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1823CooperA

 

According to the author, the ligamentum capitis femoris (LCF) is intended to prevent dislocations in all directions. A. Cooper discusses traumatic obturator dislocation of the hip joint and LCF injury in more detail.


Cooper A. Abhandlung über Luxationen und Fracturen der Gelenke des Unterkiefers, der obern Extremitäten und der Knochen des Rumpfes. Aus dem Englischen. Weimar: Landes-Industrie-Comptoir, 1823. [fragments]

Quote p. 148

Das ligamentum teres hat die Bestimmung, Luras tionen nach allen Richtungen hin zu verhindern, besonders aber nach abwärts, denn wenn die Schenkel weit ausein andergespreizt werden, wie z. B. bei'm Fechten, so würde der Kopf des linken Oberschenkelknochens in Gefahr feyn, aus seiner Gelenkhöhle zu schlüpfen, was aber durch dieses Ligament verhindert wird.

The ligamentum teres is designed to prevent dislocations in all directions, especially downwards, because when the thighs are widely abducted, such as in fencing, the head of the left femur may be at risk of slipping out of its joint socket, but this is prevented by this ligament. 

Quote pp. 153-154

Man ist der irrigen Meinung gewesen, daß bei der Luration in das foramen ovale bas ligamentum teres werde, weil nach Zerschneidung des Kapselbandes am Leichname der Knochenkopf über den untern Rand Des acetabulum gedrängt werden kann, ohne das ligamentum teres zu zerreißen. Aber die Lupation in das foramen ovale ereignet sich, wenn die Schenkel weit auseinanderges fpreist werden, wobei das ligamentum teres in große Spannung fommt. Wird nun der Knochenkopf aus dem acetabulum getrieben so zerreißt das Ligament, ehe er noch gänzlich seine Gelenkhöhle verläßt.

It was erroneous to believe that there is no damage to the ligamentum teres during dislocation into the obturator foramen, because after cutting the capsular ligament on a cadaver, the bone head can be displaced beyond the lower edge of the acetabulum without tearing the ligamentum teres. However, dislocation into the obturator foramen occurs when the thighs are abducted, resulting in significant tension on the ligamentum teres. If, in this process, the bone head is forced out of the acetabulum, the ligament tears before it completely exits the joint socket.

Quote pp. 237-240

Taf. VIII

Fig. 1. Fraktur des Schenkelbeinhalses wo ber Hals in die zellige Strucktur hineingetrieben und dort ver wachsen ist.

Fig. 2. Gefäße des Schenkelhalses und der Kapsel.

Fig. 3. Durchschnitts Fläche des Schenkelknochens und der Kapsel Membran.

Fig. 4. Schenkelknochen eines foetus.

Fig. 5. Eine Luration des Oberschenkel Kopfes in die Incisura ischiadica Man sieht die äußere Oberfläche des os innominatum von der Seite.

Tab. VIII

Fig. 1. Fracture of the femoral neck, where the neck entered into the cancellous structure and grew there.

Fig. 2. Vessels of the femoral neck and capsule.

Fig. 3. Cross-section of the femur and capsule membrane.

Fig. 4. Femur of a fetus.

Fig. 5. Dislocation of the femoral head into the sciatic notch. The outer surface of the innominate bone is visible from the side.

 


 



External links

Cooper A. Abhandlung über Luxationen und Fracturen der Gelenke des Unterkiefers, der obern Extremitäten und der Knochen des Rumpfes. Aus dem Englischen. Weimar: Landes-Industrie-Comptoir, 1823. [books.google] 

Authors & Affiliations 

Astley Paston Cooper (1768-1841) was a British surgeon and anatomist, professor of comparative anatomy to the Royal College of Surgeons. [wikipedia.org] 

Sir Astley Paston Cooper, 1st Baronet (23 August 1768 – 12 February 1841)
 
Published in London: George Lawford, 1825;
original in the wikimedia.org collection (CC0 – Public Domain, no changes)
 

Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, dislocations, role, injury

                                                                    

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