Localization of LCF Pathology

Version: 20240418

Localization of LCF pathology is classified based on the anatomical-topographical principle. It is assumed that the LCF does not end near the attachment site but penetrates into it.

LOCALIZATION OF LCF PATHOLOGY

1. Middle part

2. Distal end

3. Proximal end

4. Distal attachment area

5. Proximal attachment area

6. Medial surface

7. Lateral surface

8. Anterior edge

9. Posterior edge

10. Transsynovial

11. Subsynovial

12. Total Lesion

The medial surface faces the bottom of the acetabulum. The lateral surface faces the femoral head. Transsynovial pathology implies changes including or only involving the synovial membrane. Subsynovial pathology is localized exclusively beneath the synovial membrane of LCF. Pathology can involve multiple parts of LCF, for example, damage to the distal end and proximal attachment area in a transacetabular fracture.

The distal part of LCF attaches directly to the bone of fovea capitis femoris. Along the periphery of the fovea capitis femoris, LCF attaches to the articular cartilage (approximately 3 mm away).

LOCALIZATION OF PATHOLOGY IN THE DISTAL ATTACHMENT AREA OF LCF

1. Bony Attachment Area

2. Cartilaginous Attachment Area

The proximal part of LCF attaches to several anatomical structures and their zones.

LOCALIZATION OF PATHOLOGY IN THE PROXIMAL ATTACHMENT AREA OF LCF

1. Bottom of the acetabular fossa

2. Anterior part of the semilunar surface

3. Posterior part of the semilunar surface

4. Bottom of the acetabular notch

5. Transverse acetabular ligament

6. Obturator membrane

7. Periosteum of the ischium

8. Periosteum of the pubic bone

9. Joint capsule

In the distal part, we identify three portions of the LCF stroma.

LOCALIZATION OF PATHOLOGY IN THE DISTAL PART OF LCF

1. Medial

2. Anterior

3. Posterior

In the middle part of the LCF, the above portions begin to be divided into several parts (subportions). Pathology may affect one or more portions.

LOCALIZATION OF PATHOLOGY IN THE PROXIMAL PART OF LCF

1. Portion of the bottom of the acetabulum fossa

2. Portion of the bottom of the acetabular notch

3. Anterior portion of the semilunar surface

4. Posterior portion of the semilunar surface

5. Portion of the transverse acetabular ligament

6. Portion of the obturator membrane

7. Portion of ischium

8. Portion of pubic bone

Keywords:

ligamentum capitis femoris, ligament of head of femur, round ligament, ligamentum teres, classification, pathology, localization

In translating to English, the author is assisted by ChatGPT (version 3.5) and the Google Translate service.

BLOG CONTENT

Set of Classifications

Comments

BLOG CONTENT

T he ligament of the head of femur or ligamentum capitis femoris (LCF) is the key to a graceful gait and understanding the causes of hip joint diseases. We present promising scientific knowledge necessary for preserving health, to create new implants and techniques of treating degenerative pathology and damage of the hip joint. Project objective : preserving a normal gait and quality of life, helping to study of hip joint biomechanics, developing effective treatments for its diseases and injuries. In translating to English, the author is assisted by ChatGPT (version 3.5) and the Google Translate service . We're sorry for any flaws in the syntax. The meaning makes up for the imperfections! TABLES OF CONTENTS Acetabular Canal (Anatomy, topography and significance of the functioning area of the ligamentum capitis femoris) Acetabular Canal. Part 1. This article describes the space where the ligam...

1827KühnCG

Fragment from the book Kühn CG. Clavdii Galeni Opera omnia (1827). Pseudo-Galen notes the connecting function of the ligamentum capitis femoris (LCF) and also specifies the proximal and distal attachment sites. See our commentary at the link: 1827KühnCG [Rus]. Quote [Grc] Εἰσαγωγὴ ἢ Ἰτρός . K εφ . ιβ . [ Περί όστεολογἰας .] μηρου δέ έν μεν οστούν . συμβάλλει δε επικεκαμμένη μετρίως τη κεφαλή αυτού εις βαθείαν κοτύλην του ισχίου και νεύρῳ απήρτηται εκφυομένω εκ μέσης της κοτύλης και εμφυομένω εις μέσην την κεφαλήν του μηρού . (original source: 1827KühnCG, pp. 723-724) [Lat Introductio, seu Medicus. Cap. XII. [De osteologia] Femoris os unum est, cujus caput leniter reflexum in coxae profundum sinum conjicitur. Quam commissuram nervus, qui e medio sinu prodit et in medium femoris caput inseritur, continet. (original source: 1827KühnCG, pp. 723-724) Translation [Eng] Introduction, or the Physician. Chapter 12. [On osteology] The hip has ...

1666VeslingJ

Fragments from the book Vesling J. Syntagma anatomicum (1666). The author describes the attachment, properties and role of the ligamentum capitis femoris (LCF). The text uses several synonyms: ligamentum teres, rotundo, tereti. Quote p. 269 [Lat] Superior appendix cum adjuncto processu, amplum, globosum que femoris caput constituit, valida cervice subnixum, quod intra cavitatem ossis Ischii, Ilium, & Pubis concursu productam, (Acetabulum alias, Pyxidemque nominant) reconditur. Detinetur in hoc sinu robustis LIGAMENTIS: lato uno, & membranoso, quod articulum totum circumdat, tum rotundo altero, & tereti, quod ab ipsa cavitate productum, statim in caput susceptum demittitur. Quote p. 276 [Lat] Fig. VII … b. Ligamentum teres, ex Acetabulo natum. Translation [Eng] Quote p. 269 . The superior appendage, together with the accessory process, forms the large, spherical head of the femur, supported by a strong neck, which is placed in a cavity formed by the ischium, ilium, and...

Online Journal «ABOUT ROUND LIGAMENT OF FEMUR», July 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 researc...

2003IvanovYV

Ivanov YV, panel, wood carving – Jacob Wrestling with the Angel (2003). Variant of 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 ( 2024 АрхиповСВ. Девятый месяц, одиннадцатый день ). Ivanov Yuri Vitalievich – Jacob Wrestling with the Angel (2003); im...

344-411Rufinus Aquileiensis

A fragment of the manuscript of the translation of Josephus Flavius' Antiquities of the Jews ( Ἰουδαϊκὴ ἀρχαιολογία / De antiquitate iudaica) into Latin by Rufinus Aquileiensis. The translator worked approximately between 344 and 411 in the Roman Empire. His work was rewritten between 1150 and 1199 in Northern France. In Josephus's translation of Antiquities of the Jews, ligamentum capitis femoris (LCF) is referred to as «neruum». The selected fragment deals with the LCF of an animal and discusses a biblical episode of its damage in a human. See our commentary at the link: 344-411Rufinus Aquileiensis [Rus]. T he original text: 93-94JosephusF . Quote [ Lat] De antiquitate iudaica. Liber primus (original source: 1150JosephusF, p. 22, fragment) Translation [Eng] Antiquities of the Jews. Book 1. 20.2 When Jacob had made these appointments all the day, and night came on, he moved on with his company; and, as they were gone over a certain river called Jabboc, Jacob was left behi...

The Solar System

The Solar System As a result of a mysterious catastrophic event about 13.8 billion years ago, the Universe was formed (2012HawkingS; 2020AghanimN_RoudierG). In it, giant cloud-like accumulations of plasma, molecules and dust became the points of star formation (2011MurrayN). A series of their generations, igniting, functioning and collapsing, led to the appearance of various chemical elements through staged reactions of nuclear fusion (1998IshkhanovBS_TutynIA). The Sun was born for at least ten million years by compressing a concentration of molecular gas and parts of the most ancient stars (2010HanslmeierA). As a result, 4.5682-4.567 billion years ago, the Solar System self-organized, at the dawn of its life consisting of a central luminary and a protoplanetary gas and dust disk (2013HazenRM). At least the oldest meteorite inclusions were fused 4.568-4.565 billion years ago, and at most three million years later, accretion of chondrite globules occurred (1995AllègreCJ_GöpelC). T...

1614PlatterF

Fragment from the book Platter F. Observationum (1614). The author notes the role of the ligamentum capitis femoris (LCF) in fixing the femur in the acetabulum and the possibility of its lengthening (synovitis) . Quote pp. 141-142 [Lat] Cruris dextri astrictio & contractio, post coxendicum dolorem. Cùm enim ligamentum illud articulum circumd ás, omnium totius corporis ligamentorum, quae articulos ambiunt, sit amplissimum; fieri potest, ut adeò cedat, ut (sicuti saepe sit) femoris caput, è suo sinu devoluatur, & in membranae illius (quae cùm erassissima sit, prae omnibus totius corporis ligamentis, nunquam vi qualicunque disrumpi potest) amplitudine seu capacitate subsistat, elongato simul & vehementer attracto, tereti illo & crasso, quod caput aliàs in suo sinu retinere solet, ligamento. Quod & ob tensionem illam nimiam, astrictum & induratum, chordae alicuius crasssissimae & firmisimae instar, quae nunquam disrumpi, nunquam ab acetabulo, cuius cartilag...

150-250Targum Jonathan

Fragments from the Targum Jonathan on Genesis. Tractate was written between about 150 - 250 in lend of Israel. The text is a combination of a translation and commentary on the book of Bereshit. The unknown compiler mentions ligamentum capitis femoris (LCF) in an animal and an episode of its damage in a human. See our commentary at the link: 150-250Targum Jonathan [Rus]. Quote 1. [Heb] Genesis. 32:33 (original source: sefaria.org ) Quote 2. [Heb] Genesis. 43:16 (original source: sefaria.org ) Translation Quote 1. [Eng] Genesis. 32:33 Therefore, the sons of Israel eat not the sinew which shrank, which is in the hollow of the thigh of cattle and of wild animals, until this day; because the Angel touched and laid hold of the hollow of the right thigh of Jakob, in the place of the sinew which shrank. (Transl. by J.W. Etheridge (186 2 ) ; original source: targum.info ) Quote 2. [Eng] Genesis. 43:16 And Joseph saw Benjamin with them: and he said to Menasheh whom he had mad...

Pathology of LCF Attachment Areas

Version : 20240419 PATHOLOGY OF LCF ATTACHMENT AREAS 1. Distal attachment area 2. Proximal attachment area 3. Both attachment areas Types of Pathology of LCF Attachment Area 1. Spontaneous 2. Iatrogenic Variants of Pathology of LCF Attachment Area 1. Displacement of the attachment area (dislocation) 2. Partial damage to the attachment area 3. Destruction of the attachment area Pathology of the Distal Attachment Area of LCF 1. Caudal displacement (coxa vara, juvenile epiphysiolysis) 2. Cranial displacement (coxa valga, adductor contracture) 3. Forward displacement (anteversion) 4. Backward displacement (retroversion) 5. Flexion displacement (flexion contracture) 6. Extension displacement (extension contracture) 7. Medial displacement (protrusion, fracture of the acetabulum) 8. Lateral displacement (external subluxation) Pathology of the Proximal Attachment Area of LCF 1. Caudal displacement (vertical ace...

Search This Blog