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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1350Visoki_Dečani

Visoki Dečani Monastery (Serbia) , fresco, Jacob Wrestling with the Angel (ca. 1350). 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 was 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 ( 2024АрхиповСВ. Девятый месяц, одиннадцатый день ). Visoki Dečani Monastery (Serbia) – Jacob Wrestling with the Angel (ca. ...

1976CrelinES

Content [i] Annotation [ii] Original text [iii] Illustrations [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Article : Crelin ES. An experimental study of hip stability in human newborn cadavers (1976). The author described an experimental study of the role of ligamentum capitis femoris (LCF) in stabilizing the hip joint and its significance for the occurrence of congenital hip dislocation. The text in Russian is available at the following link: 1976CrelinES . [ii] Original text (in German) An Experimental Study of Hip Stability in Human Newborn Cadavers E. S. Crelin Sections of Gross Anatomy and Orthopaedic Surgery, Yale University School of Medicine, New Haven, Connecticut 06510 Received August 21, 1975 The less frequent variety of hip dislocation occurs before birth and may be associated with neuromuscular disorders such as arthrogr...

Great Compilation. Chapter 45

English version of the article: Архипов СВ. Книга Берешит как великая компиляция текстов и смыслов Второго переходного периода Египта: пилотная культурологическая, медицинская, археологическая и текстологическая экспертиза преданий против традиционной атрибуции. Введение. О круглой связке бедра . 14.02.2026 . The text in Russian is available at the following link: 2026АрхиповСВ . The Book of Genesis as a Great Compilation of Texts and Meanings from the Second Intermediate Period of Egypt: A Pilot Culturological, Medical, Archaeological, and Textological Examination of the Legends versus Traditional Attribution. Chapter 45 By Sergey V. Arkhipov, MD, PhD CONTENT [i] Abstract [ii] Book of Genesis. Chapter 45 Analysis [iii] Notes to Chapter 45 [iv] AI Agent's Conclusion [v] Content [vi] External links [vii] Application [i] Abstract The Book of Genesis (Bereshith) was compo...

Human Children. Retelling of Chapter 8

Short retelling of chapter 1 of the essay: Arkhipov S.V. Human Children: The Origins of Biblical Legends from a Physician's Perspective. Joensuu: Author's Edition, 2025. [In Russian] Chapter 8. THE LAND OF NOD Cain’s family settled in the land of "Nod," where they established a "city." We propose this tribal group followed a route later known as the Great Khorasan Road, leading Cain, son of Adam, to the Kermanshah Valley in the central Zagros Mountains. There, we believe he founded the settlement of "Enoch," its remnants linked to the archaeological site of Sheikh-e Abad (34°36'42"N, 47°16'11"E). In this village, the newcomers mastered musical instruments, developed metalworking techniques, and some adopted nomadic herding, living in "tents with flocks." As a farmer, Cain likely preserved knowledge of agriculture. Favorable conditions, division of labor, and acquired skills probably fueled population growth among thes...

Tweet of Jun 1, 2024

Jun 1 Twenty years ago, the first mechanical model of the hip joint was made for experimental research. At first, it contained analogues of the acetabular labrum and external ligaments: https://kruglayasvyazka.blogspot.com/2024/05/blog-post_66.html , https://kruglayasvyazka.blogspot.com/2024/05/blog-post_31.html , https://kruglayasvyazka.blogspot.com/2024/05/blog-post_48.html #hip #biomechanics BLOG CONTENT TWITTER OR X

Online Journal «ABOUT ROUND LIGAMENT OF FEMUR», January 2026

The journal is dedicated to the ligamentum capitis femoris (LCF) and related topics About the Journal »»» . The online journal « About Round Ligament of Femur » was created based on the scientific blog of the same name. The resource is the English-language part of the project: ONLINE JOURNAL: Ligamentum capitis femoris . Updates: As new materials are prepared. Mission : Popularization and preservation of knowledge about LCF, as well as promoting its practical application. Main goal: Improvement of diagnosis, treatment, and prevention of injuries and diseases of the hip joint. Publisher: Arkhipov S.V., independent researc...

Online Journal «ABOUT ROUND LIGAMENT OF FEMUR», April 2025

The journal is dedicated to the ligamentum capitis femoris (LCF) and related topics. About the Journal »»» . The online journal « About Round Ligament of Femur » was created based on the scientific blog of the same name. The resource is the English-language part of the project: ONLINE JOURNAL: Ligamentum capitis femoris . Updates: As new materials are prepared. Mission : Popularization and preservation of knowledge about LCF, as well as promoting its practical application. Main goal: Improvement of diagnosis, treatment, and prevention of injuries and diseases of the hip joint. Publisher: Arkhipov S.V., independent researcher, P...

Great Compilation. Chapter 40

English version of the article: Архипов СВ. Книга Берешит как великая компиляция текстов и смыслов Второго переходного периода Египта: пилотная культурологическая, медицинская, археологическая и текстологическая экспертиза преданий против традиционной атрибуции. Введение. О круглой связке бедра . 14.02.2026 . The text in Russian is available at the following link: 2026АрхиповСВ . The Book of Genesis as a Great Compilation of Texts and Meanings from the Second Intermediate Period of Egypt: A Pilot Culturological, Medical, Archaeological, and Textological Examination of the Legends versus Traditional Attribution. Chapter 41 By Sergey V. Arkhipov, MD, PhD CONTENT [i] Abstract [ii] Book of Genesis. Chapter 41 Analysis [iii] Notes to Chapter 41 [iv] AI Agent's Conclusion [v] Content [vi] External links [vii] Application [i] Abstract The Book of Genesis (Bereshith) was compo...

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English version of the article: Архипов СВ. Книга Берешит как великая компиляция текстов и смыслов Второго переходного периода Египта: пилотная культурологическая, медицинская, археологическая и текстологическая экспертиза преданий против традиционной атрибуции. Введение. О круглой связке бедра . 14.02.2026 . The text in Russian is available at the following link: 2026АрхиповСВ . The Book of Genesis as a Great Compilation of Texts and Meanings from the Second Intermediate Period of Egypt: A Pilot Culturological, Medical, Archaeological, and Textological Examination of the Legends versus Traditional Attribution. Chapter 49 By Sergey V. Arkhipov, MD, PhD CONTENT [i] Abstract [ii] Book of Genesis. Chapter 49 Analysis [iii] Notes to Chapter 49 [iv] AI Agent's Conclusion [v] Content [vi] External links [vii] Application [i] Abstract The Book of Genesis (Bereshith) was compo...

Tweet of Jun 2, 2024

Jun 2 , 2024 One of the first mechanical models of the hip joint with a ligamentum teres analogue: experimental study of motion (approximately twenty years ago), see: https://kruglayasvyazka.blogspot.com/2024/06/1.html , https://kruglayasvyazka.blogspot.com/2024/06/blog-post.html #ligamentum_teres #ligamentum_capitis_femoris #hip BLOG CONTENT TWITTER OR X

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