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Richter, C., Ishøi, L.,
Kraemer, O., Hölmich, P., & Thorborg, K. (2024). Association of 5-Year Hip
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Stefanelli, D.,
Mecozzi, B., Marino, M., Sardella, R., & Breda, M. (2024). The postcranial
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Thaunat, M., Lambrey,
P. J., Colas, A., Saad, M., Vieira, T. D., & Saint-Etienne, A. (2024).
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Klaas, M. (2024). When a Child’s Hip Hurts and It’s not Rheumatism. In Clinical
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Al-Samarraie, M. Q.,
& Al-Timmemi, H. A. (2024). Evaluation of fabricated toggle pin with metal
wire stabilization for treatment of hip luxation in dogs. Iraqi
Journal of Veterinary Sciences, 38(2), 335-340.[x] vetmedmosul.com , vetmedmosul.com.pdf
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J. C., López-Márquez, D., ... & Mazek, J. (2024). Injection of the Hip With
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Nerve. Arthroscopy Techniques, 102998.[xiii]
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NB! Fair practice / use: copied for the purposes of criticism, review, comment, research and private study in accordance with Copyright Laws of the US: 17 U.S.C. §107; Copyright Law of the EU: Dir. 2001/29/EC, art.5/3a,d; Copyright Law of the RU: ГК РФ ст.1274/1.1-2,7
[i] The goal of this study is to refi ne CHD [Canine hip dysplasia] evaluations using the quantitative method of hip joint planimetry, because the Norberg angle (NA), the fundamental evaluation criterion for official diagnosis is quite a subjective parameter. As the measurement of NA has been found to be insufficient to measure hip joint laxity on the ventrodorsal projection of the pelvis, as extension of the pelvic limbs stretches the joint capsule, the ligament of the femoral head and the associated muscles supporting joint congruence, we decided to verify other methods of detecting laxity and scoring CHD, which include measurement of the femoral head coverage (linear and area overlap), angle of congruence (AoC) and presence of the caudal curvilinear osteophyte and circumferential femoral head osteophyte.
[ii] During the
procedure, the head of the femur was exposed by cutting the reflected head of
the rectus femoris muscle, followed by a circumferential anterior to posterior
capsule cut. After exposing the inside of the hip joint socket, cutting the
ligament of the femoral head, and removing it, the inside of the acetabulum was
evacuated. The shape of the femoral head was then evaluated.
[iii] … [external] ligaments provide more hip rotational restraint than the acetabular labrum and the ligamentum teres…
[iv] Exclusion criteria were as follows: severely reduced JSW (<2.1 mm), previous surgery in the same hip joint regardless of procedure, previous hip pathology or injury such as ligamentum teres rupture, Legg-Calvé-Perthes disease, slipped capital femoral epiphysis, hip dislocation, femoral neck fracture, or avascular necrosis.
[v] The femora from CM display a spherical head of the femur with a distinct ligamentous dimple impressed and a third trochanter trapezoidal in shape in cranial views (chs. 1 and 2 – Table 8 ).
[vi] We operated with an anterolateral approach to the hip joint, removed the soft tissue standing in the way of a favorable reduction, like transverse ligament, ligamentum teres and fat at the base of the acetabulum.
[vii] An incision was made over the greater trochanter in its central axis, going from 30 mm above its tip to 50 mm below its bottom part. The approach was carried through the subcutaneous tissue, sectioning the fascia lata and blunch division of gluteus maximus. The bursa was divided. The piriform tendon was identified at its trochanteric insertion. A straight trigastric osteotomy was performed at the greater trochanter with an oscillating saw, preserving the attachments of the vastus lateralis, gluteus medius and minimus. The greater trochanter was retracted anteriorly and the capsule was exposed. A “Z” shaped capsulotomy was performed, the ligamentum teres was sectioned and the hip was successfully dislocated.
[viii] Hip exploration is then performed in a routine manner: traction is applied to expose the central compartment. Labral, chondrolabral junction, and ligamentum teres condition are assessed (Fig 2C).
[ix] From a rheumatological point of view, the question arises to what extent a unifocal arthritis/coxitis could not lead to a circulatory disorder in the ligamentum capitis femoris and the arteria capitis femoris located there. ... From a rheumatological perspective, anti-inflammatory concepts play a role, especially in view of circulatory disorders of the femoral head caused by inflammatory changes in the area of the joint capsule and the femoral head artery.
[x] This study aimed to evaluate metal suture with fabricated toggle pin as prosthetic round ligament (teres ligament) for the treatment of hip joint luxation in dogs. …the induced luxation was reduced by using a fabricated toggle pin from a Steinman pin with metal suture passed through a femero-acetabular tunnel created by electrical drill started from third trochanter and exits at the acetabular fossa passing through the fovea capitis. The toggle pin was placed in the acetabular hole and pushed through to the medial side. The sutures were pulled through the tunnel and held taut while the hip is reduced to the normal position (Figure 2C). A second hole was then drilled from cranial side of the femur to caudal side. Both pairs of sutures were pulled through this hole and then tied on the lateral side of the femoral cortex.
[xi] …sport athletes demonstrated significantly higher rates of femoral head chondral damage and ligamentum teres tears.
[xii] The foveolar artery is the anterior branch of the posterior root of the obturator artery. This branch enters the fovea capitis femoris through the ligamentum capitis femoris and contributes to the blood supply of the femoral head. However, this artery is not patent in all adults. It is considered an embryonic remnant that does not play a significant vascular role in adult hips (13). ... Anatomical descriptions of the foveolar artery vary. Studies provide conflicting results regarding whether the artery persists in the adult hip joint. While some studies suggest continuity of the artery in the adult hip joint, others suggest that it becomes vestigial and contributes little to vascularization (13,14).
[xiii] The hip joint is the location for many disorders such as osteoarthritis (OA), femoroacetabular impingement syndrome (FAIS), avascular necrosis of the hip, acetabular labral tears, chondral injuries, and ligamentum teres injuries, all of which can cause chronic pain, disability, and functional limitation. ... It has been found that the ligamentum teres also represents a cause of joint pain due to the pressure of proprioceptive and nociceptive fibers attached to the ligament fibers.
[xiv] The ligamentum teres, located intracapsularly, attaches the apex of the cotyloid notch to the fovea of the femoral head and serves as a conduit for the foveal artery, which supplies the femoral head in infants and children. However, this vascular contribution to the femoral head blood supply is minimal in adults. Injuries to the ligamentum teres can occur in dislocations, leading to lesions of the foveal artery and subsequent osteonecrosis of the femoral head.
[xv] The acetabular branch, which courses
through the ligament of the head of the femur to supply the femoral head.
Typically, this branch originates from the posterior branch [obturator
artery].
[xvi] Furthermore, the mean age at follow-up was 54 years, and as more years elapse, a greater number of players might have received a THA. However, other risk factors for hip OA in this study population also need to be addressed. Mechanical insults to the hip joint from repeated loading, as is inherent in the high-impact nature of ice hockey, is one. Furthermore, hip injuries, such as labral or chondral tears not caused by cam morphology, ligamentum teres tears and fractures that might have occurred between baseline and the follow-up, are others.
[xvii] MAOR (medial approach open reduction) is performed either through the Ludloff or Ferguson interval dependent on the patient's anatomy and surgeon preference. For all cases, the adductor longus and psoas tendons are released, medial femoral circumflex artery identified and protected, capsulotomy performed, ligamentus teres and any pulvinar excised, and transvere acetabular ligament divided.
[xviii] Dashed arrows show
irregular tearing and scarring of ligamentum teres.
[xix] One study reported using segmental labral reconstruction with a ligamentum teres capitis graft, finding a mean increase in UCLA score of 3.2 postoperatively. One study reported using segmental labral augmentation with a ligamentum teres autograft, reporting a revision rate of 6.7% and mean (SD) postoperative score of 42.0 (9.1).
[xx] The use of arthroscopy as an adjunct for failed closed
reduction in the infantile dislocated dysplastic hip has been documented, but
has not yet gained wide adoption. It can also be an aid in removing
intra-articular blocks to reduction such as the ligamentum teres, pulvinar and
synovium.
[xxi] The femoral head is on a distinct, elongate neck, with a deep sulcus for the ligamentum capitis femoris. This sulcus angles obliquely on the posterior portion of the head, as in Orodromeus (Scheetz, Citation1999) and Hypsilophodon (Galton…
[xxii] Analysis of literature data and our own morphological observations allowed us to propose a General Classification of LCF Pathology.
[xxiii] The femoral head ligament is also supplied by the anterior branch of the obturator artery of the hip bone, which passes through the lower part of the pubic branch and anastomosed with the femoral artery and the medial femoral circumflex branch.
[xxiv] Labrum, capsule, ligamentum teres, femoral head, or posterior wall bone fragments have all been found to block reduction of a posterior…
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