O STEO GRAPHIA, OR THE A NAT O MY OF THE BONES. BY WILLIAM CHESELDEN SURGEON TO HER MAJESTY; F. R. S. SURGEON TO ST THOMAS’S HOSPITAL, AND MEMBER OF THE ROYAL ACADEMY OF SURGERY AT PARIS. LONDON MDC CXXXIII. TO THE TlnsWork In all Humilitjis DEDICATED; MoftDudfull S ervant, WILLIAM CHESEI DEN. T O THE READER. Very bone in the human body being here delineated Kjjp jjj .agi as large as the life, and again reduced to lefler fcales, /|f| *n or^er to A1CW them united to one another; I thought Kt it ufelels to make long defcriptions, one view of fuch Spy EffiiMBEj prints {hewing more than the fulleft and beft deicrip- tion can poflibly do; and for this reafon in the feveral chapters the mechanical contrivances of the bones are rather treated of than their fliapes. The firft drawing we made was a front view of the fcull, (Tab. iii.) in the fame attitude with a moil excellent one in Vefalius (whofe figures were drawn and engraved by Giovanni Calker, as Giorgio Vafari informs us in his book of the lives of the painters; they are performed in fo exquifitc a tafte that they have ufually been taken for Titian’s, and always confide- red as a ftudy for painters; yet it muft be confefled, that moil of them are far fliort of juft: reprefentations of the things they were drawn after.) Then we proceeded to others, meafuring every part as exa&ly as we could, but we foon found it impoflible to execute the difficult parts of fuch a work in this way; upon which I contrived (what I had long before me- ditated) a convenient camera obfcura to draw in, with which we corrected TO THE READER. fome of the few defigns already made, throwing away others which we had before approved of, and finiftied the reft with more accuracy and lefs la- bour, doing in this way in a few minutes more than could be done without in many hours, I might fay in many days: And however fufli- cient artifts may think themfelves to execute perfectly the more difficult parts of drawing without fuch helps, it is well known that when they have occafion to draw ftreight lines or circles, they do not difdain to ufe a ruler or compafs. But my engravers, Mr. Vandergucht and Mr. Shinevoet not lefs skilled in drawing than in their own proper art, knew too well the difficulties of reprefenting irregular lines, perlpedtive, and proportion, to defpife fuch afliftance, always declaring that it was impofilble to do thefe things fo well without. Two of the fmaller plates, the head of the man-tyger, and the fceleton of the tortoife, and all the large plates except viii. xi. xxi. and xxxi. were done by Mr. Gerard Vandergucht, and how great an artift he is, the open free ftile in which thefe plates are etched and engraved, and the inimita- ble manner of exprefling the different textures of the parts fufficiently {hew. The reft were performed by Mr. Shinevoet who left Holland, his native country, on account of misfortunes. He had done in England before thefe fome excellent works, particularly infide views of cathedral churches, which he was forced to fuffer another man to fet his name to, and e’er he had finiflied my work he died. The laft thing he attempted was the fcele- ton of a horfe, which being done in the winter in his chamber without the camera, it was fo unequal to the reft that I could not ufe it; his manner of etching, though wonderfully neat and expreflive, and well luited to fuch things as he was moftly employed in, is neverthelefs much inferior in ftile to that of Mr. Vandergucht. The actions of all the fceletons both human and comparative, as well as the attitudes of every bone, were my own choice: and where particular parts needed to be more diftindtly exprefled on account of the anatomy, there I always directed; fometimes in the drawings with the pencil, and often with the needle upon the copper plate, and where the anatomift does not take this care, he will fcarce have his work well performed. The exprefling the fmoothnefs of the ends of the bones by engraving only with Angle lines, while the other parts were all etched, was alfo my contriving; and what advantage this has been to the work will be feen by compa- ring the fmooth part of the acetabulum of the os innominatum in the be- ginning of the book, with the heads and fockets of other bones. TO THE READER* When I begun this work I intended a whole fyftem of anatomy ador- ned with the comparative, in three volumes in this manner, provided I found any encouragement. This volume being nearly finifhed it was offered by fubfcription (without folicitations) at four guineas, with a promife that none fhould be fold afterwards for lefs than fix; but meeting with little fuccefs, the further profecution of this defign was laid afide: This volume is made above twenty per cent, (which I always intended) better than the fubfcription propofals. There are no more printed in englifh than three hundred, and one hundred prints are taken off defigned for a latin or french edition, which being finifhed, the plates fhall be deftroyed that the price of the book may never fink in the pofleflion of the fubfcribers. THE INTRODUCTION HE ufe of the bones is to give fhape and firmnefs to ■jj':ffig| the body, to be levers for the mufcles to a6t upon, and i to defend thofe parts from external injuries that are °f greateft confequence to be preferved; as the brain, ||AJgJ Spfef fpinal marrow, heart, &c. Their fibres when firft —_i23Ml formed are very foft, until by the addition of a matter, which is feparated from the blood into them, they grow by degrees to the hardnefs of a cartilage, and then perfect bone: But this change is neither made in a very fhort time, nor begun in all the parts of the fame bone at once. Flat bones (Tab. i. and xxxi.) that have their fibres dire&ed to all fides, begin to offify in or near a middle point; but the cylindri- cal bones and all others, whofe fibres are nearly parallel, begin about the middle of each fibre; and thence fhoot forth to their extremities; not always in continued lines, but frequently beginning new ollifications, which foon join the former. (Tab. i.) By the continual addition of this offifying matter, the bones increafe till their hardnefs refills a farther cx- tenfion; and their hardnefs always increafing while they are growing, the increafe of their growth becomes flower and flower, until they ceafe to grow at all; and in old perfons, (Tab. vi) and confumptive, (Tab. xxiii.) THE INTRODUCTION and fometimes in difeafed or wounded limbs, (Tab. 1.) they decreafe as well as the flelhy parts, though not fo fall becaufe of their hardnels. Sometimes the oflifying matter flows out of the bones, and forms bony excrefcencies: (Tab. xlii. xlvi. and li.) In old men it fometimes fixes on the arteries, and makes them grow bony; and when this happens to a de- gree, the arteries lofe their power to propel the blood, and then the ex- treme parts mortify: Sometimes membranes and other parts oflify. The moft extraordinary cafe of this kind I have ever known, was of part of the mufcular fibres of the heart. (Tab. i.) I have alfo known one inftance of a deficiency of this oflifying matter, in the lower jaw of an adult body; (Tab. ix.) where all that part on one fide, which is beyond the teeth, was of a fubftance between that of a cartilage and a ligament. In children that have died of the rickets, I have found the nodes on the bones foft, Ipongy and bloody, and in one fubjedt feveral of them as limber as leather, and the perioftcum infome places many times its natural thicknefs; but the cartilages and cartilaginous epiphyfes had no apparent alteration in their texture, though fome were fwelled to more than twice their natural diameters. Every cylindrical bone has a large middle cavity, which contains an oily marrow, and a great number of lefler cells towards their extremities, which contain a bloody marrow. (Tab. i. and ii.) The bloody marrow is alfo found in all Ipongy cells of bones. (Tab. xiii.) The ufe of the firfl: kind of marrow I imagine is to foften, and render lefs brittle, the harder fibres of bones near which it is feated; and that the other marrow is of the fame ufe to the lefs compact fibres, which the more oily marrow might have made too foft; and that for this reafon, there is lefs of the oily marrow, and more of the bloody in young bones than in old ones. Every one of thefe cells is lined with a fine membrane, and the marrow in the larger cells is alfo contained in thin membranous veficles; in which mem- branes the veflels are Ipread, which enter in obliquely, about the middle of the cylindrical bones, from fome of whofe branches the marrow is fe- creted, while others of them enter the internal lubftance of the bones for their nourifliment; and the reafon why they enter obliquely is, that they may not weaken the bones by dividing too many fibres in the fame place. If the bones had been formed of the fame quantity of matter without any cavities, they would if they were ftreight be able to fuftain the fame weight: But being made hollow, their ftrength to refill: breaking tranf- verfly is encrcafed as much as their diameters are encreafed, without en- creafing their weights, which mechanifm being yet more convenient for THE INTRODUCTION birds, the bones of their wings, and for the fame reafon their quills have very large cavities. But the bones in the legs of all animals are more folid, being formed to fupport weight; and mens bodies being fupported by two limbs, the bones of thofe limbs are therefore made more folid than thofe of quadrupeds. Infects and moft of the fmalleft animals, have fhells inflead of bones like lobflers, which ferve themalfo for defence; and the mufcles being inferted into the fhells at a greater diflance from the center of motion of each joint than in animals that have bones, their motions are neceflarily flower and flronger as well as more Ample; therefore in this fort of animals, quicknefs of motion, where it is wanted, is procur’d by a number of joints, as may be feen in the legs of a flea; and variety of mo- tions by joints with different directions, as may be obferv’d in a lobfter. In a fraCtured bone, in which the fame kind of matter that oflified the bones at firfl is thrown out from the broken ends of a bone, there is form- ed a mafs of callous matter, of equal folidity with any part of the bone, and of equal or greater diameter, which will make the flrength of the bone in that place greater than it was before; which is very convenient, for bones when broke, are feldom or never fet in fo good a direction as that in which they were firfl formed, and therefore they would be more liable to be broke in the fame place again, and would be reunited with greater difficulty, and fometimes not at all, becaufe the callus being lefs vafcular than a bone, it does not fo eafily admit the offific matter to flow through it to form a new callus. Bones that are without motion, as thofe of the fcull, the ofla innomi- nata, &c. alio bones with their epiphyfes, when they meet, prefs into each other, and form futures, which foon difappear in thofe that join, while their offific matter is foft; but thofe that grow harder before they meet, prefs more rudely into each other, and make more uneven futures, fome of which in the fcull endure to the greatefl age : (Tab.iiiiv. v.vi.) And fometimes while a bone is offifying from its center, a diflant part be- gins a new offification and forms a diltinCt bone, which may happen to be of any figure. Thefe bones are oftenefl found in the lambdoidal future, and are called ofla triquetra. (Tab. vi.) But the ends or fides of bones that are intended for motion, are hindered from uniting, by the cartilages which cover them; for when thefe cartilages are eroded the bones very readily unite. (Tab. xliii. xliv. xlvii. li. liv.) This diftemper is called an- chylofis. The ends of all the bones that are articulated for very manifefl motions, or that are not placed againft other bones, are tipped with epiphyfes, or THE INTRODUCTION additional bones; (Tab. i. xxxi. xxxii. xxxiii.) which in fome meafure de- termine their growth and figure; for if they had nothing to give bounds to them? they would fhoot out like the callus from the broken ends of a bone that is ill fet, (Tab. 1. li.) and grow as ragged as the edges of bones which are joined by futures; and fometimes epiphyfes are made ufe of to raife procefles upon bones for the infertibns of mufcles, as the trochanters of the thigh bones, (Tab. i. xxxi. xxxii. xxxiii.) where it would weaken the bones too much to have procefles raifed out of their fubftance. The fibres of bones, for ought that we candifcover from experiments or microfcopical obfervations, appear to be connected to each other by the lame means that the parts of a fibre are connected, that is, by the flrong attradtion which belongs to particles of matter in contact: but this cohefion of fibre to fibre is not equal to that in the parts of a fibre, though very nearly. Indeed, if it was, a bone would not be a ftrudture of fibres, but one uniform mafs, like that of any pure metal, the cohefion of the parts of which are every way alike. Nor are the parts of bones dilpo- fedinto vifible lamella?,, ftratum luperftratum, as many have painted; for though young bones may in fome places be fplit into lamellae, yet they not only appear one folid uniform malsto the naked eye, but even with amicrofeope, till we come to their inner fpongy texture, which alfo ap- pears uniform. Their texture when firft formed, is every where loofe and fpongy, but as they increafe, they become in many places very compact and denfe, which refults in great meafure from the prefliire of the bellies of the mufcles, and other incumbent parts; as appears from the impref- fions they make on the furfaces of the bones, and the rough fpines that rife on the bones in the interftices of the mufcles, which are very remark- able in men who have been bred up in hard labour. In thofe parts of the flat bones that receive but little prefliire, the outer lamina; only become compadt and denfe, and the middle part remains fpongy; but where the prefliire is greateft, as on the fcapula (Tab. xxii.) and the middle of the ilium, (Tab.xviii.) they become in an adult, one denfe body or table, and are ufually thinner in thofe places than in a child before it is born. The cylindrical or round bones being prefled moft in their middles, become there very hard and flrong, while their extremities remain fpongy, and dilate into large heads, which make ftronger joints, and give more room for the origins and infertions of the mufcles; and increafe the power of the mufcles, by removing their axis farther from the center of mo- tion of any joint they move. All the bones, except fo much of the teeth as are out of the fockets, THE INTRODUCTION and thofe parts of other bones, which are either covered with cartilages, or where mufcles or ligaments arife or are inferted, are covered with a fine membrane, which upon the fcull is called pericranium, elfewhere pe- riofteum. It ferves for the mufcles to flide eafily upon, and to hinder them from being lacerated by the roughnefs and hardnefs of the bones, it is eve- ry where full of fmall blood veflels, (Tab. i.) which enter the bones for their nourifhment; but the internal fubflance of the larger bones is nou- rifhed by the veflels, which enter obliquely through their middles, as has been before obferved. In a child who died of a fpotted fever, I found in many of the bones a perfect ecchymofis, and in feveral places, particularly on the os humeri and os femoris, a quantity of blood between the periofteum and the bones. I am inclined to think that impofhimations and carious bones, which fometimes follow fevers and the fmall pox, may proceed from fuch ex- travafations of blood. CHAPTER I. SUTURES AND BONES OF THE CRANIUM. r _ Suture is made by the mutual indentation of one bone Bj with another. Thofe which have proper names, are fcj here defcribed; thofe which have not, derive their Jjj| names from the bones they furround, and are known Sutura coronalis (Tab. iii. iv.) runs acrofs the fcull, from one upper edge of the fphenoidal bone to the other, and joins the parietal bones to the frontal. Sutura fagittalis (Tab. iii.iv. vi.vii.) joins the parietal bones: It begins at the os occipitis, and is continued to the os frontis, in children down to thenofe; the os frontis in them being two bones, and fometimes fo in adult bodies. Sutura lambdoidalis (Tab. v. vi. vii.) joins the back part of the ofla breg- matis, or parietal bones, to the upper part of the occipital: In this future are frequently obfervedfmall bones called ofla triquetra, and fometimes in other futures. t Sutura fquamofa (Tab.iii.iv.v.vi.) is made by the upper part of the temporal and fphenoidal bones, wrapping over the lower edges of the parietal bones- CHAPTER I. Sutura tranfverfalis (Tab. iii. iv.) runs acrofs the face, through the bot- toms of the orbits of the eyes; it joyns the lower edge of the frontal bone to the os fphenoides, maxillas fuperioris, olla nafi, ungues, plana, palati, and jugalia, or malarum. The fcull being divided into many bones, is neither fo fubjeCfc to fra- ctures, nor to have fractures fo far extended, as it would have been were it compofed of one bone only. This ftruCture is alfo convenient for the offification of the bones, as has been already Ihewn, and for the birth; becaufe thefe bones not being perfect at that time, may be prefled toge- ther and make the head lefs. Ten of the bones of the head compofe the cranium, to contain the brain and defend it from external injuries. Olla parietalia or bregmatis (Tab. iv. vi. vii.) are two large bones which compofe the fuperior and lateral parts of the fcull; on the inlide they are remarkably imprinted by the arteries of the dura mater. Os frontis (Tab. iii. iv. vii.) makes the upper and forepart of the cra- nium; its lower parts compofe the upper parts of the orbits of the eyes, where on its inlides are imprefled the volvuli of the brain, which un- evennefles help to keep that part of the brain fteddy; in its middle above the os ethmoides ufually arifes a thin fpine, which ftrengthens that part of the bone, it being otherwife weak from its flatnefs. In feme fculls this fpine is wanting; but then the bone is ufually thicker in that place, and from its middle, externally, goes a procefs which fupports the bones of the nofe. Immediately above the os ethmoides in this bone is a fmall blind hole, through which runs a vein into the beginning of the longitu- dinal linus of the dura mater; and on the upper edge of each orbit, a fmall perforation, or a notch, through which nerves and an artery pafs fecure to the forehead; it has alfo a fmall hole in each orbit near the os planum, through which palles a branch of the fifth pair of nerves. In the hibftance of this bone near the nofe are two, three, four, and fometimes five fi- nufes, which open into the nofe; (Tab. vii.) they differ very much in dif- ferent perfons, and are very rarely found in children. Thefe finufes, and the fpine in this bone, make it very dangerous, if not impracticable, to apply a trephine on the middle and lower part of the forehead. Os ethmoides or cribriforme (Tab. vii. viii.) is a fmall bone about two inches in circumference, feated in the anterior part of the bafis of the fcull, being almoft furrounded by the laft defcribed bone; it is full of holes like a fieve, through which it is faid the olfaCtory nerves pafs, which I could never difcover. In its middle arifes a large procefs named chrifla galli: CHAPTER I. And oppofite to this a thin one which in part divides the nofe. The greater part of the lamina: fpongiofie in the nole belong to this bone, (Tab. v. vii. viii.) Os fphenoides, (Tab. iv. v. vi. vii. viii.) is of a very irregular figure; it is feated in the middle of the balls of the fcull, bounded by the os fron- tis, ethmoides, vomer, occipitis, maxilla; fuperioris, ofla parietalia, palati, malarum, temporum, and petrofa, which are parts of the former bones. In its infide next the brain is a cavity named fella turcica, which is bounded by four procelfes called clinoides; under the two foremoll of which pafs the internal carotid arteries, and from their outfides are con- tinued two thin long procelfes upon that part of the frontal bone, which feparates the anterior lobes of the brain from the polterior; oppofite to the fella turcica is a procels which makes part of the feptum narium. On the outfideof the fcull adjoining to the upper jaw, are two procelfes of this bone on each fide, named pterygoides, from which arife one on each fide near the palate, which have no name; over thefe pafs the tendons of the pterygoftaphylini externi mufeles; and nearer towards the oc- ciput, between thefe and the flyloid procelfes of the ofla petrola, arife two more fmall rugged procelfes; and under the fella turcica, in this bone, is a finus or two, for the moll part, in adults, but in children only luch a Ipongy fubltance as is feen in the ends of feme of the bones. At the infide of the balls of the two anterior clinoid procelfes are two round holes, which are the firft foramina of the fcull; through thefe the optick nerves pafs; almoft under thefe, towards the fides of the fcull, are two irregular flits named foramina lacera, or the fecond foramina of the fcull, through which pals nerves and blood-velfels into the orbits of the eyes ; and un- der thefe, towards the occiput are two round holes, which are the third fo- ramina, through which pals nerves to the face; about half an inch nearer the occiput are two more of an oval figure, which are the fourth fora- mina, through which pals the large!! branches of the fifth pair of nerves ; and a ftraw’s breadth farther two very fmall ones called the fifth forami- na, through which thofe branches of the carotid arteries enter that are be- llowed upon the dura mater. Between this laft defcribed bone and the of- la petrofa are two large rough holes, in which I have feen large veins; and from thefe holes, through part of the os Iphenoides, under the pterygoid procelfes, are fmall holes, through which pafs arteries to the back part of the nofe. Ofla temporum, (Tab. iii. iv. v. vi. vii.) are fituated below the parietal bones, at the middle and lower parts of the fides of the fcull; they have CHAPTER I. each at their back-parts one large fpongcy procefs called mammillaris, or maftoideus, and from the lower and middle parts of each a procefe which joins the offe malarum, named jugalis or zygomaticus. Ofla petrofa lie between the former bones and the occipital bones, or are truly portions of the former bones, being never found feparate in ad- ult bodies. They have each on their outfides one long flender procefs cal- led ftyliformis, and near the fide of this procefs a foramen, which runs ob- liquely forwards into the fcull, through which the carotid arteries pafs to the brain; thefe are the fixth foramina, and one foramen in the infide of the fcull leading to the organs of hearing, which are the feventh fora- mina. The ridge on the upper parts of each of thefe bones help to keep the brain fteady, and are ftrong fupports to the thin and flat parts of the fcull, which elfe would be exceeding weak. What remains of this bone belongs properly to a difcourfe on the organs of hearing. Between the lafl: defcribed bones and the following bone, are two large holes, which are the eighth foramina. Through thefe holes pafs the eighth pair of nerves and lateral finufes; fometimes they are two on each fide, one for the nerve and one for the finus. To thefe we may add an- other very fmall one on each fide, through which pafs the portiones du- rx of the auditory nerves; and fometimes there is another for an artery. Os occipitis, (Tab. iv.v.vi.vii.) makes all the back-part of the fcull: It is bounded by the fphenoidal, temporal, petrofal, and parietal bones; it has two fmall apophyfes, by which it is articulated to the fpine; near thofe apophyfes are two fmall foramina, which are the ninth of the fcull; through thefe pafs the ninth pair of nerves; and between thefe is the great or tenth foramen, through which the medulla oblongata defeends into the fpine, the cervical arteries enter, and the cervical veins pafs out. In the infide of this bone is a crucial fpine imprefled by the longitudinal and lateral finufes; and on the outfide oppofite to the middle of this fpine, in feme bodies, is an apophyfis, and from that down to the great foramen a fmall thin fpine. The fpines in this bone are of the feme ufe with thofe intheosfrontis, &c. viz. to ftrengthen it. The thinner parts of this bone are alfo defended by the mufcles that cover them; which provifion is very neceflary, becaufe we can leaft defend this part, and blows here are of worfe confequence than on any other part of the fcull, becaufe wounds in the cerebellum, which is underneath, are mortal. There are in moft fculls, a foramen behind each apophyfis of the occipital bone ; through which pafs finufes from the lateral finufes to the external cervical veins: By means of thefe communications, as in all other communications of CHAPTER I. the finufes, the blood palfes from thofe that happen to be furcharged by any pollure of the head, into thole that from the fame pollure would have been almoft empty. Such fculls as want thefe foramina have two linufes for the lame purpofe. A cafe of a fractured fcull in a girl nine years of age, Vide Tab. vi. who was brought into the holpital feven days after the accident, having had all that time very bad fymptoms; I opened the fcalp immediately, and let out about two ounces of grumous blood, and laid the fcull bare near four inches one way, and three the other, and tied the blood vellels. The fracture extended acrofs the os bregmatis, from the fagittal luture to the temporal bone; that part next the os fronds was deprefled equal to its thicknefs, and a great deal of extravafated blood and matter lay under the other part of the fame bone. I made two perforations with the tre- phine, dole to the fra&ure, that I might raile it up fteadily through both, and have more room for the extravalated blood to difeharge: And ten days after the former operation, the apertures being almoft filled up with the callous, I was obliged to make another perforation, to difeharge the matter more freely; for during a month, it ran through all the drellings down her face, twice every day, and was exceedingly foetid; and for the fpace of five months the matter decreafed very little in quantity, but grew lefs and lefs oftenfive, when the leaft piece of bone came away leav- ing fome very fmall parts, from whence a callous arole, which perfectly fupplied its place, and fixteen days after the larger piece came away entire; then the matter grew good, and not too much in quantity, and that Ipace filled with a common cicatrix, through which the motions of the vellels of the brain are ftill plainly to be feen, though Ihe was cured many years fince. CHAPTER II. OF THE BONES OF THE FACE, &c. Ej3 Sfa Nafi, (Tab iii. iv. vii.) make the upper part of the §§ nofe; they form that kind of arch which is fittefl to fuftain fuch injuries as the nofe is moffexpofed to. |vj Ofla malarum. (Tab. iii. iv.) Thefe bones compofe the anterior, lower and outer parts of the orbits of the L—eyes; they have each a fhort procefs, which procefles join the proceflus jugales of the temporal bones, and form arches which have been called ofla jugalia. Ofla ungues, (Tab. iii. iv.) are feated immediately below the os frontis towards the nofe in the orbits of the eyes, whofe anterior and inner parts they help to compofe; and between each of them and the upper jaw is a foramen as large as a goofe quill, into which the pun&a lacrymalia lead, to carry off any fuperfluous moifture from the eyes into the .nofe. Ofla plana (Tab. iii. iv. viii.) are feated immediately beyond the forego- ing bones, in the orbits of the eyes, and are near thrice as big. They are ra- ther fmooth furfaces of the os fpongiofum, than diftinct bones, and are very often imperfect. Maxilla fuperior, (Tab. iii. iv. v. vii. ix.) is always defcribed Angle, though it is manifeftly divided by a future which is fcarce ever obliterated; it has CHAPTER II. two procefles, which join the os frontis, and make part of the nofe, and another, which joins to the cartilage of the feptum nafi. Its upper and outward parts make the lower parts of the orbits of the eyes; its lower fide, all that part of the face under the cheeks, eyes, and nofe to the mouth, and two thirds of the roof of the mouth. A little below the orbits of the eyes, in thisbone, are two holes, and behind the dentes incifores one more, which divides into two, as it opens into the nofe, on each fide the feptum nafi. Between the pofterior grinding-teeth and the orbits of the eyes are two great finufes, called antra maxilbs fuperioris, which open in- to the upper part of the nofe. And in the lower edge of this jaw are the alveoli, or fockets for the teeth. Part of the fides of thefe cavities, that lie next the nofe, are only membranes which make the cavities like drums, perhaps to give a grave found to the voice when we let part of it through the nofe; but brutes not needing fuch variety of founds, have thefe cavi- ties open to the nofe, and filled with lamellas, which are covered with membranes, in which the olfactory nerves terminate, for a more exquifite fenfe of fmelling than is neceflary for men. Impofthumations fometimes happen in thefe cavities: The figns of this difeafe are great pain about the part, matter in the nofe on the fide difeafed, {linking breath and rotten teeth. Mr. Cowper firft defcribed this cafe, and the cure; which is per- formed by drawing out the laft tooth but one, or two, or more, if rotten; and through their fockets making a perforation into the antrum; or if drawing a tooth makes a perforation, which fometimes happens, and perhaps gave the firlt hint of this cure, then that opening mull be enlar- ged, if it is not fufficient to difcharge the matter. Ofla palati, (Tab. v. vii. viii.) are two fmall bones that make the back part of the roof of the mouth, and a fmall part of the bottom of each or- bit. Between the ofla palati and os maxillare near the pterygoid procelfes of the fphenoidal bone, are two fmall foramina, through which arteries and nerves pals to the palate. Os vomer, (Tab. v. vii. viii.) is feated between the bones of the palate, and the lphenoidal bone. It is alfo joined to the procefs of the ethmoides, and part of the lower jaw. Its fore-part is fpongy, and is continued to the middle cartilage of the nofe. This bone and cartilage are the feptum nafi. Os fpongiofum, (Tab. viii.) is ufoally treated as a diftin£l bone, though it is only the fpongy lamina; in the nofe, of the os ethmoides and ofla pla- na, but chiefly of the os ethmoides, to which it always adheres. In confi- dering thefe lamella as a diftin the ribs and fternum, to which may juftly be |f ;jj added the ofla innominata. .CjSlil JMJ!!! The Ipine, is compofed of twenty four vertebrae* (each of which in a young child is three bones) befides thofe of the os facrum and coccygis; feven belong to the neck, the firfl: of which is called atlas, becaufe it immediately fopports the head; its upper fide has two cavities, into which the apophyfes of the os occipitisare re- ceived, but thefetwo cavities together, unlike all other joints, are lateral- ly portions of concentric circles, by which means they are but as one joint, and fo fuffer the head to move ealily fide-ways, which otherwife it could no more do than the knee, which alfo has two heads and two cavities. The under fide of this bone has a very flat articulation with the next, which fits it for a rotatory motion. The fecond vertebra is called dentata, or axis, from a procefs which pafles through the former bone, and is the axis upon which it turns; neverthelefs all the vertebne of the neck contribute fomething to the rotatory motion of the head. The pro- ceeds dentatus is ftrongly tied to the os occipitis, and to the atlas by li- CHAPTER III. gaments, to prevent its hurting the fpinal marrow. Twelve of which belong to the backs five to the loins. The os facrum is fometimes fives fometimes fix boness and the os coccigis four. If this chain had been compofed of fewer bones5 they muff have either not been capable of bending fo much as they do, or have bent more in each joint, which would have prefled the fpinal marrow, the ill confequences of which are fufliciently feen in perfons grown crooked, or who have had diftor- tions from external accidents. The uppermoft vertebra of the neck, being fixed behind the center of gravity of the head, the neck is therefore fo far bent forward, as that the laft of thefe vertebras (which has a firm bearing upon thofe of the tho- rax) may be exactly under the center of gravity. Thofe of the thorax are bent backwards, behind the center of motion, to make room for the parts contained in the thorax, and that they might not be made too weak by this ftru£ture, they are formed for lels motion than other vertebra:; and thofe in particular, who are bent fartheft from the center of gravity have the leaft motion. The middle vertebras of the loins, are again bent for- wards under the center of gravity, or near it; and from thence they go backwards to the os facrum, where being fixed to the ofla innominata behind the center of gravity, the articulation is therefore firm and with- out motion, and from thence the ofla innominata are fo formed, as that their fockets into which the thigh bones are fixed, where there is a free motion, are exactly under the center of gravity. In brutes the fpine is differently formed, according to the actions for which they are defigned. (See chapter x.) In all thefe vertebras, except the firft, is a middle anterior Ipongy body, by which they are firmly articulated with a very ftrong intervening liga- ment; and from the middle of the hind part of each, except the firft, ftands a procefs named lpinalis, and from every one a procefs on each fide, called tranfverfalis, and two fuperior, and two inferior fliort ones; by which the back parts of the vertebras are articulated, named obliqui, fu- periores, and inferiores. The fore part of the feven vertebras of the neck, and two upper of the back, are flat forwards, to make room for the alperaarteria and gula: The third and fourth of the back acute, to give way to the veflels of the lungs and heart, and bent to the right fide for the better fituation of the heart, which makes that fide of the breaft more convex than the other, and therefore ftronger; which feems advantageous to the right arm, its mo- tions depending upon the fupport it receives from the breaft. CHAPTER III. hence, I think, it feems that the almoft univerlal preference of that arm is not an arbitrary thing, but founded upon obfervation, that it is ca- pable of more perfect actions than the other. The fpinal procefles (Tab. x. xi.) of the fecond, third, fourth and fifth vertebrae of the neck are forked, the two lafl: long and horizontal, the three or four upper ones of the back like them, only a little declining, the middle ones of the back run obliquely downwards, and the procefles of the remaining vertebra become fucceflively thicker, flronger, and lefs declining; thofe of the loins being horizontal, like the lafl; of the neck. The mufcles that are inferted into the Ipinal procefles of the vertebra of the neck and loins will act with more ftrength than thofe of the back, becaufe their procefles being perpendicular to the fpine, they are longer leavers; befides, thofe of the back almoft touch one another, to prevent much motion, becaufe it would interrupt relpiration; but more motion being neceflary in the neck and loins, their procefles are made fit for it. The tranfverfe procefles (Tab. x. xi.) of the vertebra of the neck are per- forated, for the ad million of the cervical blood-veflels, and bowed down- wards, and hollowed, for the paflage of the cervical nerves. The eight or nine upper ones of the back, receive the upper ribs; and the reft, with thofe of the loins, ferve only for origins and infertions of mufcles. Os facrum (Tab. xii.) has two upper oblique procefles, fome lmall Ipi- nal procefles, and two foramina in each interftice of the bones it is com- pofed of, both before and behind. Ofla coccygis have none of thefe parts. Through every bone of the Ipine, the ofla coccygis excepted (Tab. xiii.) is a large foramen, which together make a chanel through the Ipine, in which is contained the medulla fpinalis; and in each fpace between the vertebra are two large holes for the nerves to pafs out. ’Tis worth confi dering, the provifion that is made to prevent luxations in this chain of bones, fuch luxations being worfe than any other, becaufe of the fpinal marrow which is contain’d within thefe bones. The bodies of the vertebra are all in the lame manner connected by flrong intervening ligaments or cartilages. In the neck the oblique procefles of the received bone are wrapped over thofe of the receiving bone, which forbids their luxating forwards. The tranfverfe procefles with a fmall apophyfis of the body of the fame bone, in like manner, fecures them from flipping back- wards, and an apophyfis on each fide of the body of the receiving bone, hinders them from flipping to either fide. The vertebra of the back are hindered from diflocating forwards by the fame provifion with thofe of the neck; and from luxating backwards, by the ribs which are faftened CHAPTER III. to the tranfverfe proceffes of the inferior vertebras* and againft the back- part of the body of the next fuperior; they alfo hinder them from diflo- cating to either fide; but the laft ribs are not fixed to the tranfverfe pro- cefies of the vertebras of the back, and therefore it is that luxations are moft frequently feen in this part; but the vertebras of the loins are receiv- ed into deep cavities, and are tyed with much ftronger ligaments for their fecurity. Each joint of the vertebras, except the two uppermoft, has two centers of motion, one upon the bodies of the vertebra;, when the trunk is bowed forwards; and the other at the articulations of the oblique pro- cefles, when the body is bowed backwards; from which ftructure the ex- tenlbrs will have about twice the leaver to a£t with, and confequently twice the power to raife the trunk into an eredt pofture, that they have to carry it beyond that pofture; for then the oblique procefles begin to be the centre of motion, and give a like advantage to the benders. With- out this contrivance it would be more difficult to keep the body eredt, or to recover an erect pofture with confiderable ftrength after a bend of the body. The ribs (Tab. xiv. xv.) are twelve in number on each fide; the feven uppermoft are called true ribs, becaufe their cartilages reach the fternum; and the five lowed: are called baftard-ribs. They are articulated to the bo- dies of the twelve vertebras of the back, and all, except the two or three laft, are articulated to their tranfverfe procefles, and the under fide of the middle ribs are hollowed for the paflage of the intefcoftal veflels. They defend the parts contained in the bread, and when they are drawn up- wards, the cavity of the breaft is enlarged for infpiration, and fo the con- trary. In two children, which I have diflccled, I found the ribs broke in- wards, and on the outfide a very plain print of a thumb and fingers, which had been done by their nurfes hoifting them up on one hand, taking hold of their breads, and being often repeated, had broke the ribs in- wards like a green flick, without feparating the broken ends of them; I have alfo very frequently feen the fhape of childrens breafts quite fpoil- ed by fuch tricks, which have occafioned weaknefs of body, crooked- nefs, and other difeafes. Sternum, or breaft-bone (Tab. xvi. xvii.) is generally made up of three fpongy bones, fometimes more; to this the true ribs are articulated by their cartilages, which fometimes in robuft men have moveable joints, fuch as are feen in oxen and other quadrupeds. At the end of the fter- num is the cartilago enfiformis, fo called from its fhape, but it very often is double; there is alfo frequently found variety in the form of the car- CHAPTER III. tilages, which join the ribs and flernum, fometimes one cartilage ferving two ribs, and fometimes a cartilage not joined to any rib; frequently in old perfons we find parts of them offified, and I have twice found them totally olfified in men between forty and fifty years of age, both of which died with a great difficulty of breathing; and befides, one had a jaundice, and the other a dropfy, but the lungs in both were very found. There are feldom found fewer than four and twenty vertebra in the fpine, befides the osfacrum, but often more; fometimes thirteen of the back, with as many ribs of a fide; and fometimes fix in the loyns: And in fome bodies two ribs from the firfl: vertebra of the loyns; but then it has wanted tranfverfe procefles. Os innominatum (Tab. xviii.) is in young perfons compofed of three bones, the upper is named ilium, the lower and pofterior os ifchii, and the anterior os pubis; the upper edge of the ilium is called its fpine, the anterior part of the fpine its apex, and a little lower is the procefliis inno- minatus. Ilium has two procefles, the one named the obtufeprocefs, and the other the acute; in the center of thefe bones is the acetabulum or focket for the thigh bone; in the bottom of which focket is another ca- vity, in which lies the lucrifiating gland of this joint. CHAPTER IV. BONES OF THE UPPER LIMB. - 1 Lavicula (Tab. xxii.) is connected at one end to the \ S ernum a cartilage, and at the other to the §f %1: proceffus acromion of the fcapula; its chief ufe is to fi M keep the fcapula a fufficient diftance from the breaft, by which means the Ihoulders are hindred from co- Z ming near together, as they do in thofe quadrupeds who ufe their fore limbs only to walk on, and not as men do their hands. Scapula (Tab. xxii.) is fixed to the fternum by the clavicula, but its chief connection is to the ribs and fpine, by thofe mufcles which are made alfo for its various motions; and in fuch quadrupeds as have no clavicles it is fixed only by mufcles, whofe actions give to this bone a great deal of that motion which feems to be in the joint of the fhoulder. The under fide of this bone is a little concave, partly to fit it to the outer liirface of the ribs on which it moves, and partly to give room for the fub-fcapula- ris mufcle. On the outfide arifes a large Ipine; the fore part of which is called the procefliis acromion, to which the clavicula is fixed: In men and fuch quadrupeds as have clavicles, and ufe their fore limbs like arms, this procefs and Ipine are much larger and more prominent, not only for the better fixing the clavicle, but alfo to remove the mufcles farther from CHAPTER IV. the center of motion, whereby they are able to move a greater weight Near this procefs is another called coracoides, from whofe extremity,with like advantage, arife two mufcles of the arm; this procefs with the former, and a flat ligament between them both, hinder the os humeri from being diflocated upwards. The fide oppofite to the focket is called the balls of the fcapula, and the lower edge cofta inferior from its figure, which is thick, and like a rib to the fcapula; but its upper edge being very thin, is improperly fo called in the human fceleton, though not fo in many qua- drupeds: At the fore part of this edge, clofe to the coracoid procefs, is a femicircular nitch for the paflage of blood veflels, which nitch is joined at top with a ligament, and fometimes with bone. Os humeri: (Tab. xxiii.) Its upper end or head, where it is joined to the fcapula, is fomewhat flat and much larger than the focket which receives it. At the upper part are two procefles for the infertions of mufcles of the arm; between thefe procefles is a long chanel, in which lies a tendon of the biceps cubiti. At the lower end are two confiderable procefles, both formed to give origins to mufcles of the wrift and fingers, and the flex- ors of thefe joints being much more confiderable than the extenlors, the inner procefs from which the flexors arife is therefore much larger than the outer, from which the extenfors take their origin: Between thefe pro- cefles is the joint. That part to which the upper end of the radius is fixed is fitted not only for the motion of the elbow, but alfo for the rotatory motion of the radius; the reft of this joint is made of portions of une- qual, but concentrick, circles; which inequality feems defigned to pre- vent the ulna from diflocating fide ways, which fo fmall a joint with fo much motion would be very lubjedt to: Of a like ufe is the little finus on the forepart of the humerus, and the large one behind; the firft of which receives a procefs of the ulna when the arm is bent, and the other, the olecranon of the ulna, when the arm is extended. Ulna: (Tab. xxiv.) At the upper end it has one large procefs called o- lecranon, and a fmall procefs on the forepart; (fee the laft paragraph.) On one fide between thefe is alfo a fmall cavity, which receives the upper end of the radius for its rotatory motion; and down the fide of this bone, next the radius, is a fharp edge, from which the ligament arifes, which connedts thefe bones together. At the lower end, is a procefs, called fty- liformis, and a round head, which is received into the radius for the rotatory motion of the cubit. Radius: (Tab. xxiii.) Its upper end is received into the ulna, and joined to the humerus, in a manner chiefly fitted for its rotatory motion, for the CHAPTER IV. flrength of the elbow joint receives but little advantage from the union of thefe two bones. A little below this head is a large tubercle, into which the biceps mufcle is inferted, which by the advantage of this infertion turns the cubit fupine, as well as bends it. At the lower end, which is thick- er, is a focket to receive the carpus, and at the fide next the ulna a fmall one to receive that bone, and a thin edge, into which the tranfverfe liga- ment, which arifes from the ulna, is inferted. This ligament ties thefe bones conveniently and firmly together; for the ulna being chiefly arti- culated to the os humeri, and the radius to the carpus, a weight at the hand without this ligament, would be liable to pull thefe bones alunder. Of the bones of the hand. (Tab. xxv.) Carpus is compofed of eight bones of very irregular forms, undoubtedly the propereft that can be; yet why in thele forms, rather than any other, no one has been able to ftiew. They have all obfcure motions one with another, and with thofe of the metacarpus; but the motion of thofe of the firfl rank, or order, with thofe of the fecond is more confiderable, and are moved by the fame mufcles which move the carpus on the radius. The metacarpus confifts of four bones which fuftain the fingers; that of the fore-finger having the leaft motion, and that of the little one the moll: The other ends of thefe bones have round heads for the articulations of the fingers; but the other joints of the fingers double heads and fockets. The thumb is fliorter and ftrong- er than any of the fingers, becaufe in its actions it is to refill: them all. The firfl: joint is very lingular, each bone equally receiving and being re- ceived ; but for the lhape of thefe bones, and whatever elfe relates to them, I mull refer to the prints. CHAPTER V. BONES OF THE LOWER LIMB. S femoris (Tab. xxvii.) at its upper end has a round /'[ ■% y& head, which is received into the focket of the os inno- /1 ; * i I jj minatum. In moft quadrupeds this head is oblong, and \ i M ma^es a &met articulation; but that fhape will not al- low of lb much motion as a rounder head. The two procelles near the head are called the greater and let fer trochanters, which are evidently formed for the infertion of mufcles, as the neck which lies between thefe and the head, is formed to make room for that neceflary quantity of mufcles which are feated on the in- fide of the thigh, and alfo by projecting outwards to make long levers for the mufcles, which are inferted into its upper and external parts. Between the great trochanter and the neck is a large finus, into which mufcles are inferted; between the two trochanters is a remarkable rough- nefs for the fame ufe, from which begins the linea alpera: The middle of this bone for the conveniency of the mufcles is bent forwards, which would make it fubjeCt to break backwards, if there was not a ftrong ridge on the back fide, which ftrengthens it fufficiently, and ferves alio for ad- vantageous infertions for feveral mufcles; this ridge is called the linea a- fpera. At the lower end of this bone are two large heads called the outer CHAPTER V. and inner apophyfes: Thefe are fo contrived, partly from being projected backwards, and partly from their fliapes, as to remove the centre of mo- tion very far behind the axis of the bone, which gives great power to the mufcles that extend this joint to raife the whole weight of the body, though it lelfens the power of the benders which move the leg only; between thefe precedes the large vefiels defcend fecurely to the leg. Patella (Tab. xxvii.) is feated at the forepart of the knee; its firft ap- pearance is in the center of the tendon, through which it foon extends, until the tendinous fibres are loft, and appear to be converted into bone; however, when this bone is broke, the original tendinous fibres feem to prevail, feeing the broken parts, unlike all other bones when fradlured, unite with a tendon-like fubftance, which is rarely converted into bone, and efpecially in thofe cafes, where the joint recovers with moft motion; its ufe is to fecure the extenfors of the tibia, left palling over the joint, they might be too much expofed to external injuries; it alfo encreafes the advantage (mentioned in the laft paragraph) of removing the common axis of the extenfors of the tibia farther from the centre of motion, and is a moft convenient medium for thole mufcles to unite in, to perform one common adtion. Tibia, (Tab. xxviii.) the ftiin bone, is large at its upper end, where are two Ihallow fockets which receive the thigh bone; between thefe is a rough procels, to which the crols ligaments of this joint are connected. Near the upper end is a procefs, into which the ligament or tendon of the patella is inferted, and at the lower end is a procels, which makes the inner ankle, and fecures this bone from dillocating outwards: Towards the upper end this bone is triangular, and even concave on the fide next the mufcles to make room for them; but lower, as the mufcles grow lels and tendinous, the bone grows rounder; that being upon the whole a ftronger form: It is not madefo ftrong as the thigh bone, though it bears a greater weight, which it is able to do by being ftreighter, and bearing the weight of the body in a more perpendicular direction. Fibula (Tab. xxviii.) is feated on the outfide of the tibia; its upper end is joined to that bone below the joint of the knee, and its lower end is re- ceived into a Ihallow finus of the lame bone, and below that makes the externa lancle; which procels, with the procels of the tibia, ftrengthens the ancle joint, which neverthelels being fo fmall would have been not ftrong enough, if it had been made for more motion. It is doubtful to me, whether or not this bone contributes to the fupport of the body; but its great ufe is for the origins of mufcles, and even its lhape is fuited to theirs. CHAPTER V. Of the bones of the foot. (Tab. xxix.) Tarfus is compofed of feven bones, the firft of which, called aftralagus, fupports the tibia, and is fup- ported by the os calcis, which being projected backwards makes a long lever for the mufcles to act with that extend the ankle, and raife the body upon the toes. Thefe two bones have a confiderable motion between themfelves, and the aftragalus alfo with the os naviculare, and all the reft an obfcure motion one with another, and with the bones of the mcta- tarfus, the greateft part of thefe motions being towards the great toe, where is the greateft ftrefs of action: Thefe bones thus giving way are lefs liable to be broke, and, as a fpring under the leg, make the motions of the body in walking more eafy and graceful, and the bones which are fup- ported by them lefs fubje£fc to be fra£tured in violent actions. To thefe join five others called the metatarfal bones; that which lupports the great toe is much the largeft, there being the greateft ftrefs in walking; under the end of this lie the two fefamoid bones, which are of the fame ufe as the patella; the great toe has two bones, the lefler three each, the two laft of the leaft toes frequently grow together; for what remains fee the plate, which makes a farther defcription needlefs. CHAPTER VI. CARTILAGES. LIGAMENTS, Sec. gglMiMliailMy Very part of a bone which is articulated to another M bone for motion, is covered or lined with a cartilage, I® cfj# as far as it moves upon, or is moved upon by another m, bone in any a&ion; for cartilage being fmoother and gP lbfter than bone; it renders the motions more eafy than they would have been, and prevents the bones wear- ing each other in their actions. In each articulation of the lower jaw, (Tab. xxxviii.) there is a loofe cartilage, upon which the condyloid procefs moves on one fide, while the jaw is moved to the other; and the two procefles being thus railed at once, the jaw is thruft forward. Thefe cartilages are alfo found in ani- mals that chew the cud, but not in beafts of prey, as far as I have examined, their articulations being alfo deeper and firmer; and in the otter particu- larly, fe£tions of the fockets which receive the condyloid procefles of the lower jaw, are more than half circles; fothat the jaw cannot be diflo- cated directly without breaking the fockets. This ftru£hire renders the motions of the jaw more firm, as that with intervening cartilages makes it more loofe and voluble. There are alfo cartilages of this kind between the clavicles and the flernum. CHAPTER VI. In the joint of the knee (Tab. xl.) are two loofe, almoft annular carti- lages, which being thick at their outer edges, and thin at their inner ones, they make the greatefl parts of the two fockets in this joint. The ufe of thefe cartilages is to make variable fockets to fuit the different parts of the lower end of the os femoris; for none but a round head and a round cavity can fuit in motion, unlefs the fliape of one or the other alters; and it is plainly neceffary, that this lower end of the os femoris fhould be flattifh, and projected backward, to give advantage to the mufcles that extend the tibia, by fetting the center of motion backward; which mechanifm, though it equally leffens the power of thofe mufcles which bend this joint, is yet of great fervice, becaufe the extending mufcles move this joint under the weight of the whole body, but the flexors onlyraife the legs; and as no head or focket moves fo eafily as round ones, here feems to be fome provifion made againft the inconvenience of a flattifh head and cavity, by having the friction made upon two furfaces, the os femoris up- on the loofe cartilages, and the loofe cartilages upon the tibia. This contri- vance is imitated by mechanicks, where the fridtion of the joints of any of their machines is great, as between the parts of hook-hinges of heavy gates, and between the male and female fcrews of large vices, where they uliially place a loofe ring. There are other cartilages which ferve to give fliape to parts. Of this fort are the ciliary cartilages at the edges of the eye-lids, the cartilages of the outer ears, and thofe which compofe the lower part of the nofe, which have this particular advantage in thefe places, that they fupport and fliape the parts as well as bones do, and without being liable to be broke; and to thefe might be added thofe of the larynx, but they do not belong pro- perly to the fceleton. Of the ligaments. Bones that are articulated for motion are tied to- gether by ligaments, to prevent their diflocating, which alfo furround the joints to contain their lubricating mucus. The thicknefs and ftrength of thefe ligaments are proportioned to the actions of the feveral joints, and their lengths are no more than fufficient to allow a proper quantity of motion; but the forms of them are different according to the different actions of the feveral joints. The bones of the limbs that move to all tides have ligaments like pur- fes, which arife from or near the edges of the fockets of the receiving bones, and are inferted all round the received bones a little below their heads. The beginnings of thefe ligaments, from the edges of the fockets of the fcapula and os innominatum are very hard, almoft cartilaginous, CHAPTER VI. which ferves in the fcapula to make a larger focket, and fuch a one as will alter its figure as the bone moves, for thereafon I have mentioned in the loofe cartilages of the knee; for the head of the os humeri, not being an exa<9: portion of a Iphere, requires fuch a focket, and the hard part of this ligament of the focket of the os innominatum makes the focket deeper than the femidiameter of the focket, by which means the articulation is made flronger without any hindrance to motion, becanfe it will give way to the neck of the os femoris when it prefles againft it; and the thigh bone being more difpofed to be dillocated upwards than any other way, the upper fide of this burfal ligament is made exceeding ftrong to prevent fuch an accident. From the lower edge of the acetabulum or focket of the os innominatum arifes a ligament about an inch long called teres, or rotundum, (Tab. xxxix.) which length is neceflary for that quantity of motion which this joint has in human bodies; it alfo hinders the os femo- ris from diflocating upwards, but downwards it will fuffer it to go far out of the focket; but in brutes the head of the os femoris being oblong, and the cavity fuitable, there can be only a rotatory motion, which in the ef- fect will be very little more than that kind of motion which is called bending and extending; and this never removing the end of the head of the bone far in the focket, a Ihort ligament is enough for it, and will bet- ter keep the bone in its place; and therefore it is that theirs is fo Ihort. This ligament in men may alfo ferve to prefs the gland in the bottom of the acetabulum or focket. The ligaments of thole joints which admit only of flexion and exten- fion, differ from the former in this, that they are much fliorter and ftrong- er at the fides of the joints, and thinner backward and forward. Befides thefe ligaments in the middle and back-part of the joint of the knee (Tab. xl.) are two very ftrong ligaments which arife from a procefs at the end of the tibia. They crofs each other in fuch a manner, as is bell to fecure the joint from being difplaced any way; they alfo hinder the extenfors of the tibia from pulling that bone too far forwards, and are fo connected to the femilunar cartilages, as to move them as the joint moves; befides thefe in this joint is another fmall one, which arifes from the os femoris, and ends in the fatty membrane which it fupports. The bones of the carpus and tariffs (Tab.xxxviii. xl.) are tied together by ligaments running promifcuoufly upon their furfaces from one to ano- ther; which at the under fide of the tarfus are vaftly ftrong, becaufethey fupport the whole body; thefe ligaments together contain the mucus for all thofe joints. There is alfo to the carpus a ftrong ligament which runs CHAPTER VI. from the fifth bone to the eighth, and the procefs of the fourth bone: the proper ufe of this is, to bind down the tendons of the mufcles that bend the fingers. The proceflus dentatus of the fecond vertebra (Tab. xxxviii.) is tied to the fcull by a ligament, and kept clofe to the forepart of the firft vertebra by another in that vertebra, that it may not bruife the fpinal marrow; and when either this ligament or procefs is broke, it makes that fort of broken neck which is attended with fudden death. All the bones of the verte- bra, and every joint that is without motion, and not joined by a future, as the ofla innominata with each other, and the os facrum with the ofla innominata, are joined by intervening ligaments, or (as they are com- monly called) cartilages. The ofla innominata are alfo tied by very ftrong ligaments which run from the back parts of the fpines of the ofla ilia to the os facrum, (Tab. xxxix.) and other ligaments which go from the os facrum and os coccygis to the acute and obtufe procefles of the ofla if- chia: thefe ligaments ferve alfo for origins of mufcles. Towards the great foramen of the ofla innominata the acetabulum has a deep notch, from the one fide to the other of which runs a ligament which compleats the focket; this ligament is fometimes oflified: a ligament fomewhat like this, there is between the procefles of the fcapula. From the edge of the ilium to that of the os pubis, runs a ligament which is contiguous to,- and appears to be a part of the tendons of the mufcles of the abdomen; its ufe is to cover the iliack veflels as they de- fcend to the thigh: under this ligament* together with the veflels, I have often feen a rupture of matter, and, I think, fometimes of the gut, from the abdomen into the anterior part of the thigh, immediately be- low the groin; however, I dare affirm this to be a poffible cafe. It is generally agreed, that the ligaments are infenfible; and the reafon affigned is, that they would elfe be injured by ordinary motions. But they are much better contrived, feeing none of them, not even thofe which lie between the vertebra, are fubjedt to attrition; but the other experience {hews are capable of very acute pains, there being not any thing our pa- tients more grievoufly complain of, than colledtions of matter within thefe parts, or {harp medicines applied to them when laid bare. Every joint, where the bones are faced with a cartilage for a Aiding mo- tion, is furniffied with fmall glands, which feparate a mucilaginous matter for the lubricating of the ends of the bones, that they may move eafily upon one another; and that there may benowafte of this neceflary fluid, it is contained in the invefling ligaments; which for this very reafon CHAPTER VI. are no where divided, except to communicate with the ligaments of tendons. Thefe glands are generally feated in a little fat near the infertion of the ligaments, that they may be comprefled by them when the joints are in motion; which is a proper time to have their fluid preffed out. The moft confiderable parcel of thefe glands with their fat, are feen in the joint of the knee, and the largeft gland of this fort is found in the finus at the bottom of the acetabulum of the os innominatum, and is com- prefled by the ligamentum teres. This work being principally defigned for the defcription of the bones, and the parts treated of in this chapter being only confidered as they relate to their connections and motions, the cartilages are therefore only de- fcribed in a general manner. Of the ligaments, the molt confiderable only are mentioned, fo as to Ihew their general mechanifms and ufes, and the glands are treated of more fparingly than either, there being in them yet lefs variety of forms and ufes. CHAPTER VII. OF DISEASED BONES. • -j T is not the defign of this chapter to enter minutely into all the difeafes of the bones mentioned by au- jjp|k: thors, but in a general manner fo far only as relates to I I; iT *pfer|| their cure, or to fuch extraordinary difeafed bones as 1 ave ma<^e Prints of in this work. -iZL&zssu&aBk The bones are fubjedt to difeafes from all the fame caufes that the other parts are, but either from their hardnefs, infenfibi- lity, or other caufes, they neither are fo frequently difeafed, nor do their difeafes appear fo various, and it is generally of more confequence what texture the difeafed bone, or part of the bone is of than frcm what caufe that difeafe proceeded; for when difeafes happen upon the furfaces of the hard bones, they ufually admit a cure by exfoliation; but when matter is made in the fpongy ends of the cylindrical bones, or in the bodies of o- ther fpongy bones, the matter whatever was the firft caufe inlinuates it felf through thofe fpongy cells, fwelling the bone, and making generally an incurable caries; but if the matter is corrofive, it often ulcerates thefe parts (Tab, xlix. Fig. v.) and ufually makes fo large a difcharge as to deftroy the patient where the part difeafed cannot be extirpated, which is often the cafe when matter is made in the bones in fcrophulous habits. CHAPTER VII. The venereal difeafe (Tab. xli. xlii. xlviii) rarely attacks any but the hard- eft parts of the bones, very foon railing large tumours and caries or mor- tification ; but thefe caries parts of bones from this or other caufes are but partially mortified, for were they perfectly fo, the found and unfound parts would feparate though the integuments were not taken off; whence it happens, that where there is a good habit of body caries bones are often endured many years without much inconvenience, and we find from ex- perience that fuch feparations are not to be made till the difeafed part is laid bare and perfectly mortified by being expofed to the air, &c. and then the found part underneath feparating from the unfound there firfl: gra" nulates a fungous flelhlike appearance, which ought never to be treated with corrofive medicines, it conftantly Ihrinking and hardning of it felf, be- ing the fame fubftance which Ihoots from the ends of broken bones, where alfo it foon Ihrinks and converts into a callous to reunite them. There is a caries diftindt from thefe, which I have only feen in two pa- tients who died after a long rheumatic diforder, in which the outer fur- face of all the hardeft bones as the middle of the dlindrical bones and the top of the fcull, in one which I boiled, and in the other as far as I was allowed to examine I found the outer part every where crumbly or fcaly, falling into pieces like dull or fand, with very little appearance of tu- mour any where, and no appearance of difeafe in the fpongy parts. The difeafes of the joynts either happen from ulcers in the lubrica- ting, glands which pouring out matter that cannot be difcharged, fouls the ends of the bones, or elfe from fwellings in the ends of the reipedtive bones, either of thefe in time create exceflive pain, which appears to me to be chiefly in the ligaments of the joynts, notwithftanding what has been faid of the infenfibility of thefe parts by authors. When a joynt is much fwelled, in thefe cafes it is vulgarly called a white fwelling, and more properly than fpina vertofa; and whatever may be done (of which I never dare promife much) when once the limb waftes, and the fingers or toes of the limb grow thinner at their joynts, lofe their fliape, and are what a painter would call out of drawing, the cafe then is abfolutely irre- coverable. Sometimes in thefe cafes the ends of the bones erode, thenjoyn together and form an anchylofis (Tab. xlvii. li.) which though a bad difeafe of it felf, yet it is often a remedy of this difeafe, which is much worfe: In like manner the bones of the hands and feet (Tab. liv.) when they are ulcerated fometimes unite and are thus preferved from total ruin. But there is one cafe of a white fwelling that is amazing, where the pain is fo great that we are forced to take off the limb, and yet neither perceive the CHAPTER VII. ligaments or glands difeafed, nor matter in the joynt, nor the bones caries, or any difeafed appearance, except that the ends of the bones are a little larger and fofter. Not only thefe parts but even the large medullary cavities of the cy- lindrical bones have fometimes matter formed in them (Tab. xlix.) which conftantly increafing and wanting vent, will partly by corroding and ren- dering the bone carious, and partly by preffiire tear afunder the ftrongeft bone in an human body, of which I have known feveral inftances (Tab. xlix.) in one cafe where the matter had fufficient difcharge by an exter- nal caries formed together with the internal one, all the internal hard part of the bone which contains the medulla was feparated from the reft, and being drawn out through the place where the external caries made a vent, the patient received a perfect cure. (Tab. xlix.) Another cafe of this kind, where the internal part which contains the medulla was alfo fepa- rated from the reft, and there being holes through which the matter was difcharged, but none fufficient to take out the exfoliated bone; the mat- ter continued to flow in great quantity till it deftroyed the patient; (Tab. lv.) and poffibly if this cafe had been rightly known, the internal ex- foliated part might have been taken out, and the patient cured: In both thefe cafes it feems as if only fo much of the internal part of the bone was become carious as receives nouriftiment from the artery which en- ters the middle of the bone; and as a caries is a mortification of a bone, might not this difeafe arife from a hurt in the velfel which nourifties that particular part. Thefe are the moft common difeafes of the bones; others deferibed in the prints and explained in the references, would have been treated of more largely in this chapter if there had been room. CHAPTER VIII. comparative SCELETONS&c HE frontice-piece rcprefents Galen contempla- gJS ting the fceleton of a robber, who being killed by a Jth i Cavelier had his bones picked in two days by vultures: ftfr This opportunity he mentions as a piece of good for- |jj|yjy fjdgp tune, though he had feen another fceleton which was accidentally walhed out of a burying place, by the overflowing of a river; befides one which was fliewn in a public fchool at Alexandria, which he thought was worth the trouble of any one to go on purpofe to ftudy. The print in the title page reprefents the camera obfcura, with the manner of ufing it: About fix inches within that end where the draftfman fits, is fixed the table glafs, upon the rough fide of which he draws with a black-lead pencil, which he afterwards traces olf upon paper; towards the other end, in a Aiding frame, is put the objcct-glafs, which be- ing moved backward or forward, makes the picture bigger or lels, and the infide of the cafe is made black to prevent reflections of light. The next print is the QUEENS arms fet upon a pedeftal; on which is reprefented in bafs relieve, arts and fciences flourilhing under her Majesties protection. COMPARATIVE SCELETONS &c. TO THE READER; The frontice-piece is the fceleton of a young buck, flopping fud- denly and turning. The head-piece is the fceleton of a dog as he lies fleeping. The tail-piece is the fceleton of a thornback a little dried, and fo carefully performed, that there is not one rib or joynt more or lefs than in the life. THE INTRODUCTION The frontice-piece is the fceleton of a monkey, fitting on the flump of a tree. The head-piece reprefents the three famous fceletons in Vefalius, fo juflly admired for their attitude, and the great tafle in which they are drawn. The artifl has defigned thefe in their general outlines, not in the proportions of fceletons, but of whole human figures, confequently much too broad for their heights; which, though productive of many errors in particular parts, I am inclined to think, that to thole who have not been converfant with fceletons, they look much the better for it. The firfl flands on one fide of the monument, and leans on the other, which muft be the diameter of the whole monument out of the upright; and all of them are drawn from fceletons whofe bones were very ill put together. The tail-piece is the fceleton of a crane, with the fceleton of a fifli: This kind of birds living on fifli, their legs are made very long to Hand in waters, and the whole fceleton as light as may be, they having no great occalion for flrength. CHAPTER I. The frontice-piece is the bones of the head of a man-tyger. The head-piece is the bones of the head of ahull, the grinding tooth of an elephant, and the bones of the head of a fea-horfe, all done to the fame fcale. Here in one view may be feen the different perfe&ions of the two gravers. The tail-piece is the fcull and horns of a ram. COMPARATIVE SCELETONS &c. CHAPTER II. The frontice-piece : The uppermoft figure is the bones of the head of a pike; which being loofely connected, and the lower jaw compofed with an additional bone on each fide, like the jaw of a viper, their jaws are thereby capable of being vaftly extended when they fwallow their prey, which they do whole, and oftentimes things of greater diameter than themfelves. The reft of thefe figures are bones of filh from the Weft Indies: The firft are the upper and lower jaw of a filh remarkable for the number and ftiape of its teeth; the next on the left hand is an upper jaw of a filh With teeth in the roof of the mouth, and in the lower jaw are rows of teeth one below another: The other figures are the upper and half a lower jaw and the tongue of another filh, all as it were ftudded with hard bones to grind their food. The head-piece is the fceleton of a cat frighted, at the fceleton of a dog. The tail-piece is the fceleton of a lizard, which is a perfect mix- ture of the ferpentine kind and quadrupede. CHAPTER III The front ice-piece is the fceleton of a water tortoife laid upon its back. The head-piece is the fceleton of a crocodile. The tail-piece is the fceleton of an eagle,or abird of that kind; this bird is every where formed for ftrength: before it, is the fceleton of a vi- per, in which every lingle rib and bone is exprefled. C H A P TER IHL The front ice-piece is the fceletonof a bear, in which is remarkable the great ftrength of the jaws, and the neck, and the fore feet, and the fhortnefs of the uppermoft ribs, which makes them ftrong for their fore feet to gripe any thing again!!. This fceleton being put together with fliff wires, I could not alter it into a properer pofture. The head-piece is the fceleton of a rabbit whofe bones are lb con- ftru&ed as to bring the hind feet eafily under the center of gravity of the whole body, while they fcratch their holes; and for this reafon the fore COMPARATIVE SCELETONS&c feet are bent for the earth to pals ealily underneath them; the bread: is alfo concave for the lame purpofe, and the hind legs Hand wide for the earth to be thrown between them, and their jaws are particularly con- ftru£ted for their feeding on the bark of trees, as well as on grafs. The tail-piece reprefents a mole in two views, to fliew the vaft ftrength of the fore feet for digging; the flendernels of the head, the back bones with fmall procefles, and the pofture of their hind legs, all contrived for their palling eafily along the holes they dig. CHAPTER V. The frontice-piece is the fceleton of an oftrich, which is a bird made for walking, therefore the ofla innominata and bones of the legs are made exceeding ftrong, and when handing ftreight (unlike other birds) almofl: under the center of gravity; the wings are fmall, but neverthelefs very ufeful when they run faft or leap. The HEAD-piECEisthefceletonofafparrow; and the fceleton of abat, which though it flies like a bird, has the body of a quadrupede; it hangs by two little hooks, which nature has provided for that purpofe. The tail-piece is the fceleton of a fwan, one of the fineft of the fwim- ming birds: The body is made broad for floating, and the legs which are their oars, are formed to pufh advantageoufly backwards. CHAPTER VI. The frontice-piece is the fceleton of an hog laid upon boards. The head-piece is the fceleton of a camelion handing as they ufu- ally do in trees, where they live by catching flies, and for their drink they thruft forward their lower jaw, and receive the drops of dew that fall down their foreheads. The tail-piece is the fceleton of a fquirrel; its fore teeth are formed for biting nut-fliells, like the teeth of rats and rabits; and like the bear and monkey has its fore limbs ftronger than the hind. CHAPTER VII. The frontice-piece : The uppermoft figure is the bones of the head of a cat, prepared to Ihew the lamella: in the nofe for the membranes to be fpread upon for the fenfe of fmelling, and part of the fcull is taken rr'N comparative sceletons&c off to fliew the procels that feparates the cerebrum from the cerebellum, which is of bone only in fuch rapacious animals. The lower figure is the end of a boar’s jaw, in which one of the teeth is grown quite round and through the jaw again. The head-piece is a pocky fceleton, in which there is fcarce one found bone. The tail-piece is the fceleton of an hedghog remarkably made for folding his body round; the action here reprefented is that when he be- gins to unfold himfelf. CHAPTER VIII. The frontice-piece is the fceleton of an armadilla, a flow and ftrong animal, covered with a very thick hard fcaly skin for its defence, part of which is left upon the tail of this fceleton. The head-piece is the fceleton of a weefel, and of a rat. The tail-piece is the fceleton of a frog. The last plate reprefents a broken obelisk, and upon its bafe is the fceleton of Hercules refting from his labours. The ten initial letters can need no explanation, they being de- figned to liiit the feveral chapters; there are fifty fix folio plates of hu- man ofteography, one fet unlettered to Ihew them in their full beauty, and one fet lettered for explanations, and of plates for ornament forty four including the initial letters. TABLE I. FIG. I. Half the os frontis of an abortive human foetus, magnified about four times its natural diameter: Communicated to me by Dr. Nichols. A The edge of the orbit of the eye. B Part of the orbit. C C Some detached offfications. FIG. II. The os parietale of an human foetus, in which the bony fibres feem to proceed from the center. F I G. III. Part of the laft bone viewed in a microfcope. f i g. mi. A bit of an os femoris. A B The periofteum full of blood veffels. FIG. V. A bone taken out of the middle of an human heart. F I G. VI. FI G. VII. The hand and foot of an human foetus, in which the cartilaginous parts being fhrunk and dried, have loft their fhape. F I G. VIII. The fcapula of a foetus. A The acetabulum. B The end of the proceffus coracoides. C The end of the acromion. D A part of the bafis of proceffus coracoides. E E F The bafts of the fcapula: All thefe parts are cartilaginous. F I G. IX. The os innominatum. A A The upper edge of the ilium. BB A fpace between the three bones. C C The edge of the os ifchium and pubis: all cartilaginous< D The place where the os facrum joins. FIG. X. The os femoris cut open* A A A A The cartilaginous parts at the ends of the bone. B The medullary cavity. CCCC The fpongy cells. FIG I FIG III FIG IIII * FIG II FIG VI (Tv FIG V FIG VII FIG VIIF FIG X FIG IX TABLE IL Several bones fawed through to fhew their inward fpongy texture, the cells not being perfectly clear’d of the marrow that dried in them. FIG. i. The clavicula. FIG. II. The os humeri. A 7he joining of the epiphyfis at the upper end of the hone, B Part of the finus into which the olecranon is received\ C The large medullary finus, ■_ 4k D D The fpongy cells. FIG. III. A A Plain marks of the joining of the epiphyfes. B The large medullary finus. C C G C The fpongy cells. That part near the fecond C at the upper end, having been acci- dentally broken, is not well reprefented. F I G. IIII. Part of the os innominatum in which the outer table being rafped off, the in- ward texture is difcovered. A The place in which there is ufually one denfe fubflance without fpongy cells% B That part of the acetabulum which is covered with a cartilage. FIG. Y. The leffer os Cuneiforms. FIG. VI. The patella. FIG. VII. The metatarfal bone of the great toe. FIG III FIG I FIG IT. fig mi FIG V FIG VI TIG VII TABLE HL FIG. I. A Os front is. B The hole through which a nerve and an artery pafs to the forehead C A notch which fometimes appears infiead of the lafi mentioned hole> and fometimes there are both. PDD Sutura tranfverfalis, EE Off a nafi. FFF Maxillafuperior. G A hole througjo which a nerve and an artery pafs fecure to the face. H Os unguis, in which may be feen the duBus ad nafum. I Os planum„ K The hole, or the firfi foramen of the fcull through which the optic nerve paffes to the eye. JLL The off a malarum. M M Dentes incifores. N Dens caninus. O Dentes molares. P The meatus audit orius. fiyloides. R Proceffus mamillarh> 5 Os jugale. T Foramen lacerum, or the fecond foramen of the fiull. U Of fphocnoides. V Ox temp oris, W Ox bregmatis. X Septum nafi. Y Sutura fojuamofa. Z Sutura cqr onalis. FIG. II? A Os frontis. B B TIoat part of the os frontis, which makes the upper part of the orbits of the eye. C of the os frontis, /to /x conneBed to the offa nafi and maxilla fuperior, below which is feen in fhadow the procefs, upon which the offa nafi are fupportcd. D The notch of the os frontis, in which the os ethmoides is placed, E E Sutura tranfverfalis. F F That part of the os frontis that joins with the os ethmoides. FIG. III. A A The infide of the os frontis. B B That part of the os frontis, which makes the upper parts of the orbits of the eyes. C C Two openings into the frontal flnuffes. D That part of the os frontis that is join'd to the offa nafi, and maxilla fuperior. E E E Sutura coronalisf F F E E F F Sutura tranfverfalis. G The fagittal future continued through the os frontis. III TIG I TIG II FIG nr TABLE IIII. FIG. I. A Os frontis. B Sutura coronalis. C Os bregmatis. D Sutura lambdoidalis0 E 05 occipitis. F Sutura fquamofa„ G 0$ temporis. H 05 fphoenoides. I 05 mala. K Maxilla fuperior. L 05 unguis. M 05 3ST Procejfus mafioideus. O Meatus auditorius. P Procejfus fiyloides. r' * jugales. R Procejfus pterygoides. FIG. II. The infide of the os malae. A joining of the os mala with the os frontis. B That part which joins to the maxilla fuperior. C That part which joins with the procejfus jugalis. D foramen of the os mala. FIG. III. The little bones of the ear. fig. iiii. The infide of the os unguis. fig. y. The infide of the ofia nafi. FIG. VI. - . i The infide of the os bregmatis. A A Sutura coronalis» B B Sutura fagittalis. x C C Sutura lambdoidalis. D D D Imprejfons made by the' arteries of the dura mater upon the infide of the os bregmatis• TIG I riti in rid ii Tld IIII Eld V TIG VI TABLE V. FIG. I. A A The upper jaw divided by a future. B A foramen through which fmall vejfels pafs. CC Os palati. DD The external pterygoid procejfes. EE The joining of the procejfes of the off a temporum and off a malarum (commonly called ojfa jugalia.) F Foramen lacerum. G G The places to which the lower jaw is articulated\ H The end of the os petrofumy which is feldom joined to the neighbouring bones. $ I The mamillary procejfes. K K The finufes on the infide of the mamillary procejfes. L L The procejfes of the occipital boney to which the firfl vertebra is articulated. M Os vomer. / , N N The fourth foramina, through which pafs the principal branch of the fifth pair of nerves• O Part of the puff age of the carotid artery, into the fculL P P The fifth foramina, through which fmall arteries pafs to the dura mater. QfXfiThe fixth foramina for the puff age of the carotid arteriesy and the branches which be- gin the intercoftal nerves. Between P and Qjthe Jlyloid procefs. RR The eighth foramina> through which pafs the eighth pair of nerves and the internal jugu- lar veinsy and near the letter R on one fide is feen a fmall holey through which paffes the portio dura of the auditory nerve. S A foramen for the paffage of a vein behind the apophyfes of the occipital bone, which is fometimes very largey and fometimes wanting. T The great foramen9 U U U Os occipitis. W A large procefs of the os occipitis. F I G. II. The temporal bone. A A The infide of the futura fquamofa. B procejfus jugalis. C procejfus Jlyloides. D The feventh foramen. E The infide of the os temporis imprejfed by the brain. F The infide of that part which is called os petrofumy alfo imprejfed by the brain. F I G. III. The os occipitis. A 7he crucial fpine. B An os triquetrum in the lambdoidal future. C C The eighth foramina of the fculL D D The ninth foramina of the fculL E E The procejfes which articulate with the firfl vertebra» F The part which joins the os fphenoides. G G G The lambdoidal future. V FIG I FIG II FIG III TABLE VI. FIG. I. A back view of the fculh A A The parietal hones. B The coronal future. C The fagittod future. P One of thofe diftinCl irregular hones y ufually found in the lamhdoidal future > called offa triquetra. EEE The lamhdoidal future. F The occipital hone. G The temporal hone, ; ... H The mamillary procefs, I Os jugate. K The upper jaw. L Os malee. FI G. II. FIG. III. Parts of the os parietale, taken from a fra&ured fcull, of which a large account is gi- ven in the firft chapter. Fig. II. fhews the under ftde of one bit that came off> which leaving behind many very fmall portions, from them proceeded a callous which perfedly fupplied this part of the bone,* but the other coming off entire, there never came any callous in its place: The two uppermoft holes were made to raife feveral fractured parts, and the third afterwards to difcharge matter when the two firft began to clofe. F I G. IIII. F I G. V. The upper and lower jaw of a very old man that had loft all his teeth: Thefe two bones did not weigh a fourth part fo much as they ufually do in men of the fame ftature. A A Maxilla fuperior. BB Off a palati. C C The fockets of the teeth contracted and clofed\ and the whole hone vajlly diminifloed, as will appear hy comparing it with the following one> though that alfo is much contraBed. FIG. V. The lower jaw. AAA The fockets of the teeth contracted and clofed: Thefe hones Jloew that the drawing in of the mouth and cheeks of very old men, is not fo much from the lofs of teeth as from the fhrinking and contracting of the fockets and other the more fpongey parts of the hones of the face, while the bone of the forehead and under fide of the lower jaw being much harder do not wafie and for ink fo much. VI FIG I FIG II FIG nr FIG HIT FIG V TABLE VII. FIG. I. The infide view of the bails of the fcull. A A The impreffions made by the brain on the infide of the os front is. B B The openings into the finufes of the os frontis. C Crifia galli. D D The impreffions on the os fphenoides. E F E Sutura tranfverfalls. G Sella Turcica. . H H The anterior clinoid proceffes. 11 The pojlerior clinoid proceffes. KK The holes through which the optic nerves pafsy or the firfi foramina of the fcull. L L The third foramina of the fcull. M M The fixth foramina of the fcull. N N The fourth foramina of the fcull. O O The fifth foramina of the fcull. P P Off a petrofa. QjThe great foramen. R The crucial fpine of the os occipitis. S S Remarkable impreffions on the os occipitis, in which the cerebellum is lodged\ T Part of the crucial fpine of the os occipitis. U U The infide of the os temporis. V The eighth foramen of the fcull. FIG. II. The infide view of the fcull, cut perpendicularly. A Os frontis. B Sinus frontalis. C C Os bregmutis. D Os occipitis. E Os petrofum. F The feventh forameny through which the auditory nerve paffes. G The ninth foramen. H Proceffus clmoides. I Sella turcica. K Crifia galli. L L Sinus fphenoidalis. M Os nafi. N A procefs of the os ethmoides, that makes part of the feptum nafi. O Part of the os that makes part of the feptum nafi. P Os vomer. QfThe future of the upper jaw. R Proceffus pterygoides. S Maxilla fuperior. T The Jlyloid procefs. U U Sutura fagittalis. V The fpongey fubftance of the os fphenoides. W Part of the diploe of the os occipitis. VII FIG I FICt II TABLE VIII. FIG. I. The os ethmoides or cribriforme. A A procefs of the os ethmoides call'd crifia gallu B That part of the os ethmoides that is call'd planum. FIG. II. Another view of the fame bone. A Os planum which makes part of the orbit. B Os vomer. FIG. III. The os palati. A The bafts of the os palati. B That part of the os palati that lies in the orbit. fig. mi. The vomer. A The bafts of the vomer. B That part of it next the eye, C That part of it next the roof of the mouth. fig. y. The os fphenoides. A A The concave part of the os fphenoides, B B The anterior clinoid proceffes. C Sella turcica. D D The foramina, through which the optic nerves pafs. E E The third foramina of the fcull, through which paffes the fecond branch of the fifth pair of nerves. FF The fourth foramina of the fcull, call’d foramina ovalia, through which paffes the third branch of the fifth pair of nerves. G G The external ala of the pterygoid proceffes. H The internal alee of the pterygoid proceffes. I Proceffus over which the tendons of the pterygofiaphylini mufcles are refle&ed. FIG. VI. A Sella turcica. B That part of the os fphenoides that joins to the os occipitis. C C The anterior clinoid proceffes. D D The external ala of the pterygoid proceffes. E The internal ala. F Proceffus innominati of the pterygoid proceffes. G G The concave parts of the os fphenoides. H H Apophyfes fpinofa, which meet the off a petrofa. II Two foramina, through which an artery paffes to the nares. FIG. VII. A The convex part of the os fphenoides. B That part of it that makes the internal orbit. C The feptum of the fphenoidal finus. D D 7he internal ala of the pterygoid proceff es. E Proceffus fpinofus next the os petrofum. F The third foramen of the fcull. G G The external ala of the pterygoid proceffes. H The firfi foramen of the fcull. I Proceffus innominati. K The fphenoidal finus. L Foramen lacerum. M The foramen through which an artery paffes to the nofe. F IG. VIII. A A That part of the fphenoides that makes part of the orbit of the eye. B B The convex part of the os fphenoides. C The Septum of the fphenoidal finus. D D The fourth foramina of the fcull. E E Proceffus fpinofi zvhichjoin to the off a petrofa. F F The external ala of the pterygoid proceffes. G The internal ala. H The firfi foramen of the fcull. I Foramen lacerum. K The fphenoidal finus, L The third foramen of the fcull. M The foramen through which the artery paffes to the nofe. VIII FIG I FIG II FIG III FIG IIII FIG V FIG VI FI(x YII FIG VIII TABLE IX. FIG. I. The lower jaw with the teeth. A A Procejfus condyloides. B B Proceffus coronalis. C A Foramen through which the blood-veffels and a branch of the fifth pair of nerves enter for the nourifhment of the teeth. D That through which they come out, E E Two of the dentes incifores. F One of the dentes canini. G Four of the dentes molares. F I G. II. The upper jaw with the teeth. A A The upper part which is joined by a future above to the os frontis, on the fore part to the offa nafty and on the back part to the os unguis. B B Foraminay through which a branch of the fifth pair of nerves, and veffels pafs to the face• C C Thofe parts which are joined to the offa malarum. D A future which parts the jaw in the middle, DD Dentes incifores. E Dens caninus. F Dentes molares, FIG. III. The fockets of the teeth of one half of the lower jaw. A Proceffus condyloides. B Procejfus coronalis. C The fockets of the teeth, as they appear upon taking away their external Jides. D A foramen through which the blood-veffels and nerve pafs from the teeth, fig. iiii. Half of the upper jaw with its antrum. A The procefs of the upper jaw, that joins to the os nafi\ frontisy &c. B That part that joins to the os mala. C That part of it that contributes towards making the orbit of the eye. D A foramen through which the nerve pajfes to the face. E Antrum Highmorianum. F A little procefs without a name, G Dentes inciforii. H Dens caninus. I Dentes molares. • fig y The internal view of half of the lower jaw. A Proceffus coronalis. B Proceffus condyloides. C A foramen through which the veffels and nerve pafs to the teeth. D The an fie of the lower jaw. E A remarkable rough ridge. F The bony cells. FIG. VI. The infide of one half of the ppper jaw. A That part towards the cavity of the nofe. B 7he upper part of it that joins to the os frontis, nafiy &c. C That part that joins to the other half of the upper jaw. D That part that makes the greatefi fhare of the roof of the mouth. E That part that joins to the os palati. F The little procefs that appears in the fore part of the cavity of the nofe. G One of the dentes inciforii. FIG. VII. The teeth of both jaws. A Eight of the teeth of the upper jaw. B Eight of the lower jaw. G Two of the dentes molares grown into each other. P One of the dentes molares faw'd perpendicularly to fhew the cavities, through which the yeffels and nerve pafs. IX Fid i Fid ii Fid mi Fid hi Fid VI rid v FI 6 VII TABLE X. FIG. I. The vertebrae of the neck. X, 2, 3, 4, 5, 6, 7. The fpongey bodies of the vertebra. A A The tranfverfe proceffes of the firji vertebra natnd atlas. B B Tranfverfe proceffes of the vertebra. C The fpinal procefs of the feventh vertebra. D D The inferior oblique proceff es of the feventh vertebra. FIG. II. The twelve vertebrae of the thorax. 1, 2, 3, &c. The fpongey bodies of the vertebra. A A The fuperior oblique proceffes of the firfi vertebra of the back. BBBBBBBB The tranfverfe proceffes, 0/ /dvz fuperior of which, is a Jims that receives the ribs. C C C C C The fpinal proceffes. D D Shallow fmufes in the fpongey bodies of the vertebra which receive the ends of the ribs. E E The inferior oblique proceffes of the lafl vertebra of the back. FIG. III. The five vertebrae of the loins. 1, 2, 3, 4, 5. The anterior fpongey bodies of the vertebra• A A The fuperior oblique proceffes. B B B B B The tranfverfe proceffes. C A fpinal procefs. FIG I FIG II FIG III TABLE XL FIG. I. The under fide of the firft vertebra, * A Foramen. B B The articulation with the fecond vertebra. C The articulation with the procejfus dentatus of the fecond. D The fide. E E The perforations for the cervical arteries. F The fore part. G G The tranfverfe proceffes. H The hind part. F I G. II. A Foramen. BB Toe articulation with the os occipitis. C Toe fore part. D D The tranfverfe proceffes. E E The foramina for the cervical arteries. F The hind part. FIG. III. The fecond vertebra. A Proceffus dentatus. B The articulation with the firfl vertebra. C A lower procefs Y> Proceffus tranfverfus. E Proceffus obliquus. F Proceffus fpinalis. FIG. Ill I. F I G. V. The fourth and fifth vertebras A A Foramina. B B The bodies of the vertebra C C C C The oblique proceffes. DDDD The tranfverfe proceffes with their foramina. EE Proceffus fpinales. F I G. VI. The loweft vertebra of the neck. A Foramen. B Tloe body. C C Oblique proceffes. D D Tranfverfe proceffes. E The fpinal procefs. F I G. VII. F I G. VIII. The fixth and feventh vertebrae of the back. A A The bodies. BBBB The oblique proceffes which articulate together. CCCC Toe tranfverfe proceffes. DDD The other oblique proceffes. E E The fpinal proceffes. F 1 G. IX. The loweft vertebra of the back, A The body. B The articulation of the lowefl rib. C The oblique proceffes. D The tranfverfe proceffes. E The fpinal procefs. FIG. X. FIG. XI. The third and fourth vertebrae of the loins. A A The bodies that joyn together. BBBB The oblique proceffes that joyn together. CCCC The tranfverfe proceffes. DD The fpinal proceffes. E E Oblique proceffes. FIG I FIG II FIG III FIG VI FIG Till FlGV FIG VII FIG X FIG vm fig XI FIG IX TABLE XII. FIG. I. The lafl vertebra of the loins. A The under fide of its fpongey body. B B The inferior oblique proeeffes. C One of the fuperior oblique proeeffes. D D The tranfverfe proeeffes. E The fpinal procefs. FIG. II. The forefide of the os facrum. , s i, 2, 3, 4, 5, 6. Parts of the os facrum, young fubjeSs are dif inB bones. A That part of the os facrum, zvhich articulates with the fpongey body of the lowejl vertebra of the loins. BB Two proeeffes of the os facrum, which articulate with the inferior oblique proeeffes of the lafl vertebra of the loins. C That part of the os facrum, which articulates with the os coccygis. D That part of the os facrum, which joins with the os innominatum. E E, See. Foramina for the exit of the nerves. FIG. III. The back fide of the os facrum. A A The two proeeffes, which articulate with the inferior vertebra of the loins. B That part which articulates with the os innominatum. C Remarkable ruga & foramina. DD Two fpinal proeeffes. E E, Sec. Foramina for the puff age of the nerves. F The channel through which the medulla fpinalis paffes. G The end of that channel. F I G. IIII. The external view of the os coccygis. i) 2, 3, 4. Shews its compoftion of four diflinB bones in young fubje&s. FIG. Y. i# 2, 3, 4, 5. The external view of the osFoccygis, with part of the os facrum. XII I1 G» II nci i Fl£ III n(r v tfi (J iiii TABLE XIII. F I G. I. i, 2, 3, &c. Sixteen of the fuperior vertebras fawed through to Ihew their fpongey texture. A A The Channel in which the fpinal marrow is contained. B B The fpinal proceJJ'es of thefe vertebra. C A wire pafs'd through the bodies of the vertebra. FIG. II. 17, 18, &c. The remaining vertebras of the fpine faw’d through. A A The channel for the medulla fpinalis. B B The fpinal procejfes of thefe vertebra. C The wire paffing through the bodies of the vertebra. • • • • T' ' ' , D The os facrum faw*d through its middle. XIII TTI Gr II TIG I TABLE XIV. Fig. i,ii,hi,iv,v,vi* The fix upper ribs. AAA, &c. 7hofe parts of the ribs, which articulate with the pro cejfes of the fpongey bodies of the vertebray BBB, &c. Thofe parts of the ribs7 which articulate with the tranfverfe proceffes of the ver- tebra. C C C, &c. 7*he extremities of the ribsy which join to the cartilages of the flernum. DDD, See. Sinufes in the internal and inferior parts of the ribs for the pctjfage of the inter- cojial veffels• XIV FIG I FI G IIv .FIG III fi g mi .FIG V FIG VI TABLE XV. FIG. I. The fixth and feventh vertebra of the back, with part of the feventh rib. A A fmooth firms in the tranfverfe procefs, into which a procefs of the fixth rib is received. B Another fmus, into which the end of the rib is received\ C Part of the feventh rib. D The union of the feventh rib> with the tranfverfe procefs of the vertebra. FIG. ii, hi, iv, v, vi, vii. The fix loweft ribs. AAA, &c. The ends which are articulated to the vertebra. BBBB The proceffes which articulate with the tranfverfe proceffes of the vertebra. CCC, &c. The ends next the fiernum which join to the cartilages. DDD, &c. The fmufes of the ribs} in which the veffels pafs. TIG I TIG II TIG III tig mi TIG V TIG VI nci vii TABLE XVI, FIG. I. The forefide of the fternuiru AAA Three bones of the fiernum of a young man* B The lower part of the fiernum not yet offified\ BBB The ends of the ribs joining to the cartilages of the fiernum, C The cartilago enfiformis double in this fubjeB. D D The cartilaginous parts of the fiernum. FIG. II. AAA, &c. The bony part of the fiernum in five difiinB bones. B d perforation fometimes found in the fiernum, XVI PI Cr I FIG II TABLE XVII. FIG. I. „ The iniide of the fternum. A A A A Four difiinB bones• B Cartilago enfiformis. C C C The ends of the ribs joining to the cartilages of the fternum. FIG. II. The external view of part of another fternum. A A, &c. Five diftinB bones of the fternum. B One cartilage dividing to two ribs, which is not a very uncommon lufus nature. C An imperfeB cartilage. D A perforated cartilago enfiformis. XVII FI I TIC II TABLE XVIII. FIG. I. The outward view of the offa innominata. A The external part of the os ilium. B The ohtufe procefs of the os ilium• C C The part of the acetabulum or focket of thefe hones, which is covered with a cartilage for the motion of the os femoris. D Afrnus in the acetabulum, in which is lodged the lubricating gland of this jo int, and in which the ligamentum teres lies fecure from being hurt by the motion of the os femoris. E That part of the os pubis, which joins the other os pubis* F The acute procefs of the os Mi* G The obtufe procefs. H That part of the os ilii, which joins the os facrum. I The foramen of the offa innominata* FIG. II. The internal view of the offa innominata. A The inward and concave fide of the os illii* B The part which joins the os facrum. C Aroughnefs for the origin of ligaments and tendons. D The obtufe procefs* E The acute procefs of the os ifchii* F The foramen of the offa innominata. G That part of the os which joins the other os pubis* XVIII FIG I FIG II TABLE XIX. The anterior view of the trunk of a fceleton, 2, 3, &e. to 24. Three and twenty of the vertebra, the atlas being taken off with the fculL 1, 2, &c. to 12. The ribs. A Proceffus dentatus of the fecond vertebra. B The tranfverfe proceffes of the vertebra of the neck. C C The clavicles. P D The acetabula of the fcapula. EE Proceffus Coracoides. F F Proceffus acromion. G The bone of the Jlernum9 H H The cartilages of the fiernum. I The lowefi bone of the fiernum, to which is joined the cartilago enfiformh. K ft facrum. L ft coccygis. M M illia, N pubis. O ft ifchium. P P The tranfverfe proceffes of the vertebra of the loins. XIX TABLE XX. 6, 7* The iwo lowefl vertebra of the neck. 8, g, &c. to 19. The twelve vertebra of the back. 20 to 24. The five vertebra of the lorn. 1, 2, 3 to 12. The ribs. A The under fide of the fternum. B B The tranfverfe procejfes of the vertebra of the loins. C 05 facrum. D D Offa ilia. E E Offa ifchia. F F The acute procejfes. G Os pubis. XX TABLE XXI. FIG. I. A fide view of the vertebrae of the fpine. A The fpinal procejfes of the vertebra of the neck. B B B The fpinal procejfes of the vertebra of the back and loins. C The os facrum. D D The tranfverfe procejfes of the fix lowejl vertebra of the neck. E E The tranfverfe procejfes of the vertebra of the back. F F Parts of the vertebra to which the ribs are articulated. G One of the foramina through which the nerves pafs from the fpinal marrow. H H The intervening cartilages. FIG. II. The fore-view of the vertebrae of the fpine, the lower end upwards. A Os facrum. B The foramina through which the nerves pafs from that bone. C C The tranfverfe procejfes of the vertebra of the loins. D D The tranfverfe procejfes of the vertebra of the back. E E The tranfverfe procejfes of the fix lowejl vertebra of the neck, XXI FIG II TTIGt I TABLE XXII. FIG. I. The convex fide of the fcapula. A A The fpine of the fcapula. B Proceffm acromion. C Proceffm coracoides. D Acetabulum. E The dorfum fcapula above the fpine. F The fuperior cofla of the fcapula. G G Bafts fcapula. H The dorfum fcapula below the fpme. 11 The inferior cofa of the fcapula. K The fuperior angle of the fcapula. L The inferior angle of the fcapula. FIG. II. The concave fide of the fcapula. A A The roughneffes on the inftde of the fcapula. B The bafts of the fcapula. C That part of the proceffm acromion? which the clavicle is articulated, D The fpine of the fcapula. E Proceffm coracoides. F The edge of the acetabulum fcapula. G The neck of the fcapula. H The fuperior cofa of the fcapula. I fuperior angle of the fcapula. K femicircular fmus on the fuperior cofa, L The inferior angle of the fcapula. M M inferior cofla of the fcapula. FIG. III. The upper furface of the clavicle. A The end that is articulated with the proceffus acromion. B The end that is articulated with the flernum. FIG. IY. The under furface of the clavicle, A The end that joins to the proceffm acromion. B roughnefs for the origin of ligaments and mufcular fibres. C The end that joins to the flernum, D A remarkable roughnefs. XXII PI Cl I PIG! III FIG II FIG, IIII TABLE XXIII. FIG. I. The forefide of the os humeri. A !The head of the os humeri. B A tubercle near the head of the os humeri for the infertion of mufcles% C Another tubercle for the infertion of mufcles. D The finus in which one of the heads of the biceps lies. E A cavity which receives a procefs of the ulna. F The internal apophyfis of the os humeri. G The external apophyfis of the os humeri. H That part which articulates with the radius. I That part which articulates with the ulna. FIG. II. The outfide of the os humeri. A The Head of the os humeri. B A tubercle nigh the head of the os humeri for the infertion of mufcles. C A cavity which receives the olecranon ulnce. D The internal apophyfis of the os humeri. E The external apophyfis of the os humeri. F That part which artjculates with the ulna. XXIII lit T'lG I II TABLE XXIV. FIG. I. The radius and ulna, A The end of the radius that receives the bones of the carpus. B The round end of the ulna which the radius turns upon. C Procejfus Jlyliformis. D The fpace between the two bones that is fill'd up with a ligament. E The tubercle of the radius for the infertion■ of the biceps mufcle. F A tubercle on the ulna for the infertion of the brackeus mufcle. G The round end of the radius that turns upon the ulna. H Olecranon ulna, cavity whtch receives the os humeri. FIG. II. The ulna. A The extremity of the ulna next to the carpus. B Procejfus Jlyliformis ulna. C The fmooth cavity which receives the head of the radius. P Olecranon ulnay and the cavity which receives the os humeri. FIG. III. The radius. A The fmooth cavity which receives the end of the ulna. B A [harp ridge on the middle of the radius. C The tubercle of the radius. P the round head of the radius that articulates with the upper part of the ulna. FlC iii Fl£ I FIG} II TABLE XXV. FIG. I. The backfide of the hand. i, 2, 3, 5, 6, 7, 8. iSmvz of the bones of the carpus. AAA The three bones of the thumb. B B B B The metacarpal bones of the fingers. C C C C The firfl bones of the fingers. D D D D The fecond bones. E E E E The third bones. F I G. II. That part of the carpal bones, which articulate with the thumb and fingers. A The bone upon which the thumb is placed. B That upon which the metacarpal bone of the forefinger is placed. C That upon which the metacarpal bone of the middle fing°r is placed. D E That upon which the metacarpal bones of the two la ft fingers are placed. F G Two procejfes, to which the carpal ligament is conneBed. H The carpal bone, from which part of the fame ligament arifes. FIG. III. The infide of the hand. 1, 2, 3, 4, 5, 6, 7, 8. The eight bones of the carpus. AAA The three bones of the thumb. B B B B The metacarpal bones of the fingers. C C C C The firfl bones of the fingers. DDDD The fecond bones. E E EJ E The third bones. FI£ I FIC II fight TABLE XXVI. FIG. I. The outfide of the fcapula, arm and hand. A A The hones of the fingers. B B The metacarpal hones. C The hones of the thumb. D The hones of the carpus. E The radius. F Ulna. G The articulation of the radius and ulna with the os humeri. H Os humeri. I Procefius coracoides. K K The convex part of the fcapula. L The clavicle• FIG. II. The infide of the fcapula, arm and hand. A The concave part of the fcapula. B The clavicle. C Oj humeri. D Radius. E KW. F Carpus. G Metacarpus. H thumb. II The hones of the fingers. K The joint of the humerus. L The articulation of the elbow. XXVI FIG II FIG I TABLE XXVII. FIG. I. The forefide of the os femoris. A The head of the os femoris. B The neck of the os femoris. C The great trochanter. D The little trochanter. E F The two lower apophyfes of the os femoris. G That part of the os femoris, upon which the patella lies. F I G. II. The backfide of the os femoris. A The head of the os femoris. B The great trochanter. C The neck of the os femoris. D The body of the os femoris. E remarkable roughneffes near the trochanter. F The little trochanter. G Linea afpera. HI The two lower apophyfes of the os femoris. K K The parts of the os femoris, againjl which the tibia moves. L cavity between the two apophyfes. F I G. III. A The forefide of the patella. B The lower extremity of the patella, by which it is fixed to the tibia. C The upper end> into which the mufcles are inferted. FIG. IV. A The under fide of the patella, which moves upon the os femoris. B The lower part, by which it is tied to the tibia. FICrJ II FIG III FI CF I FKt Jill Stable xxviii. FIG. I. The forefi.de of the tibia and fibula. A A procefs from which the crofs ligaments arife. B The procefs to which the ligament of the patella is fix'd. C A remarkable impreffion of the mufcles. D The procefs which makes the inner ankle. E That end of the tibia which articulates with the foot. F The head of the fibula. G The end of the fibula that makes the outer angle. FIG. II. The backfide of the tibia. A That part of the tibia, with which the head of the fibula is articulated. B B The fockets in which the apophyfes of the os femoris are received. C The procefs from which the crofs ligaments arife. D The perforation through which the vejfels pafs to the internal fubftance of the bone. E The fpine of the tibia from which the tranfverfe ligament arifes. F The outfide of the tibia with which the lower end of the fibula is articulated. G The procefs of the tibia which makes the inner ankle. H I The end of the tibia which receives the aflragalus. FIG. III. The infide of the fibula. A A procefs at the upper end of the fibula into which a ligament is fixed. B A fharp edge of the fibula. C The lower end of the fibula which makes the outer ankle. XXVIII FIG I Fl£ TT Fl£ III TABLE XXIX. FIG. I. The under fide of the bones of the foot. A Os calcis. BCD Three protuberances of the os calcis. E The fmooth part of the afiragalus which joins the os naviculare. F The upper fide of the afiragalus which articulates with the tibia. G Os naviculare. H Os cuboides. I A fulcus in the os cuboides. K Os cuneiforme majus. L Os cuneiforme maximum. M The metatarfal bone of the great toe. N The part upon which the fefamoid bones are moved. O The firfi bone of the great toe. P The lafi bone of the great toe. QffQffThe metatar fal bones of the four lejfer toes. R R R R The firfi bones of the four lejfer toes. S S S S The fecond bones of the four lejfer toes. T T T T The lafi bones of the four lejfer toes. FIG. II. The fefamoid bones of the great toe. FIG. III. The upper fide of the bones of the foot. A Afiragalus, that part which articulates with the tibia. B Os calcis. C A prominence of the os calcis. D Os naviculare. E Os cuboides. F Os cuneiforme majus. G Os cuneiforme minimum. H Os cuneiforme maximum. I The metatarfal bone of the great toe. K The firfi bone of the great toe. L The lafi bone of the great toe. M M M M The metatarfal bones of the four lejfer toes. N N N N The firfi bones of the four lejfer toes. O O O O The fecond bones of the four lejfer toes. P P P P The lafi bones of the four lejfer toes. FIG. IIII. The fide (next to the great toe) of the bones of the fecond toe. A That part of the metatarfal bone of the fecond toe which articulates with the os cuneiforme maximum. B The end which joins the toe. C The firfi bone of the toe. D The fecond. E The third. fig. y. The infide of the bones of the foot. , A Afiragulus. B That part of the afiragalus which articulates with that apophyfis of the tibia which makes the inner ankle. C Os calcis. D A protuberance of the os calcis. E Os naviculare. F Os cuneiforme maximum. G Afmooth fur face over which part of the tendon of the tibialis anticus paffes to be inferted into the metatarfal bone of the great toe. H Os cuneiforme minimum. I The metatarfal bone of the great toe. K The metatarfal bone of the fecond toe. L The metatarfal bones of the three lafi toes. M The fefamoid bone of the great toe• N The firfi bone of the great toe. O The lafi bone of the great toe, P The lafi bones of the two next toes. XXIX FI d I fiG iii Fid II FIG iiii FIG V TABLE XXX. FIG. I. The outfide of the bones of the lower limb. A The Head of the os femoris. B Trochanter major. C Trochanter minor. D The external apophyfis of the os femoris. E Patella. F The head of the t ibia. G The protuberance into which the ligament of the patella is inferted\ H The concave fide of the tibia. I The lower end of the tibia. K The upper end of the fibula. L The lower end of the fibula. M AJlragalus. N Of calcis. O Of cuboides. P Of navicular e. cuneiforme majus. R Of cuneiforme minimum. S Of cuneiforme maximum. T metatarfal bone of the great toe. U 7&0 0/ gr0#* toe. W The metatarfal bones of the four leffer toes. X The firfi bones of the four leffer toes. Y The fecond bones of the four leffer toes. Z The lajl bones of the four leffer toes. FIG. II. The infide of the bones of the lower limb. A The head of the os femoris. B Trochanter major. C Trochanter minor. D D Line a afpera. E The inner apophyfis of the os femoris. F 7#0 apophyfis. G Patella. H The upper end of the tibia. I The lower end of the tibia. K 0/ */>0 fibula. L 7#0 0W 0/ *£0 fibula. M Aflragalus. N Of calcis. O Of naviculare. P Of cuneiforme maximum. QjThe metatarfal bone of the great toe. R The firfi bone of the great toe. S 7)&0 /#/? £0/20 0/ *£0 *00. T Of fefamoides. U metatarfi. FI c; I fi and on the oppofite fide was a tooth m the middle of the tumour• XLII I'I Cr I FIG II TABLE XLIII. £art of the trunk of a crooked fceleton (dug out of a grave) in which all the bones were grown together. 2, 3> 4> h 7, 8, p, io, n, 12, The lower vertebra of the thorax. jy iy 3, 4, y, The vertebra of the loyns. A Tranfverfe and fpmal proceffes of the upper vertebra of the back. B B Some of the ribs. C The back part of the vertebra of the loyns. D Os facrum. EE Os inmmmatum* XLIII TABLE XLIV. Two Views of the trunk of a crooked fceleton# FIG. I. A The five lower vertebrae of the neck. B B The ribs. C The vertebra of the loyns. DD Ojfia innominata. FI G. II. A The three lowejl vertebra of the neck. B B The ribs. C The vertebra of the loyns. DD Offa innominata. E ft facrum. F ft coccygis. XLIV TIG i r I dr II TABLE XLV. FIG. I. A dislocation of the os humeri from a fra&ure of the acetabulum fcapulae, which being broke the o$ humeri could not be retained in its place. A Scapula. B The head of the os humen. F I G. II. The bones of the elbow of a perfon who was born with an anchylofis, communicated to me by Mr. Goodwin an eminent furgeon at Lyn. A Os humeri. B Radius. C Ulna. FI G. III. Bones of a fcrophulous thumb. A The fecond hone corroded through. f i g. mi. An anchyloiis of the cubit from a fradture. A Ulna. B Radius. F I G. V. An anchyloiis of the lower vertebrae of the back. XLV FIG I FIG II FI G III FIG IIII FIG V TABLE XLVI. FIG. I. The os innominatum of a young man, who having an abfcefs formed in the joynt of the hip, the matter eroded the focket till it formed a paffage into the pelvis of the abdomen, and at length forming alfo a large abfcefs on the outfi.de of the thigh; that was opened, and whenever the patient coughed or went to ftool, the matter flowed plentifully out of the external wound, as in abfcefles of the abdomen. This is not the only cafe of the kind that I have feen. A The perforation in the bottom of the acetabulum. B B Parts made carious by the matter. F I G. II. The upper end of the os femoris of the fame perfon. A The head of the bone much eroded by the matter. F I G. III. A carious thigh bone of a young woman, who begun to L feafed upon her ha- ving menftrual obftru&ions: Communicated to me by the late Mr. Dobyns to St. Bartholomews hofpital. AAA Carious excrefcenfes9 J3 B The lower apophyfes. FIG I FlG II FIG III TABLE XLVII. FIG. I. An anchylofis of the os innominatum and os femoris: Communicated to me by Mr. fPeftbrook, A A Parts that were broke off. B A part rough and carious, F I G. II. An anchylofis of the knee: Communicated to me by Rob. Gay Efq; late furgeon to St. Bartholomew’s hofpital. A Os femoris, B Patella. C Tibia, D Part of a broken knife flicking in the bone; which had been there from the mans infancy, and was furely the caufe of all the future mifchief XLVII F I (j I FlG II TABLE XLVIII. Bones of a woman who died of the venereal difeafe, to whom the Icull belonged Fig. I. Tab. XLI. and who had fcarce one found bone: Communicated to me by Mr. Danfie, furgeon to Kmgfland hofpital. FIG. I. Os femoris. A The head\ B Trochanter major. C Trochanter minor. D The carious part. E E The lower apophyfes. FIG. II. Os humeri. A The head, B A procefs. CC The carious part. D The large fmus. E The lower cartilaginous end\ F protuberance. F I G. III. A The infertion of the patella. B B The carious part. C The protuberance that forms the inner ankle. FIG. IIII. /?&&. A The upper end. B The carious part. C 7$? /tfwr XLVIII FIG I FlG III FIG II fig mi TABLE XLIX. FIG. I. The upper end of a thigh bone, in which matter being formed in the medullary cavity, encreafed till it burft the bone, and made it carious both within and without: Com- municated to me by Mr. Feme, furgeon to St. Thomas s hofpital. A The head. B B The parts broken and carious. F I G. II. The lower part of the fame bone. A A Car mis parts. B B The lower apophyfes. F I G. III. A knee diflocated from an impoftumation in the jo'ynt, commonly call’d a white fwel- ling: Communicated to me by the late Mr. Paul, furgeon to St Thomas s hofpital. A Os femoris. B Patella. C The lower end of the os femoris. D The upper end of the tibia. E Fibula. f i g. mi. A great part of the os humeri, including all the medullary cavity, of a young woman thirteen years of age; who after a favourable fmall pox, found a fwelling appear on her arm and ILoulder, which foon after fuppurated and broke a little below the head of the os humeri, and continued open for three years, when fhe was brought to Mr. Goodrich, furgeon in Ipfwich> July 173 2. He open’d a Anus about two inches downward towards the elbow, and continued to drefs it till the December following; he then took out this piece, which left every where, except where the wound was, as I judge from its appearance, portions of the external furface (from which I fuppofe the callus flow’d which fupply’d the place of this bone.) After the taking away of this bone, there was a great effufion of blood, neverthelefs fhe mended daily, tho* for two years together at times, little bits of bone came away; but being cur’d fhe recover’d fo good a ufe of her arm, as to be able to carry a pail of water, and having no other deformity in it, but what arifes from the wound. » A The place of the wound. B B Places where the medullary cavity appears. F I G. V. ; The upper end of the tibia of a boy made carious from a fcropliulous habit of body. A The upper end carious. B The middle of the bone found\ XLIX FI Gr I FICi III Fl£ II fi6 IIII V TABLE L. FIG. ,1. FIG. II. The thigh bones of a foldier who was fhot in the right groin at the fiege of Gibralter; who being brought home the next winter, died foon after of a dropfy: The right thigh bone was wafted fo much as appears in the draught, and being weighed after they were both fawed lengthways with a fine faw, the right weighed lefs than half the weight of the other. F I G. III. The upper end of a thigh bone fra&ured near the joynt, in which cafe the limb always fhortens, and has ufually been miftaken for a diflocation. A The head of the hone. B The great trochanter. C The lejfer trochanter. D The frafture. f i g. mi. A fracture at the lower end of the thigh bone ill fet. A A The callus fhot out into proceffes. B Another callous procefs. FIG II FIG I FIG HI fig mi TABLE LX. FIG. I. A thigh bone broke in two places: Communicated to jne by Mr. Wefibrooh, a furgeon in IVeftminfter. * A The upper fra&ure. B The lower fraBure not lefs than the other, tho it does not appear fo large, being m per- fpeBive. FIG. II. The upper part of a thigh bone. A A large bony excrefcence. F I G. III. The lower end of the thigh bone, in which an anchylolis was begun. A The patella united to the os femoris. B B Parts united to the tibiay which being feparated with a little force appeared bloody like a bone from which a carious part is too foon forced off. C A fmall part on which the cartilage yet remained. LI FI G I FlG II FIG HI TABLE LII. FIG. I. The upper half of the tibia carious, A The upper end. B A little part founds which was cafiing off from the unfound: This and the following bone were both communicated to me by John Ranby Efq$ furgeon to the houfhold. F I G. II. Carious bones with many calous pointed excrefcenfes. A Tibia. B Fibula. C The end next the tarfus. F I G. III. The tibia of a man who had had the rickets: Communicated to me by Mr. Weflbrooh, furgeon in IVefiminfier. A A place which tbe fibula preffing upon had worn fmooth. LII FI G I TIG II F lG HI TABLE LIII. A most remarkable exoftofis of the tibia, drawn juft half its diameter: Communicated to me by Mr. Green, furgeon to St. Bartholomew's hofpital. FIG. I. The exoftofis on the upper and forepart of the tibia. A The lower end of the tibia. F I G. II. The back part of the fame bone. A The upper end of the tibia. B The lower end between which the bone is twifled. F I G. III. The fibula altered in its fhape from the prefture of the exoftofis on the tibia. FI G I fiG III FIG II TABLE LTV. FIG. I. The tibia and fibula joyned by a callus. A A Tibia. B Fibula. F I G. II. FI G. III. A A, AA Tibia and fibula joyned by a callus. F I G. IIII. An anchylofis. A B Fibula. C The metatarfal bones. D off from the bones of the tarfus, which were all joyned in one• LIV FIG I FIG II FI G III fig iiii TABLE LV. Diseased bones: Communicated to me by Monheur Morand. FIG. I. The os humeri of an officer thus difeafed from a gunfhot wound. A A Parts of the inner part of the hone feparated from the external party which is much difiended. B B Other orifices in the external part of the honey through which there was fo large a dtp- charge of matter, that the patient died of it. CC The external part of the hone carious. F I G. II. The inner part of the fame bone (feen at A A) feparately drawn. A The upper end. F I G. III. A fracture of the focket of the os innominatum downwards, which made a new kind of focket, but of no ufe. A Os puhis. B Os ifchii. C Part of the natural focket heat inwards. D The head of the os femoris. EE Part of the preternatural focket. F The upper and back part of the os femoris, f i g. mi. Another view of the fame bone. A The ohtufe procefs of the ifchium. B The acute procefs. C The head of the os femoris. P Part of the natural focket of the os innominatum, LV riG i Fid III Fid II FI 6 IIII TABLE LVI. A bony chalky fcetus which was faid to have lain in utero (I fuppofe in the faloppian tube) twenty fix years: Communicated to me by Monfieur Arne cm owner of the french anatomy waxwork. LVI II V VI VII XI XII XIII XVI XVII XVIII XIX XXI XXII XXIII XXIV XXV XXVI XXVIII XXIX XXX XXXI XXXII XXXIII XXXIV XXXV XXXVI XXXVII XXXVIII XXXIX XLI XLII XLIII XLIV XLVII XLVIII XLIX LI LII LIV LV LVI FINIS.