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]
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| 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
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