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.

BLOG CONTENT

Set of Classifications

Comments

Test catalog of the LCF pathology

Test catalog of the ligamentum capitis femoris pathology By Sergey V. Arkhipov, MD, PhD CONTENT [i] Abstract [ii] Introduction [iii] Testing in the supine position [iv] Testing in a standing position [v] Gait study [vi] References [vii] Application [i] Abstract A description of tests for the detection and differential diagnosis of ligamentum capitis femoris (LCF) pathology is presented. [ii] Introduction One of the first studies devoted to the diagnosis of LCF injury demonstrated a variety of symptoms: groin pain, hip stiffness, sometimes long-standing minimal clinical findings, or signs similar to osteoarthritis (1997GrayA_VillarRN). More than a decade later, researchers concluded: "Unfortunately, there is no specific test for detecting LCF tears." The signs known at that time were nonspecific and were also observed in other intra-articular pathologies of the hip joint (2010CerezalL_Pérez-CarroL). The a...

Who, When, and Where Wrote the Book of Genesis?

Who, When, and Where Wrote the Book of Genesis? A Medical Hypothesis By Sergey V. Arkhipov, MD, PhD & Lyudmila N. Arkhipova, BSN CONTENT [i] Abstract [ii] Introduction [iii] Egyptian physician [iv] Asian diviner [v] Conclusion [vi] References [vii] Application [i] Abstract The Book of Genesis is an example of an ancient literary text that contains important medical insights. We propose that it was written in northern Egypt in the late 17th century BCE, approximately ten years after the Minoan eruption. The protograph likely emerged from the collaboration between an Asiatic seer, who rose to the rank of an Egyptian official, and an Egyptian physician-encyclopedist. By refining its dating and authorship, this hypothesis positions Genesis as a credible source of medical and historical data, thereby enhancing its value for interdisciplinary research. [ii] Introduction According to Rabbinic Judais...

18th Century

18th Century Catalog of archived publications of the specified period 1700-1709 1705PetitJL The author writes about anatomy, role, and damage of the LCF in hip dislocation. 1705RuyschF The author describes the anatomical preparation containing the LCF, notes its areas of attachment, geometric and mechanical properties. 1706PolluxJ The author refers to LCF as "νεῦρον" and also points out the synonym "ἰσχίον". 1709PetitJL The author discusses the anatomy, role and damage of the LCF in hip dislocation, and also mentions the principle of treatment. 1710-1719 1715MunnicksJ The author describes the attachment, shape, role of the LCF, and discusses subluxation of the hip. 1717HermannD The author indicates the distal area of attachment of the LCF and uses a rare synonym. 1720-1729 1720RuyschF The author draws attention to the well-developed blood supply of the acetabular fossa, as well as the ...

1836-1840PartridgeR

«Prof. Partridge in his lectures on anatomy at King's College was accustomed to compare the Ligamentum Teres, in its function, to the leathern straps by which the body of a carriage is suspended on springs » ( 1874SavoryWS ). Perhaps Nikolai Pirogov listened to these lectures ( 1859PirogoffN ). The analogy that Richard Partridge used could have arisen after reading the monograph Bell J. The Principles of Surgery (1801) . In it, the author depicted a cart and a pelvis resting on the head of one and two femurs. However, there is no mention of ligamentum capitis femoris (LCF) in the chart descriptions. References Savory WS. On the use of the ligamentum teres of the hip joint. J Anat Physiol. 1874;8(2)291-6. [ ncbi.nlm.nih.gov , archive.org ] Pirogoff N. Anatome topographica sectionibus per corpus humanum congelatum triplici directione ductus illustrate. Petropoli: Typis Jacobi Trey, 1859. [ books.google , archive.org ] ...

Key Role of the LCF

In the experiments conducted on the pelvis-femur-muscle-ligaments model, we found that when the contralateral pelvic drop occurs, the ligament of the head of femur become maximally tense; simultaneously, there is relaxation and lengthening of the gluteus medius muscle; the pelvis spontaneously rotates towards the stance limb (forward), and the load on the hip joint decreases. Thanks to the functioning of the ligament of the head of femur the walking is smooth, rhythmic, and energy-efficient. Track Music: Blue Dot Sessions , Vittoro (CC BY-NC 4.0 DEED / fragment) "Take care of the ligament of the head of femur for yourself and your neighbor!" . . keywords: ligamentum capitis femoris, ligament of head of femur, ligamentum te...

2025ChenJH_AcklandD

The article by Chen JH, Al’Khafaji I, Ernstbrunner L, O’Donnell J, Ackland D. Joint contact behavior in the native, ligamentum teres deficient and surgically reconstructed hip: A biomechanics study on the anatomically normal hip (2025). The authors experimentally demonstrated the role of the ligamentum capitis femoris (LCF) in unloading the upper sector of the acetabulum and the femoral head. The text in Russian is available at the following link: 2025ChenJH_AcklandD . Joint contact behavior in the native, ligamentum teres deficient and surgically reconstructed hip: A biomechanics study on the anatomically normal hip By Chen JH, Al’Khafaji I, Ernstbrunner L, O’Donnell J, Ackland D. CONTENT [i] Abstract [ii] Introduction [iii] Materials and methods [iv] Results [v] Discussion and Conclusion [vi] References [vii] Application [i] Abstract Background The ligamentum teres is known to contribute to hip joint st...

MYTHS AND MISCONCEPTIONS

MYTHS AND MISCONCEPTIONS ( Erroneous and folkloric beliefs, folk and traditional stories...) LCF in English Bibles The first written mention of the LCF in humans is found in the ancient Hebrew book – Bereshit (Genesis). In English translations of the Bible, LCF is denoted by various terms, often not explicitly referring to the «ligament». The Shortest Comments on Genesis, Chap. XXXII-XXXIII In the selected excerpt, the symptoms, mechanism, and differential diagnostic test for the injury to LCF are provided, along with details about the circumstances, time, and place of the biblical trauma. 1609-1583bcProtoBereshit Hypothesis: in the work of fiction, an unknown physician-encyclopedist for the first time pointed out damage to the LCF as a cause of gait disturbance. 922-722bcElohist A variant of the oldest description of damage to the LCF and the cause of lameness in Hebrew, dating from 922-722 BC. 8cent.bcHomer The...

2012KomistekRD

Invention (Patent Application Publication): Komistek RD. Maintaining proper mechanics THA. US20120221115A1 (2012). US20120221115A1 US Inventor: Richard D. Komistek Current Assignee: DePuy Ireland ULC Worldwide applications 2011 US 2012 AU CN EP WO EP EP CN EP JP 2013 ZA 2015 US 2016 AU JP US 2018 US AU Application US13/034,226 events: 2011-02-24 Priority to US13/034,226 2011-02-24 Application filed by Individual 2012-08-30 Publication of US20120221115A1 2015-05-05 Publication of US9023112B2 2015-05-05 Application granted Status: Active 2031-02-24 Anticipated expiration Maintaining proper mechanics THA Richard D. Komistek Abstract A prosthetic hip joint comprising: (a) a femoral component including a femoral head; and, (b) an acetabular component including an acetabular cup and an acetabular cup insert, the acetabular cup insert sized to receive the femoral head, where the femoral head is sized to have a spherical center that matches a sph...

Congenital Hip Dislocation. Pathogenesis

An original view on the pathogenesis of congenital hip dysplasia, congenital dislocation and subluxation of the hip. One example of the importance of ligamentum capitis femoris (LCF) and the influence of a mechanical factor on living systems is a group of diseases of the hip joint such as congenital hip dysplasia, congenital subluxation and congenital hip dislocation. The last of these pathological conditions is an extreme degree of severity of the previous two. Common to these pathological conditions is the presence of connective tissue dysplasia syndrome of varying severity. It is based on a decrease in the strength and elasticity of connective tissue structures. The consequence of this is that a standard load, for example, on ligaments causes their plastic deformation: thinning, elongation, and in some cases, rupture. This occurs due to both mechanical and biological processes (for more details, see the Law of Bioinduction ). If, in connective tissue dysplasia syndr...

EMBRYOLOGY AND DEVELOPMENT

embryology AND development ( embryology, development . .. ) 1841BarkowHCL The author discusses development, anatomy and function of the LCF. 1864RambaudA_RenaultC The authors describe the development of the hip joint in children and mention the place of attachment of the LCF . 1878Welcke rH In the article, the aut hor di scusses the embryonic development of the ligamentum capitis femoris (LCF) in hum ans a nd certain animals (pinnipeds, tapirs). 1880SchusterH The article discusses the embryonic development of the LCF in humans and some animals. 1889AmantiniC Selected excerpts from the article examine the role of the LCF vessels in the blood supply to the femoral head. 1 894KeithA The paper discusses the development, anatomy, strength, and presence of the ligamentum LCF in various monkeys. 1 905BardeenCR The author briefly discusses the emergence of the LCF....

Search This Blog