Classification of Neoplasms of the LCF

Version: 20240228

Reports on neoplasms of the ligamentum capitis femoris (LCF) are scarce. Among them, we can distinguish malignant and benign neoplasms. We categorized xanthomas and synovial cysts as distinct types of pathological alterations in tissues closely tumors. Primary of the LCF tumors are possible from various types of connective tissue and theoretically from nervous tissue. Neoplasms of the ligament can also be the result of metastasis and infiltration.

Classification of Neoplasms of the LCF (Vers. 2.1.0)

1. Primary malignant tumors
Malignant chondroma
2. Primary benign tumors
Tenosynovial giant cell tumor
Pigmented villonodular synovitis
Synovial chondromatosis
Synovial osteochondroma
Fibromyxoid pseudotumor
3. Metastasis and infiltration
4. Synovial cysts
5. Xanthoma

References

Malignant chondroma

LeConte, R.G., Lee, W.E., Belk, W.P. (1925) Enchondroma of the femur with repeated recurrences and ultimate death. Arch Surg. 11, 93–9. [jamanetwork.com]

Tenosynovial giant cell tumor

Douvlis, G., Tsiridis, C. A., Gamie, Z., Mpintoudi, A., Milonakis, N., Kenanidis, E., ... & Bintoudi, A. (2024). Acetabular Reconstruction in a Rare Case of Ligamentum Teres Tenosynovial Giant Cell Tumour (TGCT) Causing Extensive Destruction. Cureus, 16(1). [cureus.com , assets.cureus.com(PDF)]

Singh, P. J., Constable, L., & O’Donnell, J. (2009). Arthroscopic excision of a giant-cell tumour of the ligamentum teres. The Journal of Bone & Joint Surgery British Volume, 91(6), 809-811. [boneandjoint.org.uk]

Fibromyxoid pseudotumor

McLawhorn, A. S., Bansal, M., Swensen, S., Schneider, R., Kelly, B. T., Williams, R. J., & Sink, E. L. (2014). Fibromyxoid pseudotumor of the ligamentum teres treated with fresh osteochondral allograft. Skeletal radiology, 43, 541-546. [link.springer.com]

Synovial osteochondroma

Ajabnoor, R. M., Quinzi, D. A., Carmody, E., & Boyce, B. F. (2022). Intraligamentous synovial osteochondroma of the ligamentum teres: a series of 14 cases. International Journal of Clinical and Experimental Pathology, 15(7), 282. [ncbi.nlm.nih.gov]

Pigmented villonodular synovitis

Nazal, M. R., Parsa, A., & Martin, S. D. (2019). Arthroscopic treatment of pigmented villonodular synovitis of the hip using puncture capsulotomy. Arthroscopy Techniques, 8(6), e641-e646. [www.sciencedirect.com]

Synovial chondromatosis

Lim, S. J., Chung, H. W., Choi, Y. L., Moon, Y. W., Seo, J. G., & Park, Y. S. (2006). Operative treatment of primary synovial osteochondromatosis of the hip. JBJS, 88(11), 2456-2464. [journals.lww.com]

Lin, C. W., & Wu, C. D. (2018). Primary synovial osteochondromatosis of the hip joint treated with arthroscopic-assisted mini-open surgery-two case reports. Journal of Orthopaedic Case Reports, 8(2), 38. [ncbi.nlm.nih.gov]

Byrd, J. T., & Jones, K. S. (2000). Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy: the journal of arthroscopic & related surgery, 16(6), 578-587. [rehabeducation.com]

Synovial cysts

Haug, F., & Herzog, R. (2021). Intra-and Periarticular Ganglia (Synovial Cysts) of the Hip with Compression of the Obturator Nerve, Concomitant with Lesions of the Ligamentum Teres – A Report of 3 Cases. Open Journal of Orthopedics, 11(5), 170-182. [scirp.org]

Metastasis and infiltration

Ozaki, T., Putzke, M., Bürger, H., Gosheger, G., Winkelmann, W., & Lindner, N. (2002). Infiltration of sarcomas into the hip joint: comparison of CT, MRI and histologic findings in 67 cases. Acta Orthopaedica Scandinavica, 73(2), 220-226. [tandfonline.com]

Alkalay, D., Kollender, Y., Mozes, M., & Meller, I. (1998). Transarticular tumor invasion via ligamentum teres: A clinical-pathologic study of 12 patients. Acta Orthopaedica Scandinavica, 69(1), 29-30. [tandfonline.com]

Bickels, J., Meller, I., Henshaw, R., & Malawer, M. (1999). Proximal and total femur resection with endoprosthetic reconstruction. Musculoskeletal cancer surgery, 439-58. [tumorsurgery.org]

Bodden, J., Neumann, J., Rasper, M., Fingerle, A. A., Knebel, C., von Eisenhart-Rothe, R., ... & Woertler, K. (2022). Diagnosis of joint invasion in patients with malignant bone tumors: value and reproducibility of direct and indirect signs on MR imaging. European Radiology, 32(7), 4738-4748. [link.springer.com]

Sasaki, T., Gokita, T., Ae, K., Tanizawa, T., Hayakawa, K., Funauchi, Y., ... & Matsumoto, S. (2020). Osteosarcoma arising from acetabulum extended to femoral head through round ligament: a case report. Oxford Medical Case Reports, 2020(11), omaa076. [academic.oup.com]

Rüdiger, H. A., Dora, C., Bode-Lesniewska, B., & Exner, G. U. (2005). Extra-articular resection of the hip with a posterior column-preserving technique for treatment of an intra-articular malignant lesion: a report of two cases. JBJS, 87(12), 2768-2774. [journals.lww.com]

Schlachter, T. R., Wu, Q., & Matlyuk-Urman, Z. (2011). AIRP best cases in radiologic-pathologic correlation: synovial chondrosarcoma. Radiographics, 31(7), 1883-1888. [pubs.rsna.org]

Afonso, P. D., Weber, M. A., Isaac, A., & Bloem, J. L. (2019, June). Hip and pelvis bone tumors: can you make it simple?. In Seminars in Musculoskeletal Radiology (Vol. 23, No. 03, pp. e37-e57). Thieme Medical Publishers. [thieme-connect.com]

Pack, G. T., & Ehrlich, H. E. (1946). Exarticulation of the Lower Extremities for Malignant Tumors: Hip Joint Disarticulation (with and without Deep Iliac Dissection) and Sacro-iliac Disarticulation (Hemipelvectomy) Part III. Annals of surgery, 124(1), 1. [ncbi.nlm.nih.gov]

Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, tumor, neoplasms, metastasis, chondromatosis, cysts

In translating to English, the author is assisted by ChatGPT (version 3.5) and the Google Translate service.

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13c.Soligalich

Soligalich , icon, Jacob wrestling with the angel ( 13 cent. ). Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description in the Book of Genesis: 25 And Ja cob wa s left alone; and there wrestled a man with him until the breaking of the day. 26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank. ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work: Ninth month, eleventh day ( 2024 АрхиповСВ. Девятый месяц, одиннадцатый день ). Soligalich – Jacob Wrestling with the Angel ( 13 cent. ); original in the leonovval...

2018WhiteBJ_HerzogMM

Article: White BJ et al. Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report (2018). A case of ligamentum capitis femoris (LCF) reconstruction using a tendon graft is described. The text in Russian is available at the following link: 2018WhiteBJ_HerzogMM . Simultaneous acetabular labrum and ligamentum teres reconstruction: a case report White BJ, Scoles AM, Herzog MM CONTENT [i] Abstract [ii] Introduction [iii] Materials and Methods [iv] Results [v] Discussion & Conclusion [vi] References [vii] Application [i] Abstract This study aims to present the surgical technique for reconstructing both the acetabular labrum and the ligamentum teres and to describe the early outcomes of this procedure in a 15-year-old male with recurrent hip instability. A 15-year-old patient with recurrent left hip dislocation, hip joint instability and failed non-operative intervention presented f...

THE GIFTS OF THE MAGI FOR ORTHOPEDIC SURGEONS

Translation of the article: Архипов СВ. Новая техника проксимального крепления при реконструкции ligamentum capitis femoris: Дары волхвов ортопедическим хирургам. The text in Russian is available at the following link: 2026АрхиповСВ . A Novel Technique for Proximal Fixation of Ligamentum Capitis Femoris Reconstruction: The Gifts of the Magi for Orthopedic Surgeons S.V. Arkhipov, Independent Researcher, Joensuu, Finland CONTENT [i] Abstract [ii] Introduction [iii] Materials and Methods [iv] Technique [v] Discussion [vi] Conclusion [vii] Appendix [viii] References [ix] Structured Abstract [x] Additional material [i] Abstract An experimental technique for reconstruction of the ligamentum capitis femoris (ligamentum teres femoris) is described. The proposed method involves creating two portions of the ligament analog: a pubic portion and an ischial portion. Fixation of thes...

2025SarassaC_HerreraAM

Content [i] Annotation [ii] Original text [iii] References [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Abstract of the article : Sarassa C. et al . I ntraosseous Tunneling and Ligamentum Teres Ligamentodesis “Teretization” to Enhance S tability in Congenital Hip Dislocation Surgery: Surgical Technique and Mid-Term Outcomes (2025). The article describes a technique for fixing the femoral head using the ligamentum capitis femoris (LCF) in congenital hip dislocation. The text in Russian is available at the following link: 2025SarassaC_HerreraAM . [ii] Original text Abstract Background Developmental dysplasia of the hip (DDH) with complete dislocation (grade ≥III) in older patients often requires open reduction. However, achieving long-term stability remains challenging. This study introduces and evaluates a novel surgical technique, intraosseous tunneling ...

LCF in 2026 (January)

L CF in 2026 ( January ) (Quotes from articles and books published in January 2026 mentioning the ligamentum capitis femoris) Villegas Meza, A. D., Nocek, M., Felan, N. A., Speshock, A., Bolia, I. K., & Philippon, M. J. (2025). Hip Microinstability: Current Concepts in Diagnosis, Surgical Management, and Outcomes A Narrative Review. Open Access Journal of Sports Medicine , 205-221. [i] tandfonline.com , dovepress.com Wang, C. H., Wang, J. H., Lin, Y. H., Shih, C. A., & Hong, C. K. (2026). An Unusual Mechanical Cause of Hip Subluxation Following Modified Dunn Procedure for Slipped Capital Femoral Epiphysis: A Case Report. Formosan Journal of Musculoskeletal Disorders , 10-4103. [ii] journals.lww.com Alsaghaier, A. (2026). Results of spica cast in treatment of developmental dysplasia of the hip in children between 6-18 Months. Journal of Academic Research , 30 , 28-43. [...

1976CrelinES

Content [i] Annotation [ii] Original text [iii] Illustrations [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Article : Crelin ES. An experimental study of hip stability in human newborn cadavers (1976). The author described an experimental study of the role of ligamentum capitis femoris (LCF) in stabilizing the hip joint and its significance for the occurrence of congenital hip dislocation. The text in Russian is available at the following link: 1976CrelinES . [ii] Original text (in German) An Experimental Study of Hip Stability in Human Newborn Cadavers E. S. Crelin Sections of Gross Anatomy and Orthopaedic Surgery, Yale University School of Medicine, New Haven, Connecticut 06510 Received August 21, 1975 The less frequent variety of hip dislocation occurs before birth and may be associated with neuromuscular disorders such as arthrogr...

LCF in 2025 (August)

LCF in 2025 ( August ) (Quotes from articles and books published in August 2025 mentioning the ligamentum capitis femoris) Castro, A., de Melo, C., & Leal, F. (2025). Complications in hip Arthroscopy: Recognizing and managing adverse events. Journal of Clinical Orthopaedics and Trauma , 103144. [i] journal-cot.com Negayama, T., Nishimura, H., Murata, Y., Nakayama, K., Takada, S., Nakashima, H., ... & Uchida, S. (2025). Factors associated with treatment failure after hip arthroscopic surgery for the patient with femoroacetabular impingement secondary to Legg-Calvé-Perthes disease. Journal of ISAKOS , 100937. [ii] jisakos.com Wegman, S. J., Shaikh, H., Brodell Jr, J. D., Cook, P. C., & Giordano, B. D. (2025). Femoral head osteochondral allograft transplantation with and without simultaneous periacetabular osteotomy: a case series. Journal of Hip Preservation Surgery , hnaf037. [iii] ...

LCF in 2025 (July)

LCF in 2025 ( July ) (Quotes from articles and books published in July 2025 mentioning the ligamentum capitis femoris.) Tekcan, D., Bilgin, G., & Güven, Ş. Evaluation of Risk Factors for Developmental Dysplasia of the Hip. HAYDARPAŞA NUMUNE MEDICAL JOURNAL , 65 (2), 99-103. [i] jag.journalagent.com Domb, B. G., & Sabetian, P. W. (2025). Greater Trochanteric Pain Syndrome: Gluteal Tendinopathy, Partial Tear, Complete Tear, Iliotibial Band Syndrome, and Bursitis. In Orthopaedic Sports Medicine (pp. 1-17). Springer, Cham. [ii] link.springer.com Kuhns, B. D., Becker, N., Patel, D., Shah, P. P., & Domb, B. G. (2025). Significant Heterogeneity in Existing Literature Limits Both Indication and Outcome Comparability Between Studies Involving Periacetabular Osteotomy For Acetabular Dysplasia With or Without Arthroscopy Despite Improvement for Both: A Systematic Review. Arthroscopy . [iii] ...

LCF in 2024 (September)

Publications about the LCF 2024 (September). Chen, P. L., Lu, Y. H., & Hsieh, C. P. (2024). Hip Arthroscopy-assisted Reduction for Irreducible Hip Dislocation: A Case Report. Formosan Journal of Musculoskeletal Disorders , 15 (3), 115-119. [i] journals.lww.com Domb, B. G., Owens, J. S., Lall, A. C., Harris, W. T., & Kuhns, B. D. (2024). Ten-Year Outcomes in Patients Aged 40 Years and Older After Primary Arthroscopic Treatment of Femoroacetabular Impingement With Labral Repair. The American Journal of Sports Medicine , 03635465241270291. [ii] journals.sagepub.com Rossi, F. W., Osman, M., & Mormile, I. (Eds.). (2024). Prognostic and Predictive Factors in Autoimmune Connective Tissue Disorders . Frontiers Media SA. [iii] books.google.fi Jimenez, R. Q., Walsh, E., & Domb, B. G. (2024). Revision Hip Arthroscopy: Getting It Right the Second Time. Operative Techniques in Sports Medicine , 151108. [iv] ...

LCF in 2024 (October)

Publications about the LCF 2024 ( October ) . Gänsslen, A., Lindtner, R. A., Krappinger, D., & Franke, J. (2024). Pipkin fractures: fracture type-specific management. Archives of Orthopaedic and Trauma Surgery. 1-14. [i] link.springer.com Vesey, R. M., MacDonald, A. A., Brick, M. J., Bacon, C. J., Foo, G. L., Lu, M., ... & Woodward, R. M. (2024). Imaging characteristics of hip joint microinstability: a case–control study of hip arthroscopy patients. Skeletal Radiology. 05 Oct: 1-11. [ii] link.springer.com Wu, W., Liu, M., Zhou, C., Mao, H., Wu, H., Wu, Z., & Ma, C. (2024). Efficacy of Outside‐In Hip Arthroscopy without Traction in the Treatment of Hip Synovial Osteochondromatosis. Orthopaedic Surgery. 9999:n/a. [iii] onlinelibrary.wiley.com Yang, J., Zhang, T., Zhu, X., He, Z., Jiang, X., & Yu, S. (2024). miRNA-223-5p Inhibits Hypoxia-induced Apoptosi...

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