Fragments from the book Gray H. Anatomy, descriptive and surgical (1867). The selected passages of the "classical" anatomy of the ligamentum capitis femoris (LCF) and original illustrations of Henry Carter.
Quote pp. 153-154
The
cotyloid cavity, or acetabulum, is a deep, cup-shaped, hemispherical depression,
formed, internally, by the pubes; above, by the ilium; behind and below, by the
ischium; a little less than two-fifths being formed by the ilium, a little more
than two-fifths by the ischium, and the remaining fifth by the pubes. It is bounded
by a prominent uneven rim, which is thick and strong above, and serves for the
attachment of a fibro-cartilaginous structure, which contracts its orifice, and
deepens the surface for articulation. It presents on its inner side a deep notch,
the cotyloid notch, which transmits the nutrient vessels into the interior of the
joint, and is continuous with a circular depression at the bottom of the
cavity; this depression is perforated by numerous apertures, lodges a mass of
fat, and its margins serve for the attachment of the ligamentum teres. The
notch is converted, in the natural state, into a foramen by a dense ligamentous
band which passes across it. Through this foramen, the nutrient vessels and
nerves enter the joint.
Quote p. 158
The head, which is globular, and forms rather more than a hemisphere, is directed upwards, inwards, and a little forwards, the greater part of its convexity being above and in front. Its surface is smooth, coated with cartilage in the recent state, and presents, a little behind and below its centre, an ovoid depression, for the attachment of the ligamentum teres.
Fig. 103. — Right Femur. Anterior Surface. [fragment] |
Quote p. 221
1.
Hip-joint (fig. 138). This articulation is an enarthrodial or ball-and-socket
joint, formed' by the reception of the head of the femur into the cup-shaped
cavity of the acetabulum. The articulating surfaces are covered with cartilage,
that on the head of the femur being thicker at the centre than at the
circumference, and covering the entire surface with the exception of a
depression just below its centre for the ligamentum teres; that covering the
acetabulum is much thinner at the centre than at the circumference, being
deficient in the situation of the circular depression at the bottom of this
cavity. The ligaments of the joint are the Capsular. Teres. Ilio-femoral.
Cotyloid. Transverse.
Fig. 138. — Left Hip-joint laid open. |
Quote p. 222
The
Ligamentum Teres is a triangular band of fibres, implanted, by its apex, into
the depression a little behind and below the centre of the head of the femur; and
by its broad base, which consists of two bundles of fibres, into the margins of
the notch at the bottom of the acetabulum, becoming blended with the transverse
ligament. It is formed of a bundle of fibres, the thickness and strength of
which are very variable, surrounded by a tubular sheath of synovial membrane.
Sometimes, the synovial fold only exists, or the ligament may be altogether
absent. The use of the round ligament is to check rotation outwards, when
combined with flexion: it thus assists in preventing dislocation of the head of
the femur forwards and outwards, an accident likely to occur from the necessary
mechanism of the joint, if not provided against by this ligament and the thick
anterior part of the capsule. (1)
1) See an
interesting paper, "On the Use of the Round Ligament of the Hip-joint," by Dr. J. Struthers. Edinburgh Medical Journal, 1858.
…
The
Synovial Membrane is very extensive. Commencing at the margin of the cartilaginous
surface of the head of the femur, it covers all that portion of the neck which
is contained within the joint; from this point it is reflected on the internal
surface of the capsular ligament, covers both surfaces of the cotyloid ligament,
and the mass of fat contained in the fossa at the bottom of this cavity, and is
prolonged in the form of a tubular sheath around the ligamentum teres, as far
as the head of the femur.
External links
Gray H. Anatomy,
descriptive and surgical; the drawings by H.V. Carter; the dissections jointly
by the author and Dr. Carter. Philadelphia: Henry C. Lea, 1867. [hdl.handle.net]
Authors & Affiliations
Henry Gray (1825-1861) was a British anatomist and surgeon. [wikipedia.org]
Henry Gray Author: H. Pollock, unknown date; original in the wikimedia.org collection (CC BY 4.0, no changes). |
Henry Vandyke Carter (1831-1897) was an English anatomist, surgeon, and anatomical artist. [wikipedia.org]
Henry Vandyke Carter (ca. 1870) Author: Henry Vandyke Carter; original in the wikimedia.org collection (CC0 – Public Domain, no changes). |
Keywords
ligamentum capitis femoris, ligamentum
teres, ligament of head of femur, anatomy
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