Skip to main content

LCF in 2024 (December)


Publications about the LCF 2024 (December) 

  

Kneipp, M. L. A., Sousa, L. N., Cota, L. O., Malacarne, B. D., Winter, I. C., Santana, C. H., ... & Carvalho, A. M. (2024). Bilateral coxofemoral dysplasia in a Mangalarga Marchador foal. Journal of Equine Veterinary Science, 105253. [i]  sciencedirect.com

 

Siddiq, B. S., Gillinov, S. M., Cherian, N. J., & Martin, S. D. (2024). Arthroscopic Reconstruction of the Acetabular Labrum Using an Autograft Hip Capsule. JBJS Essential Surgical Techniques,14(4), e23.  [ii]  pmc.ncbi.nlm.nih.gov

 

Kraft, D. B., Delahay, J. N., & Murray, R. S. (2024). Pediatric Orthopedics. In Essentials of Orthopedic Surgery (pp. 139-185). Cham: Springer Nature Switzerland.  [iii] link.springer.com

 

Gebriel, M. E., Farid, M., Mostafa, A., Shaker, N., Abouelela, Y., & Noor, N. (2024). The Surgical Anatomy of Canine Coxofemoral Joint and Innovative Educational Models as El-Nady Technique and 3D Printing. Egyptian Journal of Veterinary Sciences, 1-11.  [iv]  ejvs.journals.ekb.eg   researchgate.net

 

Beyer, R. S., Steiner, Q., Hennessy, D. W., Rosas, H. G., Goodspeed, D. C., & Spiker, A. M. (2024). Assessment and management of periacetabular aneurysmal bone cysts—a series of four cases. Journal of Hip Preservation Surgery, hnae040. [v] academic.oup.com

 

Simpson, M., Lean, F., Marti-Garcia, B., & Meeson, R. (2024). Chronic progressive left hind limb lameness in an 11-month-old intact female Labrador Retriever Poodle cross. Journal of the American Veterinary Medical Association, 1(aop), 1-3. [vi] avmajournals.avma.org

 

Paul, N., Sharma, A., Sarkar, B., Bhakhar, A., Yadav, A. K., & Azam, M. Q. (2024). Bilateral Traumatic Posterior Hip Dislocation–A Case Report. Journal of Orthopaedic Case Reports, 14(12), 52.  [vii] pmc.ncbi.nlm.nih.gov

 

Abu-Nayla, A., Abu-Nayla, A., Nailah, A. A., & Nayla, A. A. A. (2024). Transient Osteoporosis of the Hip: A Case Report. Cureus, 16(12). [viii]  cureus.com

 

Mishra, E., Mohapatra, N. C., Rana, R., Das, S. S., & Mishra, C. (2024). Idiopathic Developmental Dysplasia of Hip in a Female Child with a Rare Epidermal Syndrome-A Case Report. Journal of Orthopaedic Case Reports, 14(12), 89.  [ix]  pmc.ncbi.nlm.nih.gov

 

Kumar, R. K., Awachat, A. M., Sharan, S., Jathkar, A., Naidu, A., & Akhade, N. (2024). Traumatic Hip Dislocation with Proximal Femoral Epiphyseal Fracture in 12-Year-Old Boy: A Case-Based Review. Journal of Orthopaedic Case Reports, 14(12), 180. [x]  pmc.ncbi.nlm.nih.gov

  

Mohamed, H. F., El Deen, A. F. S., Darwish, A. E., Sakr, S. A. E., Abosalem, A. A., & Badawy, E. B. Computed Tomography Evaluation of Multi-Directional Dega Osteotomy in Older Children with DDH (2-10 Years). The Egyptian Journal of Hospital Medicine (October 2024), 97, 4346-4353.  [xi] ejhm.journals.ekb.eg 

 

Jin, T., & Zhang, J. (2024). Concurrent Arthroscopic Revision of the Hip Labral and Anterior Capsular Reconstruction Utilizing Iliotibial Band Autograft. Arthroscopy Techniques, 103366. [xii]  sciencedirect.com

  

Yao, X., Zhao, Q., Ren, T., Wei, G., & Xu, X. (2024). New evidence for the earliest ornithischian dinosaurs from Asia. iScience. 17.12.2024. 111641. [xiii] cell.com

 

Servant, G., Bothorel, H., Pernoud, A., Mayes, S., Fourchet, F., & Christofilopoulos, P. (2024). Six-month rehabilitation following surgical hip dislocation for femoroacetabular impingement restores the preoperative strength of most hip muscles, except for external rotators. Journal of Hip Preservation Surgery, hnae042.  [xiv]  academic.oup.com

 

Migliorini, F., Cocconi, F., Bardazzi, T., Masoni, V., Gardino, V., Pipino, G., & Maffulli, N. (2024). The ligamentum teres and its role in hip arthroscopy for femoroacetabular impingement: a systematic review. Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology, 25, 68.  [xv] jorthoptraumatol.springeropen.com


Arkhipov, S.V. The Ninth Month, Eleventh Day: A Reflection on Chapter XXXII of the Book of Genesis. Joensuu: Author’s Edition, 2024.   [Rus.] [xvi] kruglayasvyazka.blogspot.com , roundligament.blogspot.com , Google Play & Google Book  

                                                                    

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] In equines manifesting dysplasia within this joint, the detection of bilateral gluteal muscle atrophy is feasible, concomitant with the manifestation of cranial luxation or subluxation of the femoral head [5,6]. The luxation and subluxation coxofemoral include external rotation of the hind limbs, with the femorotibial joint and digits turned laterally, resulting in medial rotation of the hock, resembling a valgus deviation. Pelvic asymmetry is also observed in unilateral cases, along with severe lameness, often preventing support of the pelvic limbs and potentially leading to an inability to walk. Subluxation tends to develop due to chronic injuries to the acetabulum or the ligament of the femoral head [5,6,7].

The chronic lesions in the acetabulum, femoral head and femoral head ligament, as demonstrated later in the anatomopathological examination, point to a continuous subluxation of the joint.

  

[ii] Labral reconstruction options include autografts or allografts 7. … Local autograft sites include the ligamentum teres, indirect head of the rectus femoris, iliotibial band, and hip capsule15,18-23,25.

Among the local autograft sites, the utility of ligamentum teres graft is limited because its harvesting requires an open approach 21,22.

  

[iii] Less than 10% of the femoral head is supplied by the branch of the obturator artery through the ligamentum teres.

 

[iv] Two ligaments aid in coxofemoral (hip) joint stabilization by preventing the separation of the bones (os coxae and femur), The ligament. capitis femoris, also known as the femoral head ligament or round ligament and the transverse acetabular ligament without these ligaments dislocation can occur at the coxofemoral (hip) joint. Furthermore, the coxofemoral joint capsule extends from the neck of the femur to the acetabulum's border [1-4]. 

Ligaments. The Canine coxofemoral joint was stabilized by two ligaments; the transverse acetabular ligament (Fig. 6/2) was a thin band that crossed the acetabular notch and closed the acetabulum's margin, located at the ventrocaudal zone of the acetabulum, and the other ligament was the (femoral head) round ligament (Fig. 6/1) a dense cord of collagenic material that extended from the fovea capitis in the femoral head to the acetabular fossa within the joint capsule.

Fig. 6. shows ligaments that stabilize the Canine hip joint. 1, round (femoral head) ligament extending from the fovea capitis of the femoral head to the acetabular fossa; 2, transverse acetabular ligament closing the acetabular rim; 3, femoral head 4, greater trochanter; 5, shaft of the femur; 6, ilium; 6’, iliac crest; 7, pubis; 8, ischium; 8’, ischial tuberosity; 8’’, ischial arch; 9, obturator foramen; 10, pelvic symphysis; 11, acetabular rim; 12, semilunar facet of the acetabulum. (EJVS is a Free Access journal).

 

[v] In the acetabular fossa (), the ligamentum teres appeared torn and friable. Once the ligamentum teres was debrided, the exostosis was apparent in the anterior and inferior region of the fossa (zone 1; Fig. 4b), but its consistency was softer than the surrounding bone.

Figure 4. Intraoperative hip arthroscopy and postoperative MRI for Patient 3. In all intraoperative images, femoral head cartilage is visible on the right, with the acetabulum on the left. The anterior acetabulum is oriented at the top of the images. (a) View of the acetabular fossa upon initial inspection of the joint after clearing hemarthrosis. (b) View of acetabular fossa once the residual ligamentum teres was removed with a shaver with the exostosis marked by an asterisk. (c) Radiofrequency ablation of the body exostosis was performed with a curved, hip-length arthroscopic radiofrequency ablation device. (d) Articular surface of the acetabulum following curettage, burring, and radiofrequency ablation of the bony exostosis. (e) Postoperative MRI at the 7-month interval with resolution of the previously seen bone marrow edema and synovitis. (Creative Commons Attribution-NonCommercial License, CC BY-NC 4.0)

 

[vi] Likewise, in cats, the artery of the ligament of the head of the femur also contributes to epiphyseal blood supply, and this route may explain why Legg-Calvé-Perthes is not generally observed in cats.

 

[vii] By the age of 10, the artery of ligamentum teres develops sufficiently to provide approximately 20% of the blood supply to the femoral head [9].

9. Trueta J. The normal vascular anatomy of the human femoral head during growth. J Bone Joint Surg Br. 1957;39-B:358–94. doi: 10.1302/0301-620X.39B2.358. [DOI] [PubMed] [Google Scholar]


Damage to the ligamentum teres and capsule occurs when the hip dislocates posteriorly. AVN might ensue from this, compromising the femoral head’s blood supply from both the ligamentum teres and the retinacular veins. 


[viii] There were no clear MR signs of osteonecrosis of the femoral head. There was mild to moderate hip joint effusion. The joint space was still preserved. The articular cartilage, transverse ligament, ligamentum teres, and labrum were intact.

 

[ix] Across the iliofemoral Smith-Peterson approach, the iliac apophysis was divided into two halves and dissected laterally. The origins of gluteus medius and gluteus minimus were elevated subperiosteally. The dislocated head was approached after opening the left hip joint capsule. The fibrous tissue, hypertrophied ligamentum teres, and pulvinar fat from the acetabulum were excised. The head was reduced into the native acetabulum and subtrochanteric osteotomy was done.

  

[x] A safe surgical dislocation of the hip (Ganz dislocation) was achieved by flexing and externally rotating the hip followed by cutting the ligamentum teres with curved scissors. The fracture epiphysis was temporarily fixed with a K-wire and then secured with two Herbert screws. 

 

[xi] The capsule was initially exposed, sliced parallel to the rim of the acetabulum and approximately 1 cm distal to it, and then cut at a right angle to the first incision to create a T-shaped incision. The ligamentum teres was found, removed from the head, and secured using Kocher forceps to identify the site of the actual acetabulum. Using scissors, it was separated from the true acetabulum. A tiny nibbler was used to remove the hypertrophied fibro-fatty tissue (pulvinar) till the articular cartilage was seen to clean the acetabular floor. Sectioning the transverse acetabular ligament made head reduction easier.

 

[xii] Many auto- or allograft options now exist for labral reconstruction, including ITB, semitendinosus, indirect head of the rectus femoris tendon, gracilis, peroneus brevis, labrum allograft, meniscus allograft, and ligamentum teres. 16, 17

16. M.S. Abdelaal, R.M. Sutton, C. Atillasoy, J. Parvizi Allograft reconstruction of acetabular labrum has comparable outcomes to labral refixation J Hip Preserv Surg, 10 (2023), pp. 24-30

17. S.F. DeFroda, B. Crist, J.L. Cook Arthroscopic hip labral reconstruction with fresh meniscal allograft Arthrosc Tech, 12 (2023), pp. e813-e821

 

[xiii] On the posterior surface, lateral to the femoral head, there is a broad sulcus for attaching the ligament femoral capitalis, forming a broad concavity in proximal 87 view (Fig. 2B, E).

 

[xiv] Femoroacetabular impingement syndrome (FAIS) is a motion-related disorder of the hip joint in which abnormal contact between the acetabulum and the proximal femur can lead to hip pain and is associated with clinical and radiologic signs [1]. … In cases where nonsurgical management of FAIS fails, surgical intervention may be indicated to treat the abnormal bone morphology, either by arthroscopy or surgical hip dislocation (SHD), both of which have shown satisfactory short- and long-term outcomes [4-7].

The hip was dislocated in flexion–external rotation, and an inspection of the central compartment was performed to look for possible labral or articular cartilage lesions. The status of the acetabular and cephalic cartilage was also assessed. The hip was dislocated in flexion–external rotation, and an inspection of the central compartment was performed to look for possible labral or articular cartilage lesions. The status of the acetabular and cephalic cartilage was also assessed. … The round ligament was excised and then an osteochondroplasty of the head–neck junction was performed while respecting the retinacular vessels. The hip was thereafter reduced and its stability as well as correct mobility were verified (approximately 30° of internal rotation in flexion). 

 

[xv] Conclusions. An intact or torn ligamentum teres managed with debridement does not influence the postoperative PROMs in patients undergoing arthroscopic management for FAI.


[xvi] The monograph is dedicated to the oldest mention of LCF injury and the fate of the first patient with this pathology.


 

Comments

Popular posts from this blog

BLOG CONTENT

  T he ligament of the head of femur or ligamentum capitis femoris (LCF) is the key to a graceful gait and understanding the causes of hip joint diseases. We present promising scientific knowledge necessary for preserving health,  to create new implants and techniques  of treating degenerative  pathology and damage of the hip joint. Project objective : preserving a normal gait and quality of life, helping to study of hip joint biomechanics, developing effective treatments for its diseases and injuries. In translating to English, the author is assisted by ChatGPT (version 3.5)  and the Google Translate service .  We're sorry for any flaws in the syntax. The meaning makes up for the imperfections!     TABLES OF CONTENTS    Acetabular Canal   (Anatomy, topography and significance of the functioning area of ​​the ligamentum capitis femoris) Acetabular Canal.  Part 1.   This article describes the space where the ligam...

1827KühnCG

  Fragment from the book Kühn CG. Clavdii Galeni Opera omnia (1827). Pseudo-Galen notes the connecting function of the ligamentum capitis femoris (LCF) and also specifies the proximal and distal attachment sites. See our commentary at the link: 1827KühnCG [Rus].  Quote [Grc] Εἰσαγωγὴ   ἢ   Ἰτρός . K εφ .  ιβ . [ Περί   όστεολογἰας .] μηρου δέ έν μεν οστούν .  συμβάλλει δε επικεκαμμένη μετρίως τη κεφαλή αυτού εις βαθείαν κοτύλην του ισχίου και νεύρῳ απήρτηται εκφυομένω εκ μέσης της κοτύλης και εμφυομένω εις μέσην την κεφαλήν του μηρού . (original source: 1827KühnCG, pp. 723-724) [Lat Introductio, seu Medicus. Cap. XII.   [De osteologia] Femoris os unum est, cujus caput leniter reflexum in coxae profundum sinum conjicitur. Quam commissuram nervus, qui e medio sinu prodit et in medium femoris caput inseritur, continet. (original source: 1827KühnCG, pp. 723-724) Translation [Eng] Introduction, or the Physician. Chapter 12. [On osteology] The hip has ...

The Solar System

  The Solar System As a result of a mysterious catastrophic event about 13.8 billion years ago, the Universe was formed (2012HawkingS; 2020AghanimN_RoudierG). In it, giant cloud-like accumulations of plasma, molecules and dust became the points of star formation (2011MurrayN). A series of their generations, igniting, functioning and collapsing, led to the appearance of various chemical elements through staged reactions of nuclear fusion (1998IshkhanovBS_TutynIA). The Sun was born for at least ten million years by compressing a concentration of molecular gas and parts of the most ancient stars (2010HanslmeierA). As a result, 4.5682-4.567 billion years ago, the Solar System self-organized, at the dawn of its life consisting of a central luminary and a protoplanetary gas and dust disk (2013HazenRM). At least the oldest meteorite inclusions were fused 4.568-4.565 billion years ago, and at most three million years later, accretion of chondrite globules occurred (1995AllègreCJ_GöpelC). T...

2003IvanovYV

  Ivanov YV, panel, wood carving – Jacob Wrestling with the Angel (2003). Variant of 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 ).     Ivanov Yuri Vitalievich – Jacob Wrestling with the Angel (2003);  im...

1666VeslingJ

  Fragments from the book Vesling J. Syntagma anatomicum (1666). The author describes the attachment, properties and role of the ligamentum capitis femoris (LCF). The text uses several synonyms: ligamentum teres, rotundo, tereti. Quote p. 269 [Lat] Superior appendix cum adjuncto processu, amplum, globosum que femoris caput constituit, valida cervice subnixum, quod intra cavitatem ossis Ischii, Ilium, & Pubis concursu productam, (Acetabulum alias, Pyxidemque nominant) reconditur. Detinetur in hoc sinu robustis LIGAMENTIS: lato uno, & membranoso, quod articulum totum circumdat, tum rotundo altero, & tereti, quod ab ipsa cavitate productum, statim in caput susceptum demittitur. Quote p. 276 [Lat] Fig. VII … b. Ligamentum teres, ex Acetabulo natum. Translation [Eng] Quote p. 269 . The superior appendage, together with the accessory process, forms the large, spherical head of the femur, supported by a strong neck, which is placed in a cavity formed by the ischium, ilium, and...

1614PlatterF

Fragment from the book Platter F. Observationum (1614). The author notes the role of the ligamentum capitis femoris (LCF) in fixing the femur in the acetabulum and the possibility of its lengthening  (synovitis) . Quote pp. 141-142 [Lat] Cruris dextri astrictio & contractio, post coxendicum dolorem. Cùm enim ligamentum illud articulum circumd ás, omnium totius corporis ligamentorum, quae articulos ambiunt, sit amplissimum; fieri potest, ut adeò cedat, ut (sicuti saepe sit) femoris caput, è suo sinu devoluatur, & in membranae illius (quae cùm erassissima sit, prae omnibus totius corporis ligamentis, nunquam vi qualicunque disrumpi potest) amplitudine seu capacitate subsistat, elongato simul & vehementer attracto, tereti illo & crasso, quod caput aliàs in suo sinu retinere solet, ligamento. Quod & ob tensionem illam nimiam, astrictum & induratum, chordae alicuius crasssissimae & firmisimae instar, quae nunquam disrumpi, nunquam ab acetabulo, cuius cartilag...

Online Journal «ABOUT ROUND LIGAMENT OF FEMUR», July 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...

344-411Rufinus Aquileiensis

  A fragment of the manuscript of the translation of Josephus Flavius' Antiquities of the Jews ( Ἰουδαϊκὴ ἀρχαιολογία / De antiquitate iudaica) into Latin by Rufinus Aquileiensis. The translator worked approximately between 344 and 411 in the Roman Empire. His work was rewritten between 1150 and 1199 in Northern France. In Josephus's translation of Antiquities of the Jews, ligamentum capitis femoris (LCF) is referred to as «neruum». The selected fragment deals with the LCF of an animal and discusses a biblical episode of its damage in a human. See our commentary at the link: 344-411Rufinus Aquileiensis [Rus]. T he original text: 93-94JosephusF . Quote [ Lat] De antiquitate iudaica. Liber primus (original source: 1150JosephusF, p. 22, fragment) Translation [Eng] Antiquities of the Jews. Book 1. 20.2 When Jacob had made these appointments all the day, and night came on, he moved on with his company; and, as they were gone over a certain river called Jabboc, Jacob was left behi...

1794LoderJC

  Drawings and descriptions from book Loder JC. Tabulae anatomicae (1794). Image of the hip joint, ligamentum capitis femoris (LCF) and peripheral part of the acetabular canal ( hiatus acetabuli ,  see Fig. 2.10) .   External links Loder JC. Tabulae anatomicae quas ad illustrandam humani corporis fabricam colle git et curavit. Vinariae, 1794. [ wellcomecollection.org ] Authors & Affiliations Justus Ferdinand Christian Loder (1753-1832) was a German anatomist and surgeon, professor of surgery and anatomy at the University of Jena. [ wikipedia.org ] Justus Christian Loder (1801?) Engraving by F. Müller after a painting by Fr. A. Tischbein; original in the  wikimedia.org   collection (CC0 – Public Domain, no changes)   Keywords ligamentum capitis femoris, ligamentum teres, ligament of head of femur, anatomy, image                                    ...

150-250Targum Jonathan

  Fragments from the Targum Jonathan on Genesis. Tractate was written between about 150 - 250 in lend of Israel. The text is a combination of a translation and commentary on the book of Bereshit. The unknown compiler mentions ligamentum capitis femoris (LCF) in an animal and an episode of its damage in a human. See our commentary at the link: 150-250Targum Jonathan [Rus]. Quote 1. [Heb] Genesis. 32:33 (original source:  sefaria.org ) Quote 2. [Heb] Genesis. 43:16 (original source:  sefaria.org ) Translation Quote 1. [Eng] Genesis. 32:33 Therefore, the sons of Israel eat not the sinew which shrank, which is in the hollow of the thigh of cattle and of wild animals, until this day; because the Angel touched and laid hold of the hollow of the right thigh of Jakob, in the place of the sinew which shrank. (Transl. by J.W. Etheridge (186 2 ) ; original source: targum.info ) Quote 2. [Eng] Genesis. 43:16 And Joseph saw Benjamin with them: and he said to Menasheh whom he had mad...