Fragments
from the book Fabricius H. Opera
omnia anatomica et physiologica (1738). Selected fragments of the treatise describe the topography,
function, geometric and physical properties of the ligamentum capitis femoris
(LCF), as well as its injury during hip dislocation.
Quote pp.
365-366
[Lat]
Chirurgiae
universalis. Liber V. De luxationibus. Cap. VIII, De luxtionis femoris.
Femur habet
caput rotudissimum, longae cervici adnatum, quod in sinum profundissimum
inseritur. Alligatur autem femur cum suo sinu ossi coxendicis duobus
ligamentis, altero orbiculari, altero rotundo, hinc apparet solum perfectam
luxationem in femur cadere, non imperfectam, nisi sit causa externa, ut etiam
supra de humero luxato diximus. Prorumpit femur ad partem anteriorem,
posteriorem, exteriorem, interiorem; hoc tamen fit difficulter; primò propter
musculos robustissimos, et propter copiosam musculorum carnem, quae femur in
proprio sinu conservat; secondo, propter profunditatem acetabuli; tertio,
propter duo ligameta arcta et brevia. Rarò luxatur femur in partem priorem, et
posteriorem; quia in his partibus supercilium acetabuli est altius; saepe in
exteriorem, quia heic minus altum; saepissimè in interiorem; quia hic minime
altum; praeter vero supercilium, ego ligamentum addo rotundum, quod magis proximum
est parti internae, et proinde facilius permittit, ut femur luxetur in partem
internam.
Quote p.
367
[Lat]
Chirurgiae
universalis. Liber V. De luxationibus. Cap. VIII, De luxtionis femoris.
Femur luxatum,
difficulter admodum reponitur; quia propter robustissimos musculos extensio
fieri non potest; et augetur difficultas, si luxatio no sit recens, quae callo
obduruerit, propter humores circa caput femoris affluentes, et propter repletionem
ipsius sinus; repositum etiam femur facilè rursus excidit, propter musculos,
jam imbecilles redditos, ut ponderosum femur in sua sede continere nequeant,
propter ligamentum etiam teres laxatum, vel ruptum.
Quote p. 433
[Lat]
De articulorum
actione, pars secunda.
Similiter in
femoris, & genu articulo, se res habent, cum enim valde gravia sint: &
pondus totius cruris gestent, ad cruris gravitatem facilius sustinendam natura
teres ligamentum praeter orbiculare apposuit;
Translation
Quote pp.
365-366
Universal Surgery. Book V. On Dislocations. Chapter VIII. On Hip Dislocations.
The hip has a very round head, attached to
a long neck, which fits into a very deep socket. The hip is connected to the socket
in the pelvic bone by two ligaments: one circular, the other round. Thus, it
can be seen that only a complete dislocation of the hip is possible, not a
partial one, unless there is an external cause, as we also mentioned earlier
about shoulder dislocation. The hip dislocates to the front, back, outside, and
inside; this happens with difficulty; firstly, because of the very strong
muscles and the large amount of muscle mass that holds the hip in its socket;
secondly, because of the depth of the acetabulum; thirdly, because of the two
strong and short ligaments. The hip rarely dislocates to the front and back
because in these parts the edge of the acetabulum is higher; often to the
outside, because here the edge is lower; most often to the inside, because here
the edge is the lowest; besides the edge, I add the rounded ligament, which is
closest to the inner part and therefore more easily allows the hip to dislocate
inward.
Quote p.
367
Universal Surgery. Book V.
On Dislocations. Chapter VIII. On Hip Dislocation.
A hip dislocation is very difficult to
reposition because the very strong muscles make traction impossible; and the
difficulty increases if the dislocation is not recent, but has already hardened
due to callus formation, due to the accumulation of fluids around the head of
the femur and the filling of the socket itself; even a reduced hip can easily
dislocates again because the muscles are already weakened and cannot hold the
heavy hip in place, and also because of the weakened or torn round ligament.
Quote p. 433
On the Action of Joints, Part Two.
The same applies to the hip and knee
joints, as they bear a great weight and support the entire leg. To better
handle the weight of the leg, nature has added the rounded ligament in addition
to the capsular ligament.
Authors & Affiliations
Fabricius H. Hieronymi Fabricii ab Aquapendente... Opera omnia anatomica et physiologica, hactenus variis locis ac formis edita: nunc verò certo ordine digesta, & in unum volumen redacta. … Editio novissima. Lugduni Batavorum: apud Johannem van Kerckhem, MDCCXXXVIII [1738]. [books.google]
Authors & Affiliations
Girolamo Fabrici d'Acquapendente (Girolamo Fabrizio or Hieronymus Fabricius; 1533-1619) was an anatomist and surgeon, professor of surgery and anatomy at the University of Padua. [wikipedia.org]
 |
| Girolamo Fabrizi d'Acquapendente Unknown author, original in the wikimedia.org collection (CC0 – Public Domain, no changes) |
Keywords
ligamentum capitis femoris, ligamentum teres, ligament of head of femur, anatomy, function, properties, dislocation
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
MORPHOLOGY AND TOPOGRAPHY
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