1991FussFK_BacherA

Abstract and citation of the article Fuss FK, Bacher A. New aspects of the morphology and function of the human hip joint ligaments (1991). The authors suggest that ligamentum capitis femoris (LCF) is unable to exert a restricting function, despite reaching a state of tension in extreme adduction.

Quote 1.

Abstract

The capsular ligaments of the human hip joint were submitted to exact morphological analysis, and they proved to be multiple and numerous. We have described various ligamentous systems and their interconnections, and have suggested new terminologies and systematics. The ligaments were subjected to functional analysis by means of measuring strips to determine the positions in which the ligaments are taut. The ligament systems were all found to serve a restrictive function, and various parts of the apparatus restricted all possible movements in the hip joint. Extension is restricted by the medial iliofemoral complex, abduction by the pubofemoral ligament, and adduction by the posterior coxal ligaments and by the superior ischiofemoral ligament. Flexion is restricted by the inferior ischiofemoral ligaments, inward rotation by the superior ischiofemoral ligament, and outward rotation by the lateral iliofemoral complex. Only the ligament of the femoral head is unable to exert a restricting function, despite reaching a state of tension in extreme adduction.

Quote 2.

The function of the ligament of the femoral head

The distance between acetabular and femoral attachments of the ligament of the femoral head is maximal in extreme adduction (when not combined with extreme flexion or extension). The anterior part is most lengthened during inward rotation, while the posterior part is most stretched in the course of outward rotation. The ligament was found to be under some degree of tension in these positions. This was also proven by the fact that the transverse ligament of the acetabulum was pulled slightly upwards in maximal adduction. However, no augmentation of adduction could be obtained by severing the ligament of the femoral head. The ligaments of the articular capsule thus are solely responsible for the restriction of adduction. When the opposite situation was tested (capsule removed but ligament of the femoral head maintained), an increase of adduction could only be obtained by dislocating the joint, and this only when the axis of dislocation coincided with the acetabular notch (Fig. 7). In summary, we cannot attribute any significant role to the ligament of the femoral head, specifically with regard to restricting adduction.

External links

Fuss FK, Bacher A. New aspects of the morphology and function of the human hip joint ligaments. American journal of anatomy. 1991;192(1)1-13. [onlinelibrary.wiley.com]

Authors & Affiliations

Franz K. Fuss

Institute of Anatomy (1st Department) of the University of Vienna, Vienna, Austria

Andreas Bacher

Institute of Anatomy (1st Department) of the University of Vienna, Vienna, Austria

Keywords

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

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BLOG CONTENT

ROLE AND SIGNIFICANCE

20th Century

Comments

21cent.bcBaqetIII

Groups of wrestlers on the walls of tomb BH15, belonging to Baqet III – a contemporary of Pharaoh Mentuhotep II (frescoes, Beni Hasan, Egypt). These images depict wrestling scenes and the circumstances under which injuries to the hip joint — including the ligamentum capitis femoris (LCF) — might occur. The frescoes appear to have served as the basis for the description of wrestling found in the Book of Genesis: 25 And Ja cob was left alone; and there wrestled a man with him until the breaking of the day. 26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank. ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work: Nint...

MEDICAL RECORD. Title and contents

Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö : Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries. Google Books ID: GGKEY:5GXG1LS275N , play.google.com , books.google.com Title, Abstract and Contents CONTENT [i] Abstract [ii] Dedication [iii] Book Covers and Title [iv] Table of Contents [v] Application [i] ABSTRACT Before you is the final medical record compiled by the author over a professional career as an orthopaedic surgeon. This work outlines information regarding a patient who sustained a hip joint injury in the Middle Bronze Age. The source material is extracted from the Book of Genesis and cross-referenced with facts from history, archaeology, natural science, and medicine past and present. Along the way, it is demonstrated that the protograph was composed in Ancient Egypt during the Second Intermediate P...

20cent.bcAmenemhet

Groups of wrestlers on the walls of tomb BH2, belonging to Amenemhat (Ameni)—a contemporary of Pharaoh Senusret I (frescoes, Beni Hasan, Egypt). These images depict wrestling scenes and the circumstances under which injuries to the hip joint—including the ligamentum capitis femoris (LCF)—might occur. The frescoes appear to have served as the basis for the description of wrestling found in the Book of Genesis : 25 And Ja cob was left alone; and there wrestled a man with him until the breaking of the day. 26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank. ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work...

1893GriffithFL

Griffith F.L. (1893): A group of wrestlers on the wall of the tomb of Baqet III (fresco, late 20th century BCE, Egypt). A depiction of the circumstances surrounding a hip joint injury—possibly involving the ligamentum capitis femoris (LCF) – which served as the basis for the description of a wrestling match in the Book of Genesis: 25 And Ja cob was left alone; and there wrestled a man with him until the breaking of the day. 26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank. ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work: Ninth month, eleventh day ( 2024АрхиповСВ ) and Medical Record (2026Ar...

Tweet of October 26, 2026

The new book about the first patient with a #ligamentum_teres injury. PDF: http://books.google.com/books/about?id=OcogEgAAQBAJ Manuscript: https://roundligament.blogspot.com/2026/10/medical-record-title-and-contents.html Tweet of October 26, 2026 #Bible #Genesis BLOG CONTENT TWITTER OR X

MEDICAL RECORD. Chapter 2

Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö: Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries. play.google.com , books.google.com Introduction Chapter 2 Chronology of the Medical Record CONTENT [i] Text [ii] Navigation [iii] Application [i] Text When reading the Book of Genesis , we learn that the first recorded patient with an injury to the ligament of the head of femur was a man named Ya'akov (Gen. 32:25, 33). In adapted usage, the name is rendered as Jacob. According to the narrative, he was born near the well of Beer-Lahai-Roi, between Kadesh and Bered in the Negev Desert, which is in the south of the "Canaanite" land (Gen. 16:14, 23:19, 24:62). As is clear from the text, the "Canaanite land" is the western part of the current State of Israel, excluding the vicinity of the Jordan River (Gen. 13:11–12). Jacob's father ...

NEWS 2026

New publications of our resource in 2026 The initial phase of collecting data on LCF, accumulated prior to the 20th century, is largely complete. Next, we plan to analyze and synthesize thematic information, adding data from the 20th and 21st centuries. The work will focus primarily on: prevention, diagnosis, arthroscopy, plastic surgery, and endoprosthetics. October 29 , 2026 22cent.bcBaqetI . Fresco. A depiction of the circumstances surrounding a hip joint injury. October 28 , 2026 17cent.Akrotiri . Fresco. A depiction of the circumstances surrounding a hip joint injury. 20cent.bcAmenemhet . Fresco. A depiction of the circumstances surrounding a hip joint injury. 20cent.bcKhety . Fresco. A depiction of the circumstances surrounding a hip joint injury. 21cent.bcBaqetIII . Fresco. A depiction of the circumstances surrounding a hip joint injury. October 26 , 2026 Tweet of October 26, 2026 . Book announcement 1893GriffithFL Fresco. A depi...

MYTHS AND MISCONCEPTIONS

MYTHS AND MISCONCEPTIONS ( Erroneous and folkloric beliefs, folk and traditional stories...) LCF in English Bibles The first written mention of the LCF in humans is found in the ancient Hebrew book – Bereshit (Genesis). In English translations of the Bible, LCF is denoted by various terms, often not explicitly referring to the «ligament». The Shortest Comments on Genesis, Chap. XXXII-XXXIII In the selected excerpt, the symptoms, mechanism, and differential diagnostic test for the injury to LCF are provided, along with details about the circumstances, time, and place of the biblical trauma. 1609-1583bcProtoBereshit Hypothesis: in the work of fiction, an unknown physician-encyclopedist for the first time pointed out damage to the LCF as a cause of gait disturbance. 922-722bcElohist A variant of the oldest description of damage to the LCF and the cause of lameness in Hebrew, dating from 922-722 BC. 8cent.bcHomer The...

1849QuainJ

Fragments from the book by Jones Quain (fifth edition): Elements of anatomy Vol. 1 (1849), the first edition was published in 1828. The author writes about the anatomy of the ligamentum capitis femoris (LCF) and mentions synonyms. Quote p. 278 THE HIP-JOINT. This is a true ball-and-socket joint, in which the globular head of the femur is received into the acetabulum or cotyloid cavity. The articulating surfaces are covered by cartilage in the greater part of their extent. It is deficient, however, at the bottom of the cavity, and also a little beneath the central point of the head of the femur; the latter marking the insertion of the round ligament, the former a shallow fossa for the lodgment of the structure which has been called the synovial gland. The connecting means in this articulation are three ligaments, viz. a capsular, cotyloid, and interarticular ligament, together with a synovial membrane. Fig. 147. Ligaments of the pelvis and hip-joint. The view is t...

Human Children. Retelling of Chapter 5

Short retelling of chapter 5 of the essay: Arkhipov S.V. Human Children: The Origins of Biblical Legends from a Physician's Perspective. Joensuu: Author's Edition, 2025. [In Russian] Chapter 5. ADAM AND EVE The Book of Genesis narrates the story of a tribe founded by Adam and Eve, described as the "mother of all living." From a genetic perspective, they are depicted as siblings, with an age difference of 18–25 years. According to the biblical epic, they formed humanity’s first family, sustaining themselves on pre-existing fruits and seeds. Their initial home was the "garden in Eden," located "in the east" relative to the narrator. The text identifies geographic markers for Eden’s location: lands like "Asshur," "Cush," and "Havilah," and rivers named "Pishon," "Gihon," "Hiddekel," and "Phrath." The narrator also notes the region’s economic value, mentioning "gold," ...

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