The First Conservative Treatment

Conservative treatment of ligamentum capitis femoris (LCF) pathology is, without exaggeration, a highly complex subject. We understand how to repair LCF surgically, although we have not yet achieved significant success in this (2024). Methods of drug therapy for changes in LCF are not even discussed today.

The first attempt at treating post-traumatic changes in LCF with recurrent hip dislocations was made by Galen of Pergamon (129-210/217 AD) over 19 centuries ago. In Hippocratis de articulis liber et Galeni in eum commentarius quatus (IV, 40), he wrote: «And when mucus builds up in the joint, then the ligament [LCF] softens and weakens as a result. And it does not matter whether you call it a ligament (σύνδεσμον) or a connecting sinew (νεῦρον συνδετικόν). For those ligaments that have a rounded shape like tendons are usually called connecting sinews by anatomists. And we have already cured this kind of hip dislocation twice, and it did not dislocate again. Drying medications should be applied over the joint for a long time until the connective sinew is dry enough to stop stretching together with the femur extending beyond the edge of the acetabulum and keep it in its natural position» (1829KühnCG; 2020ArkhipovSV_ProlyginaIV).

According to the author, the method turned out to be successful. At the same time, a positive effect could probably be achieved only through prolonged immobilization without medicinal applications.

Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, conservative treatment, Galen, hip joint, dislocation

REFERENCES

Kühn CG. Clavdii Galeni Opera omnia. Editionem cvravit D. Carolvs Gottlob Kühn, professor physiologiae et pathologiae in literarvm vniversitate Lipsiensi pvblicvs ordinarivs etc. Tom. XVIII. Pars I. Lipsiae: prostat in officina libraria Car. Cnoblochii, 1829. [archive.org]

Arkhipov SV, Prolygina IV. Ancient Textual Sources on Ligamentum Teres: Context and Transmission. MLTJ. 2020;10(3):536-546. [mltj.online, mltj.online(PDF), researchgate.net]

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CONSERVATIVE TREATMENT

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New publications of our resource in 2026 January 04, 2026 2008 BacheCE _TorodeIP The article describes a method for transposition of the proximal attachment of the LCF in congenital hip dislocation . January 03, 2026 2025SarassaC_HerreraAM The article describes a technique for fixing the femoral head using the LCF in congenital hip dislocation. 2025EnglertG_KlingeleK The article describes the LCF reconstruction through the femoral tunnel for hip dysplasia. 2023AbibeRB_SaundersWB The article describes experimental reconstruction of LCF in rabbits. January 02, 2026 Q uotes This section has b een created. January 01, 2026 LCF in 2025 (December) Q uotes from articles and b ooks published in December 2025 mentioning the LCF. 1946SpychalskiJ Painting, Drawing depicting the circumstances and mechanism of the LCF injury. 1975BorsosM Painting, Drawing depicting the circumstances and mechanism of the LCF injury...

13c.Soligalich

Soligalich , icon, Jacob wrestling with the angel ( 13 cent. ). Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description in the Book of Genesis: 25 And Ja cob wa s left alone; and there wrestled a man with him until the breaking of the day. 26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank. ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work: Ninth month, eleventh day ( 2024 АрхиповСВ. Девятый месяц, одиннадцатый день ). Soligalich – Jacob Wrestling with the Angel ( 13 cent. ); original in the leonovval...

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