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1844PetrequinJE

 

Fragments from the book: Pétrequin JE. Traité d'anatomie médico-chirurgicale et topographique (1844). The author discusses the role, attachment, shape, and pathological changes of the ligamentum capitis femoris (LCF). The original text in French. The text is prepared for machine translation using a service built into the blog from Google or your web browser. In some cases, we have added links to quotations about LCF available on our resource, as well as to publications posted on the Internet. The text in Russian is available at the following link: 1844PetrequinJE.  


Quote p. 704.

B. Le ligament rond ou inter- articulaire, inséré à la partie interne et inférieure de la tête , et au bord de l'échancrure ischio-pubienne du cotyle , se tend dans l'abduction de la cuisse qu'il borne, se relâche dans l'adduction, et peut permettre un déplacement incomplet en bas sans se rompre. Lorsqu'on désarticule la hanche, on n'a qu'à porter le femur dans l'abduction , et le ligament distendu se présente sous le couteau.

MM. Weber et Gerdy ont pensé que la tête était encore retenue en place par le bourrelet cotylien faisant office de soupape, et cela d'après la difficulté qu'on éprouve à séparer les deux os par des tractions verticales. L'explication n'est pas très-exacte. Je signalerai plus loin un autre moyen d'union oublié jusqu'ici.

 

Quote p. 706.

Apartir du col , la synoviale se replie sur la capsule , puis enveloppe le ligament rond , et descend dans la cavité cotyloïde tapisser le paquet celluleux qui s'y trouve. J.-L. Petit attribuait à la tuméfaction de cette masse et à l'hypersécrétion de la synovie, l'allongement qui suit la coxarthrocace au début. C'est l'opinion qui a eu le plus de faveur. On a toutefois oublié que ce paquet cellulo-adipeux est recouvert par une membrane fibreuse qui l'emprisonne et s'oppose à un grand développement. Dans les autopsies , je ne lui ai jamais trouvé un volume notable.

 

Quote p. 708.

C. La tête fémorale , plus qu'hémisphérique, appartient à un sphéroïde de 2 pouces environ (54mm) de diamètre. Sur un homme adulte j'ai trouvé 5 pouces 10 lignes (157mm) pour la circonférence , 3 pouces 2 lignes (85 mm) pour le segment de cercle supéro-inférieur , et 3 pouces 4 lignes (90mm) pour le transversal. Son volume est augmenté par le cartilage de revêtement. Elle présente en dedans et un peu en bas une dépression pour l'insertion du ligament rond. Sa forme varie ; elle est souvent aplatie dans les luxations congéniales , et celles dites spontanées.

 

Quote p. 710.

C'est au niveau de l'échancrure ischio-pubienne, laplus profonde de toutes , que le bourrelet cotylien , qui est percé d'un trou pour le passage des vaisseaux et nerfs nourriciers , se trouve le plus faible ; et cette disposition anatomique aux déplacements entraînerait leur plus grande fréquence dans ce sens , si , outre la présence des ligaments de renforcement que nous avons signalés, et celle du ligament rond qui , ici , accompagnant au loin la tête sans se rompre, sert à la brider , si , dis-je , les fonctions motrices ne poussaient plutôt dans un autre point.

 

Quote p. 715.

Les luxations congéniales présentent des phénomènes particuliers . La tête fémorale est , en général , déformée , aplatie , et moins volumineuse ; le col plus court et moins épais ; le cotyle d'ordinaire rétréci , elliptique ou triangulaire , parfois presque plane ou même effacé ; la cavité nouvelle est toujours peu cave, et se trouve en arrière et au-dessus de l'ancienne. Les cartilages sont altérés, amincis, ou incomplets ; le ligament rond allongé , et plus ou moins atrophié ; il n'est pasrare qu'il manque. La capsule fibreuse est conoïde; quelquefois épaissie et toujours allongée. La réductibilité de ces luxations a été révoquée en doute. 

 


External links

Pétrequin JE. Traité d'anatomie médico-chirurgicale et topographique: considérée spécialement dans ses applications à la pathologie, à la médecine légale, à l'obstétricie, et à la médecine opératoire. Paris: Germer Bailliere, 1844. books.google


Authors & Affiliations

Joseph Eléonor Pétrequi (1809-1876) was a French surgeon. researchgate.net


Joseph-Pierre-Éléonor Pétrequin (1809-1876)
Portrait from the «Académie des Sciences, Belles-lettres et Arts» of Lyon (source 2019TsoucalasG_FiskaA 
researchgate.netcolor correction).


Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, anatomy, form, attachment, role, pathology


                                                                    

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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