Abstract
Throughout the development of anatomy as a scientific study, authors have been challenged to give a singular comprehensive definition of what should be considered as a fascial tissue. Instead, the multiplicity of synthesis and analysis is the true richness of scientific research: individual points of view and background look at the fascia from their own perspective, sometimes influenced by their own cultural assumptions. No person or organization in science ever have the absolute truth, because scientific truth is always evolving, driven by new observations and analysis of data. Only by observing the fascia from multiple perspectives (doctor, surgeon, osteopath, physiotherapist, bioengineer and more) can we define more fully what fascial tissue is. It becomes the synergistic result of several scientific disciplines (anatomy, cardiology, angiology, orthopaedics, osteopathy, cytology, and more). The fascia is not the exclusive domain of a few people or individual private associations, but of all researchers who journey through the study of knowledge and arrive at an understanding, improving the clinical aspects for the good of the patient, without profit. This article reviews the embryological evolution of muscle and connective tissue to affirm how the fascial system should be ideally conceptualized: an absolute anatomic functional continuum.
Highlights
BackgroundResearch should always be free from lucrative financial intentions, just as researchers should not have the objective of earning money by limiting the knowledge and clinical application of information to the exclusion of other health professionals
The Federative Committee on Anatomical Terminology (FCAT) (1989), The Anatomical Terminology organization (1988), and the Federative International Programme on Anatomical Terminologies (FIPAT) (2011) consider the fascia as a tissue that wraps and separates: “a sheath, a sheet, or any other dissectible aggregations of connective tissue that forms beneath the skin to attach, enclose, and separates muscles and other internal organs [4].”
In the formed body, how do we decide where one tissue begins with respect to another when the same tissue has a dual embryological derivation? We need to broaden the vision of what is considered as a fascial tissue in light of the embryological information and its living derivative
Summary
Research should always be free from lucrative financial intentions, just as researchers should not have the objective of earning money by limiting the knowledge and clinical application of information to the exclusion of other health professionals. Since the connective tissue and the meninges have a dual origin (mesodermal and ectodermal), and if this scientific evidence is not taken into account, the current assumption and usage of different nomenclatures and classifications fail. In another embryological example, the mesenchyme from the ectodermal leaflet is indispensable for the correct formation of the large vessels, in conjunction with the mesoderm [17]. Other studies and future research will serve to better describe the function and with it, fascial classification (Figure 3, 4)
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