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1868BeaunisH_BouchardA

 

Fragments from the book Beaunis H, Bouchard A. Nouveaux éléments d'anatomie descriptive et d'embryologie (1868). The authors briefly describe the anatomy of the ligamentum capitis femoris (LCF) and its role. The text is prepared for machine translation using a service built into the blog from Google or your web browser. 

Quote p. 186

2. Ligament rond (Fig. 52, 3). Ce ligament à la forme d'un triangle aplati de dehors en dedans, dont la base correspond au ligament transverse de l'acétabulum, la pointe à la dépression de la tête du fémur. Assez variable comme force et comme disposition, il s'insère en bas aux deux bords de l'échancrure cotyloïdienne, à la partie voisine de l'arrière-fond et au ligament transverse. Il est entouré par la synoviale et présente dans son intérieur des vaisseaux allant se rendre à la tête du fémur. La face interne est en rapport avec l'arrière-fond de la cavité cotyloïde, auquel il est rattaché par un repli synovial, sa face externe avec la tête du fémur.

Vaisseaux et nerfs. Les artères viennent des artères circonflexes interne et externe, fessière, ischiatique et obturatrice; cette dernière fournit un rameau qui pénètre par l'échancrure cotyloïdienne dans le ligament rond et va gagner la tête du fémur par les trous de sa dépression centrale. Les nerfs sont en avant, des filets venant de la branche du nerf obturateur, qui va à l'obturateur externe, et des branches musculaires du nerf crural; en arrière, des filets fournis par le nerf ischiatique et par le nerf sciatique, soit directement, soit par sa branche du carré crural. 

Fig. 52. Coupe transversale et de l'articulation coxo-fémorale.
1) Os iliaque. 2) Fémur. 3) Ligament rond. 4) Ligament transverse de l'acétabulum. 5) Bourrelet cotyloïdien, 6, 7) Capsule fibreuse articulaire.

Quote p. 187

3. Adduction et abduction. Ces mouvements se passent autour d'un axe antéropostérieur perpendiculaire au précédent et ont aussi une excursion de 90°; l'abduction est limitée par la rencontre du rebord cotyloïdien et du col; l'adduction par la tension du ligament rond; toutes deux comme la rotation, soit en dedans soit en dehors, par la tension du ligament de Bertin; il en résulte que ces quatre mouvements sont incompatibles avec l'extension forcée et ne peuvent se faire qu'avec la flexion, qui relâche le ligament antérieur. C'est dans l'abduction que la tête du fémur présente le plus de points de sa surface en dehors de la cavité.

Le rôle du ligament rond est interprété différemment par les auteurs; les uns, se basant sur son absence constatée dans quelques cas, sur son peu de résistance dans quelques autres, le regardent comme un simple repli destiné à supporter des vaisseaux (Henle); les autres, à cause de la tension incontestable qu'il présente dans l'adduction, lui donnent pour rôle principal de limiter ce mouvement. Il est tendu en outre dans la rotation en dehors, la cuisse étant fléchie; ainsi, par exemple, il maintient le genou élevé lorsqu'on place le bord externe du pied sur le genou du côté opposé. 

External links

Beaunis H, Bouchard A. Nouveaux éléments d'anatomie descriptive et d'embryologie. Paris: J.B. Baillière et Fils, 1868. [books.google]

 

Authors & Affiliations

Henri-Étienne Beaunis (1830-1921) was a French physiologist and psychologist, professor at the Faculty of Medicine of the University of Strasbourg. [wikipedia.org]

Henri Beaunis (1921?) 
Source: Paris médical: la semaine du clinicien 20e siècle Revue: Paris médical: la semaine du clinicien, 1921, n 42, partie paramédicale Edition: Paris: J.-B. Baillière et fils, 1921; original in the wikipedia.org (Creative Commons CC0 1.0 Universal Public Domain Dedication, no changes).

Abel Bouchard (1833–1899) was a French military doctor. [wikidata.org]

Keywords

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

                                                                     

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