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

1802PalmeraniÁ

Palmerani Á , drawing Jacob wrestling with the angel (1802 ). Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description 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 prevail 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 ( 2024 АрхиповСВ. Девятый месяц, одиннадцатый день ). Ángel Palmerani – Jacob Wrestling with the Angel ( 1802); original in the a...

1140St.Marie-Madeleine

Basilica of Saint Mary Magdalene of Vézelay, capital s – Jacob with the Angel (1125 – 1140). Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description 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 ( 2024 АрхиповСВ. Девятый месяц, одиннадцатый день ). Basilica of Saint Mary Magdalene of Vézelay (1125 – 1140). Capital (...

163-192Galen

Fragment from the treatise Galen. On anatomical procedures (Περὶ Ἀνατομικῶν Ἐγχειρήσεων, ca. 163-192). The author writes about the high resiliency and hardness of ligamentum capitis femoris (LCF), and also notes its connective function. See our commentary at the link: 163-192Galen [Rus], and 2020ArkhipovSV_ProlyginaIV . Quote [Grc] Περὶ Ἀνατομικῶν Ἐγχειρήσεων. Βιβλιον B. K εφ . ι ʹ . Αλλά χρή σε, καθάπερ επί της χειρός επεσκέψω τους συνδέσμους των οστών, ούτω και νυν επισκέψασθαι πασών των γεγυμνωμένων διαρθρώσεων, πρώτης μεν της κατ' ισχίον, εχούσης ένα μεν εν κύκλω σύνδεσμον, απάντων των άρθρων κοινόν, (ουδέν γάρ έστιν, ότω μή περιβέβληται τοιούτος σύνδεσμος,) έτερον δε τον διά του βάθους εν τη διαρθρώσει κατακεκρυμμένον, ος συνάπτει την κεφαλήν του μηρού τη κατ' ισχίον κοιλότητι, πάνυ σκληρός ών, ώς ήδη δύνασθαι λέγεσθαι νεύρον χονδρώδες. (original source: 1821KühnCG, pp. 328-329) [Lat] De Anatomicis Administrationibus. Liber II. Cap. X. Verum considerare te convenit, ut i...

1857HyrtlJ

The author discusses the anatomy, structure, and role of the ligamentum capitis femoris (LCF). Based on his own research, Josef Hyrtl asserts that the vessels of the LCF do not participate in supplying blood to the femoral head. The author highlights the high strength of the LCF and changes in congenital dislocations. Apparently, this work was the first to suggest that the LCF serves as a conductor of inflammatory processes and a cause of coxalgia. Hyrtl J. Handbuch der topagraphischen Anatomie und ihrer praktisch medicinisch-chirurgischen Anwendungen. Zweiter band. Wien: W. Braumüller, 1857. [fragment] Quote p. 410-412 c. Rundes Band des Schenkelkopfes. Einfluss desselben auf die Stellung des Beins bei Coxalgie. Ein verticaler, durch die Mitte der Pfanne und des Schenkelkopfes und bei richtiger Beckenneigung von aussen nach innen geführter Schnitt, trennt das runde Band in zwei gleiche Schenkel, einen vorderen und hinteren. Das Band ...

Human LCF intersection

HUMAN LCF INTERSECTION In the south of China, in the Guangxi Zhuang Autonomous Region, the archaeological Neolithic site of Dingsishan was investigated. Burials of 355 people were found in this place. The authors of the article (2024YeZ_LiFJ) identified 91 skeletons with traces of manipulations with the remains. They are attributed to burials of the Dingsishan III-IV phase, aged 8.0-4.5 thousand years. 13 notches were found on the proximal part of various femurs. « Cutmarks on the femoral head, neck and intertrochanteric line, as well as along the medial linea aspera of the femoral shaft, suggest that soft tissue around the hip, including the iliofemoral ligament and the iliacus and adductor muscles, was severed to disarticulate the joint.» This and other postmortem bone injuries «... suggests that corpse treatment at Dingsishan included disarticulation » (2024YeZ_LiFJ). Figure 4 of the cited article shows the distribution and direction of cutmarks on human skeletons from Dingx...

The First Scientific Mention

European science has known the LCF for about 2500 years. It is the most important functional connection of the hip joint. The first person to describe the LCF was Hippocrates (c. 460-370 BCE). A written mention of the LCF is found in §1 of his treatise "On the Instrument of redactions". In our opinion, a book created in the library of the Asclepeion of the island of Kos. Hippocrates did not dissection of the human body, did not operate on the hip joint, did not have a CT scan and MRI. How he could discover the LCF? In our view, it is possible that Hippocrates treated a patient with an open hip dislocation. Track Music: Blue Dot Sessions , Vittoro (CC BY-NC 4.0 DEED / fragment) keywords: ligamentum capitis femoris, ligament of head of femur, ligamentum teres, hip dislocation . ...

Tiktaalik roseae

TIKTAALIK ROSEAE The first truly tetrapod animal (Limbed tetrapods) is recognized as the lobe-finned fish Tiktaalik roseae (clade Elpistostegalia), discovered in rocks aged about 375 Ma (2006DaeschlerEB_JenkinsJrFA; 2008ShubinN; 2017ShubinN). Discoveries in recent years have allowed us to place the taxa of early tetrapodomorphs in the following order: Tinirau, Eusthenopteron, Megalichthys, Panderichthys, Qikiqtania, Tiktaalik, Elpistostege, Parmastega, Ventastega, Acanthostega, Elginerpeton, Ymeria, Ichthyostega (2022StewartTA_ShubinNH). The closest ancestor of Tiktaalik roseae, the fragments of the skeleton of which are relatively well preserved, is Panderichthys. Reconstruction of the prehistoric fish Pandericthys Author Tyler Rhodes; original in the wikipedia.org collection (license CC BY-SA 3.0, no changes). The shape of the skeleton of the pectoral fin and shoulder girdle suggests that Panderichthys rhombolepis "walked" (2006AhlbergPE_ClackJA). At the very least...

1857RüdingerN

Fragments from the book Rüdinger N. Die Gelenknerven des menschlichen Körpers (1857). The author found that the inferior branch of the obturator nerve reaches the ligamentum capitis femoris (LCF). The text is prepared for machine translation using a service built into the blog from Google or your web browser. Quote p. 18 Die das Gelenk auskleidende Synovialmembran gibt einen scheideähnlichen Fortsatz zum Lig. teres und communicirt zuweilen mit dem Schleimbeutel des Musc. iliacus internus. Quote p. 19 Das untere weiter nach abwärts laufende Aestchen (die Fortsetzung des Stämmchens), geht etwas tiefer nach vorn und löst sich zerstreut in dem Lig. pubo-femorale, mehr noch in dem Lig. ischio-femorale auf. Bei vorsichtiger Präparation und an Präparaten, die mit Essigsäure behandelt waren, konnte ich in der Regel einen Faden beobachten, der zur Incisura acetabuli geht, mit den Gefässen in das Gelenk tritt und sich in dem von Fett durchdrängten Zellgewebe und dem L...

1614PagniniS

Content [i] Annotation [ii] Original text (in Latin) [iii] English translation [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Fragment from the book: Pagnini S. Thesaurus linguae sanctae, sive lexicon hebraicum (1614, Vol. 1). The author examines the translation into Latin of the term denoting ligamentum capitis femoris (LCF) in Hebrew biblical texts. The text in Russian is available at the following link: 1614PagniniS . [ii] Original text (in Latin) Quote, p. 392 ניר est Neruus Genesis 32.32 Idcirco non comedent (pro, comedunt) filij Israel ניר את neruum. Et Iesah 48.4 וניד & nerruus serreus ceruix tua: vel, secundum Rab. Dair. & virga ferrea: sic appellate, quòd nerui sint ceruice בניד in neruo Genes. 32.32. Iech 37.6. Et dabo super vos צירים neruos. Ijob 10. II ossibusq;...

80-58bcApollonius Citiensis

Fragment from the treatise Apollonius Citiensis Commentary on the Hippocrates’ book On Joints ( Περὶ αρθρων π ραγματεὶα , 80-58 BC). The author notes the possibility of damage to the ligamentum capitis femoris (LCF) during hip dislocation. See our commentary at the link: 80-58bcApollonius Citiensis [Rus], and 2020ArkhipovSV_ProlyginaIV . Quote. [Grc] Περὶ αρθρων π ραγματεὶα . Βιβλιον γ ʹ . (original source: 1965KolleschJ_KudlienF, pp. 86, 88) Translation [Eng] Commentary On Joints ( Commentary on the Hippocrates’ book On Joints). Book 3. If the dislocated and displaced hip could not remain in place, then the physician [Hippocrates] would have clearly indicated the incurability of this case, so that we would not be led astray. Don't those who hold the opposite opinion know about the nature of joints, ligaments and the teachings about these things in general? After all, the physician considered the cause of the mild or, on the contrary, complex displacement and ...

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