Skip to main content

LCF in 2024 (November)


Publications about the LCF 2024 (November).

 

Mohammed, C., Kong, R., Kuruba, V., Rai, V., & Munazzam, S. W. (2024). Outcomes and complications of hip arthroscopy for femoroacetabular impingement syndrome: A narrative review. Journal of Clinical Orthopaedics and Trauma, 102797. [i]  journal-cot.com

 

Shah, M. Q. A., Kiani, R. B., Ahmad, A., Malik, H. A., Rehman, J. U., & Anwar, Z. (2024). Children with Developmental Dysplasia of Hip-Our Experience of Outcome at a Tertiary Care Centre. Pakistan Armed Forces Medical Journal, 74(5), 1236.  [ii]  scholar.google.com

 

Graf, R. Sonography of the Infant’s Hip: Principles, implementation and therapeutic consequences. Springer Nature. 2024.  [iii]  books.google

 

Sáenz, J. F. C., Carrera, E. T., Gutiérrez, R. A., & De La Ossa, L. (2024). Capsular Traction-Assisted Hip Arthroscopy: An Alternative to T-Capsulotomy for Osteochondroplasty. Arthroscopy Techniques, 103296.  [iv]  sciencedirect.com

 

Sondur, S., Kaushik, S., & Das, S. P. (2024). Journal of Orthopaedic Reports. Journal of Orthopaedic Reports, 3, 100230. [v]  researchgate.net

 

Hung, N. N. (2024). Long-term Outcome and Complications Following Open Reduction, Hung Zigzag Iliac Osteotomy Combined Fibular Allograft for Developmental Dysplasia of the Hip in Children. EC Paediatrics, 13, 01-19. [vi]  ecronicon.net

 

Asnis, S. E., Heimroth, J. C., & Goldstein, T. (2024). A Mathematical Evaluation of the Effects of the Head and Neck Diameter on the Arc of Motion and the Implications in Total Hip Arthroplasty. Arthroplasty Today, 30, 101556. [vii]  sciencedirect.com

 

Lee, J. H., Girardi, N. G., Kraeutler, M. J., Keeter, C., Genuario, J. W., Garabekyan, T., & Mei-Dan, O. (2024). Staged Hip Arthroscopy and Periacetabular Osteotomy in Active Patients 45 Years and Older Produces Comparable Improvements in Outcome Scores to Younger Patients. Arthroscopy: The Journal of Arthroscopic & Related Surgery. [viii]  arthroscopyjournal.org

 

Toosey, W. J., Williamson, T. E., Shelley, S. L., & Brusatte, S. L. (2024). The osteology of Triisodon crassicuspis (Cope, 1882): New insights into the enigmatic “archaic” placental mammal group “Triisodontidae”. PloS one, 19(11), e0311187.   [ix]  journals.plos.org

 

Cheong, T., Tao, X., Nawabi, D. H., Abd Razak, H. R. B., & Lee, M. (2024). Clinical Outcomes of Arthroscopic Surgical Intervention in Femoroacetabular Impingement Amongst the Asian Population: A Meta-analysis. Journal of ISAKOS.  [x]  jisakos.com

 

Bal, Z., & Takakura, N. (2024, November). DEVELOPING A SMALL ANIMAL TRAUMA MODEL FOR FEMORAL HEAD OSTEONECROSIS. In Orthopaedic Proceedings (Vol. 106, No. SUPP_18, pp. 31-31). Bone & Joint. [xi]  boneandjoint.org.uk

 

Singh, A. (Ed.). (2024). Emergency Radiology: Imaging of Acute Pathologies. [xii]  books.google

 

Posiyano, K., Prasad, R. V. S., Dzogbewu, T. C., Olakanmi, E. O., Leso, T. P., Setswalo, K., & Sello, A. T. (2024). THE POTENTIAL OF Ti-6Al-7Nb, AND DESIGN FOR MANUFACTURING CONSIDERATIONS IN MITIGATING FAILURE OF HIP IMPLANTS IN SERVICE. Biomedical Engineering Advances, 100136. [xiii]  sciencedirect.com   ,  researchgate.net

 

Cao, J., Li, Y., Luo, J., Zheng, Z., Wang, X., Su, Y., & Han, J. (2024). MRI-Based Parameters to Assess the Quality and Prognosis of the Closed Reduction in the Developmental Dislocation of the Hip in Toddlers. November 18th, 2024.  [xiv]  assets-eu.researchsquare.com

 

Dangas, K., MacAulay, A., & Mifsud, M. Vascularized Fibular Graft With Femoral Head Epiphysis In Situ for Hip Reconstruction After Proximal Femoral Chondrosarcoma Resection in a Child. Techniques in Orthopaedics, 10-1097.   [xv]  journals.lww.com

 

Hemanth, K. S., Tigulla, D., Lakshmi, V., & Buhari, S. (2025). Early stage detection of osteoarthritis of the joints (hip and knee) using machine learning. In Diagnosing Musculoskeletal Conditions using Artifical Intelligence and Machine Learning to Aid Interpretation of Clinical Imaging (pp. 39-64). Academic Press. [xvi]  sciencedirect.com

 

Qin, S., Shi, L., Guo, B., Jiao, S., Zang, J., Qin, S., ... & Shi, L. (2024). Congenital Deformity of Lower Limbs. In Atlas of Limb Deformity: Etiological Classification (pp. 21-61). Singapore: Springer Nature Singapore.  [xvii]  link.springer.com

 

Foss, C. (2024). Ligamentous Injuries of the Hip. In Dissecting Sports Injuries of the Hip (pp. 165-183). Cham: Springer Nature Switzerland.  [xviii]  link.springer.com

 

Perraut, G., Evans, B. G., & Park, K. W. (2024). Hip Osteoarthritis and Arthroplasty. Essentials of Orthopedic Surgery, 323. [xix]  books.google

 

Bhimsaria, G., Nagaeswari, T., Srimathi, T., & Ramachandran, K. (2024). An anatomico-morphometric analysis of proximal femur. Bioinformation, 20(9), 990-992.  [xx]   bioinformation.net

 

Fujii, H. (2024). Functional Anatomy of the Hip Joint Specific to THA. In Advances in Total Hip Arthroplasty (pp. 57-63). Singapore: Springer Nature Singapore.  [xxi]  link.springer.com 

 

                                                                    

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]  Areas of ongoing debate include the role of labral debridement versus repair, the optimal management of mixed-type FAIS, and the potential benefits of adjunctive procedures such as ligamentum teres debridement.

 

[ii] Persistent dislocation leads to chronic changes in the acetabulum, ligamentum teres and capsule that further reduces the chances of stable reduction.3

3. Litrenta J, Masrouha K, Wasterlain A, Castaneda P. Ultrasound Evaluation of Pediatric Orthopaedic Patients. J Am Acad Orthop Surg 2020; 28(16): e696-e705.

 

[iii] Between this tissue and the femoral head, the ligamentum teres stretches from the region of the acetabular notch (incisura acetabuli). It attaches with a relatively broad insertion at the fovea centralis of the femoris head (see Fig. 3.26).

 

[iv] In our practice, we do not routinely perform capsular repair. By using capsular traction and not affecting the zona orbicularis, we minimize capsular damage during our procedures, so we do not believe it is necessary to perform capsular closure in all cases. We consider capsular closure in patients with risk factors for developing secondary instability, patients with signs of hypermobility or with those with borderline dysplasia6,7 (center-edge angle of 22°-24°) with lateral center edge angles less than 30°, patients with a diffuse acetabular lesion pattern not caused by cam or pincer (Seldes8 type I and II), ligament teres rupture, and those in whom ease in performing traction of the extremity with the opening of the articular space with little effort is possible.9

  

[v]   

Fig. 2. Computed tomography images confirming the posterior dislocation of the femoral head and acetabular wall fracture.

Fig. 3. A: Intra-operative photograph of patient in lateral decubitus position. The femoral head is delivered out via the posterior approach and the ligamentum teres is found to be completely detached from its femoral attachment. B: Post-operative radiograph depicting fixation of left femoral neck with three cancellous screws and the acetabular wall with a reconstruction plate and screws and concentric reduction of the femoral head.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

  

[vi] In older children, hip reduction becomes difficult due to adaptive shortening of the extra-articular soft tissues, acetabular dysplasia, capsular contracture, increased femoral anteversion, ~ acetabular fat pad, round ligament hypertrophy, and ~ inversion of the articular margin. 

Care was taken to extend the condylar incision as medially as possible. The teres ligament and the transverse acetabular ligament were excised. 

Table 2: Details of the initial treatment and subsequent surgeries for 157 cases of congenital dislocation requiring open reduction using SOFA without femoral osteotomy.

In the Table 2: Adductor tenotomy: 150 (95.8%); Poas tendon: 150 (95.8%); Ligamentum teres [present]:147 (93.8%); Transverse acetabular ligament: 153 (97.9%); Pulvinar: 143 (91.7%); Capsulorraphy: 57 (100.0%); Kirschner: 157 (100.0%). 

Table 3: Second operation with femoral shortening after initally operation 3 months (62 Híp)

In the Table 3: Adductor tenotomy: 54 (87.1%), Psoas tendon: 51 (82.3%), Ligamentum teres present: 56 (90.3%), Puvinar present: 57 (91.9%), Transverse ligament present: 54 (87.1%), Capsulorrhaphy: 62 (100.0%), Kirschner wire: 62 (100.0%), Femoral shortening: 62 (100.0%).

  

[vii] The limitation in the native human hip range of motion is due to the ligamentum teres which acts as an end-range stabilizer of the hip [4].

4. Martin, H. D., Hatem, M. A., Kivlan, B. R., & Martin, R. L. (2014). Function of the ligamentum teres in limiting hip rotation: a cadaveric study. Arthroscopy: The Journal of Arthroscopic & Related Surgery30(9), 1085-1091.

  

[viii] of labral hypertrophy, articular cartilage thickening, or ligamentum teres tear all aided in establishing a diagnosis of symptomatic hip instability.

  

[ix] The “triisodontids” are generally rare elements of the Puercan (ca. 66−63.5 Ma) and Torrejonian (ca. 63.5−62 Ma) faunas of the San Juan Basin, but some have also been reported from other Paleocene localities throughout western North America [12,13].

 

The femoral head is large and would have originally been hemispherical in shape, as in Periptychus carinidens (NMMNH P-19430) and Arctocyon primaevus (MNHN.F.CR17, CR16), but has undergone postburial deformation, becoming more mediolaterally compressed (Fig 26B and 26D). The hemispherical shape contrasts to the relatively ovoid shape of Ar. mumak (YPM-PU 18703), the latter which has a flattened distal edge [64]. The articular surface is smooth and restricted to the head, not extending onto the femoral neck medially. In Triisodon crassicuspis, the articular surface on the posteromedial side of the femoral head is excavated by well-defined and relatively deep fovea capitis (Fig 26B), which provided an insertion for the ligamentum teres [91]. The fovea capitis is ovoid-shaped and distally expanded, although it does not interrupt the posteromedial border of the femoral head, as in Ar. mumak and Ar. primaevus, but unlike Pe. carinidens. The anteroposteriorly narrow fovea capitis could have also resulted from postburial deformation.

  

[x] Ligamentum teres was debrided if there was hypertrophy or synovitis.

 

[xi] Left femoral head was dislocated from the hip joint, ligamentum teres was cut, and a slight circular incision was done around the femoral neck of 8-week-old male C57BL/6J mice to disrupt the blood supply to femoral head.

 

[xii] The blood supply to the femoral head is through three routes, including the vessels in the ligamentum teres, capsular vessels, and branches of the nutrient vessels.

 

[xiii] 

Fig. 1. Anatomical features of the hip joint. (A) Transverse view of the acetabular component with the ligament. (B) Lateral view of the head of the femur that has been rotated laterally out of the acetabulum to show the ligament and the cut synovial membrane [47].

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).

 

[xiv] In the successful CR group, the soft tissues observed on MRI included an inverted labrum (four hips), thickening of the ligamentum teres (six hips), brofatty pulvinar tissue (two hips), and joint effusion (four hips).

 

[xv]  The hip was dislocated with great care, ensuring that the ligamentum teres vessel and the posterior capsule remained intact to preserve blood supply to the femoral epiphysis. Under image guidance, 1.6 mm K-wires were inserted along the femoral head physis to mark the resection margin. The femoral head was divided axially along the physis. The epiphysis remained attached to ligamentum teres throughout, with an arterial line and 18-G needle inserted into the femoral head epiphysis to assess for an arterial waveform. Good bleeding from the distal aspect of the epiphysis was also noticed and was encouraging. The dissection around the tumor was now completed proximally

 

[xvi] … MRI can detect changes in soft tissues around the hip joint, including structures such as the labrum and ligamentum teres, which are thought to have a role in OA [osteoarthritis].

 

[xvii] Arthrography may show dysplasia of the articular capsule, labrum, and round ligament (Fig. 2.2).

 

[xviii] The Ligamentum Teres (LT) is an intraarticular ligament. It originates at the transverse acetabular ligament of the acetabulum and connects to the head of the femur at the fovea capitis. The function of this ligament is to assist in the stability...

 

[xix] The artery of the ligamentum teres, a branch of the obturator artery, travels within the ligamentum teres and supplies only 10-20% of the blood supply to the femoral head. …

 

[xx] The fovea capitis is also an important anatomical structure in the proximal femur that transmits vessels supplying the femoral head. This ligament plays a role in cases where the head of femur undergoes avascular necrosis, which is a complication of hip fractures and dislocations. The mean transverse diameter of the fovea in our study was 10.97±2.20 mm. This value is comparable to those found by Gupta et al., i.e. 11.38±2.35 mm. However, the longitudinal diameter of the fovea in our study, 9.46±2.24, is much lesser than the value obtained by the same study 15.94±3.37 mm, suggesting a regional variation between northern and southern Indian populations. The computed tomography study done by Ceynowa et al. [5] in Poland found the transverse diameter to be 12.94±2.61 mm and the longitudinal diameter to be 10.83±2.32 mm, with the values being greater in men than in women.

Gupta M et al. Cureus. 2022 14:e28780. [PMID: 36225441]

Ceynowa M et al. Surg Radiol Anat. 2019 41:101 [PMID: 30171297]

 

[xxi] Ligamentum Teres of the Femur (Fig. 14.3) The ligamentum teres connects the acetabulum and femoral head. The ligament is tense when the hip joint is flexed and abducted [???] and relaxes when the hip joint is abducted and flexed.


 


Comments

Popular posts from this blog

LCF in 2025 (September)

  LCF in 2025 ( September )   (Quotes from articles and books published in  September  2025 mentioning the ligamentum capitis femoris)   Zhang, Z., Dong, Q., Wang, T., You, H., & Wang, X. (2025). Redescription of the osteology and systematic of Panguraptor lufengensis (Neo-theropoda: Coelophysoidea).   01 September 2025. PREPRINT (Version 1)  [i]   researchsquare.com   Tripathy, S. K., Khan, S., & Bhagat, A. (2025). Surgical Anatomy of the Femoral Head. In A Practical Guide to Management of Femoral Head Fracture-Dislocation (pp. 1-13). Singapore: Springer Nature Singapore.   [ii]   link.springer.com   Yoon, B. H., Kim, H. S., Lim, Y. W., & Lim, S. J. (2025). Adhesive Capsulitis of the Hip: Clinical Features, Diagnosis, and Management. Hip & pelvis , 37 (3), 171-177.    [iii]    pmc.ncbi.nlm.nih.gov      Bharath, C. M., Aswath, C. A., Ayyadurai, P., Srinivasan, P....

Main Scheme

  Interaction of ligaments of the hip joint and muscles during single-leg support  BLOG CONTENT IMAGES AND VIDEOS

0cent.4Q158.1-2

  Content [i]   Annotation [ii]   Original text [iii]   Translation [iv]   Source  &  links [v]   Notes [vi]   Authors & Affiliations [vii]   Keywords [i]   Annotation Fragments 1-2 of Dead Sea Scroll 4Q158.1-2, which previously contained part of Genesis 32 with a mention of ligamentum capitis femoris (LCF). We have translated the reconstructed text of M.M. Zahn (2009). The English translation is available at: 0 cent .4 Q 158.1-2 . [ii]   Original text Photocopy   Dead Sea Scroll 4Q158, fragments 1-2 (Plate 138, Frag. 4 B-358482), material – parchment, text – Hebrew, period – Herodian. A screenshot of the original from The Leon Levy dead sea scrolls Digital Library collection, © 2025 Israel Antiquities Authority  deadseascrolls.org.il   (Fair use for criticism, study and comparison; sharpening, color correction, and captions done by us.).   Transcription Dead Sea Scroll 4Q158, fragments 1-2, lines 11...

Grok. Review of the Article by S.V. Arkhipov "Why Restoration of the Acetabular Labrum May Be Ineffective?".

  At our request, Grok, artificial intelligence developed by xAI, wrote a review of the article by Arkhipov SV. Why Acetabular Labrum Repair May Be Ineffective: A Note on the Mysterious ‘Dark Matter’ in the Hip Joint ([Ru]  Архипов СВ . Почему восстановление вертлужной губы может быть неэффективно?: Заметка о таинственной «темной материи» в тазобедренном суставе. 06.04.2025 ). In accordance with the comments, the article was revised and sent for re-review to the ChatGPT language model prepared to assist in the analysis and editing of texts (OpenAI, 2025).  Below is the original text of the review by Grok: Review of the Article by S.V. Arkhipov "Why Restoration of the Acetabular Labrum May Be Ineffective?: A Note on the Mysterious 'Dark Matter' of the Hip Joint". This review focuses on the analysis of argumentation, as requested. The author asserts that restoration of the acetabular labrum fails to prevent hip joint instability and osteoarthritis when the ligame...

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] ...

2008HeinerG

  Invention (Patent Application Publication): Heiner G. Implant as an intermediate layer between articulating joint surfaces. DE102007018341A1 (2008). [ translated from German ]   DE102007018341A1 Germany Inventor: Heiner Genrich Current Assignee: Individual Worldwide applications 2007 DE Application DE102007018341A events: 2007-04-13 Application filed by Individual 2007-04-13 Priority to DE102007018341A 2008-10-16 Publication of DE102007018341A1 Status: Ceased   Implant as an intermediate layer between articulating joint surfaces Heiner Genrich   Abstract A surgical implant is an interface between two articulated surfaces together forming a ball and socket joint. The articulation surface (1) and the facing bone surface (2) whose edge (13) is thinner than the centre section (15). The surface (2) matches that of the damaged bone surface. Description The The invention relates to an implant as intermediate between articulating articular surfaces, wherein the intermed...

1541MondinoL_DryanderJ

  Fragment from the book Mondino de Luzzi, Dryander J. Anatomia Mundini (1541). An early description of the anatomy and role of the ligamentum capitis femoris (LCF) is presented. The pathogenesis of lameness and soft tissue atrophy in LCF pathology is discussed. For more details, see the commentary in  1541MondinoL_DryanderJ [Rus] .  Quote p. 62. [Lat] De anatomia cruris [&] pedis. Postea eleua musculos & chordas &, uide ossa. Et primura est os foemoris supra quod fabricatae sunt spondiles dorsi: & per consequens totum corpus in parte inferiori habet pixidem quondam, in cuius concauitate locata est extremitas rotunda canna coxae, que uocatur uertebrum. Et in medio amborum in parte anteriori est quod dam ligamentum, quod aliomodo porestuocari uertebrum: & quando hoc uel primum resilit foras: tunc niecesse ed hominem claudicare, quia crus hic elongatur & firmari non potest; & totum non bene potest supportari: & necesse eit etiam ut crus tab...

1993ArkhipovSV

  The publication describes the design of a total hip joint endoprosthesis, which became a prototype of an artificial hip joint with analogous to the ligamentum capitis femoris (LCF). Complete hip joint prosthesis designed by S.V. Arkhipova (Полный протез тазобедренного сустава конструкции С.В. Архипова ) Patent RU2089135 Inventor  Sergey Vasilyevich Arkhipov Сергей Васильевич Архипов Original Assignee Sergey Vasilyevich Arkhipov Сергей Васильевич Архипов 1993-12-30 Application filed by Сергей Васильевич Архипов 1993-12-30 Priority to RU93057862A 1996-07-27 Publication of RU93057862A 1997-09-10 Application granted 1997-09-10 Publication of RU2089135C1 Abstract FIELD: medicine; prosthetics. SUBSTANCE: proposed complete prosthesis for hip joint comprises femoral component and acetabular components, both components being interconnected by pivot. Outer surface of acetabular component is provided with threads and grooves. Shank is made in form of collet chuck, tabs of whi...

Online Journal «ABOUT ROUND LIGAMENT OF FEMUR», August 2025

  The journal is dedicated to the ligamentum capitis femoris (LCF) and related topics   About the Journal   »»»                                                                                . The online journal  « About Round Ligament of  Femur »   was created based on the scientific blog of the same name. The resource is the English-language part of the project:  ONLINE JOURNAL:  Ligamentum capitis femoris .   Updates:  As new materials are prepared. Mission :   Popularization and preservation of knowledge about LCF, as well as promoting its practical application. Main goal:  Improvement of diagnosis, treatment, and prevention of injuries and diseases of the hip joint. Publisher:  Arkhipov S.V., independent researc...

17c.FranckenFII

  Frans Francken II , painting Jacob Wrestling with the Angel (16 – 17th 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 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 ).     Frans  Francken II  –  Jacob Wrestling with the Angel  (16 – 17t...