2. structure, which, by exercising an ever-
vigilant traction The integrity of the
knee joint,
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3. so far as its perfect functions are
concerned, is largely dependent on this
upon the capsule of the joint and its
connections
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4. is almost the sole means by which
excessive
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5. lateral movement in the knee-joint is
prevented
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6. The ligaments, however strong and
normal, leave a large margin of
undesirable mobility which is
prevented by the ilio-tibial band;
any condition, therefore,
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7. which interferes with the integrity
of it, or weakens the muscles
which control its action, indirectly
leads to
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9. This structure, as shown by the diagram
(Fig. 2) is the very strong specialised
outer portion of the deep fascia of the
thigh Avhich
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10. at its upper end^ after coming down
from the crest of the ileum, receives
the insertion of the greater portion of
the gluteus maximus and the whole of
the tensor fasciae femoris-two very
strong muscular arrangements entering
the ilio-tibial band obliquely
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12. from opposite
points-which by their
combined action
exercise an
immensely strong
traction upon it in a
vertical direction;
13. below, the band becoming as it
descends more concentrated and thick,
is inserted into the outer side of the
head of the tibia,
14. having previously sent off expansions
which are attached to the various bony
prominences about the knee
15. and after reinforcement by
expansions from the vasti muscles
become indistinguishable from the
capsule of the joint.
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16. The relation of the ilio-tibial band to
the tonicity of the knee-joint is the
same as that of the tendons passing
from the leg to
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17. and under, the tarsus to the integrity
of the arch of the foot, and it would
be just as rational to attempt to cure
(in the proper sense of the word) flat-
foot by ignoring the treatme
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