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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Human LCF intersection

HUMAN LCF INTERSECTION In the south of China, in the Guangxi Zhuang Autonomous Region, the archaeological Neolithic site of Dingsishan was investigated. Burials of 355 people were found in this place. The authors of the article (2024YeZ_LiFJ) identified 91 skeletons with traces of manipulations with the remains. They are attributed to burials of the Dingsishan III-IV phase, aged 8.0-4.5 thousand years. 13 notches were found on the proximal part of various femurs. « Cutmarks on the femoral head, neck and intertrochanteric line, as well as along the medial linea aspera of the femoral shaft, suggest that soft tissue around the hip, including the iliofemoral ligament and the iliacus and adductor muscles, was severed to disarticulate the joint.» This and other postmortem bone injuries «... suggests that corpse treatment at Dingsishan included disarticulation » (2024YeZ_LiFJ). Figure 4 of the cited article shows the distribution and direction of cutmarks on human skeletons from Dingx...

1803LarreyDJ

Content [i] Annotation [ii] Original text [iii] English translation [iv] Source & links [v] Notes [vi] Authors & Affiliations [vii] Keywords [i] Annotation Fragment from the book: Larrey DJ. Relation historique et chirurgique de l'expedition de l'armée d'Orient, en Egypte et Syrie (Historical account and surgery of the expedition of the Army of the Orient, in Egypt and Syria, 1803). The author describes exarticulation in the hip joint and the technique of cutting the ligamentum capitis femoris (LCF), which he calls the "interarticular ligament". The text in Russian is available at the following link: 1803LarreyDJ . [ii] Original text (France ) Quote pp. 325-328 Les praticiens qui ont proposé l'extirpation de la cuisse ne sont point d'accord sur la manière de la faire; cependant presque tous, craignant l'hémorragie de l'artère crurale, commencent par la ligature de ce vaisseau, forment ensuite un lambeau aux dépens des muscles ...

Vertebrates

VERTEBRATES According to the molecular clock, a specific method for dating phylogenetic events, vertebrates (Vertebrata) separated from arthropods (Arthropoda) 976±97 Ma (2004HedgesSB_ShoeJL). The latter began to dominate in species diversity with the Cambrian burst of radiation, which occurred 520 Ma (2010EdgecombeGD). This ratio in the fauna of the Earth is still preserved. Approximately 525 Ma, the phylum Chordates separated from the group of bilaterally symmetrical animals (1995ChenJY_ZhouGQ). In turn, the evolution of chordate organisms led to the formation of the first vertebrates at least 500 Ma, from which the jawed mouths 450-400 Ma descended, becoming the ancestors of the placoderms or "armored" fish (Placodermi) (1979 НаумовНП _ КарташевНН ). Sculptural reconstruction of the placoderm Coccosteus from the order Arthrodires, Middle Devonian, 393.3-382.7 Ma ; exposition of the Orlov Paleontological Museum (Moscow); photo by the author. The first cartilaginou...

1858IvanovAA

Ivanov A.A., Jacob’s Wrestling with God (1849-1858) . Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description in the Book of Genesis: 25 And Jacob was 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 ). Alexander Ivanov – Jacob’s Wrestling with God (1849-1858); original in the ekzeget.ru col...

LCF in 2026 (July)

LCF in 2026 (July ) (Quotes from articles and books published in July 2026 mentioning the ligamentum capitis femoris) Çetik, R. M., Bakırcıoğlu, S., Büyükdoğan, K., Çağlar, Ö., Atay, Ö. A., & Atilla, B. (2026). Cam-type femoro-acetabular impingement: Mid-term functional results and joint awareness of arthroscopic, mini-open and surgical dislocation techniques. Acta Medica , 57 (2), 123-131. [i] actamedica.org Khan, M. Y., Khan, R., Shaikh, H., Persaud, N. A., Rama, S., & Khan, Y. (2026). Evolution of Hip Arthroscopy in Modern Orthopedic Practice. Cureus , 18 (6). [ii] cureus.com Sanders, W. J., Ji, X. P., & Jablonski, N. G. (2026). New remains of Stegodon zhaotongensis (Proboscidea, Stegodontidae) from the Late Miocene site of Shuitangba, Yunnan Province, China. Journal of Mammalian Evolution , 33 (3), 33. [iii] link.springer.com Randelli, F. (2026...

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1869BigelowHJ

Fragments from the book Bigelow HJ. The mechanism of dislocation and fracture of the hip (1869). The author discusses broken of the ligamentum capitis femoris (LCF) in hip dislocations. Quote p. 10 In the spring of 1861, having been led to expose a joint, the luxation of which had been the subject of a lecture, I was agreeably surprised to observe the simple action of the ligament, - a simplicity which subsequent experience has confirmed, and which strikingly explains the phenomena observed in the living subject (1). The dislocated joint alluded to presented on examination the following appearances. 1. Great laceration of the muscles about the joint. 2. The ligamentum teres broken . 3. Laceration of the inner, outer, and lower parts of the capsule. 4. The anterior and upper parts of the capsule uninjured, and presenting a strong fibrous band, fan-shaped and forked. Quote p. 18 FIG. 1. — The Y ligament, showing its inner and outer fasciculi. The form...

IMAGES AND VIDEOS

IMAGES AND VIDEOS ( Drawings, diagrams, photographs, videos... ) T he Oldest Images of the LCF ( video ) The three oldest images of the ligamentum capitis femoris. 1000Jacob&Archangel. Drawing depicting the circumstances and mechanism of the LCF injury. 1510Leonardo_da_Vinci In the drawing, a uthor depicted the distal fragment of the LCF. 1639BreenberghB. Drawing depicting the circumstances and mechanism of the LCF injury. 1685BidlooG A stretched ligament is shown. 17c.OvensJ. Drawing depicting the circumstances and mechanism of the LCF injury. 17c.PatelP . Drawing depicting the circumstances and mechanism of the LCF injury. 1738LadmiralJ The first illustration and description of the LCF in an infant. 1794LoderJC Image of the hip joint, ligamentum capitis femoris (LCF) and peripheral part of the acetabular canal. 1827Pax tonJ Visualization of th e LCF through...

LCF in 2026 (May)

LCF in 2026 (May ) (Quotes from articles and books published in May 2026 mentioning the ligamentum capitis femoris) Kim, P. S., Kang, C., Lee, J. K., & Hwang, J. M. (2026). Hip arthroscopy to treat symptomatic paralabral cysts: a retrospective analysis of clinical outcomes. Arthroscopy and Orthopedic Sports Medicine , 13 (1), 27-34. [i] e-aosm.org Ko, H. Y. (2026). Vascular Anatomy of the Extremities and Lungs. In Practical Functional Anatomy for Spinal Cord Injury Rehabilitation: A Guide for Physiatrists and Rehabilitation Specialists (pp. 191-223). Singapore: Springer Nature Singapore. [ii] link.springer.com Aiba, H., Yamaguchi, M., Kimura, H., & Murakami, H. (2026). Advances in limb-salvage surgery and reconstruction for pediatric bone and soft tissue tumors. Frontiers in Pediatrics , 14 , 1817788. [iii] pmc.ncbi.nlm.nih.gov Bajwa, A., Villar, R., ...

Inferior Portal. Part 1.

Original in Russian is available at the link: Нижний портал. Часть 1. below is a machine translation edited by a non-native speaker ( version dated 03/02/2025 ) . INFERIOR PORTAL FOR HIP ARTHROSCOPY: A PILOT STUDY PART 1. Background and Hypothesis Arkhipov S.V., Independent Researcher, Joensuu, Finland Abstract: The article presents, theoretically and graphically substantiates the technique of a new arthroscopic approach to the central compartment of the hip joint. It is proposed to introduce the optical system of the arthroscope from below through the acetabular notch without traction. Similar approaches were used for puncture, arthroscopy, arthrography, and arthrotomy of the hip joint. Diagnostics using the described lower portal will exclude complications caused by distraction of the leg and compression of the perineal support during surgery. CONTENTS PART 1. Background and Hypothesis [1] . Introduction [2] . Passage through t...

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