Category: Fun Facts

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Fun Fact: Palmar Aponeurosis

 

Anatomy def: Fan-shaped sheet of dense fibrous tissue beneath skin of palm. Fibers flare from apex at wrist to bases of the four fingers. 

Outlander Def: Tough layer of Claire’s trembling palm as it cups two rings: Frank’s gold and Jamie’s silver.  My precious! Gah!

Learn about the palmar aponeurosis in Anatomy Lesson #23, Harming Hands – Helping Hands – Healing Hands.

Palmar aponeurosis, also known as palmar fascia, is anatomically complex consisting of a sheet of connective fibers that converge near the distal wrist crease and radiate to the bases of the fingers (see below figure). It attaches to muscles, ligaments, digital sheaths and a forearm tendon (palmaris longus).

Function of palmar aponeurosis is mechanical. It firmly attach­es to the palmar skin allowing it to:

  • cup
  • improve the grip
  • protect underlying tendons and muscles

Slow thickening and shortening of  the palmar aponeurosis is a condition known as Dupuytren’s Contracture. It is more common in folks with Northern European ancestry.

Try this: Bring flexed (bent) fingers and thumb towards each other to form a cup in palm of hand. Tense the hand and tap the palm with fingers of the opposite hand.  It should feel tense and tight. This is the palmar aponeurosis. Good job!

Read about Steven Bonnet’s attack on the Frasers in Herself’s fourth big book, Drums of Autumn. The palmar aponeurosis helps Claire cradle those precious rings in the palm of her hand:

I twisted my gold ring off, hands trembling both with fear and rage. The silver one was harder; it stuck on my knuckle as though reluctant to part from me. Both rings were damp and slippery with sweat, the metal warmer than my suddenly chilled fingers.

“Give ’em up.” The man poked me roughly in the shoulder, then turned up a broad, grubby palm for the rings. I reached toward him, reluctantly, rings cupped in my hand—and then, with an impulse I didn’t stop to examine, clapped my hand to my mouth instead.

See Claire’s  moment of decision in Outlander episode 401, America the Beautiful:  to swallow or not to swallow, that is the question? Swallow, lass!

The deeply grateful,

Outlander Anatomist

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Photo Credits: Sony/Starz; Cunningham’s Textbook of Anatomy, William Wood & Company, 1914.

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Fun Fact: External Rotation

Anatomy def: External rotation is the act of rotating outwardly.

Outlander Def: Both shoulders pulled backward, Geilles languidly gazes to the left.… “Do ye favor my splendid finger painting, wee laddie? Och! Noooo! She scares the bejesus out of Young Ian.

Learn about external rotation in Anatomy Lesson #19, To Arms, Too Arms, Two Arms! 

Moving shoulder joints towards the spine (as in standing at attention) with palms facing forward and thumbs pointing outward is external rotation. (Moving shoulder joints toward the chest with palms facing backward and thumbs pointing toward the thighs is internal rotation.)

Try this: Stand before a mirror with arms at the sides. To execute external rotation of the shoulder joint: Turn palms forward with thumbs pointing outward.

Geillis’ shoulder joints are externally rotated even with hands on her hips, but they will rotate even further with arms at her sides and palms forward.

Wee Fun Fact: Our shoulder joints are the most moveable joints of the human body.

Read about Geillis seduction of Ian in Voyager book, wherein Ian describes her foul behavior in detail. This excerpt is suitable for work – other parts are not. Read the books! <G>

““I didna want to answer her, but I couldna seem to help myself. I felt verra warm, like I was fevered, and I couldna seem to move easy. But I answered all her questions, and her just sitting there, pleasant as might be, watching me close wi’ those big green eyes.’

…“She laughed then, and looked at me careful, and said as how I might not be such a loss, after all. If I was no good for what she had in mind, perhaps I might have other uses.’ ”

See The Witch’s bad behavior in Starz ep 312, The Bakra. Tsk. Tsk. No verra dignified, Mrs. Abernathy!

The deeply grateful,

Outlander Anatomist

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Photo Credit: Sony/Starz

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Fun Fact: Carpal Bone

Anatomy def: Carpals are eight small bones forming the wrist.

Outlander def: Rocking aboard the Artemis, Claire checks her soaring temperature with the back of wrist. Oh, the lass is on fire! … psst … so is Jamie! He, he!

Learn about carpal bones in Anatomy Lesson #22 Jamie’s Hand – Symbol of Sacrifice. If time is short for a full lesson, consider watching my quickie hand lesson, courtesy of Outlander After the Show. This lesson streamed June 1, 2015, just after the airing of ep 116, Wentworth Prison. The  lesson begins at 16:42 in the following video. Thanks to hosts Keetin, Jen and Ryan for inviting me to discuss the hand’s splendid engineering!

Eight oddly-shaped carpal bones are arranged in two rows to form the wrist. The near row abuts forearm bones and the far row articulates with metacarpal bones. Carpal bones are named for their shapes:

  • scaphoid (boat)
  • lunate (crescent-shaped)
  • triquetrum (three-cornered)
  • pisiform (pea)
  • trapezium (table)
  • trapezoid (quadrilateral)
  • capitate (head-shaped)
  • hamate (hook-shaped)

Carpal bones are arranged in a shallow arch traversed by 9 tendons and a nerve. Small repetitive movements or fluid retention can create pressure on the nerve (median) as it passes through the arch causing tingling and numbness, symptoms associated with carpal tunnel syndrome.

Read about  carpal bones in Outlander book, wherein Claire amuses herself by likening streets and lanes of Cranesmuir to bones of forearm and hand. That Claire – always the doc.  That Diana – always the scientist. We love them!

In fact, I had amused myself on the ride to the smithy by imagining an aerial view of the village as a representation of a skeletal forearm and hand; the High Street was the radius, along which lay the shops and businesses and the residences of the more well-to-do. St. Margaret’s Lane was the ulna, a narrower street running parallel with the High, tenanted by smithy, tannery, and the less genteel artisans and businesses. The village square (which, like all village squares I had ever seen, was not square at all, but roughly oblong) formed the carpals and metacarpals of the hand, while the several lanes of cottages made up the phalangeal joints of the fingers.

See Claire’s wrist in action as she self-diagnoses in Starz Episode 311, Uncharted! Continue watching the episode to see what Jamie does to douse her fever. Wink, wink!

The deeply grateful,

Outlander Anatomist

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Photo credit: Sony/Starz