally to the difference of the fize of the bafe and roots. — The fibres of this enamel are all perpen- dicular to the internal fubflance, and are ftraight on the bafe, but at the fides are arched with a convex part towards the roots ( d ) ; which makes the teeth refill the compreffion of any hard body between the jaws, with lefs danger of breaking thefe fibres, than if they had been fituatcd tranfverfely. The fpongy fockets in which the teeth are placed, likewife ferve better to prevent fuch an injury, than a more folid bafe would have done. — Notwithflanding the great hardnefs of this cortex , it is wafted by manducation. Hence (c) Cowper Anatom, explicat. tab. 93, fig. 7. lit, E, (d) Haver’s Oftcoloj. nov. dife. 1. Of the SKELETON. **S Hence the {harp edges of fome teeth are blunted, and made broad, while the rough furfaces of others are made fmooth and flat, as people advance in life. The bony part of the teeth has its fibres running ftrnight, according to the length of the teeth. When it is expofed to the air, by the breaking or falling off of the hard cortex , it loon corrupts. And thence ca- rious teeth are often all hollow within, when a very ftnall hole appears only externally. The teeth have canals formed in their middle, wherein their nerves and blood-veflels are lodged ; which they certainly need, being conftantly wafted by the attrition they are fubje&ed to in manduca- tion, and for their further growth, not only after they firft appear, but even in adults ; as is evident when a tooth is taken out : For then the oppofite one becomes longer, and thofe on each fide of the empty focket turn broader ; fo that when the jaws are brought together, it is fcarce obfervable where the tooth is wanting (a). The veflels are eafily traced fo long as they are in the large canal, but can fcarce be obferved in their diftribution from that to the fubftance of the teeth of adults. Ruyfch (£) however affirms, that after injec- tion, he could trace the arteries into the hardeft part of the teeth : And Leewenhoek (r) fufpefted the fi- bres of the cortex to be veflels. In children I have frequently inje&ed the veflels of the teeth as far as their bafe : And in fuch as are not intirely offified, one can with a lucky injection fill fo many veflels, as to make both the outfide and infide of the cortical part appear perfe&ly red. — This plentiful fupply of veflels muft expofe the teeth to the fame diforders that attack other vafcular parts ; and fuch teeth as have the greateft: number of veflels, muft; have the moft numerous chances of being feized with thefe difeafes. Every root of each tooth has fuch a diftinft canal, with 0) Ingraf. de tumor, cap. i. p. 24. 15. 26. ( b ) Thefaur. 10. num. 27. (c) Arcan. natur. continual, epifl. p. 3. ii 6 Of the SKELETON. with vefl'els and nerves in it. Thefe canals in the teeth with more than one root, come nearer each o- ther, as they approach the bafe of the tooth ; and at laft are only feparated by very thin plates, which be- ing generally incompleat, allow a communication of all the canals ; and frequently one common cavity only appears within the bafe, in which a pulpy fub- ftance compofed of nerves and vefl'els is lodged. The condition therefore of the nerves here, bears a ftrong analogy to that of the cutaneous nerves which ferve for the fenfation of touching. The entry of the canals for thefe vefl'els is a fmall hole placed a little to a fide of the extreme point of each root ; fometimes, efpecially in old people, this hole is entirely clofed up, and confequently the nerves and blood-veffels are deftroyed (d). The teeth are feen for a confiderable time in form of mucus contained in a membrane, afterwards a thin cortical plate, and fome few ofleous layers appear within the membrane, with a large cavity filled with mucus in the middle ; and gradually this exterior {hell turns thicker, the cavity decreafes, the quantity of mucus is leflened, and this induration proceeds till all the body is formed ; from which the roots are after- wards produced. In young fubje&s, different Jiamina or rudiments of teeth are to be obferved. Thofe next the gums hinder ordinarily the deeper feated ones from making their way out, while thefe prevent the former from fending out roots, or from entering deep into ’the bo- ny fockets of the jaws ; by which they come to belefs fixed. Children are feldom born with teeth •, but at two years of age they have twenty ; and their number does not increafe till they are about feven years old, when the teeth that fii ft made their way through the pums are thrufl: out by others that have been formed deeper in the jaw, and fome more of the teeth begin to difeover themfelves farther back in the mouth. , About (J) De la Hire Hiftoire de L’acad. dcs fciences, Of the SKELETON. 117 About fourteen years of age, fome more of the firfl crop are ffied, and the number is increafed. — This fhedding of the teeth is of good ufe ; for if the firffc had remained, they would have ftood at a great dis- tance one from another ; becaufe the teeth are too hard in their outer cruft, to increafe fo faft as the jaws do. Whereas both the fecond layer, and the teeth that come out lace, meeting, while they are foft, with a confiderable refiftance to their growth iu length, from thofe fituated upon them, neceffarily come out broad, and fit to make that clofe guard to the mouth ( e ), which they now form. The teeth are joined to the fockets by gotnphofts, and the gums contribute to fix them there ; as is evident by the teeth falling out when the gums are any way deftroyed, or made too fpongy ; as in the fcurvy or falivations : whence fome (g) clafs this articulation with the fyffarcofis. The ufes of the teeth are to mafticate our aliment, and to aflift us in the pionunciation of feveral let- ters. Though the teeth fo far agree in their ftru£lure, yet, becaufe of fome things wherein they differ, they are generally divided into three clafTes, viz. incifores , caniniy and molares. The incifores (h) are the four fore-teeth in each jaw, receiving their name from their office of cutting our aliment j for which they are excellently adapted, being each formed into a {harp cutting edge at their bafey by their fore-fide turning inwards there, while they are Hoped down and hollowed behind (i) ; fo that they have the form of wedges ; and therefore, their power of acting muft be confiderably increafed. — ■ Seeing in the action of the incifores , a perpendicular comprtffiqn is only necelfary, without any lateral motion, they are not fo firmly fixed in their fockets as (r) frpayy-tc- (g) Drake’s Anthropolog. book 4. chap. 3. {k) T Toy.ix.n, Topitit^ rpotxrBtfi, niorii, quaterii, prinii, primores, antcriorcs, acuti. (>) 1 1 8 Of the SKELETON. as the other teeth are, each having only one fhort root, but that is broader from before backwards, than to either fide, to have the greatefl flrength where it is expofed to the ftrongeft force applied to it (£). The incifores of the upper jaw, efpecially the two middle ones (/), are broader and longer generally than thofe of the under jaw. In a new-born infant, the outer fheli of the body of thefe teeth is only hardened. — Afterwards, when the Jiamina of two fets are formed, each has its own focket, thofe neareft to the edge of the gums being placed more forward, and the others are lodged far- ther back within the jaw-bones. Canini (m), from the refemblance to dogs tufks, are one on each fide of the incifores in each jaw. — The two in the upper jaw are called eye-teeth , from the communication of nerves which is faid to be be- twixt them and the eyes — The two in the lower jaw are named angular or ivike-teeth, becaufe they fupport the angles of the mouth. The canini are broader, longer, and ftronger, than the incifores. — Their bafes are formed into a fharp edge, as the incifores are ; only that the edge rifes in- to a point in the middle. — Each of them has gene- rally but one long root, though fometimes they have two («). The roots are crooked towards the end. — The canini of the upper jaw are larger, longer, and with more crooked roots, than thofe of the under jaw. — The form of their bafe is fit both for piercing and cutting, and the long crooked root of each makes it fecure in the focket. The canini of a child are in much the fame condi- tion as the incifores are. The dentes molares, or grinders (o), which have got their name becaufe they grind our food, are general- (k) Lettre fur l’ofteologie, aferibed to Du Vcrney. (/) Duales. (m) KuhJovtjc, riforii, fraftorii, collateralcs, collamellares. (*) Fauchard, Chirurgien dentifte, chap. I. (e) y.u\oi, ' fl'XdTsic, fpxfvpiCi maxillarcs, mea- Gilcs, clavales, buccarum. Or the SKELETON. 119 ly five in each fide of each jaw; in all twenty. Their bafes are broader, more fcabrous, and with a thinner cortical fubftance, than the other teeth. They have alfo more roots, and as thefe roots generally divari- cate from each other, the partitions of the fockets between them bear a large fliare of the great preffure they fuffer, and hinder it to a£l on their points (/>). The bafe of the firfh grinder has an edge pointed in the middle, on its outfide, refembling the catiitii ; from which it Hopes inwards till it rifes again into a point. — It has generally but one root, which fome- times is long and crooked at its point. The fecond dens molaris has two points on its bafe, rifing near equally on its out and infide. — It has two roots, either ieparate or run together, but Ihorter than the root of the firft. — Thefe two anterior grinders are much fmaller than the three that are placed farther back in the mouth. The third and fourth are very broad in their bafes, with four or five points Handing out ; and they have three or more roots. The fifth, called commonly dens fapientiee ( q ), from its coming through the gums later than the other grinders, has four points on its bafe, which is not io large as the bale of the third and fourth, and its roots are lefs numerous. The incifores of the upper jaw, being broader than thofe of the lower jaw, make the fuperior grinders to be placed fo much farther back than the lower ones, that when they are brought together, by {hutting the mouth, the points of the grinders of the one jaw en- ter into the depreffions of the oppofite grinders, and they are all equally applied to each other, notwith- ftanding the inequality of their furface. The numerous roots of the dentes molares prevent their loofening by the lateral preflure they fuffer in grinding; and as the fockets in the upper jaw are more (p) I.ettre fur rofteologie. (?) xpavT»ip«f, •4-ryovot, fenfus, intellettus, ferotini, KUtem complcntes, genuiiji, moderatores. 120 Of the SKELETON. more fpongy, and the teeth are more liable, by their (ituation, to fall out (r), the grinders there have more numerous and more feparated roots than in the lower jaw (j). The number however of the roots of the teeth of both jaws is very uncertain ; fometimes they are more, fometimes fewer •, frequently feveral roots are joined together -, at other times they are all dif- tin£L The difpofition of fuch as are diftind is al[o various ; for in fome the roots (land out flraight, in others they feparate, and in others again they are crooked inwards. When the roots are united, we can ftill diftinguiih them, by remarking the number of fmall holes at their points, which determine the number of roots each tooth ought to be reckoned to have. * , At the time of birth only two dentes molares in each jaw have begun to oflify, and that at little more than the bafe which has feveral (harp points (land- ing out from it.— The temporaneous grinders are placed more diredly upon the internal fet than the other two clafles are •, fometimes there is a piece of the bone of the jaws between the two fets ; in other children, the two fets have no bone interpofed be- tween them. . , From what has been faid, the anfwers to the follow- ing queries may be given. . vVhy are children fubjeft to fahvation, fever, con- vulfion, vomiting, purging, &c. when their teeth are breeding or cutting the gums . , Why in children do the dentes incifores hrit cut the gums, the canini next, and molares lad? Why do children (hed their teeth ? Wherefore have thefc temporaneous teeth generally no roots, or very fmall ones ? _ Why have thefe firft teeth fometimes roots, and that more frequently in teeth pulled by art than in thofe which are (bedded by nature (a) . ^ (r) Calen. de ofiib. cap. S- (t) Fauchard. Chirurg. dent. chap. I. (<) Fauchard. Chirurgien dcntifte, p. 7. m Of the SKELETON. Why do thefe roots frequently come outwards through the gums ? Whence come butter or buck teeth ? How do thefe teeth fometimes go into the natural row with the others, after pulling a rotten tooth near them ? How have fome people got two rows of teeth in one or both jaws (b) ? Why do the teeth of old people loofen, and then drop out entire ? Whence arife the new fets of teeth which feveral old people obtain (c) ? Why are not the gums of toothlefs old people torn by the hard foc^ets in chewing ? Why are th« rvpO’% > tergura, hojninis Carina. 125 Or the SKELETON. The TRUE FERTEBRM (b) are the twenty four upper bones of the / pine , on which the feveral mo- tions of the trunk of our bodies are performed ; from which ufe they have juftly got their name. Each of thefe vertebra is compofed of its body and procefles. The body is the thick fpongy fore-part, which is convex before, concave backwards, horizontal and plain in moil of them above and below. — Numerous fmall holes, efpecially on the fore and back part of their furface, give pafiage to their veffels, and allow' the ligaments to enter their fubftance. — The edges of the body of each vertebra are covered, efpecially at the fore-part, with a ring of bone firmer and more folid than the fubftance of the body any where elle. Thefe rings feem to be joined to the vertebra in the form of epiphyfesy but are alledged by fome (e) to be the ligaments oflified. They are of great ufe in pre- venting the fpongy bodies from being broken in the motions of the trunk. Between the bodies of each two adjoining vertebra , a fubftance between the nature of ligament and car- tilage is interpofed ; which feems to confift of con- centrical curve fibres, when it is cut horizontally ; but when it is divided perpendicularly, the fibres ap- pear oblique and decufl'ating each other ( d ) — 1 he outer part of the intervertebral ligaments is the molt folid and hard ; and they gradually become fofter till they are almoft in the form of a glairy liquor in the centre ; and therefore thefe fubftances were not im- properly called mucous ligaments by the ancients (e). The external fibrous part of each is capable of being greatly extended, and of being comprefled into a ve- ry fmall ipace, while the middle fluid part is fncom- preflible, or nearly fo ; and the parts of this ligament L 3 between (i) ’Srpopif, crpopyyef, fpondvli, ofla orbiculata, ofla vertebrata, verticula. (c) Fallop. Obfervat. anatom. (/) Blancard, Anat.. reform, cap. jz. — Wcitbrecht, Synddnso- l°g. fc£t. 4. § ij. W Galcu de ufu part. lib. £2. cap; 16, 126 Of the SKELETO N. between the circumference and centre approach in their properties to either, in proportion to their more folicl or more fluid texture. The middle point is therefore a fulcrum , or pivot , on which the motion of a ball and focket may be made, with fuch a gradual yielding of the fubftance of the ligament, in which- ever direction our fpines are moved, as faves the bo- dy from violent (hocks, and their dangerous con- fequences (f). — This ligamento-cartilaginous fub- ftance is firmly fixed to the horizontal furfaces of the bodies of the vertebra, to conneft them, in which it is affilted by a ftrong membranous ligament, which lines all their concave furface, and by (till a ftrong- er ligament that covers all their anterior convex fur- face. AVe may lay it down as a general rule, notwith- ft a tiding fonte exceptions, That the bodies of the ver- tebra are fmaller, and more folid above ; but as they defeend, they appear larger and more fpongy ; and that the cartilages between them are thick, and the furrounding ligaments ftrong, in proportion to the largenefs of the vertebra , and to the quantity of mo- tion they perform : By which difpofition, the greater weight is fupported on the broadeft bell fecured bafe, and the middle of our body is allowed a large and fe- cure motion. From each fide of the body of each vertebra , a bo- ny bridge is produced backwards, and to a fide ; from the pofterior end of which, one flaming procefs rifes, and another defeends ; the fmooth, and what is ge- nerally the flatted fide of each of thefe four procefles, which are called the oblique ( g ), is covered with a fmooth cartilage ; and the two lower ones of each vertebra are fitted to, and articulated with, the two upper or afeending oblique procefles of the vertebra below, having their articular ligaments fixed into the rough line round their edges. From (/) Medical eflays and obferr. v*l, J. art 3?. (g) Articulatorii, minimi. 127 Of the SKELETON. From between the oblique procefles of each fide, the vertebra is ftretched out laterally into a procefs that is named travfverfe. From the back- part of the roots of the two ob- lique, and of the tranfverfe procefs of each fide, a broad oblique bony plate is extended backwards ; where thefe meet, the feventh proeefs of the vertebra takes its rife, and Hands out backwards : This being gene- ially fiiarp pointed and narrow edged, has therefore been called fpinal procefs ; from which this whole chain of bones has got its name. Befides the common ligament which lines all the internal furface of the fpinal procefTts, as well as of the bodies, there are particular ligaments that con- nett the bony bridges and procefles of the contiguous -vertebra together. The fabftance of the procefles is confiderably ftrong- er and firmer, and has a thicker external plate than the bodies of the vertebra have. The feven procefles form a concavity at their fore- part, which, joined to the one at the back-part of the bodies, makes a great hole; and the holes of all the vertebra form a long large conduit ( h), for contain- ing the fpinal marrow . — In the upper and lower edge of each lateral bridge , there is a notch. Thefe are fo adapted to each other in the contiguous vertebra, as to form a round hole in each fide between each two vertebra , through which the nerves that proceed from the fpinal marrow and its blood-veflels pals. The articulations then of thefe true vertebra are plainly double ; for their bodies are joined, by the intervening cartilage above deferibed ; and their ob- lique procefles being tipped with cartilages, are fo connetted by their ligaments, as to allow a fmall de- gree of motion to all fides. Hence it is evident, that their centre of motion is altered in different pofitions of the trunk : For when we bow forwards, the up- per moved part bears entirely on the bodies of the vertebra : If we bend back, the oblique procefles fup- port W Up* rvpyZ, reA; i», Caaalis. 123 Of the SKELETON. port the weight : If we recline to one fide, we reft upon the oblique procefies of that fide and part of the bodies : If we ftand ereX, all the bodies and oblique procefies have their fhare in our fupport. Hence it follows, I. That becaufe the joints of which the fpine is compofed are fo numerous, the fpi- tial marrow, nerves, blood-vefiels, Zs V. are not liable to fuch comprefiion and over-ftretching in the motion of the trunk of the body, as they would otherwife be,, fince feveral vertebra mull be concerned in every mo- tion of the fpine ; and therefore a very fmall curva- ture is made at the conjunXion of any two vertebra (J). 2. That an ereX pofture is the fureft and firm- eft, becaufe the furface of contact of the fulcra is largeft, and the weight is moft perpendicular to them ( k ). 3. That the mufcles which move the fpine, act with greater force in bringing the trunk to an ereX pofture, than in drawing it to any other: for in bend- ing forwards, backwards, or to a fide, the mufcles which perform any of thefe aXions are nearer the centre of motion \ confequently the lever with which they aX is fhorter, than when the centre of motion is on the part of the vertebra , oppofite to that where thefe mufcles are inferted ; which is the cafe in raif- ing the trunk. This is extremely neceflary ; fince, in the defleXions of the fpine from a perpendicular bearing, the weight of the body foon inclines it which way we defign j whereas, in raifing us ereX, this great weight muft be more than counteraXed. 4. In calculating the force exerted by the mufcles which move the fpine, we fhould always make allow- ance for the aXion of the cartilages between the ver- tebrcey which, in every motion from an ereX pofture, muft be ftretched on one fide, and comprefied on the other, to both which they refill ; whereas, in raifing the trunk, thefe cartilages aflift by their fpringy force (/). 5. We are hence naturally led into the reafon of (i) Galen de ufu part. lib. 12. cap. ia. ( k ) Paaw dc ollib. par. a. cap. a. (/) Borelli de motu animal, pars 1. fchol. ad propof. 58. — Fa~ rcat. liiftoirc de l’ avail, des fcicnces, 1702, : ;;j 129 Of the SKELETO N. of our height of flature increafing in the morning, and diminifhing at night (;;/) : for the intermediate cartilages of the vertebra being preffed all day long by the weight of our body, become more compact and thin in the evening ; but when they are relieved from this preffure in the night, they again expand themfelves to their former thicknefs ; and feeing the bulk of any part muft vary according to the different diftenfion or repletion of the veffels compofing it, we may underftand how we become taller after a plenti- ful meal, and decreafe after faffing or evacuations («). 6. From the different articulations of the bo- dies, and oblique proceffes of the vertebra , and the different flrength of the ligaments, it is plain, that they are formed fo as to allow much larger motion forwards than backwards*, this lafl being of much lefs ufe, and might be dangerous, by overftretching the large blood-veffels that are contiguous to the bo- dies of the vertebra (o). 7. The intervertebral carti- lages fhrivelling as they become more folid by age, is the caufe why old people generally bow forwards, and cannot raife their bodies to fuch an ere£t poflure as they had in their youth. The true vertebra ferve to give us an ere£f poflure \ to allow fufficient and fecure motion to the head, neck, and trunk of the body j and to fupport and de- fend the bowels, and other foft parts. At the ordinary time of birth, each vertebra con- fifls of three bony pieces, connected by cartilages \ to wit, the body , which is not fully oflified, and a long crooked bone on each fide : on which we fee a fmall fhare of the bony bridge, the oblique procefTes compleat, the beginning tranfverfe proceffes, ajid the oblique plate, but no fpinal proceffes ; fo that the te- guments are in no danger of being hurt by the fharp ends of thefe fpinal procefTes, while a child is in its bended (in') Wafle Philofoph. tranfatt. numb. 383. art. I. («) Abbe Fontenu Hiftoirc de l'acad. des iciences, 1 725. (e) Galen dc ulu part. lib. 1. cap. 46. Of the SKELETON. 130 bended pofture in the womb, nor while it is fqueezed in the birth. From this general mechanifm of the fpine, an ac- count is eafily deduced of all the different preterna- tural curvatures which the fpine is capable of: for if one or more vertebra, or their cartilages, are of un- equal thicknefs in oppofite fides, the fpine muft be reclined over to the thinner fide ; which now fuftain- ing the greateft fhare of the weight, mufl flill be more compreffed, confequently hindered from extend- ^ng itfelf in proportion to the other fide, which, be- ing too much freed of its burden, has liberty to en- joy a luxuriant growth. The caufes on which fuch an inequality of thicknefs in different fides of the ver- tebra depends, may vary : for, either it may be owing to an over-diftenfion of the veffels of one fide, and from thence a preternatural increafe of the thicknefs of that part ; or, which more commonly is the cafe, it may proceed from an obllruftion of the veffels, by which tne application of proper nourifhment to the bony fubftance is hindered, whether that obftru£lion depends on the faulty difpofition of the veffels or fluids ; or if it is produced by an unequal mechanical pref- fure, occafioned by a paralytic weaknefs of the muf- clcs and ligaments, or by a fpafmodic over-a£lion of the mufcles on any fide of the fpine, or by people continuing long, or putting themfelves frequently into any pofture declining from the ere£t one : In all thefc cafes, one common etfe£l follows, to wit, the vertebra , or their cartilages, or both, turn thick on that fide •where the veffels are free, and remain thin on the 0- ther fide where the veffels are ftraitened or obftrudted. — Whenever any morbid curvature is thus made, a fecond turn, but in an oppofite direction to the former, mufl be formed ; both becaufe the mufcles on the convex fide of the fpine being ftretched, mufl have a ftronger natural contradlion to draw the parts to which their ends are fixed, and becaufe the patient makes efforts to keep the centre of gravity of the bo- dy perpendicular to its bate, that the mufcles may be relieved Of the SKELETON. 131 relieved from aconftant violent contractile ftate, which always creates uneafinefs and pain. When once we underftand how thefe crooked fpines are produced, there is little difficulty in forming a juft prognofis ; and a proper method of cure may be eafilv contrived, which muft vary as to the internal medicines, according to the different caufes on which the difeafe depends. But one general indication muft be purfued by furgeons ; which is, to counteract the bending force, by increafing the compreffion on the convex part of the curvature, and diminiffiing it on the concave fide ; the manner of executing which in particular cafes muft be different, and requires a very accurate examination of the circumftances both of the difeafe and patient. In many fuch cafes, I have found fome fimple directions, as to poftures in which the patient’s body ffiould be kept, of very great advantage. Though the true vertebra agree in the general ftruc- ture which I have hitherto defcribed ; yet, becaufe of feveral fpccialities proper to a particular number, they are commonly divided into three claffes, viz. cervical , dcrfaly and lumbar. The cervical ( a ) are the feven uppermoft vertebra ; which are diftinguiffied from the reft by thefe marks. — Their bodies are fmaller and more folid than any others, and flatted on the fore- part, to make way for the oefo- phagus ; or rather this flat figure is owing to the pref- fure of that pipe, and to the aCtion of the longi colli and anterior reclt mufcles. — They are alfo flat behind, where fmall proceffes rife, to which the internal liga- ments are fixed. — The upper furface of the body of each vertebra is made hollow, by a flaming thin pro cefs which is railed on each fide : — The lower furface is alfo excavated, but in a different manner ; for here, the poflerior edge is raifed a little, and the one before is produced a confiderable way. — Hence we fee how the cartilages between thofe bones are firmly con- nected, and their articulations are fecure. The («) avgyi;, colli. I32 Of the SKELETON. The cartilages between thefe. vertebra are thick, e- fpecially at their fore-part ; which is one reafon why the vertebra advance forward as they defcend, and have larger motion. The oblique procefles of thefe bones of the neck more juflly deferve that name than thofe of any other vertebra. They are fituated flanting ; the upper ones' having their fmooth and almoft flat furfaces facing o- bliquely backwards and upwards, while the inferior oblique procefles have thefe furfaces facing obliquely forwards and downwards. The tranfverfe procefles of thefe vertebra are fram- ed in a different manner from thofe of any other bones of the fpine : For, befides the common tranf- verfe procefs rifing from between the oblique procef- fes of each fide, there is a fecond one that comes out from the fide of the body of each vertebra \ and thefe two procefles, after leaving a circular hole for the paf- fage of the cervical artery and vein, unite, and are confiderably hollowed at their upper part, with rifing fides, to proteft the nerves that pafs in the hollow ; and at laft each fide terminates in an obtufe point, for the infertion of mufcles. The fpinal procefles of thefe cervical bones ftand neaily ftraight backwards, are fliorter than thofe of any other vertebra , and are forked or double at their ends ; and hence allow a more convenient infertion to mufcles. The thick cartilages between the bodies of thefe cervical vertebra , the obliquity of their oblique procef- fes, and the fhortnefs and horizontal fituation of theic fpinal procefles, all confpire to allow them large mo- tion. The holes between the bony crofs bridges, for the paflage of the nerves from the fpinal marrow , have their largeft fhare formed in the lowefl: of the two vertebra, to which they are common. So far moll of the cervical vertebra agree ; but they have fome particular differences, which oblige us to confider them feparately. The Of the SKELETON. *3J The firft, from its ufe of fupporting the head, has the name of atlas (a) ; and is alio called epiftrophea , from the motion it performs on the fecond. The alias, contrary to all the other vertebra: of the fpine, has no body ; but, iullead of it, there is a bo- ny arch. — In the convex fore-part of which, a fmall rifing appears, where the mufculi longi colli are infert- ed ; and, on each fide of this protuberance, a fmall cavity may be obferved, where the recli interne mino- res take their rife. — The upper and lower parts of the arch are rough and unequal, where the ligaments that connect this vertebra to the os occipitis, and to the fe- cond vertebra , are fixed. — The back-part of the arch is concave, fmooth, and covered with a cartilage, in a recent fubjed!, to receive' the tooth-like procefs of the fecond vertebra. — In a firft vertebra , from which the fecond has been feparated, this hollow makes the paffage for the fpinal marrow to feem much larger than it really is: On each fide of it a fmall rough fi- nuoGty may be remarked, where the ligaments going to the fides of the tooth-like procefs of the following vertebra are fattened ; and on each fide, a fmall rough protuberance and depreflion is obfervablc, where the tranfverfc ligament, which fecures the tooth-like pro- cefs in the finuofity, is fixed, and hinders that pro- cefs from injuring the medulla fpinalis in the flections of the head. The atlas has as little fpinal procefs as body ; but, in Head thereof, there is a large bony arch, that the mufcles which pafs over this vertebra at that place might not be hurt in extending the head. On the back and upper part of this arch there are two de- preifions where the recli p9/lici minores take their rife'; and at the lower part are two other finuofities, into which the ligaments which conned! this bone to the following one are fixed. The fuperior oblique procefies of this atlas are large, oblong, hollow’, and more horizontal than in any other vertebra — They rife more in their external thaninter- M nal ArfeiyaKof. *34 Of the SKELETON. rial brim ; by which their articulations with the condyloid procefl'es of the os occipitis are firmer. — Lender the ex- ternal edge of each of thefe oblique procefl'es, is the foffa or deep open channel, in which 4)e vertebral ar- teries make the circular turn, as they are about to enter the great foramen of the occipital bone, and where the tenth pair of nerves goes out. — In feveral bodies, I have feen this foffa covered with bone.— The inferior oblique procefl’es extending from within outwards and downwards, are large, concave, and circular. So that this vertebra , contrary to the other fix, receives the bones with which it is articulated both above and below. The tranfverfe procefl'es here are not much hollowed or forked, but are longer and larger than thofe of any other vertebra of the neck, for the origin and infertion of feveral mufcles; of which thofe that ferve to move this vertebra on the fecond, have a confiderable lever to a£i with, becaufe of the diftance of their in- fertion from the axis of 'revolution. The hole for the fpinal marrow is larger in this than in any other vertebra , not only on account of the marrow being largeft here, but alfo to prevent its being hurt by the motions of this vertebra on the fe- cond one. — This large hole, and the long tranfverfe procefl'es, make this the broadefl vertebra of the neck. The condyles of the os occipitis move forwards and backwards in the fuperior oblique procefl'es of this vertebra; but from the figure of the bones forming thefe joints, it appears, that very little motion can here be allowed to either fide; and there mufl be ftill lefs circular motion. In new-born children, this vei-tebra has only the two lateral pieces offified ; the arch, which it has at its fore-part inftead of a body, being cartilaginous. The fecond vertebra colli is called dentata , from the tooth-like procefs on the upper part of its body. Some authors call it epiJ1ropheay but improperly, fince this defignation is only applicable to the flrft, which moves on this as on an axis. The Of the SKELETON. *35 The body of this vertebra is fomewhat of a pyra- midal figure, being large, and produced downwards, efpecially at its fore-fide, to enter into a hollow of the vertebra below ; while the upper part has a fquare procefs with a fmall point Handing out from it. This it is that is imagined to refemble a tooth {a}r and has given name to the vertebra. — The fide of this procefs, on which the hollow of the anterior arch of the firft vertebra plays, is convex, ‘fmooth, and cover- ed with a cartilage ; and it is of the fame form be- hind, for the ligament, which is extended tranfverfe - ]y from one rough protuberance of the firft vertebra to the other, and is cartilaginous in the middle, to move on it. — A ligament likewife goes out in an ob- lique tranfverfe direction, from each fide of the/ro- cejjus dentatus , to be fixed at its other end to the firit vertebra , and to the occipital bone: And another li- gament rifes up from near the point of the procefs to the os occipitis. The luperior oblique procefi'es of this vertebra den - tata are large, circular, very nearly in an horizontal pofition, and flightly convex, to be adapted to the inferior oblique procefTes of the firft vertebra. — A moveable cartilage is faid by fome authors to be in- terpofed between thefe oblique procefles of the firft and fecond vertebra ; but I could never find it. — The inferior oblique procefles of this vertebra dentata anfwer exactly to the defeription given of thole com- mon to all the cervical vertebra. The tranfverfe procefles of the vertebra dentata are fliort, very little hollowed at their upper part, and not forked at their ends ; and the canals through which the cervical arteries pais, are reflected out- wards about the middle fubftance of each procefs ; fo that the courfe of thefe veflels may be directed to- wards the tranfverfe procefles of the firft vertebra. Had this curvature of the arteries been made in a part fo moveable as the neck is, while they were not defended by a bone, and fixed to that bone, fcarce a 2 motion (a) Conoidcs, pyrenoidcs, odwitoides. 136 Of the SKELETON. motion could have been performed without the ut- moft hazard of compreffion, and a Hop put to the courfe of the liquids, with all its train of bad confe- quences. Hence we obferve this fame mechanifm feveral times made ufe of, when there is any occa- 1'ion for a fudden curvature of a large artery. This is the third remarkable inftance of it we have feen. The firft was the pafiage of the carotids through the temporal bones ; and the fecond was that lately de- fcribed in the vertebral arteries, turning round the oblique proceftes of the firft vertebra, to come at the great hole of the occipital bone. The fpinal procefs of this vertebra de/itata is thick, ffrong, and fihort, to give fufficient origin to the mufeuli recti majores, and obliqui itiferiores , and to pre- vent the contuiion of thefe and other mufcles in pull- ing the head back. This fecond vertebra confifls, at the birth, of four benv pieces : For, befidcs the three which I already mentioned as common to all the vertebra: , the tooth- like procefs of this bone is begun at this time to be ofTifted in its middle, and is joined as an appendix to the body of the bone. — Left this appendix be bend- ed or difplaced, nurfes ought to keep the heads of new-born children from falling too far backwards by /lay-bands, or fome fuch means, till the mufcles at- tain ftrength fufficient to prevent that dangerous mo- tion. When we are acquainted with the ftru£ture and articulations of the firft and fecond vertebra , and know exactly the ftrength and connection of their ligaments, there is no difficulty in underftanding the motions that are performed upon or by the firft \ though this fubjeCt was formerly matter of hot dis- pute among fome of the greateft anatomifts {b). It is none of my purpofe at prefent to enter into a de- tail of the rcafons advanced by either party ; but to explain the fact, as any one may fee it, who will re- move the mufcles, which, in a recent fubjedt, hinder ( b ) See E attach, de motu capitis, 137 Of the SKELETON. the view of thefe two joints, and then will turn the head into all the different pofitions it is capable oi. The head may then be feen to move forwards and backwards on the firft vertebra, as was already fain, while the atlas performs the circumgyratio upon the - fecond vertebra ; the inferior oblique procefies of the firft vertebra fhufHing eafily in a circular way on the fuperior oblique procefies of the fecond, and its bo- dy or anterior arch having a rotation on the tooth- like procefs, by which the perpendicular ligament that is fent from the point of the tooth-like procefs to the occipital bone is twilled, while the lateral li- gaments, that fix th t procejfus dentatus to the Tides of the firft vertebra, and to the os oceipitis, are very dif- ferently affected ; for the one upon the fide towards which the face is turned by the circumgyratio , is much fhortened and lax, while the oppofite one is ftretched and made tenfe, and, yielding at laft no more, prevents the head from turning any farther round on this axis. So that thefe lateral ligaments are the proper moderators of the circumgyratio of the head here, which mull be larger or ImaJler, as thefe ligaments are weaker or ftronger, longer or fhorter, and more or lefs capable of being ftretched. — Befides the revolution on this axis, the firft vertebra can move a fmall way to either fide -y but is prevented from moving backwards and foi wards, by its ante- rior arch, and by the crofs ligament, which are both clofely applied to the tooth-like procefs. Motion for- wards here, would have been of very bad eonfe- quence, as it would have brought the beginning of the fpinal marrow upon the point of the tooth-like procefs. The rotatory motion of the head is of great ufe to us on many accounts, by allowing us to apply quick- ly our organs of the fenfes to objeifts : And the axis of rotation was altogether proper to be at this place \ for, if it had been at a greater diftance from the head, the weight of the head, if it had at any time been removed from a perpendicular bearing to the M 3 fmall 138 Of the SKELETON. fmall very moveable joint, and thereby had acquired a long lever, would have broke the ligaments at every turn irrconfiderately performed ; or thefe ligaments mull have been formed much flronger than could have been connedled to fuch fmall bones. Neither could this circular motion be performed on the firll •uertebra without danger, becaufe the immoveable part of the medulla oblongata is fo near, as at each large turn, the beginning of the fpinal marrow would have been in danger of being twilled, and of fuffer- rng by the compreflion this would have made on its tender fibrils. It is neccfiary to obferve, that the lateral or mode- rator ligaments confine fo much the motion of the firll vertebra upon the fecond, that, though this joint may ferve us on feveral occafions, yet we are often obliged to turn our faces farther round, than could he done by this joint alone, without the greateft danger of twilling the fpinal marrow too much, and alio of luxating the oblique procefles ; therefore, in large turns of this kind, the rotation is affilled by all the vertebra of the neck and loins ; and if this is not fufiicient, we employ moll of the joints of the lower extremities. — -This combination of a great many joints towards the performance of one motion, is al- io to be obferved in feveral other parts of the body; notwithflanding fuch motions being generally faid to be performed by fome fingle joint only. The third vertebra of the neck is by fome called axis ; but this name is applied to it with much lefs reafon than to the fecond — This third, and the three below', have nothing particular in their ftrudlure ; but all their parts come under the general defeription formerly given, each of them being larger as they defeend. The feventh ( c ) vertebra of the neck is near to the form of thofe of the back, having the upper and lower furfaces of its body lefe hollow than the 0- thers ; — The oblique procefles are more perpendicu- lar j, (r) Atlas quibufdam, maxima, magaa vertebra, promiaens. Of the SKELETON. 139 hr ; — neither fpinal nor tranfverfe procefles are fork- ed.— This feventh and the fixth vertebra of the neck have the hole in each of their tranfverfe procefles more frequently divided by a fmall crofs bridge, that goes between the cervical vein and artery, than any of the other vertebra. The twelve clorfal ( d ) may be diftinguifhed from the other vertebra of the fpine by the following marks. Their bodies are of a middle fize, betwixt thofe of the neck and loins ; — they are more convex before than either of the other two forts •, and are flatted laterally by the prefiure of the ribs, which are infert- ed into fmall cavities formed in their Tides. This flatting on their fides, which makes the figure of thefe vertebra almoft an half oval, is of good ufe ; as it affords a firm articulation to the ribs, allows the trachea arteria to divide at a fmall angle, and the o- ther large vefl'els to run fecure from the aCtion of the vital organs. — Thefe bodies are more concave behind than any of the other two clafles. — Their upper and lower furfaces are horizontal. 'the cartilages interpofed between the bodies of thefe vertebra are thinner than in any other of the true vertebrae ; and contribute to the concavity of the fpine in the thorax, by being thinned at their fore-part. The oblique procefles are placed almoft perpendicu- lar -, the upper ones flaming but a little forwards, and the lower ones flaming as much backwards. — They have not as much convexity or concavity as is worth remarking. — Between the oblique procefles of oppofite fides, feveral fharp procefles ftand out from the upper and lower parts of the plates which join to form the fpinal procefs ; into thefe fharp procefles ftrong ligaments are fixed, for connecting the ver- tebra. 0 The (*0 QufdMf , vutv, vs’oroa antifterni, pettoris, tergi. 140 Of the SKELETON. The tranfverfe procefles of the dorfal vertebrae are long, thicker at their ends than in the middle, and turned obliquely backwards ; which may be owing to the preffure of the ribs, the tubercles of which are inferted into a deprefiion near the end of thcfe pro- cefles. The fpinal procefles are long, fmall-pointed, and floping downwards and backwards ; from their up- per and back-part a ridge rifes, which is received by a fmall channel in the fore-part of the fpinal pro- cefs immediately above, which is here conneXed to it by a ligament. The conduit of the fpinal marrow is here more cir- cular, but, correfponding to the fize of that cord, is fmaller than in any of the other vertebrae , and a larger fhare of the holes in the bony bridges, for the tranf- miflion of the nerves, is formed in the vertebra above, than in the one below. The connection of the dorfal vertebrae to the ribs, the thinnefs of their cartilages, the ereX fituation of the oblique procefles, the length, floping, and con- nexion of the fpinal procefles, all contribute to re- ftrain thefe vertebrae from much motion, which might difturb the aXions of the heart and lungs ; and, in confequence of the little motion allowed here, the intervertebral cartilages fooner fluivel, by becoming more folid : And therefore, the firft re- markable curvature of the fpine obferved, as people advance to old age, is in the leaft-ftretched vertebrae of the back \ or old people firft become round- fhouldered. The bodies of the four uppermoft dorfal vertebra deviate from the rule of the vertebra becoming larger as they defcend ; for the firft of the four is the lar- geft, and the other three below gradually become fmaller, to allow the trachea and large veflels to. di- vide at fmaller angles. The two uppermoft vertebra of the back, inftead of being very prominent forwards, are flatted by the aXion of the mufculi longi colli and recti majores. Th& Of the SKELETON. 141 The proportional fize of the two little depreflions in the body of each vertebra , for receiving the heads of the ribs, feems to vary in the following manner; the deprellion on the upper edge of each vertebra de- creafes as far down as the fourth, and after that in- creafes. The tranfverfe procelTes are longer in each lower vertebra to the feventh or eighth, with their fmooth furfaces, for the tubercles of the ribs, facing gradu- ally more downwards ; but afterwards as they defcend they become fhorter, and the fmooth furfaces are di- rected more upwards. The fpinous procefles of the vertebra of the back become gradually longer and more flanting from the firft, as far down as the eighth or ninth vertebra ; from which they manifeftly turn Ihorter and more ere£t. The firft (f) vertebra , befides an oblong hollow in its lower edge, that aflifts in forming the cavity wherein the fecond rib is received, has the whole ca- vity for the head of the firft rib formed in it. The fecond has the name of axillary (g), without any thing particular in its ftru£ture. The eleventh ( h ) often has the whole cavity for the eleventh rib in its body, and wants the fmooth fur- face on each tranfverfe procefs. The twelfth (/) always receives the whole head of the laft rib, and has no fmooth furface on its tranf- verfe procefles, which are very fhort. The fmooth furfaces of its inferior oblique procefles face outwards as the lumbar do. — And we may fay, in general, that the upper vertebra of the back lole gradually their refemblance to thofe of the neck, and the lower ones come nearer to the figure of the lumbar. 'I he articulation of the vertebra of the back with the ribs, fhall be more particularly confidered, after the ribs are defcribed. Only it may be proper now to (f) Korpia, guttural is. (£) Mao'^'KX.ic’rc^. ( b ) A/>prx>,<, in neutrain partem inclinans. CO Aia, praecingcns. Of the SKELETON. 14* to remark, that the ligaments which ferve that arti- culation aflift in connecting the vertebra. The loweft order of the true vertebra is the lum- bar (ir), which are five bones, that may be diftinguifh- ed from any others by thefe marks: i. Their bodies, though of a circular form at their fore-part, are fomewhat oblong from one fide to the other ; which, may be occafioned by the prefiure of the large vefl'els, the aorta and cava , and of the vifccra. The epiphyfes on their edges are larger, and therefore the upper and lower furfaces of their bodies are more concave than in the vertebra of the back. 2. The cartilages between thefe vertebra are much the thickeft of any, and render the fpine convex within the abdomen, by their greateft thicknefs being at their fore-part. 3. The oblique procefles are ftrong and deep; thofe in oppo- site Sides being almoft placed in parallel planes ; the Superior, which are concave, facing inwards, and the convex inferior ones facing outwards: and there- fore each of thefe vertebra receives the one above it, and is received by the one below ; which is not fo e- vident in the other two dalles already deferibed. 4. Their tranfverfe procefles are Small, long, and al- moft ered, for allowing large motion to each bone, and Sufficient infertion to mufcles, and for Supporting and defending the internal parts. 5. Betwixt the roots of the Superior oblique and tr anfverfe procefles, a Small protuberance may be obferved, where fomc of the mufcles that raife the trunk of the body are inferted. 6. Their fpinal procefles are ftrong, ftraight, and horizontal, with broad flat Gdes, and a narrow edge above and below; this laft being deprefled on each fide by mufcles. And at the root of thefe edges, we fee rough furfaces for fixing the ligaments. 7. The canal for the numerous cords, called cauda equina, into which the fpinal marrow divides, is ra- ther larger in thefe bones than what contains that marrow in the vertebra of the back. 8. The holes for the pafl'uge of the nerves are more equally form- ed (i) o5f i^vec, 4-iiuf) renum, lumbonim. Of the SKELETON. *43 ed out of both the contiguous vertebra than in the other clafies ; the upper one furnifhes however the larger fhare of each hole. The thick cartilages between thefe lumbar vertebra , their deep oblique procefies, and their erect fpinal procefies, are all fit for allowing large motion ; though it is not fo great as what is performed in the neck ; which appears from comparing the arches which the head defcribes when moving on the neck, or the loins only. The lumbar vertebra as they defcend, have their oblique procefies at a greater diftance from each o- ther, and facing more backwards and forwards. Both tranfverfe and fpinal procefies of the middle- moft vertebra of the loins are longell: and thickeft; in the vertebra above and below they are lefs : So that thefe procefies of the firft (/) and fifth (m) are the lead, to prevent their flriking on the ribs or ojfa rlii/m, or their biuifing the mufcles in the motions of the fpine. '1 he epiphyfes round the edges of the bodies of the lumbar vertebra are moft raifed in the two lowed, which confequently make them appear hollower in the middle than the others are. The body of the fifth vertebra is rather thinner than that of the fourth. — The fpinal procefs of this fifth is fmaller, and the oblique procefies face more backwards and forwards than in any other lumbar vertebra. After confidering the flructure of the particular vertebra , and their mutual connection, we may ob- ferve a folicitous care taken that they {hall not be disjoined, but with great difficulty; for befides being connected by ftrong ligaments proportioned to the forces which are to be refilled, their bodies either en- ter fo into each other, as to prevent their being dis- placed any way, as in the vertebrae of the neck ; or they are propped on all Tides, as thefe of the back are by (/) Njtyurwf, rcnalis. (m) Atr^ecKirtif, fukiens. *44 Of the skeleton. by the ribs ; or their furfaces of contaft are fo broad, as to render the reparation almoft impratticable, as in the loins ; while the depth and articulation of the oblique procefles are exactly proportioned to the quantity of motion which the other parts of the bones allow, or the mul'cles can perform: Yet, as thefe oblique procefles are fmall, and therefore not capable of fo fecure a conjun&ion, as the larger bo- dies, they mayfooner yield to a disjoining force-, but then their diflocation is not of near fo bad confe- quence as the reparation of the bodies would be. For, by the oblique procefles being diflocated, the mufcles, ligaments, and fpinal marrow, are indeed ftretched ; but this marrow mud be comprefled, or entirely deftroyed, when the body of the vertebra is removed out of its place. The FALSE VERTEBRAE compofe the under pyramid of the fpine. They are diftinguifhed from the bones already defcribed juftly enough by this epi- thet of falfe ; becaufe though each bone into which they can be divided in young people, refembles the true vertebrae in figure, yet none of them contribute to the motion of the trunk of the body; they being intimately united to each other in adults, except at the lower part, where they are moveable ; whence they are commonly divided into two bones, os facrum and coccygis. OS SACRUM («), is fo called, from being offered in facrifice by the ancients, or rather becaufe of its largenefs in refpe£t of the other vertebrae. This bone is of an irregular triangular fhape, broad above, narrow below, convex behind, for the advantageous origin of the mufcles that move the fpine and thigh backwards; and concave behind, for enlarging the cavity of the pelvis. — Four tranfverfe lines, of a co- lour different from the reft of the bone which are feen on its fore-part, are ^ie marks of divifion of the five {») ltpiv, rrorS'vx.t ( fityae Hippocrat. vnoeifnS oribas. n*«rv, latum, os dunium, davium, Of the ’SKELETON. 145 five different bones of which it confifls in young per- fons. r The fore-part of the os facrum , analogous to the bodies of the true vertebrae , is fmooth and fl2t, to al- low a larger fpace for the contained bowels, without any danger of hurting them ; or this flat figure may be owing to the equal preflure of thefe bowels, par- ticularly of the laft gut. — The back-part of it is al- mofl ftraight, without fo large a cavity as the verte- brae have ; becaufe the fpinal marrow, now feparated into the catida equina , isfmall. — 1 he bridges between the bodies and procefles of this bone, are much thicker, and in proportion fhorter, than in the former clafs of bones. — The ftrength of thefe crofs bridges is very remarkable in the three upper bones, and is well proportioned to the incumbent weight of the trunk of the body, which thefe bridges fuftain in a tranfverfe, confequently an unfavourable fituation, when the body is eredt. There are only two oblique procefles of the os fi- c'rum\ one (landing out on each Title from the upper part of the firft bone. Their plain ere£l furfaces face backwards, and are articulated with the inferior oblique procefles of the laft vertebra of the loins, to which each of thefe procefles is connected by a ftrong ligament, which rifes from a fcabrous cavity round their roots, where mucilaginous glands are alfo lodg- ed.— Inftead of the other oblique procefles of this bone, four rough tubercles are to be feen on each fide of its furface behind, from which the mufculus facer has its origin. The tranfverfe procefles here are all grown toge- ther into one large ftrong oblong procefs on each fide, which, fo far as it anfwers to the fiift three bones, is very .thick, and divided into two irregular cavities, by a long perpendicular ridge. — The fore- moft of the two cavities has commonly a thin carti- laginous Ikin covering it in the recent fubje£l, and is adapted to the unequal protuberance of the os ilium ; and a ftrong ligament conne&s the circumference of !• . 1 . N thefe t<\6 Of the SKELETON. thefe furfaces of the two bones. — The cavity behind is divided by a tranfverfe ridge into two, where ftrong ligamentous firings that go from this bone to the os ilium, with a cellular fubftance containing mucus, are lodged. The tranfverfe procefles of the two lad bones of the os facrum are much fmaller than the former. — At their back-part, near their edge, a knob and oblong flat fui face give rife to two ftrong ligaments which are extended to the os ifibiutn ; and are therefore call- ed facro-fciatic . The fpinal procefles of the three uppernioft bones of the os facrum appear fhort, (harp, and almoft erc£f, while the two lower ones are open behind ; and fome- times a little knob is to be feen on the fourth, though generally it is bifurcated, without the two legs meet- ing into a fpine ; in which condition alfo the fiift is often to be feen ; and fometimes none of them meet, but leave a t Jinus, or rather fojfa, in (lead of a canal {o'). — The mufculus latiffmus and longtfjimus dorft, facro-lum- halts and glutacus maximus , have part of their origins from thefe fpinal procefles. The canal between the bodies and procefles of this bone, for the cauda equina, is triangular j and be- comes fmaller as it defeends, as th e cauda alfo does. — Below the third bone, this paflage is no more a com- pletejxmy canal, but is open behind ; and is only there defended by a ftrong ligamentous membrane ftrercbed over it, which, with the mufcles that cover it, and are very prominent on each fide, is a fuflicient de- fence for the bundle of nerves within. At the root of each oblique procefs of this bone, the notch is confpicuous, by which, and fuch another in the laft vertebra of the loins, a paflage is left for the twenty-fourth fpinal nerve ; and, in viewing the os facrum, either before or behind, four large hole6 appear in each fide, in much the fame height, as where the marks of the union of its feveral bones re-: main. Some of the largeft nerves of the body pafe through (*) Vcrheyen Anat. traft. J. cap. 9.— Sue Trad, d’ofteol. p. 127. Of the SKELETON. 147 through the anterior holes; and fuperfici&I grooves run- ning outwards from them in different directions, fhew the courfe of thefe nerves. From the intervals of thefe grooves, the pyriformis mufcle chiefly rifes. The holes in the back-part of the bone are covered by membrane's which allow fmall nerves to pals through them. — The two upperrnoft of thefe holes, efpecially on the fore-fide, are the largelt ; and as the bone defcends, the holes turn fmaller. Sometimes a notch is only formed at the lower part in each fide of this bone; and in other fubjeCts there is a hole com- mon to it and the os coccygis , through which the twenty-ninth pair of fpinal nerves paffies ; and fre- quently a bony bridge is formed on the back-part of each fide by a prooefs fent up from the back-part of the os coccygis , and joined to the little knobs which the laft bone of the os facrum has inftead of a fpinal procefs. Under this bridge or jugum , the twenty- ninth pair of fpinal nerves runs tn its courfe to the common holes juft now defcribed. The upper part of the body of the firft bone re- fembles the vertebrae of the loins; but the fmall fifth bone is oblong tranfverfely, and hollow in the middle of its lower lurface. The fubftance of the os facrum is very fpongy, without any confiderable folid external plates, and is lighter proportionally to its bulk than any other bone in the body ; but is fee u red from injuries by the thick mufcles that cover it behind, and by the flrong liga- mentous membranes that clofelv adhere to it. — As this is one of the moft remarkable inftances of this fort of defence afforded a foft weak bone, we may- make the general obfervation, That, vvhere-ever we meet with fuch a bone, one or other, or both thefe defences are made ufe of, the firft to ward off in- juries, and the fecond to keep the fubftance of the bone from yielding too eafily. This bone is articulated above to the laft verti bra of the loins, in the manner that the lumbar vertebrae are joined ; and therefore the fame motions mav be ver- N 2 fcrrrsd *48 . Of the SKELETON. formed here. — The articulation of the lower part of the osfacrum to the os coccygis, feems well enough ad- apted for allowing confiderable motion to this laft bone, was it not much confined by ligaments. La- terally, the os Jacrum is joined to the ojja ilium by an immoveable Jynchondrofts , or what almoft deferves the name of a future ; for the cartilaginous cruft on the furface of the bones is very thin, and both their fur- faccs are fo fcabrous and unequal, as to be indented into each other : which makes fuch a ftrong connec- tion, that great force is required to feparate them, after all the mufcles and ligaments are cut. — Fre- quently the two bones grow together in old fubje&s. The ufes of the os Jacrum are, to ferve as the com- mon bafe and fupport of the trunk of the body, to guard the nerves proceeding from the end of the fpi- nal marrow, to defend the back-part of the pelvis , and to afford fufficient origin to the mufcles which move the trunk and thigh. The bones that compofe the os Jacrum of infants, have their bodies feparated from each other by a thick cartilage; and, in the fame manner as the true ver- tebraey each of them confifts of a body and two la- teral plates, connefted together by cartilages ; the ends of the plates feldom being contiguous behind. OS COCCY'GIS (a), or rump-bone , is that trian- gular chain of bones depending from the os Jacrum ; each bone becoming fmaller as they defeend, till the lall ends almoft in a point. The os coccygis is convex behind, and concave before; from which crooked pyramidal figure, which was thought to refemble a cuckoo’s beak, it has got its name. This bone confifts ol four pieces in people of mid- dle age : — In children, very near the whole of it is car- tilage : In old fubje&s, all the bones are united, and become frequently one continued bone with the os Jacrum. The higheft of the four bones is the largeft, with •fhoulders extended farther to each fide than the end of (a) Ofperuym ippo;, caudae oSj-ipoadylium, os cuenii. l49 Of the SKELETON". of the o» facrttm ; which enlargement fhould, in my opinion, ferve as a diftinguifhing mark to fix the limits of either bone; and therefore fhould takeaway all difpute about reckoning the number of bones, of which one or other of thefe two parts of the falfe i vertebrae , is compofed ; which difpute mud ftill be kept up, fo Jong as the numbering five or fix bones in the os facrum depends upon the uncertain accident of this broad-fhouldered little bone being united to or feparated from it. — The upper furface of this bone is a little hollow. — From the back of that bulbous part called its fhoulders , a procefs often rifes up on each fide, to join with the bifurcated fpine of the fourth and fifth bones of the os facrum , to form the bony bridge mentioned in the defcription of the os facrum. — Sometimes thefe fhoulders are joined to the fides of the fifth bone of the os facrum , to form the hole in each fide common to thefe two bones, for the pafl'age of the twenty ninth pair of fpinal nerves. — Immediately below the fhoulders ot the os coccygis , a notch may be remarked in each fide, where the thir- tieth pair of the fpinal nerves pafTes. — The lower end of this bone is formed into a fmali head, which very often is hollow in the middle. The three lower bones gradually become fmaller, »nd are fpongy ; but are ftrengthened by a ftrong liga- ment which covers and conne&s them. — Their ends, by which they are articulated, are formed in the fame manner as thofie of the firft bone are. Between each of thefe four bones of young fub- je£ts, a cartilage is interpofed ; therefore their articul- ation is analogous to that of the bodies of the ver- tebrae of the neck : For, as has been above remark- ed, the lower end of the os facrum , and of each of the three fuperior bones of the os coccygis , has a fmali depreffion in the middle ; and the upper part of all the bones of the os coccygis is a little concave, and confequently the interpofed cartilages are tbickefl in the middle, to fill up both cavities; by which they connect the bones more firmly — When the cartilages N 3 oflify. 15a Of the SKELETON. oflify, the upper end of each bone is formed into a cavity, exa-Tly adapted to the protuberant lower end of the bone immediately above. — From this fort of articulation, it is evident, that, unlels when thefe bones grow together, all of them are capable of mo- tion •, of which, the firft and fecond, especially this laft, enjoys the largefl (hare. The lower end of the fourth bone terminates in a rough point, to which a cartilage is appended. To the fules of thefe bones of the os coccygis , the coccygaei mufcles (b), and part of the Ievatores anit and of the glutaei maximi , are fixed. The fubllance of thefe bones is very fpongy, and in children cartilaginous ; there being only a part of the firft bone offified in a new-born infant. — Since therefore the intejlinum rectum of children is not fo firmly fupported as it is in adults, this may be one reafon why they are more fubje£t to a procidentia ani than old people (c). From the defer iption of this bone, we fee how lit- tle it refembles the vertebrae ; fince it feldom has procefles, never has any cavity for the fpinal marrow, nor holes for the paflage of nerves. — Its connection hinders it to be moved to either fide; and its motion backwards and forwards is much confined: Yet as its ligaments can be ltretched by a confiderable force, it is a great advantage in the excretion of the foeces alvinae, and much more in child-bearing, that this bone fiiould remain moveable : and the right manage- ment of it, in delivering women, may be of great benefit to them ( d ). — Ihe mobility of the os coccygis diminifiiing as people advance in age, efpecially when its ligaments and cartilages have not been kept flex- ible by being Ilretched, is probably one reafon why the women, who are old maids before they marry, have generally hard labour in child-bed. The (i) Douglas, Myograph, chap. 40.— Euftach. tab. 36. No. 45. 20. (c) Spipcl. dc humani corp. fabric, lib. 2. jeap. 22. — Paaw, dc •flib. par. 2. cap. 3 (d) Paaw, ibid.— Deventer, Operat. chirurg. cap. 27. Of the SKELETON. 151 The os coccygis ferves to fudain the inteJUnum rec- tum ; and, in order to perform this office more effec- tually, it is made to turn with a curve forwards; by which alfo the bone itfelf, as well as the muffles and teguments, is preferved from any injury, when we fit with our body reclined back. The fecond part of the trunk of the Ikeleton, the PELVIS , is the cylindrical cavity at the lower part of the abdomen , formed by the os facrum, os coccygis , and ojfa innominata ; which lad therefore fall now in courle to be examined. Though the name of OSSA INNOMINATA (e) contributes nothing to the knowledge of their fitu- ation, ftru&ure or office; yet they have been fo long and univerfally known by it, that there is no occafion for changing it. — They are two large broad bones, w’hich form the fore-part and fides of the pelvis , and the lower part of the (ides of the abdomen. — In child- ren each of tbefe bones is evidently divided into three ; which are afterwards fo intimately united, that fcarce the lead mark of their former Separation remains: This notwithdanding, they are described as confid- ing each of three bones, to wit, the os ilium, ifchium , and pubis ; which I ffiall fird defcribe Separately, and then ffiall confider what is common to any two of them, or to all the three. OS ILIUM (f), or haunch-bone , is Gtuated higheft of the three, and reaches as far down as one third of the great cavity into which the head of the thigh- bone is received. The external fide of this bone is unequally convex, and is called its dorfum ; — the internal concave fur- face is by fome (but improperly) named its cojla. — The femicircular edge at the highed part of this bone, which is tipped with a cartilage in the recent fubjett, is named the J pine , into which the external or descen- ding oblique mufcle of the abdomen is inferted ; and from it the internal afcending oblique and the tranf- m., * *r*ri ' “ verfe (e) Xxcxtov, XfotQvo-t if, facro eonjunfta. (/) A). The ribs are all concave internally ; where they are alfo made frnooth by the adlion of the contained parts, which, on this account, are in no danger of being hurt by them ; and they are convex externally, that they might refill that part of the prelfure of the atmofphere, which is not balanced by the air within the lungs, during infpirdtion. — The ends of the ribs next the vertebrae are rounder than they are after thefe bones have advanced forwards, when they become O 3 . flatter (f) Albin. de olfib. feft. 169^ (fj Tlrtupai, ripirrcpva, ). So many different ways this ftnall bone may be formed, without any inconvenience : But then fome of thefe pofitions may be fo directed, as to bring on a great train of ill confequences ; particularly, when the lower end is olfified, and is too much turned out- wards or inwards (y), or when the conjunction of this appendix with the fecond bone is too weak (r). The Jlernum is joined by cartilages to the feven upper ribs, unlcfs when the firit coalefces with it in an intimate union of fubftance : And its unequal cavity on each fide of its upper end is fitted for the ends of the clavicles. The Jlernum molt frequently has four round fmall hones, furrounded with cartilage, in children born at the full time ; the uppermost of thefe, which is the fi rft bone, being the largeft. — Two or three other very fmall bony points are likewife to be feen in fe- veral children. — The number of bones increafes for fome years, and then diminiihes, but uncertainly, till they are at laft united into thofe above deferibed of an adult. The (j>) Weitbrecht, Syndefmolog. p. 121. (?) Rolfinc. DLflcrt. anat. lib. 2. cap. 41 —Pa™ de offib. par. r. cap. 3. & par. 3. cap. 3. — Codronchi de prolaplii cartilagin. mucronat. (r) Paaw, ibid.— Borrich. aft. Hafn. vol. 3. «b. 79.— Bonet. Sc- pulchret. anat. 10m. 2. lib. 3‘ § i* Append, ad obf. 8. ct. ibid. § 7* obf. 19. 173 Of the SKELETON. The ufes of this bone are, to afford origin and in- sertion to feveral mufcles *, to fuftain the tnediafinum , to defend the vital organs, the heart and lungs, at the fore-part ; and, laftly, by ferving as a moveable fulcrum of the ribs, to affift confiderably in refpiration : Which action, fo far as it depends on the motion of the bones, we are now at liberty to explain. When the ribs that are connected by their cartilages to the Jlernum , or to the cartilages of the true ribs, are a£ted upon by the intercoftal mufcles, they muft all be pulled from the oblique pofition which their cartilages kept them in, nearer to right angles wirh- the vertebrae and Jlernum , becaufe the firft or upper- moft rib is by much the moft fixed of any ; and the. cartilages making a great refiftance to raifing the an- terior ends of the ribs, their large arched middle parts turn outwards as well as upwards. — The Jler - tiutn , preffed ftrongly on both fides by the cartilages of the ribs, is puflied forwards, and that at its feveral parts, in proportion to the length and motion of its- fupporters, the ribs; that is, moft at its lower end. — The fernum and the cartilages, thus raifed forwards,, muft draw the diaphragm connected to them ; con- sequently fo far ftretch it, and bring it nearer to a plane. — The power that raifes this bone and the car- tilages, fixes them fufficiently to make them refill the a£lion of the diaphragm , whofe fibres contradl at the. fame time, and thruft the vtfeera of the abdomen downwards. — The arched part of the ribs being thus- moved outwards, their anterior ends and the Jlernum being advanced forwards, and the diaphragm being brought nearer to a plain furface, inftead of being greatly convex on each fide within each cavity of the thorax, it is evident how confiderably the cavity, of which the nine or ten upper ribs are the fides, muffc be widened, and made deeper and longer. — While: this is doing in the upper ribs, the lower ones, whofe cartilages are not joined to the fernum or to other cartilages, move very differently, though they con- fute to the fame intention, the enlargement of the; T 3, thar-ax z *74 Of the SKELETON thorax : For having no fixed point to which their an- terior ends are fattened, and the diaphragm being in- ferted into them at the place where it runs pretty ftraight upwards from its origin at the vertcbrr, thefe ribs are drawn downwards by this ftrong muf- ele, and by the mufcles of the abdomen , which, at this time, are refilling the ftretching force of the bowels ; while the intercollal mufcles are pulling them in the contrary direction, to wit, upwards : The ef- fect therefore of either of thefe powers, which are nntagonitts to each other, is very little, as to mov- ing the ribs either up or down ; but the mufcles of the abdomen , pufhed at this time outwards by the vif- cera , carry thefe ribs along with them. — Thus the thorax is not only not allowed to be fhortened, but is really widened at its lower part, to alfifl in making fufficient fpace for the due diftesnfion of the lungs. As foon as theaclion of thefe feveral mufcles ceafes, the elattic cartilages, extending themfelves to their natural fituation, deprefs the upper ribs, and th ejier- nmn fubfides; — the diaphragm is thruft up by the vif- cera abdominalia, and the oblique and tranfverfe muf- cles of the belly ferve to draw the inferior ribs in- wards at the fame time. — By thefe caufes, thextavity of the bread is diminifhed in all its dimenfions. Though the motions above defciibed of the ribs and Jlemum , efpecially of the latter bone, are fo fmall in the mild refpiration of a healthy perfon, that we can fcarce obferve them *, yet they are manifeft whenever we defignedly increafe our refpiration, or are obliged to do it after exercife, and in feveral difeafes. Of the SUPERIOR EXTREMITIES. AUthors are much divided in their opinions about the number of bones which e zch fuperior extre- mity {a) fhould be faid to confift of, fomc deferibing the (a) Ku>xa, yupi) ixfva tc(j Enata, adnata, explantata membra, atus. Of the SKELETON. *75 the clavicle anti fcapula as part of it, others clafling thefe two bones with thofe of the thorax : But fmce mod quadrupeds have no clavicles , and the human thorax can perform its funftions right when the fcapula is taken away (£), whereas it is impoflible for us to have the right ufe of our arms without thefe bones ; I mud think that they belong to the fuperior extremi- ties ; and therefore fhall divide each of them into the Jhaulder , arm , fore-arm , and hand. The SHOULDER confids of the clavicle and fca- puln. CLAVICULA , or collar-bone (r), is the long crook- ed bone, in figure like an Italic f placed almod hori- zontally between the upper lateral part of the Jlermrm% and what is commonly called thfe top of the fhoulder, which, as a clavis or beam, it beais off from the trunk of the body. The clavicle , as well as other long round bones, is larger at its two ends, than in the middle. The end next to the flemum (d) is triangular: The angle be- hind is considerably produced, to form a fharp ridge, to which the tranfverle ligament, extended from one clavicle to the other, is fixed ( e ). — The fide oppofite to this is fomewhat rounded. — The middle of this protuberant end is as irregularly hollowed, as the cti- vity in the Jlernum for receiving it is raifed^ but in a recent fubjeft, the irregular concavities of both are fupplied by a moveable cartilage, which is not only much more clofely connected every where by liga- ments to the circumference of the articulation, than thofe of the lower jaw are; but it grows to the two bones at both its internal and external end ; its fubflance at the internal end being foft, but very ftrong, and refembling the intervertebral cartilages (f). From (i) Philofoph. tranfaft. numb. 449. § 5. (c) Os jugularc, jugulum, furcula, ligula, clavis, humerus qui- bui'datn. ( d ) riapao-payif. (0 Riolan. Encheirid. anat. lib. 6. cap. 13. — Winflpw, cxpof. anat. des os irais, § 248. — Weitbrecht, Aft. Pctropolit. tom. 4. p, 255. et Syndcfmolog. feft. 2. I. § 3. (f) Weitbrecht, Syadcfmolog. left, ». I. feft 6, 17 6 Of the SKELETON. From this internal end, the clavicle, for about two fifths of its length, is bended obliquely forwards and downwards. On the upper and fore-part of this cur- vature a fmall ridge is feen, with a plain rough fur- face before it ; whence the mufculus Jlerno-hyoideus and Jlerno-maJloideus have in part their origin. — Near the lower angle a fmall plain furface is often to be remark- ed, where the firft rib and this bone are contiguous (g), and are connected by a firm ligament ( h ). — From this a rough plain furface is extended outwards, where the pectoral mufcle has part of its oiigin. — Behind, the bone is made flat and rough by the infertion of the larger (hare of the fubclavian mufcle. — After the clavicle begins to be bended backwards, it is round, but fdbn after becomes broad and thin ; which fhape it retains to its external end. — Along the external concavity, a rough finuofity runs, from which fome part of the deltoid mufcle takes its rife: — Oppofite to this, on the convex edge, a fcabrous ridge gives infertion to a (hare of the cucullaris mufcle. The up- per furface of the clavicle here is flat ; but the lower is hollow, for lodging the beginning of the mufculus fubclavius and towards its back-part a tubercle rifes,, to which, and a roughn'efs near it, the ftrong Ihort thick ligament connecting this bone to tire coracoid procefs of the fcapula is fixed. The external end (*) of this bone is horizontally, oblong, fmooth, doping at the pofterior fide, and tipped in a recent fubject with a cartilage, for its ar- ticulation with the acromion fcapula. — Round this the bone is fpongy, for the firmer connection of the liga- ments. The medullary arteries, having their direction obliquely outwards, enter the clavicles by one or more fmall paflages in the middle of their back-part. The fubftance of this bone is the fame as of the other round long bones. The- (g) Dionis, Sixieme demonft. dfs os. ( b ) Weitbrecht, Syadctmolog. feft. 2. I. § 7, (j) Etw^/£, r'/7 Of the SKELETON. The triangular unequal interior end of each clavicle. , has the cartilage above defcribecl interpofed betwixt it and the irregular cavity of the Jlermtm. — The liga- ments, which furround this articulation to fecure it, are fo fhort and ftrong, that little motion can be al- lowed any way ; and the ftrong ligament that is ftretched acrofs the upper furcula of the Jiernum , from the pofterior prominent angle of the one clavicle, to the fame place of the other clavicle, ferves to keep each of thefe bones more firmly in their place. — By the afliftance, however, of the moveable intervening cartilage, the clavicle can, at this joint, be raifed or deprefled, and moved backwards and forwards fo much, as that the external end, which is at a great diftance from that axis, enjoys very confpicuous mo- tions.— The articulation of the exterior end of the clavicle fliall be confidered after the defcription of the fcapula. The clavicles of infants are not deficient in any of their parts ; nor have they any epiphyfes at their ex- tremities joined afterwards to their bodies, as moft other fuch long bones have, which preferves them from being bended too much, and from the danger of any unoflified parts being feparated by the force which pulls the arms forwards. The ufes of the clavicles are, to keep the fcapulaey and confequently all the fuperior extremities , from falling in and forward upon the thorax ; by which, as in moft quadrupeds, the motions of the arms would be much confined, and the breaft made too narrow. — The clavicles likewife afford origin to feveral muf- cles, and a defence to large veflels. From the fituation, figure, and ufe of the clavicles, it is evident, that they are much expofed to fra&ures j that their broken parts muft generally go by each o- ther; and that they are difficultly kept in their place afterwards. SCAPULA^ or Jhoulder- blade (b)y is the triangular bone (b) n,u.t>r\aT>>f, ixivktiov, latitudo humeri, fccptulum vel fcutu-, lum opcitum, ljwtula, ala,, humerus, clypcus, feutum thoracis.. 178 Of the SKELETON. bone fituated on the outfide of the ribs, with its longed fide called its bafe , towards the fpinal procef- fes of the vertebrae , and with the angle .at the upper part of this fide about three inches, and the lower angle at a greater didance from thefe procefles. — The back-part of the fcapula has nothing but the thin ends ol the ferratus anticus major and fubfcapuluris mufcles between it and the ribs : But as this bone advances forwards, its didance from the ribs iucreafes -The upper or fhorted fide, called the fuperior cojla of the fcapula is nearly horizontal, and parallel with the fe- cond rib. — The lower fide, which is named the infe- rior cojla , is extended obliquely from the third to the eighth rib. — The fituation of this bone here defcribcd, is when people are fitting or danding in a date of in- adfivity, and allowing the members to remain in the mod natural eafy podure. — The inferior angle of the fcapula is very acute ; the upper one is near to a right angle $ and what is called the anterior, does not de- ferve the name, for the two fides do not meet to form an angle. — The body of this bone is concave towards the ribs, and convex behind, where it has the name of dorfum (r). — Three procefles are generally reckon- ed to proceed from the fcapula. — The fird is the large fpine that riles from its convex furfacc behind, and divides it unequally. — The fecond procefs dands out (rom the fore-part of the upper fide; and, from its imaginary refemblance to a crow’s beak, is named coracoides (d). — The third procefs is the whole thick bulbous fore-part of the bone. After thus naming the fevtral condituent parts of the fcapula, the particular defeription will be more eafily underdood. The bafe, which is tipped with cartilage in a young fubjedl, is not all draight: For above the fpine, it runs obliquely forwards to the fuperior angle ; that here it might not be too protuberant backwards, and (o bruife the mufcles and teguments : Into the ob- lique (r) XtXinov. \d) Anchoroidcs, tigmoides, digitalis, anciftroidcs. Or tjhe SKELETON". 179 lique fpace the mufculus patientice is inferted. At the root of the fpine, on the back-part of the bafe, a tri- angular plain furface is formed, by the preflfure of the lower fibres of the trapezius. — Below this the ■edge of the fcapttla is fcabrous and rough-, for the in- fertion of the ferratus major anticus and rhomboid mufcles. The back-part of the inferior angle is madefmooth by the latiffimus dorfi palling over it. This mufcle alfo alters the dire&ion of the inferior cojia fome way forwards from this angle : and fo far it is flatted be- hind by the origin of the teres major. — As the inferior cojia advances forward, it is of confiderable thickrrefs, is llightly hollowed and made lmooth behind by the teres minor, while it has a J'oJfa formed into it below by part of the fubfcapularis ; and between the two a ridge with a fmall depreflion appears, where the lon- gue extenfor cubiti has its origin. The ftperior cojia is very thin ; and near its fore- part there is a femilunar niche, from one end of which to the other a ligament is ftretched ; and fometimes the bone is continued, to form one, or fometimes two holes for the pafiage of the fcapular blood-veflels and nerves. — Immediately behind this femilunar cavity the coraco-hyoid mufcle has its rife. — From the niche to the termination of the fojfa for the teres minor , the fcapula is narrower than any where elfe, and fupports the third procefs. This part has the name of cervix. The whole dorfum of the fcapula is always faid to be convex ; but, by reafon of the raifed edges that furround it, it is divided into two cavities by the fpine, which is ftretched from behind forwards, much nearer to the fuperior than to the inferior cojia. — The cavity above the fpine is really concave where the fu- pra-fpinatus mufcle is lodged ; while the furface of this bone below the fpine, on which the infra-fpina - tus mufcle is placed, is convex, except a fojfa that runs at the fide of the inferior cojia. rI he internal or anterior furface of this bone is hol- low, except in the part above the fpine, which is convex.— z8o Of the SKELETON. convex. — The fubfcapularis mufcle is extended over this furface, where it forms feveral ridges and inter- mediate deprefltons, commonly miftaken for prints of the ribs ; they point out the interfaces of the bun- dles of fibres of which the fubjcapulciris mufcle is com- pofed (e). The fpine (f) rifes fmall at the bafe of the fcapula, and becomes higher and broader as it advances for- wards.— On the fides it is unequally hollowed and crooked, by the a£lions of the adjacent mufcles. — Its ridge ( g ) is divided into two rough flat furfaces : In- to the upper one, the trapezius mufcle is inferted ; and the lower one has part of the deltoid fixed to it. — The end of the fpine, called acromion (h), or top of the fhoulder, is broad and flat, and is fometimes on- ly joined to the fpine by a cartilage (/'). — The anterior edge %of the acromion is flat, finooth, and covered with a cartilage, for its articulation with the external end of the clavicle ; and it is hollowed below, to allow a pafl'age to the infra and fupra Jpinafi mufcles, and free motion to the os humeri. The coracoid (i) procefs is crooked, with its point inclining forwards j fo that a hollow is left at the lower fide of its root, for the pafl'age of the infra-fca- pularis mufcle. — The end of this procefs is marked with three plain futfaces. Into the internal, th c ferratus minor anticus is inferted : From the external, one head of the biceps flexor cubiti rifes ; and from the lower one, the coraco-brachialis has its origin. — At the up- per part of the root of this procefs, immediately be- fore the femilunar cavity, a fmooth tubercle appears, where a ligament from the clavicle is fixed, from all the external fide of this coracoid apoph\fey a broad ligament goes out, which becomes narrower where it (f) Window, in Memoires de l’acad. des feienees, 1722. (f) vxifox1 ’oporKaTov, eminentia fcapnlarum. ( g ) Pterigium, crilla. E 7fu/jU( ayx.upo(i£*f 1 xopuxotiSufj xuT&Y.Kttfj ACromii OSj film* mus armus, rolhum porcinum, proceflus digitalis. (i) SucTrad. d’Olleol. p. 160 4 (i) 'AyxvfotiJni, viyp-idlrS) roftriionnis. 1 8 r Of the S K E L E T O N. it is fixed to the acromion. — Ihe fharp pain, vio- lent inflammation, and tedious cure of contufions in this part, are probably owing to thefe tendons and ligaments being hurt. From the cervix fcapul# the third procefs is produ- ced. The foie-part of this is formed into a glenoid ca- vity (/), which is of the fhape of the longitudinal flec- tion of an egg, being broad below, and narrow a- bove. — Between the brims of this hollow and the fore-part of the root of the fpine, a large finuofity is left for the tranflmiffion of the fupra and infra -/pi anti muffles ; and on the upper-part of thefe brims we may remark a fmooth furface, where the fecond head of the biceps fexor cubiti has its origin. — The root of the fupercilia is rough all round, for the firmer adhe- fion of the capfular ligament of the articulation, and of the cartilage which is placed on thefe biims, where it is thick, but becomes very thin as it is continued towards the middle of the cavity, which it lines all over. The medullary veflels enter the fcapula near the bafe of the fpine. The fubftance of the fcapula , as in all other broad flat bones, is cellular, but ot an unequal thicknefs ; for the neck and third procefs are thick and llrong. The inferior cojla , fpine, and coracoid procefs, arc of a middle thicknefs ; and the body is fo prefixed by the mufcles, as to become thin and diaphanous. The fcapula and clavicle are joined by plain fur- faces, tipped with cartilage (»j) : by which neither bone is allowed any confiderable motion, being tight- ly tied down by the common capfular ligament, and by a very rtrong one which proceeds from the cora- coid procefs ; but divides into two before it is fixed into the clavicle , with fuch a direction, as either can allow this bone to have a fmall rotation, in which its pofterior edge turns more backwards, while the an- terior one rifes farther forwards •, or it can yield to the (/) CI/J.OXOTV Xlf. {m) Acromion, xeiTtcxto if, claulurat, 1 8 z Of thf SKELETON. the fore-part of the fcapula moving downwards, while the back-part of it is drawn upwards ; in both which cafes, the oblong fmooth articulated furfaccs of the clavicle and fcapula are not in the fame plane, but Hand a little tranfverfely, or acrofs each other, and thereby prefer ve this joint from luxations, to which it would be fubjeft, if either of the bones was to move on the other perpendicularly up and down, without any rotation. Sometimes a moveable ligamentous cartilage is found in this joint; otherwhilcs, fuch a cartilage is only interpofed at the anterior half of it; and in fome old fubjetls I have found a fefamoid bone here (//). — The fcapula is connected to the head, cs hyoides , vertebra , ribs, and arm-bone, by mufcles, that have one end fattened to thefe bones, and the o- ther to the fcapula, which can move it upwards, down- wards, backwards, or forwards ; by the quick fuc- ceflion of thefe motions, its whole body is carried in a circle. But being alfo often moved as upon an axis perpendicular to its plane, its circumference turns in a circle whofe centre this axis is ( o ). Whichever of thefe motions it performs, it always carries the outer end of the clavicle and the arm along with it. — The glenoid cavity of this bone receives the os humeri , which plays in it as a ball in a focket, as will be ex- plained more hereafter. The ufe of the fcapula is, to ferve as a fulcrum to ihe arm ; and, by altering its pofition on different occafions, to allow always the head of the os humeri a right fituated focket to move in ; and thereby to a f- fift and to enlarge greatly the motions of th t fuperior extremity , and to afford the mufcles which rife from it more advantageous adtions, by altering their direc- tions to the bone which they are to move.- This bone alfo ferves to defend the back-part of the tho- rax, and is often employed to fuftain weights, or to refill forces, too great for the arm to bear. The («) Jac. Sylv. Ilagog. anat. lib. I. cap. 2. (#) See Winflow Mcmoires dc l’acad. des fciences, 1726. Of the SKELETON. 183 The bafe, acromion , coracoid procefs, and head of the fcapu/a, are all in a cartilaginous (late at birth ; and the three firfi are joined as epiphyfes ; while the head, with the glenoid cavity, is not formed into a diltinft feparate bone, but is gradually produced by the olTification of the body of this bone being conti- nued forwards. The ARM has only one bone, bell known by the Latin name of os humeri {p) ; which is long, round, and nearly flraight. The upper end of this bone ( q ) is formed into a large round fmooth head, whofe middle point is not in a flraight line with the axis of the bone, but Hands obliquely backwards from it. The extent of the head is difiinguifhed by a circular foffa furrounding its bafe, where the head is united to the bone, and the capfular ligament of the joint is fixed. Below the fore-part of its bafe two tubercles Hand out : The fmallelt one, which is fituated molt to the kilide, haa the tendon of the fubfcapularis mufcle inferted into it* —The larger more external protuberance is divided, at its upper part, into three fmooth plain l'urfaces ; into the anterior of which the mufculus fupra-fpinatus : into the middle or largefl, the infra-fpinatus ; inta the one behind, the teres minor is inferted. — Between thefe two tubercles, exndlly in the fore-part of the bone, a deep long fojfti is formed, for lodging the tendinous head ol the biceps Jlexor cubiti ; which, af- ter palling, in a manner peculiar to itlfclf, through the cavity of the articulation, is tied down by a ten- dinous fiieath extended acrofs the fojja ; in which, and in the neighbouring tubercles, are feveral remarkable holes, which are penetrated by the tendinous and li- gamentous fibres, and by veliels. — On each fide of this fo/fr, as it defeends in the os humeri , a rough ridge, gently flatted in the middle, runs from the roots of the tubercles. — The tendon of the peEloral 0^2 mufcle ( p ) AxptMti, axtvit, os brachii, artr.i, adjutcrium, parrum bracL;.;-c, eanna brachii. (7) Acrocolium. i S4 Of the SKELETON. mufcle is fixed into the anterior of thefe ridges, and the latijfimus dorfi , and teres majqr\ are inferted into the inteinal one. — A little behind the lower end of this lad, another rough ridge may be obferved, where the coraco-brachialis is inferted. — From the back-part of the root of the larged tubercle a ridge alfo is con- tinued, from which the -brevis extenfor cubiti riles.— This bone is flatted on the infide, about its middle, by the belly of the biceps flexor cubiti. — In the middle of this plain furface, the entry of the medullary artery is feen flanting obliquely downwards. — At the fore- fide of this plane the bone rifes in a fort of ridge, which is rough, and often has a great many fmall holes in it, where the tendon of the llrong deltoid mufcle is inferted ; on each fide of which the bone is frnooth and fiat, where the brachioeus interfiles rifes. The ex- terior of thefe two flat furfaces is the larged ; behind it a fuperficial fpiral channel, formed by the inufcular nerve, and the veflels that accompany it, runs from behind forwards and downwards.-— The body of the os humeri is flatted behind by the extenfors of the fore-arm. — Near the lower end of this bone, a large lltarp ridge is extended on its outfide, from which the mufculus fpinatcr radii longus, and the longed head of the extenfor carpi radialis rife. — Oppofite to this, there is another fmall ridge to which the aponeurotic tendon, that gives origin to the fibres of the internal and external brachioei mufcles is fixed ; and from a little depredion on the fore-fide of it, the pronator radii teres rifes. The body of the os humeri becomes gradually broader towards the lower end, where it has feveral procefi'es 5 at the roots of which there is a cavity be- fore, and another behind (r). The anterior is divid- ed by a ridge into two; the external, which is the lead, receives the end of the radius ; and the internal receives the coronoid procefsot the ulna in the fledlions of the foie-arm, while the poderior deep triangular cavity lodges the olecranon in the extenfions of that member. * (r) prffiitui. Of the SKELETON. member. The bone betwixt thefe two cavities is- nrefled fo thin by the procefles of the ulna, as to ap- pear diaphanous in Several fubjefts — 1 he Tides of tie pofterioi cavity are ftretched out into two procefles,. one on each fide: Thefe are called condyles ; from each of which a ftrong ligament goes out to the bones of the forearm.— The externa condyle, which has an oblique diredion alfo forwards in refpeft of the internal, when the arm is in the molt natural pofture {s)y is equally ' broad, and has an obtufe fmooth head rifing from it forwards — —From the rough part of the condyle, the inferior head of the bi- corn'is , the extenjor digitorutn communis, extcnjor carpi ulnar is, anconeus, and feme part of th tc fupinator radtv brevis take their rife; and on the fmooth head the upper end of the radius plays.— Immediately on the outfide of this, there is a finuofity made by the fhorter head of the bicornis mufcle, upon which the mufcular nerve is placed. The internal condyle is more pointed and protuberant than the external, to give origin to fome part of the flexor carpi radiahs , pronator radii teres, palmaris longus, flexor digitorutn fublimis. , and flexor carpi ulnaris. Between the two condyles, is the trochlea or pully, which con fills or two lateral protuberances, and a middle cavity, that are fmooth and covered with cartilage.— When the. fore-arm is extended, the tendon of the internal bra - ehiocus mufcle is lodged in the fore-part of the cavity of this pully. — The external protuberance, which is lefs than the other, has a fliarp edge behind; but forwards, this edge is obtufe, and only lepaiated from the little head, already deferibed, by a lmall fo/Ta, in which the joined edges of the ulna and radius move. — The internal protuberance of the pully is. ]ar The polterior is the largeft, and formed like a hook, whofe concave furface moves upon the pully of the es (a) Cubitus, sxun, rvym, ulna, lacertus. W Cnbitus, m-h^uc, xporn^ay, focile majus, canna vel arundo major, ct inferior brachii. 1 8 8 Op the SKELETON. \ os humeri , and is called olecranon (b), or top of tha cubit. — The convex back-part of it is rough and fca- brous, where the long us, brevis, and brachioeus exter - . nus, are inferted. The olecranon makes it unneceflary that the tendons of the extenfor muCcles (hould pafs over the end of the os humeri ; which would have been of ill confequence in the great fle&ions of this joint, or when any confiderable external force is applied to this part ( c ). — The anterior procefs is not fo large, nor does it reach fo high as the one behind ; but is (harper at its end, and therefore is named coro - noid. — Between thefe two procefies, a large femicircu* lar or Jigmoid concavity is left ; the furface of which, on each fide of a middle rifing, is flanting, and ex- a£Uy adapted to the pully of the bone of the arm. — Acrofs the middle of it, there is a fmall finuofity for lodging mucilaginous glands ; where, as well as in a fmall hollow on the internal fide of it, the cartilage that lines the reft of its furface is wanting. — Round the brims of this concavity the bone is rough, where the capfular ligament of the joint is implanted. — Im- mediately below the olecranon, on the back-part of the ulna, a fiat triangular fpongy furface appears, on which we commonly lean. — At the internal fide of this, there is a larger hollow furface, where the muf- culus anconasus is lodged ; and the ridge at the infide of this gives rife to the mufculus fupinator radii brevis. , Between the top of the ridge and the coronoid pro- cefs is the femilunated fmooth cavity, lined with car- tilage, in which, and a ligament extended from the one to the other end of this cavity, the round head of the radius plays. — Immediately below it a rough hollow gives lodging to mucilaginous glands. — Below the root of the coronoid procefs, this bone is fcabrous and unequal, where the brachiceus interims is inferted. On the outfide of that we obferve a fmooth conca- vity, where the beginning of the Jlexor digitorum pro- fundus fprouts out. The- (b) Ayxwv, gibber cubitus, additamcntum necatum. (c) Window F.xpofition anatomique du corps humain, tvaitc des. tfs fees, feft. 279/ Of the SKELETON. i 89 The body of the ulna is triangular. — The internal angle is very fharp where the ligament that conne&s the two bones is fixed : — The fides, which make this angle, are flat and rough, by the adhion and adhefion of the many mufcles which are fituated here. — At the diflance of one third of the length of the ulna from the top, in its fore-part, the paflage of the me- dullary veflcls is to he remarked flanting upwards. — The external fide of this bone is fmooth, fomewhat convex, and the angles at each edge of it are blunted by the prefi'ure of the mufcles equally difpofed about them. As this bone defcends, it becomes gradually fmal- ler ; fo that its lower end terminates in a little head, ftanding on a fmall neck. — Towards the fore but outer part of which laft, an oblique ridge runs, that gives rife to the pronator radii quadratus. — The head is round, fmooth, and covered with a cartilage on its internal fide, to be received into the femilunar cavity of the radius ; while a Jlyloid procefs (d) rifes from its outfide, to which is fixed a ftrong ligament that is extended to the os cuntiforme and pififorme of the wrifl. — Between the back-part of that internal fmooth fide and this procefs, a finuofity is left for the tendon of the extenfor carpi ulnaris. — On the fore-part of the root of the procefs, fuch another depreffion may be remarked for the paflage of the ulnar artery and nerve. -—The end of the bone is fmooth, and covered with a cartilage. — Between it and the bones of the wrift, a doubly concave moveable cartilage is interpofed ; which is a continuation of the cartilage that covers the lower end of the radius , and is connedfed loofely to the root of the Jlyloid procefs, and to the rough cavity there ; in which mucilaginous glands are lodged. The ulna is articulated above with the lower end of the os humeri , where thefe bones have depreflions and protuberances correfponding to each other, fo as to allow an eafy and fecure extenfion of the fore-arm to almolt (<0 TpufottSn, malleolus externus. 5po Of the SKELETON. nlmoft a ftraight line with the arm, and fle&ion to a very acute angle ; but, by the flaming pofition of the pully, the lower part of the fore-arm is turned out- wards in the extenfion, and inwards in the ile&ion (e) ; and a very fmall kind of rotation is likevvife al- lowed in all pofitions, efpecially when the liga- ments are mod relaxed by the fore-arm being in a middle degree of fle£Hon. — The ulna is alfo articu- lated with the radius and carpus , in a manner to be related afterwards. RADIUS (f ), fo called from its imagined refem- blance to a fpoke of a wheel, or to a weaver’s beam, is the bone placed at the infide of the fore-arm. Its upper end is formed into a circular little head, which is hollowed for an articulation with the tubercle at the fide of the pully of the os humeri ; and the half of the round circumference of the head next to the ul- na is fmooth, and covered with a cartilage, in order to be received into the femilunated cavity of that bone. — Below the head, the radius is much fmaller j therefore this part is named its cervix, which is made round by the action of the fupinator radii brevis. — At the external root of this neck, a tuberous procefs rifes ; into the outer part of which the biceps flexor cubit i is inferted. — From this a ridge runs downwards and inwards, where the fupinator radii brevis is in- ferted ; and a little below, and behind this ridge, there is a rough fcabrous furface, where the pronator radii teres is, fixed. The body of the radius is not ftraight, but convex on its internal and pofterior furfaces ; where it is alfo made round by the equal preflure of the circumjacent mufcles, particularly of the extenfors of the thumb ; but the furfaces next to the ulna are flatted and rough, for the origin of the mufcles of the hand ; and both terminate in a common fharp fpine, to which the ftrong ligament extended betwixt the two bones of the fore-arm is fixed. — A little below the beginning & . (e) Winflow, Memoircs tie I'acad. des fciences, 1722. (f) facile minus, can 11 a minor, amndo minor. Of the SKELETON. ipr of the plain furface, on its fore-part, where the flexor mufcle of the laft joint of the thumb takes its origin, the palfage of the medullary ve/Tels is feen flanting upwards. — The radius becomes broader and flatter to- wards the lower end, efpecially on its fore-part, where its pronator quadratic mufcle is fituated. The lower end of the radius is larger than the fu- perior ; though not in fuch a difproportion as the up- per end of the ulna is larger than its lower end. — Its back-part has a flat ftrong ridge in the middle, and foflx on each fide. — In a fmall groove immediately on the outfide of the ridge, the tendon of the exttnfor tertii internodii pollicis plays. — In a large one beyond this, the tendons of the indicator and of the common extenfor mufclcs of the fingers pafs. — Contiguous to the ulna , there is a fmall depreflion made by the ex- tenfor minimi digiti — On the infide of the ridge there is a broad depreflion, which feems again fubdivided, where the two tendons of the bicornis , or extenfor car- pi radialis, are lodged. — The internal fide of this end of the radius is alio hollowed by the extenfors of the firft and fecond joint of the thumb; immediately a- bove which, a little rough furface fhews where the fupinator radii longus is inferted. — The ridges at the tides of the grooves, in which the tendons play, have an annular ligament fixed to them, by which the fe- veral fheaths for the tendons are formed. — The fore- part of this end of the radius is alio deprelfed, where the flexors of the fingers and flexor carpi radialis pafs. I he external fide is formed into a femilunated fmooth cavity, lined with a cartilage, for receiving the lower end of the ulna. — The loweft part of the radius is formed into an oblong cavity ; in the middle of which is a fmall tranfverfe riling, gently hollowed, for lodging mucilaginous glands; while the riling it- felf is inlinuatcd into the conjunction of the two bones of the wrift that are received into the cavity. 1 he internal fide of this articulation is fenced by |a remarkable procefs (g) of the radiusi from which a ligament Cf) Malleolus interims, procefius ftyloides, IQ2 Of the SKELETON. ligament goes out to the wrift, as the Jlyloid procefs of the ulna with its ligament guards it on the out- fide. The ends of both the bones of the fore-arm being thicker than the middle, there is a confiderable dif- tance between the bodies of thefe bones ; in the lar- ger part of which a ftrong tendinous, but thin liga- ment, is extended, to give a large enough furface for the origin of the numerous fibres of the mufcles fi- tuated here, that are fo much funk between the bones, as to be protected from injuries, which they would otherwife be expofed to. But this ligament is want- ing near the upper end of the fore-arm, where the fupinator radii brevis , and Jlexor digitorum profundus , are immediately connected (A). Both ends of the bones of the fore-arm are firft cartilages, and then cpiphyfes in children. As the head of the radius receives the tubercle of the os humeri , it is not only bended and extended along with the ulniiy but may be moved round its axis in any pofition •, and that this motion round its axis may be fufficiently large, the ligament of the articulation is extended farther down than ordinary on the neck of this bone, before it is conne£ted to it ; and it is very thin at its upper and lower part, but makes a firm ring in the middle. — This bone is alfo joined to the ulna by a double articulation ; for above, a tu- bercle of the radius plays in a focket of the ulna ; whilft below, the radius gives the focket, and the ul- na the tubercle : But then the motion performed in thefe two is very different ; for at the upper end, the radius does no more than turn round its axis ; while at the lower end, it moves in a foit of cycloid upon the round part of the ulna ; and as the hand is articulated and firmly connected here with the radius , they mult move together. — When the palm is turned uppermolt, the radius is faid to perform the fupination ; when the back of the hand is above, it is faid to be prone. But then the quicknefs and large extent of thefe (A) Weitbrecht, Sjrndcfmolog. %. 10, 12. Or the SKELETON. *93 thefe two motions are affifted by the ulna, which, as was before obferved, can move with a kind of fmall -rotation on the doping fides of the pulley. This la- teral motion, though very inconfiderable in the joint itfrlf, is confpicuous at the lower end of fuch a long bone; and the ftrong ligament connecting this lower end to the carpus , makes the hand more readily to obey tbefe motions.— When we defign a large circu- lar turn of our hand, we increafe it by the rotation of the or htmeri , and fometimes employ the fpine and inferior extremities to make thefe morions of probation or fupination of the hand large enough. The HAND (i) comprehends all from the joint of the wrift to the points of the fingers. Its back-part is convex, for greater firmnefs and ftrength ; and it is concave before, for containing more furely and con- veniently fuch bodies as we take hold of.— One half of the hand has an obfcure motion in eomparifon of whijt the other has, and fetves as a bafe to the move- able half; which can be extended back very little far- ther than to a ftraight line with the fore-arm, but can be conhderably pended forwards. As the bones that compofe the hand are of diffe- rent ihapes and ufes, while feveral of them that arc contiguous agree in fome general charters; the hand is, on this account, commonly divided into the among "hkh “ The CORPUS (A) is compofed of eight fmall fpon- gy bones, fituated at the upper part of the hand. I fhall defer 1 be each of thefe bones, under a proper name taken from their figure (/) ; becaufe the nfethod of ranging them by numbers leaves anatomifts too much at liberty to debate very idly, which ought to be preferred to the firft number ; or, which is worfe fe^ral, without explaining the order they obferve* differently apply the fame numbers, and fo confound «htir readere'-But ** the cteferiprion oithefc bones (i) ’Axpo^ti f, fumma manus. i fbThialc> Pj.™3 PaIm* par?, rafetta. w cjicr, Cult. anat. lib. cap. 3, i^4 Of the SKELETON. niay be in the fame order as they are found in the ge- nerality of anatomical books, I fhall begin with the range of bones that are concerned in the moveable joint of the wrift, or are conne&ed to the fore-arm, and fhall afterwards confider the four that fupport the thumb and offa metacarpi of the fingers. The eight bones of the carpus are, os fcaphoides^ lu~ tiare, cuneiforme , pijtforme , trapezium , trapezoides , mag- num, unciforme. The fcaphoides is fituated mod internally of thofe rhat are articulated with the fore-arm. — The lunare is immediately on the outfide of the former. — The cuneiforme is placed fiill more externally, but does not reach fo high up as the other two — The pi/iforme Hands forwards into the palm from the cuneiforme. — ■ The trapezium is the firft of the fecond row, and is fituated betwixt the fcaphoides and firft joint of the thumb. — The trapezoides is immediately on the out- fide of the trapezium. — The cs magnum is ftill more external. — The unciforme is farther to the fide of the little finger. Os fcaphoides (»«) is the largeft of the eight except one. It is convex above, concave and oblong below j from which fmall rcfemblance of a boat it has got its name. — Its fmooth convex furface is divided by a rough middle foffa , which runs obliquely crofs it. — The upper largeft divifion is articulated with the ra- dius.— Into the foffa the common ligament of the joint of the wrift is fixed ; and the lower divifion is joined to the trapezium and trapezoides. — The concavity re- ceives more than an half of the round head of the cs magnum. — The external fide of this hollow is form- ed into a femilunar plane, to be articulated with the following bone. — The internal, pofterior, and ante- rior edges are rough, for fixing the ligaments that connect it to the furrounding bones. Os lunare («) has a fmooth convex upper furface, by which it is articulated with the radius* — The inter- nal (m) K omxojiJuf, navicular*. («) Lunatum, Of the SKELETON. 19$ rial fide, which gives the name to the bone, is in the form of a crefcent, and is joine,d with the fcaphcid ; — the lower furface is hollow, for receiving part of the head of the os magnum. — On the outfide of this cavi- ty is another fmooth, but narrow oblong finuofity, for receiving the upper end of the os unciforme : — On the outfide of which a fmall round convexity is found, for its connection with the os cuneiforme. — Between the great convexity above, and the firft deep inferior cavity, there is a rough fojfla, in which the circular ligament of the joint of the wrift is fixed. Os cuhetforme ( p ) is broader above, and towards the back of the hand, than it is below and forwards ; which gives it the refemblance of a wedge. — The fu- perior (lightly convex furface is included in the joint of the wrift, being oppofed to the lower end of the ulna. — Below this the cuneiform bone hae a rough foffht wherein the ligament of the articulation of the wrift is fixed. — On the internal fide of this bone, where it is contiguous to the os lunare , it is fmooth and flightly concave. — Its lower furface, where it is con- tiguous to the os unciforme is oblong, fomewhat fpiral, and concave. — Near the middle of its anterior furface a circular plane appears, where the os pijforme is fuf- tained. Os pijforme ( q ) is ^lmoft fpherical, except one cir- cular plane, or flightly hollow furface, which is co- vered with cartilage for its motion on the cuneiform bone, from which its whole rough body is prominent forwards into the palm ; having the tendon of the flexor carpi ulnaris , and a ligament from the flyloid procefs of the ulna, fixed to its upper part ; the tranj~ verfe ligament of the wrift is connected to its inter- nal fide-, ligaments extended to the unciform bone, and to the os metacarpi of the little finger, are attach- ed to its lower part; the abduftor minimi digiti has its origin from its fore-part ; and, at the internal fide of h“ 1 R 2 it, (t>) Triquetrum. Cartilaginoi'um, fubrotunclum, refbun. *9 6 Of the SKELETON. it, a Email deprcflion is formed, for the paflagc of the ulnar nerve. Trapezium ( r ) has four unequal fides and angles in, its hack-part, from which it has got its name. — A- bove, its furface is fmooth, flightly hollowed, and felnicircular, for its conjun&ion with the os fcapkoidcs. — Its external fide is an oblong concave fquare, for receiving the following bone. The inferior furface is formed into a pulley ; the two protuberant fides of which are external and internal. Ou this pulley the firfi: bone of the thumb is moved. — At the external fide of the external protuberance, a fmall oblong fmooth furface is formed by the os metacarpi indicis. — ■ The fore-part of the trapezium is prominent in the palm, and, near to the external fide, has a finuofity in it, where the tendon of the flexor carpi radialis is lodged; on the ligamentous fheath of which the ten- don of the jlexor tertii inter ned'u pollicis plays : And Hill more externally the bone is fcabrous, where the Iranfverfe ligament of the wrifi; is connected, the ab - duBor and flexor primi internodii pollicis have their o- rigin, and ligaments go out to the fuft. bone of the thumb. Os trapezoidcs (r), fo called from the irregular quadrangular figure of its back-part, is the fmalleft bone of the wrift except the piflforme. — The figure of it is an irregular cube. — It has a fmall hollow furface above, by which it joins the fcapboides\ a long con- vex one internally, where it is contiguous to the tra- pezium ; a fmall external one, for its conjun£tion with the os magnum ; and an inferior convex furface, the edges of which are however fo raifed before and be- hind, that a fort of pulley is formed, where it fuftains the os metacarpi indicis. Os magnum (t), fo called becaufe it is the largeft bone of the carpus , is oblong, having four quadran- gular fides, with a round upper end, and a triangular plain (r) Os cubiforme, trapezoides, multangulum majus. (j) Trapezium, mulunguiutn minus. ( t ) Maximum, capitatum. Of the SKELETON 197 plain one below. — —The round head is divided by a fmall rifing, oppofite to the connexion of the os fcaphoides and lunare, which together form the cavity for receiving it. — On the infide a fhort plain furface joins the os magnum to the trapezoides. — -On the cut- fide is a long narrow concave furface, where it is contiguous to the os uncifarme. — 'The lower end, which fuflains the metacarpal bone of the middle finger, is triangular, flightly hollowed, and farther advanced on the internal fide than on the external, having a confiderable oblong depreflion made on the advanced infide by the metacarpal bone of the fore-finger; and generally there is a fmall mark of the os nietacarpi di~ gift annularis on its external fide. Os unciformc '(«) has got its name from a thin broad procefs that (lands out from it forwards into the palm, and is hollow on its infide, for affording paflfage to the tendons of the flexors of the fingers. To this- procefs alfo the tranfverfe ligament is fixed, that binds down and defends thefe tendons ; and the plexor and abduttor mufcles of the little finger have part of their origin from it. The tipper plain furface is fmall,. convex, and joined with the os lunare : — The internal fide is long, and flightly convex, adapted to the con- tiguous os magnum : — The external furface is oblique,, and irregularly convex, to be articulated with the cu- neiform bone : — -The lower end is divided into two concave furfaces ; the external is joined with the me- tacarpal bone of the little finger, and the internal, one is fitted to the metacarpal bone of the ring- finger. In the defer iption of the preceding eight bones, I have only mentioned thofe plain furfaces covered with cartilage, by which they are articulated to each other,, or to fome other bones, except in fome few cafes,, where fomething extraordinary was to be obferved and I have defignedly omitted the other rough fur- faces, led, by crowding too many words in the de- feription. of fuch fmall bones, the whole fhould be * r R 3 unintelligibly a 09 Cuneiforms. Of the SKELETON.' unintelligible : But thefe fcabrous parts of the bones may eafily be underftood, after mentioning their fi- gure, if it is obferved, that thev are generally found only towards the back or palm of the hand ; that they are all plain, larger behind than before ; and that they receive the different ligaments, by which they are ei- ther conne&ed to neighbouring bones, or to one an- other; for thefe ligaments cover all the bones, and are l'o accurately applied to them, that, -at firft view, the whole carpus of a recent fubjebl appears one fmooth bone (a.*). As the furfaces of thefe bones are largefi: behind, the figure o£ the whole conjoined mult be convex there, and concave before ; which concavity is Bill more increafed by the os piffenne. and procefs of the cs vrteijorme, Banding forwards on one fide, as the trapezium does on the other : And the bones are fe- curelv kept in this form, by the broad- Itrong tranf- verle ligament connebled to thefe parts of them that Hand prominent into the palm of the hand. — The convexity behind renders the whole fabric ftrong- cr, where it is moft expofed to injuries; and the large anterior hollow is neceffary for a fafe palfage to the numerous velfels, nerves, and tendons of the fingers. The fubftance of thefe bones is fpongy and cellu- lar, but firong in refpebl of their bulk. The three full bones of the carpus make an oblong head, by which they are articulated with the cavity at the lower ends of the bones of the fore-arm; fo as to allow motion to all fides, and, by a quick fuc- ceflion of thefe motions, they may be moved in a circle. But as the joint is oblong, and therefore the two dimenfions are unequal, no motion is allowed to the carpus round its axis, except what it has in the pronation and fupination along with the radius. The articulation of the firit three bones of the fupe- rior row, with the bones of the inferior, is luch as allows of motion, efpecially backwards and forwards; to ( x ) Galen tie ufu part. lib. 2. cap. 8. For a particular deferiptioa of thefe ligaments, fee Wcitbrecht Syntjcfinolog. p. $ W. s Of the S K E L E f O N. to the fecurity and eafinefs of which the reception of the os magnum into the cavity formed by the fcaphoides and lunare contributes confiderably : And the greateft number of the mufcles that ferve for the motion of the wrift on the radius , being inferted beyond the conjunction of the firft row of bones with the fecond, act equally on this articulation as they do on the for- mer; but the joint formed with the radius being the molt eafly moved, the firft effeCt of thefe mufcles is on it; and the fecond row of the carpus is only mov- ed afterwards. By this means a larger motion of the wrift is allowed, than otherwife it could have had fafely : For, if as large motion had been given to one- joint, the angle of fleclion would, have been very acute, and the ligaments muft have been longer than- was confident with the firmnefs and fecurity of the joint. — lhe other articulations of the bones here be- ing by nearly plain furface9, fcarce allow of any more motion, becaufe of the ftrong connecting liga- ments, than to yield a little, and fo elude the force ol any external power; and to render the back of the wrift a little more flat, or the palm more hollow, on pfoper occafions. The articulations of the thumb and metacarpal bones (hall be examined afterwards. The ufes of the carpus are to ferve as a bafe to the hand, to proteCl its tendons, and to afford it a free large motion. All the bones of the carpus are in a cartilaginous ftate at the time of birth. On account of the many tendons that pafs upon the lower end of the fore-arm and the carpus , and of the numerous ligaments of thefe tendons and of the bones, which have lubricating liquors fupplied to them, the pain of fprains here is acute, the parts take long time to recover their tone, and their fwell- ings are very obftinate. METACARPUS ( x ) confifts of four bones which luftain the fingers. — Each bone is long and round, with (x) Knif, rptxafrricv, srxSof, xrcrrov, poflbrachiale, pcc^ tns, f alma, pcftea, soa Of the SKELETON. with its ends larger than its body. — The upper end;, which fome call the bafe, is flat and oblong, without any confiderable head or cavity ", but it is however fomewhat hollowed, for the articulation with the carpus : It is made flat and fmooth on the fides where thefe bones are contiguous to each other Their bo- dies are flatted on their back-part by the tendons of the extenfors of the fingers. — The anterior furface of thefe bodies is a little concave, efpecially in their middle ; along which a (harp ridge (lands out, which feparates the mufeuli interoffti placed on each fide of thefe bones which, are there made flat and plain by thefe mufcles. Their lower ends are railed into large oblong fmooth heads, whofe greatefl extent is forwards from the axis of the bone. — At the fore-part of each fide of the root of each of thefe heads, one or two tu- bercles Hand out, for fixing the ligaments that go from one metacarpal bone to another, to- preferve them from being drawn afundcr. — Round the heads a rough ring may be remarked, for the capfular liga- ments of the fir ft joints of the fingers to be fixed to ; and both fides of thefe heads are flat, by preffing on each other. The fubftance of the metacarpal bones is the fame with that of all long bones. At the time of birth, thefe bones are cartilaginous at both ends, which afterwards become epiphyfes. The metacarpal bones are joined above to the ojfa carpi and to each other by nearly plain furfaces. Thefe connexions are not fit for large motions. — The articulation of their round heads at the lower ends with the cavities of thefirft bones of the fingers, is to be taken notice of hereafter. The concavity on the fore-part of thefe metacar- pal bones, and the placing their bafes on the arched carpus , caufe them to form a hollow in the palm of the hand, which is ufeful often to U9. — The fpaces* between them lodge mufcles, and their fmall motion makes them fit fupporters for the fingers to play on.. Though, 201 Of the SKELETON. Though the offd metacarpi fo far agree, yet they may be diftinguifhed from each other by the follow- ing marks. The os metacarpi indicts is generally the longefi:.— Its bafe, which is articulated with the os trapezoides , is hollow in the middle. — The fmall ridge on the in- ternal fide of this oblong cavity is fmaller than the one oppofite to it, and is made flat on the fide by the trapezium. — The exterior ridge is alfo fmooth, and flat on its outGde, for its conjunction with the os- magnum ; immediately below which, a femicircular fmooth flat furface fhews the articulation of this to the fecond metacarpal bone. — The back-part of this bafe is flatted, where the long head of the e> denjer carpi radial'ts is inferted ; and its fore-part is promi- nent, where the tendon of the flexor carpi radialts is fixed. — The external fide of the body of this bone is more hollowed by the aftion of mufcles, than the internal. — The tubercle at the internal Foot of its head is larger than the external. — Its bafe is fo firm- ly fixed to the bone it is conne&ed with, that it has Bo motion. Os metacarpi medii digiti is generally tbe fecond in length ; but often it is as long as the former ; fome- times it is longer ; and frequently it appears only to equal the fir ft by the os magnum being farther ad- vanced downwards than any other bone of the wrift. — Its bafe is a broad fuperficial cavity, flanting outwards ; the internal pofterior angle of which is fo prominent, as to have the appearance of a pro- cefs. — The internal fide of this bafe is made plain in the fame way as the external fide of the former bone, while its external fide has two hollow' circular furfaces, for joining the third metacarpal bone; and between thele furfaces there is a rough fifla, for the adhefian of a ligament, and lodging mucilaginous glands. — The fhorter head of the bkornis is inferted into the back-part of this bafe. — The two fides of this bone are almofl: equally flatted ; only the ridge on the fore-part of the bodv inclines outwards. — • The 202 Of the SKELETON. The tubercles at the fore-part of the root of the head are equal. — The motion of this - bone is very little' more than the fird metacarpal one has ; and there- fore, thefe two firmly refill bodies preffed againll them by the thumb, or fingers, or both. Os metacarpi digiti annularis is (horter than the fe- coud metacarpal bone. — Its bafe is femicircular and convex, for its conjun&ion with the os unciforme. — On its internal fide are two fmooth covexities, and a middle fojfa , adapted to thefccond metacarpal bone. — The external fide has a triangular fmooth concave furface to join it with the fourth one. — The anterior ridge of its body is fituated more to the out than to the infide. — The tubercles near the head are equal. — The motion of this third metacarpal bone is greater, than the motion of the fecond. Os metacarpi minimi digiti is the final left and (harp- ed.— Its bafe is irregularly convex, and rifes flanting outwards. — Its internal fide is exa£lly adapted to the third metacarpal bone. — The external has no fmooth furface, becaufe it is not contiguous to any other bone ; but it is prominent where the extcnjor carpi vlnaris is inferted. — As this metacarpal bone is fur- nifhed with a proper moving mufcle, has the plained: articulation, is mod loofely conne£led and lead con- fined, it not only enjoys a much larger motion than, any of the red, but draws the third bone with it, when the palm of the hand is to be made hollow by its advancement forwards, and by the prominence of the thumb oppofite to it. The THUMB and four FINGERS are each com- pofed of three long bones. The Thumb (y) is fituated obliquely in refpeft of the fingers, neither oppofite dire&ly to them, nor in the fame plane with them. — All its bones are much thicker and dronger in proportion to their length, than the bones of the fingers are : Which was ex- tremely neccdary, fince the thumb counteratfls all the fingers. The (yj Jr*. JvJ'uAof, maenus digitus, promanu* Of TtiE S' K E L E T O. N. 203 . The firft bone of the thumb has its bafe adapted •to the double pulley of the trapezium : For, in view- ing it from one fide to the other, it appears convex in the middle ; but when confidered from behind forwards, it is concave there. — The edge at the fore;- part of this bafe is produced farther than any other part ; and round the back-part of the bafe a rough fa£a .may be feen, for the connexion of the ligaments of this joint. — The body and head of this bone are.pf the fame fhape as the offa metacarpi ; only that 'the body is fhorter, and the head flatter, with the tu- bercles at the fore-part of its root larger. , , f The articulation of the upper end of this bone is uncommon: For, though it has protuberances afpd depreffions adapted to the double pulley of the tra- pezium ; yet it enjoys a circular motion, as the joints do where a round head of one bone plays in the or- bicular focket of another; only it is fomewhat more confined and lefs expeditious, but ftronger and more fecure, than fuch joints generally are. This bone of children is in the fame Rate with the metacarpal bones. The fecond bone of the thumb has a large bafe formed into an oblong cavity, whofe greateft length is from one fide to the other. — Round it feveral tu- bercles may be remarked, for the infertion of liga- ments.— Its body is convex, or a half round behind ; but flat before, for lodging the tendon of the long .flexor of the thumb, which is tied down by liga- mentous fheaths that are fixed on each fide to the an- gle at the edge of this flat furface. — The lower end of this fecond bone has two lateral round protube- rances, and a middle cavity, whofe greateft extent of fmooth furface is forwards. The articulation and motion of the upper end of this fecond bone is as Angular as that of the former. — For its cavity being joined to the round head of the firft bone, it would feem at firft view' to enjoy mo- tion in all directions ; yet, becaufe of the Itrength of its lateral ligaments, oblong figure of the joint it- ---V Tel f. S04 Of the SKELETON. lielf, and mobility of the firft joint, it only allows fje&ion and extenfion ; and thefe aregenerally much confined. The third bone of the thumb is the fmalleft, with a large bafe, whofe greateft extent is from one fide to the other. — This bafe is formed into two cavities and a middle protuberance, to be adapted to the pnl- &yof the former bone. — Its body is rounded be- hind j but is flatter than in the former bone, for fu- ilaining the nail. — It is flat and rough before, by the dnfertion of the flexor tertii internodii. — This bone becomes gradually fmaller, till near the lower end, where it is a little enlarged, and has an oval fcabrous tS&ge. The motion of this third bone is confined to flec- tion and cxtenfion. The orderly difpofition of the bones of the fl tigers into three rows, has made them generally obtain the name of three phalanges (2). — All of them have half round convex furfaces, covered with an aponeuroflsy formed by the tendons of the extenfcrsy latnbricales, and interoffeiy and placed dire£Hy backwards, for their greater ftrength ; and their flat concave part is for- wards, for taking hold more furely, and for lodging the tendons of the flexor mufcles. — The ligaments for keeping down thefe tendons are fixed to the angles that are between the convex and concave fides. The bones of the firft phalanx {a) of the fingers anfwcr to the defcription of the fecond bone of the thumb : Only that the cavity in their bafe is not fo oblong ; nor is their motion on the metacarpal bones fo much confined : For they cart be moved laterally or circularly, but have no rotation, ora very fmall de- gree of it, round their axis. Both the ends of this firft phalanx are in a cartila- ginous ftate at the birth ; and the upper one is after- wards affixed in form of an epiphyfe. The (?) Scytalidsc, Internodia, fcadcula, ngmina, acicr, condyli articuli. (*) UfCKoySuMi, Of the SKELETON-. 205 The fecond bone ( b ) of the fingers has its bafe formed into two lateral cavities, and a middle protu- berance ; while the lower end has two lateral protu- berances and a middle cavity; therefore, it is joined at both ends in the fame manner, which none of the bones of the thumb are. This bone is in the fame condition with the former in children. The third bone ( c ) differs nothing from the de- fcription of the third bone of the thumb, excepting in the general diftinguiftiing marks ; and therefore, the fecond and third phalanx of the fingers enjoy on- ly fle&ion and extenfion. The upper end of this third phalanx is a cartilage in a ripe chiid ; and is only an epiphfie after, till the full growth of the body. All the difference of the phalanges of the fevcral fingers confifls in their magnitude. — The bones of the middle finger (a) being the longelt and largeft, — thofe of the fore-finger ( b ) come next to that in thicknefs, but not in length, for thofe of the ring-finger (e) are a little longer. The little finger ( d ) has the fmalleft bones. Which difpofition is the bell; contrivance for holding the largeft bodies ; becaufe the longeft fingers are applied to the middle largeft periphery of luch fubftances as are of a fpherical figure (e). The ules of all the parts of our fuperior extremities are fo evident in the common actions of life, that it is needlefs to enumerate them here ; and therefore I ftiall proceed to the laft part of the fkeleton. Only, left I Ihould feem to have forgot the fmall bones at the joints of the hand, 1 defire now to refer to the defeription of them, under the common title of fefa - S moid (i) K»vofiicus. — The internal angle of this bone has a tendi- nous membrane fixed to it, from which fibres of the flexor digitorum longus take their rife. — The pofterior furface of the fibula is the plained and fmootheft, but is made flat above by the foleeus , and is hollowed be- low by th t flexor pollicis longus. — In the middle of this furface the canal for the medullary veffels may be feen flanting downwards. I have taken particular notice of the entry and di- rection of the medullary veffels of the large bones of the extremities (a) ; becaufe, in feveral chirurgical cafes, a furgeon, who is ignorant of this, may do mifchief to his patient. Thus, for example, if thefe veffels are opened very near to their entry into the bone, or while they are in the oblique palfage through it, an obdinate haemorrhagy may enfue : For the ar- teries being connected to the bony paffage, ftvptics, and other like corrugators, are vainly applied ; com- prefling inflruments can do no fervice, and ligatures cannot be employed. — There feems to be a particular defign in the contrivance of thefe canals •, thofe in the os humeri , tibia , and fibula , running obliquely down- wards from their external entry ; whereas in the ra - dius, ulna, and os femoris, they flant upwards, where- by the arteries and nerves which are fent into thefe three lafl bones, muff f offer a confiderable reflection before they come at the cancelli. The reafon of this diverfity may perhaps be, that the arteries, which are fo fmall within the bones as to have no drong con- tractile propelling force in their coats, and where they are not affided by the aCtion of any moving neigh- bouring organ, fhould have, at lead in their paffage through the bone, a favourable defcent for their li- quids: Which, it is evident, they have in the de- fending oblique paffages formed for them in the firft clafs of bones, to wit, the os humeri, tibia, and fibu- la, which are generally depending ; and they alfo mod frequently acquire the like advantage in ttie radius , ulnaf (a) Havers, Ofteolog. nov. difc. I. p. 59, Of the SKELETON. * i(5 ulna, and os femoris ; hecaufe the hand, in the mod natural podure, is higher than the elbow ; and when we fit or lie, the lower end of the thigh bone comes to be at lead as high raifed as the upper. In (landing and walking, or when the arms are moved, the blood mud indeed afeend as it pafles through the bones of the fore-arm and thigh ; but the preflure of the muf- cles, then in a£lion, on the veflels, before they enter the bones, is fufficient to compenfate thedifadvantage of their courfe. This reafoning feems to be dill en- forced, by obferving, that this padage is always near- er the upper than the lower ends of thefe bones. The lower end of the fibula is extended into a fpongy oblong head, on the infide of which is a con- vex, irregular, and frequently a fcabrous furface, that is received by the external hollow of the tibia , and fo firmly joined to it by a very thin intermediate carti- lage and drong ligaments, that it fcarce can move. — Below this, the fibula is dretched out into a coronoid procefs, that is fmooth, covered with cartilage on its internal fide, and is there contiguous to the outfide of the fird bone of the foot, the afiragalus , to fecure the articulation. This procefs, named malleolus ex- ternus , being fituated farther back than the internal malleolus, and in an oblique direction, obliges us na- turally to turn the fore-part of the foot outwards (b). At the lower internal part of this procefs, a fpongy cavity for mucilaginous glands may be remarked; from its point ligaments are extended to the afiraga- lus, os calf is, and os naviculare, bones of the foot ; and from its infide fliort drong ones go out to the afiragalus . On the back-part of it a finuofity is made by the tendons of the perotuci mufcles. — When the ligament extended over thefe tendons from the one fide of the deprefiion to the other is broke, dretched too much, or made weak by a fprain, the tendons frequently dart forwards to the outfide of the fibula. The conjunction of the upper end of the fibula with the tibia is by plain furfaces tipped with carti- lage (b) Window, Mcmoircs dc 1'acad. des feientes, l]2i. Of the SKELETON. 217 lage, and at its lower end the cartilage feems to glue the two bones together, not, however, fo firmly in young people, but that the motion at the other end of fuch a long radius is very obferveable. — In old fub- jects I often fee the two bones of the leg grown to- gether at their lower ends. The principal ufe of this bone is to afford origin and infertion to mufcles; the diredfion of which may be a little altered on proper occafions, by its upper part fhuffling backwards and forwards. — It like wife helps to make the articulation of the foot more fecure and firm. — The ends of the tibia and fibula being larger than their middle, a ipace is here left, which is filled up with fuch another ligament as I deferibed extended between the bones of the fore-arm ; and which is alfo difeontinued at 'its upper part, where the tibialis anticus immediately adheres to the folaus and tibialis pof icus ; but every where elfe it gives ori- gin to mufcular fibres (a). lloth the ends of this bone are cartilaginous in a ripe child, and affume the form of appendices before • they are united to its body. ROTULA ( b ) is the fmall fiat bone fituated at the fore-part of the joint of the knee. — Its fhape refem- bles the common figure of the heart with its point downwards. — The anterior convex furface of the ro~ tula is pierced by a great number of holes, into which fibres of the ftrong ligament that is fpread over it, enter. — Behind, its furface is fmooth, covered with cartilage, and divided by a middle convex ridge into two cavities, of which the external is largeft ; and both are exactly adapted to the pulley of the os fetnoris , on which they are placed in the molt ordina- ry unftraining poftures of the leg; but when the leg is much bended, the rotula defeends far down on the condyles ; and when the leg is fully extended, the rotula rifes higher, in its upper part, than the pullev T . of (a) Weitbrecht, Syndefmolog. p. 156. (i) ’Exi/xvKii, fj.ia.av. pif, ir/yavcmf, pa- tella, mola, genu, feutiforme os, cartilaginofuni, difekornse, oculus genu. 2 1 8 Of the SKELETON. of the thigh-bone. — The plain fmooth furface is fur- rounded by a rough prominent edge, to which the capfular ligament adheres : — Below, the point of the bone is fcabrous, where the ftrong tendinous ligament from the tubercle of the tibia is fixed. — The upper hori- zontal part of this bone is flatted and unequal, where the tendons of the extenfors of the leg are inferted. The fubftance of the rotula is cellular, with very thin external firm plates : But then thefe cells are fo fmall, and fuch a quantity of bone is employed in their formation, that fcarce any bone of its bulk is fo ftrong. Befides, it is covered all over with a thick ligament, (as it was oblerved, that this fort of bones generally is), to conne£t its fubftance, and is moveable to one fide or other ; therefore is fufficiently ftrong to refill the ordinary atflions of the large mufcles that are inferted into it, or any common external force applied to it ; while a fixed procefs, fuch as the ole- cranon, would not have been fufficient to bear the whole weight of our bodies, which frequently falls on it, and would have hindered the rotatory motion of the leg. Notwithftanding thefe precautions to preferve this bone from fuch injuries, yet I have feen a tranfverfe fracture in it, when, by the report of the patient, and of the people about him, and by the want of fwelling, difcolouring, or other mark of bruife or contufion, it was plain the bone was broken by the violent Braining effort of the mufcles (c). Though my patient recovered the ufe of the joint of the knee, yet I think it reafonable to believe, that this fort of fra£lure is commonly attended with difficulty of motion, after the broken parts of the rotula are reunited ; becaufe the callous matter probably extends itfelf into the cavity of the joint, where it either grows to fome of the parts, or makes fuch an inequa- lity on the furface of this bone, as does not allow it to perform the neceffary motions on the condyles of the femur ( d ). At ( 'J'h a tarfus (• a ) confifisof feven fpongy bones; to wit, the afragalus, os calcis, naviculare , cuboides , cuneiformc externum , cuneiforme medium , and cuneiforme internum . The ajlragalus is the uppermoft of thefe bones. — The os calcis is below the ajlragalus, and is confider- •ably prominent backwards beyond the other bones, to form the heel. — The os naviculare is in the middle of the (a) Rafictta. 221 Of the SKELETON. the internal fide of the tarfus. — The os cuboides is the moll external of the row of four bones at its fore-part. — The os ctmefoftne externum is placed at the in fide of the cuboid. — The cuticifonne medium is between the external and internal cuneiform bones, and the internal cuneiform is put at the internal fide of the foot. That the defcription of thefe bones may not be immoderately fwelled with repetition, I defire, once for all, to obferve, That wherever a ridge is men rioned, without a particular ufe affigned, a ligament is underftood to be fixed to it *, or where a fpongv rough cavity, depreffion, or fojfa is remarked, without naming its ufe, a ligament is inferted, and mucilagi nous glands ate lodged : For fuch will occur in the de ' tail of each of thefe bones. The upper part of the ajlragalus (b) is formed into a large fmooth head (c), which is flightly hollowed in the middle ; and therefore refembles a fuperficial pulley, by which it is fitted to the lower end of the tibia. — The internal fide of this head is flat and fmooth, to play on the internal malleolus. — The external fide has alfo fuch a furface, but larger, for its articulation with the external malleolus. — Round the bafe of this head there is a. rough fojfa ; and, immediately before the head, as alfo below its internal fmooth furface, we find a confiderable rough cavity. The lower furface of the ajlragalus is divided by an irregular deep rough fojfa which at its internal end is narrow, but gradually widens, as it ftretches obliquely outwards and forwards. — The fmooth fur- face, covered with cartilage, behind this fojfa, is large, oblong, extended in the fame oblique fituation with the fojfa, and concave, for its conjunction with the os calcis. — The back-part of the edge of this cavity is produced into two tharp-pointed rough procefles, be- tween which is a depreffion made by the tendon of the fiexor pollicis longus. — The lower furface before T 3 the (£) Arpitt, talus, balifti os, malleolus, chaib, quatrio, os tefli- rae, clavicular, unciforme. (0 TtT/Mi :po(. 222 Of the SKELETON. the fojfa is convex, and compofed of three diftin£fc fmooth planes. The long one behind, and the exterior or fliorteft., are articulated with the heel-bone •, while the internal, which is the mod convex of the three, refls and moves upon a cartilaginous ligament, that is continued from the calcaneum to the os fcaphoides. Without which ligament, the ajlragalus could not be fultained, but would be prefled out of its place by the great weight it fupports, and the other bones of the tarfus would be feparated. Nor would a bone be fit here, becaufe it mud have been thicker than could conveniently be allowed ; otheiwife it would break, and would not prove fuch an eafy bending bafe, to Jeflen the '{hock which is given to the body in leaping, running, 5*rV. The lore-part of this bone is formed into a convex oblong frnooth head, called by fome its procefs, which is received by the os naviculare. Round the root of this head, efpecially on the upper furface, a rough fojfa may be remarked. The ajlragalus is articulated above to the tibia and fibula, which together form one cavity. Though, in this articulation, the bones have prominencies and ca-. vities Co fmall, as might allow motions in all direc- tions ; yet the flc£lion and extenfion are the mod confiderable, the other motions being confined by the malleoli , and by the flrong ligaments which go out from the points of thefe proccfles to the ajlragalus and or calcis. — When ;Jbe foot is bended, fo far as it is commonly when we Hand, no lateral or rotatory mo- tion is allowed in this joint ; for then the head of the ajlragalus is funk deep between the malleoli , and the ligaments arc tenfe ; but vvhen the foot is extended, the ajlragalus can move a little to either fide, and with a fmall rotation. By this contrivance the foot is firm, when the weight of the body is to be fupport- ed on it; and when a foot is raifed, we are at liber- ty to direct it more exadtly to the place we intend next to ftep upon. — The ajlragalus is joined below, to the os colds ; and before, to the os navicular e, in Of the SKELETON. 22* the manner to be explained, when thefe bones are deicribed. A confiderable (hare of this bone is oflified in a new-born infant. Calcaneutn (d) is the largeft bone of the feven. — Behind, it is formed into a large knob, commonly Called the heel : The furface of which is rough be- hind, where the tendo Achtllis is inferted into it; and above it, it is hollow and fpongy. Farther forwards, on the upper furface of the calcaneum , there is an ir- regular oblong fmooth convexity, adapted to the con- cavity at the back-part of the ajlragalus : And be- yond this a narrow fcjfa is feen, which divides it from two fmail concave fmooth furfaces, that are joined to the fore-part of the ajlragalus . — Behind the pofterior of thefe fmooth furfaces, which is the largeft, a fmail finuofity is made by the tendon of the Jlexor digitorum longus ; at the fore-part of which a fmail rough pro- tuberance appears, that gives rife to the mufculus ex • tetflor digitorum brevis. The external fide of this bone is flat, with a fuper- f\c\a\ fojfa running horizontally, in which the tendon of the mufculus peronaus longus is lodged. — The inter- nal fide of the heel-bone is hollowed, for lodging the origin of the majfa cornea Jac. Sylvit, and for the fafe paflage of tendons, nerves, and arteries. — Under the fide of the internal fmooth concavity, a particular groove is made by the tendon of the jlexor polluis lon- gus ; and from the thin protuberance on this internal fide, the cartilaginous ligament that fupports the a- Jlragalusy goes out to the os naviculare ; on which li- gament, and on the edge of this bone to which it is fixed, the groove is formed for the tendon of the jlexor digitorum profundus. The lower furface of this bone is prefled flat at the back-part, by the weight of our bodies ; and imme- diately before this plane, there are two tubercles, from the internal of which the mufculus abductor polli- cis ;> flexor digitorum fublimis , as alfo part of the apo- nturafs (<0 Os calcis, jrnpv*j calcar pedis. 224 Of the SKELETON. twn-cjis plantaris, and of the abduElor minimi digit} haVe their origin ; and the other part of the abduHor tmtwm digiti and apQncurof,s plantaris rifes from the external. Before thefe protuberances this bone is concave, for lodging the flexor mufcles ; and at its fore-part we may obfervc a rough depreflion, from which, and a tubercle behind it, the ligament goes out that prevents this bone to be feparated from the os cuboides. The fore-part of the os calcis is formed into an ob- long pulley-like fmooth furface, which is circular at its upper external end, but is pointed below. This fmooth furface is fitted to the os cuboides. Though the furfaces by which the ajlragalus and ox colas ztt articulated, feem fit enough for motion ; yet the very ftrong ligaments by which thefe bones are connected, prevent it, and render this principal part of our bafe, which refts on the ground, to ZiU the os calcu , firm. * A large fhare of the heel-bone is offified at the or- dinary time of birth, and the large knob appears af- terwards in form of an epiphy/'e. Os naviculare (x), is fomewhat circular.— It is form- ed into an oblong concavity behind for receiving the anterior head of the ajlragalus — On the upper fur- face there is a rough /^.-Below, the or naviculare is very unequal and rough ; but hollow for the fafe- ty of the mufcles— On its infide a large knob rifes out, from which the abduElor pollicis takes in part its origin, the tendon of the tibialis pojlicus isinferted in- to 1c £n-d Jt _two rernarkable ligaments are fixed; the firlt is the ftrong one, formerly mentioned, which fupports the ajlragalus ; the fecond is ftretched from this bone obliquely crofs the foot, to the metatarfal bones of the middle toe, and of the toe next to the little one.- On the outfide of the os naviculare there is a femicircular fmooth furface, where it is joined to the os cuboides — The fore-part of this bone is all covered (f) ’Sf.xftutnc, os cymbs, Of the SKELETON. 225 covered with cartilage, and is divided into three fmooth planes, fitted to the three ojfa cuneiformia. The os naviculare and ajtragalus are joined as a ball and focket, and the naviculare moves in all directions in turning the toes inwards, or in railing or depref- ling either fide of the foot, though the motions are greatly reftrained by the ligaments which conneCb this to the other bones of the tarfus. — A weaknefs of thefe ligaments caufes fometimes an unnatural turn of the fore-part of the foot inwards. The os naviculare is wholly cartilaginous in a new- born infant. OS CUBOIDES (a) is a very irregular cube.— Behind, it is formed into an oblong unequal conca- vity, adapted to the fore-part of the os calcis. — On its internal fide, there is a fmall femicircular fmooth cavity, to join the os naviculare. — Immediately be- fore which, an oblong fmooth plane is made by the cs cuheiforme externum. — Below this, the bone is hol- low and rough. — On the internal fide of the lower furface, a round protuberance and foJTa are found, where the mufculus abductor pollicis has its origin. On the external fide of this fame furface, there is a round knob, covered with cartilage ; immediately before which, a fmooth fojfa may be obferved, in which the tendon of the peromtus primus runs ob- liquely crofs the foot ; and on the knob, the thin flat cartilage proper to this mufcle plays ; in place of which, fometimes a bone is found : More externally than the knob, a rough hollow is made, for the ftrong ligaments ftretched betwixt this bone and the es calcis. — Before, the furface of the os cuboides is flat, fmooth, and (lightly divided into two planes, for fu- ftaiuing the os metatarfi of the little toe, and of the toe next to it. The form of the back-part of the os cuboides , and the ligaments connefting the joint there with the os calcis t rn) Tloxu tup?™, cubiformc, quadratum, grandinofum, variura» Teflene, nrnltitorme. 226 Of the SKELETON. calcis, both concur in allowing little motion in this part. The oflification-of this bone isfcarcely begun at the birth. > Os cuneiforme externum (b), if we regard its fixa- tion or medium by its bulk, is much of the fhape of a wedge, being broad and Hat above, with long fides running obliquely downwards, and terminating in a fliarp edge. — The upper furface of this bone is an oblong fquare. — The one behind is nearly a triangle, but not complete at the inferior angle, and is joined to the os naviculare. — The external fide is an oblong fquare, divided as it were by a diagonal ; the upper half of it is finooth, for its conjunction with the os cuboides : The other is a fcabrous hollow, and in its fuperior anterior angle a fmall fmooth impreflion is made by the os metatarfi of the toe next to the little one. — The internal fide of this bone is alfo quadran- gular, with the fore-part of its edge made flat and fmooth by the os metatarfi of the toe next to the great one, and the back-part is alfo Hat and finooth where the os cuneiforme medium is contiguous to it. — The fore-part of this bone is an oblong triangle, for fu- ftaining the os metatarfi of the middle toe. Os cuneiforme medium, or minimum, is ftill more exaCtly the fhape of a wedge than the former. — It3 upper part is fquare ; — its internal fide has a flat fmooth furface above and behind, for its conjunction with the following bone ; with a fmall rough fojfa below ; and a confiderable fharc of it is rough and hollow. — The external fide is finooth and a little hollowed, where it is contiguous to the laft deferibed bone. — Behind, this bone is triangular, where it is articulated with the os naviculare; and it is alfo triangular at its fore-part, where it is contiguous to the os metatarfi of the toe next to the great one. Os cuneiforme maximum, or internum , differs from the two former in its fixation, which is more ob- lique than theirs. — Befides, its broad thick part is placed (b) ChalcoiJcum ei.tcraum. Of the SKELETON. 227 placed below, and the fmall thin point is above and outwards ; while its under broad furface is concave, for allowing a fafe paflage to the flexors of the great toe. — The furface of this os cuneiforme behind, where it is joined to the os navicularey is hollow, fmooth, and of a circular figure below, but pointed above. — The external fide confifts of two fmooth and flat furfaces, -whofe direction is nearly at right angles with each other. With the pofterior, that runs ob- liquely from below forwards and upwards, the os cuneiforme minimum is joined ; and with the anterior, whofe direction is longitudinal, the os metatarfi of the toe next to the great one is connected. — The fore- part of this bone is femilunar, but flat and fmooth, for fuftaining the os metatarfi of the great toe. — The internal fide is fcabrous, with two remarkable tu- bercles below, from which the mufculus abductor pdii - cis rifes, and the tibialis anticus is inferted into it6 up- per part. The three cuneiform bones are all fo fecured by li- gaments, that very little motion is allowed in any of them ; and they are cartilaginous in a foetus of nine months. Thefe feven bones of the tarfus , when joined, are convex above, and leave a concavity below, for lodg- ing fafely the feveral mufcles, tendons, veflels, and nerves, that ly in the foie of the foot. — In the recent fubjeft, their upper and lower furfaces are covered with ftrong ligaments which adhere firmly to them ; I and all the bones are fo tightly connected by thefe and the other ligaments, which are fixed to the rough ridges and foflle mentioned in the preceding de- scription of the particular bones, that, notwithftand- ing the many furfaces covered with cartilage, fome of which are of the form of the very moveable ar- ticulations, no more motion is here allowed, than only to prevent too great a (bock of the fabric of the body in walking, leaping, bfc. by falling on too folid a bafe *, which, if it was one continued bone, would jikewife be much more liable to be broken ; and in order 228 Of the SKELETON. order to make our foot accommodate itfelf to the fur- faces we tread on, by becoming more or lefs hollow, or by raifing or deprefling either fide of it, as might be judged by what was faid of the particular bones. Sprains here occafion, as in the wrift, great pain and obllinate tumours, which too often caufe carious bones. METATARSUS ( c ) is compofed of five bones, which, in their general chara£ters, agree with the metacarpal bones ; but may be diftinguifhed from them by the following marks : x. They are longer, thicker, and ftronger. 2. Their anterior round ends are not fo broad, and are lefs in proportion to their bafes. 3. Their bodies are {harper above and flat- ter on their fides, with their inferior ridge inclined more to the outfide. 4. The tubercles at the lower parts of the round head are larger. The full or internal metatarfal bone is eafily di- ftinguifhed from the reft by its thicknefs. — The one next to it is the longeft, and with its (harp edge al- moft perpendicular. — The others are (horter and more oblique, as their fituation is more external. Which general remarks, with the defcription I am now to give of each, may teach us to diftinguifti them from each other. Oj- metatarfi pollicis is bv far the thickeft and ftrongeft, as having much the greateft weight to fu- ftain. Its bafe is oblong, irregularly concave, and of a femilunar figure, to be adapted to the os cuneiforms maximum. — The inferior edge of this bafe is a little prominent and rough, where the tendon of the pero - naus primus mufcle is inferted. — On its outfide an oblique circular depreftion is made by the fecond metatarfal bone. — Its round head has generally on its fore-part a middle ridge, and two oblong cavities, for the o]fa fefamoidea ; and on the external fide a de- preffion is made by the following bone. Os ( c ) 'S.rxioc, rihtn, planta, planum, vjftignim, folium, peftus, prat* Cordium, pcfhifculum. 229 Of the SKELETON. 0/ metatarfi of the fecond toe, is the longed of the five, with a triangular bafe fupported by the os cuneiforme medium and the external fide produced into a procefs; the end of which is an oblique fmooth plane, joined to the os cuneiforme externum . Near the internal edge of the bafe, this bone has two fmall depreflions, made by the os cuneiforme maximum, be- tween which is a rough cavity. — Farther forwards we may obferve a fmooth protuberance, which is joined to the foregoing bone. — On the outfide of the bafe are too oblong fmooth furfaces, for its articulation •with the following bone ; the fuperior fmooth furface being extended longitudinally, and the inferior per- pendicularly; between which there is a rough foffa. Os metatarfi of the middle toe, is the fecond in length. — Its bafe, fupported by the os cuneiforme ex- ternum, is triangular, but flanting outwards, where it ends in a fharp-pointed little procefs ; and the angle below is not completed. The internal fide of this bafe is adapted to the preceding bone ; and the external fide has alfo two fmooth furfaces covered with cartilage, but of a dif- ferent figure ; for the upper one is concave, and, be- ing round behind, turns fmaller as if advances for- wards; and the lower furface is little, fmooth, con- vex, and very near the edge of the bafe. Os metatarfi of the fourth toe, is near as long as the former, with a triangular flanting bafe joined to the os cuboides , and made round at its external angle, having one hollow fmooth furface on the outfide, where it is prefled upon by the following bone, and two on the internal fide, correfponding to the for- mer bone; behind which is a long narrow furface imprefled by the os cuneiforme externum. Os metatarfi of the little toe, is the fliorteft, fituat- ed with its two flat fides above and below, and with the ridges laterally. — The bafe of it, part of which refts on the os cuboides , is very large, tuberous, and produced into a long-pointed procefs externally, where- U part .230 Of the SKELETON. part of the abduElor minimi digiti is fixed ; and into its upper part the peronaus Jccutidus is inferted. — Its infide has a fiat conoidal furface, where it is conti- guous to the preceding bone. When we (land, the fore-ends of thefe metatarfal bones, and the os calcisy are our only fupporters ; and therefore it is neceflary they fliould be llrong, and fhould have a confined motion. The bones of the TOES are much a-kin to thofe of the thumb and fingers; particularly the two of the great toe are precifely formed as the two laft of the thumb; only their pofition, in refpeff of the other toes, is not oblique ; and they are proportionally much flronger, becaufe they are fubje&ed to a greater- force ; for they fuftain the force with which our bodies are puflied forwards by the foot behind at every ftep we make; and on them principally the weight of the body is fupported, when we are raifed on our tiptoes. The three bones in each of the other four toes,, compared to thofe of the fingers, differ from them ip thefe particulars. — They are lefs, and fmaller in pro- portion to their lengths: Their bafes are much larger than their anterior ends : Their bodies are more narrow above and below, and flatter on the Tides The firff; phalanx is proportionally much longer than the bones of the fecond and third, which are very ftiort. Of the four, the toe next to the great one, has the largeft bones in all dimenfions, and more externally the toes are lefs. — The little toe, and frequently that next to it, have the fecond and third bones intimate- ly united into one ; which may be owing to their little motion, and the great preflure they are fubjedl- ed to. The toes are of good ufe to us in walking : for, when the foie is raifed, they bring our body, with its centre of gravity, perpendicular to the adyanded foot. \3 The Of the SKELETON. 2'3 1 The bones of the metatarfus and toes, are in the fame condition in children as thofe of the metacarpus and fingers. The only bones now remaining to complete the defcription of the (keleton, are the fmall ones, which are found at the joints of the fingers and toes, and in fome other parts, called OSSA SESAMOIDEA , which are of very diffe- rent figures and fizes, though they are generally faid to refemble the feed of th o. fefamum. — They fecm to me nothing elfe than the ligaments of the articula- tions, or the firm tendons of ftrong mufcles, or both, become bony, by the comprefiion which they fuffer. Thus the fefamo'id bones at the beginning of the gafi- rocnemii mufcles, are evidently compofed of the ten- dinous fibres only. — Thefe, at the firll joint of the great toe, are as plainly the fame continued fubffance with the ligaments and the tendons of the adductor y flexor, brevis, and abductor. — That which is fometimes 'double at the fecond joint of that toe, is part of the capfular ligament ; and if we enumerate the otruit fefamoid bones that are at any time found, we may obferve all of them formed in this manner. — Their number, figure, fituation, and magnitude, are fo un- certain, that it were in vain to infift on the differ- ences of each ; and therefore I (hall only in general remark, 1. That where-ever the tendons and ligaments are firmeft, the actions of the mufcles ftrongeft, and the compreffion greateit, there fuch bones are molt com- monly found. 2. That, c/eteris paribus , the older the fubjedl is in which they are fought, their number is greater, and their fize is larger. 3. The more labour any perfon is inured to, he has, azteris paribus , the molt numerous and largeft' ojfa fejamoidea. However, as the two at the firft joint of the great toe are much larger than any other, are early form- ed, and are feldom wanting in an adult, tve may U 2 judge, 2^2 Of the SKELETON. judge, that befides the more forcible caufe of their formation, there fhould alfo be fome particular ad- vantage necefl'ary at this place, rather than elfewhere, which may poflibly be, to allow the Jlexor mufcles to fend their tendons along this joint, fecure from com- preffion in the hollow between the two oblong fefa- moid bones ; while, by removing thefe tendons from the centre of motion, and giving them the advantage of an angle at their infertion, the force of the mufcles is increafed, and therefore the great fuperincumbent weight of our body in progreffion is more eafily raifed. A P P E N- APPENDIX. Of the Marks of a Jemale Skeleton’, TO finifh the defcription of the bones, is gene- rally to conclude the ojleology; but that no part of the fubje£l may be left untouched, I think it ne- ceflary to fubjoin the diftinguifhing marks of the male and female flceletons ; and have chofcn to il- luftrate them principally in the latter; bee aufe wo- men having a more delicate conflitution, and afford- ing lodging and nourifhment to their tender foctufe j, tilf they have fuflicient ftrength and firmnefs to bear the injuries of the atmofphere, and conta£l of other more folid fubftances, their bones are frequently in- complete, and always of a make in fome parts of the body different from thofe of the robuft male ; which agree to the defcription already given, unlefs where the proper fpecialities of the female were particularly remarked ; which could not be done in all places where they occur, without perplexing the order of this treatil'e : Therefore I chofe rather to fum them up here by way of Appendix. The caufes of the following fpecialities of the fe- male bones may be reduced to thefe three : i. A weak lax conflitution. 2. A fedentary ina&ive life, in- creafing that conflitution. 3. A proper frame for being mothers. The bones of women are fmaller in proportion to their length than thofe of men ; becaufe the force of their mufcles is not fo great, nor is fuch flrong ex- ternal force applied to them to prevent their ftretch- ing out in length. The deprefbons, ridges, fcabrous furfaces, and o- ther inequalities made by the mufcles, are not fo U 3 confpicuous 234 APPENDIX. confpicuous in them ; becaufe their mufcles are nei- ther fo thick nor ftrong, nor fo much employed, to make fo ftrong prints on their bones. Their os frontis is more frequently divided by a continuation of the fagittal future, which depends on the firft and fecond general caufes aftigned above, for the fpecialities in their bones; as will appear af- ter reflecting on the account given formerly of the middle internal fpine of this bone. Their clavicles are lefs crooked ; becaufe their arms have been lefs forcibly pulled forwards, which in our European women, efpecially thofe of diftinClion, is more hindered by their garb. Their Jternum is more raifed by long cartilages be- low, that the thorax might be there widened in fome proportion to what it is fhortened by the preflure up- on the diaphragm , when they are with child. The defeCt of bone, or the hole in the middle of ■the fternum , is ofteneft found in them, to allow the paffage of the mammary veffels, fay fome ; but, in my opinion, this is owing to a lax conftitution, by which the offification is not fo foon completed as in men, where the aCtion of the folids is vigorous, and the circulation of the fluids is brifk ; for a much l'maller hole might have ferved this purpofe; and the branches of the internal mammary veffels which are fent to the external parts of the thorax , do not pafs here, hut between the cartilages of the ribs, before thefe are joined to the Jlernurn. The cartilago xiphoides , is oftener bifurcated in women than men, for the reafon afligned in the pre- ceding paragraph, viz. a lefs forcible power of offifi- cation. The fuperior cartilages of the ribs fooner oflify, to fupport the weight of the mamnue. The middle cartilages are more flat and broad by the weight of the breads. The inferior cartilages arc longer, for enlarging the cheft. Weak APPENDIX. 235 Weak women, who have born many children when young, often have the vertebra of their back bended forwards, and their Jlernum deprefled, or become round-fhouldered and flat-breafted (a), by the pref- fure and weight of the impregnared uterus , and by the ftrong a&ion of the abdominal mufcles. The os facrum is broader, and turned much more backwards, for enlarging the pelvis. The os coccygis is more moveable, and much lefs bended forwards, to facilitate the birth. The ojfa ilium are more hollow, and more reflect- ed outwards, and confequently further removed from each other, in order to widen the lower part of their abdomen , and for the better fupport of the impreg- nated uterus. The ridge on the upper part of the os pubis , is larger in fuch women as have born children, being extended by the ftrong a£lion of the mufculi reEli ab- dominis. The cartilage between the two ojfa pubis , efpecially in women who have born children, is thicker than in men, by which the pelvis is more capacious in fe- males. The conjoined furfaces of the ojfa pubis , and of the ojfa innominata and facrum are lefs, the angle under the J'ymphyfts of the ojfa pubis, is much larger, and the arches formed below and behind by the ojfa ilium and ijchiutn are wider, which, with the ftraighter os Jacrumt and more diftant tubera ifchii , leave a larger paflage for the exclufion of the child in birth. The great tuberofity of the ojfa ijchium , is flatter in women than in men, becaul'e it is more prefied upon in the fedentary life which females enjoy. In confequence of the pelvis of women being wid- er, the articulations of their thigh-bones muft be farther removed from each other : and therefore a larger fpace is left for the procreation and birth of children (b) •, which diftance of the thighs, may be one (a) Chefclden’s Anatomy, book I, chap. 3. (l>) Albin, dc ^Agmim os, of the wrift, 196. JY1 Mala rum ofla, their procefles, 95. Holes, fubftance, connec- tion, 96. Of infants, ibid. Marrow, what, 13. Its chemical analyfis, its arteries, veins, nerves, ibid. Difeafes., 14. Tranfverfe and longitudinal canals for con- veying it, 10, Ij. Ufes, ij. Phasnomena and difeafes, 14, 16. Maxilla inferior, 108. The chin, fidcs, bafe, 109. Phenomena, angles, procefles, no. Foramina, fubftance, no, III. Articu- lation, III. Motions, III. Of infants, ufes, 113. . fuperior, confifts of 13 bones, 91. Their connexion, ibid. Maxillaria ofla, their procefles, 97. Cavities, 98. Foramina, 99. Sinufes, 100. Morbid phenomena, ibid. Subfiance, connexion, 101. Ufes; of children, IOI. Metacarpus, compofed of four bones, 199. Subftance, at the birth, articulation, 200. Figure, ufes, digiti indicis, aoi. Medii, ibid. Annularis, minimi, 202. Metatarfus, compofed of five bones, ll8. l’ollicis, I ft, ibid, id, 3d, 4th, 129. Digiti, 230. Molares dentes, 117, 118. Mucilaginous glands, 40. Liquor fecreted by them, ibid. Their cellular fubftance, vcflels, nerves, difeafes, 41. Ufes, 42, Pheno- mena, ibid. N. NAfi ofla, their fides, 93. Connection, ufes ; of an infant, 94# Naviculare os, of the tarfus, 224. Of children, 225. Heck, vid. Ccrvicle vertebrae. O. OCcipitis os, 73. Its external furface, 74. Procefles, ibid. In- ternal furface, 76. Holes, 77. Subftance, 78. Connexion, ibid. Ufes, in infants, 79. Ofli Station of bones, 22. Accounted for from particular difpofition of veflels, and from prefliire, 23. Phenomena, 22, 26. Its hi- ftory, 27. Ofteogcnea, its hiftory, 27. Of what ufe, 28. P. PAlati os, 102. Its fquare palate-plate, ibid. Pterygoid proeefs, natal lamella, 103. Orbitar proeefs, 104. Subftance, connec- tion, ufes, 105. Of children ; difeafes, ibid. Parietal bones, their external furface, 64. Internal furface, 65. k Subftance, ibid. Connexion, ufes; of children, 66. Practical ■ obfervations concerning bregma, 67. Patella, vid. Rotula. _ Pelvis, 151, 160. Confifts of os facrum, 144. Coccygis, 148. Ofla inmomiaata, 151, : PcrichondriuiUj INDEX. 241 Perichondrium, its veflels, 37. Periofteum externum, x. Its fibres, ibid. Arteries, veins, nerves, a, 3. Ufcs, 3. Difeafes, 4. internum, its ftructure, ules, 12, 13. Phalanges of the fingers, 204. ■ toes, 230. Pififorme os of the wrift, 195. Plates of bones, their fibres, 4. Pollicis manus ofla, vid. Thumb. pedis offa, vid. Toes. Pores tranfverfe and longitudinal of bones, 7, io. Their ufcs, Ij. ProcefTcs of bones, vid. Apophyfes. Pubis os, 156. Subftance; of children, 157. R. RAdius, its upper end, 190. Body, ibid. Lower end,. I9X. Of children, articulation, 192. Ribs, 161. Their middle, pofterior end, 162. Anterior end, fiib- ftance, cartilages, 163. Articulation and motion, 164. Differ from each other, ibid. Diftinguilhed into true and falfe, 16 r. Diftinguilhing marks of ift, 2d, 3d, 4th, 5th, 6th, 7th, nth, 12th, 167. Of infants, 168/ Motion, 168, 1 73. Rotula deferibed, 217. Its fubftance, 218. Articulation; of chil- dren, ibid. Round bones, their ftrufhire, 16. Strength how incrcafed, 17. S. SAcrum os, its body, 144. Procefles, oblique, tranfvcr/c, 145’. Spinal, 146. Foramina, ibid. Subftance, articulation 147. Ules; of children, 148. Sagittal future, 51. Scaphoid bone of the wrift, 194. Scapula, 177. Its bale, inferior cofta, 178. Superior cofta, dorfum, anterior furface, 179. Procefles, fpinc, acromion, coracoid pre^ cefs, 180. Third procefs, medullary vellcls, 181. Subftance, articulation, ibid. Ufes; of children, 183. Schyndelefis, 30. _ Sefamoid bones, how formed, 231. Where to be found, ibid. } Share-bone, vid. Olla Pubis. Shoulder, confifts of clavicle, 175. and fcapula, 177! Shoulder-blade, vid. Scapula. Sinus frontales, 61. Sphenoidal, 88. Maxillary, too. Skeleton, natural, artificial, 45. Situation of the bones, 46. Divid- ed into Head, 47. Trunk, 124. Extremities, fuperior, 174. Infe- rior, 206. — — - — of a female, its differences from that of the male, Skull, vid. Cranium. Sphenoid bone, 83. Its external lurface, procefles, ibid. Cavities 85. Internal furface, 86. Holes proper, ibid. Common, 88* Smufes, ibid. Subftance, connexion, 89. Ules ; of children, 90*. ^ Sphenoidal 24*2 INDEX. Sphenoidal future, 54. Spine, its fhape, 124. Confifts of true vertebrae, 125. and falfe, 144. Spongiofa inferiors oda, ioj. Their fubftance connexion, ufes; of children, X06. Squamous futures, 52. How formed, 53. Sternum, 169. Its fubftance, ibid. Firft bone, 170. SeconcJ.bone, 171. Xiphoid cartilage, ibid. Difeafes, 172. Connexion; of children, ibid. Ufes, motion, 173. Suture, 30. How formed, ibid. of the cranium, 50. Coronal, lambdoid, ibid. Sagittal, 51. Squamous, 32. Ethmoidal, fphenoidal, tranfverfe, zygoma- tic, 54. Ufes, 55. of the face diftinguilhed by names, 91. Ufes, 93. Symphyfis, divided into fynchondrofis, fyneurofis, fydarcofis, 29. Synarthrofts, divided into future, harmonia, gomphofis, fchyndclcfis. Synchondrofis, 29. Syneurofis, 30. Synovia of joints, what compofed of, 41. Its ufes, difeafes, 42. Syffarcofis, 30. Arfus confifts of feven bones, 220. Its articulation, 222. Ufes, ibid. 227. Teeth, 1x3. Their bafe, roots, periofteum, fubftance, 114. Ca- nals, 1 15. Veftels, ibid. Formation, 1 16. Shedding, ibid. Con- nexion, ufes, 117. Diftinguilhed into incifores, ibid! Canini, mo- lares, 1x8. Pha-nomena, 120, ire. Temporal bones, 67. Their external furface, precedes, 68. Cavi- ties, 69, 73. Holes, 70. Internal furlace, 71. Precedes, cavities, holes, 72. Subftance, ibid. Connexion, 73. Ufes; of infants, ibid. Thigh-bone, vid. Femoris os. Thorax, 160. Confifts of vertebrae, 139. Ribs, 161. Sternum, 169. Us motion, 173. Thumb confifts of three bones ; the firft, its articulation, 202. At the time of birth, 203. Second bone, its articulation, ibid. Third bone, 204. Tibia, its upper end, cartilages, *11. Body, 212. Lower end, 213* Articulation ; of children, 2 1 4. Toes, 230. differ from the fingers, ufes, ibid. Of children, 231s Tranfverfe future, 54. Trapezium os, 196. Trapezoides os, ibid. Triquetra oda, 51. Trochoides Ginglimus, 33. Trunk of the Ikeleton confifts of the fplne, 134. Pehris, IJI, 10O. Thorax, ibid. Turbinata ofla, vid. Spongiofa, fuperiora oda, 81. T. Ulna, I N- D E X. 243 u. ULna, its upper end, 187. Body, 189. Lower end, ibid. Ar- ticulation, 190. Of children, 192. Unciforme os of the wrift, 197. Unguis ofla, their furfaces, 94. Subftance, connection, ules, 9 j. Morbid Phamomcna ; of children, ibid. V. VErtebrae cervical, vid. Cervical. — dorfal, vid. Dorfal. — ■■ — falle, compofed of os facrum, 144. Coccygis, 148. — lumbar, vid. Lumbar. true, their bodies, cartilages, 125. Procefles, ligaments, foramina, X27. Articulations, phaenomena, 128. Of infants, 129. Difeafes, 130. Divided into cervical, I31. dorfal, 139. lumbar, 142. Ufcs, fecurcd from luxations, 143, 144. Veflels of periofteum, 2. Of the bones, 7. Of the marrow, 13. Of ligaments, 35. Cartilages, 37. Mucilaginous glands, 40. Vomer, 106. Its figure, fituation, I07. Subflance, connexion, ufes, 108. W. V\70men, the differences of their bones from thole of men, J. ’ Wormiana ofla, vid. Triquetra. Wrift, vid. Carpus. X. ^Iphoid cartilage, 171. Its difeafes, 17*. Z. ZYgoma, 68. Zygomatic future, 54. X » THE # V • a. .... .. aV ' ' - * * . 4 ■ r ■ * 1 . I ' •> - i ' - ' • * % r. . i THE ANATOMY OF T HI HUMAN NERVES, AND A Description of the HUMAN LACTEAL SAC and DUCT. The Tenth Edition. My Alexander Monro Senior , M. D. and P. A. X3 - . ' A v: A > . : •• , ■4 . • ’ « .}C A ; ; .!• ■ , v, it >i latl'A ■ ; . .1 • ' . - - i . r *f T b:' r • :r , ’ o;. vl.1 .TMV V. *■ *■ . • . PREFACE To the Seventh Edition. BEING informed that the following Effay* have been ufeful to the ftudents in anato- my, I have caufed them to be reprinted, with fiuch amendments as I thought neceflary. That offence might not be given, I have treated all the opinions concerning the dis- puted phyfiology of the nerves with that de- ference which the uncertainty of the fub- jett required ; and have not only concealed the names of the writers whofe fentiments were different from mine, but have Ihunned quota- tions from thofe whom I approve, left the knowledge of the latter fltould be a key to dis- cover the former by. Defcriptions of the very minute ramifications of the nerves are obfeure to the young gentlemen for whofe ufe I write ; and therefore I have taken notice only of the larger branches in the defeription of the particular nerves. The firft occafion of my publiftiing my great Mafter Boerhaave’s do&rinc concerning the Syftole and Diaftole of the heart, was to pre- vent the imputation I might have lain under of affuming it to myfelf, when my worthy Mafter and good friend Mr. Chefelden inferted it into his anatomy, as communicated by me, without mentioning PREFACE. „ 248 mentioning Boerliaave’s name. Having now taken away all grounds of fuch imputation, and the doCtrine, though fimple and beautiful, not appearing fufficient to account for the pheno- mena of the motions of the heart, I have omit- ted it in this edition. The defcription of the receptaculum chyli and thoracic duCt is more accurate, than in the common fyflems of anatomy j and on that ac- count is here republilhed. The corrections and additions made in this edition of the anatomy of the bones, and of thefe Eflays, fltow, that I pretend not to Per- fection ; but I would however wifli, that no more faults were imputed to me than what are really my own. THE .. * •* ■ ,1 ' f“r ( O. U n ,'vJ ill ; v... nuta* '■ 4 THE ANATOMY OF THE HUMAN NERVES. Of the Nerves in general. I. r Ij "1HE numerous turns which the carotid and [i vertebral arteries make before they pafs through the dura mater , thefe arteries hav- ing neither fwelling mufcles nor preflure of the at- mofphere to aflift the courfe of the blood in them after they enter the fcitll, and their divifion into innu- merable communicating branches in the pia mater , and its procefl'es, fliew, that the liquors mull move more fiowly and equally in them than in mod other parts of the body. 2. By the afliftance of injections and microfcopes, the very minute branches of thefe veflels (§ i.) are difcovered to go from the pia mater into the cortex , cineritious, or afhy-coloured part of the cerebrumy cerebellum , and fpinal marrow ; whereas we can only fee longitudinal veflels, without numerous ramifica- tions or reticular plexufes, in the white medullary fubflance of thefe parts. 3. The continuity of the cortex with the medulla of the encephalon and fpinal marrow is obfervable with the naked eye, and is more diltindUy feen with the afiiftance of a microfcope. 4. Itt 250 Of the NERVES 1N GENERAL. 4. In difle£fing the brain and cerebellum , we fee the fmall beginnings of the medulla proceeding from the cortex, and can trace its gradual increafe by the addition of more fuch white fubftance coming from the cortex. 5. Both thefe fubftances (§ 4.) are very fucculent; for, being expofed to the air to dry, they lofe more of their weight than mod other parts of the body do. 6. In feveral places we can obferve the medulla to be compofed of fibres laid at each others fides. -»■ 7. The medullary fubftance is employed in form- ing the white fibrous cords, which have now the name of nerves appropriated to them. Within the fcull we fee the nerves to be the medullary fubftance continued ; and the fpinal marrow is all employed in forming nerves. 8. The common opinion concerning the rife of the nerves, founded on a fuperficial infpe&ion of thofe parts, is, that the nerves are propagated from that fide of the encephalon , at which they go out of the fcull. But it having been remarked, after a more ftricl inquiry, and preparing the parts by maceration in water, that the medullary fibres decufiate or croft each other in fome parts of the medulla j as for ex- ample, at the corpus annulare, and beginning of the fpinal marrow : And practical oblervators having re- lated feveral examples of people whofe brain was hurt on one fide, while the morbid fymptom, palfy, ap- peared on the other fide of the body, of which I have feen fome inftanccs ; and experiments made on brutes having confirmed thefe obfervations, it has been thought, that the nerves had their rife from that fide of the encephalon, which is oppofite to their egrefs from the fcull. It may however ftill be faid, that this laft opinion is not fully demonftrated, becaufe a decuflation in fome parts is not a proof that it obtains univerfally j and if there are examples of palfy of the fide oppofite to where the lefion of the brain was, there are alfo others, where the injury done to the brain and the paify wfere both on the fame fide. 9. The Of the NERVES in GENERAL. 251 9. The nerves are compofed of a great many threads lying parallel to each other, or nearly fo, at their exit from the medulla. This fibrous texture is evident at the origin of mod of the nerves within the fcull ; and in the cauda equi- na of the fpinal marrow , we can divide them into fuch fmall threads, that a very good eye can fcarce perceive them •, but thefe threads, when looked at with a microfcope, appear each to be compofed of a great number of fmaller threads. ro. How fmall one of thefe fibrils of the nerves is, we know not; but when we confider that every, even the moll minute part of the body is fenfible, and that this mud depend on the nerves (which all con- joined, would not make a cord of an inch diameter) being divided into branches or filaments to be dif- perfed through all thefe minute parts, we mull be convinced that the nervous fibrils are very fmall. From the examination of the minimum vi[ibiley it is demonftrated, that each fibre in the retina of the eye or expanded optic nerve, cannot exceed the fize of the 32,400 part of a hair. 11. The medullary fubftance, of which the ner- vous fibrils are compofed, is very tender, and would not be able to refill: fu,ch forces as the nerves are ex- pofed to within the bones, nor even the common force of the circulating fluids, were not the pia mater , and tunica arachnoides continued upon them \ the for- mer giving them firmnefs and ftrength, and the lat- ter furnifliing a cellular coat to connect the threads of the nerves, to let them lie foft and moift, and to fupport the vefiels which go with them. It is this cellular fubftance that is diftended when air is forced through a blow-pipe thruft into a nerve, and that makes a nerve appear all fpongy, after being diftended with air till it dries ; the proper nervous fibrils fhrivelling fo in drying, that they fcarce can be obferved. 12. Thefe coats (§ 11.) would not make the nerves Rrong enough to bear the ftretching and preflure they are Of the NERVES in GENERAL. are expofed to in their courfe to the different parts of the body ; and therefore, where the nerves go out at the holes in the cranium and [pine,- the dura mater is generally wrapt clofely round them, to collett their difgregated fibres into tight firm cords; and, that the tenfion which they may happen to be expofed to, may not injure them before they have got this additional coat, it is firmly fixed to the fides of the holes in the bones through which they pafs. 13. The nervous cords thus compofed of nervous fibrils, cellular coat, pia and dura mater, have fuch numerous blood-veffels, that after their arteries only are inje&ed, the whole cord is tinged of the colour of the injefled liquor; and if the inje£tion is pufhed violently, the cellular fubftance of the nerves is at laft diftended with it. 14. A nervous cord, fuch as has been juft now de- feribed, (§ 13.), has very little elafticity, compared ■with feveral other parts of the body. When cut out of the body, it does not become obferveably fhorter, while the blood-veffels contract three eighths of their length. 15. Nerves are generally lodged in a cellular or fatty fubftance, and have their couife in the interfti- ces of mufclcs, and other a£tive organs, where they are guarded from preffure ; but in feveral parts they are fo placed, as if it was intended that they fhould there fuffer the vibrating force of arteries, or the preffure of the contracting fibres of mufcles. 16. The larger cords of the nerves divide into branches as they go off to the different parts; the branches being fmaller than the trunk from which they come, and making generally an acute angle ■where they feparate. 1 7. In feveral places, different nerves unite into one cord, which is commonly larger than any of the nerves which form it. 18. Several nerves, particularly thofe which are diftributed to the bowels, after fuch union, (§ 17.), fuddenly form a hard knot confiderably larger than all 2$3 Of the NER\ES in GENERAL. "all the nerves of which it is made. Thefe knots were called corpora olivaria , and are now generally named. ganglions. j ;j. The ganglions have thicker coats, more nume- rous, and larger blood- vefltls than the nerves ; fo that they appear more red and mufcular. On diflecling the ganglions , fibres are feen running longitudinally in ‘theit axes, and other fibres are derived from their tides in an oblique direction to the longitudinal ones. 20- Commonly numerous fmall nerves, which con- jundly are not equal to the fize of the ganglion, are lent out from it, but with a ftrudure no way dif- ferent fiom that of other nerves. 21. The nerves fent to the organs of the fenfes, Jofe there their firm coats, and terminate in a pulpy fubftance. rl he optic nerves are expanded into the foft tender webs, the retina. I he auditory nerve has fcarce the confidence of mucus in the vejlibulum , coch- lea, and femicircular canals of each ear. I he papilla of the nolle, tounge, and fkin, arc very foft. 22. The nerves of mufcles can likeways be traced till they feem to lofe their coats by becoming very foft •, from which, and what we obferved of the fen- iatory nerves (§ 21.), there is reafon to conclude, that the mufcular nerves are alfo pulpy at their termina- tions, which we cannot indeed profecute by diffedion. 23. It would feem neceflary that the extremities of the nerves fhould continue in this foft flexible date, (§21. 22.), in order to perform their fundions right: Tor, in proportion as parts become rigid and firm by age, or any other caufe, they lofe of their fenfibility, *md the motions are more difficultly performed. 24. Though the fibres in a nervous cord are firm- ly conneded, anti frequently different nerves join in- to one trunk, or into the fame ganglion ; yet the fen- fation of each part of the body is fo very diflind, and we have fo much the power of moving the muf- cles feparately, that, if the nerves are principal a- gents in thefe two fundions, which 1 (hall endeavour to prove they are, we have reafon to believe that there 254 Of the NERVES in GENERAL. is no union, confufion, or immediate communication of the proper nervous fibrils, but that each fibre re- mains diftinft from its oiigin to its termination. 25. Changes produced any way upon the coats of the nerves, cannot however mifs to'affe£l the nervous fibrils. The cellular fubfiance may be too full of li- quor, or may not fupply enough ; the liquor may not be of a due confiftence, or it may be preternaturally obftru£ted and colle£led. The pi a 01 dura mater % may be too tenfe, or too lax ; their veflels may be ob- ftru£ted ; their proper nerves may be violently irritat- ed, or lofe their power of adding; and a great many other fuch changes may happen, which will not only occafion diforders in particular nerves, but may be a caufe of the fympathy fo frequently obferved among the nerves ; which is fo necefiary to be attentively re- garded in a great many difeafes, in order to difeover their true ftate and nature, that, without this know- ledge, very dangerous mi (lakes in the practice of phyfic and furgery may be committed. 26. Many experiments and obfervations concur in proving, that when nerves are comprefled, cut, or any other way deftroyed, the parts ferved by fuch nerves, farther from the head or fpine than where the injuring caufe has been applied, have their fenfations, motions, and nourifhment weakened or loft, while no fuch eftefts are feen in the parts nearer to the origin of thofe nerves ; and in fuch experiments where the caufe impeding the nerves to exert themfelves could be removed, and the ftruddure of the nerves not in- jured, as for example, when a ligature made upon a nerve, and (topping its influence, has been taken away, the motion and fenfation of the parts foon were re- ftored. From which it would appear, that the nerves are principal inftruments in our fenfations, motions, and nouriftiment; and that this influence of the nerves is not inherent in them, without the com- munication between thefe cords and their origin is preferved. Of THE NERVES in GENERAL. 255 This conclufion is juft, notwithftanding that fome- 'times, upon cutting a nerve, the effedts above men- tioned have been felt for a fhort time ; but afterwards the perfon was fenfible of no numbnefs or immobili- ty ; for where-ever this is faid to have happened, the cut nerve was only one of feveral which were fent to the member; the want of whofe influence was felt no longer, than till the habit was acquired of per- forming the fundlions eafily by the other nerves. Nor is it of greater weight as an objection, that fometimes when a ligature is drawn very hard upon a nerve, and then is taken away, the nerve never a- gain recovers its influence upon the parts it is diflribut- ed to beyond the ligature, but is of as little effedt as if it had been cut through ; which is to fay, that itsf texture has been altered beyond recovery. The fame thing is to be feen by tying a thread tight round a. tender twig of any vegetable ; it decays. 27. Experiments and obfervations fhew too, that when parts of the encephalon or fpinal marrow have been irritated, comprcfled, or deftroyed, the parts of the body, whofe nerves had their origin from fuch afledted parts of the encephalon or fpinal marrow , be- come convulfed, paralytic, infenfible, or wafted ; and in fuch cafes where the injuring caule could be re- moved from the origin of the nerves, the morbid fymptoms obferved in the parts to which thefe nerves were diftributed, went off upon the removal of that eaufe. From which it is thought reafonable to con- clude, that the nerves mull not only have a com- munication with their origin, but that the influence they have upon the parts they are diftributed to, de- pends on the influence which they deiive from the medulla enccphali and fpinalis. 28. 1 hough the fpinal marrow has its own veffels and cineritious fubltance which aflifts to form its me- dulla; yet .a very large (hare of the medullary fub- ftance within the fpine is derived from the encephalon , whofe medulla oblongata defeends from the head, and the influence of the fpinal marrow on its nerves de- ^ 2 pends 2 S6 Or THE NERVES IN GENERAL. pends in a great meafure on this medulla oblongata of the head. Hence an injury done to any part of the Spinal marrow , immediately affetts all the parts whole nerves have i heir origin below where the injuring caufe is applied. A luxation of a vertebra in the loins makes the lower extremities foon paralytic; a tranf- verfe feclion of the medulla at the fir It vertebra of the neck, foon puts an end to life. 29. If fuch caufes produce conftant'iy fuch effects (§ 26. 27. 28 ) in us and other creatures living in nearly the fame circumftances as we do, the conclu- fions already made muft be good, notwithftanding examples of children and other creatures being born without brains or Jpinal marrow ; or notwithftanding that the brains of adult creatures can be much chan- ged in their texture by difeales ; and that tortoifes, and feme other animals, continue to move a confiderable time after their heads are cut off’. We may be igno- rant of the particular circumftances requifite or ne- ccffary to the being or well-being of this or that par- ticular creature, and we may be unable to account for a great many phenomena ; but we muft believe our eyes in the examination of fa£ts ; and if we fee eonftantly fuch confequences from fuch actions, we cannot but conclude the one to be the caufe, and the other the effect. It would be as unjuft to deny the conclufions made in the three preceding articles, be- caufe of the fcemingly preternatural phenomena, mentioned at the beginning of this, as it would be to deny the neceflity of the circulation of the blood in us and mod quadrupeds, becaufe a frog can jump about, or a tortoife can walk long after all the bowels of its thorax and abdomen are taken out, or becaufe the different parts of a worm crawl after it has been cut into a great many pieces. It is therefore aJmoft univerfally allowed, that the nerves are principal in- ftruments in our fenfations, motion, and nourifh- ment ; and that the influence which they have is com- munic ted from their oiigin, the encephalon and me- dulla Spinalis. Hut authors are far from agreeing a- 1 bout Of THE NERVES in GENERAL. / bout the manner in which this influence is communi- cated, or in what -way nerves aCt to produce thefe effects. 30. Some alledge, that the nervous fibres are all fo~ lid cords acting by elafiicity or vibration ; others main- tain, that thofe fibres are fmall pipes conveying liquors , by means of which their effects are produced. 3 1. The gentlemen, who think the nervous fibres felid, raife feveral objections to the other doctrine ; which 1 fhall confide r afterwards ; and endeavour to to {hew the fitnefs of their own doCtrine to account for the effects commonly obferved to be produced by the nerves. The objeCts of the fenfes plainly (fay they) make impulfes on the nerves of the proper organs, which mull {hake the nervous fibrils : and this vibration mull be propagated along the whole cord to its other extre- mity or origin •, as happens in other tenfe firings ; and thefe vibrations being differently modified, ac- cording to the difference of the objeCt, and its diffe- rent application, produce the different ideas we have of objects. 32. To this account of fenfation, it is ebjeCted, ficjly 'That nerves are ur.fi t for vibrations, becaufe their extremities, where objoCts arc applied ro them, are quite foft and pappy (^21.), and theiefore not fufceptible of the vibrations fuppofed ; and if there could be any little tremor made here by the impulfe of objeCts, it could not be continued along the ner- vous cord, becaufe the cellular fubfiance by which each particular fibre is connected to the neighbouring ones (§ 11.), and the fatty fubfiance in which the nervous cord is immerfed (§ 15-), would foon flifle any fuch vibratory motion. A fecond objeCtion to this doCtrine is, that fuppcf- ing the nerves capable of vibrations by the iinprellions of objeCts, thefe vibrations would not anfwer the de- fign. For if what we know of other vibrating firings, to wit, that their tone remains the fame, unlefs their texture, length, or tenfion is altered, and that diifc- Y 3 rent 25 3 Of THE NERVES in GENERAL. rent fubftances finking them do no more than make the found higher or lower ; if thefe properties are to be applied to nerves, then it will follow, that the fame nerve would conftantly convey the fame idea, with no other variety than of its being weaker and ftronger, whatever different objects were applied to it; unlefs we fuppofed the nerve changed in its tex- ture, length, or tenlion, each time a different object is applied; which, it is prefumed, no body will un- dertake to prove does happen. Nav, 3 d/y, If ever fuch a variety of vibrations could be made, our fenfations would notwithftanding be confufed and indiftinCt, becaufe the tremulous Nervous fibre being firmly connected and contiguous to feveral other fibres of the fame cord, would necef- farily ibake them too, by which we fhould have the notion of the objeCt as applied at all the different parts where the extremities of thefe fibres terminate. 33. In whatever way the favourers of the doCtrine of folid nerves pleafe to apply the elafticity of nerves to the contraction of mufcles, their adverfaries in- fill that nerves are too weak to refift fuch weights as the mufcles fuflain ; they would furely break, efpe- cialiy as they are in a great meafure, if not wholly, deprived of their ftrong coats before they come to the part of the inulcle they are immediately to act upon (§ 22.) — The nerves being found to have little or no elafticity to fiiorten themfelves (§ 14.), fiiews them altogether unfit for fuch an office as this of con- tracting mufcles in the way propofed of their aCting by elafticity ; and when a nerve is viewed with a mi- crofcope while the mufcles it ferves are in aCtion, no contraction or motion is obferved in it. — Nay, if they were elaftic, they would equally exert their power of contracting mufcles nearer to their origin as well as farther from it, when they were put into contraction or vibration, by irritation of any part of them. The former however does not happen. 34. As a farther objection againft either motion or fenfation being owing to the elafticity of the nerves, it Of the NERVES in GENERAL. 25^ ir is faid, that if this d'oClrine was true, the fenfa- tions would be more acute, and the contractions of mufcles would be greater and dronger, when the parts become firmer and more rigid by age ; for then their elaflicit y is increafed : Whereas, on the contrary, it appears (§ 23.) that then the fenfations are blunted, and mufcular contraction becomes lefs and weaker. 35. If the nerves were granted to be eladic, and to communicate a fpringy force to all the parts they are diltri buted to, they might appear neceflary in this view to aflift the application of the nutritious parti- cles of the fluids to the fides of.the veflels which thefe particles were to repair; andfo far might well enough account for the fhare which nerves are thought to have in nutrition : But if we cannot make ufe of e- ladicity in the other two functions, fenfation and mo- tion, we mult alfo endeavour to find out fome other wav for the nerves to aCt in nutrition; which will be done afterwards. 36. Having thus dated the reafons for and againft the nerves aCting as folid firings, let us likewife re- late the arguments for nerves being pipes, and the objeClions to this doCtrine. A great argument of thofe who think the nerves to be tubes conveying liquors, is the flrong analogy of the brain and nerves to other glands of the body and their excretoiics, where a manifed fecretion of liquor is made in the glands, to be conveyed by the excreto- ries to the proper places in which it ought to be de- pofited : They think that the vafcular texture of the cortex of the encephalon and fpinal marrow (§ 2.), the continuation of the cortex in forming the medullary fubflance (§ 3. 4.), the fibrous texture (§ 6.), and fucculent date of this m Mia (§ 5.), and its being wholly employed to form the nerves (§ 7.), where the fibrous texture is evident (§ 9.) ; all thefe things, fay they, confpire to (hew fuch a flrong analogy between thefe parts and the other glands of the body, as car- ries a conviction that there is a liquor fecreted in the encephalon Of the NERVES in GENERAL. 260 encephalon and fpinal marrow , to be fent out by the nerves to the different parts of the body. 37. The following objections are railed to this ar- gument in favour of liquor conveyed in the nerves, from the analogy of the glands. 1 ft, Other glands, it is faid, have their excretories collected into a few large pipes, and not continued in fuch a great num- ber of feparate pipes, as far as the places where the liquors are depofited ; which laft mud be the cafe, if the nerves are the excretories of the glandular brain. 'idly, We fee the cavities, and can examine the li- quors in the excretories of other glands much fmallcr than the brain ; which cannot be done in the nerves. ydly, If the nerves were pipes, they would be lo frnall, that the attraction of the liquors to their tides, would prevent that celerity in the motion of the li- quors, which is requilite to fer.fations and motions. 4 tkly, If the nerves weie pipes, they would be cylin- drical ones, and confequently not fubjeCt to difeafes ; or at leaf!: we could have no comprehenfion of the difeafes in them. 38. The anfwer to the \Jl of thefe objections is, That there are other glands where there is a ma- nifetl fecretion, and in which the difpofition of the excretories is in much the fame way as is in the ence- phalon : The kidneys, for example, have a reticulated cortex of veffels, from which the Eujlachian or Belli- nian medulla , confiding, of longitudinal fibres and a few blood-vefl'els in the fame direction, pioceeds \ and this medulla is collected into ten, twelve, or more pap'illee , each of which is formed of numerous frnall feparate pipes, which fingly difeharge the urine into the large membranous tubes; and thefe united form the pelvis. Upon comparing this texture of the kid- neys with that of the encephalon (§ 2. 3. 4. 5. 6. 7. 9.) the analogy will be found very flrong. 39. In anfwer to the id objection, in § 37. it is granted, that microfcopes, injections, and all the o- ther arts hitherto employed, have not fheun the ca- vities of the nervous fibrils, or the liquors contained in Of the NERVES in GENERAL. 261 in them ; and from what was faid (§ 10.) of the fmallnefs of the nervous fibrils, it is not to be expect- ed that ever they fhould be feen. But fo long as fuch a number of little animals can every hour be brought to the objectors, in which they can as little demon- ftrate the veflels or contained fluids, it will not be allowed to be conclufive reafoning, that becaufe ocu- lar demonfti ation cannot be given of either the tubes or their contents, therefore they do not exift. For if we have any notion of an animal, it is its being an hydraulic machine, which has liquors moving in it as long as it has life j if therefore fuch little animals have veflels and liquors which we cannot fee, why may not fome of the veflels and liquors of the hu- man body be alfo invifible to us ? To avoid this anfwer to the obje&ion, it is further urged, That though we might not fee the nervous tubes or the liquors they contain, as they naturally flow ; yet if fuch liquors really exift, they ought to difeover themfelves, either by a nerve’s fwelling when it is firmly tied ; or that, however fubtile their fluids are, they might be colledted in fome drops, at leaft, when the cut end of a nerve of a living animal is kept lome time in the exhaufted receiver of an air- pump. It is affirmed, that neither did the tied nerve l’well between the brain and ligature, nor was there any liquor colle£led in the receiver of the air-pump ; from which it is concluded, that there is no liquor in the nerves. Some, who fay they have tried thefe experiments, affirm, that, in young animals, the nerve does fwell above the ligature, and that a liquor does drill out upon cutting a nerve. Whether fwelling or liquor is feen or is not feen in thefe experiments, no con- clufion for or againft a nervous fluid can be made Item them ; for the fwelling of the nerve after it is tied, or the tfl’ux of liquors from its extremity, will never prove either to be the tfreft of the fluid, in the proper nervou: id rile, io long as they n ight Le cc- t'i'.hcned by the liquors in the larger veflels of the , cellular 262 Of THE NERVES in GENERAL. cellular fubftance of the nerves; and if thefe fame veflels of the coats of the nerves do not difcover their liquors by thefe experiments, it is far lefs to be ex- pected, that the much more fubtile nerves will dif- cover theirs. 40. The 3 d objection to the doCtrine of the brain being a gland, and the nerves its excretories, fup- pofes a more rapid motion neceflary in the fluid of the nerves, than what mod of the defenders of the nervous fluid will now allow; and is afterwards to be confidered particularly in a more proper place. 41. The t\th objection being, That if nerves are excretories of a gland, they muft be cylindrical pipes, in which no obftruCtions or difeafes would happen; but fince we daily fee difeafes in the nerves, they muft therefore not be fuch excretories. The anfwer is, That difeafes happen often in the excretories of other glands, as of the liver, kidneys, £s*r. notwith- ftanding their cylindrical form, and their much fhorter and lefs expofed courfe. When we confider the very tender fubftance of the brain, the vaft com- plication of veflels there, the prodigious fmallnefs of the pipes going out from it, the many moving pow- ers which the nerves are to undergo the fhock of, and the many chances which the veflels, membranes, and cellular fubftance accompanying the nerves have of being difordered, and then affeCting the nervous fibrils, we have very great rcafon to be furprifed, that thefe cylindrical pipes are not much more frequently put out of order, by too great or too fmall a quanti- ty of liquors; by two vifcid or too thin fluids; by liquors confiding of too mild and fluggifli particles, or of too acrid pungent ones; by too great or too little motion given to the liquors; by the diameters of the pipes being too much llraitened, or too much enlarged ; and by a great many other varieties of cir- cumftances which might be thought capable of di- fturbing the fun&ions of the nerves, fuppofing them to be cylindrical excretories of the gland, the brain. 42. Tha Of the NERVES in GENERAL. 263 4 2. The numerous veflels of the encephalon have brought fome of the gentlemen who afiert the nerves to be folid, to acknowledge, that there is a liquor fe- creted in the brain : But then they will not allow that this liquor is fent out by the proper nervous fibrils; but that it is ;-oured into the cellular fubftance in which the nerves lie, to keep them moifl: and fupple, and therefore fit for exerting their elafticity, vibration, £sV. by which, in their opinion, the effects common- ly afcribed to nerves are produced. 43. Befides the objections already mentioned (§ 32. 33.) againfl the nerves aCting as elaftic firings, this opinion has fome other difficulties which may be ob- jected to it : For inftance, there is not one analogous example in the whole body of liquors fecreted in a large gland, to be poured into a cellular fubftance, as is here fuppofed ; the liquors in the cells of the tela cellularis of other parts are feparated from the little aiteries which are diflributed to thefe cells. Further, it cannot be imagined, how a liquor fe- creted in the cortex of the brain fhould make its way through the medulla , to come out into the cellular membranes on the furface of that medulla. Lajlly , A very fimple experiment, of injecting wa- ter by the artery of any member, and thereby filling the cellular fubftance of the nerves of that member, lhews evidently, that the liquor of the cellular fub- flance of the nerves has the fame fountain as the li- quor has in the tela cellularis any where elfe, that is, from the little arteries dilperfed upon it. 44. The doCtrine of a fluid in the nerves, is not only thus fupported by the analogy of the brain and nerves to the other glands and their excretories, but thole who maintain this doCtrine mention an experi- ment which they think direCUy proves a fluid in the nerves. It is this: After opening the thorax of a living dog, catch hold of and prefs one or both the phrenic nerves with the fingers, the diaphragm imme- diately ceafes to contraCl ; ceafe to comprefs the nerves, and the mufcle aCts again ; A fecond time. 2o4 Of the NERVES in GENERAL. lay hold of the nerve or nerves fome way above the diaphragm, its motion flops. Keep firm the hold of the nerve, and, with the fingers of the other hand, flrip it down from the fingers which make the com- preffion towards the diaphragm, and it again con- tracts : A repetition of this part of the experiment three or four times, is always attended with the fame effe£ts ; but it then contrails no more, flrip as you will, unlefs you remove the prefiure, to take hold of the nerves above the place fir fl pinched * when the mufcle may again be made to contract, by dripping the nerve down towards it. This experiment I have done with the fuccefs here mentioned. Let any one try if he can imagine any other reafonable account of thefe appearances, than that the prefiure by the fingers dopped the courfe of a fluid in the nerve; that fo much of this fluid as remained in the nerve, betwixt the fingers and diaphragm was forced into that mufcle by dripping, and when it was all prefled away, the fingers above preventing a fupply, the ntufclc con trailed no more till the fingers were re- moved, and a frefli flow by that means was received from the fpinal marrow, or from that part of the nerve which had yet not been fo dripped. It has been objected to the conclulions from this experiment, i. That the diaphragm is fet in motion by dripping the nerve from, as well as towards this mufcle; and this may be well expected; for a liquor in fuch fmall pipes hindered to flow backwards by li- gature, pinching fingers, or even the flow of their liquors from the fountain, will regurgitate forwards with velocity, when prefled backwards. We fee it happen in the dalks of tender fucculent plants. 2. It is faid, that mufcles ceafe to a£t when their veins are tied, as well as when their arteries or nerves are tied or cut, but that mufcles continue to a£l when their veins are cut ; by which it would appear, that the overloading of the veflels is an impediment to the action of mufcles, and therefore the ceafing of their action. Of THE NERVES in GENERAL. 265 aCtion, when their arteries or nerves are tied or cut, may alfo be owing to the liquor in the branches of thcfe pipes of mufcles flagnating when it is not pro- pelled by the flow of more liquor from their trunks, and not to any influence or moving power, which now ceafes to be conveyed to them. It is to be obferved in making tne experiments jufl now mentioned, that the contraction of the mufcles ceafes fooneft when the nerves, and lateft when the veins are tied. That when veins are tied, not only are the veflels overloaded, but all the cellular fub- ftance of the mufcles is filled wTith coagulated blood; whereas when the arteries and nerves are tied, the reverfe is feen, the mufcles are lax and of lefs btdk. So that in thefe cafes, the ceafing of the contraction of the mufcles feems to depend on very different caufes, to wit, a deprivation of neceflary liquors in the one, and a redundancy of fuperfiuous blood in the other. An elaftic flick may be deprived of its e- lafticity by being made either too dry or too wet. 45. Some gentlemen, convinced of the reafonabie- nels of the fecretion of a liquor in the brain to be fent out by the nerves, but not comprehending how a fluid could have fuch a rapid retrograde motion as they imagined was neceflary for conveying the im- preflions of objeCts made on the extremities of nerves to the fetiforiam, fuppofed two forts of nerves; one that conveyed a liquor for mu'cular motion and nu- trition ; the other compofed of folid nerves, that were to ferve for organs of the lenfcs, to convey the vibrations communicated from objects to the J\nfo~ riutn. 46. To this opinion (§ 45.) the objections againfl the fenfatory nerves aCting by vibration (§ 32.)^ may be made; and there is fo little reafon to fuipect any difference in the texture of the dilierent parts of the brain or nerves, that, on the contrary, the ItruClure is every where fimilar, and branches of the fame nerve often ferve both for fenfation and motion. Z How 266 Of the NERVES in GENERAL. How little necefTity there is for fuppofing extreme- ly rapid motions of the nervous fluid, is to be exa- mined foon. 47. 'I he hypothefis of great celerity in the motion of the fluid of the nerves being neceflary, gave alfo life to another divifion of the nerves, into arterions or effluent , and venous or refluent. It was faid, that mufcular motion and nutrition depended on the arte- rious nerves •, and that the fenfations depended on an accelerated motion of the nervous fluid towards the brain, by the impreflions which the obje&s of the fenfes make upon the venous nerves. By thisfuppofi- tion the abfurdity of rapid fluxes and refluxes in the fame canal was prevented, and an advantage was thought to be gained by it, of faving too great a wade of the fluid of the nerves, which otherwife the encephalon and fpinal marrow could not fupply in fuf- licient quantity to anfvver all the exigencies of life. 48. To this opinion (§ 47.) it has been objected, 1/7, That there is no example in the body, of a fe- creted liquor being returned immediately and unmix- ed to the gland by which it was originally feparated from the mafs of blood ; which would be the cafe, were there venous nerves, idly, There is no occafiou for faving the fluid of the nerves in the way propof- ed ; the organs for fecreting that fluid being large e- nough to fupply all that is neceflary of it in the com- mon fundlions of life. 3 dly, If the fluid of the nerves was to be thus kept in a perpetual circulation, it would foon become too acrid for continuing with fafety in fuch fenfible tender veflels as the brain and nerves are compofed of. 4 thly, This hypothefis will not anfwer the defign for which it was propofed : For though the momentary application of an objett might caufe an acceleration in the fluid of venous nerves, yet if the obje£t was kept applied to the nerves, it would flop their fluid, fo that it could not go forward to the brain ; and therefore, according to this doftrine, we fliould be fenfible of no objefts, except Of THE NERVES in GENERAL. 267 except thofe whofe application to the organs of the fenfcs was momentary. 49. Let us now fuppofe it probable, that the ence- phalon and fpinal marrow fecern a liquor from the blood which is fent into all jthe nerves, and that by the means of this liquor, the nerves perform the offices commonly affigned to them it is next necef- fary to enquire what kind of liquor this is, and how it moves, in order to determine how well its nature and motion are fitted for performing what is expedit- ed'from if. 50. The liquor of the nerves has been fancied by fome to be of a very firong acid or alcnline nature: But fince none of our juices appear to be of ibis tort, and fince fuch liquors irritate and defiioythe parts of the body which they are applied to, we cannot con- ceive how the brain can feparate, or the nerves could bear any thing of fuch an acrid nature. This ten- dernefs and fenfibility of thefe organs mud hinder us abfolutely from fuppofing that the liquor of the nerves can be acrid or pungent, or of the nature of fpirit of wine, hartfhorn, &c. 51. Some have imagined the liquor of the nerves to be capable of vail explofion like gun-powder, or of violent fudden rarefaction like air, or of firong ebul- lition like boiling water, or the mixture of acids with alcaline liquors. But as the mafs of blood from which this fluid is derived, is not poflefied of any fuch properties, we cannot fuppofe the blood to fur- nifh what it has not in itfelf. Befides, all thefe ope- rations are too violent for the brain or nerves to bear; and when once they are begun, they are not fo quick- ly controlled or reftrained, as experience teaches us the nerves can be made to ceafe from acting. 52. We are not fufficienily acquainted with the properties of an a/her or electrical effluvia pervading every thing, to apply them jufily in the animal oeco- nomy ; and it is as difficult to conceive how they fhould be retained or conducted in a long nervous cord. Thefe are difficulties not to be furmounted. £ 2 53. The 268 Of the NERVES in GENERAL. 53. 1 he fared way of judging what kind of liquor this of the nerves muli be, is to examine the liquors of Gmilar parts of the body. All tiie glands fepa- rate liquors from the blood much thinner than the compound mafs itfelf ; fuch is the liquor poured into the cavity of the abdomen , thorax , ventricles of the brain, the faliva , pancreatic juice, lymph, &c. Where- ever theie is occafion for fecreted liquors being thick and vifcid, in order to anfwer better the ufes they are intended for, nature has provided iefervoirs for them to (lagnate in, where their thinner parts may be car- ried off by the numerous abforbent veins difperfed on the_ (ides of thofe cavities ; or they may exhale where they are expoled to the open air. The mucus of the nofc becomes vifcid by flagnation ; for, when it is immediately fecreted it is* thin and watery ; as ap- pears from the application of fternutatoiies, tsY. The cerumen of the ears is of a watery confidence, when juft fqueezing out. The mucus of the alimen- tary canal grows thick in the lacuna. The bile in the hepatic dutt has little more confidence than lymph ; that in the gall-bladder is vifcid and ftrong. The urine is much more watery as it flows from the kid- neys, than when it is excreted from the bladder. 'I lie feed is thin as it comes from the tcfticles, and is con coded in the vefculee feminales, c5V. ^4. Hence (§ 53.) we may fafely conclude, that a thin liquor is fecreted in the cortex encephali and fpinal marrow; and feeing the thinnefs of fecreted liquors is generally, as the divifions of the veffels, into (mail iubtile branches, and that the ramifications within the feu 11 are almoft infinitely fubtile, the liquor fe- creted in the encephalon may be determined to be a- inong the fined, or thinned fluids. 55". Seeing alfo that we can obferve no large refer- red, where the liquor fecern d in the cortical fubjlance is depofited, to have its finer parts taken off, we have reafon to think, that it goes forward into the nerves in the tame condition in which it is fecerned. 56. By Of THE NERVES in GENERAL. 269 56. By fine or fubtile animal liquors, is meant no more than thofc which are very fluid, and which feem to confift of a large proportion of watery par- ticles, and a lefler one of the oily, faline, and ter- reftrious particles. Some of the liquors which we can have in fufficient quantity to make experiments •with, are fo fluid, and have fo little vifcidity or co- hefion of parts, that when laid upon a piece of dean mirror, they evaporate without leaving a Itain ; l'ucli is the liquor oozing out from the furface of the pleura, the lymph, and feveral others. If then thefe liquors; which are fubied: to cur ex- amination, the fecerning vefl'els of which are fo large that we can fee them, have fuch a fmall cohefion of parts, it might not be unreafonable to fay, that the liquor of the nerves is as much more fine and fluid than lymph, as the vefl'els feparating it are fmaller ; and therefore that the fluid of the nerves is a defe- cated water, with a very fmall proportion of the other principles extremely fubtilized. 57. Two experiments are faid to contradict this opinion, of the liquor of the nerves being fo fluid and fubtile. One is, that upon cutting the cauda equina of a living animal, a liquor as vifeid as the white of an egg drops out : The other is, that a wounded nerve yields a glairy fames. But thefe do not appear to be the proper fluid of the nerves; fince it is evident, that what is difeharged in both thefe cafes, comes out of the cellular fubftance involving the nervous fibrils. 58. Confidering how many experiments make it evident, that there is a conltant uninterrupted ftream of liquors flowing through all the canals of animals, which convey liquors compofed of particles fmalier than the diameter of their canal, which is alwr.vs the cafe of the nerves in a natural ftate ; it is lop rifl- ing how it ever could be thought that the liquid of the nerves (hould be obliged to flow from the brain to each mufcle the moment we will; or that this li- quor ihould flow back with the like fwiftnefs from Z 3 the *7® Of the NERVES in GENERAL.