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

Catalog. LCF of Extinct Species

Discussion of the LCF and morphological signs of its existence in extinct species. Funston, G. F. (2024). Osteology of the two-fingered oviraptorid Oksoko avarsan (Theropoda: Oviraptorosauria). Zoological Journal of the Linnean Society, zlae011. [ academic.oup.com ] Hafed, A. B., Koretsky, I. A., Nance, J. R., Koper, L., & Rahmat, S. J. (2024). New Neogene fossil phocid postcranial material from the Atlantic (USA). Historical Biology, 1-20. [ tandfonline.com ] Kuznetsov, A. N., & Sennikov, A. G. (2000). On the function of a perforated acetabulum in archosaurs and birds. PALEONTOLOGICAL JOURNAL C/C OF PALEONTOLOGICHESKII ZHURNAL, 34(4), 439-448. [ researchgate.net ] Romer, A. S. (1922). The locomotor apparatus of certain primitive and mammal-like reptiles. Bulletin of the AMNH; v. 46, article 10. [ digitallibrary.amnh.org , digitallibrary.amnh.org(PDF) ] Słowiak, J., Brusatte, S. L., & Szczygielski, T. (2024). Reassessment of the enigmati...

LCF in 2025 (November)

LCF in 2025 ( November ) (Quotes from articles and books published in October 2025 mentioning the ligamentum capitis femoris) Awad, A., Rizk, A., ElAlfy, M., Hamed, M., Abdelghany, A. M., Mosbah, E., ... & Karrouf, G. (2025). Synergistic Effects of Hydroxyapatite Nanoparticles and Platelet Rich Fibrin on Femoral Head Avascular Necrosis Repair in a Rat Model. Journal of Biomedical Materials Research Part B: Applied Biomaterials , 113 (11), e35672. [i] onlinelibrary.wiley.com Loughzail, M. R., Aguenaou, O., Fekhaoui, M. R., Mekkaoui, J., Bassir, R. A., Boufettal, M., ... & Lamrani, M. O. (2025). Posterior Fracture–Dislocation of the Femoral Head: A Case Report and Review of the Literature. Sch J Med Case Rep , 10 , 2483-2486. [ii] saspublishers.com , saspublishers.com Vertesich, K., Noebauer-Huhmann, I. M., Schreiner, M., Schneider, E., Willegger,...

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...

2024MiglioriniF_MaffulliN

Abstract and table 4 ( overview of LCF tear classification ) of the article Migliorini F et al. The ligamentum teres and its role in hip arthroscopy for femoroacetabular impingement: a systematic review. (2024). Translation into Russian is available at the link: 2024MiglioriniF_MaffulliN . Systematic Review / Open access / Published: 20 December 2024 The ligamentum teres and its role in hip arthroscopy for femoroacetabular impingement: a systematic review Filippo Migliorini, Federico Cocconi, Tommaso Bardazzi, Virginia Masoni, Virginia Gardino, Gennaro Pipino, Nicola Maffulli Journal of Orthopaedics and Traumatology volume 25, Article number: 68 (2024) Abstract Background The ligamentum teres (LT) has received attention in patients undergoing hip arthroscopy (HA) for femoroacetabular impingement (FAI). Indeed, a better understanding of the function of the LT and its implications for cli...

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....

2012FrederickP_KelmanDC

Invention (Patent): Frederick P, Belew K, Jasper L, Gatewood J, Gibson L, Masonis J, Cooper M, Kelman DC. Methods and apparatus for FAI surgeries. US20120283840A1 (2012). US20120283840A1 US Inventors: Phillip Frederick, Kevin Belew, Lauren Jasper, James Gatewood, Luke Gibson, John Masonis, Michael Cooper, David C. Kelman Current Assignee: Smith and Nephew Inc Worldwide applications 2010 KR JP RU BR CA US CN EP CN WO AU 2014 US 2016 AU 2017 AU Application US13/202,612 events: 2010-02-25 Заявка подана Smith and Nephew Inc 2010-02-25 Приоритет US13/202,612 2012-11-08 Публикация US20120283840A1 2014-12-02 Заявка удовлетворена 2014-12-02 Публикация US8900320B2 Статус: Активный 2031-06-08 Измененный срок действия Methods and apparatus for FAI surgeries Phillip Frederick, Kevin Belew, Lauren Jasper, James Gatewood, Luke Gibson, John Masonis, Michael Cooper, David C. Kelman Abstract A partial rim implant for an acetabulum in a pelvic bone comprise...

1920FrazerJES

Fragments from the book Frazer JES. Anatomy of the Human Skeleton (1920). The author describes anatomy, embryology, development, and attachment of the ligamentum capitis femoris (LCF). Fig. 104. — Outer view of the acetabular and ischio-pubic regions. A. is a region on the bone in front of the position of Quadratus femoris which is in relation with the tendon of Obturator externus and some loose fibro-fatty tissue that permits changes in place of the tendon with movement of the joint. B. is a sloping surface of bone which supports Pectineus but does not give origin to it; the surface extends out to the ilio-pectineal eminence where the fascia covering the Pectineus (pubic portion of fascia lata) reaches the bone at a. The front of the eminence is roughened by fibres belonging to the pubo-femoral group of ligaments. These are separated from the ilio-femoral set by an interval, apparent on the bone and marking the limit of the secondarily added pubic area of articular surfac...

1997McCandlissR

Invention ( Patent ) : McCandliss R. Coaxial ligamented hip prosthesis. US5702474A (1997) . US2765787A United States Inventor: Robert McCandliss Current Assignee: Individual Worldwide applications 1996 US Application US08/589,644 events: 1996-01-22 Application filed by Individual 1996-01-22 Priority to US08/589,644 1997-12-30 Application granted 1997-12-30 Publication of US5702474A 2016-01-22 Anticipated expiration Status Expired - Fee Related Coaxial ligamented hip prosthesis Robert McCandliss Abstract A hip prosthesis is disclosed herein intended to be fitted into a skeletal pelvis socket and which has a replacement socket that includes a metal semi-spherical acetabulum base with a plastic acetabulum liner for movably holding a spherical ball against the liner by a ligament rod. The rod passes through a head of a stem implanted into a femur and terminates with a ligament anchor plate fitted in the acetabulum base via an eyelet and pin connection. A ...

2025VertesichK_ChiariC

Content [i] Annotation [ii] Original text (in German) [iii] References [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Fragments from the article: Vertesich K, Noebauer-Huhmann IM, Schreiner M, Schneider E, Willegger M, Böhler C, Windhager R, Chiari C. The position of the femoral fovea can indicate hip instability and highly correlates with lesions of the ligamentum teres: an observational study (2025). The authors discuss the diagnosis of pathology of the ligamentum capitis femoris (LCF) based on radiological & MRI data. The text in Russian is available at the following link: 2025VertesichK_ChiariC . [ii] Original text (in German) The position of the femoral fovea can indicate hip instability and highly correlates with lesions of the ligamentum teres: an observational study Klemens Vertesich, Iris-Melanie Noebauer-Huhmann, Marku...

BIBLICAL DAMAGE

Biblical damage (Artists and sculptors on the LCF damage described in the Bible: painting, sculpture, icon, fresco, engraving…) 386Brescia_Casket Bas-relief. Drawing depicting the circumstances and mechanism of the LCF injury. 6c.Vienna_Genesis Miniature. Drawing depicting the circumstances and mechanism of the LCF injury. 10c.Cross Bas-relief. Drawing depi cting the circumstances and mechanism of the LCF injury. 1000Jacob&Archangel Fresco. Drawing depicting the circumstances and mechanism of the LCF injury. 1050Aelfric Drawing depicting the circumstances and mechanism of the LCF injury. 1140St.Marie-Madeleine Capital. Drawing depicting the circumstances and mechanism of the LCF injury. 1143 Palantine_Chapel Mosaic . Drawing depicting the circumstances and mechanism of the LCF injury. 1213L’histoire_ancienne. M iniature . Drawing depicting the circumstances and mecha...

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