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

BLOG CONTENT

MORPHOLOGY AND TOPOGRAPHY

Comments

THE GIFTS OF THE MAGI FOR ORTHOPEDIC SURGEONS

Translation of the article: Архипов СВ. Новая техника проксимального крепления при реконструкции ligamentum capitis femoris: Дары волхвов ортопедическим хирургам. The text in Russian is available at the following link: 2026АрхиповСВ . A Novel Technique for Proximal Fixation of Ligamentum Capitis Femoris Reconstruction: The Gifts of the Magi for Orthopedic Surgeons S.V. Arkhipov, Independent Researcher, Joensuu, Finland CONTENT [i] Abstract [ii] Introduction [iii] Materials and Methods [iv] Technique [v] Discussion [vi] Conclusion [vii] Appendix [viii] References [ix] Structured Abstract [x] Additional material [i] Abstract An experimental technique for reconstruction of the ligamentum capitis femoris (ligamentum teres femoris) is described. The proposed method involves creating two portions of the ligament analog: a pubic portion and an ischial portion. Fixation of thes...

1970MichaelsG_MatlesAL

Content [i] Annotation [ii] Original text [iii] References [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Abstract of the article: Michaels G, Matles AL. The role of the ligamentum teres in congenital dislocation of the hip (1970). The authors proposed an analogy for the role of the ligamentum capitis femoris (LCF) as a “ball and chain control” and noted that it can spontaneously reduce congenital hip dislocation. The text in Russian is available at the following link: 1970MichaelsG_MatlesAL . [ii] Original text Quote p. 199 Many papers in the literature have implicated the ligamentum teres as a hindrance to the late open reduction of a congenitally dislocated hip. Occasionally the ligamentum teres has been reported to be absent. However, in most cases it is hypertrophied and elongated. Our present knowledge confirms the fact that congenital dislocation of t...

2025SarassaC_HerreraAM

Content [i] Annotation [ii] Original text [iii] References [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Abstract of the article : Sarassa C. et al . I ntraosseous Tunneling and Ligamentum Teres Ligamentodesis “Teretization” to Enhance S tability in Congenital Hip Dislocation Surgery: Surgical Technique and Mid-Term Outcomes (2025). The article describes a technique for fixing the femoral head using the ligamentum capitis femoris (LCF) in congenital hip dislocation. The text in Russian is available at the following link: 2025SarassaC_HerreraAM . [ii] Original text Abstract Background Developmental dysplasia of the hip (DDH) with complete dislocation (grade ≥III) in older patients often requires open reduction. However, achieving long-term stability remains challenging. This study introduces and evaluates a novel surgical technique, intraosseous tunneling ...

2018YoussefAO

Content [i] Annotation [ii] Original text [iii] References [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Abstract of the article: Youssef AO. Medial approach open reduction with ligamentum teres partial excision and plication for the management of congenital hip dislocation (2018). The article describes a method for transposition of the proximal attachment of the ligamentum capitis femoris (LCF) in congenital hip dislocation. The text in Russian is available at the following link: 2018YoussefAO . [ii] Original text Abstract Because of the known tendency for early redislocation following open reduction, we developed surgical methods for shortening the ligamentum teres to improve immediate postoperative stability when performing medial approach open reduction (MAOR) for the management of developmental dysplasia of the hip. Between 2004 and 2014, 32 patients w...

2008WengerDR_MiyanjiF

Article: Wenger DR et al. Ligamentum teres maintenance and transfer as a stabilizer in open reduction for pediatric hip dislocation: surgical technique and early clinical results (2008). The article describes a method of open reconstruction of the ligamentum capitis femoris (LCF) for hip dysplasia. The text in Russian is available at the following link: 2008WengerDR_MiyanjiF . Ligamentum teres maintenance and transfer as a stabilizer in open reduction for pediatric hip dislocation: surgical technique and early clinical results Wenger DR, Mubarak SJ, Henderson PC, Miyanji F CONTENT [i] Abstract [ii] Introduction [iii] Materials and Methods [iv] Surgical technique & Results [v] Discussion & Conclusion [vi] References [vii] Application [i] Abstract Purpose The ligamentum teres has primarily been considered as an obstruction to reduction in children with developmental dislocation of the hip (DDH). In the ea...

Full access to the PDF version of the book: HUMAN CHILDREN

Full access to the PDF version of the book is now available: Arkhipov S.V. Human Children: The Origins of Biblical Legends from a Physician's Perspective. An essay with references to interactive materials. 2nd revised and expanded edition. Joensuu: Author's Edition, 2025. (In Russian)]. Google Play , Google Book , drive.google.com , kruglayasvyazka.blogspot.com [Архипов С.В. Дети человеческие: истоки библейских преданий в обозрении врача. Эссе, снабженное ссылками на интерактивный материал. 2-е изд. перераб. и доп. Йоэнсуу : Издание Автора , 2025.] Annotation The first version of the Book of Genesis appeared in Ancient Egypt approximately 3,600 years ago, during the Hyksos period. The work was conceived as a fairy tale epic. An unknown physician-encyclopedist, who is also presumed to have authored the Edwin Smith Papyrus, played a role in its composition. He supplemented the co-author's family legends, retellings of halluc...

2012MansmannKA

Invention (Patent Application Publication): Mansmann KA. Tendon-sparing implants for arthroscopic replacement of hip cartilage. WO2012162571A1 (2012). The original text of the document contained defects. WO2012162571A1S US Inventor: Kevin A. Mansmann Worldwide applications 2012 WO Application PCT/US2012/039481 events: 2012-05-24 Application filed by Mansmann Kevin A 2012-11-29 Publication of WO2012162571A1 Tendon-sparing implants for arthroscopic replacement of hip cartilage Kevin A. Mansmann Abstract Surgical implant devices are disclosed which will allow completely arthroscopic resurfacing of the acetabular socket, and the femoral head, in hip joints, in both humans, and in animals such as dogs. Such devices, made of flexible polymers with smooth articulating surfaces and porous anchoring surfaces, can be provided with centered openings, to allow a surgeon to spare the major ligament (the ligamentum teres) which connects the femoral head to the pelv...

1753TarinP

Fragments from the book Tarin P. Ostéo-graphie (1753). The author notes the localization of ligamentum capitis femoris (LCF) and uses synonyms: ligament rond, ligamentum teres capitis femoris. The text is prepared for machine translation using a service built into the blog from Google or your web browser. Quote p. 24 Les Ligamens de l'extrémité inférieure sont, 1°. la Membrane capsulaire, &c. de la cavité cotyloïde, le Ligament rond, l'Appareil ligamenteux propre à cette cavité; le Ligament transveríal interne de son bord, le transversal externe, les deux Ligamens glanduleux; … Quote p. 54. Illæ tres offeæ portiones simul unitæ Cavitatem cotyloïdeam q.t. a. constituunt, in qua occurrit Foveols h. glandulas synoviales articulationis excipiens, cuique sesc inserit ligamentum teres capitis femoris, &c. Vid. t. u. v. TAB. I. II. III. External links Tarin P. Ostéo-graphie, ou Description des os de l'adulte, du foetus, &c. Precedée d'une introduction a l'etu...

Who, When, and Where Wrote the Book of Genesis?

Who, When, and Where Wrote the Book of Genesis? A Medical Hypothesis By Sergey V. Arkhipov, MD, PhD & Lyudmila N. Arkhipova, BSN CONTENT [i] Abstract [ii] Introduction [iii] Egyptian physician [iv] Asian diviner [v] Conclusion [vi] References [vii] Application [i] Abstract The Book of Genesis is an example of an ancient literary text that contains important medical insights. We propose that it was written in northern Egypt in the late 17th century BCE, approximately ten years after the Minoan eruption. The protograph likely emerged from the collaboration between an Asiatic seer, who rose to the rank of an Egyptian official, and an Egyptian physician-encyclopedist. By refining its dating and authorship, this hypothesis positions Genesis as a credible source of medical and historical data, thereby enhancing its value for interdisciplinary research. [ii] Introduction According to Rabbinic Judais...

Key Role of the LCF

In the experiments conducted on the pelvis-femur-muscle-ligaments model, we found that when the contralateral pelvic drop occurs, the ligament of the head of femur become maximally tense; simultaneously, there is relaxation and lengthening of the gluteus medius muscle; the pelvis spontaneously rotates towards the stance limb (forward), and the load on the hip joint decreases. Thanks to the functioning of the ligament of the head of femur the walking is smooth, rhythmic, and energy-efficient. Track Music: Blue Dot Sessions , Vittoro (CC BY-NC 4.0 DEED / fragment) "Take care of the ligament of the head of femur for yourself and your neighbor!" . . keywords: ligamentum capitis femoris, ligament of head of femur, ligamentum te...

Search This Blog