The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Philosophy
The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
199. The ligaments which connect the bones of the lower extremities
are the firmest and strongest in the body. Of these, the fibrous
capsule of the hip-joint (fig. XCIV. 1), which secures the head of the
femur in the cavity of the acetabulum (fig. XCIV.), is the thickest and
strongest. It completely surrounds the joint (fig. XCIV. 1). It arises
from the whole circumference of the acetabulum, and, proceeding in a
direction outwards and backwards, is attached below to the neck of the
femur (fig. XCIV. 1). It is thicker, stronger, and much more closely
attached to the bones than the fibrous capsule of the shoulder-joint
(144), because the hip-joint is formed, not like the shoulder-joint,
for extent of motion, but for strength. Its internal surface is
lined by synovial membrane, and its external surface is covered and
strengthened by the insertion of muscles that move the thigh-bone.
The joint is strengthened by another ligament, which passes from the
inner and fore part of the cavity of the acetabulum (fig. XCV.) to be
inserted into the head of the femur (fig. XCIV.), called the round
ligament, the office of which obviously is to hold the head of the
femur firmly in its socket.
[Illustration: Fig. XCIV.
1. The fibrous capsule of the hip-joint, laid open and turned aside to
show, 2. the round ligament in its natural position.]
[Illustration: Fig. XCV.
A view of the head of the femur drawn out of its socket, and suspended
by the round ligament, to show more clearly the action of the ligament
in retaining the head of the femur in its socket.]
200. Numerous and complicated ligaments connect the bones that form
the knee-joint (fig. XCVI.), and the strength of these powerful bands
is greatly increased by the tendons that move the leg (fig. XCVI. 5),
which pass over, and more or less surround, the joint.
[Illustration: Fig. XCVI.
General view of the ligaments of the knee-joint. 1. Lower end of the
femur; 2. upper end of the tibia; 3. upper end of the fibula; 4. the
patella; 5. united tendons of the extensor muscles; 6. ligaments of
the patella; 7. the capsular investment of the knee; 8. the internal
lateral ligament; 9. the external lateral ligaments; 10. the posterior
ligament; 11. the ligament connecting the tibia and fibula; 12. a
portion of the interosseous ligament.]
201. Strong ligaments maintain in their proper position the bones that
form the ankle-joint (fig. XCVII.), connect the bones of the tarsus
and metatarsus with one another (fig. XCVIII. 1), and articulate the
several phalanges of the toes (fig. XCVIII. 2).
[Illustration: Fig. XCVII.
General view of the posterior ligaments of the ankle-joint. 1. Lower
end of the tibia; 2. lower end of the fibula; 3. astragalus; 4. os
calcis; 5. ligament between the tibia and fibula; 6. ligament passing
from the fibula to the astragalus; 7. ligament passing from the fibula
to the os calcis; 8. ligament passing from the tibia to the astragalus.]
[Illustration: Fig. XCVIII.
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