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1747PlatnerJZ

 

Fragments of the book by J.Z. Platner «Institutiones Chirurgiae rationalis...» (1747) with mention of ligamentum capitis femoris (LCF). The author describes the LCF as a durable structure that can be damaged by traumatic hip dislocations and also become pathologically altered: weakened, elongated, and disappear. The text is prepared for machine translation using a service built into the blog from Google or your web browser. In some cases, we have added links to quotations about LCF available on our resource, as well as to publications posted on the Internet. 

Quote pp. 432-433

§. 1192.

Femur parte sua suprema habet magnum teretemque processum, qui oblique ad os coxæ procedit, quem cervicem appellant. Hæc cervix, intus rara & cavernosa, desinit in magnum & rotundissimum caput, cartilagine etiam mollitum, quod in sinum rotundum coxæ conjicitur. Sinus Anatomicis κοτύλη, vel acetabulum, vocatur, qui in junioribus ex tribus ossibus, quæ media cartilagine inter se committuntur, constat, ex ilio, ischio, & osse pectinis. Etiam is cartilaginosus est. Cartilago tamen in parte ejus infima & externa deficit, quo loco sita est major glandula, ex qua axungia in articulum fertur, & ubi etiam huic sinui inseritur illud validum ligamentum, quod ex medio femoris capite educitur a. Sinus ille in summa parte profundior, in inferior minus desidens habet oram superius valde extan tem, e latere autem, & foramen ovale versum, excisam, qua re efficitur, ut femur melius interiora versum & ad coxam adduci possit. Super hanc oræ incisuram transversum ligamentum est, quod infra haud inhærescit sed lato cavo pervium est. Sub hoc arteria venaque ex cruralibus eductæ in acetabulum ad ligamentum illud internum camque glandulam feruntur. Per illud etiam cavum effertur glandula illa major, in propinquo sita, si hæc a capite femoris premitur, id quod incidit si femur exteriora versum movetur, & ab altero abducitur b. Ora illius sinus, vel acetabuli, cartilaginosa est, cum qua committitur ligamentum in toto corpore validissimum, quod, manticulæ in modum, articulum comprehendit. Ubi vero in ora incisuram & ligamentum transversum esse dixi ibi & manticula & ora cartilaginosa, illi ligamento transverso inhærescit, ita, ut hoc infra, prout dixi, pervium sit. Aliud ligamentum valens & durum, quod vulgo teres vocant, fere ex medio femoris capite eductum sinui inseritur, quo etiam articulus multum adstringitur. Validissimis etiam musculis hunc articulum contineri, nemo ignorat.

a V. CHESELDENS Osteographia Tab. XVIII. Fig. I. D. & Tab. XXXIX. Fig. 2. 3.

B Est observatio Cl. PETITI in C. A. R. Sc. MDCCXXII. p. 164.

 

Quote pp. 434-435

§ 1194.

Quamvis vero hoc rarius evenire existimem, observationibus tamen compertum est, nonnumquam femoris rotundum caput ex profundiori coxæ sinu semel & omnino casu quodam atque vi fuisse expulsum. A vero autem propius videtur, hoc fieri disrupto illo interiori valido ligamento, quare ob id, & cum etiam illud, quod articulum comprehendit, seu manticula, mulrum infirmari sub his casibus soleat, os, quod sic vi emotum fuit, quamvis reponatur, non continetur, sed mox iterum erumpit.

a Vid. Acta Med. Berolinensia Vol. X. p. 107. Ubi legitur, homini adulto femur vi distractum ac emotum, post feliciter repositum, fuisse, ita, ut homo perfecte, & sine claudicatione, fuerit sanatus. Hic Lipsiæ ante aliquot annos accidit, ut homo operarius ex contignatione rueret Chirurgus vocatus femur emotum esse ex omnibus collatis indiciis deprehendit, quod is etiam restituit. Homo vero cum brevi post ex gravi capitis vulnere objisset, ejus corpus ab Illustri WALTHERO, Ordinis nostri Decano, mihi summa semper observantia colendo, incisum est, qui invenit, os ex sinu suo in anteriorem inferioremque partem & os pubis versum promotum, a Chirurgo vero iterum conditum. Vidit enim ossis, quod exciderat, sedem in vexatis inflammatifsue, musculis. Illud vero sine negotio ex acetabulo expelli potuit, cum disruptum esset, tum internum ligamentum, tum alterius, quod articulum comprehendit, sive manticulæ, pars anterior, per cujus plagam caput femoris proruperat. Igitur fere crediderim, vix hunc articulum in adultis vi casuve & omnino posse promoveri, nisi ligamento interno difsupto. In vetulæ utroque femore defuisse hoc medium ligamentum, prodidit SALTZMANNUS in Decade Observationum illustrium anatomicarum Arg. MDCCXXV. Obs. VI. p. 10.

§. 1195.

At crebrius femur excidere solet, si id ab humore, qui in acetabulum confluxit, promovetur, quo illa ligamenta, vel laxantur, vel distenduntur, vel vorantur. Varia hujus rei occasio causaque est. Nonnumquam febris, variolarum, morbillorumque, nec non scabiei, aliarumque valetudinum, mala materia in articulum conversa & μετάςατις facta fuit (1104.) Sæpius autem, ictu, casuve, femoris coxæque ossa colliduntur, & illa articuli ligamenta, atque etiam glandula, (1192.) vehemenrius comprimuntur lædunturque. Nam, hoc si incidit, multus humor in articulum confluit, (1105.) vel etiam in illis partibus inflammatio, & tandem suppuratio, concitatur. Hic autem humor, qui in articulum confluxit, diu paulatimque increscit, & tandem os sub vehementioribus, & increscentibus doloribus ex sede sua propellit. Etiam pueris hoc evenire solet, dum labant, atque ab alto ex gerularum brachiis cadunt. Dum enim hæ pedem manu invadunt articulumque violenter adducunt ligamenta etiam violant atque infirmant Si internum ligamentum rumpitur, in sinum coxæ effluit sanguis, aliusque humor. Si vero ligamenta valde adducta fuerunt & laxata, sub ipso motu & ingressu illa paulatim magis infirmantur, donec tandem os ex sinu fuo prorumpat.

a Hoc vitium jam cognovit HIPPOCRATES Sect. VI. Aphor. LIX. Οκὸσοισιν ἰχιδος ἐνοχλημένοισι χρονίας εξίςαται τὸ ἰοίον, καὶ πάλιν ἐμπίπτει, τετέοισι μύξαι επιγίνονται. Εt Aphor. XL. Οκέσοισιν ὑπὸ ἰσχιάδος ἐνοχλημένοισι χρονίης τὸ ἰσχέου ἐξίσαται, τοτέοισι τήκεται τὸ σκέλος, καὶ χωλῶνται, ἂν μὴ καυθῶσιν. Confer GALENUM in Comment. in hos Aphorifmos T. IX. p. 289. Multa etiam habet FALLOPIUS de Luxationibus Cap. XIII. T. II. Operum p. 85. cons. del PAPA Consulti Medici cons. 50. p. 244. & PETIT in Comm. A. R. Sc. MDCCXXII. p. 159. &, quæ contra hunc scripserunt ANDRY & HUNAULD, quibus is etiam respondit.

External links

Platner JZ. IO. Zachariae Platneri doctories et professoris med. Lips. Institutiones Chirurgiae rationalis tum medicae tum manualis in usus discentium...: accedunt in hac Veneta editione dissertationes duae eiusdem auctoris, olim iam editae, scilicet De chirurgia artis medicae parente, et De fistula lacrymali. Venetis: Jo. Baptistae Albritii Hieronymi filii, [1747]. [books.google , archive.org]

Authors & Affiliations

Johann Zacharias Platner (1694-1747), was a German physician, professor of physiology, professor of anatomy and surgery, professor of pathology, professor of internal medicine at the University of Leipzig. [wikipedia.org] 

Johannes Zacharias Platner (1749) 
Engraver: Martin Bernigeroth, image from
 Platner JZ. Opusculorum. Tomus 1. Dissertationes.
 Lipsiae: prostat in Officina Weidmanniana, 1749. [archive.org , books.google]
 (CC0 – Public Domain, part of the work)

Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, anatomy, vascularization, elongation, dislocation, damage

                                                                    

NB! Fair practice / use: copied for the purposes of criticism, review, comment, research and private study in accordance with Copyright Laws of the US: 17 U.S.C. §107; Copyright Law of the EU: Dir. 2001/29/EC, art.5/3a,d; Copyright Law of the RU: ГК РФ ст.1274/1.1-2,7

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