Lectures on the principles and practice of midwifery / [James Blundell] ; edited by Charles Severn.

  • James Blundell
Date:
1842
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on the principles and practice of midwifery / [James Blundell] ; edited by Charles Severn. Source: Wellcome Collection.

    25/456 (page 17)
    VERNACULAR TERMS — LIGAMENTS. a VERNACULAR TERMS. It may not be impertinent to give you the names by which they are known in our maternal tongue, because female practitioners, with whom you must occasionally meet, use them in preference to classical terms, ill suited to Teutonic organs ; and, therefore, without the knowledge of the vernacular expressions, you might be ata loss to understand what is meant. The bone on which we sit, the ischium, they very properly call the sitting bone ; the os pubis, the shear bone ; the os ilium, the haunch bone; the sacrum, the rump bone ; and the little bone, the os coccygis, they call the huckle, perhaps an euphonious and more graceful substitute for knuckle. LIGAMENTS. When the anatomist examines the pelvis, he finds there a va- riety of ligaments, some of them of no small importance in surgery, a delicious study for the amateurs in hernia. In an obstetric view, however, the ligaments which alone are of importance are the obturatores, and more especially the sacro-ischiatic ligaments, for with the ligaments of Poupart and Gimbernat the accoucheur has little to do; and first of the obturatores. In the ossa innominata we have, in either bone,a large aperture, through which two or three fingers may be passed — the obturator foramen already demonstrated; with a sheet of ligament (the obturator ligament) in the recent pelvis this aperture is closed; and although examin- ing this ligament we often find it in several apertures made by the dermastes, or the more destructive fingers of noviciates, naturally there is one aperture only, placed above towards the back part, and transmitting the obturator artery, vein, and nerve — the vein not of so much importance, the artery of considerable interest, and the nerve frequently mentioned by the accoucheur, as the trunk of it is liable to be compressed and injured under the passage of the foetal head. The sacro-ischiatic ligaments are a set of ligaments lying on the sides of the pelvis, and somewhat behind. They are divided into two pairs ; the one lyingexternally, the other within, and hence the appellation of the external and internal. The external sacro- ischiatic ligament, arising strong and narrow from the tuberosity of the ischium, passes outwards, backwards, and upwards, becom- ing very broad, to be inserted into the lower part of the sacrum and upper part of the os coccygis. The internal ligament arising narrow and strong from the ischial spine, passes upwards and backwards, to be inserted broadly into the lower part of the sacrum and the upper part of the os coccygis laterally, much in manner like the former. P O*