Surgeon General's Office PRESENTED BY J* % ^ :s. V' A COMPENDIUM OF THE ANATOMY OF THE HUMAN BODY, Intended firinciftally for the use of Students. BY ANDREW FYFE. IN TWO VOLUMES. VOL. I. THIRD AMERICAN EDITION. —— xh*i^\ To this Edition is prefixed', v ' •£'*.-* A COMPENDIOUS HISTORY OF ANATOMY, AND THE RUYSCHIAN ART AND METHOD Of making- Preparations to exhibit the Structure of the Human Body, ILLUSTRATED With a Representiition of the Quicksilver Tray and its Apptnclages, W hich are not in the London Edition. PHILADELPHIA: PUBLISHED BY BENJAMIN C. BUZBY, N;>. 2, North Third-street 1810. A COMPENDIOUS HISTORY OF ANATOMY. FROM the works of Hippocrates, the father of medicine, who flourished about four hundred years be- fore the birth of Christ, is to be collected all the informa- tion of antiquity on the subject of Anatomy. This great physician, wliose principal attention was directed to the symptoms and cure of diseases, was, nevertheless, well aware of the importance of Anatomical knowledge to perfection in the healing art: hence we find, that his works abound with anatomical facts and observations, interspersed with the prevailing doctrines of the day. When it is considered, how many obstacles were throw* in the way of this science, from climate, prejudice, and superstition, the perseverance and acquirements of this great man, the ornament of the medical profession, can- not be sufficiently admired. He describes some parts peculiar to the human body, which could only be ascer- tained by actual dissection. The body he made to con- sist of solids, fluids, and spirits; of containing and con- tained parts. The elementary humours he divided into four kinds; blood, phlegm, choler or bile, and melancholy or occult bile. This was agreeable to the7 philosophy of the age in which he lived ; as likewise the notions of all bodies being composed of earth, air, fire, and water. He never distinguished between nerves, arteries, veins, or tendons; but calls the heart and its pericardium a 4 powerful muscle ; he knew the aorta, vena cava, pulmo- nary arteries and veins, and entertained obscure notions of the uses of the valves ; but considered the auricles as a fan. He mentions the distributions of the arteries and veins by trunks and ramifications from the heart; and asserts, that all the arteries originate from the heart. The liver was thought to be the root of the veins, the fountain of the blood; and he supposed it to separate bile. He thought the arteries carried the spirits ; but was entirely ignorant of the circulation of the blood, and of the use of the diaphragm ; and his seating the soul in the left ventricle of the heart is a memorable example of human vanity, and of that inherent inclina- tion in man, boldly to account for what is inexplicable. The heart and lungs, he imagined, received part of our drink. Of the organ of hearing, it is concluded, he knew little, for he only mentions the tympanum. As to the brain, which he thought a gland, (an idea which has since been erroneously supposed to belong to Malpighi) the nerves and their uses, vision and the senses, he was totally ignorant as to the causes ; yet he makes the brain the seat of wisdom. The glands he imperfectly understood. The P\ thagorean doctrines of conception, generation, and pregnancy, are, in general, absurd and superstitious ; as likewise his notions of the Pythago- rean numbers, which seem to have been the prevailing philosophical follies of the day. On moles, false con- ceptions, and the nourishment of the foetus, a rational judgment is formed ; he comprehended the communi- cation from the mother to the foetus, by means of the umbilical cord ; though, in another place, he supposes that it absorbs nutriment by the mouth, and from the surrounding fluid in the ovum. After Hippocrates, anatomy continued to be improv- ed ; but, as opportunities were extremely limited, from the prejudices of mankind, its progress was but slow, and chiefly confined to the two schools of Athens and Alexandria. In the former, the names of Socrates, Pla- to, Xenophon, Aristotle, and Theophrastus, are still preserved along with many of their works ; and although we observe that their general attention was directed to philosophy, yet natural history and anatomy were far from being overlooked; their opportunities, however, 5 of examiningbodies were confined; and after their time. the studv of natural knowledge at Athens sunk for ever- But while it decayed in Greece and Asia, it rose w th increased ener^v, under the protection of the Ptolo- mies, at Alexandria. In this school, which was so long pre-eminent, Erisistratus and Herophilus were hicrhly distinguished for anatomical knowledge. Bv the liberal patronage of the Ptolomies, they enjoved ample opportunities of dissecting human bodies; and the con- sequent improvements which anatomy received were very great. They not only corrected many former er- rors, but wrote with great judgment upon neuro'ogy: "Hjev observed a variety of structure in nerves supply- ing different parts, and hence distinguished them into those which were necessary to sense, and those which were subservient to motion. Betweln the times of Herophilus and Erisistratus fo Galen, a period of five hundred years, Asct.epiades, Rufus Ephesius. and the sensible and elegant writer Celsus, flourished. The two latter have given the appellations and situations of all the parts of the human body, in compendio, in which many discoveries appear to have been made from the time of Hippocrates. Nei- ther one nor the other dwelt much on the uses of the parts, kufiis writes Greek in the concise Attic style, and Celsus is the most classical writer that ever appear- ed in the art of medicine. Claudius Galenus, or Galen, was physician to four emperors, and was, without exception, the most distinguished practitioner of the age in which he lived. He has arranged all the prior anatomical science that Herophilus and Erisistratus had obtained from the actu- al dissection of human subjects, and incorporated it into his voluminous treatises on all the branches of medi- cine. The medical principles of this great man, formed on the Peripatetic philosophy of Aristotle, are not to the present purpose ; except that they reigned triumphantly in the schools and universities, disdaining and crushing all innovators or improvers, for a period of nearly fifteen hundred years. The celebrated Galen, however, was a man of uncommon erudition, and he brought into one point of view, with much labour, learning, and industry, all the medical and philosophical science of his prede- ccssors. The anatomical part was indubitably extract- ed from the great Herophilus and Erisistratus, and, con- sequently, hi general contains what those first dissectors of human bodies had observed or written. In the works of this eminent physician, anatomy appears very conspi- cuous and methodical. He gives the situation and uses of all the parts of the human body, whether animal, vital, or natural. What discoveries he made, cannot be ascertained; but Galen was the first author who seems to have digested, in regular order, the human functions, the brain and the membranes, the senses, the contents of the thorax and abdomen, osteology, a com- plete myology and neurology, in which are the origin and insertion of the muscles, their action, &c. and the distribution of the whole nervous system. The lacteal vessels, likewise, were well known ; though the extent of their effects, their passing through the thoracic due and subclavian vein, to the bloed, were not compre- hended. The exhalent arteries and inhalents were men- tioned, both by Hippocrates and Galen ; but the princi- ples of action were unknown. The circulation of the blood, the real uses of the liver, glands, heart, dia- phragm, pancreas, kidney, ureters, bladder, universal cellular structure, the power of the nervous system over the arteries and veins, the lymphatic absorbent system, were to him unknown. From the time of Galen to the fifteenth century, anato- my was rather on the decline, anatomists being consi- dered learned or ignorant in proportion to their know- ledge of his works. The destruction of Alexandria in- troduced learning among the Arabians ,< but they made but little progress in the knowledge of the human body. Abuollaliph, however, towards the close of the twelfth century, exposed many of Galen's errors in os- teology, by frequenting burial-grounds, Among the early cultivators of the science of anato- my in the fifteenth century, the great Ves alius flou- visaed; who may with propriety be styled the restorer of anatomy; being the first who dared expose the errors of Galen, in medicine and anatomy, by referring to the human body. This wonderful man, whose per- severance and genius cannot be sufficiently admired, was born at JBrussel, in 1415. After having gone through 7 the usual studies of the age, he went to Montpellfer, to study medicine. The principal professors in the uni- versity of Paris requested him to come there, where he attended their lectures. Vesalius's zeal for medicine, particularly anatomy, induced him to brave every dan- ger to which he was exposed, by clandestinely procur- ing bodies for dissection He did not, however, confine his attention to the human subject only, but opened a great number of animals. In the pursuit of his favour- ite science, his veneration for Galin diminished in pro- portion as he detected his inaccuracies ; till at length he threw off all controul of this great standard of anci- ent medicine and anatomy, and became the advocate for actual dissection of the human body, to which he con- stantly referred in all his disputations. The war, which commenced at that time in France, obliging Vesalius to leave Paris, he returned to his own country, Louvain. The knowledge he had acquired in anatomy induced him to profess it publicly in that city ; but, in order to extend his anatomical researches,in 1535, he followed the army of the Emperor Charles the Fifth, against France. His reputation increased. He was cho- sen Professor of Anatomy in the university of Padua, by the republic of Venice, and there gave lectures on medicine, particularly anatomy, for seven years. In 1539, Vesalius published his anatomical plates, which attracted the admiration of the learned. In this, ami in his other works, all the errors of Galen are ex- posed A multitude of enemies sprung up against this bold innovator of old established authority. All Europe resounded with invectives against him : Eustachius at Rome, Driander at Marpurg, and Sylvius at Paris, be- came his public enemies, particularly the latter, who employed every species of culumny to lessen him in the esteem of his "patrons: instead of Vesalius, he called him Vesanus, or a madman ; and accused him of igno- rance, arrogance, and impiety. Fallcpius was the only one among his opponents who preserved any modera- tion. Having been a pupil of Vesalius, he never forgot how much he was indebted to his preceptor; and, al- though lie was.far more able than Sylvius to criticise, from having powerful objections to bi-in^ forward againsc the work, he proceeded in the ri.ost li.-Lcate. and res- 8 pectful manner, influenced by the greatest esteem and gratitude for the assistance he had received from his venerable master. Vesalius, on the other hand, acted towards his pupil in the most gentle and honourable manner. As soon as the remarks of Fallopius on h;s work, had reached Spain, Vesalius prepared to answer them, and replied to him as a father would to a son. Fallopius, who has rendered his name dear to posterity by his extensive knowledge in anatomy, possessed sen- timents very different from Sylvius; he was not asham- ed of acknowledging his obligations to Vesalius, for the greater part of his information on anatomy : he admits that Vesalius has not shown sufficient respect to Galen, but confesses that his objections are generally correct. Notwithstanding all opposition, the reputation of Vesa- lins daily increased, and he established anatomy on so- lid and permanent principles, when the Emperor Charles the Fifth, by whom he had been already honoured, no- minated him his first physician, and kept him constant- ly at Court. He now gained the confidence of the nobi- lity, and frequently gave unequivocal marks of his pro- found knowledge in the practice of physic. But an un- expected event soon reduced this great man to distress. Upon the death of a Spanish gentleman, whom he fud attended during life, Vesalius requested permission of the relatives of the deceased to open the body. The mo- ment he exposed the cavity of the thorax, he saw the heart palpitating. This unfortunate affair came to the ears of the gentleman's relations, who prosecuted Vesa- lius not onv as a murderer, but accused him of impiety before the Inquisition, which severe tribunal was about to punish him for the crime, when Philip the Second, of Spain, suggested the means of removing him from the decision of n,s judges, and caused him to make a pilgrimage to the Holy Land; in consequence of which Vesalius resolved to make the tour of Pak•stine. He passed over to Cyprus with James Ma.ate.te, a Vene- tian general, aud thence to Jerusalem boon after the de-.th of the celebrated Fa'.lopius, which happened in t..e year 1564, the senate of V"tn 4. The injecting syringe should be steeped in the water wiVh the part to be injected, until wanted. 5. The injection being finished, and the subject cold, remove the pipes, and tie up the parts they were in. Whenever a vessel is open, by accident or otherwise, be sure to secure it by a ligature, or cover it with a piece of thin and moist bladder, or the injection will always be oozing out. 6. The parts dissected and dried are to be varnished twice with copal or hard varnish, first washing them free from grease with some soap lees, and well drying them again. BLOOD-VESSEL SUBJECT. Select an emaciated subject, between the age of two and fourteen years. Preparation. Make an incision through the integu- ments the whole length of the sternum ; then, whh a saw, divide the sternum longitudinally into two equal vol. I. B 20 parts ; introduce a dissecting knife under the divided bone on each side, separate it from the mediastinum, and lay open the thorax, by bending back the two por- tions ofthe sternum and the cartilages ofthe ribs: an incision is then to be made into the pericardium, and the left ventricle of the heart, and a large pipe intro- duced into the aorta, and secured by a ligature. The subject is next to be put into warm water, and gradu- ally heated. The time gentralh required to heat the whole subject is four hours, in a large body of water. If the \eins are to be injected, three more pipes are required : one to be put into the angular vein, at the corner of the orbit; another into a vein as near the fingers as possible ; and the third into a vein as near the toes as possible. . I.tjection. The subject and injection being properly ' heated, throw the coarse red injection into the heart pipe, which will fill the arterial system ; and then the coarse yellow injection into the head pipe first, the next into the pipes of the extremities. The subject, when injected, should be put into cold water, with its face downwards. Dissection. Open the abdomen by an incision from the sternum to the umbilicus and from thence to each ili- um. Cut away the abdominal viscera, the stomach, i spleen, and intestines ; leaving the mesenteric vessels as long as possible : dissect away the liver, leaving the vena p>rt» and hepatic artery as long as possible. This done, dissect away the fat and cellular membrane from the vessels ; secure the mesenteric vessels in an arbo- rescent form on a piece of pasteboard. The kidneys, urinary bladder, uterus, and its appendages, are to be preserved and dried in their situations. From the tho- rax are to be removed, the lungs and heart, or the lat- \ ter may remain. The integuments being carefully dis- sected from the sternum, »•; d, by sawing on one side of the longi- tudinal sinus ->f the dura mater from the frontal sinus to the horizontal spine of the occipital bone, and then saw'mg hor'>zontallv above the ear, from one extremity ofthe former incision to the other. The dura mater • sho'ld be removed with a pair of srissars, the brain carefully washed out, and the tentorium and falx pre- served It is better to make a perpendicular section of the head, a little to one side ofthe sagittal suture, through the nose, foramen magnum, and vertebrae; and thus prepare each side. The course of the cervical ar- terv is to be shown by dissecting away the muscles, &c. from between the ti\ms\erse processes. Preservation. Varvsli it several times, and keep it in glass case, suspended; or fix it by the neck, and cover it with a glass bell. AN ARM, FOR ARTERIES AND VEINS. Remove the superior extremity from the trunk, by separating the clavicle from the sternum, raising it, and passing the knife under it to the articulation, in- cluding the greater part ofthe pectoral muscle. Then cut under the scapula, so as to remove wre-finger, and keeping it so by pressure with the thumb, by which the pipe may be carried in without difficulty. A ligature should be passed round eack pipe with a needle, taking care not to puncture any of the vessels Injection. The usual colours are to be selected ; but instead of throwing the yellow into the vein, it should be pushed into the artery, for the artery here performs the function of a vein, and vice versa. When there are two placentae there should be different colours used. Dissection. The spongy substance is to be carefully dissected away from the injected vessels, the placenta soaked in cold water, to get rid of its blood, and then dried, curling the cord around it; and should the mem- branes not be much torn they may be distended with curled hair over it. Preservation. Varnish it well ; fix its bottom in a case with a glass top.. 25 The Heart, in Situ ; with the Head and Adjacent Vessels. For this purpose choose the head of a young subject, or an adult whose heart is free from fat. The liver, stomach, spleen, &c are to be removed from the ab- domen, and the aorta divided just as it gives off the eoeliac artery. The incision into the chest should be carried through the. integuments, from the trachea to the ensiform cartilage, the sternum sawed through, and bent one half on each side, from the extremity of the cartilages nearest the ribs ; then divide one of the pul- monary veins as near as possible to the lungs, and re- move a portion of bone over the longitudinal sinus of of the dura mater. Preparation. Having well soaked the parts in warm water, and squeezed the blood from the heart and ves- sels, by the inferior cava and pulmonary vein, put a pipe into the longitudinal sinus of the dura mater, pointed towards the occipital bone, another into the pulmonary vein, a third into the vena azygos, and one into the re- ccptaculum chyli, or thoracic duct. Tie up carefully the aorta and the vena cava inferior, and put a strong ligature around the middle of each arm. J, jection. Three colours are required ;—one for the arteries, which should be red ; another for the veins, v liich may be yellow or blue ; and the third for the tho- racic duct, which should be white, to imitate chyle. Throw the red injection into the pipe in the pulmonary vein, v. h.eh will fill the left auricle, ventricle, aorta, and all the arteries. The pipe in the head is for the yellow injection ; by this will be filled the veins of the head, face, neck, and chest, the right auricle of the heart, the right ventricle, and the pulmonary arterits. Should the vena azygos not be injected, the yellow in- jection is to be thr wn into it. A small quantity of white injection is sufficient for the thoracic duct. Dissection. Remove the body by a transverse section at the last dorsal vertebra, then amputate the arms at their middle, saw away one side of the bones of the scull, and wash away th.- brain: then dissect away all the loose cellular membrane and fat, and expose the various parts in the best manner ; dissect away the n 1 26 lungs, leaving the pulmonary arteries as long as pos- sible. Preservation. This is, when well done, a valuable preparation, and deserving of great care. Varnish it well, and preserve it in a square glass case. A Foetus, to exhibit the Peculiarities of its Circulation. For this purpose select a still-born foetus ; and, if possible, one that died from a flooding of the mother. Preparation Dissect the umbilical vein from the ar- teries, about four inches from the umbilicus, and fix a pipe in it, taking care not to include the arteries.— Throw warm water into this pipe, and wash out the blood, which will flow out by the umbilical arteries. Having drained away as much ofthe water as possible, tie a ligature very loose on the umbilical arteries. Injection. The foetus being heated, throw in gently any coloured injection. The water will come away first through the umbilical arteries ; and, when the in- jection appears, make the ligature firm, to prevent its further egress. Dissection. The peculiarities in the foetal circulation are the umbilical cord, the ductus venosus, the ductus arteriosus, and foramen ovale. When the body is cold, proceed to the dissection ; remove the head from the cervical vertebra:, the arms, with the scapula, andpec- toral muscles ; the inferior extremity at the articula- tion with the pelvis, the whole of the parietes of the abdomen, leaving the arteries running to the cord by the sides ofthe bladder ; the anterior part of the tho- rax, with the sternum, cartilages, and part ofthe ribs, the integuments and muscles of the back. Next cut away the lungs, and remove the pericardium ; keep the diaphragm in its place, and turn up the liver, so as to expose the ductus venosus. Some dissection and care is here necessary. Dissect away the stomach and in- testines, and lay out the mesentric vessels, distend the bladder with air, and cut away any tiling that may ob- st; uct the view ofthe vessels. The foramen ovale can- not be exhibited. Preservation. After having varnished it hang it in a glass bell, with a hook at its top. PENIS. The penis may be injected, to show the two corpora cavernosa, the corpus spongiosum, ar.d glans, with the arteries and veins. For this purpose am healthy penis will do, but large ones are generally preferred Hav- ing cut through the integuments and soft parts in the pelvis, in the direction the saw is to be passed, saw through the middle of each crista ofthe pubis, straight down, and through the ascending ramus of each ischi- um, close to their commencement, and thus remove the pubis, with the bladder and external parts of generation. Preparation. Make an incision into either of the cru- ra ofthe corpora cavernosa, and into the bulbous part ofthe urethra, as near to the prostrate gland as possi- ble ; soak it in hot water, and carefully press out the blood from every part. Introduce a probe along the vena magna ipsius penis, by an incision at its root, to break down its valves ; fix a pipe in each of these in- cisions, and another in each vas defe: ens, at its en- trance into the vesicular seminals, and secure all the divided vessels. Injection. Four colours are necessary ; those gene- rally preferred are red, yellow, blue, and while. Throw the red into the corpus spongiosum, which will distend the glans : the yellow into the corpus cavernosum pipe; the blue into the vena magna ipsius penis ; and the white into the vasa deferentia. Dissection. Inflate the bladder, dissect away all the. s ft parts, and keep the penis erect against the sym- phisis pubis. Preservation. In a covered box. TESTICLE. A testicle of an adult should be chosen free from dis- ease, and great care is requisite in removing it from tlu- bodv First, enlarge the ring of the oblique muscle, push the testicle through from the scrotum, and sepa- rate its cellular connecting substance, then cut the sper- matic arterv and pampiniform plexus as high as possi- sible and then the vas deferens. Preparation. When well soaked press out the blood from the veins j put a pipe into the spermatic aiurv, and another into a vein ; and secure all other open mouths. Injection. Red is to be sent into the afltery, and yel- low or blue into the vein, which is without valves. Then fix the quicksilver tube in the vas deferens, and suspend it in water; this done fill it with mercury, and in twenty- four hours it mav be removed to be dissected. Dissection. Cut away the tunica vaginalis, and the tunica albuginea, which requires great care : then re- move all the cellular and adipose membrane, and dry it on a board previously waxed. Preservation. In a common preparation glass, on a blue or green paper ground. The System ofthe Vena Par tee. Remove the liver, spleen, stomach, and intestines al- together, of a person whose mesentery is free from fat, cutting away at the root of the mesentery, behind the peritoneum. Preparation. Cut into a mesenteric vein, as near to the intestine as possible, and secure it with a ligiture passed around it with a needle, taking care not to wound any other vein. Inject warm water, and let it again run out by the divided vessels. Drain its waters off, and se- cure all the veins, the hemorrhoidal especially. Injection. Throw any colour into the pipe, which will pass into the splenic, mesenteric, and internal haevnorr- hoidal vein, and into the vena porta:. Dissection. Remove all the soft parts ; the stomach, spleen, and intestines; cutting the vessels as long as pos- sible, and dry them in the best manner, either attached to the liver, or dissect away the liver from the vena por- l«e, taking care to preserve some of its ramifications. Preservation. In a covered box HEART. The heart is mostly injected out of the body, to show its common and proper vessels. For this purpose, choose a lean heart. Cut through the thoracic viscera imme. diately at the top of the thorax } divide the intercostal arteries by drawing the knife down the pleura, over the ribs beyond their origin, separate the vena cava im'.n- 29 or and aorta, in the abdomen, with the ciivx hepaticx; and remove the thoracic viscera, with the portion ofthe diaphragm surrounding the vessels. Preparation. Soak the blood and coagula out ofthe cavities ofthe heart, and press the blood from the cor- onaries. Put a pipe into the vena cava superior, and a- nolher into one ofthe pulmonary veins. Then tie the lungs at their root, the vena cava inferior, the arteria innominata, the left carotid and subclavian ; and pass a Hgaturc, with a slip knrding to their appearances ; as Coronoid, Condy- loid, &c. The numerous Cavities of Bones, as Glenoid, Cotyloid, be. the names varying according to their appearances. Ofthe Skeleton in General, THE Assemblage of Bones Joined together to form a Skeleton, A Natural Skeleton, or one joined together by its own Ligaments. An Artificial Skeleton, or one joined together by Wire, &c. &c. The Division of the Skeleton into Head, Trunk, Supe- rior Extremities, and Inferior Extremities. Of the Skull in General. The Skull divided into the Cranium, and Bonet of the Face. The General Figure ofthe upper part of the Cranium, compared to that of an Egg. *1 The flat form ofthe Cranium, laterally; The Smooth Surface ofthe upper part ofthe Cranium, where it is little affected by Muscular Fibres. The Periosteum ofthe head, called Pericranium. The under and outer Surface ofthe Cranium, irregular where it gives attachment to Muscles, &c. and passa- ges to Vessels and Nerves. The anterior and under part of the Cranium, hoi loin, to make part ofthe Orbits. The posterior part ofthe Cranium, marked bv Muscles of the Trunk. The upper and inner Surface of the Cranium, hollow, for lodging the Brain. The under and inner Surface ofthe Cranium, with un- equal Cavities, for lodging the Lobes of the Brain and Cerebellum. The Furrovis along the inner side of the Cranium, foj , the reception ofthe Blood-vessels ofthe Dura Mater. The Sinuosities upon the inner Surface of certain Cra- nia, for lodging Luxuriances ofthe brain. The Pits seen in some Crania, for lodging Granulout Bodies on the Dura Mater. The External Table ofthe Cranium. The Internal table of'the Cranium, called Vitrea, some- what thinner than the external. The Diploe, or CancelU, between the tables of the Cranium. The Diploe a wanting in certain parts ofthe Cranium. The Cranium in general composed of eight bones, six of which are said to be proper to the Cranium, the tvio last common to it and to the Face ■ The six proper to the Cranium, are The OsFrontis, placed in the fore-partof the Cranium. The tvjo Ossa Parietalia, placed in the upper and lat- eral parts ofthe Cranium. The two Ossa Temporvm, placed in the under and lat- eral parts. The Os Occipitis, which forms the back and some of the lower part of the Cranium. c 2 42 The tvio Bones common to the Cranium and Face are, The Os Kthmoides, placed in the fore-part of the Base ofthe Cranium The Os Sphenoides, situated in the middle of the Base. The Sutures, placed between the bones ofthe Crani- um, for allowing the Ossification to begin originally in different poin's. are, the three True Sutures,and two False or Squamous Sutures. The three True Sutures are, The Coronal Suture, placed between the Frontal and Parietal Bones, losing its serrated appearance near its terminations. The Lambdoid Suture, lying between the Parietal, Temporal, and Occipital Bones. The parts of the Lambdoid Suture, placed between the Occipital and Temporal Bones, called Additamenta ofthe Lambdoid Suture. The Sagittal Suture, situated between the Parietal Bones. The Sagittal Suture, sometimes continued to the Nose. The Serrated Appearance of the True Sutures, seen distinctly on the outside of the Cranium only. The True Sutures, having little ofthe serrated appear- ance on the inside ofthe Cranium. The two False Sutures, placed between the upper edge ofthe temporal, and under Edge ofthe Parietal Bones. The Portion of the two False Sutures, situated be- tween the under and back part of the Parietal anel the Temporal Bones called by some Additamenta ofthe Squa- mous Sutures, and which have in that part the true ser- raied appearance. Additional Bones, called Ossa Triquetra, or Wormi- ana, sometimes found in the different Sutures, though most frequently in the middle of the Lambdoid Suture. The Sutures said to be common to the Bones of the Cranium and Face, are, The Ethmoid Suture, which surrounds the Ethmoid Bone. Tne Sphenoid Suture, which surrounds the Sphenoid Bone. 43 The Transverse Suture, which runs across the orbits and root ofthe Nose, between the Frontal, Malar, Sphe- noid, Ethmoid, superior Maxillary, and Nasal Bones. The Zygomatic Sutures, placed between the Temporal and Cheek Bones. OS FRONTIS. The Situation of the Os Frontis, in the fore-part of the Cranium. Its Shape, which has been compared to that of a Clam shell lis External Surface, smooth and convex. The external and internal Angular, or Orbitar Proces- ses. The Superciliary Ridges, on which the Eye-brows are placed. Projections over the Frontal Sinuses. The Nasal Process, forming part ofthe Nose. Part of the Temporal Process, or Ridge Which forms the boundary between the temporal and Frontal Mus- cle s. The hollow Orbitar Processes, or Plates, which form the upper part of the Orbits. The Sinuosity behind the upper end ofthe Supercilia- ry Ridge, for lodging the Lacrymal Gland. Behind each Internal Angular Process, a small Pit, to which the Cartilaginous Pulley of the Superior ob- lipue Muscle is fixed. The Temporal Fossa, for lodging part of the Muscle of that name. The Opening between the Orbitar Plates, for receiv- ing the Cribriform Plate ofthe Ethmoid Bone. The Foramen Supra Orbiturium, through which a branch of the Ucular Artery, and part of the Ophthal- mic Branch of the Fifth Pair of Nerves pass to the soft parts ofthe Foreheads. The Foramen Orbiturium Internum, Anterius et Poste- rius, through which smalltwigs of Nerves pass from the first part of the Fifth Pair, and of Arteries from the Ocular Arterv into the Nose- 44 Small Perforations found upon the under and fore-part of the Frontal Bone, for the transmission of very minute Arteries or Nerves. The concave, inner, and fore-part of the Os Frontis, for lodging the Anterior Lobes ofthe brain. The convex under parts, for supporting these Lobes, and covering the Eyes. The Ridges and Depressions of the Orbitar Processes, marked by the Convolutions ofthe Brain. Small Furrows on the inside ofthe Bone, for lodging the Blood vessels ofthe Dura Mater. Slight Sinuosities, more evident on the under than on the upper part ofthe Bone, occasioned by the Convolu- tions ofthe anterior part ofthe Brain. The Frontal Spine, for the attachment ofthe Falx. The Frontal Furrow, extending upwards from the Spine, for lodging the upper part of the superior Lon- gitudinal Sinus. The Foramen Cecum at the under part of the Spine, fora process ofthe Falx ofthe Dura Mater, and small Blood vessels. The Frontal Sinuses, placed behind the inner ends of the Superciliary Ridges, and, in some Skulls, forming Prominences near the root of the Nose. The Walls ofthe Sinuses, formed by a separation of the Tables ofthe Bone. Their Partition, by which they are prevented from communicating with each other. A Communication which they sometimes have with each other. A Passage from each, leading into the Cavity ofthe anterior Ethmoid Cells, and from thence to the Nose. —The Sinuses add to the strength and melody of the voice. In a Foetus of nine months, the Os Frontis is compo- sed of two Pieces—The Superciliary Holes and Fron- tal Sinuses are not yet formed. OSSA PARIETALIA. THE Situation of the Parietal Bones in the upper and lateral parts ofthe Cranium. 45 The^wre of each Parietal Bone a Trapezium, or ap- proaching that of a Square. The upper edge longest. The anterior Edge, next in length. The posterior Edge, Shorter. The inferior, shortest, and in form of a ragged arch, to be connected to the upper edge of the Squamous part ofthe Temporal Bone. The three first Edges of the Bone ragged, where they assist in forming the True Sutures. The corners of the Bone obtuse, excepting the under and anterior, which forms a kinel of process. The external convex smooth surface ofthe Rone. The transverse arched Ridge, or Line, placed exter- nally, a little below the middle height of the Bone, for the origin ofthe Temporal Muscle. The radiated Furrows at the under part ofthe Bone, formed by the Fibres ofthe temporal Muscle. The Foramen Parietale, for the passage of a Vein from the Integuments ofthe Head to the superior lon- gitudinal Sinus ; and sometimes for the transmission of a small Artery to the Falx ofthe Dura Mater. The internal concave Surface of the Bone. The Furrows made by the blood-vessels of the Dura Mater, the principal of which begin by a Trunk at the under and fore-part ofthe Bone- The Depression at the upper Edge of the Bone, which 5s most distinctly seen when the Bones are conjoined, for the attachment ofthe Falx, and lodgment of the supe- rior longitudinal Sinus. The Fossa at the under and back part of the Bone, for lodging a small part of the lateral Sinus. Numerous Depressions found on the inside of the Bone, occasioned by the pronTmences of the Brain. The Connection of the Parietal Bones to the Frontal one, by the Coronal Suture,—to each other by the Sa- gittal Suture. In the Foetus the sides of the Parietal Bones are in- complete, and there is no Parietal Hole. Between the Parietal Bones and the middle of the Os Frontis, there is a Membranous Substance filling the in- terstice, and getting the name of Bregma, Fons, or Fon- 'anella, from "its having been supposed by the Ancients 46 that the superfluous humours of the Brain are evacua- ted through it. OS OCCIPITIS. The Situation of the Occipital Bone in the back and under part ofthe Cranium. Its rhomboid figure. The two lateral Angles- The external Surface, convex and smooth at the up- per part. The large arched Ridge, near the middle of the con- vex Surface to the centre of which the Trapezii Mus- cles are fixed, the outer parts giving origin to the Oc- cipito Frontalis. The smaller Arch, under the former. The Depressions between the large and small Arch- es, for the connection of the Complexi. The Impressions between the Arches and the Tem- poral Bones, for the attachment ofthe Splenii. Cavities between the smaller Arch and the Foramen Magnum, for the reception ofthe Recti Minores. The perpendicular Spine, between the Muscles ofthe opposite Sides. The unequal Edges of the Foramen Magnum, for the insertion of Ligaments, by which the Head is fixed to the Vertebrae of'he neck. The inferior Angle, called Cuneiform or Basilar Pro., cess. The unequal Surface of the Cuneiform Process, for the attachment of the Recti Anteriores Muscles. The Condyles placed at the Base of the Cuneiform Process, and sides of the Foramen Magnum, for the articulation with the first Vertebra ofthe Neck. The oval Form and smooth Cartilaginous Surface of the Condyles, corresponding with the superior articu- lating Processes ofthe first Vertebra. The rough Edges ofthe Condyles, for the attachment of their Capsular Ligaments. The rough Surface between the Condyles and Mas- toid Processes of Hie Temporal Bones, for the insertion ofthe Recti Capitis LaUrales Muscles. 47 The Internal Surface ofthe Bone, hollow, for contain- ing the back part ofthe Brain and Cerebellum. The Cruciform Spine ofthe inner side. The upper Limb of the perpendicular Spine, hollow in the mieldle, or frequently at one side, for the recep- tion of the superior longitudinal Sinus, and the attach- ment ofthe Falx. The lateral Limbs placed opposite to the great ex- ternal arched Spine, and hollow in the middle, for con- taining the lateral Sinuses, and giving attachment to the Tentorium ofthe Dura Mater. The lower Limb of the perpendicular Spine, for the attachment ofthe Falx Minor. The Foss gular convex Surfaces, corresponding with the anterior Ethmoid Cells. The Substance of the bone is the thinnest and mart brit- tle of any in the body. , It is connected to the Frontal Bone, by the Transversa Suture, and to the Os Planum by the Ethmoid Suture. Internally, it is connected with the Ethmoid Cells, Os Mala; Its Situation in the outer part ofthe Cheek. The external, convex, smooth Surface. The posterior hollow Surface, for lodging part of the Temporal Muscle. The superior Orbitar Process, forming part of the out. side ofthe Orbit The inferior Orbitar Process, forming part ofthe lower Edge ofthe Orbit The Maxillary Process, forming the under part ofthe Prominence ofthe Cheek. The Arch between the Orbitar Processes, which forms near a third part, of the anterior circumference of the Orbit. The Zygomatic Process, forming part of the Arch over the Temporal Muscle. The Internal Orbitar Plate, forming the outer and fore- part of the Orbit. A Passage through the Bone, for the transmission of small Vessels or Nerves from the Orbit to the Face. The Connection of the superior Orbitar Process and internal Orbitar Plate,to the frontal and Sphenoid Bones, by the transverse Suture. The Connection of the Zygomatic Process to the Ten»< poral Bone, by the Zygomatic Suture. Os Maxillare St'PERIU9, The Situation in the fore-part ofthe Upper Jaw, and side ofthe Nose. Its Size, the largest of the Bones ofthe Upper Jaw, The Nasal, or angular Process, forming part of tf<5 *!•.!« ofthe Nose, and o'.'the inner part of the 0.rtbl;. v 56 A Ridge at the under and inner part ofthe Nasal Pro- cess, for supporting part of the Os Spongiosum iiiferiws. The Orbitar Plate, forming a large share of the under . side ofthe Orbit. The Malar Process, unequal and ragged, where it con- tributes, with the Oo Mal.c,to form the Prominence of the Cheek. The Tuberosity, or bulge at the back part of the Bone. The Alveoior Arch, of a spongy ;.nurc, where the Sockets ofthe Teeth are placed. The Palate Process, forming part of the Roof of the. Mouth, -nd ofthe hittJtn ofthe Nose. The Nasal Spine, contributing, in a small degree, to the formation ofthe Septum ofthe Nose. A Depression behind the Malar Process, where the under end ofthe Tcrnporal Muscle plays. A Depression at the under and fore-part ofthe Malar Process, where the Muscles which raise the upper lip, and corner of the mouth, originate. A Ca~ity formed by the Palate Plate. A Notch forming the under and fore-part of the Nos- tril. The Alveoli, or Sockets for the teeth, the number of Sockets conrspunding to the Fangs of the Teeth. The Lacrymal Groove, which, with that of the Os Unguis, forms a passage for the Lacrymal Duck into the Nose. A Canal in the Orbitar Plate, terminating anteriorly bjf the Foramen I-fra Orbitarium, ihrou;.»h wh'uh the Infra-Orbitar branch of ue second part ftii„ Fifth Pair of Nerves, with a branch ofthe internal Maxillary Ar- tery, pass to the Face. The Foramen Incisivum, or Palatinum Anterius, behind the fore-teeth, comn,-.,n to both bones below, but proper to each above, and filled with a Process ofthe soft Pa- late, and with small Vessels and Nerves, which run be- tween the Membranes ofthe Mouth and Nose. In some Subjects, there is a ttis-'tinct Ductus Ir.cisivus leading from one or from, each Nostril into the cavity oi the M.mth, similar to that which is alwavs found-in the large Quad.uivis. •; ■ : A small Hole commonly found in the Nasal Prowls, aiul sunie minute' I\iucges at the b.ivk-patt of the Tu- 57 berosity, for the transmission of Blood-vessels and Nerves into the Substance of the Bone, or Antrum Max- illare. Sinus Maxillaris, Antrum Maxillare, or Highmoria- num., situated under the Orbitar Plate, and above the large Dentes Molares, for the same purposes as the o- ther Sinuses of th* head. The Opening of the Sinus, large in the separate Max- illary Bone, but, in the connected state, so covered by the inferior spongy and Palate-Bones and membranes, as to leave only a small Aperture between the Ossa Spongiosa superius and inierius, into the Cavity of the Nose. The Connection of the Os Maxillare superius, to the Frontal Bone, by the transverse Suture ;—to the Os Un- guis, by the Lacn .'.ial Suture ;—*■> the Os Nasi, by the lateral Nasal Suture ;—to the Cheek bone by the exter- nal Orbitar Suture ; to the Os Planum, by the Ethmoid Suture;—to its fellow, by the longitudinal Palate Su- ture. Anteriorly, between the Mouth and Nose, the Bones are joined together by the Mystachial Suture. In the Foetus, there are Si.*: Sockets for the Teeth. There is no Tuberosity, and the Maxillary Sinus is on- ly beginning to form. Os Paeati. Its Situation in the back-part ofthe Palate. The Oblong form of the Palate-Plate, which forms' the back part ofthe Os:;eous Palate. • Us posterior curved Edge, where it is co.mectcd with the Velum Palati ; also the Point at the inner extremity ofthe curve, for the origin ofthe Muscle ofthe Uvula. Its thick, strong subsln.ee, where it joins its fellow. . Its Spinous Process at. the inner Edge of the Palate- Plate, joining the undei hd"x ofthe Vomer. •The Pterygoid Process of a Triangular jot m, with Fos- tte corresponding to the Pterygoid Plates uf the Sphe- noid Bone. The Nasal Plate, forming a portion ofthe side ofthe Nose, and Antrum Maxillare. A Ridge on the inside of this Plate, upon which the back-part of the inferior ,sjongy Bone rests. 58 The Orbitar Processes at the upper and back-part of ofthe Nasal Plate, contributing a little in the formation ofthe Orbit, and of the Ethmoid and Sphenoid Sinuses. A Notch between the Orbitar Processes, forming part of the Foramen Palatinum posterius, for the passage of the lateral Nasal Vessels and Nerve. Foramen Palatinum posterius, at the outer end ofthe Palate-Plate of this Bone, but common to it and the Maxillary Bone, for the transmission ofthe Palatine Vessels anel Nerves. A small Hole frequently observed behind the former, and communicating with it, for the passage of a branch ofthe Palatine Nerve. Foramen Spheno-Maxillare, Lacerum Inferius, or Infe- rior Orbitar Fissure, at the under and outer part ofthe Orbit, and common to the Cuneiform, Maxillare, Malar, and Palace Bones, for lodging fat, and transmitting small twigs of Vessels and Nerves into the Orbit. The Connexion ofthe Os Palati to the Palate-Plate of the Maxillary Bone, by the transverse of the Palate Su- tnre ;—to the Maxillary Bone, at the side of the Nose and bottom of the Orbit, by the Palato-Maxillary Su- ture ;—to the Pterygoid Process of the Sphenoid Bone, by the Sphenoid Suture;—to the Os Planum and Eth- moid Cells, by the Ethmoid Suture;—to its fellow, by the longitudinal Palate Suture. OS SPONGIOSUM, Or TuRBINATUM InFERIUS. Its Situation in the under part ofthe side of the Nose- Its Triangular form and spongy appearance. Its Convexity towards the Septum Nasi, and Concavity outwards. The two processes at the upper part of the Bone, the anterior forming part ofthe Lacrymal Groove, and the posterior part ofthe Wall ofthe Maxillary Sinus. This bone is connected to the Os Maxillare, Os Palati, and Os Unguis, by a distinct Suture in a young subject, but in an old person, it grows firmly to these Bone by an union of substance- " Sphenoidal Cornu, or Os Triangular*. The Situation ofthe triangular Bone between the bo- dy ofthe Sphenoid Bone and root of its internal Ptery- 59 goid Process, covering the under part ofthe Sphenoid Sinus The Connection to the back part of the Ethmoid Bone. —In an old person this Bone grows so firmly to the Sphe- noid Bone, as to be considered by some authors as one of its Processes. Vomer. Its Situation in the under part of the Septum Nasi, where it separates the Nostrils from each other. It is frequently bent to one side, in which case the one Nostril is rendered larger than the other. Its Form, compared to that of the Plough-share. The Superior and Posterior part, thick and strong, with a Furrow to receive the Processus Azygos of the Sphe- noid Bone. The Superior Part, with a Furrow to receive the Na- sal-Plate of the Ethmoid Bone and Cartilage ofthe Nose. The Inferior Edge connected with the spinous Proces- ses ofthe Palate and Maxillary Bone's. The Posterior Edge, unconnected with any other Bone, and turned to the Cavity ofthe Fauces. MAXILLA INFERIOR, THE Figure of the Maxilla Inferior, or Lower Jaw, compared to that of the Greek v. Its Division into Chin, Sides, and Processes. The Chin, extending between the Mental Foramina. The Side reaching from the Mental Foramen to the back-part of the Bone. A transverse Ridge on the fore-part ofthe Chin, with depressions on each side, for the origin ofthe Muscles ofthe Under Lip. Small Prominences and Depressions on the under and back-part of the Chin, for the attachment of the Frae- num Lingua, and several Muscles which belong to the Throat. The Base, or lowest Part, forming under boundary of the Face. The Angle of the Jaw at the back-part of the Base. Impressions made by the Mass,eter Muscle, upon th<» Plate which arises from the angle ofthe Jaw. The Condyloid or Articular Process, with an oblong smooth cartilaginous Surface, placed upon a Cervix at the upper and back-part ofthe Bone. The Coronoid Process, situated a little before the Con- dyloid, for the insertion ofthe Temporal Muscle. The Situation of the Coronoid Process behind the Zy- goma. A Semilunar Notch between the Processes.. The Alveolar Process, at the upper ccic ofthe Bone, and the Alveoli similar to those ofthe Ujver Jaw. The Sockets worn down by old age, in consequence of which the Jaw becomes narrower and more promi- nent. The posterior Maxillary Foramen at the root of the Condyloid and Coronoid Processes, upon the inner side ofthe Jaw, for the passage ofthe third, or inferior Max- illary Branch ofthe Fifth Pair of Nerves, with corres- ponding Blood-vessels. A small pointed Process at tbeinner edge of this Hole, where a Ligament goes off to be fixed to the Temporal Bone. Above the Hole, the Bone is marked by the passage of the Nerve and vessels, and below it, there is common- ly a small Furrow pointing out the course of a Nerve which goes to a Muscle and Gland under the Tongue. Betweeti the posterior Maxillary Foramen and the angle, the Bone is marked by the insertion ofthe Inter- nal Pterygoid Muscle. ' The Anterior Maxillary Foramen, or Mental Hole, at the side ofthe Chin, where the remains ofthe Inferior Maxillary Nerve and Vessels come out. Beetwen the Posterior and Anterior Foramina, the Inferior Maxillary Canal runs in the substance of the Bone, a little below the roots ofthe Teeth, and has ma- ny preforations, for the passage of small branches of Vessels and Nerves which supply the Jaw and Teeth. The Surface ofthe Jaw is remarkably hard, and with- in it has numerous Cells, which surround the Maxillary Canals, and communicate with each other at the forc- partof the Bone. The Articulation ofthe Jaw by its Condyloid Proces- 61 ses, with the Glenoid Cavity of the Temporal Bone, and also with the Tubercle at the root of its Zygomatic Pro- cess. _ An intermediate moveable Cartilage, placed in the Ar- ticulation of the Lower Jaw, allowing the Condvle to remain in the Glenoid Cavity, in the gentler motions of the Jaw, but admitting it to advance upon the Tuber- cle, or root ofthe Zygoma, when the mouth is widely opened. In a Foetus, the Lower Jaw is composed of two pie- ces joined together in the middle of the Chin, by the intervention of a Cartilage, which gradually ossifies, and leaves no mark of division—The Cavities for the Teeth are the same as in the Upper Jaw. THE TEETH. THE Situation ofthe Teeth in the Alveoli ofthe Jaws. The Number ofthe Teeth, Sixteen in each Jaw. The Base, or Body of each Tooth, which appears with- out the Sockets. The Roots or Fangs, placed in the Sockets, and of a Conical form. The Neck or Collar ofthe Teeth. The Sockets are lined with a Vascular Membrane, which serves as a Periostium to the Teeth. The Cortex or Enamel, which covers the base of each Tooth, and becomes gradually thinner towards the Cer- vix. The Fibres of the Enamel are placed perpendicular to the Osseous Substance, to diminish the effects of Friction. The Fibres of the Osseous Part of the Teeth form Lamellse, which run in the direction of the surface of the Teeth. A Foramen in the point of the root of each Tooth, and a passage leading from it into a common Cavity in the Base ofthe Tooth, for lodging the Vascular anel Ner- vous Pulp of the Teeth. The Division ofthe Teeth into Three Classes, viz. 62 —On each side of each Jaw,— Two Incisores, or cutting Teeth; One Caninus, Cus- pidatus, or Dog's Tooth ; Two Bicuspides, or small An- terior Molares, or Grinding Teeth ; a.id Three large Posterior Mojares, or principal Grinders. The Incisores, having their Bases formed into Wedg- es, which are sloped out behind. The Caninus, having its Base'in form of a Wedge poin- ted in the -middle The small Molares, each with double points, which, in the Upper Jaw, are nearly upon a level, but, in the Under Jaw, highest on the outside ofthe Teeth. The Incisores, Caninus, and small Molares, with ji'n- gle roots, excepting the small Molaris ofthe Upper Jos, which has frequently two roots- Ofthe three posterior, or lower Molares of the Un- der yaw ; the first has Jive points, and each ofthe other two has fiur points. Each of these three Teeth, has two, three, or some- times/bar roots. In the Upper yaw, the first large Molaris has only four points, and each ofthe other two only three points. In each of these three Teeth, tin re is generally one root more in those cf the Upper, than in the correspon- ding Teeth ofthe Under yaw The last, or backmost Molaris, called Sapiens, from its appearing much later than the rest, is smaller and has generally fewer roots. The Teeth are connected to the Sockets by Gompho- ses, (like a nail fixed in aboard) and by a firm adhesion to the Gums. In the Foetus, the outer Shell only of five deciduous Teeth, anel of one permanent Tcoth, in each side of each Jaw, is found. These Teeth are situated in Capsuls ,within the Jaw, and underits surface. Atthisperiod there are no roots formed. Between the inner side of the deciduous Teeth and the Alveoli, in the Fecttis, little Capsuls are placed, and connected by Processes with the Gums, in which, the Incisores ai.-l Cauina are afterwards l\>, met! ; but atthis time there is no appearance ofthe rudi.-.i-.mts of anv of tLe Tceili. See Dr. Bl-ikes Thetis, 17'Jo. 63> OS HYOIDES. THE Situation of the Os Hyoides, at the root ofthe Tongue and top ofthe Larynx, where it serves as aLe- ver, allowing several Muscles, moving these parts, to be fixed to it. or. The Shape, compared to that ofthe Greek letter v. I he Body of the bone, convex before, and concave be- hind. Several impressions are seen on its Body, occasioned bj the numerous Muscles fixed to it. The Cornua, extending backwards and upwards from each side ofthe Body. The Appendices, placed at the upper part of the Ar- ticulation between the Body and Cornua. From each Appendix a Ligament sent up to the Sty- loid Process ofthe Temporal Bone. The Os Hyoides is not immediately connected to a- ny other Bone, but is kept in its place by numerous Mus- cles and Ligamenis.to be afterwards mentioned At birth, the greater part of the Bone is in a Cartila- ginous state, and the Appendices continue so for many years after the other parts are completely ossified. THE TRUNK. THE Trunk, composed of the Spine, Pelvis, and Tho- x. The Spine, reaching from the Condyles of the Occi- pital Bone, to the lower end of the Os Coccygis. The Spine appearing straight, when viewed anterior- ly or posteriorly. The several Curvatures of the Spine, when viewed in a lateral tlirection. The Spine, composed of a long tipper, and a short un- der Pyramid, joined together by.their Bases. The upper Pyramid, composed of true Vertebrx, or Bones winch turn upon each other. *•- The under I'waniid, formed of false Vertebrx, or Bones v\ hich at an curly period of life, resemble the rax. 64 true Vertebrs.but afterwards grow together, so as no* to contribute to the motions ofthe Trunk of the Bod>. THE TRUE VERTEBRA, Are Twenty-four in Number. Each of the true Vertebrje composed of a Body and The Body of a true Vertebra of a spongy nature, with upper and under Surfaces placed horizontally. The anterior convexity of the Body, and posterior concavitv- . , . . . Numerous small Holes on the anterior and lateral; parts of the body, for the passage of Blood-vessels into the Substance ofthe Bone, or for the attachment of Li- gamentous Fibres. A Ring of Bone, at the upper and under edges of the Body, of a'firmer texture than the rest of its Substance,, and thereby adding to the general strength of the Bone. The Ring of Bone formin. a superficial Cavity, which receives the Intervertebral Cartilage. The Intervertebral Cartilages, or Cartilago-ligamentous Substances, placed between the Bodies of the Vertebrae, for fixing them together, and allowing the Spine to be moved in all directions. The Intervertebral Substances are composed of Con- centric Lamellx, with their edges fixed to the bodies of the Vertebrae. The Lamellae of these substances are formed of Ob- li.itte Fibres, which decussate each other, and are very compressible. The Centre of these substances changes from Lamel- lx, and puts on the appearance of a Mucus or Pulp, which has little compressibility, and serves asajbi'vct upon which the other parts move. The Intervertebral Subtances, like the Vertebrae them- selves, larger and thicker as they tlescend, to give great- er security to the parts they support. An Arch sent out from the back-part of the Body, which, together with the Body, form3 a large Hole for the passage of the Spinal Marrow. 65 A Notch at the upper and under edge of each side of the Arch, for the passage of the Spinal Nerves. The two Superior Oblique, or Articulating Processes, covered with Cartilage, placed upon the upper part of the sides ofthe Arcb. The f.;o Inferior Oblique, or Articulating Processes, also covered with Cartilage, and placed upon the un- der part of the sides of the Arch. The two Superior Oblique Processes of one Vertebra, articulated with the two Inferior Oblique of the Verte- bra immediately above it. The two Transverse Processes projecting from the sides ofthe Arch, and between the Oblique Processes. The Spinous Process, sent out from the back part of the Arch, which being sharp and pointed, gives name to the whole chain of Bones. The Edges ofthe Processes, as well as of the Body, arc rough, v, here Ligaments come off which fix them to each other. The Vertebra; divided into seven Cervical, Twelve Dor- sal, ar.el fije Lumbar. Tile Cervical Vertebrx, or Vertebroe of the Neck, hav- ing their Botlies smaller, more flattened, before and be- hind, anel more hollowed above and below, than those of the other Vertebrae. The Articulating Processes, more Oblique than any others. The Transverse Processes, perforated for the passage of the Vertebral Blood-vessels, and hollowed above for the transmission ofthe Spinal Nerves. The Spinal Processes, strait out from the bodies of the Vertebrae, shorter than any other, and forked for the attachment of the Muscles. The Cervical Vertebra: admit of free motion, in con- sequence of the thickness of their Cartilages, and the r.ature of their, Processes. The first Vertebra, called Atlas from its supporting the Globe ofthe Head, having only a small Arch in- stead of a Body. '1 he Upper and Under Surfaces ofthe Arch, marked by the Ligaments which fix it to the Head and'second Vei;; bra. '1 he Luc!»-i);;rt ofthe Arch, lull-su. and covered by a 6G smooth Cartilage, where it turns upon the Processus Dentatus. The inner parts ofthe sides ofthe Vertebra, between the Superior and Inferior Oblique Processes, marked by the Lateral Ligaments which go to the Processus Dentatus, and by the Transverse Ligament which pas- ses behind that Process. An Arch upon the back part of the Atlas, instead of a Spinous Process, marked by Muscles and Ligaments. The Superior Oblique Processes, oval and hollow, for receiving the Contlyles ofthe Occipital Bone. A Fossa under the outer and back-part of each Ob- lique Process, for the circular passage of the Verte- bral Arteries into the Head, and Tenth pair of Nerves out of it. The Transverse Processes, longer than any other Cer- vical Vertebra, for the origin of several Muscles. Upon the Atlas the head has its flexion and extension, but little other motion. The second Vertebra, called Dentata, from the Tooth- like Process on the upper part of its Body. The Body of this Vertebra, larger than the rest, and of a Conical figure. The fore-part of the Processus Dentatus, covered witk Cartilage where it turns upon the Atlas. The Sides of this Process, marked by the insertion of the Lateral Ligaments, and its Point by the insertion ofthe Perpendicular Ligament which is fixed to the Edge ofthe Foramen Magnum of the Occipital Bone.; The Superior Oblique Processes placed horizontally, and elevated in the middle, to be received into the hol- low Inferior Oblique Processes of the Atlas, where the Head has its principal rotary motion. The Spinous Process, thick and strong, to give origin to the Muscles which assist in the extension and rela- tion ofthe Head, and turned down to allow these mo- tions to be readily performed. The seventh Cervical Vertebra, approaching to the form ofthe Dorsal Vertebra:. The Spinal and Trans- verse Processes have no bifurcation. The Dorsal Vertebrx, or Vertebrx of the Back, having their bodies larger, sharper before, flatter at the sides, and more hollow bjhind, thr.n those of the Cervical Vertebrx. , A fit, lined with Cartilage at each side of their up- per anel untler Edges, near the 'Iransverse Processes, for the articulation ofthe Heads ofthe Ribs. The Intervcrteoral Cartilages, th'.-i, to admit of little motion only, and thinnest anteriorly, to enlarge the Cur- vature of the Spine, and increase the Cavity of the Thorax. The Oblique Processes, having nearly a perpendicular direction, tho upper cues slanting forwards, and Ue under ones backwards. • . The Trarxverse Processes, long, turned ob,'l"e>y backward-,, enlarped at th-ir outer extremi*- '"here they are faced with Cartilage, to be artic'':itc'' wn? the'Tubercles of the Ribs. , The Spinous Processes, long, thick at;.he 10° «' T slender near the extremities, and rf]^' ob-'quely downwards over each other, by wty* tl,e bI5,nal Mai'" row in this part is well protected . „ _. L- 1 ~i ,.\, „f t** Spinous Processes of The upper tdsic ot .acn o\yr. . ' . ... .1 xt \ i r 1 •„t../Ri'tee, which, in certain these Vertebrae, formed into/ , f ^ • Vi \- r.i c, „ o ,. ^ived by a Groove in the motions of the Spine, is ie J Vertebra immediately ak.ve ' ' ... .. -fi,„„„ „i „„ , . r ■. , Structure, with the others al- The last peculiarity. ' . V, i -.r „. i___f- m , .' i vent the Dorsal \ erte.bra t.om ready mentioned, pr'*■'"• having-much mot i/-1- , , , , «.. e .. ti„. *...> n , •' Vertebra has the whole Pit for the i lie nrst x/'-'v' ., ,. , • -.. u„„a „<•»!.«. «^t Rib formed in it. lkS^«' ^"'^ receives the whole Head oftheW*i,,< uncl has n° Carlils*'",ous Su,,f*ce on its Tra-K^:''st-" Process. . ■ Tilr Lumbar Vertebrx, or those ofthe Loins, having thex bodies larger and broader than those ot the other two classes. , . . _ , The Intervertebral Cartilages, the thickest of any, and most so at their fore-part, by which the Spine is ren- dered convex there, for the support of the Abdominal Bowels. . ,, , . , , The Oblique Processes, remarkably deep, and placed upright, the Superior Oblique Process ot one Vertebra facing inwards, and receiving the Inferior Oblique Pro- cess of the Vertebra below, it, v.lnch is turned in the opposite direction. • The Transverse Processes, long, slender, and almost 68 erect, to give origin to large Muscles, and admit of free motion. The Spinous Processes, short, large, and strong, and placed horizontally, with narrow Edges above and be- low, and broad flat Sides, giving origin to Muscles of great strength. The Spinal Canal, larger than in the Back, for the passage ofthe Cords ofthe Spinal Marrow which form th«- Oauda Equina ^consequence ofthe thickness ofthe intervertebral Car UreS) and the situation of the Processes of the Lumbar Vertebrae, the motion of this part ofthe Spine is extensn^ though not so much so as in the Neck. THE ia^lsE VERTEBRAE. The False Verte.RjE composed of the Os Sacrum and Os Coccygis. The OsSacrum> Supposed to be named rath v from its slze than from its having been ottered in sacnue The triangular Form of the Bi, with its pointed under extremity The fat concave anterior Surface, W enlareine the cavity ofthe Pelvis. b 6 The under and fote-part, forming a tut.„ called by some. Lesser Angle of this Bone. The convex irregular Surface behind, whetv strong Muscles arise. Four transverse prominent Lines seen anteriorly, port- ing out the situation of the Cartilages which originally di« ided the Bone into five pieces. The Spinal Canal, of a triangular form, becoming gradually smaller in its descent ; corresponding with the C:> c!a Equina which goes through it. The Arch at the sides and back-part of the. Spinal Canal, much thicker and stronger than in the True Vertebrx. Only two Oblique Processes belonging to this Bone, and these facing backwards, to correspond with the two inferior of the last Lumbar Vertebra. OH A l<";t?e 6iiung Process on each side of the Bone, formed by all the Original transverse Processes grown together. The upper lateral Parts of the Bone, which corres- pond with the three superior transverse Processes, tli- vided into two irregular Cavities on each side, by a per- pendicular Ridge. The anterior of the two Cavities is lined with Cartilage, which glues this Bone to the Os Ilium, and does not allow any motion. The posterior Cavity is rough and irregular, and in the recent Subject is full of Ligamentous Fibres and Cellular Substance, which are included in the general Capsular Ligament, and also assist in fixing the two Bones to each e>ther. The Spinous Processes ; the three uppermost com- monly distinct, but remarkably short .- There is a great variety, however, in the appearances of the Spinous Processes in different Bones. Four Pairs of large Holes on the anterior Surface of the Bone, at the end of the lines alreadv described, and Grooves running out from the Holes, for the pas- sage ofthe Sacral Nerves. Four Pair* of Holes on the posterior Surface, not much smaller than those seen anteriorly ; but so filled with Cellular Substance, and covered with Membranes in the Recent Body, as to admit small Nerves only to pass out to the Muscles on the back-part ofthe Pelvis. A Notch at the under end of each side of the Bone, or a Hole common to it and the Os Coccygis, for the passage ofthe last Spinal Nerve. The Substance ofthe Os Sacrum, like that of the oth- er Vertebra, is very spongy, and is covered only by a thin external Plate, which, however, is rendered con- siderably stronger by a Ligamentous Membrane which adheres to it. The Connection of this Bone above to the last Lumbar Vertebra, in the way the other Vertebra are connected to each other, and the same motions allowed as to these Vertebra. The projection formed between these two Bones anteriorly, obtains the name of Promontory, or Greater Angles of the Os Sacrum. In the Foetus, the Os Sacrum is composed of five dis- tinct Vertebrae which have Intervertebral Cartilages similar to those of the True Vertebra. Atthis time, eachof the Vertetir«.0f the Os Sacrum, as well as ofthe True Vertebrae, consists of a Body and. two lateral parts, which are joined together by Carti. lages. The Os Coccygis. The Os Coccygis, or Rump-Bone, compared in shape to the Beak of a Cuckoo. The Situation of this Bone at the end of the Os Sa- crum. The Bone, broad and flat above, and tapering below. The Bone, convex behind, and forming a curve for- wards, which supports the end ofthe Rectum. The four pieces of which it is composed in Young Subjects. This Bone is considered by some authors as being- formed of three pieces ; and then the Os Sacrutn is said to have six. The^m or uppermost piece the largest, with Shoul- ders reaching farther than the end of the Os Sacrum, which is considereel by some as a proper distinction between the Os Coccygis and Os Sacrum. From tue back-part of the Shoulders, two Cornua fre- quently ascend to join the forked Spinous Process at the end ofthe Os Sacrum, for the passage ofthe last' pair of Spinal Nerves, which goes through a hole com- mon to this Bone and the Os Sacrum on each side. The three lower Bones of the Os Coccygis becoming gradually smaller, the fourth terminating in a rough point. A Cartilage is interposed between the different pie- ces of this Bone in Young Subjects, joining them to- gether, as in the case ofthe Vertebra, allowing motion upon each otln r forwards and backwards, but chiefly between the first and second pieces, and a greater de- gre&of motion there in the Female than in the vlale. In advanced life, but earlier in Men than in Women, the pieces'grow together so as to admit of no motion ; but this ciici> instance is m;;ch longer of happening be- tween toe first aijd second, than between the other pieces. The Substance, like that ofthe Os 6acrum, is spongy, hut it d.jfierb from U, in having no passage for Spinal Marrow, nor Holes for Spinal Nerves. 71 The Connection of this Bone, in Young Subjects, to the Os Sacrum, by Cartilage.—In Old People by an union of Substance. The Surf-ce ofthe Bone is covered by a strong Lig- ament, which adds to its strength : Its sides give rise to iiumerous Muscular Fib.es, which, while they ori- ginate from it, serve to protect it. In the Fcetus, the Os Coccygis is almost entirely composed of Cartilage. THE PELVIS. The Pelvis, or Bones compared to a Bason, situated at the lower part of the Trunk, and fbrmed by the Os Sacrum, Os Coccygis, and two Ossa Innominata. OS INNOMINATUM. The Situation ofthe Os Innominatum, or nameless Bone, in the fore-part and side of the Pelvis, and under the lateral parts ofthe Abdomen. The Division ofthe Bone, in Children, into Os Ilium, Os Ischium, and Os Pubis. In the Adult, the three Bones are ossified together, but retain their original names. The Os Ilium. The Os Ilium, or Haunch-Bone, forming the upper . part ofthe Os Innominatum, and spreading out to assist in supporting the contents ofthe Abdomen. The Dorsum, or outer Convex Surface of the Bone, raised in some parts and depressed in others, where the Glutei Muscles have their origin. The Spine, or upper semi-circular edge ofthe Bone, for the attachment of the oblique and transverse Ab- dominal Muscles. The anterior superior Spinous Process, or anterior ex- tremity ofthe Spine, for the attachment of the Sarto- nons Muscle anel Poupart's Ligament. T'le anterior inferior Spinous Process, a little below the former, for the attachment of the Rectus Fenunii Muscle. 72 The two posterior Spinous Processes at the back-part of the Spine, less considerable than the two anterior; partly for the origin of Muscles, but chiefly for the at- tachment of Ligaments which belong to the Joint be- tween this Bone and the Os Sacrum. The Niche of the Os Ilium under the posterior infe- rior Spinous Process, for the passage of the Pyriform Muscle, the Sciatic Nerve, and Blood-vessels. The Venter, or inner concave Surface ofthe Bone, for the attachment of the internal Iliac Muscle, and the support of a portion ofthe Intestinum Ilium and Colon. I A Passage in the Venter for the Medullary Vessels of the Bone. A Depression at the inside of the anterior inferior j Spinous Process, where the Flexor Muscles of the Thigh, and the anterior Crural Vessels and Nerves i pass. | The Linea Innominata at the under part of the Ven- J ter of the Bone, forming the lateral part of the Brim , ofthe Pelvis, and the line of division between the Pel- j vis and Abdomen. J The inner and back-part of the Bone is very irregu- 1 lar, for the origin of some ofthe large Muscles of the | Back, for the attachment of Ligaments which go to the Os Sacrum, and for the firm connection which subsists > between this Bone and the Os Sacrum. The under, fore, and outer part of the Bone, forming the upper and back-part of the Acetabulum. The Os Ischium, or Hip-Bone. The Situation of the Os Ischium in the lowest part ofthe Pelvis; its figure irregular, its size next to that ofthe Os Ilium. The upper thick part of the Bone, forming the under part of the Acetabulum. The Spinous Process sent back from the upper part of the Bone, for the attachment of Muscles and the supe- rior Sacro-Sciatic Ligament. The Cervix placed under tlie Spinous Process, and : covered with Cartilage where the tendon of the Obtu- , rator Interims, Muscle plays. The Tubero;itj or Tuber Ischii, forming the part on which the Bo»ly rests in sji-.ii-.g, and {living attachment ) 73 to the inferior Sacro-Sciatic Ligament, and the greater part of the Flexor Muscles ofthe Leg. The Crua which goes obliquely upwards and forwards, and gives attachment to the Cms Penis and its Erector, and to part ofthe Adductor Muscles of the Thigh. The Os Pubis or Sahre-Bone. -The Situation ofthe Bone attiie upper and fore-part ofthe Pelvis. Its size, the least ofthe three parts of the Os Inno- minatum. The thick and strongest part of the Bone, forming the upper and Fore-part ofthe Acetabulum. The smaller and hollow part of the Bone, rendered smooth by the passage of the Flexor Muscles of the Thigh, with the anterior Crural Vessels and Nerves. The rough Crest, or Angle of the upper and fore-part ofthe OsPubis, where the Rectus and Pyramidalis Mus- cles, and the inner end of Poupart's Ligament, are at- tached. A Ridge extendeel from the Crest along the upper in- ner edge ofthe Bone, to form, with a similar Ridge of the Os Ilium, the Brim ofthe Pelvis. Another Ridge below the former, extending down- wards and out\s ards towards the Acetabulum. A Cavity below these Ridges, for the origin ofthe Pectineus Muscle. A Nitch at the upper and inner part of the great Fo- ramen, formed into a Hole in the Subject, for the pas- sage ofthe Obturator Vessels and Nerves. The inner end ofthe Bone, rough and unequal, but co- vered with a Ligamentous Cartilage, with fresh Bones, joins the two Ossa Pubis so firmly together, as to pre- vent them from moving upon each other. The Crus ofthe Bone which goes downwards to join tlie Cms of the Os Ischjum, and form, along with that Cruss the Arch ofthe Pubis. The Foramen Thyroidcum, or Shu ld-like-Hole, form- ed In the Os Pubis and Os Ischium, and in the Sub- ject," filled by a Membranous Ligament, excepting at tiu- Nitch abov e mentioned, which gives origin to a large share ofthe Obturator Muscles. The Acetabulum or Cavity (compared to a vinegar- measure used by the Antients) placed further outth.v. vol. 74. the Foramen Thyroideum, and formed by the three pie. ces which compose the Os Innominatum, in such a man- ncr that the Os Ilium forms near two-fifths the Os Ischi- urn more than two-fifths, and the Os Pubis one-fifth. The Brim ofthe Acetabulum is very deep, especial- ly behind, and made still deeper in the Subject by be- ( ing tipped with a Cartilaginous Ligament. Rouiid the Base of the Brim, the Bone rough, where the Ci-.psular Ligament of the joint is fixed. A Breach in the inner and fore-part of the Acetabu- luui, which, in the Subject, has a strong Ligament stretched from one end to the other, but leaving a Hole behind for containing part of the Substance called Gland ofthe yoint. The Cavity ofthe Acetabulum lined with Cartilage, excepting at its under, inner, and fore-part, where there is a rough Surface for containing the Fatty Substance within the Joint. The Brim ofthe Pelvis, or its Upper Opening. Tlie Inferior Opening is large in liie skeleton, hut, in the Subject, filled up, in a gi-eai measure, by Ligaments and Muscles which support and protect the contained parts, and leave only the passage from the Bladder of Urine and Rectum in the Male, and together with these, the passage from the Uterus in the female. The Ossa Innominata, joined behind to the Os Sacrum by a thin Cfrti!,-;(;e and by strong Ligament, so as to have no motion; the joint obtaining the name of posterior Sj mpfiy-tis. Before, these Bones connected to each other by a Lisr- ameiitous Cartilage and Ligaments, which also "prevent motion here, and has the name of Symphysis, or Ante- rior Symphysis ofthe Pubis. In the Fatus, the Spine of the Os Ilium, and that part of the Bone which belongs to the Acetabulum, are Cartilaginous.—The Spinous Process, the Tuberosity, and Crus of the O., Ischium ;—the Cms ofthe Os I'u- t is, and th.-t portion of it which forms the Acetabulum, arc also, at this period, in a Cartilaginous state. THE THORAX, OR CHEST, The Thorax, formed by the Sternum before, ofthe Rio* on ci:.-h !,«■ aiW oi'the Dorsal Vcittbr* behind. 75 The general /Vj.-of the Thorax approaching that of a Cone, but left open above for the passages to the Lungs and Stomach, and for the great Blood-vessels. The Lower Part of the Thorn.', slanting, the fore-part being considerably shorter than it is behind. The Under Margin on each side, forming a curved Line, the convex side of which is turned downwards. The under end of the Thorax, in the subject filled by the Diaphragm, which forms a Partition between it ami the Abdomen. The Ribs, or Cost.€. Considered as Guards to the Heart and Lungs. The whole ofthe Ribs slanting downwards with res- pect to Spine. Th\"r Number, commonly twelve on ear.') si-.le, though som times thirteen, and at other times only eleven, have been found.—In such eases the Vertebrx are one m.i e jr [t-.is than the common number. The Ribs convex externally, by which theu strength is inevi- tfed- Tli,. Ribs concave and smooth internally, wit' their Rat sides turned tow:-i ip. the Lungs to protect tb.-'in. The Head c" each iv. o Vertebr.e, to which the Head ofthe Rib is joined. The Cer jix ofthe Rib, bet.een its Heael and Tuber- cle, ot a reiinder form than the Bone, is farther out. Another smalt Tuyirclc s^en in most of the R;Ls, at tin outer side <>f the- former one, for the attachment of Ligaments .hici. fix the Ribs tn each'other and to the transverse Pi ; es->i s, a.id for ,tie iiiseitica of the outer Slips of the Lcngibsiinus lj; rsi .vluscl■.-, Betoud < he Tubercle:,, the Rib rendered fiat by the Sacro-Lumbahs Muscle. 7b The Angle of the Ribs to which the Sacro-Lumba '.;< Muscle is fixed, where the Bones are about to bend, to form the lateral part ofthe Thorax. The Rib^af where it forms the lateral part of the Thorax, and the flat Surface opposed to the Lungs. The Upper E Ige of the Rib, round where the inter. costal Muscles are fixetl. The Under Edge, sharp where the external intercos- tal Muscles are fixed. A Fossa at the inside ofthe under Edge, for lodging the intercostal Vessels anel Nerve. The Fossa a wanting towards the extremities of the Ribs ; for behind, the Vessels have not reached them ; and before, they are too small to impress them. An Oval Pit in the anterior extremity ofthe Rib, for receiving the Cartilage which runs from it to the Ster- num. 1 be- Cartilage of the Ribs, placed between the Rib and Sternum. • The Cartilages, like the Ribs, fiat on their outer and inner Surfaces, and smooth where they are opposed to the Lungs. The Cartilage of each Rib, forming with the Rib it- self, a Curve with the concave part upwards. And with the Sternum, an obtuse Angle above, and an acute one bele>w. The Ribs articulate behind to the Vertebrae, by a dou- ble articulation, and before to the Sternum by the Car- tilages, or by the Cartilages to each other, in such a manner as to allow motion upwards and downwards, though only a small degree in any single Rib, and that towards its middle ; but no motion in any other direc- tion. Peculiarities ofthe Ribs. The first Rib the most crooked:—From this doiro- wards they become gratlually straightcr. The uppermost Ribs approaching nearer to the hori- zontal s.tuation. As they descend, their obliquity with respect to the Spine increases, and their anterior ex- tremities become more distant from each other. The Cartilages ofthe Ribs, like the Ribs themselves, becoming gradually longer, but, contrary to what hap- 77 bens in the Ribs, they approach nearer to each other in their descent. The length ofthe rib, increasing from the first to the seventh, and then decreasing to the twelfth Rib. The Distance between the Heads of the Ribs and their Angles, increasing to the ninth Rib, correspond- ing with the breadth of the Sacro-Lumbalis Muscle which covers it. The Division ofthe Ribs into True and False- The True Ribs,—the seven uppermost,—having their Cartilages joined to the Sternum, and opposed to the Heart and Lungs, from which they are termed the True Custodes, or Guards of Life. The False, or Bastard Ribs ;—the five inferior, which do not reach the Sternum. The Cartilages of the False Ribs shorter as they des- cend. The posterior Extremity of the first Rib, articulated only with the first Vertebra. A. fiat Surface upon the upper part of the first Rib, where the Subclavian Vessels pass over it to the arm. There is no Fossa at the edge of the Rib for the In- tercostal Vessels. The Cartilages of the two under True Ribs, and three upper False Ribs, joined to each other by an union of Substance. The Head of the eleventh Rib ka» no Tubercle for ar- ticulation behind, being only loosely joined to the trans- verse Process. The twelfth Rib, much shorter than the rest;—its Head is only joined to the twelfth Vertebra of the Back, and it has no Tubercle, nor articulation with the transverse Process : Neither has it any Fossa at its under edge, because the Vessels run below it. The anterior Extremities ofthe eleventh and twelfth Ribs not joined to each other, nor to any other Rib, but lying loose among the Muscles ;—hence sometimes lamed Floating Ribs. The Sternum, or Breast-Bone. The Situation of tlie Sternum in the ibre-part of the Thorax. e 2 78 Three pieces composing the Sternum, in a person of middle age, and these joined togct!r-r by Cartilage. The different pieces of this Bone are frequently found ossified together in old people. The Sternum thick and broad above, and thin and nar- row below. The outer Surface fiat. The inner Surface is slightly hollowed to enlarge the Cavity of the Thorax. Pits upon the eelge9 of the Sternum, to receive the Cartilaginous ends of the seven True Ribs. The Pits at a considerable elistance from each other above, but becoming gratlually nearer as they descend. The Cancellx ofthe Sternum, covered only by a thin external plate ; but this rendered stronger by a Ten- dlnous Membrane which covers it in the recent state. The upper Piece ofthe Sternum, of a somewhat tri- angular figure, compared to that of a heart as painted on playing-cards, only appearing to be cut across below. The upper and back-part hollowed, to make way for the Trachea. The upper Corners thicker and stronger than the rest of the Bone, with a Cavity in each, for receiving the ends ofthe Collar Bones Under these Cavities, the Bone becoming thinner, and having a Pit upon each side, for receiving the Carti. lage ofthe first Rib. Part of a Pit in the under Corner of the first piece, for the Cartilage of the second Rib. The second Piece ofthe Sternum, of an oblong form, but a little broader below th.n above, and considerably longer than the former. Complete Pits upon the edge of this piece, for the Cartilages of the third, fourth, fifth, and sixth Ribs, ane! part of the Pits for those ofthe second and seventh. Lines extending between the Pits, pointing out the original marks of division of this piece. The Connection of the second piece of the Sternum to the first by Cartilage, which, in the earlier period of life, allows some yielding, but this becomes graelu- ally less as the person advances in life. The third Piece of the Sternum, cartilaginous in a Vlung Subject, and pointed Jika a broad-sword, hence .erm.-d Cartilago 7-:,;. f.-nu'-,. 79 In the Adult, it is commonly ossified in the middle* and cartilaginous at the edges. The Size of this piece much less than that ofthe o- ther two. Only one half of the Pit, for the Cartilage of the se- venth Rib, formed in the side of this piece. The Variations of the Cartilago-Ensifbrmis are con- siderable in different Subjects ; for, instead of the com- mon form, it is sometimes narrow like the point of a small-sword, or turned obliquely to one side, or for- wards, or backwards ; or forked at the point, or per- forated jn the mieldle. These Variations may happen without any inconveni- ence ; but where it projects much in any direction dif- ferent from the common one, it is attended' with bad consecpienees. The Sternum joined by Cartilage to the seven upper or l'rue Ribs, and by an interarticular Cartilage to the anterior ends ofthe clavicles. In the Foetus, the Bone is composed of seven or eight ricces, but the number of these varies in different Subi jecU. TIIE SUPERIOR EXTREMITIES. THE Superior, Extremities are composed of the Emus ofthe Shoulders, Arms, and Hands. The Shoulder consists ofthe Clavicle and Scapula. The Clavicle, or Collar-Bone. The Situation ofthe Clavicle, between the upper part ofthe St« mum and top of the Scapula, where it acts as a beam supporting the Shoulder, and bearing it off the Trui k ofthe Body. The Sternal, or internal Extremity, triangular and larger th.iii the l'< fixed. The Fossa Supra Spinata, or space above the Spine, for the origin ofthe Supra-Spinatus Muscle. The Fossa Infra-Spir.uta, for the origin ofthe Infra- spinatus Muscle. The Spine becoming broad anel flat at its anterior extremity, where it is termed Acromion, or Top of the Shoulder. The Under Surface of the Acromion hollow for the passage ofthe Spinati Muscles. The Situation ofthe Aciomion over the Joint of the Humerus, which it assists in protecting. '1 he anterior Edge ofthe Acromion tipped with Car- tilage for its articulation with the outer end ofthe Cla- vicle, where very little motion is allowed. The Coracoid, or Crow's beae like Process, arising from the neck of the Bone, and making a curvature forwards, bo as to leave a hollow at its rout tor the passage of the Sub$c»'>ularis Muscle 82 The Point of this Process gives origin to Muscles, and from its side a strong Ligament goes across to be fixed to the Acromion for the protection ofthe Joint. The Scapula is articulated with the Trunk ofthe Bo- dy, by means ofthe Clavicle, which allows it to play in all directions'. The Os Humeri, or Arm Bone- The Situation of the Os Humeri at the side ofthe Thorax, and under the Scapula. The Ball, or Head of the Os Humeri, forming a small Segment of a large Sphere, and this covered with Car- tilage, and placed at the upper, posterior, and inner part of the Boely of the Bone, to correspond with the Glenoiel Cavity on the Scapula. The Cervix, or Neck surrounding the edge of the Ball, and forming a superficial Fossa where the Cap- sular Ligament is fixed, which allows the Bone an ex- tensive motion in all directions. Numerous Holes round the upper entl of the Bone, for the insertion of the Fibres of the Capsular Li; ;- incut, and for the passage of Blood-vessels u.io i..u Bone. A Groove, or long Fossa, in the upper and fore-p-irt of the Bone, for lodging the Tendon of the long head ofthe Biceps Muscle. The smaller Tubercle, placed at the upper and inner side of the above-mentioned Groove, for the attach- ment ofthe Subscapulars Muscle. The larger 'Tubercle, opposite to the former, and on the outer aide ofthe Groove, far the attachment ofthe Muscles which cover the Dorsum ofthe Scapula. A Ridge continued down from each Tubercle along the sides of the long Fossa, for the insertion of Mus- cles corning from the Trunk of the Boely, or from the Scapula. i\ Sausage slanting downwards in the fore and inner part of the Bone, near its middle, for the Medullary Vessels. At the under End of the Graome for lodging the long head ofthe Biceps Muscle, the Bone marked bv the at- tachment ofthe Deltoid and c.her Muscles The Body ofthe Bone round near its upper end ; bu>, P3 as it descends, it appears twisted, then flat, and increa- ses in breadth at tlie lower extremity- From the Muscular Prints on the fore-part of the bo- dy ofthe Bone, a blunt Rid^e continued to the upper part ofthe Trochlea. The under and back-part ofthe Bone, fiat and smooth, by the motion of tin-Triceps Extensor ofthe Feire-Arm. A large Ridge at the under and outer, and a small Ridge at the under and inner edge ofthe Bone, for the attachment of strong Tcn covered by the Pronator radii quadratus A.uae'le 86 A Ridge upon the under and back-part of the Radi- us, with a Fossa upon each side of it, where the Ten- dons ofthe Extensor Muscles ofthe fingers pass. The otite-r side of this extremity ofthe Bone, holloa- ed bv the Extensors ofthe Thumb. A semilunar Cavity at 'he inner side of the under end ofthe Radius, lined with Cartilage, for receiving the corresponding extremity of the Ulna upon which the Radius rolls,'carrying the Hand with it. The lower End of the Bone formed into a Cavity of an oval form, and lined with Cartilage for reccivingthe two first Bones ofthe Carpus. The under and outer Part "ihr under end. The head or ball of the Bone, received into the hollow Surfaces of the Os Scaphoides and Lunare; like ball and S >cket. The under part ofthe outer side joined to the Os Tra- pezoides. 89 The inner side to the Os Unciforme. 'The under end opposed to the Metacarpal Bone ofthe Mieldle- Finger. The Os Unciforme, or hook-like bone, placed in the under and inner part of the Wrist. The upper and inner Sufuce articulated with the Os Cuneiforme. The outer Surface, articulated with the Os Magnum. The inferior Suifuce, opposed tothe Metacarpal Bones ofthe Ring and Little Fingers. The anterior Surface, sending out the Unciforme Pro- cess, which gives name to the Bone. i he Unciforme Process curved, for the passage of the Flexor ATiscltsof the Fingers. The articulation between the first anel second Row of Carpal Bones, allows motion to each side, but chief- ly forwards anel backwards, though the motion is less extensive than between the Fore-Arm and Wrist. In a Fcetus, the Bones of* the Carpus are in a Carti- laginous state. The Metacarpus, or Part annexed to the Carpus, Consisting of fur Bones for supporting the Fingers, and one for the thumb. The Metacarpal Bones ofthe —Fingers.— Their bodies long anel round. The extremi-ies of these Bones, considerably larger than their bodies. The upper ends or ba,sesfiat, where they are articula- ted with the Bones of the Carpus. The flatness of this end of the Metacarpal Bones, and their strong connecting Ligaments render the Motions here inconsiderable. Round the Edges of the Cartilaginous Surfaces, at the upper end, the Depressions where the Capsular Li- gaments are fixed. The sides ofthe upper ends fiat, where they are ar- ticulated with each otlier. A Ridge at the upper and back-part of their bodies, with a depression on each side of it, formed by thc'ln- tcrossei M uj.c1«"s> 90 The under and back-part of their bodies, made fiat by the motion ofthe Tenelons of the Extensors of the Fingers. , The anterior Surface of the bodies concave, and ren- dered fiat at the sides by the Interossei Muscles. The lower ends,or heads, formed into Balls, which are flattened upon their sides by their motions upon each other. At the fore-part of each side ofthe heads, a little pro-. minence, for the attachment ofthe Ligaments which fix these Bones to each other. Round the heads, a depression, for the insertion of the Capsular Ligaments. Peculiarities Ofthe Metacarpal Bones ofthe Fingers. The Base of the Metacarpal Bones of the Fore-Finger, opposed to, and corresponding with, the Os Trapezoi- des, and partly with the Trapezium. The inner part of the Base, forming a Ridge, which is articulated with the Os Magnum, and with the next Metacarpal Bone. The connection of the base is so firm, that it has lit* tie or no motion. The Metarcarpal Bone of the Mid-Finger, commonly the second in length. The Base ofthe Bone commonly slants inwards and downward., opposed to the Os Magnum. The outer and back-part ofthe Base, projecting, and forming s sort of Process, the external Surface of which is connectetl with the Ritlge ofthe former Bone. The motion of this Bone is little more than that ofthe former one. The Metacarpal Bone ofthe Ring.Finger, shorter than the former one. Its Base semi-circular where it is opposed to the Os Unciforme The motion is something greater than that of the former Bone. The Metacarpal Bone ofthe Little-Finger the smallest of t.e_ four. The Base, which slants downwards and outwards op- posed to the under and inner part ofthe Os Unciforme. 91 The inner part ofthe Base has no smooth Surface, not being contiguous to any other Bone. From the nature of "the Joint, the looseness ofthe Ligaments, and from there being a proper Muscle here, this Bone possesses a larger share of motion than any ofthe rest. The Metacarpal Bone of the Thumb, having the gen- eral resemblance of those of the fingers ; but it differs from them in being placed oblique with respect to the Metacarpal Bones of the Fingers, and in some measure opposing them. It is thicker and stronger, but shorter than those of the Fingers. The Base of this Bone articulated with the Pulley formed by the Trapezium. It appears to admit of flex- ion and extension only, but, from the looseness of the Ligaments, it enjoys the same kind of motion with Joints formed after the manner of Ball and Socket The inferior extremity ofthe Bone, considerably fat- ter than those ofthe other Metacarpal Bones ' The Fingers, composed can-U of three Bones, and the three Kows of Bemes termed Phalanges- The different Phalanges, tapering a little as they des- cend, and their Bases larger than their ieferior extrem- ities The posterior Surfaces convex, and covereel chiefly by the tendinous expansions of the extensors of tlie Finders. Their anterior Surfaces, fiat, and in some parts con- cave, for lodging the Tendons ofthe Flexor Muscles, Ridges at the sitles of their anterior Surfaces, for the , attachment of the retaining Ligaments ofthe Tendons of the Flexor Muscles. The first Phalanx longer than the second, and the se- cond than the third. The Bases ofthe first Phalanx, formed into Sockets to receive the Balls of the Metacarpal Bones, and to allow motion to all sides. The lower ends of this Phalanx, consisting of lateral Prominences, and middle Cavities or Pulleys, the Carti- laginous S.irfaces of which reach consielerably farther up in the fore than in the back-part. The Bases of the second Phalanx, with lateral Cavi- t'res and middle Ridges, corresponding with the Pulley vol. I. *' 92 of the"first Phalanx, anel admitting of flexion and exten- sion only. The lower ends of this Phalanx similar to that of the first. The Base ofthe third Phalanx, like that ofthe second, and the motions also similar. The under ends of the third Phalanx, rough where | the Pulpy, Vascular, anel Nervous Substance of the points ofthe Fingers are situated. The Peculiarities ofthe Bones of the Fingers consist only in their size. The Bones ofthe Mid-finger the largest andlongest- Those ofthe Ring-Finger the next in length. The Bones of the Fore-Finger, next to the Ring-Fin- , ger in length, anel to the Mid-Finger in thickness. Those ofthe Fourth-Finger the smallest. The Thumb, consisting only of two Bones. The first Bone, like those of the first Phalanx ofthe Fingers, but thicker ami shorter. The Cavity at the Base ofthe Bone, longer from one side to the other, and shallower than those ofthe Fin- | gers, but, like them, forming a Socket for the Metacar- pal Bone. From the flatness ofthe Joint, however, and strength of the lateral Ligaments, the motions here are "*' confined to flexion and extension. The lower end of the first Bone ofthe Thumb, like that of the first of the Fingers. The second Bone of the Thumb, like the third of the " Fingers, but broader. The Base of this Bone, like that of the second and third Bones ofthe Fingers, and like their joints also, admitting of flexion and extension only. THE INFERIOR EXTREMITIES. The Inferior Extremities are composed ofthe Thighs, Legs, and Feet. The Thigh consists of a single Bone, viz. The Os Femoris, or Thigh-Bone The Os Femoris is the longest nf the Body, and thick- est and strongest of the Cyliiuh ical Bones. 93 parthoefufeT'elv',is0f ^ ^ " ^ Under *nd °Ut" A^hefbf9-Ue Situation ofthe body of tlie Bone, theun- derend beu.g considerably nearer its fellow on the o- iner side, than the upper one is, which is favourable for the passages at the bottom ofthe Pelvis, for the origin Of Muscles, and for walking. ,Ttlf B«U> or Heal of the Thigh-Bone, smooth cover- ed with Cartilage, and forming almost two-thirds of a Sphere, which is received into a deep- Socket fbrmed by the Acetabulum ofthe Os Innominatum. A rough Pit at the under anel inner part of the Ball, for the attachment of the Ligamentum Rotundum, which is fixed by its outer end to the bottom of the A- cetabuhim. The Cervix, or Neck, much longer than that of any other Bone, passing obliquely downwards and outwards from the Ball, to allow the free motion ofthe body of the Bone, in different directions. It is restrained, how- ever in its motion outwards, by the Ligamentum Rotun- dum,and by the high Brim of the Acetabulum. Numerous Holes in the Cervix, for the insertion of the Fibres ofthe Ligament reflected from the Capsu- lar one. The Trochanter major, placed at the outer part of the Neck, and upper end of the body of the Bone, for the insertion ofthe Extensor, Abductor, and Rotator Mus- cles ofthe Thigh. T%vo rough Surfaces upon the upper and fore-part of the large Trochanter, for the insertion ofthe two small Glutei Muscles. A Cavitj is placed at the inner side of the root ofthe large Trochanter, for the insertion of the Rotator Mus- cles ofthe Thigh. The Trochanter minor, at the under and inner part of the Cervix for the insertion of the Flexor Muscles of the Thigh. A rough Line on the fore-part ofthe Bone, between the two Trochanters, for the insertion of the Capsular Ligament. A rough line between the Trochanters," on the back- 94 part ofthe Bone, for the insertion ofthe Capsular Lig- ament, and the Qu'drat us 1 cmoris Muscle. The Body ofthe Thigh-bone, bent forwards, and of a roundish form above, but somewhat triangular about its middle. The fore-part ofthe Bone flat, where it is covered by the Crureus Muscle. The Sides of the Bone are flattened at its middle and lower part, by the two Vasti Muscles. The Linea Aspera, or ragged Ridge on the back-part ofthe Bone, extending from the Trochanters, but chief- ly from the large one, to the lower part ofthe Bone, and giving attachment to numerous Muscles which pass from the Pelvis to the Thigh, or form the Thigh to the Leg. The lower End of the Linea Aspera, dividing into two Lines, which terminate in the Condyles. The Canal for the Medullary Vessels, slanting up- wards, a little below the middle .of the posterior part ofthe Bone. The under anel back-part ofthe Bone, flat where the Popliteal Vessels and Nerves are placed. The lower End of the Bone, much larger than its bo- dy, and perforated by many Holes, for the insertion of the Capsular Ligament ofthe Knee, and passage ofthe Nutritious Vessels of the Bone—It is also marked by the insertion of several Muscles The Cartilaginous Trochlea at the under and fore part ofthe Bone, placed obhq iely, with its outer Surface higher than its inner one, to be adapted to the Patella, which moves upon it. The external and internal Condyles, continued back from the Trochlea, and covered with Cartilage for the motion of the Tibia Th- internal Condyle, larger and deeper than the ex- ternal to compensate for the obliquity ofthe Thigh, and give less obliquity to the Leg. A Notch between the back-part of the Condyles, for lodging the Popliteal Vessels and Nerves. A semilunar rough Notch, deeper and lower than the former one, tor the attae hnient of the Crucial or inter- nal Ligaments ofthe Knee. (THE LEG. • Qtmpoted of the two Hones —the Tibia and Fibula, to which may be added the Patella. r The Tibia, Situated at the inner part ofthe Leg. The upper End of the Tibia, forming a large Head, and that divided on its upper Surface into two superfi- cial Cavities, for receiving the Cartilaginous part of the Condyles ofthe Thigh Bone. A rough Protuberance between the articulating Cavi- ties, pitted on its fore and back-part, for the insertion of the anterior and posterior Crucial Ligaments. The articulating Surfaces at the upper end of the Ti- bia, are rendered deeper in the Subject by the addition of two semilunar Cartilage placed upon their Edges. The Circumference of the Head of the Bone, rough \ and porous, for the insertion ofthe Capsular Ligament. ' The articulation ofthe upper end of the Tibia with the Os Femoris, is of such a nature as to allow flexion and extension, but no lateral nor rotary motion in the extended state, though a small degree of both when •■ the Knee is bended. A Tubercle at the upper and fore-part ofthe Bone, [ for the insertion of the lower Tendon or Ligament of the Patella. A Cartilaginous Surface under the outer Edge of the Head of the Bone, for the articulation with the upper >. end ofthe Fibula. The Body of the Bone triangular, with the sharpest Angle placed anteriorly. The anterior Angle called Spine or Shin, a little wav- ed, anel extending from the Tubercle to the inner Ankle. , The anterior and inner Surface of the-Bone, smooth, i. being covered with skin only. The anterior and outer Surface, hollowed above and below by the Extensor muscles ofthe Toes. 'The middle of the posterior Surface, hollowedhy mus- b cles which assist in extending the Foot, and bending the Toes. A Ridge extending obliquely downwards from the up- per and outer part of the Bone, posteriorly, to its inner 96 Angle, and giving origin to part ofthe Muscles which extend the Foot and bend the Toes. A fiat Surface above the Ridge, pointing out the si- tuation of the Popliteous Muscle. The Canal for the Medullary Vessels, slanting down- wards at the inner and back-part of the Bone, a little above its middle. The under end ofthe Tibia, smaller than the upper one, and its inferior Surface covered with Cartilage, for the articulation with the Astragalus. The Malleolus Internus, or inner Angle, produced from the inner part ofthe untler end, and covered with Car- tilage where the Astragalus plays. A Pit in the point ofthe Malleolus Internus, for the attachment of the internal lateral Ligament, and a Groove behind, where the Tendons of the Tibialis Pos- ticus M-iscle is placed. The semilunar Caiity, at the under and outer side of the Tibia, for receiving the under end ofthe Fibula. Round the edge ofthe articulating Cavity, the Bone is marked by the insertion of the Capsular Ligament. The Fibula, Placed at the outer side of the Tibia, and by much the smaller ofthe two Bones. Tlie upper end of the Fibula, formed ir.to a large Hew, with a superficial smooth Cavity towards its inner side, to be articulated with the Tibia, where it is tied by Ligaments of such strength as to allow very little motiqn. The Head of the Fibula, irregular and rough exter- nally, for the insertion ofthe Biceps Flexor Cruris, and the external lateral Ligament ofthe Knee. The Body ofthe Bone bent a little inwards and back- wauls, anel unequally triangular, with the Surfaces be- . tween the Angles, marked by the Muscles which arise from, it; or are placed upon it. A Ridge at #ie inner s\le of the Fibula, opposed to one at the outer part of the Tibia, for the insertion of the Interosseous Ligament. A Canal on the back-part of the Bone, slanting ob- liquely downwards, for the passage of the Medullary Vessels. ' 97 The under End of the Fibula, broad 2nd flat, to be re- ceived by the semilunar cavity of the Tibia, where it is fixed so firmly by strong Ligaments, as to have no sensible motion. The Malleolus-externus of the Bone, or outer Ankle, lower and farthe back than the inner Ankle. A convex smooth Surface on the inner side of the Malleolus externus, opposed to the outer side of th« Astragalus, which moves upon it. The Coronoid Process, sent down from the Malleolus externus, from which Ligaments go to the Bones at the outer side of the Foot. There is a Furrow upon the back-part ofthe Malleo- lus externus, for lodging the Tendons of the Peronei Muscles. The Patella, Rotula, or Knee-Pan, Placed at the fore-part of the Joint ofthe Knee, and compared by some authors to the Olecranon of the Ulna. The shape of the Patella, triangular and fiat, or ofthe figure of a Heart, as painted upon playing cards. The anterior Surface of the Bone, convex, and perfo- rated by numerous Holes for the insertion of Tendons and Ligaments which cover it. The posterior Surface, which corresponds with the Trochlea ofthe Os Femoris, smooth, covered with Car- tilage, and divided by a longitudinal prominent Ridge into two unequal Cavities. The circumference of the articular Surface, marked by a rough Line, into which the Capsular Ligament of the Joint is fixed. The Base, or upper part ofthe Bone, horizontal, and marked by the insertion of the Tendons of the Exten- sors ofthe Leg. The back-part of the Apex, rough and depressed, for the attachment of the Ligament passing from the Pa- tella to the Tubercle ofthe Tibia. The Ligaments of the Patella allow it to be moved upwards and downwards ; and when the Leg is extend- ed, they atlmit of its motion to either side, or to be rolled. When the Leg is extended, the Patella is lodged in the Trochlea of the Os Femoris ; when the Limb k f 3 96 fcent, it is.palled down by the Tibia, anfl l«dg capacious. f The Notches ofthe Ossa Ilia wider, and the conjoin- ed Surfaces of the Ossa Innominata and Os Sacrum less. The space between the-Ossa Pubis larger ; of course J the Ligamentous Cartilage of the Symphysis broader, i thourh shorter. The Angle formed by the Crura of the Ossa Pubis with the Symphysis larger ; that ofthe Male being a-* } cute, while in the Female the Angle extends to 80 or 90 degrees. The Tuberosities ofthe Ossa Ischia flatter, and at a ■ greater distance from each other. The Brim ofthe Pelvis wider, and of an oval form,cor- respontling with the head of a child, and the longest di- [ ameter extentling between the Ossa Ilia. , In the Male the Brim of the Peh is has more of a cir- > cular appearance, and lus the greatest extent between the Ossa Pubis and Sacrum The opening at the uneler part ofthe Pelvis in the fe- \ male is much wider, and of an oval form, but the oval tlie reverse of that at the Brim. The Foramina O^alia wider. i All the openings at the uneler part ofthe Pelvis, be- 1 ing witler, leave a large passage for the birth ofthe child. In consequence of the Pelvis being wider, tlie Ace- tabula are farther distant from each other, which obli- ges women who are very broad at this part of the Body to waggle when they walk. The Ossa Femorumare more curved, the neck ofthe Thighbone forms a greater Angle with the Body, and the Internal Condyle is larger. The feet are smaller. The Clavicles less crooked. 106 The Scapulae are smaller, and their Angles more a- cute. The Superior Extremities shorter. The Ossa Carpi narrower, and The Fingers more tapering towards their extremities. End ofthe First Part. PART II. OF THE MUSCLES. OF THE MUSCLES IN GENERAL. THE Muscles serve for the motions ofthe different parts of the Body, and derive their general name from their power of contracting. The following parts to be observed of Muscles in gen- The Cellular Substance, which surrounds the Muscles, and allows them to move upon each other, and upon the adjacent parts. • . . The Cellular Substance, condensed in certain parts ot the Body, and giving an appearance of Membrane, for- merly called Tunica Propria Musculorum. Tlie division of a Muscle into Origin or Head;—or that which arises from the most stable or fixed part, and towards which the contraction " Betty, or thickest part, which swells when the Muscle is in action : 108 Insertion, or termination, which is implanted into the part to be moved, and which is commonly smaller than the Origin. Tlie division of a Muscle into Fleshy and Tendinous parts. ' The Fleshy part distinguished by being soft, sensible, ' generally of a red colour,—from the great quantity of blood in it,— and possessing contractility. ' The Fleshy part having numerous Blood-vessels, Lynx- i phatics, and Nerves I Division of Muscles into Rectilineal,—as in the Sar- ] torius ;—Simpie Penniform, as in the Peroneus Longus ; —Complete Penniform, as in the Rectus Femoris ;—Com,' pound Penniform, as in the fore-part ofthe Soleus ,-—and -J Radiated, as in the Pectoralis Major ,-—Hollow, as in the Heart, Intestines, BI udder of Urine, iSfc The particular names of Muscles, taken from their shape, size, situation, direction, composition, use, and at- tachment. , Tendon, extinguished from the Fleshy part, by being . generally smaller, firmer, stronger;—of a white glisten. ing colour, having no contractility, and little or no sensibi- < lit) in the sound state. Tendons having very few Blood-vessels, and no evident ■ Nerves. The use of Tenelons, to connect Muscles to Bones, and take up less room, &.c. The Appendages ot Muscles, viz. Aponeuroses, or Fascix, (the former name derived from the parts having been mistaken for nerves) are the Tendons expantled upon a wide Surface, and serving to give insertion to Muscular Fibres, to keep them '" their proper situation, and brace tJiein in their action. Annular Ligaments, to keep Tendons from starting. Trochlex, or Pulleys, to alter the direction of Tendons. Bursx Mucosa:, placed uhere Tenelons plav over hard Substances, and serving to contain Synovia, and prevent Abrasion. t 109 Muscles ofthe iNTEGUMenfs ofthe Craswm, and ofthe Ete-lius. Occipito-Frontalis, Or Occipitalis and F.-mtalis, or Epicranius, (Jfc. ' Origin -. Fleshy from near the middle of the upper ar- ched Ridge ofthe Occipital Bone, Tendinous from the extremity of that Ridge, where it joins the Temporal Bone ; it arises after the same manner on the other side. Trom the Fleshy origins, and also from between them, a Tentlinous expansion is continued along the upper part of the Cranium, adhering firmly to the skin, and but loosely to the Pericranium.—At the upper part of the Fore-head it becomes Fleshy, and, descending with straight Fibres, has its Insertion in the Skin and parts untler it belonging to the Eye-brows. From the under and middle part ofthe Muscle, a Slip is continued down upon the root ofthe Nose, to be con- nected with the Compressor Naris, and Levator Labii Superioris, et Alac Nasi. Action of the Muscle ? To move all that part of the Skin which covers it, and particularly the Skin of the Brow and Eye brows. The Slip upon the Nose may either assist the Nasal Muscles connected with it, or antagonize the Occipilo- rrontalis.' Corrugator Su/iercilii. Oiigin : From the internal angular Process ofthe Os Frontis, above the joining of that Bone with the O* Nasi, From that it runs upwards and outwards, in the di- rection ofthe Superciliary Ridge, and behind the infe- rior part ofthe Frontal Muscle. Insertion: Intothe inner part of the Occipito-Fronta- lis and Orbicularis Palpebrarum, where these tuo Mu- cles join each other. Action ■ 'To assist its fellow in draw ing the Lye-brows downwards and inwards, and corrugating or wrinkling the Skin between them into longitudinal folds. VOL. I. G 110 Orbicularis Oculi, or Palpebrarum. Origin: From the Orbitar Process of the superior Maxillary Bine ; from the internal Angular Process of the Frontal Bone ; and, by a small round Tendon, from the Nasal Process of the superior Maxillary Bone. From these origins the Muscle passes outv aids, un- der the Skin of the Eyt-lids, surrounding the Orbit in a circular direction, extending somewhat beyond it, and covering the upper part ofthe Cheek. Tlv outer Surface of the Muscle adheres to the Skin ofthe Eye-lids; its upper and inner Edge is intimately connected with the Frontal and Corrugator Muscles. Action: To close the Eye by bringing the Eye-lids tot;e'i. r, to press the Ball ofthe Eye inwards, and act upon the Lacrymal Organs, so as to assist them in the proeluction nr.d direction ofthe Tears. Musculus Ciliaris of some Authors,—nameel from its situation near the Cilia or Eye-lashes,—is that part of the O; biculars Ocuh which covers the Cartilages of the Eje-lids, anel is ren arkably thin. A Fleshy Slip frequently fusses down from the under and outer part of the Orbicularis, to join the Levator Labii Inferior!s et Alac Nasi. When present it may draw the parts to which it is attached a little towards each other. Levator Palpebral Sufierioris. Origin: From the margin of the Foramen Opticum ofthe Sphenoid Bone. It runs forvv.irds within the Orbit, over the Levator Qcuii, where it bee*.ornes gradually broader, its ; rtc.-rior extrem ty passing under the Orbicularis Palpebrarum. Iisertion : By a broad thin Tendon into nearh the wh le l-ngih ofthe Cartilage ofthe upper Eve-lid. Action.- To open the Eye by raising the upper Eye- lscles common to the Head and External Ear. MtolleuH Jurem, or Su/icrior -Juris. Origin: By a broad Tendinous expansion, iVom the "dun of Uc 0,eipit.. Frontalis. It goes down over i Aponeurosis of the Temporal Muscle Ill In its passage it forms a thin fleshy Slip, which be- comes gradually narrower, and has its Insertion in the upper part of the root of the Carti- lage ofthe Ear. Action .- To give tension to the part into which it is inserted, and, in some persons, to raise the Ear. interior Quit's. Origin: Thin and Membranous, near the posterior part ofthe Zygoma. The middle part is mixed with Fleshy Fibres. Insertion: By a narrow Tendon into the back-part of the beginning of the Helix Action : To stretch that part ofthe Ear to which it is fixed. Letrahcntes jiuriv, or Posterior Auris. Origin .• By two, and sometimes by three distinct Mi.icles, from the upper anel outer part of the Mas- toid Process : Passing forwards, they have their Insertion, by small Tendons in the back-part e>f the Concha. Action : To stretch the Concha, and, in some persons, to draw the Ear back. Muscles ofthe Nose and Mouth. Compressor JYaris. Origin : By a narrow beginn'ug from the Ala Nasi, where it is connected with the Levator Labii superio- ris et Alse Nasi ; it spreads into a number of thin sc;it- leiv.l F:bre-, which cross the Wing, and run tow.-rds the Dorsum of the Nose, whei" it joins its fe'.'.ou . Insertion'. Into the anterior extremitv of the: Nasal Bones, ami to the Slip which descends irom the Frontal Muscle. Action: To pros the Ala towarels the Septum, as in imellmg ; or if the Fibres in the frontal Muscle which are connected to it act, thev pull the Alu outwards.— It also corrugates the Skin of the Nose, and assists in expressing certain passion*. 112 Levator Labii Su/ierioria et Alre-part and side ofthe Trachea and Tlivroid Gland, and h.-s its • Insertion into the under and lateral part of the Thy- roid Cartilage Action : To draw the Larvnx downwards. Thyro-ffyo'drus, or Hyi-Thyroideus. Origin : Where the former Muscle terminates, hav- ing the -.ppearance of being continued from it. Insertion : Into part of the Base, and almost all the Count ofthe Os Hwiides. Action: To depress the Os Hyoides, or to raise the Thyroid Cartilage. Gmo-ffyoid/us. Origin : From the superior Costa ofthe Scapula, rear lh; semilunar Notch ; it goes obliquely upwards and forwards, anel is of a very slender form. Under the Sterno Mastoidens, it becomes Tendinous, and again growing Fleshy, has its Insertion into the Base ofthe Os Hyoides, at the side ofthe Sterno-Hyoideus. Aci:i/i: i o depress ihe Os Hoicks, and pull it to ^ue side ; or when both aet, to dv.uv it iO.icctly down. H8 Muscles situated between the Lower Jaw and Os Hyoidfs. DiCASTRitus, or Biventer Maxillx Inferioris. Origin : By its posterior Belly, from the Groove at the root ofthe Mastoid Process of the Temporal Bone, it runs downwards and forwards, and forms a strong round Tendon, which passes through the Stylo-Hyoi- deus Muscle ; it is then fixed by a Ligament to the Os Hyoides, and, having received an addition of Ten- dinous and the Muscular Fibres, runs obliquely up- wards and forwards, forming another Fleshy Belly, which has its Insertion into a rough sinuosity at the under part of the Symphysis ofthe Lower Jaw. Action : To open the Mouth by pulling the Lower Jaw downwards and backwards ; and, when the Jaws are shut, to raise the Os Hyoides, and of consequence the Throat,—as in swallowing. Mylo- Hyoideus. Origin : Fleshy, broad, and thin from the inside of the Lower Jaw, between the last Dens Molaris and the middle ofthe Chin, where it joints its fellow. It runs down behind the digastricus, and has its Insertion into the Body of the Os Hvoides, and joined to its fellow by the intervention of a white Tendinous line. Action .■ To pull the Os Hyoides forwards, upwards, and to a side. Genio-Hyoidcit3. Origin : From a Tubercle on the under and inner part of the Symphisis ofthe Lower Jaw, bv a slender beginning, which by degrees becomes broader, and running down, has its fonneT Muscle*.1116 ^ °f '^ °% "y°tt«, under the Action : To draw the Os Hyoides towards the Chin when the Jaws are shut ; or the Chin towards the S 119 Genio-Hyo-Glossusf Origin : From the same Tubercle with the former Muscle : Its Fibres, spread out like a Fan, and have their Insertion into the whole length of the Tongue, anel Base ofthe Os Hyoides. Action : According to the direction of its Fibres,—. to draw the Tongue forwards, backwards, and down- wards, and to make the Os Hyoides advance towartls the Chin. Hyo-Glossus. Origin .- From the whole length of one half of the Os Hyoides : Ii runs upwards, and has i's Insertion into the side of the Tongue, near the Stylo Glossus. Action : To depress the edges of the Tongue, and thereby to render its upper Surface convex. Lingualis. Origin .■ From the root of the Tongue laterally ; it advances between the Cenoi-Hyo-Glossus, and H)0- Glossus, and has its Ihsertion'wto the Tip ofthe Tongue. Action .■ To raise the point of the Tongue ; to con- tract its substance, and bring it backwards. Crico- Thyroideus. Origin : From the side and fore-part of the Cricoid Cartilage it runs obliquely upw ards, and has its Insertion by two portions ; the one intothe under part of the Thyroid Cartilage, the other into its infe- rior Cornu. Action : To depress and pull forwards the Thyroid Cartilage, or to raise and draw backwards the Cricoid Cartilage. Stylo- Glossus. Origin : From the Styloid Process of the Temporal Bone, and from a Ligament which connects that pro- cess to the angle-fif the Lower Jaw ;—govs downwards and foru ards,—of a slender form,—to have its inset tion into the loot of the Tongue, near the H\o- 120 Glossus : It runs along its side, and is insensibly lost near its tip. Action : To draw the Tongue backwards and to one side. Stylo Hyoidcua. Origin : From the under half of the Styloid Process; it goes downwards and forwards, and, after splitting for the Passage ofthe Digastric Muscle, has its Insertion into the Os Hyoides, at the junction of the Base and Cornu. Action : To pull the Os Hyoides to one side, and a little upwards. Stylo-Hyoidcua Alter. When present, it is a more slender Muscle than the former, but, like it, has the same Origin, Insertion, and Action. Stylo-Pharyngeua. Origin : From the root of the Styloid Process ; it goes rlownwards and forwards, to have its Insertion into the side of the Pharynx, along which it expands. It is also fixed to the back-part ofthe Thy- roid Cartilage. Action : To dilate and raise the Pharynx, and there- by prepare it to receive the morsel from the Mouth.— It at the same time lifts the Thyroid Cartilage. Circumfiexus, or Tenaor Palati. Origin : From Spinous Process of the Sphenoid Bone, and from the osseous part ofthe Eustachian Tube. It runs along the Pterygoieleiis Internus, passes over the Hook of the Internal Plate ofthe Pterygoid Process, and plays on it by a round Tendon, as on a Pulley, and, spreading out into a broad Membrane, has its Insertion into the Velum Palati, and semilunar edge of the Os Palati, exteneling as far as the Suture which joins the two Bones : Generally some of its posterior Fibres ;oin the Constrictor Piiaryngis Superior, and Palato-Pharyngeus. Action .-To Stretch the Velum, to draw it downwards and to a side towards the IT,■■■». 121 Levator Palati, or Levator Palati Mollis. Origin : From the point of the Pars Petrosa of the Temporal Bone, and also from the Eustachian Tube ; from these parts it descends, and has its Insertion, by a broad expansion, into the Velum Pa- lati, extending as far as the root ofthe Uvula, and uni- ting with its fellow. Action : To raise the Velum in the time of swallow- ing, and press it against the Nose, so as to prevent the food or drink from passing there. Constrictor Isthmi Faucium. Origin : From the side of the root of the Tongue ; It runs in the doubling of the Skin, which forms the an- terior Arch of the Palate. Insertion : Into the middle of the Velum Palati, at the root of the Uvula, where it is connected with its fellow. Action : It draws the Palate and Root ofthe Tongue towards each other, and thereby shuts the opening in- to the Fauces. Palato-Vharyngeus. Origin : From the middle of the Velum Palati, at the root of the Uvula, anel from the insertion of the Constrictor Isthmi Faucium and Circumflexus Palati. The Fibres proceed within the posterior Arch of the Palate, and run to the upper and lateral part of the Pliannx, where they spread, and mix with those of the s'tylo-Phai-yngeus. Insertion : Into the edge ofthe upper and back part ofthe Thyroid Cartilage, some of its Fibres being lost between the Membrane and inferior Constrictors of the Pharynx. Action : It draws the Velum and Uvula downwards, tlie Larynx and Pharynx being at the same time raised. Along with the Constrictor Superior and Tciigue, it Sssista in shutting the passage into the Nostrils, and, in shallowing, it conveys the food from the Fauces into *the Pharynx. Salpingo-Pharyngeua of Albinus. Is composed of a small portion of the former Muscle, 122 which arises from the Eustachian Tube, and which, when acting, may affect it. Azugos Uvulx. Origin : From the posterior extremity of the longi- tudinal Palate Suture : It runs in the midelle of the Velum Palati, and goes through the whole length of the Uvula, atlhering in its passage to the Circumflex! j' Muscles ' | Insertion : Into the point ofthe Uvula. Action : To shorten the Uvula. Muscles situated upon the Back-Part of the Pharynx. Constrictor Pharyngis Inferior. . Origin :■ From the sides of the Thyroid and Cricoid ;r Cartilages: The superior Fibres, running obliquely i-m upwards, cover the under part ofthe following Muscle, " ^ and terminate in a point, the inferior Fibres run'more *•_ transversely, and cover the beginning of the Esopha- Insertion: Into its fellow, by the medium of a longi- 1 tiidinal Tendinous line in the middle of the back-part > of the Pharynx. [ Action -. To compress the lower part ofthe Pharynx. V Conetrictor Pharyngis Medina. Oriein : From the Appendix and Cornu of the Os Hvoides, and also from the Ligament which connects the Cornu to the Thyroid Cartilage. The Muscle, in its passage, spreads out, and terminates in a point a- bove and below, the upper part covering the following Muscle. Insertion: Into the Cuneiform Process of the Occi-- pital Bone, before the Foramen Magnum, and to its fellow on the opposite side by a Tendinous line, simi- lar to the former Muscle. Action : To compress the middle and upper part of the Pharynx, rr * 123 Conatrictor Pharyngia Superior. Origin : From the Cuneiform Process ofthe Occipi- tal Bone, before the'Foramen Magnum; from the Pterygoid Process ofthe Sphenoid Bone, and from both Jaws, near the last Dentes Molares : It is likewise connected with the Buccinator Muscle, and with the root of the Tongue and Palate.—From these Origins, it runs almost horizontally, and has its Insertion into its fellow, by the intervention of a Ten- dinous line, as in the case ofthe former Muscle. Action : To compress the upper part ofthe Pharynx, and, with the assistance of the other Constrictors, to thrust the Food down to the Esophagus. Muscles ofthe Glottis. Crico-Arytenoideus Posticus. Origin : Broad and Fleshy, from the back-part of the Cricoid Cartilage. Insertion : By a narrow extremity into the back-part ofthe Base ofthe Arytenoid Cartilage. Action: To pull back the Arytenoid Cartilage, by which the Ligament ofthe Glottis is made tense, and the Glottis itself longer. Crico-Arytenoideus Lateralia. Origin : From the side of the Cricoid Cartilage, where it is covered by the Thyroid. .. Insertion : Into the side of the Base of the Arytenoid Cartilage. . ., A Action : To ooen the Glottis, by separating the Ary- tenoid Cartilages, and, with them, the Ligaments ot the Glottis. Thyro-Arytenoideu8. Origin : From the under and back-part of the middle ofthe Thyroid Cartilage, from which it runs backwards and a little upwards, upon the side of die Glottis and Ventricle of the Larynx. 124 Insertion : Into the fore-part of the Arytenoid Car- tilage. Action : It pulls the Arytenoid Cartilage outwards and forwards, and so widens the Glott'iB, and relaxes its Ligaments.—It may also affect the Ventricle ofthe Larynx. Arytenoideua Obliquus, or Minor. Origin : From the root of one of the Arytenoid Car- tilages ; crossing its fellow obliquely, it has its Insertion near the point ofthe other Arytenoid Carti- lage. Action : To draw the Arytenoid Cartilages towards each other, and assist in closing the Aperture of the Glottis. N. B. Frequently one ofthe oblique Arytenoid Mus- cles is a wanting. Arytenoideus Transversus, or Major. ^Origin : From almost the whole length of the back. part of one ofthe Arytenoid Cartilages : It goes across to have its Insertion in a similar manner, in the other Arytenoid Cartilage. Action : To close the Glottis, by drawing the Ary- tenoid Cartilages and Ligaments of the Glottis to- gether. Thyro-Epiglottideua. Origin : By a few scattered Fibres, from the Thyroid Cartilage. Insertion : Into the side ofthe Epiglottis. Actim : To assist its fellow in drawing the Epiglottis towards the Glottis. Aryteno-Epiglottideus. Origin : By a number of small Fibres, from the Ary- tenoid Cartilage : It runs along the outer side of the external opening of the Glottis. Insertion : Into the Epiglottis, along with the former Muscle. Action : To assist its fellow in drawing the Epiglottis immediately down upon the Glottis. It is counteracted by the elas icity of the Epiglottis. N. B. The two last mentioned Muscles are obscurely teen, excepting in robust Bodies. 125 MCscles situated on the Anterior and Lateral Parts ofthe Abdomkn, Obliqjjus Descendens Externus, Or Obliquus Externus Abdominis. Origin : In a serrated manner, from the lower edge ofthe eight inferior Ribs, near their Cartilages. The Serrx intermix with the indentations of the Serratus Major Amicus, and it is commonly connected with the Pectornlis Major. Intercostales, and Latissimus Dorsi, the last of which covers the edge of a portion of it, ex- tending from the twelfth Rib to the Spine of the Os Ilium—From these Origins the Fibres run obliquely downwards and forwards, and teiminate in an Apo- neurosis, which, near its margin, is firmly connected with the Aponeurosis of the following Muscle, where it forms a curved line, called Lined Semilunaris From this the Fibres are continued in the same direction with the Fleshy Fibres, to the mieldleofthe Abdomen. Insertion : Into its fellow ofthe opposite side, by the medium of the Linea Alba, which extends from the Cartilugo-Ensiformis to the Ptibes, is formed by the meeting ofthe Tendons of the oblique and transverse Muscles ofthe Abdomen, and is perforated in the mid- dle by the Umbilicus,—originally a passage for the Um- bilical Cord, now formed into a Cicatrix. The under part of the Tendon divides into two co- lumns, which leave an oval space between them, culled Ri,g of the External oblique Muscle, for the passage ofthe Spermatic Cord in the Male, in whom it is lar- ger than in the Female, where it gives passage to the round Ligament of the Uterus. . The Muscle is also inserted into the anterior half of the Spine ofthe Os Ilium, from the superior anterior Spinous Process of which it is stretched. Tendinous, to the Crest ofthe Os P..!..s. Tins part of the T endon, which P^ses over the Flexor Muscles and the great- IW-vcssels ofthe Thigh, is termed Poupart s or Ful- topiuis Ligament, or The Inguinal Ligament. Y, om the under part of thh- Tendon a th.n expansion is ,«nt downwards, and is lost in the Aponeurosis oi the Thigh. 126 Action : To support and com press the Abdominal Vis- cera, assist the Evacuations, draw down the Ribs, and bend the Trunk forwards, or obliquely to one side. Obliqitus Ascendcns Internus, or Obliquua Internus Abdominia, Origin: From the. back-part of the Os Sacrum ;— from the Spinous Processes of the three lowest Lum- bar Vertebra:, by a Tendon common to it and the Ser- ratus Posticus Inferior ;—from the whole length ofthe Spine of the Os Ilium ;—and from the inside of Pou- part's Ligament, at the middle of which it sends off the Cremaster Muscle.—From these Origins the Fi- bres are disposed in a radiated manner ; but the great- er part of them run in a slanting tlirection upwards.— At the Linea Semilunaris, the Muscle becomes Tendi- nous, and adheres, firmly to the Tendon of the Obli- quus Externus : Here its Tendon divides into two Lay- er?. The anterior Layer, with the greater part ofthe inferior portion of the posterior Layer, joins tlie Ten- don of the external Oblique, and goes over the Rectus Muscle, to be inserted into the whole length ofthe Li- nea Alba. The posterior Layer joins the Tendon of the Transversalis, and goes behind the Rectus ; and this union is continued down, till it reaches about half way between the Umbilicus anel Os Pubis. Lower than this, only a few'scattered Fibres ofthe posterior Layer are to be found behind the Rectus, the principal part of it passing before the Muscle, to be inserted into the Linea Alba. Insertion ofthe Muscle in general: Into the Cartila- ges of all the False Ribs, the'Cartilago-Ensiformis, and whole length ofthe Linea Alba. Action: To assist the former Muscle. But it bends the Body in the same direction with the Obliqitus Ex- ternus ofthe opposite side. Transversalis, or Transversus Abdominis. Origin: Fleshy, from the inner Surface ofthe Carti- lages of the six or seven lower Ribs, where it inter-. mixes with the digitatmns ofthe Diaphragm, and with the Intercostal Muscles ; from the transverse Processes 127 ofthe twelfth Dorsal and four superior Lumbar Verte- brae ;—from the whole inner edge of the Spine of the Os Ilium ; and anterior to this, it is connected t<> Xha under Edge ofthe external oblique Muscle. At the Li- nea Alba, the Muscle becomes Tendinous, and the Tendon is continued across, adhering to the. internal oblique Muscle, in the manner already mentioned.—In the whole of \ti course, it is closely connected to the Surface of the Peritoneum. Insertion ; Into the Cartilago Ensifcwwia, and Linea Alba. ' Action: To support, and imroiJieMlfroowy ga*the Abdominal Bowels. Rectus Abdomnzm Origin : Tendinous from the fore ao^ttppee-part of the Symphysis of the Ossa Pubis ;—it soon becomes Fleshy, and runs upwards in form of a fiat band, tbe whole length of, and parallel to, the Linea Albea. In its course it is divided by three Tendinous inter- sections, at and above the Umbilicus; and there is generally a half-intersection below it. These seldom penetrate through the whole thickness Of its substance ; they adhere firmly to the.anu.rior part of the sheath which incloses the Mueel'c, but ■lightly to the posterior Layer. Insertion : Into the Cartilages of the thxee inferior True Ribs and extremity ofthe Sternum ; it frequent- ly intermixes with the under edge of the large Pectoral Muscle. Action : To compress the fore-part ofthe Abdomen^ to draw down the Ribs in Expiration, and to bend the Body forwards, or to raise the Pelvis. By means of its Sheath and Tendinous mtei sections, it is kept in its place, and allowed to act more equally. Pyramidalis. Origin : By a broad Base, from the upper part of the- Syinphvsis ofthe Ossa Pubis ;-It runs upwards withm the same Sheath with the Rectus, and tapering to a point in its ascent, it has its I; tertian between the Pubis and Umbilicus in the tinea Alba, aud inner edge ofthe Rectus Muscle. VOL I. W 128 Action : Tq assist the under part of the Rectus In draw ing"'down "tlie Ribs, or1 in compressing the under part of the Abdomen. It is frequently a wanting in "both sides, and then the untler end of the Rectus is larger, as if to supply its place. Muscles ofthe Male Parts c/Generation and Anus. Cremaster. Origin : From the under edge ofthe internal oblique Muscle ofthe Abdomen : Passing through the Ring of tlie External oblique, it surrounds the Spermatic Cord as far as the Testicle ; there the Fibres separate and expand, and have their , Insertion, into the Tunica Vaginalis Testis, and Cel- lular substance of the -Scrotum. Action : To suspentl and elevate, and to compress 1 and evacuate the Testicle. Erector Penia, or Iachio-Covernbaua. Origin : Tendinous, from the inner side of the Tu- berosity of the Os Ischium ;—it runs upwards, fleshy, increasing in breadth, and embracing the whole Crus ofthe Penis. Insertion : By a thin Tendon, into the elastic Mem- brane which covers the Corpora Cavernosa Penis, as far up as the union ofthe Crura. Action : To compress the Crus Penis, and push the "Blood from it into the fore-part of the Corpora Caver- nosa, in the time of its distention. It is likewise sup- posed by some to give a proper direction to the Penis. Accelerator Urinx, or Ejaculator Seminis. Origin : F!cslj>, from the Sphincter Ani, and mem- branous part of tue Urethra, and Tendinous, from the Crus and beg'.; ning of the Corpus Cavernosum Penis. »~~In '«f..cou,s". «t forms a thin Fleshy Laveiyvlie/'nv' fenor Fibres of which run more transversely than-t^e ■I ~;7 syjierior, which descend in an oblique direction, the Muscles on the opposite sides completely inclosing the' Bulb of the Urethra. Insertion : Into its fellow, bv a Tendinous line run- mng longitudinally on the middle of the Bulb. Jetipn ■■ To propyl the Urine or Semen forwards ; and by the compressing the Bulb, to push the Blood int , and thereby distend the Corpus Cavernosum Urethras, and glans of the Penis. ■Transvrrsus Perinei, or Transveraalia Urethra. Origin: From the insitle of the tuberosity ofthe Os Ischium, close to the Erector Penis ; running across, it has its t Insertion into the back-part of the Accelerator Uri- pjsjc, and adjoining part of the Sphincter Ani. ';.•• Action: To dilate the Bulb for the reception of the Somen or Urine ; or it may also assit the Levator Ani" in retracting the Anus, after the discharge of the Forces. ■There is frequently another Muscle, termed Trans- tjerialis Perinei Alter, running along with the former, mid having the same Origin, Insertion, and Action, but going more obliquely upwards. Spincter Ani. Origin: From the extremity of the Os Coccygis.— It vpns forwards within the skin and fat which cover the verge of the Anus, and in its passage forms a broad, flat, oval Muscle, which surrounds the extre- mity ofthe Intestinum Rectum. Insertion.- By a narrow point, into the Accelera- tors Urinz and Transversi Perinei. Att'ion : To shut the Anus, and also to pull down the Bulb of the Urethra, by which it may assist in throw- ing'otit the Urine anel Semen. The Sphincter Internus of some authors, is merely the circular Muscular Coat ofthe end ofthe Rectum. Levator Ani. Origin : By a semi-circular edge, from the Os Pubis, withm the Pelvis, at the upper'edge.of the Foitamtn IJiyfpideum ; from the Aponeurosis which covers fhe 13© Obturator Internus and Coccygeiw Muscles ; and from the Spinous Process of the Os Ischium—Its Fibres descend like rays from a circumference, to meet those of its fellow, and with it to form a kind of inverted fun- nel. Insertion: Intothe Sphincter Ani, AccelwratorUrinat, and under and fore-part ofthe OsCoccygis. It surrounds the extremity of the Rectum, neck of the bladder, Prostate Gland, and part of the Vesiculr Seminales. Action: To support the contents ofthe Pelvis, to re- tract the end ofthe Rectum, after the evacuation ofthe Faces, to assist in the evacuation of the Rectum and Bladder, of the Vesicular Seminales and Prostrate Gland.—It is likewise considered by some as a principal agent in the distention of the Penis, by pressing upon its Veins. Muscles ofthe Female Parts ^Generation and Avus. Erector Clitoridis. The same as the Erector Penis in the Male, but smaller. Insertion .• In the same manner, into the Crus and Body ofthe Clitoris. Sphincter Vagina. Origin : From the Sphincter Ani, and from the pos- terior side ofthe Vagina, near the Perineum.—It pas- ses along the outer end ofthe Vagina, covers the Cor- pus Cavernosum Vaginae, and going behind the Nym- phae, it has its Insertion into the union ofthe Crura Clitoridis. Action .• To contract the external Orifice of the Vagi- na, by compressing its Corpus Cavernosum, from which tost it likewise pushes the Blood into the Nymphx and Clitoris. r Transversua Perinei. Origin : As in the Male. Insertion : Into the upp-r part ofthe Sphincter Ani, and into a tough white substance in the Perineum. Asuon : Upon the Perineum and Anus, as in the Male. 131 Sphincter Ani. Origin and course, as in the Male. Insertion: Into the tough white substance in the Fe- ^Action -• To shut the Anus, anel by pulling down the Perineum, to assist in contracting the external Orince of the Vagina. Levator Ani. Origin: As in the Male. In its descent, it emhta- ccs the inferior part ofthe Vagina and Rectum. Insertion -• Into the Perineum, Sphincter Am, extre- mity ofthe Vagina, and Rectum. Action: Upon the Bladder and Rectum, as in the Male. It also assists in supporting and contracting the Vagina, and may, by pressing upon the Veins, contri- bute to the distention of the Cells of the Clitoris and Corpus Cavernosum Vaginx. Muscles of the Os Coccygis. COCOTGEUS. Orivin .- By a narrow point, from the Spinous Pro- cess ofthe Os Ischiura.-In its passage, it g^dually expands, and covers the inside ot the posterior Sacro- "■SSiySTSi. whole length of the side ofthe °!«SS^To move the Os Coccygis forwards, by which it must assist the Levator Ani in supporUng or raisng the end of tlie Rectum. Muscles situated within the Cavity ofthe Ab- domen. DlArHRACMA. The Diaphragm forms a Fleshy and Tendinous Par- tituSn which separates the Cavity of the Abdomen from !hTof t^e Thorax, andis perforated by several Holes, h a- 132 for the passage of Vessels and Nerves which go into, or Out from the Abdomen. It is concave below, and a' convex above, the middle of it reaching as high with. ip the Thorax, as the fourth pair of Ribs. Above, it is covered by the Pleura ; and below, by the Peritrone- nm ; and is commonly divided into two portions, called Superior and Inferior Muscles ofthe Diaphragm. Superior, or Greater Musclea ofthe Diaphragm. Origin: By Fleshy indentations, from the Catilago Ensiformis, and from the Cartilages of the seventh, and of all the inferior Ribs on both sides. From these dif. ferent Origins, the Fibres run in a radiated manner, and have their Insertion into a Cordifcrm Tendon, placed in the middle of the Diaphragm, and in which the Fibres of the opposite sides are interlaced-rr-Towards the right side, the Tendon is perforated by a triangular hole for the passage of the Vena Cava Inferior ; and to the upper convex part of it, the Pericardium and Mediastinum are connected. Inferior, or Lesaer Muacle, or Afipendix of the Diaphragm. Origin : By four pair of Heads, of which one paii;in the middle cpmmonly .called its Long or Tendinous Crura, is the longest. The long Crura arise from the fore-part of the fourth Lumbar Vertebra, and ad- here to the bodies of all the Vertebrx of the Loins a- bove this, by the intervention of the common Ligament covering these Bones. In their ascent, they leave an oval opening for the passage of the Aorta and Thora- cic Duct. The other Heads arise from the third, and also from the second Lumbar Vertebra, and are placed farther out. From the different Heads the Muscular Fibres run upwards, and form in ^ie middle, two Fleshy Columns, or Crura, which decussate, and leave an open. ing for the passage ofthe Esophagus. Insertion : By stropg Fleshy Fibres, into the poste- rior edge ofthe Cordiform, or middle Tendon. Auction : To enlarge the Cavity of the Thorax in in- spiration, by its Fleshy part contracting, and bringing 1 ".*? its two sides down from a convex to a plane Surface, the Abdominal Muscles at the same time yielding, but the Tendinous part ofthe Diaphragm remaining nearly in the same situation. In expiration, the Diaphragm is replaced, chiefly by the action ofthe Abdominal Mus- cle's. It is the antagonist ofthe Abdominal Muscles in inspiration, but acts in concert with them in dejection, and vomiting. Quadratua Lumborum. Origin : 3road, Tendinous, and Fleshy, from the posterior half of'he Spine ofthe Os Ilium, and from a Ligament extended between it and the transverse Pro- cess ofthe last Lumbar Vertebra. Insertion : Into the transverse Processes of all the Lumbar Vertebrx ; into the last Rib, near the Spine ; and, by a small Tendon, into the side ofthe last Dor- sal Vertebra. Action : To move the Loins to one side, pull down the last Rib, and, when both act, to bend the Loins forwards. Psoas Parvus. Origin: Fleshy, from the last Vertebra of the back, and one or two upper Vertebrx of the Loins It sends off a slender Tendon which runs down by the inner side ofthe Psoas Magnus, and an Aponeurosis which ex- pands upon the neighbouring Muscles Insertion : Into the brim of the Pelvis, at the joining Bi'the Os Ilium and Pubis. # Action: To assist in bending the Spine upon the Pel- vis, or in raising the Pelvis. This Muscle is frequently a wanting. Psoas Magnus. Origin: From the side of the Bodies, and from the transverse Processes ofthe last Dorsal, and all the Lum- bar Vertebrx, bv an equal number of Fleshy Slips, Which, uniting, form a tluek slrong Muscle, bounding the upper part of the side of the Pelvis, and passing down over the Os Pubis, behind Potiparts Ligament. Insertion ■ Tendinous and Fleshy, into the i rochan- Ur Minor, and part ofthe Body ofthe Os Femoris. H .1 134 Action : To bend the Thigh, and turn it a little out- wards, or, when the Inferior Extremity is fixed, to as- sist in bending the Body. Iliacus Internus. Origin: Fleshy, from the transverse Process of the last Lumbar Vertebra ; from all the inner edge ofthe. Spine ofthe Os Ilium ; from the edge of that Bone, between its anterior superior Spinous Process and the Acetabulum ; and from most of the hollow part of the Os Ilium.—It joins the Psoas Magnus, where it begins to become Tendinous on the Os Pubis. Insertion : Along with the Psoas Magnus. Action: To assist the Psoas in bending the Thigh. Muscles situated upon the Anterior Part ofthe Thorax. Pectoralis Major, or Pectoralis. Origin : From the Sternal half of the Clavicle ; from the edge of the Sternum, where it is connected with its fellow; and from the Cartilages of the fifth and sixth Ribs, where it mixes with the Obliquus Exter- nus : The Fibres from thence converge towards the' Axilla, where they decussate, and send off a flat twist- ed Tendon, which has its Insertion Into the Ridge at the outer edge of the Groove for lodging the Tendon of the long head of the Biceps. Action: To draw the arm towards the Sternum. Pectoralis Minor, Or Serratus Minor Anticua. Origin : Tendinous and Fleshy, from the third, fourth-f and fifth Ribs, near their Cartilages : Passing obliquely. outwards, it becomes gradually narrower. Insertion.- Tendinous into the point of the Coracoid- Process ofthe Scapula. Action:'To bring the Scapula downwards and for- wards, or Xo raise the Ribs. 135 Subclaviua. Origin -. Tendinous, from the Cartilage of the first Rib. It soon becomes Fleshy, and runs outwards, un- der the Clavicle, increasing in breatlth. I-\crtioi. : Into the under Surface of the Clavicle, from near its heatl, as far outwards as the Coracoid Process of the. Scapula. Action : To pull the Clavicle, and with it the Scapula, downwards and forwards. Serratus Magnus, Or Srrratus Major Amicus. Origin : From the nine superior Ribs, by an equal number of Fleshy digitations. It runs obliquely up- wards and backwards upon the side of the Thorax, and between it and the Scapula. Insertion : Fleshy, into the whole length ofthe Base ofthe Scapula, and in a manner folded round it, be- tween the insertion ofthe Rhomboid and the Origin of the Subscapularis Muscles. Action : To move the Scapula forwards or downwards according to the direction of its different digitations, and, when the Scapula is forcibly raised, to assist in dilating the Thorax, by raising the Ribs. Muscles situated between the Ribs, and within the Thorax. Intercostales Externi. Orivin: From the untler edge of each superior Rib. Thev run obliquely downwards and forwards, from the Spine to the joining ofthe Ribs with their Cartilages, from which, "to the Sternum, they are discontinued, that place being occupied by an Aponeurosis. IrlertiiM : Into the- tipper edge of each, inferior Rib. Ponions of the External Intercostals, wluch ar tebra of the Neck. It passes upwards and a little in- wards. Insertion; Into the Occipital Bone, at the outer part ofthe insertion ofthe Rectus Major. Action : To assist in drawing the head backwards. Scalenus Anticua. Origin : Tendinous and FL-shy, from the upper part pf the first Rib, near its Cartilage. 145 Insertion : Into the transverse Processes ofthe fourth, fifth, and sixth Vertebrx of the Neck, by as many Tendons. Scalenus Medius. Origin : From the upper and outer part of the first Rib, from its Root to near its Cartilage. Insertion : Into the transverse Processes of all the Vertebrx of the Neck, by as many strong Tendons The Subclavian artery, and Nerves which form the Blachial Plexus, pass between this and the former Muscle. Scalenus Poaticua. Origin: From the upper edge of the second Rib, near the Sphine. Insertion : Into the transverse Processes ot the fifth and sixth Vertebrx of the Neck- Action ofthe three Scaleni : To bend the Neck to one side ; or, when the Neck is fixed, to raise the Ribs, and dilate the Thorax. Interapinales Colli. The spaces between the Spinous Processes of the Vertebrx of the Neck, most of which are forked, are occupied bv double Fleshy Portions, which have their Origin from each inferior Spinous Process, and their Insertion into each superior. Action: To draw these Processes nearer to each Sther,and of consequence the Neck a little backwards. Intertransvcrsalev Colli. The spaces between all the transverse Processes of the Vertebrx ofthe Neck, which are also forked, are filled up in like manner with double Fle'hy Portions. Action : To draw these Processes towards each other, and turn the Neck a little to one side. Interspinales and Intertransversales Dorsi, Are rather small Tendons than Muscles, serving to connect the Spinal and Transverse Processes. Interspinales Lumborum. Are ofthe same nature with the Interspinales and Intertransversales Dorsi. Vol. i. i 146 Intertransversales I.umborum, Are five distinct Muscles which occupy the space be- tween the transverse Processes of the last Dorsal and all the Lumbar Vertebrx, and serve to draw them a httW towards each other. MUSCLES OF THE SUPERIOR EXTREMITY. Muscles arising from the Scapula. Supra-Spinatus. Origin: Fleshy, from all the Fossa Supra-Spinata of the Scapula, and from the Spine and superior Costa. It pas es under the Acromion, adhering to the Capsu- lar L'gamcut ofthe joint. Insertion : 1 endinous, into the large Turbercle on th.; iiead ofthe Os Humeri. Action: To raise the Arm, and at the same time to pull the Capsular Ligament from between the Bones, to prevent it-from being pinched. Infra - 8/tit talus. Origin : Fleshy, from all that part ofthe Dorsum of the Scapula which is below its Spine; anel from the Sp.nr itself, as far as the Cervix of the Scapula The Fibres run obliquely towards a Tendon in the inidelle of U,e .*i iscle, which runs forwards, and adheres to tlie Capsular Ligauict. Insertion : By a flat thick Tendon, into the upper and p'-urrio. part ei'the large Protuberance tin the head of tiic U:i ll.l..ic.i. Action : *'i, roll the Os Humeri outwards ; to assist in raising, and in supporting it when raised ; and to pull the Ligament from between the Bones. lhese two Muscles are covered bv an Aponeuros'iSj from which many of their Fleshy Fibres arise. Teres Minor. Origin: Fleshy, from the inferior Costa of the Sca- pula It ascends along the inferior edge ofthe L'fr*- Spinata, adheres to the Capsular Ligament, and lu-.s its Insertion, Tendinous, into the back-part of the larje Protuberance on the head of the Os Humeri, a tittle below the Infra-Spinatus. Action : To roll the Os Humeri outwards, anel draw- it backwards, and to prevent the Ligament from being pinched between the Bones. Teres Major. Origin: Fleshy, from the Dorsal side ofthe inferior angle of the Scapula, and from a small part of its infe- rior Costa. It is situated at the under part ofthe Teres Minor, and sends off a broad fiat Tendon, which ac- companies the Tendon, of the Latissimus Dorsi, ana, like it, his its Insertion intothe Ridge at the inner side ofthe Groove for lodging the Tendon of the long Head of the Biceps Muscle. i Action : To roll the Humerus inwards, and draw it backwarels and downwards. i Delioides. ♦ Origin : Fleshy, from all the outer part ofthe Clavi- cle, which is not occupied by the Pectoralis Major, and is separated from it by a small Fissure'; Tenelinous ai|d Fleshy from the Acromion, and lower Margin of almost the whole Spine of the Scapula opposite to the inser- tion ofthe Trapezius From these Origins it runs, under the appearance of three Muscles going in different directions, anel sepa- rated from each other by slight Fissures ; viz. tioni the Clavicle outwards, from the Acromion downwai els, and from the Spine of the Scapula forwards ; aid is composed of a number of Fasciculi, forming a-strong 'Fleshy Muscle, which covers the Joint ofthe Os Hu- meri. 148 Insertion : By a short and strong Tendon, into a rough Surface, on the outer side of the Os Humeri, near its middle, where the fibres of this Muscle inter- mix with part of Brachialia Externus. Action; To pull the arm directly outwards and up- wards, and a little forwards or backwards, according to the different directions of its Fibres. Caraco Brachialis. Origin : Tendinous and Fleshy, from the fore-part ofthe Coracoid Process of the Scapula, in common with the short head of the Biceps Muscle, to which it adheres through the greater part of its length. Insertion.- Tendinous and Fleshy, into the internal part ofthe Os Humeri, near its middle, where it sends down an Aponeurosis to the internal Condyle ofthe Os Humeri. Action : To bring the Arm obliquely upwards and forwards. Subscapularia. Origin : Fleshy, from the three Costx, and whole in- ner Surface ofthe Scapula. It is composed of a num- ber of Tendinous and Fleshy portions, which run in,a radiated manner, and make prints on the Berne. In its passage outwards, it adheres to the Capsular Liga- ment of the Joint, and has its Insertion, Tendinous, into the upper part ofthe In- terna! Protuberance, at the head of the Os Humeri. Action: To roll the Arm inwards, tlraw it to the side of the Body, and to prevent the Capsular Ligament from being pinched. Muscles chiefly situated on the Arm, serving for the Motions ofthe Fore-Akm. Aponeurosis of the Superior Extremity. The greater part ofthe Superior Extremity is cover- ed by a Tendinous Membrane, or Aponeurosis, which arises from the U ne - of, and Muscles on, the Shoulder. On the Humerus, it incloses the Flexor and Extensor 149 Muscles of the Fore-Arm, and is connected to the Ridges and Condyles at the under end ofthe Os Hu- meri. At the bending of the Elbow, it receives considera- ble additions from the Tendons ofthe Biceps and Tri- ceps Muscles of the Fore-Arm, where the Fibres from the opposite sides decussate each other It becomes thicker and stronger «n the Fore-Arm, and forms a firm covering to the Muscles there. In its descent, it gives off partitions among the Muscles, and these are fixed to the Radius and Ulna, the Membrane itself be- ing lost insensibly upon the Hand. It is thicker and stronger on the outer than upon the inner side of the Extremity, particularly on the Fore-Arm, at the under and back-part of which it forms a thick and strong band, which, running transversely, gets the name of Liga- mentum Carpi Annulare Posterius. The use of this Aponeurosis is, like that in other parts ofthe Body, it braces the Muscles, by keeping them in their proper place while in action, and gives origin to many of the Muscular Fibres which lie im- mediately under it. Biceps Plexor Cubiti, or Biceps. Origin : By two heads ; the outer one, called its Long Head begins by a slender Tenelon from the upper edge of the Glenoid Cavity of the Scapula, passes over the ball ofthe Os Humeri within the Joint, and, in its de- scent without the Joint, is inclosed in a Groove upon the upper and fore-part of the Bone, by a Ligament which proceeds from the Capsular one and the adja- cent Tendons. The inner Head, called the short one, arises, Tendinous and Fleshy, from the Coracoid Pro- cess of the Scapula, in common with the Caraco-Bra- chialis Muscle. A little below the middle of the fore- part ofthe Os Humeri, the two Heads unite, and form a thick Fleshy Belly. Insertion •• By a strong roundish Tendon, into the Tubercle at the upper and inner part of the Radius, and by a Tendinous expansion into the Aponeurosis of the Fore-Arm, which it likew ise assists in forming. Action : To bend the Fore-Arm, and to assist the Supinator Muscles in rolling the Radius outwards, and 15U of consequence turning the Palm of the Hantl upwards. BraeIdalis Internus. Origin: Fleshy, from the middle ofthe Os Humeri or Brachii, at each sitle of the Deltoides, covering all, and attached to most ofthe under and fore-part ofthe Bone : it runs over the Joint, adhering firmly to the Capsular Ligament. Insertion : By a strong short Tendon, into the Coro- noid Process of the Ulna. Action: To Bend the Fore-Arm, and to prevent the Ligament ofthe Joint from being pinched. Triceps Extensor Cubiti. Origin : By three Heads ; the first, or long one, broad anel Tendinous, from the inferior CVsta ofthe Scapula, near its Cervix : The second, or short one, by an acute Tendinous, and Fleshy beginning, from the outer and back-part of the Os Humeri, a little below its Head : The third, called Brachialis Externus, arises, by an ac cute beginning, from the back-part of the Os Humeri, near the insertion of the Teres Major. The three Heads unite about the middle of the Humerus, and cover the whole posterior part of that Bone, adhering to it in their descent. Insertion: Into the upper and outer part ofthe Ole- cranon ofthe Ulna, and partly into the Condyles of the ()•> Humeri, adhering firmly to the Ligament. Action : To extend the Fore-Arm. Anconeus. Origin: Tendinous, from the posterior part of the external Condyle of the Os Humeri ; it soon becomes Fleshy, and part of its Flesh is likewise continued from the thirel Head of the Triceps. It descends under a triangular form, and has its Insertion, Flesln anel thin, into a Rie'.ges on the outer and posterior edge of the Ulna, and a little below the Olecranon!.. Action .- To assist the Triceps in extending the Fore- Arm. 151 MuscLESonfAeFortE-AuM and Hkst>, Szv vis* G for the Mo i ions ofthe Hand and tingeus To prevent confusion in the application of the terms Outer and Inner, when the Muscles are described in the prone state of the Hand,—the Arm is here sup- posed to hang by the side of the Boely, with the Palm turned forwards, so that the Radius and Thumb are upon the outer, and the Ulna and little finger upon the inner side. « Palmaris Longus. Origin: Tendinous from the internal Condyle of the Os Humeri. It soon becomes Fleshy, and sends off a long slender Tendon, which has its Insertion into the Ligamentum Carpi Annulare An- ti-rius. and into the Aponeurosis Palmaris, which begins at the Anterior Annular Ligament of the Wrist ; and, after expand- ing and covering the greater part ofthe Palm ot the Hand, is fixed to "the roots of all the Fingers by an equal number of double Slips. Action of the Palmaris Muscle : To bend the Hand, and stretch the Aponeurosis Palmaris. This Muscle is frequently a wanting, but the Apo- Bcurosis is always to be found. Palmaris Brevis. Origin : By small bundles of Fleshy Fibres, from the Ligamentum Carpi Annulare, and Aponeurosis Pal- maris. Insertion .- Into the Skin and Fat which covers the Abductor Minimi Di,u,iti, and into the Os Pisiforme. Action ■■ To assist in contracting the Palm of tlie Hand. Il-xor Carpi Rudialts, or Radialis Internus. Origin : Tendinous and Fleshy, from the inner Con- dyle ot' the O-y Humeri, and from the fore and upper part of the Ulna, between the Pronator Radii 1 ert s and Flexor Subliinis, to which it firmly adheres. It forms a ' irtt^ Tendon, which passes down near the Ra- dius,-goes through a Fossa in the Os Trapezium, and becomes flat at its under extremity. i .1 152 Insertion : Into the fore and upper part of the Meta- carpal Bone which sustains the Fore-Finger. Action ■■ To bend the Wrist, and to assist in the pro- nation of the Hand. Flexor Carpi Ulnaris, or Ulnaris Internus. Origin ■• Tendinous, from the inner Condyle of the Os Humeri, and by a small Fleshy beginning, from the inner side of the Olecranon. It passes along the inner side of the Ulna, and originates from it for a considera- ble way down : A number of Fleshy Fibres likewise a- rise from the Aponeurosis ofthe Fore-Arm. Insertion ; By a strong Tendon, into the Os Pisifor- me. Action : To assist the former Muscle in beding the Wrist. Extensor Carpi Radialis Longior, Or Radialis Externus Longior. Origin : Broad, thin, and Fleshy, immediately be- low the Supinator Longus, from the Lower part of the Ridge of the Os Humeri, above its external Condyle. It snds e>ff a long flat Tendon, which passes down, first upon the outer, and then upon the back-part of the Raelius, ele-scending in a Groove there, anel going un- der the Annular Ligament ofthe Wrist. Insertion : Into the upper, back, and outer part of the Metacarpal Bone ofthe Fore-Finger. Action : To extend the Wrist, and bring the Hand backwards. Extensor Carpi ftadialis Brevior, Or Radialia Externus Brevior. It is similar to the former Muscle, but its Fleshy Bel- ly is placed farther down. Origin : Tendinous, in common w ith the Extensor Longior, from the external Condyle of tlie Os Humeri, an \ from the Ligament which connects the Radius to it: Passing down upon the back-part ofthe Radius, its Tendon goes under the Annular Ligament in the same channel with the Tendon of the Extensor Longior. Insertion: Intothe upper and back-part of the Me- tacarpal Bone of the Middle Finger. 153 Action: To assist the former Muscle in extending the Wrist ; or, with it and the Flexor Carpi Riadalis, to draw the Hand to the side next the I humb. Extensor Carpi Ulnaris, or Ulnaris Externus. Origin .- Tendinous, from the external Condyle of the Ob Humeri, and in its progress, Fleshy, from the middle of the Ulna, where i( passes o\er it. Its round Tendon is enclosed by a Membranous Sheath, in a Groove at the back-part of the extremity of the Ulna. Insertion : Into the posterior anel upper part of the Met:'.' arpal Bone ofthe Little Fii'ger. Action : To assist the two former Muscles in extend- ing the Wrist ; or, with the distance ofthe Flexor Ulnaris, it draws the Hand towards the side next the Little Finger. Flexor Digitorum Sublimis, or Perforatus. Origin : Tendinous and fleshy, from the internal Con- dyle ofthe Os Humeri; Tendinous, fiom the root of the Coronoid Process of the Ulna ; and Menibianous and Fleshy from the middle ofthe fore-part of the Ka- dius Its Fleshy Belly sends off four round Tendons before it passes under the Annular Ligament of the Wrist. In their course, they are connected to those of the following Muscle by fine Membranous Webs, and upon the Fingers they are inclosed in strong Tendin- ous Sheaths Insertion .- Into the anterior and upper part of the second Phalanx, ofthe fingers, being near the under m part of the first Plialanx, split and twisted to form a passage, and at the same time a kind of Sheath for the Tenelons of the Flexor Profundus. Action : To bend the second, and then the first Pha- lanx ofthe Fingers. Plexor Dig'-torum Pr'fun;!us, or Pe-forans. Origin : Fleshy, from the external side and upper part of the Ulna, for some.way downwards; and from a lai"»e shaie of the Interosseous Ligament. It runs di>wirbeliind~thc Flexor Sublimit., and, hive it, splits into fo"i- 'Tendons, a lit Je before it p^at:* uiukr the 154 Annular Ligament, and these pass through the slits in the Tendons ofthe Flexor Sublimis. Insertion ■■ Into the anterior and upper part of the third Phalanx ofthe Fingers. Action -. To bend the last Joint ofthe Fingers. Lumbricales. Origin .- Thin and fleshy, from the outside ofthe Ten- dons ofthe Flexor Profundus, a little above the lower edge of the Annular Ligament of the Wrist. They send off long slender Tendons at the under ends ofthe Metacarpal Bones, which have their Insertion into the outer side of the broad Tendons of the Interossei Muscles, about the mieldle of the first Phalanx. Action : To bend the first Phalanx, and increase the Flexion of the Fingers while the long Flexors are in full action. Extensor Digitorum Communis. Origin : Tendinous and fleshy, from the external Con dyle ofthe Os Humeri, where it adheres to the Supi- nator Radii Brevis. It passes down upon the back- part of the Fore-Arm, and before it goes under the posterior Annular Ligament of the Wrist, it splits in- to three or four Tendons, some of which may be divid- ed into smaller ones. Upon the back of the Metacarpal Bones, the Ten- dons become broad and flat, and near the Heads ofthe Metacarpal Bones send Aponeurotic expansions to e.ch other. Insertion : Into the posterior part of all the Bones of the four Fingers, by a Tendinous expansion. Action t To extend all the Joints ofthe Fingers. Supinator Radii Longus. Origin: By an acute Fleshy beginning, from the Ridge ofthe Os Humeri, above the external' Condyle, nearly as high as the middle of the Bone. It forms a thick Fleshy Belly, wiiich covers the upper part ofthe Ex- tensor Carpi Radial s Longior ; and about the middle ot the fere-Arm sends a tapering Tendon along the edge or the Kadiiii. *» _R-dbT""" '' IUt° U'C °UtCr :'a"' 'y': lhc ^d" end of the 155 Action : To roll the Radius outwards, and of conse- quence to turn the Hand into a supine situation, or with the palm forwards. Supinator Radii Brevis. Origin : Tendinous, from the external Condyle ofthe Os Humeri ; Tendinous and Fleshy, from the outer and upper part ofthe Ulna, and from the Interosseous Ligament. It passes over the external edge of the Radius, and has its Insertion into the upper and fore-part of the Radius. Action: To assist the Supinator Longus. Pronator Radii Teres. Origin ; Fleshy, from the internal Condyle ofthe Os Humeri, and Tendinous from the Coronoid Process of the Ulna It passes obliquely across the upper end ot the Flexor Muscles ofthe Wrist, and is of a tapering "insertion: Thin, Tendinous, and Fleshy, into the middle ofthe posterior part of the Radius. Action : To roll the Radius inwards, by which it brings the Palm of the Hand backwareU, or into a state of Pronation. Pronator Radii Quadratus. Origin : Broad, Tendinous, and Fleshy, from the tin- der and inner part of the Ulna : The Fibres run trans- Ve/«eVfion : Into the under and fore-part of the Radius. Action : To assist the Pronator Teres. Plexor Longus Pollicis Manus, Or Plexor Tertii Internodii. Origin; By an acute Fleshy beginning, from the fore- part ofthe Radius and Interosseous Ligament, the On- S extending from the i ubercle ot the Bone, as ar as SePronato/Qi.adratus Muscle. It has requently an- other Origin, by a distinct Fleshy Slip, from the inter- ^S: tlotl^l-jomtof the Thumb, after pa, . eing Us Tendon under the anterior Annular Ligament 9t Jri™ To bend the last Joint ofthe Thumb. * 156 Plexor Brevis Pollicis, Or Plexor Secundi Internodii. Origin : From the Os Trapezoides, Magnum, and Un- ciforme. It is divided into two portions, which form a Groove for the Tendon of the Flexor Longus Pollicis. Insertion : Into the Osvi Sesunoidea, anel Base of the first B.me ofthe Thumb. Action : To bend the first Joint ofthe Thumb. Opponena Pollicis, Or, Flexor Ossis Metacarpi Pollicis, or Flexor Primi Internodii' Origin : Fleshy, from the Os Trapezium and anterior AnnulUr Ligament of the Wrist . It lies immediately under the Abeluctor Pollicis. Insertion: Tendinous and Fleshv, into the under and fore-part of the Metacarpal Bone of the Thumb. Action : To bring the Thumb inwards, so as to make it oppose the Fingers, from which circumstance it has derived its name. Extensor Ossis Metacarpi Pollicis. Origin; Fleshy, from the middle of the posterior part ofthe Ulna, Radius, and Interosseous Ligament. It runs obliquely over the Radius, sending one, or more, frequently two Tendons, through an Annular Sheath. Insertion: Into the Os Trapezium, and upper and back-part ofthe Metacarpal Bone ofthe Thumb. Action: To extend the Metacarpal Bone of tlie Thumb, and draw it from the Fingers. Extensor Primi Internodii Pollicis, Or Extensor Minor. Origin : Fleshy, from the back-part ofthe Ulna, and from tlv: Interosseous Ligament, near the former Mus- cle^ by the side of which it runs. Insertion: Tendinous, into the posterior part of the first Bone ofthe Thumb: Part of it may be traced as tar as the second Bone. Action: To extend the first Joint ofthe Thumb. Extensor Secundi Internodii, or Extensor Major. Origin: By an acute, Tendinous, aud Fleshy begin- 157 ning, from the middle ofthe back-part of the Ulna, and from the Interosseous Ligament : Its Tendon runs through a small Groove at the under, inner, and back- ' part of the Radius. '., Insertion: Into the last Bone of the Thumb. -Action : To extend the last Joint ofthe Thumb. Abductor Pdlicis. Origin: Broad, Tendinous, and Fles'iy, from the Li. gamentum Carpi Annul'u?, and from the Os Trapezi- um. It lies immediately ,'i.der the Skin, and over the Opponens Muscle, and has a portion upon its inner side", which Albinos calls Abductor Brevis Alter. Insertion .- Tendinous, into the outer side ofthe root ofthe first Bone ofthe Thumb. Action: To draw the Thumb from the Fingers. Adductor Pollicis. Origin: Fleshy, from almost the whole length ofthe Metacarpal Bone of the Middle-Finder : Going across the Metacarpal Bone of the Fore-Finger, its Fibres ' converge, and send off a short Tenelon. ' Insertion : Into the inner part ofthe root ofthe first Bone ofthe Thumb. Action : To pull the Thumb towards the Fingers. In Lca'-or, or Extetis-'jr Indicts Proprius, Origin .■ By an acute Fleshy beginning, from the mid- dle of the> posterior pait of the Una, at the inner side of the Extensor Secundi Internodii Pollicis: Its Ten- don passes under the same Ligament with the Extensor Digitoruin Communis, with part of which it has its 1'.-.ivtion into the posterior part ofthe To •e-Tinger. Action : To assist the comniun Extensor in extending all die Joints of tins Finder, particularly in pointing at any thing. Abductor Indicia. Oiigin: From the Os Trupeziuni, and from the up- per part a.id inner side uf t:.e Metacarpal Bone ofthe Tli tiinb Insertion: Bv a short Tendon, into the outer- and back-part of tiu first l.one ofthe. Fore-Finger. Action : To bring the Fore-Finger tow aids tie Thumb 158 Abductor Minimi Digiti. Origin : Fleshy, from the Os Pisiforme, and from that part ofthe Ligamentum Carpi Annulare Anteriusnext it. Insertion : Tendinous, into the inner side ofthe Base ofthe first Bone ofthe Little Finger Action : To draw the Little Finger from the rest. Adductor Minimi Digiti, or Mctacarpeua. Origin : Fleshy, from the hook like Process ofthe Os Unciforme, and f om that part of the anterior Annular Ligament of the Wrist next it : Passing obliquely over the under end ofthe former Muscle, it has its Insertion : Tendinous, into the inner side, and ante- rior or under extremity of the Metacarpal Bone ofthe Little Finger. Action : To bend the Metacarpal Bone, and bring this Finger towards the rest Plexor Parvis Minimi Digiti. Origin : Like that of the former Muscle, but a little farther down, the belly ofthe Muscle lying deeper. Insertion : By a roundish Tenelon, into the inner part ofthe Base ofthe firs.t Bone of this Finger. Action : To bend the little Finger, and assist the Ad* ductor. INTEROSSEI. Origin : From the sides of the Metacarpal Bones.— They (ill up tie spaces between these, and are some- thing similar to the Lumbricales, but larger. Insertion ■■ By slender Tendons, along with those of the Lumbricales, into the sides of the Tendinous cx- panMons ofthe Extensor Digitorum Communis. Action : To give the Fingers their lateral motions, and to assist a little, accoreling to their situations, in bending or extending the hrst phalanx of the Fingers. Of tne Interossei, three, seen in the Palm of the Hand, arise with single Heads, and are called Interni •, and four on the back ofthe Hand, with double Heads, termed Externi, or Bicipitis. Part ofthe Externi,how- ever, are also seen in the Palm ofthe Hand. 159 INTEROSSEI INTERNI. Prior Indicis. Origin : From the outer part of the Metacarpal Bone ofthe Fore-Finger. Insertion : Into the outside ofthe Tendon on the back ofthe Fore-Finger. Action : To draw that Finger outwards, towards the Thumb. Posterior Indicia. Origin : From the inner part of the Metacarpal Bone ofthe Fore-Finger. Insertion: Into the inside ofthe Tendon on the back ofthe Fore-Finger. Action : To draw the Fore-Finger inwards. Prior Annularis. Origin: From the outside of the Metacarpal Bone ofthe Ring-Finger. Insertion: Into the outside of the Tendon, on the back of the Ring-Finger. Action : To draw the Ring-Finger outwards. Interosseous Aw icularis. Origin : From the outside of the Metacarpal Bone of the Little Finger. Insertion : Into the outside of the Tendon on the back ofthe Little Finger. Action : To draw the Little Finger outwards. INTEROSSEI EXTERNI. Prior Medii Digiti. Origin : From the corresponding sides of the Meta- carpal Bones ofthe Fore anel Middle Fingers. Insertion : Into the outside of the Tendon on the back ofthe Middle Finger. Action : To draw the Middle Finger outwards. Posterior Medii Digiti. Origin: From the corresponding sides of the Meta- carpal Bones of the Middle and Ring Fingers. 160 Insertion : Into the inside ofthe Tendon, on the hack ofthe Middle Finger. Action : To draw the Middle Finger inwards. Posterior Annularis. Origin .-• From the corresponding sides of the Meta- carpal Bones ofthe Ring and Little Fingers. Insertion •■ Into the inside of the Tendon on the back ofthe Ring-Finger. Action : To draw the Ring-Finger inwards. MUSCLES OF THE INFERIOR EXTREMITY. Muscles on the Pelvis and Thigh, serving for the Motions ofthe Thigh and Leg Aponeurosis of the Inferior Extremity. Previous to the description ofthe Muscles ofthe In- ferior Extremity, it is proper to take notice of a Ten- dinous expansion, which, as in the Superior Extremity, forms a general c vering to the Muscles, and semis off Partitions between them, to be connected to the Ridges and Process: s ofthe Bones. It is thick and strong on the outside of the Thigh and Leg, but towards the inner side of both, particu- larly on the former, it gradually turns thinner, and has rather 1 he appearance ot Cellular Membrane. It comes down from the Processes and other projec- tions on the outside- of the Bones of the Pelvis, espe- cially from the Tendons of the external Layers of Mus- cles of the Loins and Abdomen. 161 v A little below the Trochanter Major, it is firmlv con- nected to the Linea Aspera ; and at the Joint of the Knee, it receives additions from the Tendons ofthe Ex- tensors of the Leg, and is there connected with the out- er and inner sides ofthe Head of the Tibia and Fibula. In the Leg, it is firmly fixed to the Spine of the I ibia ; snd at the under end, to the Bones of the Ankle, v. here part of it is thicker and stronger than the rest, and forms the Annular Ligament ofthe Tarsus. It is lost »t last upon the Foot. It serves the same general purposes with the Apo- neurosis ofthe Superior Extremity. Psoas Magnus. ) 0 . ,„„,_,„, ,.. , 5 V See p. 133 tf 134. Hiatus Interims. \ Pectinalis, or Pectineus. Origin : Broad and Fleahy, from the upper and fore- part of the Os P< ctinis, or Pubis, immediately above the Foramen Thyroideum. It runs downwards anel out- wards at the inner side ofthe Psoas Magnus Muscle. Insertion : By a flat and short Tendon, into the Linea Aspera ofthe Os Femoris, a little below the Trochan- ter Minor. Action : To pull the Thigh upwards and inwards, and to give it, and of consequence the Foot, a degree of ro- tation outwards. ' TRICEPS ADDUCTOR FEMORIS. Under this appellation are comprehended three distinct Muscles, viz. Adductor Longus Femoris. Origin: By a strong roundish Tendon, from the tip- per and fore part of tlie Os Pubis, anel Ligament of the Synchondrosis at the inner side ofthe Pectinalis : It runs downwards and outwards, and has its Insertion, B\ a broad flat Tendon, into the middle of the Luiea Aspera. Adductor Brevis Femoris. Origin : Tendinous, from the Os Pubis, at the side of its S^ niphssis below and behind the former Muse-le : It runs obliquely outwalas 162 Insertion.- By a short flat Tendon, into the inner and upper part ofthe Linea Aspera, from a little below the Trochanter Minor, to the beginning of the insertion of the Adductor Longus Adductor Magnua P'emoria. Origin; From the side of the Symphysis of the Pubis, a liitle lower than the former: 'The Origin is continu- ed downwards from the Crus and i uberosity of the Os Ischium ; the Fibres run outwards and downwards, spreading out wide, and forming a . ery large Mu3cle. Insertion : Into the whole length ofthe Line a Aspera, the under part of the Muscle extending along the Ridge which leads to the inner Condyle of the Os Fe- moris ; it is also fixed by a roundish 1 en don, into the upper part of that Condyle, a little above which the Femoral Artery, taking a Spiral turn towards the Ham, passes between the Tendon of this Muscle and die Bone. Action of the three Adductores ; To bring the Thigh inwards and upwards, according to the different di- rections of their Fibres, and to assist a little in rolling the 1 high outwards Obturator Externus. Origin: By a semi-circular margin, from the parts of the Os Pubis and Ischium, which form the anterior half ofthe Foramen Thyroideum, and from the Mem- brane which tills up that Foramen : the Fibres are col- lected like rays towards a centre, and pass outwards over the back part ofthe Cervix ofthe Os Femoris. Insertion : By a strong round Tenelon, into the Ca- vity at the inner and back-part of the root of the Tro- chanter Major, aelhering in its course to the Capsular Ligament of the Thigh Bone. Action: To roll the Thigh-Bone obliquely outwards, and to prevent the Capsular Ligament from being pinched. Gluteua Maximus. Origin: Fleshy, from the back part of the Spine of the Ilium ; from the under and outer part of the Os Sacrum, anel from the Os Coccygis; from the posteri- or Sacro-Sciatic Ligament, over which part of the in- 163 ferior edge hahgs in a flap. The Fibres run obliquely forwards, and a little downwards, to torm a thick omad Muscle, which is composed of distinct coarse fasciculi. The upper part of it covers almost the whole of the Trochanter Major, and it is intimately connected with the broad Tenelon of the Tensor Vaginx Femoris. Insertion : By a strong, thick, anel broad Tendon, in- to the upper and outer part of the Linea Aspera, along which it is continued for some way down. Action : To extend the thigh, and pull it backwards and a little outwards. Gluteus Mcdius. Origin : Fleshy, from all that part of the Spine of the Os Ilium which is unoccupied by the Gl.iteus M.iximus, from the upper part of the Dorsum of that Bone, anel from an Aponeurosis which covers the Mus- cle, and joins the Fascia of the Thigh. It sends oft'a broad Tendon, which has its Insertion into the outer and back-part ofthe Trochan- ter Major. Aviion: T6 pull the Thigh- ootw-ards, and a little backwards. The fore-part of the Muscle assists in rol- ling it inwards. Gluteus Minimua. Origin .- Fleshy, from the lower half of the Dorsum ofthe Os Ilium : The Origin being continued from the superior anterior Spinous Process, along a rising ofthe Bone, as f.r as the great Sciatic Notch, it runs in a ra- diated manner to a strong flul Tet.tlon, which has its Insertion intothe fore and upper part of the Trochan- ter Major. Action : To assist the former in pulling the Thigh outwards, and a little backwards, it also acta, along Vfith other Muscles in rolling it inwards. Piriformis. Origin: Within the Pelvis, by th'-ee Tenelinous and Fleshv heads, from the second, third, and fourth pieces ofthe Os Sacrum ; and becoming round and tapering, it passes out of the Pelvis, along with the Sciatic Nerve, through the great Notch of the Ilium, from which it icceiw* the addition of a few-Fleshy Fibres. vol ' K 164 Insertion : By a roundish Tendon, into the upper part ofthe Cavity, at the inner side of the root of the Tro- chanter Major. Action : To assist in the Abduction of the Thigh, and in its rotation outwards. Gemini, or Gemelli. Origin : By two distinct Heads, the Superior from the Spinous Process, and the inferior from the Tuberosity ofthe Os Ischium, and from the Sacro-Sciatic Ligament. The two Heads are united by a Tendinous and Fleshy Membrane, and form a sheath for the reception of the Tendon ofthe Obturator Internus Muscle. Insertion: Tendinous and Fleshy, into the Cavity at the inner side of the root of the Trochanter Major, on each side of the Tendon of the Obturator Internus, to which they firmly adhere. Action ; To roll the Thigh outwards, and to prevent the Tendon of the Obturator Internus from starting out of its place while the Muscle is in action. Obturator Intemua, formerly Marsupialia. Origin : Within the Pelvis, by a semi-circular Fleshy margin from the anterior half of the Foramen Thyroi- deum, and, in part, from the Obturator Ligament.—its Fibres converge, and send off around Tendon which passes over the Os Ischium, between the Spine and Tu- ber of that Bone, in the manner a rope passes over a p,,liev.—Where it goes over the Capsular Ligament of the Tlngh-Bone, it is inclosed in the sheath ofthe Ge- mini Muscles. Insettion : By a round Tendon, along with the Gemini M u«. les, into the large Pit at the root of the Trochanter Major. Action : To roll the Thigh obliquely outwards. Quadratus Femoria. Origin : Tendinous and Fleshy, from the outer side of tlit Tuberosity of tlie Os Ischium. It runs transversely outwnrxis. Insertion: Fleshy, into a rough ridge continued from the loot of the great, to that of the small Trochanter. Action: To roll the Thigh outwards. I 165 '. The Pyriform, Gemini, Quadratic, and Obturatores [ Muscles, which are the Rotators of the thigh, when it is in a line with the Body, become its Abductors when it is in the bended state. Tensor Vagin* Femoris. ■■ . Origin : By a narrow, Tendinous, and Fleshy begin- ning, from the external part of the anterior superior Spinous Process of the Os Ischium. It goes elownw ards and a little backwards, forming a thick Fleshy Belly, which is inclosed in a doubling of the Aponeurosis or Vagina ofthe thigh. Insertion : A little below the Trochanter Major, into the inner Surface ofthe Aponeurosis which covers the * outside of the thigh. Action: To stretch the Aponeurosis, to assist in the Abduction ofthe thigh, and in its rotation inwards. Surtorius. ' Origin: Tendinous, from the superior anterior Spi- nous Process of the Os Ilium : It soon becomes Fleshy, And runs obliquely downwards over the Muscles situated upon the fore and inner side of the Thigh, and is the longest Muscle of the Body. Insertion : By a broad and thin Tendon, into the inner side of the Tibia, near the inferior part of its Tubercle. Action : To move the Knee, and bring one Leg ob- liquely inwards across the other. Gracilis, or Rectus Internus. Origin: By a thin Tendon, from the Os Pubis, near the Symphysis ; it soon becomes Fleshy, and descends in a direct course by the inside ofthe thigh. Insertion ; Tendinous, into the Tibia, under the Sar- torious. Action : To assist the Sartorious, in making the full Flexion ofthe Knee, after it has been bent to a certain degree by the Flexors on the back-part ofthe Thigh. Rectus Pemoris, or GracillU Anterior. ■L- Origin ; Fleshy, from the inferior anterior Spinous B* Process ofthe Os Ilium, and Tendinous from the Dor- \ mm of the Ilium, a little above the Acetabulum : It 166 runs down over the anterior part ofthe Cervixof the Os Femoris, and, in its passage along tlie fore-part of the Thigh, it becomes gradually larger as far down" in its middle, and afterwards decreases towards its lower ex- tremity. In the middle ofthe Muscle there is a longi- tudinal tendinous Line,-from which the Muscular Fibres run oft like the plumage of a Feather, the i'endoo itself being most conspicuous hehind. Insertion : Tendinous, into tlie upper part of the Pa- tella. Action : To extend the Leg. Cruralia, or Crureua. Origin : Fleshy, from between the two Trochanters ofthe Os Femoris, near the Minor; and from the fore- part ofthe Thigh-Bone, to near its under extremity : its sitles are connected to both Vasti Muscles, and, below, it sends off a tenelon which joins that of the former Muscle. Insertion : Into the upper and back-part of the Patella, behind the Rectus. Action : To assist in the extension of the Leg. Vaatua Externus. Origin: Broad, Tendinous, and fleshy from the outer part ofthe root of the Trochanter Major. Its Origin in con'inucel fiord the Trochanter, along the whole outer sides of the Linea Aspera, to near the outer Condyle of the Os Femoris, by Fleshy Fibres, which run obliquely foi wards to a middle Tendon, where they terminate. Insertion ; Into the upper and outer part ofthe Patel- la, at the edge of the tendon ofthe Rectus, with which It is connected ; part of it entls in an Aponeurosis, v hich is continued to the Leg, and in its passage is fixed to the Head ofthe Tibia Action : To extend the Leg. Vastus Internua. Origin; Tendinous and Fleshy, from the fore-part of the Os Femoris, and root of the Trochanter Minor. The Origin is also continued along the whole inside of the L.nea Aspera, by Fibres running obliquely forwards and downwards. 167 Insertion . Tendinous, at the side of the Crureus, with which it is connected, intothe upper and inner e• Action: To assist the three former Muscles in ex- tending the Leg ; in doing which, the Patella, fixed to the Tubercle of the Tibia by a strong Ligament, sup-, plies the office of a Pully. Semitendinoaua. I. Origin : Tendinous and Fleshy, in common with the [ long Head ofthe Biceps, from the posterior part of the Tuberosity ofthe Os Ischium : Its Flesfiy Belly runs down the back-part of the thigh, and sends off a long roundish Tendon, which passing along the inner side of the Knee, ends flat, and has its Insertion into the inside of the Ridge of the Tibia, a , little below its Tubercle, and connected to the under I edge of the Gracilis. Action : To bend the Leg, and, when bended, to roll it inwards. Semimembranosus. Origin : By a broad flat Tendon, from the upper and posterior part ofthe Tuberosity of the Os Ischium. The Fibres composing the Fleshy Belly, rim in a very oblique direction, towards a Tendon at the inner and under part of tbe Muscle, which is situated behind the Semitendi- nosus. Isertion : Into the inner and back-part of the Head irfthe Tibia. ^ edition: Tobend theleg,and bring it directly backwards. Biceps Plexor Cruris. * Origin : By two distinct heads ; the first,or Long Head, irises in common with the Semitendinosus, from the upper and back-part ofthe Tuberosity ofthe Os Ischi- um. The seconel or Short Head, arises from the Linea Aspera, a little below the termination of the Gluteus Maximus, by a Fleshy acute beginning, which soon (fruws broader, as it descends to join the first Head, ft little above the external Condyle of the Os Femoris. k 2 168 Insertion : Bv a strong Tendon, into the upper part ofthe Head ofthe Fibula. Action : To bend the Leg. The Semitenelinosus anel Semimembranosus form the inner Ham-string, and the Biceps the outer Ham-string. Between the Ham-strings the great Vessels and Nerves lie, which run to the Leg. Popliteus. Origin : By a small round Tendon, from the outer anel under part of the external Conelyle of the Os Fe- moris, and from the back-fart of the Capsular Liga- ment of the Joint. In passing the Joint, it becomes Fleshy, spreads out, and the Fibres run obliquely in- wards and downwards, being covered with a tendinous Membrane. Insertion : Thin and Fleshy, into a Ridge at the up- per and inner eelge ofthe Tibia, a little below its Head. Action : To assist in bentling the Leg, and, w hen bent, to roll it inwards. The Muscle also prevents the Capsular Ligament from being pinched. Muscles situated on the Leg and Foot, serving for the Motions ofthe Foot and Toes. Gastrocnemius E.xternus. Origin: By two distinct Heads ; one from the upper and back-part ofthe internal Condyle of tlie Os Femo- ris, and from that Bone, a little above its Condyle, by two separate beginnings. The other Head arises, Ten- dinous, from the upper and back-part of the external Condyle. A little below the Joint, their Fleshy Bel- lies meet in a middle Tendon, the union giving the ap- pearance of a longitudinal Raphe ; below the middle ofthe Tibia, the Muscle sends oft" a broad thin Ten- don, which, becoming graeliially narrower, joins that ofthe Gastrocnemius Internus, a little above the An- kle. Gastrocnemius Internus, or Soleus. Origin : By two Heads ; the first is from the back- it>y part of'he Head, and upper and back part ofthe Body ofthe Fibula. The other Origin is from the back-part ofthe Tibia, and runs inwards along the under edge of the Popliteiis, towards the inner part of the Tibia, from which it receives Fleshy Fibres for some way down. The Flesh of this Muscle, covered by the Tenelon of the Gastrocnemius Externus, descends nearly as far as the extremity of the Tibia, a little above which the Tendons tif both Gastrocnemii unite, and form a strong round Chord, called Tendo-Achillia. Insertion: Into the upper and back-part of the Os Calcis, by the projection of which the Tendon-Achilhs is at a cons derabie distance from the Tibia. Action ; To extend the Foot, by raising the Heel. Plantaris. Origin.- Thin and Fleshy, from the upper and back- part ofthe external Condyle of the Os Femoris, and from the Capsular Ligament of the Joint. A little be- low the Head ofthe Fibula, it sends off a long slender Tendon which descends obliquely inwards, between the inner Heads of the Gastrocnemii Muscles, and af- terwards runs along the inner edge of the Tendo-A- chillis. . „ , Insertion: Into the inside ofthe posterior part of the Os Calcis, below the Tentlo-Achillis. Action : To assist the Gastrocnemii, and to pull the Capsular Ligament of the Knee from between the Bones. 'This Muscle, though seldom, has been found a want- ing. Tibialis Amicus. Origin: Tendinous, from the upper part of the Ti- bia, between its tubercle and the articulation with the Fibula ; it then runs down Fleshy, on the outside ofthe tibia, adhering to it and to the tipper part of the Inter- osseous Ligament; near the under part of the Leg, it sends off a strong round tendon, which passes uneler part of th ■ Ligamentum Tarsi Annulare, near the in- ner Ankle Insertion : Tendinous, into the middle ofthe Ostu. neifoi nie Internum, and Base of the Metatarsal Bone of the Great toe. 170 Action; To bend the Foot, by bringing the fore-part of it towards the Leg. Tibialis Posticus. Origin: Fleshy, from the upper and fore-part of the tibia, under the Process which joins it to the Fibitla ; then passing through a Fissure in the upper part ofthe Interosseous Ligament, it continues its Origin from the back-part of the Fibula, next the tibia, and from near one half of the upper part ofthe last nameel Bone, as also from the Interosseous Ligament, the Fibres run- ning towards a middle tendon, which, in its descent, becomes round, anel passes in a Groove behind the Mal- leolus internus. Insertion -• Tendinous, chiefly into the upper and in- ner part of the Os Naviculare. and partly into the un- der Surface of the tarsal Bones by separate Slips, the last of which goes to the root of the Metatarsal Bone ofthe Midtlle toe. Action: To extend the Foot, and, with the assistance of the Tibialis Amicus, to turn the toes inwards, and the outer edge of the Foot downwards Peroneus Longus, or Primus. Origin: Tendinous and Fleshy, from the fore-part of the Head of the Fibula; and Fleshy from the outer part ofthe Bone, down to within a hand-breadth ofthe Ankle. The Fibres run in a Penniform manner tow- ards a long tendon, which becomes round, and passes in a sheath through a channel, behind the Malleolus Externus. It is then reflec ed to the sinuosity of the Os Calcis, runs along a Groove in the Os Cuboides, and foes obliquely across the Bones in the middle ofthe ole. Insertion : Tendinous, into the outside ofthe root of the Metatarsal Bone of the Great toe, and partly into the Os Cuneiforme Internum, Action ■■ To extend the foot a little, to draw it out- wards, and to turn the inner .edge of it downwards. Peroneua Drevia, or Secundua. Origin: Fleshy, from the outer part of the Fibula, beginning some way above the middle height ofthe 11 I Bone, and continuing its adhesion to the Malleolus Ex- ternus. The Fibres run, like those of the former Mus- cle, to an external Tendon, which becomes round, pas- ses behind the outer Ankle, where it is included in the same sheath with the tendon ofthe preceding Muscle, and there, crossing behind that Tendon, it runs for- wards in a sheath proper to itself. Insertion : Tendinous into the root and external part ofthe Matatarsal Bone ofthe Little Toe. Action : To assist the former Muscle in pulling the Foot outwards, and its outer edge upwards, and in ex- tending the Foot in a small degree. Extenaor Longus Digitorum Pedis. Origin: Tendinous and Fleshy, from the upper and outer part of the Head of the Tibia, and from the Head and almost the whole length of the anterior Spine of the Fibula. It arises, also, Fleshy, from the Apo- neurosis which covers the upper and outer part of the Leg, and from the Interosseous Ligament. Under the Ligamentum Tarsi Annulare, it splits into four round Tendons, which pass along the upper part of the Foot. Insertion.' Into the Base of the first Phalanx ofthe four small Toes, by flat Tendons which are expanded over the upper side of the Toes to the root of the last Phalanx. Action : To extend all the joints of the four small Toes. A portion of this Muscle is called, by Albinos, Peroncus Tertius. Origin : From the middle of the Fibula, in common with the Extensor Longus Digitorum : It continues, down to n< ar its Inferior extremity, and sends its Fleshy Fibres forwards to a 1 endon which passes under the Annular Ligament. Insertion : Intothe root ofthe Metatarsal bone ofthe Little Toe. Action : To assist in bending the Foot. Extensor Brevis Digitorum. Origin : Fleshy and Tendinous, from the outer and lj fore-part of the Os Calcis It soon forms a Fleshy belly, which is divided into four portions; these send off an 172 equal number of Tendons, which pass over the upper part ofthe Foot, crossing under the Tendons of the former Muscles. Insertion : By four slender Tendons, into the Tendi- nous Expansion from the Extensor Pollicis, which cov- ers the Great Toe, and into the tendinous Expansion from the Extensor Longus, which covers the other toes, excepting the little one. Action ; To assist in the extension ofthe toes. Aponeurosis Plantaris. This, like the Aponeurosis Palmaris, is a strong Tendinous Expansion, which covers the Muscles, Ves- sels, and Nerves of the Sole. It arises from the Tuberosity at the under and back- part of the Os Calcis, and is divided into three portions, which run forwarels to be connected to the Heads of the Metatarsal Bones of all the toes. The middle Por- tion is subdivideel into five Slips, which split at the roots of the toes, and embrace the tendons of the Flexor Muscles. It serves the same purpose with Aponeuroses in other parts ofthe Body, and also performs the office of a Li- gament, by binding the two ends of the arch of the Foot together. Plexor Brevis Digitorum Pedis, Or Plexor Subli-. min, or Perforatus. Origin : Narrow and Fleshy, from the inferior ante- terior part ofthe tuberosity of the Os Calcis, and from the Aponeurosis Plantaris. It forms a thick Fleshy Belly, which sends oft'four Tendons; ami these split f;r the passage ofthe Tendons ofthe Flexor Longus. Insertion : Into the seoond Phalanx ofthe four small toes. The Tenelon ofthe little toe is often a wanting. Action: To bend the'first and second Joints ofthe Toes, but particularly the second. Flexor Longus Digitorum, Or Flexor Profundus, or Perforans. Origin: By an acute Tenelon, which soon becomes Fleshy, from the back-part of the Tibia, at the under edge ofthe Popl'rtetu ; and tiii.<; be ginning is continued down the »nner eige. oi the Bone, by short Fiesby Fi- 17J bres ending in its Tendon; also by Tendinous and Fleshy Fibres, from the outer edge of the Tibia ; and between this double order of Fibres the Tibialis Posticus lies inclosed. Having gone under two Annular Liga- ments, it passes through a Sinuosity at the inside ofthe Os Calcis ; and about the middle ofthe Sole, it receives a Tendon from the Flexor Longus Pollicis ; it then di- vides into four tendons, which run through the slits of the Perforatus. Insertion : Into the Base of the third Phalanx of the four smaller toes, the tendons of this, as well as of the Flexor Brevis, being inclosed upon the toes by Annular Ligaments. Action : To bend the different Joints ofthe Toes out, especially the last one. plexor Digitorum Accessoriua, Or Massa Carnea Jacobi Sylvii, Origin : By two portions s the Inner fleshy, from the Sinuosity of the Os Calcis ; the outer tendinous, but soon -becoming fleshy from the fore and outer part oC that Bone. Insertion : Into the Tendon of the Flexor Longus, before it divides into smaller tendons. Action : To assist the Flexor Longus. Lumbricales. Origin: By four Tendinous and fleshy beginnings, from the tendon of the Flexor Profundus, just before. its division ; they run forwards, under the same general. appearance with those in the Hand, but are somewhat .smaller. insertion : By four slender Tendons, at the inside of 's the first Joint of the four small toes, into the Tendi- nous Expansion sent from tlie Extensors to cover the upper part of the toes. Action : To increase the flexion of the Toes, and to • draw them inwards. Extensor Proprius Policis Pedis, or Extensor Lngus. Origin : By an accute, Tendinous, and fleshy begin, f ning, iiom the. fore-part of the fibula, some way below 174 its Head; it continues its Origin from the same Bonr, to near the outer Ankle, by fleshy fibres, which des- cend obliquely towards a Tenelon. Insertion : Tendinous, into the posterior part ot both the Bones ofthe Great Toe. Action : To extend the Great Toe. Plexor Longus Pollicis. Origin : Tenelinous and Fleshy, from the back-part- ofthe' Fibula, some wav below its Head, being con- tinued down the same Bone, almost to its under end, bv a double order of oblique Fleshy Fibres ; its Ten- don passes under an Annular Ligament at the inner Ankle Insertion : Into the last Joint ofthe Great Toe Action : To bend the Great Toe, and particularly the last Joint. Plexor Brevis Pollicis. Origin : Tendinous, from the under and fore-part of the Os Calcis, and from the Os Cuneiforme Externum ; It is inseparably united with the Abductor and Ad- ductor Pollicis. Insertion ; Into the external 09 Sesamoideum, and root ofthe first Bone ofthe Great Toe. Action: To bend the first Joint ofthe Great toe. Abductor Pollicis. Origin : Fleshy, from the anterior and inner part of the Protuberance ofthe Os Calcis, and Tendinous from the sume Bone, where it jons with the Os Naviculare. Insertion : Tendinous, 'into the internal Os Sesamoi- deum, and root of the first Bone ofthe Great toe.. Action : To pull the Great toe from the rest. Adductor Pollicis. Origin : By a long thin Tendon, from the under part ofthe Os Calcis; from the Os Cuboieles; from the Os Cuneiforme Externum ; and from the root ofthe Meta tarsal Bone ot the second toe : the Muscle is ditided into two Fleshy portions, which unite, and have their Insertion : into the external Os Sesamoideum, and toot ofthe Metatarsal Bone of the Gttat Toe. Action ; To pull the Great Toe towards the rest. 175 Abductor Minimi Digiti Pedis. Origin: Tendinous and Fleshy, from the edge of a Cavity on the untler part ofthe Protuberance of the Os Calcis, and from the root of the Metatarsal Bone of the Little Toe. Insertion : Into the outer part ofthe root ofthe first Bone ofthe Little Toe. Action : To draw the Little Toe outwards. Flexor Previs Minimi Digiti. Origin : Tendinous from the Os Cuboides, near the Groove for lodging the Tendon of the Peroneus Lon- gus ; and Fleshy, from the outer and back part of the Metatarsal Bone of this Toe. Insertion; Into the anterior extremity of the Meta*- tarsal Bone, and root ofthe first Bone ofthe Little Toe. Action : To bend this Toe. Transversalis Pedis. Origin : Tendinous, from the under and fore-part of the Metatarsal 3one of the Great Toe, and from the internal Os Sesamoideum of the first Joint. It forms a Fleshy Belly, whch runs transversely between the Metatarsal Bones and Flexor Muscles ofthe Toes, and has its Insertion : Tendinous, into the under and outer part of the anterior extremity ofthe Metatarsal Bone of the Little Toe, and Ligament ofthe next Toe. Action: To contract the Foot, by bringing the roots ofthe outer and inner Toes towards each other. interossei pedis. Tlie Interossei arise, Tendinous and Fleshy, from, and fill the spaces between, the Metatarsal Bones.— Three, called Interai, arise with single Heads, and are placed in the Sole ; and four, termed Externi or Bi- cipites. arise with double Heads, and appear on both sides of the Foot. The Insertion of all the Interossei is by slender Ten- dons, into the expansion sent off from the Tendons of the Lumbricales anel Extensor Muscles ofthe Toes, INTEROSSEI INTKUNI. Prior, or Abductor Mudu Digiti. Origin : From the -inside of the Metatarsal Bone of the M '•"" "- 176 Insertion : Into the inside ofthe root of the first Bone of the Middle Toe. Action : To pull the Middle Toe inwards. Prior, or Abductor Tertii Digiti. Origin .- Prom the inner and under part ofthe Meta- tarsal Bone of the third Toe. « Insertion: Into the inside of the root of the first Bone ofthe third Toe. Action : To pull the third Toe inwards, Prior, or Adductor Minimi Digiti. Origin : From the inside of the Metatarsal Bone of the Little Toe. Insertion : Intothe inside of the root ofthe first Bone ofthe Little Toe. Action : To pull the Little Toe inwards. INTEROSSEI EXTERNI, Or BICIPITES. Prior, or Abductor Indicis. Origin: From the corresponding sides of the Meta, tarsal Bones ofthe Great and Fore-Toes. Insertion : Into the inside ofthe root ofthe first Bone ofthe. Fore-Toe Action ■• To pull the Fore-Toe inwards, Posterior, or Adductor Indicis. Origin: From the corresponding sides ofthe fore and second Toes. Insertion ■■ Into the outside of the root of the first Bone ot the Fore-Toe. Action i To pull the Fore-Toe outwards. Posterior, or Adductor Medii Digiti, Origin: From the corresponding sides of the Meta- tarsal Bones ofthe second and third Toes. Insertion : Into the outside of the root of the first Bone ofthe second Toe. Action ; To pull the second Toe outwards, Posterior, or Adductor Tertii Digiti. Origin : From the corresponding sides of the Meta- tarsal Bones of the third and Little Toe. Insertion* lute* the outside of the root of the first gone of the Little Toe Action : To pull the third Toe outwards. PART III. or THE BURSJ3 MUCOSAE ■. OF THE STRUCTURE OF THE BOXES. OF THE LIGAMENTS, AND OTHER PARTS OF THE JOINTS. or THE BURS^E MUCOSA. THE Bursas belong to the Extremities, and are found between Tendons and Bones, where they play upon each other, as at the insertion of the Biceps Flex- or Cubiti : Or, where Tendons rub on each other; as between those of the Extensores Carpi Radiales and Extensores Pollicis : 178 i Or, between Tendons and the external parts ; as in the Sheaths ofthe Tendons ofthe Flexors of the Fin- gers and Toes, where they furnish a lining to the Sheaths, without communicating with other parts : 4 Or, between Tendons and Ligaments ofthe Joints V; as between the Tendons of the Flexors of the Fingers, and Capsular Ligament ofthe Wrist. They are found in a few places, where Processe* play upon Ligaments ; as between the Acromion and Cap- sular Ligament of the Humerus : Or, where Bones play on each other ; as between thev Clavicle and Coracoid Process of the Scapula, Some of the Bursa of contiguous Tendons communi- cate with each other ; as between the Extensor Carpi Radialis, and Extensor Secundi Internodii Pollicis. Others communicate not only in Adults, but oftea also in Children, with the Cavity ofthe Joints ; as be- T hind the Tendon ofthe Extensors of the Leg, though ' this is more frequently the case in advanced age. Their structure is the same with the inner Layer of the Capsular Ligament ofthe Joints. Like that, they are formed of thin pellucid Mem- brane, possessing little sensibility, and joined to the surrounding parts by Cellular Substance, and many of . them.are covered with Fat. Like the Capsul ofthe Joint, they have commonly a thin Layer of Cartilage, or of tough Membrane, be- tween them and the Bone. Like it too they have reddish coloured masses of Fat projecting into their Cavities, from the edges of which Fringes are sent off; as behind the Ligament of the Patella, or at the insertion ofthe Teifdo-Achillis^ Like it also, the inside of the Bursa is remarkably ... smooth, being lubricated with the same kind of Gela- tinous Mucus which is found in the Cavities ofthe Joints ;—the Mucus serving the same general purpose with that of the Joints, viz. to lessen the friction and '■. prevent the consequences which would otherwise arise from it. t- I o BURSJE MUCOSA or THE SUPERIOR EXTREMITY. fBursa about the Joint of the Shoulder. A Bursa under the Calvicle, where it plays upon the Coracoid Process. A large Bursa between the Acromion and Ligament, joining it to the Coracoid Process, and the Capsular Ligament ofthe Humerus. A small Bursa, sometimes absent, between the point ofthe Coracoid Process and Capsular Ligament ofthe Humerus. A Bursa between the Tendon of the Subscapularis Muscle and Capsular Ligament ofthe Humerus, fre- quently communicating with the Cavity of that Joint. A Bursa, not constant, between the origin of the Cnraco-Brachialis and short head ofthe Biceps Muscle, and Capsular Ligament of the Humerus. A Bursa between the Tendon ofthe Teres Major and the Os Humeri, and upper part of the Tendon ofthe Latissimus Dorsi. A small Bursa between the Tendon ofthe Lattisst- mus Dorsi, and Os Humeri. A Btusa between the Tendon ofthe long head ofthe Biceps Flexior Cubiti and the Humerus. Bursa about the Joint of the Elbow. A Bursa, with a Peloton of Fat, between the Tendon the Biceps and Tubercle of the Radius. A small Bursa between the Tendon common to the Extensor Carpi Radialis Brevior, Extensor Digitorum, Communis, and round head ofthe Radius. A small Bursa, between the Tendon of the Triceps Extensor Cubiti and Olecranon. >■ Burs* upon the Under part ofthe Pore-Arm and Hand. A very large Bursa surrounding the Tendon ofthe . Fhior Polite u> LOi^us. 180 Four long Bursae lining the sheaths which inclose the Tendons of the Flexors' upon the Fingers. Four short Bursae on the tore-part ofthe Tendons of the Flexor Digitorum Sublimis in the Palm of the Hand. A large Bursa between the Tendon of the Flexor Pollicis Longus, the fore-part of the Radius, and Cap- sular Ligament ofthe Os Trapezium. A large Bursa between the Tendons ofthe Flexor Digitorum Profundus, and the fore-part of the end of the Radius and Capsular Ligament ofthe Wrist. These two last mentioned Bursae are sometimes found to communicate with each other. A Bursa between the Tendon of the Flexor Carpi Radialis anel Os Trapezium. A Bursa between the Tendon of the Flexor Carpi Ulnaris and Os Pisiforme. A Bursa between the Tendon ofthe Extensor Ossis Metacarpi Pollicis and Radius. A large Bursa common to the Extensores Carpi Ra- diales, where they cross behind the Extensor Ossis Metacarpi Pollicis. Another Bursa common to the Extensores Carpi Ra- dia' -s, where they cross behind the Extensor Secundi Internodii Pollicis. A third Bursa at the Insertion of the tendon of the Extensor Carpi Radialis Brevior. A Bursa ror the Tendon ofthe Extensor Secundi In- ternodii Pollicis, which communicates with the second Bursa common to the Extensores Carpi Kadiales- Another Bursa between the Tendon of the Extensor Secundi Internodii Pollicis and Metacarpal Bone of the Thumb. A Bursa between the Tendons of the Extensor ofthe Fore, Middle, and Ring Fingers, and Ligament of the Wrist. A Bursa for the Tendons of the Extensor of the Lit- tle Finger. A Bursa between the Tendon ofthe Extensor Carpi Ulnaris and Ligament ofthe Wrist. 181 BURSyE MUCOSA OF THE INFERIOR EXTREMITY. Burs* upon the Pelvis and upper part ofthe Thigh. A Very large Bursa between the Iliacus Internus and Psoas Magnus Muscle, and Capsular Ligament of the Thigh-Bone. A Bursa between the Tendon ofthe Pectinalis Mus- cle and the Thigh-bone. A small Bursa between the Gluteus Mediusand Tro- chanter Major, and before the Insertion ofthe Tendon ofthe Pyriformis. A Bursa between the Tendon of the Gluteus Mini- mus and Trochanter Major. A Bursa between the Gluteus Maximus and Vastus xternus. A Bursa between the Gluteus Mediusand Pyriformis. A Bursa between the Obturator Internus and Os Is- chium. An oblong Bursa continued a considerable way be- tween the Obturator Internus, Gemini, and Capsular Ligament of the Thigh bone A small Bursa at the Head of the Semimembranosus and Biceps Flexor Cruris. A small Bursa between the origin of the Semitendino- sus and that ofthe two former Muscles. • A large Bursa between the Tenelon of the Gluteus Maximus and root ofthe Trochanter Major. Two small Bursa between the Tendon of the Gluteus Maximus and Thigh bone. Burs* abiiUt the Joint ofthe Knee. A large Bursa behind the 'Tendon of the Extensors ofthe Leg, frequently found to comiiiunicate with the Cavity of the Knee-Joint. A Bursa behind tiie Ligament which joins the Pa- tella to th'e Tibia, "in the upper part of the Cavity of which a fattv substance projects. 182 A laTge Bursa between the Tendons of the Sartorius, Gracilis, Semitentliimsus, and Tibia A Bursa between the Tendons ofthe Semimembra- nosus and Gemellus, and Ligament of the Knee. This Bursa contains a small one within it, from which a pas- sage leads' into the Cavity of the Joint of the Knee A Bursa between the Tendon of the Semibranosus and the lateral internal Ligament of the Knee, from which also there is a passage leading into the Joint of the Knee. A Bursa under the Popliteus Muscle, likewise com- municating with the Cavity of the Knee-joint. Burs* about the Ankle. A Bursa between the Tendon of the Tibialis Anticus, and under part of the Tibia and Ligament ofthe Ankle. A Bursa between the Tendon of the Extensor Pro'- prius, Pollicis Pedis, and the Tibia and Capsular Liga- ment ofthe Ankle. A Bursa between the Tenelons ofthe Extensor Qigi- torum Longus and Ligament ofthe Ankle. A large Bursa common to the Tendons ofthe Pero- nei Muscles. A Bursa proper to the Tendon ofthe Peroneus Brevis. A Bursa between the Tendo Achillis and Os Calcis, into the Cavity of which a Feloton or Mass of Fat pro- jects. A Bursa between the Os Calcis and Flexor Pollicis Longus. A Bursa between the Flexor Digitorum Longus and tlie Tibia and Os Calcis. A Bursa between the Tendon ofthe Tibialis Posti- cus and the Tibia and Astragalus. Bun,* Mucosa in the Sole tf the F'oot. A second Bursa for the Tendon of the Peroneus Lon- gus, with an oblong Peloton of fat within it. A Bursa common to the Tendon ofthe Mexor Polli- cis Longus, and that ofthe Flexor Digitorum Profun- dus, at the tipper end of which a fatty substance pro- jects. A Bursa for the Tendon ofthe Tibialis Posticus. Bursxc ofthe Tendons ofthe r'lexors ofthe Toes. 1 Ocl OF THE STRUCTURE OF THE BONES. THE Bones derive their Hardness from the great quantity of Earth contained in their Substance. They are more or less of a white or red colour, accord- ing to the proportions of Earth or Blood entering into their composition : and are therefore whitest in the Adult, and reddest in the Child, more Earth being found ih the former, and more Blood in the latter. Bones are composed of Lamella, or plates, which are formed of Fibres running longitudinally, or in a ra- diated manner, according to the natural figure ofthe Bone ; as may be seen by exposing them to the heat, or to the weather, &c. The Plates of Bones are originally formed by the Ves- sels ofthe Periosteum Externum, and Membrana Me- thillaris, and not, as has been supposed by some Au- thors, from Layers detached from the external Perios- teum. The Plates are connected by Fibres, which some have considered as Clavicula or Nails, which were called Perpendicular, Oblique, Vc according to their different directions. The outer Plates of Bones are firmly compacted, so as to appear like one solid substance. The inner Parts of Bones in general, whether long, round, or fiat, have their plates and Threads running in various directions, intersecting each other, and for- ming the CancelU, or Spungy Substance of the Bones j the CancelU every where communicating freely among themselves. The CancelU, in the middle of the long Bones, are Fibrous, and farm the Reticular Substance which divides the Bone into larger caverns. Towards the extremities, the Cancelli are lamellated, and much more numerous than in the middle of long Bones. 184 Cancelli of a similar nature to those of the long Bones are also placed between the tables of fiat, and inner parts of round Bones. In some of the broad Bones, however, the solid parts are so much compressed, as to lea\e little or no room for Cancelli. On the contrary, in the middle of the long Bones, the Cavities are so large as to'give the appearance of a hol- low Cylinder. The Cancella of Bones are formed by the internal Plates being sent inwarels to decussate each other ; and in the long Bones, the sides become gradually thinner towards the extremities while the Cancelli in propor- tion bcqome more numerous. The Cancelli exist in the most solid partsof the Bones, as can be readily seen by exposure to heat, or in bones enlarged by elisease. In either of these cases, small caverns may be observed, anel are distinguishable from the Canals for containing the Vessels, the former being irregular, and the latter cylindrical. The Cancelli support the Membranes containing the Mairov\, as the Cellular Substance does the fat. 1 hey also furnish a wider surface for the dispersion of tlie arteries wjiich secrete the Marrow. Upon the surface of Bones there are numerous Fis- sures, for the more intimate connection of the Perios- teum with the Bone, and for lodgement to Blood-ves- sels. Many Orifices are observed upon the Surface, and particularly in the furrows of Bones, for the transmis- sion of Blooel-vessels into their substance. Ne ;.r the middle of most of the Bones, especially the Ion., ones, there is a slanting Canal for the passage ofthe principal Medullary Vessels. Numerous Orifices are also observed at the Extremi- ties of long Bones, seiv.ng, some of them, for the trans- mission of liiood-vessels, and osiers giving attachment to '.he Fibres ofthe Ligaments ot the Joints. l he principal Vessels pa^s into the Cancelli, internal Membranes, and Marrow,and return to the Subsianceof the Lone, where they meet those sent inwards from the Periosteum. In some fiat Bones, as those of the Cranium, the 185 Bones are entirely supplied by the vessels ofthe sur- rounding Membranes, and the Vascularity there is uni- form Bones, like other parts, have their Lympattcs, as appears bv the absorption of madder found elepositeel in the Substance of the Bones of Animals which receive it with their food ;—by the absorption of part of the, Bone itself, when in the diseased state and even by in- jection. The Nerves ofthe Bones are small, but may be ob- served in certain parts ofthe Bones, and, it is presum- ed, exist in all. From the minuteness ofthe Nerves, Bones are not sensible in the sound state ; and even in the diseased, the pain felt, may be owing to the Membranes withm them. , The general use of Bones is,—to furnish attachment to Muscles and to perfect and support the Bowels. Periosteum. The Periosteum derives its name from its furnishing a general covering to the Bones. In certain parts, however, it is perforatedhy Muscles, Ligaments, or Cartilages, which are fixed immediately to the surface of the Bones ; and at the joints it sepa- rates from the Bone to give a covering to the Capsular Ligaments. It is formed of many Fibres, which, m certain parts, can be divided into Layers. The outer Surface of this Membrane is connected to the surrounding parts by Cellular Substance The inner Surface is more uniform than the outer, and its Fibres run, most frequently, in the same direction with those of the subjacent Bones- The inner part ofthe Periosteum is connected to the surface of the bones by Blood-vessels and Ligamentous Fibres ; and this connection is much stronger in the Child than in the Adult. The Periosteum, as well as other Membranes, must be supplied with Nerves ,<—but these are too minute to be readilv traced. The sensibility ofthe Periosteum, like that of other 186 Membranes, is by no means acute, though found to pos- sess a certain degree of it. The principal uses of this Membrane are ;—To trans- mit the Vessels which are spread out upon its surface into the substance of the Bones ;—to give attachment to Muscles ;•—to prevent the affects of friction between ihem and the Bones ;—to assist in binding the latter together, Sec. Membrana Medollaris, Improperly called Periosteum Internum. It is divitled into numberless small parts which line the inner side ofthe Bones and all the Cancelli, and af- fords a large surface for the tlispersion ofthe Secretory Vessels of the Marrow, which it incloses. Marrow. The Marrow may be considered as an appendage of the general Corpus Adiposum, and is tleposited in the Cavities of the Bones, while nature is supplying fat to the rest ofthe Body. Like the Fat, when viewed in a microscope, it re- sembles a cluster of Pearls ;—or it is contained in sphe- rical sacs upon which Vessels are minutely dispersetl, but from which no Excretory Ducts have yet been dis- covered. It possesses little sensibility ; and what it does pos- sess is considered by the latest authors, as belonging rather to its Membranes than to the Marrow itself. Cartilages. Cartilages are of a white colour and elastic Substance, and much softer than Bones, in consequence of the smaller quantity of Earth entering into their composi- tion. Their Structure is not so evidently fibrous as that of Bones, yet by long maceration, or by tearing them a- sunder a fibrous disposition is perceptible. Their Vessels are extremely small, though they can be readily injected in Cartilages where Bone is begin- ning to form. The Vessels ofthe Cartilages of'the Joints, however, seem entirely to exclude the red blood ; BO Anatomist having yet been able to inject them.— iar •They have no Cancelli, nor internal Membranes, for lodging Marrow ; no Nerves can be traced-to them: nor do they possess any sensibility in the sound state. Upon their Surface, there is a thin Membrane term- ed Perichondrium, which in Cartilages supplying the place of Bone, as in those ofthe Ribs, or at "the ends of the long Bones in Children, is a continuation of the Periotteum, and serves the same general purposes to Cartilage as this does to Bone. Upon the surface of Articular Cartilages, the Peri, chondrium is a reflection ofthe inner surface ofthe Cap- sular Ligament, and is so very thin, and adheres so closely, as to appear like part ofthe Cartilage itself. One set of Cartilages supply the place of Bone ,—or by their flexibility, admit of a certain degree of motion, while their elasticity recovers their natural position,— as in the Nose, Larynx, Cartilages ofthe Ribs, £5*c. Another set, in Chilelren, supply the place of Bone, until Bone can be formed, and afford a Nidus for the Osseous Fibres to shoot in ;—as in the long Bones of Children. A third set, and that the most extensive, by the smoothness and slippcriness of their surface, allow the Bones to move readily, without any abrasion ;—as in the Cartilages of the Joints. A fourth set supply the Office both of Cartilage and Ligament, giving the elasticity ofthe former and flexi- bility of the latter ;—as in the Bones ofthe Spine and Pelvis- Of the formation of Bone. The generality of Bones, and particularly the long tr.es, are originally formed in Cartilage ; some, as those ofthe skull, are formetl between Membranes ; and the Teeth in distinct bags. When ossification is about to begin in a particular part of a Cartilage,—most frequently in the Centre,— the Arteries, which were formerly transparent, become dilated, anel receive the red blood from which the Os- seous matter is secretetl. This matter retains, for some time, the form ofthe Vessels which give it origin, till more Arteries, being by degrees dilated, and more Os- seous matter deposited, the Bone at length attains its tct.iplete from. 188 During the progress of Ossification ^e surrounelin j Cartilage bv degrees disappears, not by being changed into Bone, "but by an absorption of its parts, the new- formed bone occupying its place. The Ossification of broad Bones, as those ofthe Head, begins by one or more points, from which the Osseous Fibres issue in rays. . ^.u. «,»■ The Ossification of long Bones, as in those ofthe ex- tremities, begins by central Rings, from which the fi- bres extend towards the ends ot the Bones. The Ossification of Spherical-shaped Bones begins by one Nucleus, as in the Wrist; and that of irregular-shap- ed Bones br different Nuclei, as in the Vertebrx. Some Bones are completely formed at the time of birth, as the small Bones of the Ear. The generality of Bones are incomplete until the age of puberty, or between the fifteen, h anel twentieth year, and in some few instances not until a later period. In Children, the greater number of parts in Bones are Epiphysis or Appendices, which, in Adults, become ''The■ Epiphysic begin to appear after the Body of the Bone is ossified, and are themselves ossified at seven or eight years of age, though their external surface is still somewhat Cartilaginous. In the earlv period of life, the Body and ends of long Bones make 'three distinct parts, which can readily be separated by boiling, or bv maceration in water. The Epiph\ ses arc joined to the body of the Bone by Cartilages, which are thick in Clnldien, but gradually become thinner as Ossification advances, till at last, in the Adult, the external marks of division aie not to be seen ; though frequently some mark of distinction may be observed in the Cancelli. DIFFERENT KINDS OF CONNECTIONS OF THE BONES. g SYNARTHROSIS, yt Or Connection without inter- mediate Substance. SYMPHYSIS, Or Connection by intermedi ate Substance. Suture, Like a scam. Gomphosis, Like a Mail in a board. Schindelysis, Or Furrowing. CThe Bones ofthe Cranium, &greaterpu I of those ofthe Upper Jaw with each othr j The teeth in the Alveoli. $ Bones ofthe Septum Narium to each otiu I The Bodiesof the Vertebrae to each cthe the ribs to the Sternum : the Ossa limoi oata to the Os Sacrum, or to each other. Synchondrosis, Or Connection by Carti-' lage. ' Syndesmosis, 5 The lower jaw and Os Ilyodes to the H _;; Or Connection by Liga- (.the Ribs to the bp'me : the Processes of xnunt. VVeiti.1.; x ami id«o Bouts of the Lutein iucfc to each other. DIFFERENT KINDS OF MOTION*. 8 ARTHRODIA; Where the flat ends of Bones J are opposed to each other 1 with little motion. L GINGLIMUS. The bones mutually receiving each other ; anel the liga- ments admitting of a hinge- like motion. ENARTHROSIS. Or ball and seicket, the liga- J . ments allowing motion in all*^ directions. r Between the clavicle and scapula. The bones in the second vow © the carpus. The carpus and metacarpus. The tibia and fibula The greater number of bones in the tarsus. Tlie tarsus and me tatarsus. Angular* *-The lower jaw and head. The joint ofthe el One bone in mov- < how. The first arid second joints of tlie thumb ing forming an £ and second and third of the fingers. The joinl angle with ano- < ofthe knee- Ankle. The two last joints ol ther. ^ the toes. Lateral or Circa- C Between the first vertebrse and processus denta- lar. I tus of the second. Between the radius and ulna. f"Betwreen the occipital bone anel atlas. Between 1 Compound. < the different vertebrae. And between the ribs »- C. and vertebra. Tinner end ofthe clavicle. Head of theoshumeri. Between the fore- arm and wrist, and between the two rows of carpal bones. At the root of the metacarpal bone ofthe thumb, and root ofthe first pha- lanx ofthe fingers. Atthe head ofthe thigh-bone. Between the as- tragalus & os naviculare, at the root ofthe fust phalanx of tlie toes- OF THE * LIGAMENTS, AND OTHER PARTS OF THE JOINTS. Ligaments are white, strong, flexible bodies, of an intermediate firmness between Cartilage and common Membrane. They are composed of Fibres variously disposed ; the greater part of them, however running in a longitutli- nal tl;rection. The Ligaments, of moveable Joints arise, for the* most part, from the Cervix, and beyond the edges of the articulating Cartilage of one Bone, and are fixed, in a similar manner, into the corresponding parts ofthe other. The Ligaments thus fixed are called Capsular, from their forming a purse or bag, which includes the Joint. Where variety of motion is allowed, the Capsular Li- gament is nearly of equal strength rountl the whole circumference of the JointJ but, where the Joint is of the,nature of a hinge, the Ligament is strongest at the sides of that hinge. The outer part of the Capsular Ligament is formeel of a continuation ofthe Periosteum, which is connected to the surrounding parts by Cellular Substance ; while the inner La' er,--remarkably thin and dense,—is re- flected over the Bones and Cartilages which the Liga- ment includes ; one part of it thus forming Periosteum, , imd the other Perichoni.'rinm. In ceiiain parts of the Body there are, besides the Cap.ui.ii' Ligaments, othe:s for the firmer connection 192 of the Bones, or for confining the motion to one parti- cular side ; as the round Ligament of the Thigh, flir Crucial or Lateral Ligaments ofthe Knee. Wherever the Ligaments are few, long, and weak, the motions will be more extensive ; and, on the con- trary, where the Ligaments are numerous, short, and strong, the motions will be more limited. In some parts of the Body, Ligaments supply the place of Bones, as in the Pelvis ; In others, they give origin to Muscles, as between the Radius and Ulnar In some parts they assist in connecting immoveable Bones ; as the Os Sacrum and Os Innominatum .- la others, they form a Socket "ib which moveable Bones play, as where part'of the Astragalus moves on the Li- gament stretched between the Os Calcis and Os Sca- phoides. Ligaments have numerous Blood Vessels which can be readily injected. Upon the inner side of the Capsular Ligaments, their arteries secrete a liquor which assists in the lubrication ofthe Joints. The Nerves of Ligaments are small, though, in some parts, they can be easily tracetl upon their Surface. The Sensibility of Ligaments, in the sound state, is inconsiderable ; when in a state of inflammation, how- ever, they are found to occasion extreme pain. Use of Ligaments. 'The Capsular Ligaments connect Bones together, assist in the secretion of the Synovia, which they con- tain, and prevent the other parts from being pinched in the Joint. The other Ligaments join Bones together, and pre- serve them in their proper situation. In many parts, they give attachment to Tendons, and in some to the Flesbj parts of Muscles. Mucous Substances, Commonly called Glands of the Joints. These are Masses of Fat found in most ofthe Join'-, covered with a continuation of the inner Layer ofthe Capsular Ligament, and projecting in such a manner as to be gently pressed, but not bruised, bv the motion of the Joint; and, in proportion as this motion is more 193 or less frequent, the liquor which they secrete is dis- chargetl in a greater or smaller quantity. In some Joints, they have the same appearance with Fat in the other parts of the Body ; in others, they are of a redder colour, from the great number of Blood- vessels dispersed upon them. They have been commonly considered as Glands lodg- ed within the masses of Fat ; but, upon a minute in- spection, no knotty or Glandular bodies are tobe found in them, nor have they the appearance of Glands, far- ther than in being secreting substances ; which circum- stance alone assimilates them to the nature of Glands. From the edges of these Fatty bodies, Fimbria hung loose, and convey a lubricating liquor, called Synovia, into the cavity of the Joints. From the extremities of these fringes, the liquor can be readily squeezed out by pressure ; but their cavities and orifices are so minute, or are otherwise of such a nature as to have hitherto eluded discovery. The Fimbriae have been generally considered as Ex- cretory Ducts of Glands within the Joints. Dr. Monro, however, in his Work upon the Bursae Mucosae, sup- poses them to be of the nature of the Follicles ofthe Urethra, which prepare a Mucilaginous Liquor, with- out the assistance of any knotty or Glandular Organ. The Arteries which supply these bodies with olood for their secretions, anel the Veins which return the blood after the secretion, can be readily seen ; but no Nems can be traced into them; nor does it appear that they possess a higher tlegree of sensibility than the other parts of the Joints already described ; al- though, when they inflame and suppurate, they have in some instances been observed to occasion the most ex- cruciating pain. The Synovia, which is a thin Mucilaginous litpior, resembling the glair of an e^p;, appears to be furnish- ed, not only by the substances already mentioned, but also bv the inner surface of the Capsular Ligament iq general, and serves for the lubrication of the Joints, Ligaments ofthe Loweb Jaw, The Capsular Ligament, which arises from the whole margin of the Articular Cavity of the Tewpgral Bo»e, 194 and is inserted, first into the edge ofthe Inter* ticular Cartilage, alid afterwa ds round the cervix of the Low- er law." This Ligament, like others which belong to Joints ofthe hinge kind, is thickest and strongest at the sides of the Joint, to confine the lateral motion ot tlie Jaw. By it the Jaw is allowed to move upwards, down- wards, or a little forwards or backwards, or to a side, and the motions are tendered easier by the intenen- tion of the Interarticular Cartilage, which follows the Condvle in its different motions. The Suspensory Ligament of the Stylo-glossus Mus- cle, which is attached by one end to the Styloid Pro- cess, and to a Ligament running from that Process to the Os Hioides ; and by the other end to the angle of the Lower Jaw, serving to support the Stylo-glossus Musrle, and give origin to part of it. The Lateral Ligament, which arises from the mar- gin ofthe Articular Cavity of the Temporal Bone, and is inserted into the inner Surface of the angle of the Lower Jaw, near its posterior Foramen—assisting to keep the Jaw in situ, and to prevent the inferior Max- illary Vessels and Nerves from being injured by the ac- tion of the Pterygoid Mus»le. Ligaments connecting the Head with the first and se- cond Vertebrx ofthe Neck, and these two Vertebrx with each other. Tbe two Capsular Ligaments, which arise from near the margin ofthe superior articulating Processes of the Atlas, and are inserted into the Base of the Condyles ofthe Occipital hone, where the Head has its flexion and extension without rotation Tin Circular Ligament, which arises from "he edge ofthe Spinal hol^ of the first Vertebra, is connected wth the Capsi.l.'i Ligament of the superior Articula- ting Processes of the Atlas, and is inserted into tbe edge of the Foramen Magnum of tiie Occipital Bone. The tuo Capsular Ligaments which fix the inferior ob'ique Processes ofthe Atlas, to the supe/mi oblique irt-'ihe Vrrti bia Denfta. and admit of the rota'inr. »f w'. e He a ,., with :- small dot;lee l't inolion to either side. 'ihe perpendicular Ligament, which fixes tlie P. dees- 195 bus Dentatus of the second Vertebra to the edge ofthe (interior part of the Foramen Magnum, between the Condyles. The two Lateral, or Moderator Ligaments, which a- rise each from the sitle ofthe Processus Dentatus, and run outwards and upwards to be fixed to the inner part ofthe side ofthe Atlas, and to the inner edge of the Foramen Magnum ; they are short but of great strength, and they prevent the Head from turning too far round. The Transverse Ligament, which arises from the in- ner side ofthe Atlas, and going across behind the Pro- cessus Dentatus, is fixed to the opposite side. The edges of this Ligament extend upwards and downwards, and form two Processes, called its Appen- dices, which are fixed to the Foramen Magnum and Pro- cessus Dentatus. The middle of the Ligament is re- markably firm where that Process plays upon it. It keeps the Processus Dentatus in its place, and prevents it from injuring the Spinal Marrow in the different mo- tions of the Head. Ligaments ofthe other Vertebrx. The Anterior Common Ligaiuent of the Vertebrx, which is a strong Tendinous Band, embracing the con- vex or fore-part of the Vertebrae, from the upper to the under region of the Spine.—It is much thicker upon the fore-part than on the sides of the Vertebrae, by which the Bones are more firmly united, and is ttiinner in the Neck anel Loins, where the motions ofthe Sf ine are greatest, than it is on the Back. Through its whole course, it sends off' small Processes to be fixed to the bodies of the Vertebrae, by which their connection is made more secure It prevents the.Spine from being stretched too much backwards. The Capsular Ligaments, which join the articulating Processes to each other. The Crucial Intervertebral Ligaments, which join the bodies ofthe Vertebrae together, upon the outer edges ofthe intervertebral Substances, to which also they firmlv adhere. The Intervertebral Substances (already described along with tlie Bones) which join the bodies of the Vertebrae 196 rAgfetfter, and allo :irachio-Radial,or External Lateral Ligament, wluc. is like the former, but larger. It arises from the external Condyle of the Os Humeri, andspreads out upon the Coronary Ligament, to which it is inserted. 203 The Coronary, Annular, or Orbicular Ligament of the Radius, which arises from one side ofthe small Semilu- nar Cavity ofthe Ulna, and after surrountling the Neck ofthe Radius, is fixed to the other side of that Cavity. The upper edge of it is incorporated with, and may be considered as a part of the Capsular Ligament, while its under edge is fixed round the neck of the Radius, allowing that Bone to move freely round its own axis, upon the Articular Surface of the Os Humeri, and in the small Semilunar Cavity ofthe Ulna. Besides the Ligaments already described, there are others which run in various directions upon the fore and back-parts of the Joint, contributing to its strength, and having the names of Anterior and Posterior Acces- sory Ligaments. The Ligaments ofthe Bones of the Joint of the El- bow form a complete hinge, which allows the fore-arm to have free flexion and extension upon the Os Humeri, but no rotation when the Arm is in the extended state, though a small degree of it is perceptible when the Joint is moderately bent, and the Ligaments thereby relaxed. Within the Capsular Ligament, and chiefly in the upper part ofthe pits of the Os Humeri, in which the Olecranon and Coronoid Process of the Ulna play, the Fatty Substance is lodged for the lubrication of the joint. Ligaments between the Bodies and Under Ends ofthe Radius and Ulna- The Interosseous Ligament, which extends between the sharp ridges ofthe Radius and Ulna, filling up the greater part of the space between these tw o Bones, and composed of small Fasciculi, or Fibrous Slips, which run obliquely downwards and inwards. Two or three of these, however, go in the opposite direction ; and one of them, termed Oblique Ligament, and Chorda Trans- versalis Cubiti, is stretched between the Tubercle of the Ulna and under part ofthe Tubercle of the Radius. —In different parts of the Ligament there are perfo- rations for the passage of Blood-vessels from the fwre to the back-part of the Bone, and a large opening is found at the upper partof it, which is filled up by Mus- cles. It prevents the Radius from rolling too much M 2 204 outwards, and furnishes a commodious attachment for Muscles. The Capsular or Sacciform Ligament, which arises from the edges of the Glenoid Cavity of the under end ofthe Radius, and surrounds the''head of the Ulna, a|-) lowing the Radius to turn upon'the Ulna in performing' the different motions of pronation and supination ofthe Hand. Ligaments,"&6. between the fore-arm and Wrist. The Capsular Ligainent, which arises from the mar- gin ofthe extremity ofthe Radius, and from the edge ofthe moveable Cartilage at the head ofthe Ulna, and is fixed to the Cartilaginous edge of the three first bones of the Carpus. The Inter-artieularCartilagi'^As.ted between the head ofthe Ulna and Os Cuneiforme, and which is a continu- ation of the Cartilage covering the end ofthe Radius. The Two lateral Ligaments which arise from the Sty- loid-Process of the Radius and Ulna, and are fixed to the Bones ofthe Carpus nearest them. The Ligaments of this joint allow extensive motion: forwards and backwards, and a considerable'degree'of it to either side. The Mucous' Ligament which lives within the joint. It extends from the groove between the two first Bones ofthe Carpus, to the corresponding part of the Radius, and is supposed to regulate the Mucous Organ connect- ed with it. Ligaments ofthe Carpus. The Anterior; Annular,or Transverse Ligament,wh\ch is stretched across from the projecting points of the Pisiforme and Unciforme Bones, to theOs Scaphoides and Trapezium, and forms an arch which covers and pre- serves in their places the Tendons of the Flexor Mus. cles ofthe Fingers. The Capsular Ligament which arises from the Carti- laginous edges ofthe upper row, and is fixed in a simi- lar manner to those ofthe under row ofthe Carpus, ad- mitting chiefly' of flexion and extension, and that in a smaller degree than in the former joint. The short Ligaments of the bones of the Carpus, which we small ligamentous Slips running in various directions, 205 joining the different Bones ofthe Carpus,—first of the same row, then of the two rows together. They are termed Oblique, Transverse, Capsular, and Proper Liga- ments of the Bones of the Wrist, and admit only of a small degree of yielding between the different bones in the same row. Ligaments between the Carpal and Metacarpal Bones. The Articular Ligaments, which arise from the mar- gins ofthe second row ofthe Carpal Bones, and are fixed to the margins of the bases of those of the Metacarpus. Other Ligennents run in a radiated manner from the Car- pal to the Metacarpal Bones; the whole getting the names of Articular, Lateral, Straight, Perpendicular, t5*c. according to their different directions. From the Flatness of the Articular Surfaces, and strength of the connecting Ligaments, very little mo- tion is allowed between the Carpus and Metacarpus. Ligaments between extremities of the Metacarpal Bones. The Interosseus Ligaments at the Bases of the Meta- carpal Bones. They are short slips, which run trans- versely, and join these Bones to each other, obtaining the names of Dorsal, Lateral, or Palmar, according to their different situations. The Interosseus Ligaments at the Heads ofthe Meta- carpal Bones, which run transversely in the Palm, and connect the heads of these bones to each other. Ligaments at the Base ofthe Metacarpal Bone ofthe Thumb, and of the first joint of the Fingers. These consist of the Capsular Ligaments, which in- close the joints, and the Lateral Ligaments which are situated at the sides of the former, adhering to, and strengthening them ; the whole admitting of Flexion, extension, and lateral motion. Ligaments of the first and second joints ofthe Thumb, and second and third joints ofthe Fingers. The Capsular Ligaments inclosing the Joints. The Lateral Ligaments placed at the sides of the joints, and adhering to the Capsular Ligaments, confin- ing the motion to flexion and extension. 206 Ligaments retaining the Tendons of the Muscles cf the Hands and Fingers in situ. The Anterior, Transverse, or Annular Ligament ofthe Wrist,—already described. The Vaginal Ligaments of the Flexor Tendons, which are fine Membranous Webs connecting the Tendons of the Sublimis, first to each other, then to those of tbe Profundus, and forming at the same time, Bursx Muco- sae, which surround the Tendons. The Vaginal, or Crucial Ligaments ofthe Phalanges, which arise from the ridges on the concave side ofthe Phalanges, and run over the Tendons of the Flexor Muscles ofthe Fingers. Upon the body ofthe Phalan- ges, they are thick and strong, "to bind down the Ten- dons ; but over the joints they are thin, and have, in some parts, a Crucial appearance, to allow the ready motion of the Joints. The Accessory Ligaments of the Flexor Tendons of the Fingers, which are small Tendinous Frana, arising from the first and second Phalanges of the Fingers. They run obliquely forwards within the Vaginal Liga- ments, terminate in the Tendons ofthe two Flexor Mus- cles ofthe Fingers, and assist in keeping them in their places. The External Transverse Ligaments of the Wrist, which is part of the Aponeurosis of the Fore-Arm, extending across the back of the Wrist, from the extre- mity ofthe Ulna and Os Pisiforme to the extremity of the Radius. It is connected with the small Annular Ligaments which tie down the Tendons of the Exten- sores Ossis Metacarpi et primi Internodii Pollicis, and the Extensor Carpi Ulnaris. The Vaginal Ligaments which adhere to the former Ligaments, and serve as sheaths and Bursx Mucosae to the Extensor Tendons ofthe Hand and Fingers. The Transverse Ligaments, ofthe Extensor Tendons, which are Aponeurotic Slips running between the Ten- dons, near the heads ofthe Metacarpal Bones, and re- taining them in their places. LIGAMENTS OF THE INFERIOR EXTREMITY. Ligaments connecting Os Femoris with Os Innominatum. The Capsular Ligament, which is the largest and fnongest ofthe Body, arises round the outside of tbe Prim ofthe Acetabulum, embraces the head ofthe high-bone, and incloses the whole of its Cervix to the '< -it or outer extremity, round which it is firmly con- i.ected. The outer part ofthe Capsular Ligament is extended further down than the inner, which is reflecteel back u:>on the neck of the Bone, and in certain parts forms f.'ctinacula. It is every where ofthe same strength. It is thick- est anteriorly ; thinner where it is covered by the in- t rnal Iliac Muscle; and thinnest posteriorly, where ( •■• adjacent Quadratus Muscle is opposed to it. !t is strengthened on its outer Surface by various a!.-essory or additional slips, which run down from the J tiicia Lata and surrounding Muscles ; but the stron- (,. st of these slips arises with diverging Fibres from iiu- interior anterior Spinous Process ofthe Os Ilium.— The Capsular Ligament allows the Thigh-bone to be ■ "v ed to every side, and to have a small degree of ro- tt'on. i he Internal, commonly called the Round Ligament, w i >h arises by a broad flat beginning from the under .". inner part ofthe Cavity ofthe Acetabulum, and is i ccted with the Substance termed Gland of the Joint. From this it runs backwards and a little upwards, be- io.u',ng gradually narrower and rounder, to be fixed to !,,• I »it upon the inner Surface of the Ball ofthe Os 1'err. oris. 208 The round Ligament prevents the bone from being dislocated upwards, and assists in agitating the Mucous Substance within the Joint. A Cartilaginous Ligament surrounding the Brim of the Acetabulum, and thereby increasing the depth of that cavity for the reception of the head ofthe Thigh- bone. A double Cartilaginous Ligament, stretched from one end ofthe breach, in the under and fore-part of the Acetabulum, to the other, but leaving a hole behind it for containing part of the Substance called Gland of the Joint, and for the passage ofthe Vessels of that Sub- stance. This Ligament allows the Thigh-bone to be moved inwards, and the Glandular-looking Substance to be a- gitated with safety. The Substance called Gland of the Joint, covered with a Vascular Membrane, and lodged in a depression in the under and inner part ofthe Acetabulum. At the edges of this Substance, Fringes are sent out, which furnish part of the Synovia for the lubrication of the Joint, rI ot- edges of this substance are fixed to those ofthe Pit in the Acetabulum, by small Ligamentous Bridles, termed Ligamenta Mucosa, or Ligamentula Mastx Aii- poso-Glandulosx. Ligamenta, l$c. ofthe Joint ofthe Knee. The Lateral Ligaments which lie at the sides ofthe Joint, and adhere to the outer Surface of the Capsular Ligament The Internal Laternal Ligament, which is of consi- derable breadth, arises from the upper part and Tuber- cle ofthe internal Condyle of the Os Femoris, and is inserted into the upper and inner part of the Tibia. The long External Lateral Ligament, which is nar- rower, but thicker and stronger than the former, arises from the Tubercle above the external Condyle of the Os Femoris, and is fixed to the Fibula, a little below its head- Behind the long external Lateral Ligament, there is an 'Expansion attached nearly in the same manner as 209 this Ligament, and has been termed the external short Laternal Ligament- These Ligaments prevent lateral motion, and the rol- ling of the Leg in the extended state, but admit of a •malldegree of both these motions whentheLimbisbent. The Posterior Ligament of WiksIjOw, formed of ir- regular bands which arise from the upper and back- part of the external Condyle of the Os Femoris, and descend obliquely over the Capsular Ligament, to be fixed under the inner and back-part of the head of the Tibia,—preventing the Leg from being pulled farther forwards than to a straight line with the Thigh. It also furnishes a convenient situation to the beginnings of the Gastrenemius the Plantaris Muscles. When this Ligament is wanting, which is sometimes the case, its place is then supplied by a Membraous Ex- pansion. The Ligament of the Patella, which arises from a depression behind the Apex of the Bone, and is fixed to the Tuberosity of the Tibia. By the intervention of this Ligament, the Muscles fixed to the Patella are en- abled to extend the Leg. The Capsular Ligament which arises from the whole circumference ofthe under end ofthe Thigh-bone, some way above the margin of the articulating Cartilage, and above the posterior part of the great notch between the Condyles. From this it descends to be fixed round the head of the Tibia, and into the whole margin of the Articulating Surface ofthe Patella, in such a manner that this Bone forms part ofthe Capsule ofthe Joint. The Capsular Ligament is of itself remarkably thin, but so covered by the Ligaments already mentioned, by the general Aponeurosis, and by the Tendons of Mus- cles which surround the Joint, as to acquire a conside- rable degree of strength. The Capsular Ligament along with the other Liga- ments of this Joint, admit of the flexion and extension of the Leg, but of no lateral nor rotatory motion in the extended state, though of a small degree of each when the Limb is fully bent. Ligamentum Alare, majus et minus, which are folds 6f til" *"""P=«la«' T io-ampnt. rtinmncr like wings at the 210 sides ofthe Patella, to which, and to the Fatty Substance ofthe Joint, they are attached Ligamentum Mucosum, which is continued from th«, joining ofthe Alar Ligaments to be.fixed to the Os Fe- moris immediately above the anterior Crucial Liga- ment, and which preserves the Fatty Substance ofthe Joint in its proper place, in the various motions ofthe Joint. The two Crucial, or internal Ligaments which arise from the hollow between the Condyles ofthe Os Femo- ris, and decussate each other within the cavity ofthe Joint. The anterior Crucial Ligament, which runs down- wards and forwards, to be fixed to a Pit before the rough Protuberance in the middle of the Articulating Surface ofthe head of the Tibia. The posterior Crucial Ligament, which runs down- wards, to be fixed to a Pit behind the above mentioned rough Protuberance. These Ligaments, in the extended state ofthe Leg, pre\ ent it from going forwards beyond a straight Line. When the knee is bent, they admit the Foot to be turn- ed outwards, but not inwards. The two Inter-articular Cartilages, called Semilunar from their shape, placed upon the top ofthe Tibia. The outer convex edge of each of these Cartilages is thick, while the inner concave edge becomes gradually thinner, whereby the Sockets for the Condyles of the Os Femoris are rendered deeper, and this Bone and the Tibia more accurately adapted to each other. Each of these Cartilages is broad in the middle, and their extremities become narrower and thinner as they approach each other. These extremities are termed Cornua, anel are fixed by Ligaments to the Protuberance of the Tibia. The anterior Cornua are joined to each other by a Transverse Ligament. The convex etlge of these Cartilages is fixed to the Capsular and other Ligaments, in such a manner as to allow them to play a little upon the Cartilaginous Sur- face of the Tibia, by which the motions of that Bone upon the Condyles ofthe Os Femoris are facilitated. The Mucous or Fatty Substances of the Joint, which 211 are the'most considerable of any in the,Body, and are ■jy»ated in the. different interstices of the Joint, but chiefly round the edges ofthe Patella. The Fimbrixt which discharge Synovia for the lubri- cation of the Joint, projecting from the edges of the Fatty Substance. Ligamenta connecting the Fibula to the Tibia. vThe Capsular Ligament ofthe superior extremity of' the Fibula, which ties it to the outer part ofthe head ofthe Tibia, and which is strengthened by the external Lateral Ligament ofthe Knee, and by the Tendon of the Biceps Muscle which is fixed to the Fibula. The Interosseus Ligament which fills the space be- tween the Tibia and Fibula, like the Interosseous Li- gament ofthe Fore-arm, and is of a similar structure, being formed of oblique Fibres, and perforated in va- rious places for the passage of Vessels and Nerves. At the upper part of it there is a large opening, where the Muscles of the opposite sides are in contact, and where Vessels and Nerves pass to the fore part ofthe Leg- It serves chjefiy for the origin of part ofthe Muscles which belong to the Foot. The Ligaments of the inferior extremity of the Fi- bula, which are called Anterior superior and Posterior su- • perior, according to their situations. They arise from the edges ofthe Semilunar cavity ofthe Tibia, and are fixed to the Malleolus Externus of the Fibula. The Ligaments between the ends ofthe Tibia, and Fibula, fix the two Bones so firmly together as to admit of no sensible motion. Ligaments connecting the Bones of the Tarsus with those of the Leg. The Anterior Ligaments of the Fibula, which arises from the anterior part of the Malleolus Externus, and passes obliquely forwards, to be fixeel to the upper and outer part ofthe Astragalus. The middle ov Perpendicular Ligament ofthe Fibula, which arises from the point ofthe Malleolus Externus, and descends almost perpendicularly, to be fixed to the outside of the Os Calcis. 212 The Posterior Ligament of the Fibula, which arises from the under and posterior p^rtof the Malleolus Ex- ternus, and runs backwards, to be fixed to the outer and posterior part ofthe Astragalus. The Ligamentum, Deltoides ofthe Tibia, which arises from the Malleolus Internus, and descends in a radiated firm, to be fixed to the Astragalus, Os Calcis, and Os Naviculare. The Capsular Ligament, which lies within the former Ligaments, and is remarkably thin, especially before and behind, for the readier motion ofthe Joint. It a- rises from the margin of the Articular Cavity ofthe Tibia and Fibula, antl is fixed round the edge ofthe Articular Surface ofthe Astragalus. The ligaments and other parts ofthe structure ofthe Ankle-joint form it into a complete hinge, which allows fe\ om and extension, but no rotation or lateral motion, in the bended state ofthe Foot, though a small degree of each when it is fully extended. Ligaments of the 'Paraus. The Capsular Ligament, which fixes the Articular Surface ofthe Os Calcis to that ofthe Astragalus: A number of short Ligaments lying in the Fossa of the Astragalus and ofthe Os Calcis, and forming the Ligamentous apparatus ofthe Sinuous Cavity, which as- sists in fixing the two Bones strongly together The Capsular, £\e broad Superior, and the internal Lateral Ligaments, connecting the Astragalus to the Os Naviculare, and admitting of the lateral and rota- tory motion ofthe Foot. 'The superior, the lateral and the inferior Ligaments, fixing the Os Calcis to the Os Cuboides, where a small degree of motion is allowed to every side. The inferior Ligaments consist of a long and oblique, and a Rhomboid Ligament, which are the longest and strongest of the Sole. The superior-superficial, the Interosseous, and the In- ferior Transverse Ligame-nts, which fix the Os Navicu- lare and Os Cuooides to each other. Tl,.? superior-lateral, and Plantar Ligaments, which fix the Os Naviculare to the Os Cuneikirme. 'I iie superic .uptrjiciaf, and the Plantar L'gaments, 213 which connect the Os Cuboides to the Os Cuneiforme Externum. The Dorsal and Plantar Ligaments, which unite the Ossa Cuneiformia to each other. Besides the Capsular Ligaments of the Tarsus al- ready mentioned, each of the other Joints of these Bones is furnished with its proper Capsular Ligament. From the strength ofthe Ligaments which unite these Bones to each other, and from the plainness of their Articulating Surfaces, no more motion is allowed than to prevent the effects of concussion in walking, leap- ing, &c. Ligamenta between the Taraua and Metataraua. The Bones of the MetatarsOs fixed to those ofthe Tarsus by Capsular, and numerous other Ligaments, which, are called Dorsal, Plantar, Lateral, according to their situations ; and Straight, Oblique, or Transverse, according to their directions. The nature of this Joint is the same with that between the Carpus and Metacarpus. Ligamenta connecting the Metataraal Bonce to each other. The Dorsal, Plantar, and Lateral Ligaments, which connect the bases of the Metatarsal Bones with each other. The Transverse Ligaments, which Join the heads of these Bones together. Ligaments ofthe Phalanges ofthe Tois. The Capsular and Lateral Ligaments, as in the Fingers. Ligaments and Sheaths retaining the Tendons of the Muscles of the Foot and Toes, in situ. The Annular Ligament ofthe Tarsus, which is a thick- ened part ofthe Aponeurosis of the Leg, splitting in- to superior and inferior portions, which bind down the Tendons of the Extensors of the Toes, upon the fore- part ofthe Ankle. The Vaginal Ligament of the Tendon of the Peronei Muscles, which, behind the Ankl. , is common to both, but, at the outer part of the Foot, becomes proper to each. They preserve the Tendons in their places, and are the Bursx of these Tendons. The Laciniated Ligament which arises from the inner 214 Ankle, and spreads in a radiated manner, to be fixed partly in the Cellular Substance and Fat, and partly to the Os Calcis, at the inner side ofthe heel. It inclo- ses the Tibialis Posticusand Flexor Digitorum Longus. The Vaginal Ligament of the Tendon ofthe Extensor Froprius Pollicis, which runs in a Crucial direction. The Vaginal Ligament qf^he. Tendon ofthe Flexor L.on- gus Pollicis, which surrounds this Tendon in the hollow of the Os Calcis. The Vaginal and Crucial Ligament* ofthe Tendons of the Flexors ofthe Toes, which inclose these Tendons on the Surfaces of the Phalanges, and form their Bursas Mucosae. The Accessory Ligaments of the Flexor Tendons ofthe Toes, which,—as in the Fingers,—-arise from the Pha- langes, and are included in the Sheaths' ofthe Tenddns in which they terminate. The Transverse Ligaments of the Extensor Tendonirf which run between them, and preserve' tneni in their places behind the roots ofthe Toe6. INDEX RUYSCHIAN ART. page. page: Arm for arteries & veins 22 Lymphatics how fil- \ 33 Blood vessels subject 19 led with Quicksilver J Bones, how prepared 14 Macerated preparations 14 ' —, how injected 30 Mercurial injections 33 Corotheca, 15 Morbid parts, how pre- Cuticle, how prepared ib. served _ 34 Explanation \p Quicksilver Parotid glands.injected ib. Tray 12 Penis, how injected 27 Foetus, preparations Placenta injected, 24 of 15,26,30 Podatheca 30 Gravid ute- how injected 23 Preparations how made 13 Hand filled with mercury 35------, of the viscera ib. Head with fine injection 32------, morbid parts 14 ------, for arteries and------.macerated ib. veins 21------, of bones ib. Heart how injected 25,28------with coarseinject.16 Injecting instruments 15------with minute 17 Injections, 1°-----quicksilver 33. ------, coarse ib. ------corroded 36 ______} fine 17 Quicksilver Tray U ______' minute ib- Testicle, how injected 27 Leg, for arteries, &c. 23 Uterus injected with 7 32 Liver, lymphatics of, in- fine injection 5 jected 34 Vena portse, its sys- 7 28 ------, operations on ib. tern injected S ■ Lungs, lympatics of, in- Viscera, how preserved U jested ib.------, how prepared. .... INDEX TO FIFE'S ANATOMY. VOLUME FIRST. page. > page. Adductor or posterior Abdomen : Muscles si- medii digiti pedis, 176 tuatedon the anterior Adductor minimi digiti and lateral part of it, 125 manus, 158 Abelomen, muscles with- Adductor or prior mini- in its cavity - 131 mi digiti petlis, 175 Abductor indicis manus,156 Adductor pollicis man. 156 Abductor or prior indi- Adductor pollicis pedis,174 cis pedis, 176 Adductor or posterior Abductor or prior medii medii digiti pedis, 176 digiti pedis, 175 Anconeus, 150 Abductor minimi digiti Anterior auris, - 111 manus, 158 Anus, muscles of the 128 Abductor minimi digiti Aponeurosis temporalisl 14 pedis, 175 Aponeurosis of the su- AbductorpoHicismanus,157 perior extremity, 148 Abductor pollicis peelis, 174 Aponeurosis ofthe in- Abductor or prior tertii ferior extremity, 160 digiti pedis, I76 Aponeurosis plantaris, 172 Accelerator urinx, 128 Aryteno-epiglotteus, 124 Adductor Femoris Tri- Arytenoideusobliguus, ib. ceps, comprehending Aiytenoideus transver. ib. SclistinctMuscles viz. Astragalus, 48 AdductorlongHs") fe- -g, Attollens aurem, 11(J Adeluctor brevis5 moris Auris retrahentes, 111 Aelductor mag. femoris 162 Azygos uvulae, 122 Adductor or podterir Biceps flexor cubiti, 149 indicis pedis, 176 Biceps fiexor cruris, 167 £17 PaSe- page. Biventer maxillae ioferio- Circumflexus palati, 120 ris, 118 Clavicle, 79 Bones in general, the Clitoridis erector, 130 parts of them to be at- Coccygeus 181 tended to, 39 Cocqygjs os 70 Bones pf the Cranium. /41 Qolli longus, 137 Bones of the face, 54 Colli semispinalis, I43 Bonespf the Trupk, 63 Colli transversalis, ib. Bones of the superior ex- Complexus, ' 145 tremity, 72 Compressor naris, 111 Bones, of the inferior ex- .Constrictor isthmi faci- tremity, " 92 um, 121 Bones, structure of 183 Qonstrictor pharyngis in- Bones, the formation of 187 feiior, 122 Bones, different kinds of Constrictor pharyngis connection of 189 medius ib. Bones, different kinds of Constrictor pharyngis su- motion of 191 perior, 123 Brachialis internus, 150 Coraco-brachialis, 148 Buccinator, 113 Cprrugator supercilii, 109 Bursa: mucosa;, descrip- Cranium, bones pf the 140 tion ofthe 177 Cranium, muscles of the Bursa: mucosae of the integuments of the 109 superior extremity, 179 Gremaster, 128 Bursx mucosx of the Crico-arytcnoideus latera- inferior extremity, X81 lis, ,123 Calcis, os 99 Crico-arytenoideus pos- - Capitatum or magnum os 88 ticus, ib. Capitis rectus anterior Crico-thyoideus, 119 major, 137 Cruralis, 166 Capitis rectus anterior Cuboides, os 100 minor, ib. Cucullaris. 138 Capitis rectus lateralis ib. Cuneiforme, os 87 Capitis rectus posticus Cuneiformia, ossa 101 minor, 144 Deltoides 147 Capitis rectus posticus Depressor anguli oris, 113 major, ib- Repressor labii inferio- Capitis gbhquus inferior, ib. ris, 112 Capitis obliquus superior ib Depressor labii superio- Carpal Bones, 86 ris alxque nasi, ib. Cartilages, 186 Diaphragma, 131 Cervicalis descendens, 141 Diaphragma, superior VOL. X N 218 P"g'- ,. P%e: musele ofthe 132 pedis, 174 Diaphragma Inferior Flexor brevis minimi di- muscle ofthe ib. giti pedis, 175 Dorsi interspinales, 145 Flexor carpi radialis, 151 Doi si intertransversales ib. Flexor carpi ulnaris, 152 Dorsi latissimus, 138 Flexor digitorum pro- Doisi longissimus 141 fundus 153 Dorsi semispinalis, 142 Flexor digitorum sublimis ib Ear, muscles of the ex- Flexor longus digitorum ternal 110 pedis, 172 Ejaculator seminis 128 Flexor longus pollicis Erector clitoridis 130 manus 155 Erector Penis, 128 Flexor longus pollicis Extensor brevis digfto- pedis, 173 rum pedis, 171 Flexor parvus minimi Extensor carpi radialis digiti manus, 158 brevior, 152 Foot, muscles ofthe 168 Extensor carpi radialis Frontalis, 109 longior, ib. Frontis, os 43 Extensor carpi ulnaris, 153 Gastrocnemius externus 168 Extensor digitorum com- , Gastrocnemius internus, ib munis, i54 Gemini, 164 Extensor longus digito- Generation, parts of; rum pedis. 171 muscles belonging to Exteesor ossis metacarpi them 165.168 pollicis manus, 156 Genio-hyo-glossus, 119 Extensor primi interno- Genio-hyoide-us,' 118 dii, 156 Glottis, muscles of the 123 Extensor propius pollicis Gluteus maximus, I62 pedis, 173 Gluteus medius, 163 Extensor secundi inter- Gluteus minimus, ib nodii pollicis manus 156 Gracilis, 165 Eye-lids, muscles of 109 Hand, bones of the 86 Femoris, os 92 Hand, muscles ofthe 151 Fibula, 96 Humeri, os 82 Fiexor accessorius digito- Humeri, os, its muscles 149 rum pedis 173 Hyoides, os 63 Flexor biceps cruris 167 Hyoides, os, muscles a- Flexor brevis digitorum bout 118 pedis, 172 Hyo-glossus 119 Flexor brevis pollicis ma- Jaw, lower, muscles of nus, 156 the 114 Flexor, brevis pollicis Jaw, lower, muscles be- 219 Pagc page. between it and the Os Ligaments o the low- Hyoides, 118 erjaw, 193 Iliacus internus, 134 Ligaments connecting Ilium, os 71 the head with the first Indicator, 157 and second vertebrx Inferior extremity, bones ofthe neck, and these ofthe 92 vertebrx to each Inferior extremity, mus- other, - - 194 cles of the 160 Ligaments of the other Inferior extremity, liga. vertebrx, 195 ments ofthe 207 Ligaments of the ribs, 196 Infra-spinatus, 146 Ligaments of the sepe- Innominatum, os 71 rior extremity, 200 Intercostales externi, 135 Ligaments connecting Intercostales interni, 136 the inner end of the Interossei manus, 158 clavicle, ib. Interossei manusexternil59 Ligaments proper to Interossei manus interni 159 the scapula, 201 Interossei pedis, 175 Ligaments of the joint Interossei pedis externi 176 ofthe elbow ib. Interossei pedis interni 1"5 Ligaments between the Interosseus auricnlaris, 157 bodies and under end Interspinales et inter- of the radius and ul- transversales colli et na, 20 dorsi, 145 Ligaments between the Interspinales et inter- fore arm and wrist, 204 transversals lumbo- Ligaments of the carpus, ib. mm, 146 Ligaments between the Ischium, os 72 carpal and metacar- Lycrymale, or unguis, pal bones, 205 os 52 Ligaments betweenthe Latissimus elorsi, 138 extremities of the Levatores costarum, 128 metacarpal bones, tb. Levator auguli oris, 112 Ligaments at the base Levator am, 129 of the metacarpal Levator labii inferiors 112 bone of the thumb, Levetor labii superioris and of the first joint alxquenasi 112 of the fingers, ib. Levator palati, 121 Ligaments of the first Levator palpebrx stipe- and second joints ot rioris, HO the thumb, and se. Ligaments and other cond and third of the v parts of the joints, 191 fingers. i« 240 page. page. Ligaments retaining Maxilla, inferior 59 the tendons of the Maxillare superius, os 55 muscles of the hand Membrana medullaris, 186 and fingers in situ, 206 Metacarpal bones, 89 Ligaments of the infe- Metacarpal bones, pe- rior extremity, 207 culiarities ofthe 90 Ligaments connecting Metatarsal bones, pe- the os femoris with culiarities of the 102 the os innominatum, ib. Mouth, muscels of the 111 Ligaments of the knee- Mucous substances, cal- joint, 212 led glands of the Ligaments connecting 08 joints, 192 the fibula to the tibia, 1 Multifidus spinx, 143 Ligaments connecting Muscles in general, 137 the bones of the tar- Mylo-hoideus, 118 sus with those of the Naris compressor. 111 leg, ib. Nasi alx depressor, 112 Ligamentsof the tarsus Nasi alx levator, 112 and between the Nasi, os 54 bones of the tarsus Naviculare, os 54 and metatarsus 212- 213 Neck, muscles of the Ligaments connecting fore and lateral part the metatarsal bones ofthe 116 to each other, 213 Neck, muscles siuated Ligaments of the pha- on the aeterior part langes of the toes, ib. of the yertebrx of Ligaments and sheaths the 137 retaining the tendons Nose, muscles of the 111 ofthe muscles of the Obliquus ascendens in- foot and toes in situ, 213 ternns, 125 Lingualis, 119 Obliquus capitis inferi- Lips, muscles ofthe 112 or, 144 Longus colli, 137 Obliquus capitis soperi- Longissimus dorsi. 141 or, ib. Lumbricales manus, 154 Obliquus descendens Lumbricales pedis, 173 externus abdominis, 126 Lunare, os 87 Obturator externus, 162 Magnum, or capitatum, Obturator internus, 164 os 88 Occipito-frontalis, 109 Malx, os <5 Occipitis, os 46 Marrow, 186 Omo-hyoideus, 117 Massa carnea Jacobii Opponens, pollicis, 156 Sylvii, I73 Orbicularis oculi, HO Masseter, 115 Orbicularis oris, 114 221 ■Oris anguu depressor, 113 Oris anguli levator, 112 Palati circumflexus, 120 Palati levator, 121 Palati, os 57 Palato-pharyngeus, 121 Palmaris longus, 151 Palmaris brevis, ib, Palpebia supe.rioris le- vator, 110 Palpebrarum orbicula- ris 110 Parietalia ossa, 44 Patella, 97 Patientix musculus, 142 Pectinalis, 161 Pectoralis major, 134 Pectoralis minor, ib. Pedis interrossei exter- ni. 175 Pedis interossei interni, ib. Pelvis, bones ofthe 71 Pelvis, muscles about the 160 Penis erector, 128 PerForans, 153 Perforatus, ib. Perinei transversus, 129 Periosteum externum, 185 Periosteum internum, vid. membrana me- dullaris 186 Peroneus brevis, 170 Peroneus longus, 170 Peroneus tertius, 171 Pharynx, mnscles situa- ted on tlie back-part •fthe 122 Pharyngis constrictor, 122 Pisiforme, os 87 Plantaris, 169 Platysma myoides 116 Popliteus, 168 *1 Posterior annularis*. 159 Posterior indicis manus 111 Posterior auris, 111 Posterior medii digiti mamus, 159 Posterior or adductor indicis pedis, 176 Posterior or adductor medii digiti pedis 176 g Cannularis, "} ■C -s medii dig-C manus 159 *« Citi indicis, 3 for abductor medii"^ digiti, j *n or adductor tertii j £ digiti y £ or adductor indicis j |3 or adtluctor mini- j P* l_ mi digiti, Pronator radii quadra- tic. 155 Pronator radii teres, ib. Psoas magnus, 133 Psoas parvus, ib. Pterygoideus externus, 115 Pterygoideus internus, ib, Pubis, os 73 Pyramidales, 127 Pyriformis, 163 Quadratus femoris, 164 Qtiadratus genx 112 Qjiadratus lumborurn, 133 Radialis externus longi- or, 152 Radialis externus bre- vior, ib. Radialis internus, 151 Radius, 85 Rectus abdominis, 127 Rectus capitis anterior major, 187 Rectus capitis anterior minor, 137 222 page. Rectus capitis lateralis, ib. Rectus capitis posticus major. 144 Rectus capitis posticus minor, ib. Rectus femoris, I65 Retractor anguli oris, 113 Retrahentes auris, 111 Rhomboideus, 139 Ribs, 76 Sacro lumbalis, 140 Sacrum, os 68 Salpingo-pharyngeus, 121 Sartorius, 165 Scalenus anticus, 144 Scalenus medius, 145 Scalenus posticus, ib. Scaphoides, os 87 Scapula, 80 Scapulx levator, 142 Semimembranosus, 167 Seminis ejaculator, 128 Semispinalis colli, 143 Semispinalis dorsi, 142 Semitendinosus, -167 Serratus magnus, 135 Serratus posticus infe- rior, 139 Serratus posticus supe- rior, 140 Sesamoidea ossa, 103 Skeleton in general, 40 Skeleton, principal dif- ferences between the male and female, 104 JSphenoides, os 51 Sphincter ani, 129 Spincter vaginx, 130 Spinx multifidus, 143 Spine, 65 Splenius, 139 Sterno-cleido-mastoide- us, 115 page. Sterno-costalis, 136 Sterno hyoideus, 117 Sterno thyroideus, ib. Sternum, 77 Skull in general, 40 Soleus, 168 Stylo-glossus, 119 Stylo-hyoidei, 120 Stylo-pharyngeus, ib. Subclavius, 135 Sublimis, 153 Subscapulars, 148 Supercilii corrugator, 109 Superior extremity, bones of 79 Superior extremity, mus- cles of 146 Superior extremity, li- gaments of .174 Supinator radii brevis, 155 Supinator radii longus, 154 Supraspinatus, 146 Tarsus, bones ofthe 93 Teeth, 61 Temporalis, 115 Temporum, ossa 47 Tensor vaginx femoris, 165 Tensor palati, 120 Teres major, 147 Teres minor, ib. Thigh-bone, 92 Thigh, muscles situa- ted on it and the Pel- vis, 160 Thorax, bones of 74 Thorax muscles situa- ted upon its anterior part, 134 Thorax, muscles within it and between the ribs, 135 Thyro-arytenoideus, 123 Tbyro-epiglottideus, 124 223 page. Thyro-hyoideus, 117 Tibialis anticus, 169 Tibialis posticus, 170 Trachelo-mastoideus 142 Transversalis abdomi- nis, 125 Transversalis colli, 143 Trausversalis pedis, 175 Transversalus primei, 122 Trapezium, os 81 Trapezius, 138 Trapezoides, os 88 Triangulare, os 58 Triangularis oris, 113 Triangularis sterni, 136 Triceps adductor femo- ris, 161 Triceps extensor cubiti, 150 Trumpeter, muscle 113 Trunk, bones of 63 Trunk, muscles situated on the posterior part of 138 Turbinatum inferius, sue spongiosum, os 58 Vaginx sphincter, 130 Vastus externus, 166 Vastus internus, ib. Vertebrx, true 64 Vertebrx, false 68 Ulna, 84 Ulnaris internus, 152 Uniforme, os 89 Unguis seulacrymale, os 54 Vomer, 59 Urethrx transversalis, 129 Urinx accelerator, 129 Uvulx azygos, 122 Zygomaticus major, 113 Zygomaticus minor, ib. FINIS. ■' .■* McA.Hist *7Q F117 to ^'•"aBu'v '^'4kHr ■' *'&<* c ■■■ .V i