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

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...

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...

1883SuttonJB

  According to the author, the ligamentum capitis femoris (LCF) is a tendon of the pectineus muscle, separated from it in consequence of skeletal modifications.   THE LIGAMENTUM TERES By J. B. SUTTON, Demonstrator of Anatomy, Middlesex Hospital. (PLATE VIII.) The round ligament of the coxo-femoral articulation has long been an anatomical puzzle, consequently many diverse notions exist concerning it. Some anatomists ascribe to this hollow band of fibrous tissue very important functions in the mechanism of the hip-joint; others deprive it of all glory, simply assigning to it the menial duty of conveying blood-vessels to the head of the femur. Certain authors content themselves with a brief description of its attachments; others give elaborate and detailed accounts, extending over several pages, of its anatomy and supposed function. My object in the present communication is to show that this singular ligament is nothing more than the tendon of the pectineus muscle, sepa...

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 ...

The First Animals

  THE FIRST ANIMALS According to molecular clock data, the separation of the Animal Kingdom from the Plant Kingdom occurred 1609±60 Ma (2004HedgesSB_ShoeJL). Molecular estimates indicate that the last common ancestor of multicellular representatives of the fauna (Metazoa) was Neoproterozoic, most likely younger than 800 million years (2015PisaniD_LiuAG). Biomarkers of metazoan living systems identified in sedimentary deposits indicate their presence in the seas since the Cryogenian period (2018ZumbergeJA_SummonsRE), which began around approximately 720 Ma (2023CohenKM_CarN). Multicellular animals were part of early Ediacaran ecosystems and are found below layers dated to 632.5 ± 0.5 Ma (2007Yin_LHuJ). The oldest fossil of a multicellular organism resembling a sponge (Porifera) is about 600 Ma (2015YinZ_TafforeauP). The last Neoproterozoic glaciation (about 582 Ma) coincides with the appearance of complex organisms in the fossil record (2007BowringSA_AllenPA). Ev...

1883MorelC_DuvalM

  Fragments from the book Morel C, Duval M. Manuel de l'anatomiste: anatomie descriptive et dissection. Asselin (1883). The selected passages on the ligamentum capitis femoris (LCF) and its function. The authors saw that in an upright position, the LCF is vertical, taut, and apparently serves to support the weight of the body on the head of the femur, especially due to the two anterior and posterior parts, which are quite strong. The text is prepared for machine translation using a service built into the blog from Google or your web browser. In some cases, we have added links to quotations about LCF available on our resource, as well as to publications posted on the Internet. Quote p. 117 L'extrémité supérieure du fémur (fig. 64) est formée par une tête arrondie (1) que supporte un col (2) inséré obliquement sur le corps, avec tubérosités développées au niveau de cette insertion. La tête, très régulièrement arrondie, formant plus de la moitié d'une sphère, est tourn...

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...

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...