The HIP JOINT, like the shoulder, is a ball and socket, but does not
allow such free movement; this is due to the fact that the socket or
acetabulum is deeper than the glenoid cavity and that the capsule is not
so lax. At the same time the loss of mobility is made up for by
increased strength. The capsule has three thickened bands, of which the
most important is the _ilio-femoral_ or _Y-shaped ligament of Bigelow_.
The stalk of the Y is attached to the anterior inferior spine of the
ilium, while the two limbs are fastened to the upper and lower parts of
the spiral line of the femur. The ligament is so strong that it hardly
ever ruptures in a dislocation of the hip. As a plumb-line, dropped from
the centre of gravity of the body, passes behind the centre of the hip
joint, this ligament, lying as it does in front of the joint, takes the
strain in Man's erect position. The other two thickened parts of the
capsule are known as _pubo-femoral_ and _ischio-femoral_, from their
attachments. Inside the capsule, and deepening the margin of the
acetabulum, is a fibrous rim known as the _cotyloid ligament_, which
grips the spherical head of the femur and is continued across the
cotyloid notch as the _transverse ligament_. The floor of the acetabulum
has a horseshoe-shaped surface of articular cartilage, concave downward,
and, occupying the "frog" of the horse's hoof, is a mass of fat called
the _Haversian pad_. Attached to the inner margin of the horseshoe, and
to the transverse ligament where that is deficient, is a reflexion of
synovial membrane which forms a covering for the pad and is continued as
a tube to the depression on the head of the femur called the _fossa
capitis_. This reflexion carries blood-vessels and nerves to the femur,
and also contains fibrous tissue from outside the joint. It is known as
the _ligamentum teres_.
_Comparative Anatomy._--Bland Sutton regards the _ilio-femoral
ligament_ as an altered muscle, the scansorius, though against this is
the fact that, in those cases in which a scansorius is present in Man,
the ligament is as strong as usual, and indeed, if it were not there
in these cases, the erect position would be difficult to maintain. He
also looks upon the _ligamentum teres_ as the divorced tendon of the
pectineus muscle. The subject requires much more investigation, but
there is every reason to believe that it is a tendon which has sunk
into the joint, though whether that of the pectineus is doubtful,
since the intra-capsular tendon comes from the ischium in Reptiles. In
many Mammals, and among them the Orang, there is no ligamentum teres.
In others, such as the Armadillo, the structure has not sunk right
into the joint, but is connected with the pubo-femoral part of the
capsule.
Public-domain text, read in full here on John Shaqi.
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