|
|
|
Book One -- The things that sustain and support the entire body, and what braces and attaches them all. [the bones and the ligaments that interconnect them] |
[Comments on the Figures of Chapter 26]
The figures for this chapter are to be found in the first and second
figures of the preceding chapter, representing the hand and therefore the
metacarpus (marked I, II, III, IIII). The first figure of the chapter which
follows will represent at the letter A the metacarpal that supports the index
finger, free of other bones.
|
page 120 |
The term “postbrachial” is preferable
The part of the hand that goes from the carpus to the root of the
fingers (I, II, III, IIII in figs. 1 and 2, ch. 25, G in the skeletons)
[ossa metacarpi] is what the Greeks
called metaka/rpion;
2
Celsus and a large
number of translators of the Greeks called it the palm.
3
Still others call it the comb, pecten, and sometimes
the pectus.
4
But because the word “palm” is more widely known and most
writers include the carpus in the palm, and for others “palm” means the same
thing as vola,
5
and since the names pecten, pectus, and sth/qoj are
also equally accepted for the metatarsus
6
of the foot, I have so
far called the metaka/rpion “postbrachial.”
The metacarpus is counted as four bones by some, five by
others
For Galen, the metacarpus is made up of four bones. But for Eudemus
7
and Celsus,
8
and (as can be gathered from the first
book of De historia animalium
9
) even Aristotle, there were five. These count the first
bone of the thumb (A nearby 5 in figs. 1 and 2, ch. 25)
[os metacarpale I] with the
metacarpus because it is articulated with the fifth carpal bone
[os trapezium], whereas Galen counts
it with the finger bones. Many people assign it to the metacarpus because it is
located in virtually the same row as the metacarpal bones and is not exposed,
as are the first internodes
[phalanges proximales] (D in figs.
1, 2, ch. 25) of the other fingers, but lies somewhat concealed like the
metacarpals, and only two bones are commonly attributed to the thumb
10
— notwithstanding that this bone of the thumb
[os metacarpale I] is both shorter
than the metacarpal bones
[ossa metacarpi II-V] and not as
conterminous with them as they are with themselves. Moreover, they include the
first bone of the thumb with the metacarpus perhaps because the second bone
[phalanx proximalis] of the thumb is
articulated with the first in nearly the same way (C, D in fig. 1, ch. 27) as
the first bone of the fingers is articulated with the metacarpals:
11
the former
[phalanges proximales] receive the
round and simple heads
[capita metacarpi] of the latter
[ossa metacarpi] in a simple
depression
[basis phalangis]. Finally, they
were perhaps influenced by the fact that they thought no tendon that serves to
move the first thumb bone is inserted therein, just as no tendon responsible
for its separate motion is inserted in any metacarpal bone.
12
A great
many muscles that are inserted only in the first bone of the thumb have, in
fact, escaped the notice of other anatomists. Indeed Galen (who missed at least
three or four muscles of this internode (1, 2, 3 in the 7th table of muscles,
and l in the 6th),
13
as you will hear in the second Book) counts the first internode
of the thumb
[os metacarpale I] with the fingers
[ossa digitorum], to which he
assigned three bones each, because it is articulated above and below by
diarthrosis
[articulatio synovialis], i.e., a
loose type of joint and one that produces manifest movement: above it is
articulated to the carpus
[articulatio carpometacarpalis
pollicis]
14
and below to the second bone of the thumb
[articulatio metacarpophalangealis
pollicis], while four metacarpal bones
15
are attached by this type of
joint only below, where they are connected to the fingers. Above, according at
least to Galen, they are articulated to the metacarpus
[articulationes carpometacarpales]
by synarthrosis,
16
a kind of joint which shows a quite obscure and scarcely perceptible motion.
That is the use I believe Galen makes of the term “synarthrosis” in the
nineteenth chapter of his book De Ossibus.
17
But it is by no means to be
thought that Galen inspected the metacarpal bones so casually in ape or dog as
to maintain that these bones are attached to the carpus by suture, in the
manner of a nail,
18
or by harmonia
[articulatio plana], though that
would be his opinion if we stated here that he had not forgotten the view which
he maintained at length when enumerating the types of synarthrosis in the
beginning of his book De Ossibus.
19
Be that as it may, to adapt
ourselves more correctly to the view of Galen we shall always count the
metacarpals as four and the bones of the fingers as fifteen.
The character of the four metacarpal bones: length
The metacarpal bones are longer than the other bones of the fingers, and
they are for the most part smoothly rounded. The longest
20
is placed before the index finger
[digitus secundus] and they become
gradually shorter,
21
so that easily the shortest and slenderest of them all is placed before the
little finger
[digitus quintus].
Epiphyses
22
They all have an epiphysis above (Q in fig. 2, ch. 25) and below (R in
the same fig.; see the others in turn from there, comparing the first fig. to
the second).
23
The upper
[proximalis] (the place where it
attaches is sometimes not visible even in children) is joined to the carpal
bones, as we stated before, and these bones are somewhat wider at this point on
the outside
[prospectus dorsalis] than on the
inside
[prospectus palmaris] in order for
the metacarpus together with the carpus better to form a convex surface on the
outside and a hollow one inside.
Their interconnection
Indeed, these epiphyses touch each other on the sides and are attached
together by a cartilaginous ligament.
24
The
lower epiphyses are large as well,
25
and
end in a round head
[caput metacarpale] that is
elongated from the outside of the hand to the inside; this is covered with
cartilage and enters the concavity
[basis phalangis] of the first bone
of the fingers
[phalanges proximales]. These
epiphyses also touch each other on the sides, but not so tightly as the upper
ones which are attached to the carpus; nevertheless, where they face each other
they are hollowed out and put forth cartilaginous ligaments
26
by which they are strongly held together.
The spaces between the metacarpals
In the middle of their course along the length of the metacarpus, since
the bones are much thinner than their epiphyses, they are separated from each
other and stand apart by a noticeable interval (S in figs. 1 and 2, ch. 25).
This is for an important purpose, for in any of the three intervals which the
four metacarpal bones form, two muscles are located
[m. interosseus palmaris et m.
interosseus dorsalis] (see under D in the 8th table of muscles, and m in
the 12th)
27
of the eight which flex the first bone of the
four fingers. Just as two of those muscles go to each digit, so also two are
extended along each metacarpal bone, and six are gathered in the three spaces,
while a seventh
[m. interosseus dorsalis primus] is
run on the inner side of the metacarpal bone that supports the index finger,
and an eighth
[ m. opponens digiti minimi?] is
directed along the outside of the bone that precedes the little finger.
28
Why the metacarpal bones give way to muscles
But because these muscles are scarcely longer in their course than these
bones, and the intervals are not so wide that an adequate mass of muscle can be
placed in them, the metacarpal bones rightly appear concave on the inside
[palmaris] where they form the palm,
|
page 121 |
|
Book One -- The things that sustain and support the entire body, and what braces and attaches them all. [the bones and the ligaments that interconnect them] |
|
|