Anatomical description of the parts concerned in inguinal and femoral hernia / Jules Cloquet ; Translated from the French, with lithographic plates form the original etchings, and a few additional explanatory notes. By Andrew Melville McWhinnie.

  • Cloquet, Jules, 1790-1883
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: Anatomical description of the parts concerned in inguinal and femoral hernia / Jules Cloquet ; Translated from the French, with lithographic plates form the original etchings, and a few additional explanatory notes. By Andrew Melville McWhinnie. Source: Wellcome Collection.

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    os INNOMINATUM. pression. The latter eminence is more or less prominent in different subjects ; it is bounded anteriorly by a hollow surface which extends downwards and inwards as far as the linea- ilio-pectinea. ^ Between the latter and the spine of the pubes, and above the cotyloid cavity, is another slight excavated sur- face, horizontal, smooth, and triangular, narrow internally, and broad on the outer side. This surface belongs to the transverse portion of the pubes; it is bounded in front by a jutting border or crista, which ascends from the cotyloid cavity and the ob- turator foramen towards the spine of the pubes, and to which the pectinalis muscle is attached ; posteriorly, it is bounded by the brim of the pelvis, and by a rough oblique line which pro- ceeds from the spine of the pubes backwards and outwards ; and after a course of about half an inch, becomes continuous with the brim. This projecting line may be termed the crista of the pubes ; it affords attachment to an aponeurotic expan- sion, which will hereafter be described. (See Gimbernat’s ligament.) The surface just described is of particular importance as relating to the subject of crural hernia ; it is entirely covered by the pectinalis, which is attached to it as high as the brim of the pelvis: the femoral vessels lie upon this muscle. On the inner side of the spine of the pubes is a rough horizontal border of about an inch in length. ^ It is united at a right angle, (angle of the pubes), with the vertical and oblong articular surface, which contributes to form the symphisis pubis. I have pointed out the manner in which the aponeurosis of the external oblique contributes to the formation of the in- guinal canal ; it now remains for me to show how it takes a • The linea-ilio-pectinea is the line where the ilium and the pubes unite. It gives attachment to the tendon of the psoas parvus, or to an aponeurosis, when this muscle is wanting. The hollow surface between the linea-ilio-pectinea and the anterior inferior spine of the ilium is continuous with the iliac fossa. ^ This part of the pubes corresponds with the base of the triangle, which the in- guinal ring represents ; upon its surface the spermatic cord in the male, and the round ligament in the female, rest.