The Compartmental and Fibrillar Polyhedral Architecture of Fascia: An Assessment of Connective Tissue Anatomy Without Its Abstract Classifications

The process of dissection is essential to the study of anatomy, with the variety of colours, shapes, patterns and textures revealing the distinctive features of each anatomical system, but it can also be misleading, because while the body's constituent 'parts' have traditionally been classified according to their appearance, assumed functions and perceived importance, this basic information can be interpreted in different ways. Living organisms are intrinsically indeterminate, which implies that the conclusions arrived at through the <i>study of anatomy</i> are not necessarily congruent with the <i>anatomical reality</i>, and the abstract classifications of the connective tissues (CTs) are a case in point. This paper highlights a seventeenth-century interpretation of CT anatomy that was pushed aside as the musculoskeletal duality assumed functional dominance and relegated the fascial tissues to mere ancillary roles. In other words, an architectural framework of tensioned fibrous tissues that encompasses a complex body-wide heterarchy of space-filling compartments under compression and reasserts the structural significance of the soft CTs. The problems with orthodox classifications are then discussed alongside a mechano-structural role for the 'loose' fibrillar network: a closed-chain kinematic system that guides changes in the relative positions of adjacent compartments and refutes the notion of fascial 'layers'.