I. _Form of the Tendons._

Usually situated at the extremities of the fleshy fascia, they

sometimes however occupy the middle, as we see in the digastric

muscle; they are almost always found at the most moveable extremity,

that which serves for support having aponeuroses for insertion, as we

see especially on the fore-arm and the leg, of which all the muscles

inserted above by broad osseous or aponeurotic surfaces, terminate

below by a more or less slender tendon. From this arrangement result,

1st, little thickness at the extremity of the limbs, and consequently

facility in their motions; 2d, great resistance to external pressures

very frequent in this place, the fibrous texture being, as we have

said, very resisting; 3d, the concentration of the whole effort of a

muscle oftentimes very thick upon a very narrow osseous surface, and

for the same reason the extent and force of the motions of the bone.

The tendinous forms are usually round, no doubt because they are those

in which, with the least size the greatest quantity of matter enters.

Sometimes however as in the tendons of the extensors of the leg and the

fore-arm, they are flat.

Sometimes bifurcated or divided into many secondary elongations, the

tendons are inserted into the bones, or receive fleshy fibres in two or

many different points. All are covered by a loose texture which allows

them to slide easily upon each other, or upon the neighbouring parts.

Sometimes this texture is wanting, and then the synovial capsules

surround them to favour their motions. Their extremity, in which the

fleshy fibres are fixed, receives these fibres differently. Sometimes

it is to one side only that they are attached; hence the semi-penniform

muscles; at other times it is to both sides at the same time; this

constitutes the penniform. Frequently the tendon is buried so deep in

them, that it cannot be laid bare, but by dividing them longitudinally.

The adhesion is very great between the fleshy and tendinous fibre.

Yet by macerating them a long time or subjecting them to ebullition,

they gradually separate from each other. I have observed that in young

subjects the union was much less intimate; thus by scraping at this age

the tendon with a scalpel, we remove from it the muscle, without its

ever appearing again; the polish is almost the same where the fibres

are inserted, as where they are naturally wanting. The extremity of the

tendon fixed to the bone, intermixes with the periosteum as it usually

expands; so that it is with this membrane, and not with the bone

itself, that the tendon makes part, because in fact it is the membrane

which is of the same nature; thus if it finds an analogous membrane,

it fixes to it equally, as we see in the insertion of the straight and

oblique muscles in the sclerotica, of the ischio and bulbo-cavernous

ones in the membrane of the corpus cavernosum. In general the tendons

never unite but to fibrous membranes; the serous, the mucous, every

organ in a word, foreign to the fibrous system, is also heterogeneous

to them.

General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3) · 第 154 / 201 题