1877HoffmannCEE

Fragment of book Hoffmann C.E.E. Lehrbuch der Anatomie des Menschen (1877) devoted to anatomy, synonyms, and an overview of the function of the ligamentum capitis femoris (LCF). According to the author, the role of LCF in the blood supply to the femoral head in children. 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.

Fig. 239. Bänderverbindungen am Becken, von vornen. 1/4
Das rechte Hüftgelenk ist eröffnet und der Oberschenkel etwas nach aussen rotirt. 1, vertebra lumbaris IV. 2, os ilium. 2', spina oss. il. ant. sup. 2", spina oss. il. ant. inf. 2", incisura ischiadica major. 3, os ischii. 4, os pubis. 5, femur. 5', caput femoris. 5", collum femoris. 6, ligamentum ileo- lumbale. 7, lig. sacro- iliacum anticum. 8, lig. sacrotuberosum. 9, lig. sacro-spinosum. 10, lig. commune vertebrale anticum. 11, lig. sacro- coccygeum anticum. 12, lig. arcuatum pubis. 13, lig. obturatorium. 14, symphysis ossium pubis. 15, lig. ileo- femorale. 16, lig. pubo-femorale. 17, lig. capsulare coxae. 18, labrum glenoideum. 19, lig. teres coxae. 20, foramen ischiadicum majus [a similar drawing in work 1882ReevesHA (eng.)].

Quote pp. 283-284

Im Zusammenhange mit dem in der Fossa acetabuli gelegenen, weichen Gewebe steht ein von Blutgefässen durchzogener Bindegewebsstrang, welcher breit und flach und mit zwei Schenkeln entspringt. Von diesen erhebt sich einer vom Rande der Pfannengrube, während der andere sich von der Aussenwand der Kapsel loslöst und unter dem Querbande herzieht, um, mit dem anderen. vereinigt, zu der Grube an demGelenkkopfe des Oberschenkels zu gelangen, wo er sich in die von Knorpel nicht überzogene Vertiefung in mehr rundlicher Form anheftet. Diese Bildung, ligamentum teres (lig. rotundum femoris, lig. interarticulare coxae), stellt eigentlich eine Umschlagstelle der Synovialmembran von der Gelenkgrube zum Gelenkkopfe dar, in welche gefässreiches, lockeres Bindegewebe eingelagert ist.

Ueber die Bedeutung des Ligamentum teres gehen die Meinungen der verschiedenen Anatomen noch auseinander. Früher wurde es allgemein als ein Hemmungsband bei verschiedenen Bewegungen des Hüftgelenkes, namentlich gegen die Rotation nach aussen angesehen. Diese Meinung wurde neuerdings verlassen, da exacte Versuche zeigten, dass Hemmungen, bei welchen sich das Lig. teres anspannen könnte, gleichzeitig oder schon vorher durch andere Bildungen, vorzugsweise durch das viel stärkere Lig ileo femorale superius, zu Stande kommen, so dass die Spannung des Lig teres bei halbér Beugung des Schenkels mit Adduction und bei der Rotation nach aussen keine sehr straffe ist. In neuerer Zeit wird die Bedeutung des Lig. teres als Hemmungsband noch aufrecht erhalten von H. Meyer, Struthers, W. Braune. Eine andere Meinung spricht dem Lig. teres die Bedeutung eines Leitbandes von Gefässen zu dem Schenkelkopfe hin zu Nach meinen Beobachtungen muss ich dieser Meinung beipflichten , wenn auch H. Welcker in 1/3 der untersuchten Fälle (genauer 9 mal unter 30 Fällen) keine Gefässporen in der Fovea capitis auffand. Meinen Beobachtungen nach fehlen die Gefässporen in etwa einem Fünftheile der Fälle, jedoch fast ausschliesslich bei vollständig erwachsenen Individuen, während sie bei jugendlichen Individuen vorhanden sind. Ich halte daher das Ligamentum teres für den Gefässträger der Epiphyse , während nach der Vereinigung mit der Diaphyse die Gefässe der letzteren die Ernährung der Epiphyse in ausgedehnterem Maasse mit übernehmen und die Gefässe des Bandes atrophiren können. Die dem Ligam. teres von Welcker vindicirte Aufgabe, die Synovia im Gelenke herumzutreiben, kann von dem Bande nebenbei übernommen werden, wie dies in dem Schultergelenke von der Sehne des Biceps brachii ebenfalls nebenbei geschieht.

Fig. 241. Frontalschnitt durch das linke Hüftgelenk. 1/2
A, os innominatum. B, femur. 1, trochanter major. 2, scapus femoris. 3, 3, cavum synovialis. 4, 4, lig. capsulare. 5, labrum glenoideum. 6, lig. teres coxae.

Fig. 242. Linkes Hüftgelenk, von der Innenseite des Beckens her eröffnet. 1/4.
1, symphysis ossium pubis. 2, spina oss. ilium anterior inferior. 3, superficies auricularis oss. il. 4, spina ossis ischii. 5, tuber ossis ischii. 6, Meiselfläche der Hüftpfannenwand. 7, caput femoris. 8, lig. teres acetabuli. 9, fovea capitis. 10, corpus femoris. 11, ligamentum obturatorium. 12, canalis obturatorius [a similar drawing in work 1882ReevesHA (eng.)].

External links

Hoffmann C.E.E. Lehrbuch der Anatomie des Menschen. Erster band, erste abtheilung. Erlangen: E. Besold, 1877. [books.google]

Authors & Affiliations

Karl (Carl) Ernst Emil Hoffmann (1827-1877) was a German physician, anatomist, physiologist and professor at the University of Basel. [wikipedia.org , foto: unigeschichte.unibas.ch]

Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, anatomy, synonym, role, blood supply

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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