General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)

by Xavier Bichat

I have shown, in speaking of that system, how the cellular and vascular parenchyma, existing at first alone and constituting the mucous state, is penetrated afterwards with this base, which forms the cartilage. The primitive mode of the formation of these organs is then already known. Let us see how its development continues.

I. State of the Cartilaginous System in the first age.

As ossification advances in the bones and gelatine is consequently carried to them in less quantity, it seems that it goes more abundantly to the articular surfaces; for the cartilages that are met with, then lose their primitive softness, and have a consistence that is constantly increasing. Yet much more gelatine leaves the bones, than is carried to the cartilages; so that we may say that this substance is continually diminishing, in the organs, in proportion as we advance in age. We know that it is the parts of young animals particularly, that are selected to make glue, jelly, &c. The articular cartilages at this period exhibit a phenomenon that I have frequently noticed in my experiments; when we macerate them in water for two or three days, they take a very evident red colour. This colour does not penetrate deeply; but if we cut the cartilage in many places so as to bring the fluid in contact with its interior, the whole of it becomes red. The cartilages of ossification exhibit the same phenomenon, which becomes less conspicuous as we advance in age; so that in adults generally, the cartilages do not lose their white colour by maceration. In some however they take a reddish tinge which is infinitely less bright than in the fœtus. Whence arises this phenomenon? Does the water give to the cartilage the cause of its colour, or does it take from it by solution certain substances which prevented this colour from being developed? Whatever may be the cause, none of the organs of articulation redden in this way; all on the contrary, the synovial, the ligaments, &c. become whiter.

There is usually no sensible demarcation between the cartilage that is to become bone, and that which is to remain as it is; sometimes however on the one hand we observe it a more dull colour at the extremity of the bones, whilst on the other, we never discover the reddish streaks, which are so frequently seen irregularly scattered on the cartilages of ossification.

As long as ossification continues, there is between the cartilage and the osseous portion already formed, a very evident vascular layer, and it is extremely easy to separate these two portions, which adhere but slightly to each other. We observe also on the surface of each when they are separated, several inequalities, projections and depressions reciprocally adapted to each other. It is the want of adhesion of the cartilaginous and osseous portions, before complete ossification, which has no doubt given rise to all that has been written upon the separation of the epiphyses, a separation which the observations of modern surgeons have rarely confirmed.

As the calcareous substance arrives at the extremities of the bone, the vessels gradually disappear, and the adhesions increase. Finally, the ossification being finished, there is no longer, on the one hand, an evident vascular net-work between the cartilage and the bone; and on the other, their union is such, that all rupture between them is almost impossible. These two characters especially distinguish the relation of the cartilage of ossification with the bone, from that of the real cartilage with the same bone. I have observed also that almost always above its union with the osseous portion, the cartilage of ossification has less whiteness, a deeper tinge, which extends the distance of two or three lines, and whose difference is often very considerable; this is the forerunner of the access of the blood. This arrangement does not exist in the cartilage of the bones of the adult.

We attribute commonly to the articular motions, the want of ossification of the cartilages of the moveable articulations; but I believe that it depends wholly upon the laws of osseous nutrition. Nature limits there the exhalation of the phosphate of lime, as it limits at the origin of a tendon the exhalation of the fibrin of the muscle which corresponds to it; it is because the mode of organic sensibility changes and the vessels of the cartilages are no longer in relation with the red part of the blood nor with the calcareous substance. In fact, by supposing the preceding hypothesis true, why do the cartilages of the immoveable articulations exist? Why should the motion which elsewhere favours exhalations and secretions, prevent here the first of these? Why do preternatural ossifications take place in the most moveable parts, of which the arteries furnish us an example? Why, in many anchyloses in which the articular surfaces unite, and in which the motion is destroyed, do not the cartilages disappear?

The cartilages of the cavities have a mode of origin, development and nutrition, perfectly analogous to that of the articular cartilages. I would observe that their texture differs, as well as the texture of these, from that of the cartilages of ossification, in this, that these last are crossed by many grey lines, and the others are not. When we cut the cartilages of ossification in any direction whatever, their divided surfaces exhibit numerous small points which are the cut extremities of these lines, which appear to be vessels, that, without yet circulating blood, contain a fluid of a deeper colour than that of the cartilaginous texture.

II. State of the Cartilaginous System in the after ages.

As we advance in age, the cartilages become harder, stronger, and less elastic. The gelatine that nourishes them has a peculiar character; for we know that the glue made from young animals differs essentially from that made from old ones. The cooks know very well the difference there is between the foot of a calf and that of an ox for jelly. This difference in the substance which essentially composes the cartilages, and which is undoubtedly their nutritive matter, evidently indicates that it does not always remain in these organs, but that it is constantly exhaled and absorbed there, as the phosphate of lime is in the bones, the fibrin in the muscles, &c.