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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] |
[Introduction]
I do not doubt that many will also ask me at some point the number of
the bones. To these I should like to give no other advice than to look it up in
the various chapters of this book, as it would be too long to list them all
here. To avoid in any way possible seeming to evade the smallest labor, not
counting the epiphyses and bones formed the way they are in people of advanced
age, it will impede nothing to count them as follows.
2
The bones of the skull
are twenty: eight of the head
[calvaria] and twelve of the upper
maxilla;
3
this does not count the jugal bones individually,
4
since they are only parts or areas of certain of the twenty
bones and do not have their own boundary. The bones of the organ of hearing are
four, two at each ear.
5
There are thirty-two teeth
6
,
and a single bone of the lower maxilla. There are usually eleven bones of the
hyoid bone.
7
Twenty-four vertebrae;
8
six bones of the
sacrum; and four of the coccyx; twenty-four ribs. We have counted three bones
of the pectoral bone, though seven are counted by others. But let there be only
three in this count; elsewhere, the number can be as you decide and seems best
to you. Two scapulae; as many clavicles, and two humeri, two ulnae, two radii.
Sixteen carpal bones, eight in each hand; likewise eight metacarpals, four in
each hand; thirty finger bones, fifteen in each hand. There are at least twelve
sesamoid ossicles in each hand, and we may go ahead and count twenty-four. Two
bones
[ossa coxae] attached to the sides
of the sacrum, two femora,
9
two tibiae, two fibulae, two patellae, two calcanei,
two tali, two navicular bones, eight tarsal bones, four in each foot, ten
metatarsal bones, five in each foot, twenty-eight bones of the toes, fourteen
in each foot; twenty-four sesamoid ossicles, the same as in the hands, though
some are quite cartilaginous.
10
So if
you put these bones into a single number they are all together (if I am adding
correctly) three hundred and four.
11
If you want to add in four more pectoral bones
and you decide that there are two bones in the lower maxilla, there would be
three hundred and seven.
12
But if it is your wish to count all the epiphyses as
separate items (since in children they are bones defined by their own border),
you would easily add half again the number just given, as you will calculate if
you recall to mind the vertebrae,
13
femora, tibiae, and other bones which have
several epiphyses.
14
Again, if you reckon up the bones as they are seen in
children, good Gods! what a heap of bones will you pile up? — since all the
vertebrae consist of two or three bones, and the bones that are attached to the
sacrum, three, and others of the kind, so it is possible for anyone to make up
the number of bones according to his own judgement.
15
Appendix: 1555 Addition on the Number of Cartilages
There is still greater difficulty in determining the exact number of
cartilages, since the kinds encountered vary so much and they are not the same
at every age. But in order to consider whether they may be counted in any
manner, the ones that are altogether continuous with the bones should be
counted first, such as the cartilage of either ear
[auricula], growing out of the
temporal bone; two of the nose,
16
arising from the two bones of the nose; the one
[cartilago septi nasi et c.
vomeronasalis] originating from the nasal septum also belongs to the nose;
twenty-four cartilages of the ribs
[cartilagines costales]; those into
which the spines of all the vertebrae and many of their transverse processes
end; the one where the pectoral bone comes to a point
[proc. xiphoideus]; the cartilage at
the base of each scapula; the one belonging to the point of the coccyx; the
small cartilages that belong to the last bones of the fingers and toes. Then
come all the smooth, slippery cartilages
[cart. articularis] with which bones
are coated at the fabric of the joints and which like the surfaces of the
joints are quite numerous, far exceeding the number of the three hundred and
five bones. There are also those
[cart. epiphysialis] seen in the
connection of the epiphyses with the bones to which they belong; these too
exceed the number of bones just mentioned, not counting cartilages that
separately join parts of certain bones in children. Added to these are
cartilages involved in the structure of the bones of the sacrum
17
and the one
[symphysis pubica] which knits the
pubic bones together. Likewise those that partake in the nature of ligaments
and are also continuous with the bones, such as those by which the ossicles of
the hyoid bone are joined, those that come between the vertebral bodies
[discus intervertebralis], those
that are between the three bones of the sternum, the ones that occur between
the sacrum and the bones attached to it, and those joining the ossicles of the
coccyx. Of those that are not continuous with bones, two are placed by each
eye, one of them in the upper
[tarsus superior] and the other in
the lower
[tarsus inferior] eyelid; two in the
wings of the nose;
18
three principal cartilages in the larynx, the first of which
[c. thyroidea] is often found to be
double and the third
[c. arytenoidea] is always double;
// p. 190 // the operculum
[epiglottis] of the larynx; the
C-shaped cartilages
[cc. tracheales] which are countless
in the trunk of the rough artery and its branches distributed into the lung;
the cartilaginous substance of the base of the heart.
19
Finally, there are those which are free in the joints and are not at
all continuous with bones, such as the two that often occur in the two lower
attachments of the first vertebra to the second, and sometimes the one in the
joint
[art. humeri] of the humerus to the
scapula on each side, but always in the joints
[art. temporomandibularis] of the
lower maxilla to the temporal bones, two of them;
20
in the joint
[art. sternoclavicularis] of the
clavicles with the pectoral bone, and then with the superior processes of the
scapulae, four; two in each knee.
21
The more or less free cartilage
[art. radio-ulnaris distalis, discus
articularis] observed between
the ulna and the carpus is continuous with the radius. Therefore, because the
system of cartilages is so complicated, it is not easy for me to define their
number to everybody’s satisfaction. It will, accordingly, be timely now to add
the method by which bones and cartilages are prepared for instruction or are
learned through dissection: viz., through the method by which after description
of the parts I shall (as I judge can best be done at each point) always add the
technique of dissecting them.
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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] |
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