1853KnoxR

We publish selected quotations about ligamentum capitis femoris (LCF) from Knox R. Manual of Human Anatomy (1853). The author points out that LCF is a thick and dense bundle of fibers. It is attached to the edges of the acetabular notch and intertwined with the fibers of the fibrocartilaginous ring of the acetabulum. Robert Knox writes: «The functions of the round ligament have not been satisfactorily determined.»

Quote p. 142

Fig. 104. - This instructive section of the hip-joint requires little or no explanation. - d points to the superior part of the capsular ligament.

Fig. 105. - Capsular ligament of the hip-joint; also Poupart's ligament. - a, the capsular ligament; b, the oblique, or accessory ligament of the joint; d, attachment of the external pillar of Poupart's ligament to the tubercle of the pubis; e, deep structures immediately behind that portion of Poupart's ligament, called the ligament of Gimbernat; c, ligamentum obturatorium.

Quote pp. 143-144

The fibro-cartilaginous ring or border surrounding the cotyloid cavity, and strongly attached to its border, has been called the cotyloid ligament. By means of this fibro-cartilaginous ring the cavity is deepened and strengthened; by inclining inwards at its free margin it seems also to embrace somewhat the head of the femur, rendering the joint air-tight. The free edge of the cotyloid ligament is thinner than the fixed edge or base; the free edge is covered on both sides by the synovial membrane, and thus the outer surface of the fibrocartilage is in contact with the synovial membrane, covering the fibrous capsule, whilst its inner side lies on the surface of the head of the femur. At the cotyloid notch the fibres of the cotyloid ligament pass across from one side to the other, crossing each other so as to make the ring complete. This portion has been called the transverse ligament. Beneath it, as below an arch, pass the vessels which proceed by the round ligament to reach the head of the bone.

The interarticular ligament (Ligamentum teres) is a thick and dense fasciculus of fibres, implanted, by its rounded extremity, in the fovea or pit seen on the head of the femur. At the other extremity, by which it is attached to the margins of the cotyloid notch, intermingling with the fibres of the cotyloid ligament, the so-called round ligament is broad, flat, and bifid, or, at least, triangular.

A tubular process of the synovial membrane invests this ligament throughout its length; the mechanism of this can be explained only by the anatomy of the embryo. The ligament varies in strength and thickness, and is said even occasionally to be wanting; such an occurrence, although possibly it may have been congenital, was more probably pathological.*

*I have observed it once absent in a middle aged man. There was also atrophy of the cartilages of incrustation.

The synovial membrane invests the interior of the capsular ligament, and the exterior of the round ligament. It covers, no doubt, the cartilages of incrustation, the cotyloid ligament, and the neck of the femur. On the neck of the femur it is separated from the bone by a fibrous structure only, serving the purpose of a periosteum. Like other synovial membranes, it is smooth and lubricated on its inner surface by the synovia. The student should trace it over all its surfaces, observing carefully its various points of reflexion. This can only be done after the joint has been laid open. For a thorough examination and demonstration of this joint, as of most, several dissections and preparations are required.

In the fovea of the cotyloid cavity, and near the root of the round ligament, is a large packet of fat; fringes also of the synovial membrane exist here. The nature of these has been already alluded to.

The capsular ligament is traversed by a number of blood-vessels, and nerves have been traced to it. The functions of the round ligament have not been satisfactorily determined. It is absent in the strongest of all animals-the elephant.

Quote p. 388

Obturator artery. … At its exit from the pelvis, on the upper edge of the obturator muscle, the artery sends a branch to each obturator muscle; some twigs from this reach the capsular ligament of the hip-joint. A small but remarkable branch penetrates into the cotyloid cavity by the notch, and thus reaches the round ligament and the head of the femur. An anterior branch of the obturator artery descends between the long and short adductors, giving twigs to these muscles and to the adductor magnus, pectineus, gracilis, and obturator externus. It anastomoses with the internal circumflex.

External links

Knox R. Manual of Human Anatomy: Descriptive, Practical, and General. London: H. Renshaw, 1853. [books.google]

Authors & Affiliations

Robert Knox (1791-1862) was a Scottish anatomist and ethnologist. [wikipedia.org]

Dr. Robert Knox (1860s ?)
Unknown author; original in the wikimedia.org collection
(CC0 – Public Domain, no changes)

Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, anatomy

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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1981OrtnerDJ_PutscharWGJ

Content [i] Annotation [ii] Original text [iii] Illustrations [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Fragment from the book: Ortner DJ, Putschar WGJ. Identification of Pathological Conditions in Human Skeletal Remains (1981). The authors describe signs of ligamentum capitis femoris (LCF) pathology in the remains of a Bronze Age individual, possibly resulting from recurrent hip subluxation. The text in Russian is available at the following link: 1981OrtnerDJ_PutscharWGJ . [ii] Original text Quote pp. 360-361 An adult male skeleton from tomb A100E at the Early Bronze Age [c. 3500–2000 BCE] cemetery of Bab edh-Dhra in Jordan has an abnormally shallow acetabulum of the right hip. This is the same skeleton that had a separate neural arch. The acetabulum is also much larger in diameter than the corresponding acetabulum of the left innominate (Figure 577). There is a moderate amount of arthritic lipping on the m...

1845HollsteinL

Fragments from the book Hollstein L. Compendium der Anatomie des Menschen (1865). The author discusses the anatomy of the ligamentum capitis femoris (LCF), and mentions its synonyms. The text is prepared for machine translation using a service built into the blog from Google or your web browser. Quote p. 144 Das Lig am. teres s. rotundum femoris (Fig. 50, 7.) hat eine dreieckige Gestalt, und ist mit seiner Basis in dem Fundus acetabuli, mit seiner rundlichen Spitze in der Fovea capitis ossis femoris befestigt. Es besteht aus einem Bündel Sehnenfasern, und erhält von der Synovialmembran einen scheidenformigen Ueberzug; bisweilen existirt letzterer allein, und manchmal felilt das Band ganz und gar. Fig. 50. Seitliche Ansicht der Bänder des Beckens und Hüftgelenks. Quote p. 145 Die weite Synovialmembran überzieht den Schenkelkopf, geht alsdann als Scheide des Ligam. teres zur Gelenkpfanne über, welche sie ebenfalls auskleidet, und schlägt sich hierauf über die ...

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1803LarreyDJ

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1948EpsteinI

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1665LindenJA

Content [i] Annotation [ii] Original text (in Latin) [iii] English translation [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Fragment from the book: Linden JA . Magni Hippocratis Coi Opera Omnia Graece Et Latine Edita. Vol. I. (1665). This article presents an excerpt from the treatise «Mochlicus» (Instruments of Reductions) by Hippocrates of Cos (b. 460 BC), translated into Latin. The author describes for the first time the localization and area of distal attachment of the ligamentum capitis femoris (LCF) describit, mentionem in alio tractatu ponens. A translation of this article into Russian is available at the link: 1665LindenJA . The original source in Greek sees at the link: 1844LittreE , and in English at: 1886AdamsF . [ii] Original text (in Latin) Quote pp. 294-295 Vol. I. Ossium natura II. Ipsum aurem femur foras, & in anteriore parte incurvum est. Caput autem ejus appendix eft r...

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