The mechanism of dislocation and fracture of the hip : with the reduction of the dislocations by the flexion method / by Henry J. Bigelow.
- Date:
- 1869
Licence: Public Domain Mark
Credit: The mechanism of dislocation and fracture of the hip : with the reduction of the dislocations by the flexion method / by Henry J. Bigelow. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![required for its rupture the attachment of weights to the foot varying in the several cases from two hundred and fifty to seven hundred and fifty pounds^ The dissection of the Y ligament here represented, taken from a photograph made in 1861, first direc1> ed my attention to the anatomical arrangement and strength of its fibres. A few months ago, I found, upon referrmg to works in the Hbrary of my distin- guished colleague. Professor 0. W. Holmes, the follow- ing passages, Avhich show that a bifurcation of this lis-ament was known to some of the earlier anatomists, although it has since been generally overlooked. The first is from Winslow : — It [the ligament] is very thick between the anterior inferior spine of the os ilium all the way to the small anterior tuberosity which unites, as it were, the basis of the great trochanter with the basis of the neck. It is likewise very thick between the same spine and the middle part of the oblique rough line observable be- tween the tuberosity and the little trochanter; and here likewise it is strengthened by a bundle of fibres connected to the passage of the tendon of the iliac muscle and to the inferior portion of the oblique rough line. The disposition of the ligamentous fibres of which these two thick portions are composed fonns a sort of triangle with the oblique rough line which terminates the basis of the neck.^ ^ Although autopsies show that the whole of this ligament has sometimes been torn asunder, it may be assvuned that such a lesion is likely to be of rare occurrence. Its strength probably insm-es its immunity in a large majority of luxations, while the constancy of their signs, which will be shown to be best explained by the action of this ligament, testifies to its integrity. ^ An Anatomical Exposition of the Structure of the Human Body. By James Benignus Winslow. (Douglas's Translation.) Lon- don, 1776. Section II. 138, 139.](https://iiif.wellcomecollection.org/image/b2193437x_0027.jp2/full/800%2C/0/default.jpg)
