1890DebierreC

Fragments from the book Debierre C. Traité élémentaire d'anatomie de l'homme. T.1 (1890). The author discusses the anatomy and briefly the role of the ligamentum capitis femoris (LCF).

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. 248-249

2. Le ligament interarticulaire, encore appelé ligament rond (2, 3, fig. 126), long d'environ 25 millimètres, ordinairement très fort, a la forme d'une pyramide triangulaire. Inséré par sa base au ligament transverse, aux cornes de la grande échancrure cotyloïde et à la partie voisine de l'arrière-fond, il remonte de là dans l'articulation, entre le plancher de la cavité cotyloïde et la tête du fémur, et va s'attacher dans la dépression de la tête fémorale. Il est entouré par la synoviale comme par une gaine, et limite, avec l'arrière-fond de la cavité cotyloïde, un espace conique dans lequel est contenu le paquet graisseux de l'articulation.

Quelle est la signification et quel est le rôle de ce ligament qui existe chez la plupart des Mammifèreset manque dans d'autres (Éléphant, Marsouin), existe, dans la plupart des cas, chez le Gorille et le Chimpanzé, manque en general chez l'Orang, et exceptionnellement chez l'Homme? – Pour WEBER, il limite certains mouvements, entre autres la rotation en dehors lorsque la cuisse est fléchie, et l'adduction lorsque la cuisse est étendue (MOREL et DUVAL); – pour SAVORY, il suspend le poids du corps aux têtes du fémur; – pour TILLAUX, il sert de coussinet élastique dans la station, la marche et le saut; – pour WELCHER, il sert à étendre la synovie autour de l'articulation; – enfin, eu égard à son état rudimentaire dans certains cas, à son absence dans d'autres, certains anatomistes (HENLE, CRUVEILHIER, SAPPEY, W. KRAUSE, etc.) sont disposés à ne lui reconnaître pour usage que celui de protéger les vaisseaux qui se rendent à la tête du fémur. Mais, d'une part, la résistance de ce ligament qui, dans la plupart des cas, supporte sans se rompre 30 kilogrammes et plus, et, d'autre part, cette particularité qu'il fait suite à un muscle chez l'Autruche et le Sphénodon, me font penser, avec SUTTON, que ce n'est que le tendon d'un muscle pelvi-fémoraldisparu. Les trous nourriciers que présente la fossette du ligament ne sont visibles à l'œil nu que 20 à 30 fois sur 100 (WELCHER, HOFFMANN).

FIG. 126. – Articulation coxo-fémorale. A, partie supérieure du fémur; — a, surface articulaire; – b, grand trochanter; – B, os iliaque; – C, ilium; – d, tubérosité ischiatique; – D, cavité cotyloïde; – 1, bourrelet cotyloïdien; – 2, 3, ligament interarticulaire; – 4, membrane sous-pubienne ou obturatrice

Synoviale. – La synoviale double la capsule fibreuse et s'attache: en haut, sur le sourcil et le bourrelet cotyloïdens; en bas et en avant, sur la crête intertrochantérienne; en arrière, à la limite de la tête du fémur, mais en formant un cul-de-sac circulaire qui s'étend jusque vers le milieu du col (fig. 127). – Elle tapisse donc toute la portion du col du fémur contenue dans la capsule fibreuse, se réfléchit en outre autour du ligament rond et communique parfois (1 fois sur 10) avec la bourse séreuse du psoas.

Vaisseaux et nerfs. – Les artères viennent des circonflexes, des fessières et de l'obturatrice: celle-ci fournit un rameau qui pénètre dans l'articulation par le trou sous-cotyloïdien, entre dans le ligament rond et gagne la tête du fémur. Les nerfs sont fournis par le grand ou le petit sciatique, par le crural et l'obturateur.

External links

Debierre C. Traité élémentaire d'anatomie de l'homme (anatomie descriptive et dissection): avec notions d'organogénie et d'embryologie générale. Tome 1. Paris: Félix Alcan, 1890. [gallica.bnf.fr]

Debierre C. Traité élémentaire d'anatomie de l'homme (anatomie descriptive et dissection): avec notions d'organogénie et d'embryologie générale. Tome 2. Paris: Félix Alcan, 1890. [books.google]

Authors & Affiliations

Charles Debierre (1853-1932), professor of medicine in Lyon. [wikipedia.org]

Charles Debierre (1921)
Author: Agence de presse Meurisse;
original in the wikimedia.org collection
(CC0 – Public Domain, no changes).

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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