1679DiemerbroeckI

Fragments from the book Diemerbroeck I. Anatome corporis humani (1679). The author describes the pathology variants, function, topography and attachment of the ligamentum capitis femoris (LCF). The damage to the LCF in hip dislocation, symptoms and treatment are discussed. The text is similar to a paraphrase of Hegetor's work «On Causes» and Galen of Pergamon's commentary on Hippocrates' treatise «On Joints» (1745CocchiA; 2020ArkhipovSV_ProlyginaIV). Isbrand van Diemerbroeck uses many synonyms for LCF: nervus cartilaginosus, terete, teres, rotundum ligamentum, interius ligamentum.

Quote p. 593.

[Lat]

CAPUT XIX.

De Ossibus Femoris, & Cruris.

Superius procesum crassum, versus coxendicis os prominentem, eique epiphyin rotundam & amplam impositam habet, sicque globosum femoris caput, valida cervice subnixum, constituit, quod cartilagine obductum in coxendicis acetabulum reconditur, in eoque duobus validis ligamentis detinetur: uno lato, crasso, & membranoso, quod articulum totum circumdat: altero tereti, quod ab ipsa cavitate acetabuli productum, in femoris susceptum caput inferitur, idque acetabulo sirmissimè connectit, atque sic articulatio hæc per enarthrosin persicitur.

Quote pp. 604-605.

[Lat]

CAPUT VI.

De Ligamentis Cruris & Pedis.

Femur ischio copulatur duobus vinculis. Unum, quod exterius, totum articulum ambit, estque latum, durum crissum, & validum. Alterum, quod interius, & non nisi resecto priore conspici potest, ex acetabuli fundo procedens, mox in medium femoris caput inseritur, estque oblongum, teres, & durum, atque hinc Nervus cartilaginosus, nonnullis appellatur. Hæc ligamenta si per defluxiones pituitosorum humorum, in acetabulum delabentium, nimis laxentur, sit hujus articuli luxatio, quæ osse in locum restituto, per medicamenta exsiccantia & corroborantia, commodasque fasciationes curatur. At si ab acri fluxione erodantur & corrumpantur, sit immedicabile malum: vel si à violento externorum impetu illa luxation contingat, tunc interius rotundum ligamentum plerumque disrumpitur, quia ob singularem duritiem tantam tamque subitam non patitur extenionem, ut extra profundum acetabulum foras sine ruptione elabi possit, atque hinc talis luxatio prorsus incurabilis existit: quamvis enim os in suum locum seu acetabulum reducatur, tamen mox iterum excidit, propter interius ligamentum disruptum, sicque ægri claudicantes manent, luxato crure breviore existente altero: quod diligenter notandum chirurgis, ne in tali dislocatione articuli restitutionem, cum maximis ægri tormentis, identidem frustra moliantur.

Translation

[Eng]

Quote p. 593.

Chapter XIX.

Of the bones of the femur and tibia.

Above there is a thick process directed towards the pelvic bone, and on it is a round and large epiphyseal plate, thus forming a round head of the femur, supported by a strong neck. This head is covered with cartilage and placed in the acetabulum of the pelvis, where it is held by two strong ligaments: one broad, thick and membranous, which surrounds the entire joint; the other rounded, which begins directly in the cavity of the acetabulum and is immediately attached to the head of the femur, firmly connecting it with the acetabulum. Thus this joint provides mobility by enarthrosis.

Quote pp. 604-605.

[Eng]

Chapter VI.

Of the Ligaments of the Leg and Foot.

The thigh is connected to the pelvis by two ligaments. One, which is external, surrounds the entire joint is broad, strong and thick. The other, internal, which is visible only after the removal of the first, comes out of the bottom of the acetabulum and is immediately inserted into the middle of the head of the femur, is long, round and strong, and is therefore called by some the cartilaginous nerve. If these ligaments become too weak due to the flow of mucous fluids entering the acetabulum, then a dislocation of the joint occurs, which is treated with drying and strengthening medicines and suitable bandages. But if they are corroded and injured by a sharp flow, then this is an incurable misfortune: or if the dislocation occurs from a strong external blow, then the internal round ligament usually breaks, since, due to its special hardness, it cannot stretch to such a degree as to be displaced from the deep acetabulum without breaking. Therefore such a dislocation is absolutely incurable: even if the bone is returned to its place in the acetabulum, it soon falls out again due to the torn internal ligament, and so the patients remain lame, with a dislocated and shortened leg. This must be carefully taken into account by surgeons, so as not to try again and with great suffering for the patient to unsuccessfully attempt to reset the joint.

External links

Diemerbroeck I. Anatome corporis humani; plurimis novis inventis instructa variisque observationibus, & paradoxis, cùm medicis, tum physiologicis adornata. Lugduni: Sumpt. Joan. Antonij Huguetan, & Soc., M.DC.LXXIX [1679]. [books.google]

Authors & Affiliations

Isbrand van Diemerbroeck (Ijsbrand, Ysbrand; 1609-1674) was a Dutch physician, anatomist, and professor of medicine and anatomy at Utrecht University. [wikipedia.org]

Isbrand van Diemerbroeck (circa 1670)
Author Johannes Edelinck, original in the wikimedia.org collection
(CC0 – Public Domain, no changes)

Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, anatomy, attachment, damage, injury, dislocation, properties, role, synonym

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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