1865LangerC

The author discusses the structure of the ligamentum capitis femoris (LCF) and notes the presence of a cavity filled with vessels and loose fiber. Karl Langer has not personally studied the LCF function and therefore speaks with caution on this topic.

The translation from German was done in collaboration with ChatGPT 3.5.

Langer C. Lehrbuch der Anatomie des Menschen. Wien: W. Braumuller, 1865. [fragments]
Quote p. 146
Das Ligamentum teres ist eine durch derbes Bindegewebe verstärkte Synovial - Duplicatur, welche einerseits am Foramen acetabuli, andererseits am Umbo des Kopfes befestigt ist, und einen mit lockerem Bindegewebe und Blutgefässen erfüllten Hohlraum einschliesst. Der Synovial - Ueberzug des Bandes ist eine Fortsetzung des synovialen Ueberzuges des Pfannengrundes, und die derben Faserzüge desselben, welche sich am Umbo concentriren entstehen theils vom Limbus, theils von den Knochen. Durch das Foramen acetabuli treten in den annähernd kegelförmigen Hohlraum des Bandes zahlreiche Gefässe ein, von denen einzelne in den Körper des Schambeins, andere durch Oeffnuugen im Umbo in die Epiphyse des Schenkelkopfes gelangen. Die oberflächlichen Capillaren des Synovial-Ueberzuges bilden da, avo das Bindegewebe des Bandes in den Knorpelüberzug des Kopfes übergeht, feine Schlingen. Bei Neugeborenen habe ich die in den Schenkelkopf eintretenden grösseren Gefässe nie vermisst, und selbst beim Erwachsenen einigemale injicirt. Grössere oder kleinere selten fehlende Oeffnungen im Umbo deuten darauf hin, dass die Gefässverbindung als Regel anzusehen ist. Auch das Labrum ist theilweise gefässhaltig. Befindet sich der Kopf in der Pfanne, so ist das Ligamentum teres gefaltet und in den nachgiebigen Pfannengrund eingelagert.	Ligamentum teres is a synovial duplication reinforced by rough connective tissue, which is attached on one side to the acetabular foramen, and on the other side to the apex of the head, and limits a cavity filled with loose connective tissue and blood vessels. The synovial membrane of the ligament is a continuation of the synovial membrane of the bottom of the cavity, and its coarse fibrous fibers, concentrated at the apex, extend partly from the acetabular lip, partly from the bones. Numerous vessels enter the approximately conical cavity of the ligament through the acetabular foramen, some of which enter the body of the pubis, others, through holes in the apex, enter the epiphysis of the femoral head. The superficial capillaries of the synovial membrane form thin loops at the junction of the connective tissue of the ligament with the cartilaginous cover of the head. In newborns I have never missed the larger vessels entering the head of the femur, and even in adults when giving injections. Larger or smaller openings in this area are rarely absent, indicating that a vascular connection should be considered as a rule. The acetabular lip is also partially vascular in nature. If the head is in the socket, the ligamentum teres is folded and embedded in the flexible bottom of the socket.
Quote p. 149
Das gefässreiche Ligamentum teres dürfte wohl kaum mit der Zähigkeit seiner Fasern wesentlich in den Gang des Gelenkes eingreifen.	The ligamentum teres, rich in blood supply, probably does not significantly influence joint movements due to the strength of its fibers.

External links

Langer C. Lehrbuch der Anatomie des Menschen. Wien: W. Braumuller, 1865. [archive.org]

Authors & Affiliations

Karl Langer, Ritter von Edenberg / Carl Langer Ritter von Edenberg (1819-1887) was an Austrian anatomist, professor at the University of Vienna, director of the institute of anatomy. [wikipedia.org]

Karl Langer (before 1887)
Author: Josef Löwy; original in the wikimedia.org collection
(CC0 – Public Domain, color correction)

Keywords

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

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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MORPHOLOGY AND TOPOGRAPHY

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1858IvanovAA

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Fragments from the book Bigelow HJ. The mechanism of dislocation and fracture of the hip (1869). The author discusses broken of the ligamentum capitis femoris (LCF) in hip dislocations. Quote p. 10 In the spring of 1861, having been led to expose a joint, the luxation of which had been the subject of a lecture, I was agreeably surprised to observe the simple action of the ligament, - a simplicity which subsequent experience has confirmed, and which strikingly explains the phenomena observed in the living subject (1). The dislocated joint alluded to presented on examination the following appearances. 1. Great laceration of the muscles about the joint. 2. The ligamentum teres broken . 3. Laceration of the inner, outer, and lower parts of the capsule. 4. The anterior and upper parts of the capsule uninjured, and presenting a strong fibrous band, fan-shaped and forked. Quote p. 18 FIG. 1. — The Y ligament, showing its inner and outer fasciculi. The form...

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