American practice of surgery : a complete system of the science and art of surgery . een or twentyyears of age; the cartilage separating the trochanter, at eighteen years of insertion of the capsule into the femoral neck and its relations to theneck and head are such that they must be studied and reckoned with in con-nection with articular disease. In the first place, it must be remembered thatthe acetabular cavity is considerably deepened by a strong circular fibro-carti-laginous ligament (the cotyloid ligament) forming the so-called glenoidal portion of the glenoidal lip which
American practice of surgery : a complete system of the science and art of surgery . een or twentyyears of age; the cartilage separating the trochanter, at eighteen years of insertion of the capsule into the femoral neck and its relations to theneck and head are such that they must be studied and reckoned with in con-nection with articular disease. In the first place, it must be remembered thatthe acetabular cavity is considerably deepened by a strong circular fibro-carti-laginous ligament (the cotyloid ligament) forming the so-called glenoidal portion of the glenoidal lip which bridges over the cotyloid notch consti- vol. in.—40 626 AMERICAN PRACTICE OF SURGERY. tutes the so-called transverse ligament. The articular capsule of the hip jointarises from the outer surface of the glenoid lip and surrounds not only the head\>i the femur, but the greater part of the neck. Anteriorly the capsule extendsto the anterior intertrochanteric line and is attached there; posteriorly itdoes not extend quite so far. The result is that the whole of the femoral neck. Fig. through the Hip Joint of an Adult, ahowing the Acetabular Fossa and the Liga- mentum Teres. (Original.) is embraced in the capsule anteriorly and somewhat more than half of it pos-teriorly. The articular capsule is strongly developed and it is markedly re-inforced by accessory ligaments. These accessory ligaments are composed oflongitudinal and circular fibres and are firmly adherent to the capsule. Theorbicular ligament (the zona orbicularis of Henle) surrounds the narrowestportion of the femoral neck, constituting a very definite and important bandof circularly disposed fibres. It is completely covered by the other ligaments TUBERCULOUS DISEASE OF BONES AND JOINTS. 627 and surrounds the neck of the femur like a ring, being, however, most stronglydeveloped above, behind, and below; it is attached to the bone below the an-terior inferior iliac spine. The longitudinal fibres constitut
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