Annals of surgery . ?J -^ £ S 0 vis 1 ^?_: i* c - rt t« .a -D *5 4J ^ ^ Ji - C e -3 5 TJ u- ^ -^ « o i; o o^ § 15 5 S^ hJ 0-1 t, Ou, E- :2 ^ ? N f<^Tfirivd tieo The deep portion of the tibial tendon, much larger than thesuperficial, crosses the tibia beneath the lateral ligament. Inpassing to its insertion, it not only plays over the surface of thecapsule above the head of the fibula, but blends with it alongits line of attachment to the tibia, and some fibres pass upwardupon it as far as the insertion of the coronary ligament. (Fig. 11).This intimate relation between the biceps muscle, the
Annals of surgery . ?J -^ £ S 0 vis 1 ^?_: i* c - rt t« .a -D *5 4J ^ ^ Ji - C e -3 5 TJ u- ^ -^ « o i; o o^ § 15 5 S^ hJ 0-1 t, Ou, E- :2 ^ ? N f<^Tfirivd tieo The deep portion of the tibial tendon, much larger than thesuperficial, crosses the tibia beneath the lateral ligament. Inpassing to its insertion, it not only plays over the surface of thecapsule above the head of the fibula, but blends with it alongits line of attachment to the tibia, and some fibres pass upwardupon it as far as the insertion of the coronary ligament. (Fig. 11).This intimate relation between the biceps muscle, the capsular THE BICEPS AND THE KNEE-JOINT. 361 ligament and through it with the interarticular cartilage andsynovial membrane has not, so iar as I know, been Fig. II.—Tibial Tendon of Biceps, Showing Its Relation to the CapsularLigament and External Articular Cartilage. 1. Fibula disarticulated and drawn backward. 2. Tibia. 3. Articular surface (or fibula. 4. Portion of intra-capsular surface of tibia over which the tibial tendon plays. 5. External condyle of femur. 6. Tibial tendon of biceps. 7. External inter-articular fibro-cartilage. 8. Long external lateral ligament. 9. Cut edge of capsular ligament To recapitulate, we have in the biceps cruris a musclewhich crosses three joints. It arises by two heads and hasthree tendons of insertion. The fibres comprising the longhead, and those of the short head which arise from the lineaaspera, make up a muscle, the tendon of which is inserted intothe head of the fibula. The remaining fibres of the short headare inserted into the capsule behind the tendon of the popli-teus, and into the tibia anteriorly, blending with the capsularligament, more or less, by the way. 392 E. M. MOSHER.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
