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INSIDIOUSNESS OF LENGTHENING THE LCF

 

The pathological effects of ligamentum capitis femoris elongation can only be partially compensated by the external ligaments and muscles, but not by the acetabular labrum.

Publication in the facebook group 04/27/2025.


                                                                                                                   

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1012-1024Avicenna

  Fragment from the book Avicenna. Canon of Medicine (1012-1024). The author writes about the localization and variant of the pathology ligamentum capitis femoris (LCF), leading to hip dislocation.  See our commentary at the link:   1012-1024Avicenna [Rus]. Quote. [Lat] Canon Medicinae . Lib. III. De doloribus iunctura… L. V. (original source: 1476Avicenna, p. 191, fragment) Quote . [ Rus ] Канон врачебной науки. Книга 3. Том 2. Часть 22. Заболевания внешних и конечных органов. Статья 2. Боли в этих органах, §3. Боли в суставах и то, что является общим для подагры, воспаления седалищного нерва и тому подобного (332a). Материя при воспалении седалищного нерва чаще всего пребывает в суставе и просачивается из него в широкий нерв; когда [нерв] испытывает боль, это предрасполагает его к [приему других] соков, изливающихся к нему сверху из всего тела, кроме тех, которые были заперты вначале. А бывает и так, что материя [первоначально] находится не в суставе, а в широком нер...
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1681SylviusF

  Fragment from the book Sylvius F. Opera medica (1681). The author only hints at ligamentum capitis femoris (LCF) when discussing hip dislocation. We believe Francis Sylvius is referring to Galen's IV commentary on Hippocrates' book «On Joints» ( 2020ArkhipovSV_ProlyginaIV ). Quote p. 41 [Lat] XXV. Nec tantúm Partes Consistentes diversae uni Functioni servientes se Contingere solent, verúm non raro simul per Ligamenta Connecti; secundúm quam Connexionem, variis sensibus perceptibilem Qualitatem, & inter hujus Morbos sexto loco explicandam considerabimus Laxarionem, vel Ruprionem aliamve Divisionem ac Vulnerationem Ligamentorum variorum, propter quam Ossa praesertim ab invicem nimis recedunt, fitque coser quandoque Acetabulis fuis excidunt,fitque Luxatio, sicur Ossi femoris nonnunquam evenit, sic Vterus Ligamentis solutis excidit forás. Translation [Eng] XXV. And not only do the different parts, serving the same function, come into contact with each other, but they are ofte...
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1614PlatterF

Fragment from the book Platter F. Observationum (1614). The author notes the role of the ligamentum capitis femoris (LCF) in fixing the femur in the acetabulum and the possibility of its lengthening  (synovitis) . Quote pp. 141-142 [Lat] Cruris dextri astrictio & contractio, post coxendicum dolorem. Cùm enim ligamentum illud articulum circumd ás, omnium totius corporis ligamentorum, quae articulos ambiunt, sit amplissimum; fieri potest, ut adeò cedat, ut (sicuti saepe sit) femoris caput, è suo sinu devoluatur, & in membranae illius (quae cùm erassissima sit, prae omnibus totius corporis ligamentis, nunquam vi qualicunque disrumpi potest) amplitudine seu capacitate subsistat, elongato simul & vehementer attracto, tereti illo & crasso, quod caput aliàs in suo sinu retinere solet, ligamento. Quod & ob tensionem illam nimiam, astrictum & induratum, chordae alicuius crasssissimae & firmisimae instar, quae nunquam disrumpi, nunquam ab acetabulo, cuius cartilag...
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1847DupuytrenG

  Fragments of the book Dupuytren G. On the injuries and diseases of bones (1847) dedicated to ligamentum capitis femoris (LCF). The author briefly discusses changes in the LCF in hip dysplasia and its role in supplying blood to the femoral head.   Quote p. 173 CHAPTER X. ORIGINAL OR CONGENITAL DISPLACEMENT OF THE HEADS OF THIGH-BONES. … The upper part of the thigh preserves, in these cases, its natural form and dimensions, with the single exception of the upper and inner part of the head of this bone, which I have remarked has sometimes lost a little of its roundness, a circumstance which appears due to the friction it has been subjected to, by contact with a surface unsuited for articulation. The cotyloid cavity is either altogether absent, or presents only a small osseous, irregular prominence, where neither trace of diarthrodial cartilage nor vestige of synovial or other capsule, nor fibrous margin is to be found; but which is surrounded by some tough cellular tis...
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1747PlatnerJZ

  Fragments of the book by J.Z. Platner « Institutiones Chirurgiae rationalis ...» (1747) with mention of ligamentum capitis femoris (LCF). The author describes the LCF as a durable structure that can be damaged by traumatic hip dislocations and also become pathologically altered: weakened, elongated, and disappear. 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.   Quote p p . 432-433 §. 1192. Femur parte sua suprema habet magnum teretemque processum, qui oblique ad os coxæ procedit, quem cervicem appellant. Hæc cervix, intus rara & cavernosa, desinit in magnum & rotundissimum caput, cartilagine etiam mollitum, quod in sinum rotundum coxæ conjicitur. Sinus Anatomicis κοτύλη , vel acetabulum, vocatur, qui in junioribus ex tribus ossibus, quæ media cartilagine inter se co...
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1847FroriepR

  The author, one of the first pathologists in Europe, the first to draw changes in the ligamentum capitis femoris (LCF) in the consequences of traumatic and congenital hip dislocation. Froriep R. Tafeln über die Luxationen: aus den "Chirurgischen Kupfertafeln" einer auserlesenen Sammlung der nöthigsten Abbildungen von äusselich sichtbaren Krankheitsformen, anatomischen Präparaten, Instrumenten, Bandagen und Operations-Verfahren au dem Gebiete der Chirurgie, zum Gebrauch für praktische Chirurgen zusammengestellt. Meimar: Landes-Industrie-Comptoir, 1847. [fragments]   Luxatio. XIII. 2. Ansicht von anatomischen Präparaten über verschiedene nicht eingerichtete Schenkel Luxationen. Fig. 3. c) Schenkelknochen; d) Großer Trochanter; f) Kopf des Schenkels; g) Neues Kapselligament; h) Abgerissenes ligamentum teres. Dislocation. XIII. 2. View of anatomical preparations of various unset dislocations of the hip. Fig. 3...
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