Skip to main content

LCF in 2025 (July)

  

LCF in 2025 (July) 

(Quotes from articles and books published in July 2025 mentioning the ligamentum capitis femoris.)


Tekcan, D., Bilgin, G., & Güven, Ş. Evaluation of Risk Factors for Developmental Dysplasia of the Hip. HAYDARPAŞA NUMUNE MEDICAL JOURNAL, 65(2), 99-103.  [i]  jag.journalagent.com

 

Domb, B. G., & Sabetian, P. W. (2025). Greater Trochanteric Pain Syndrome: Gluteal Tendinopathy, Partial Tear, Complete Tear, Iliotibial Band Syndrome, and Bursitis. In Orthopaedic Sports Medicine (pp. 1-17). Springer, Cham.  [ii]  link.springer.com

 

Kuhns, B. D., Becker, N., Patel, D., Shah, P. P., & Domb, B. G. (2025). Significant Heterogeneity in Existing Literature Limits Both Indication and Outcome Comparability Between Studies Involving Periacetabular Osteotomy For Acetabular Dysplasia With or Without Arthroscopy Despite Improvement for Both: A Systematic Review. Arthroscopy.  [iii]  arthroscopyjournal.org

 

Arkhipov SV. (2025). Critical mass of consensus: Opinions on the importance of ligamentum capitis femoris (XX-XXI century). About round ligament of femur.  [iv]  roundligament.blogspot.com  ,   researchgate.net

 

Gupta, S., Saviour, C. M., Pal, B., Chanda, S., & Mukherjee, K. (2025). Musculoskeletal System: Structure and Function. In Biomechanics of Joints and Implants: Concepts to Applications (pp. 1-65). Singapore: Springer Nature Singapore.  [v]  link.springer.com

 

Vybornov, D. Y., Tarasov, N. I., Trusova, N. G., Koroteev, V. V., Isaev, I. N., Lozovaya, J. I., ... & Ilyina, A. M. (2025). Arthroscopically Assisted Reduction for Teratogenic Hip Dislocation in a Child with Multiple Congenital Malformations. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care, 15(2), 241-252.  [vi]   rps-journal.ru

 

Alshayhan, F. A., Alatassi, R., Alomar, A. H., Alqarni, M., Bakarman, K., Alhuzaimi, F., ... & Alsiddiky, A. (2025). Single-Stage Triple Procedure Bilateral Hip Open Reduction, Acetabuloplasty, and Femoral Shortening for Late Diagnosed Patients With Developmental Dysplasia of the Hip. JAAOS Global Research & Reviews, 9(7), e25.  [vii]  journals.lww.com

 

Montes, L., & Larraín, C. (2025). Hip Fractures in Children and Adolescents. Paediatrics Traumatology: A Comprehensive Guide to Diagnosis and Management, 317.  [viii]  books.google

 

Watson, A. K., Roensch, A. J., Duncan, B. R., Aboulafia, A., Myers, N. L., Mansour III, A., & Gardner, E. P. (2025). Examining the relationship between radiographic measures and patient-reported outcome measures at baseline in the dysplastic hip preservation population. Journal of Hip Preservation Surgery, hnaf023.  [ix]  academic.oup.com

 

Pinto, D., Thomas, D. P., & Carpenter, C. (2025). Hip Arthrogram in Developmental Dysplasia of the Hip: A review. Journal of Clinical Orthopaedics and Trauma, 103134.  [x]  journal-cot.com

 

Englert, G., Mansour, A., Strub, D., Badowski, E., Tulchin-Francis, K., Kadado, A., ... & Klingele, K. Open Reduction With Ligamentum Teres Reconstruction—Preliminary Results of a Novel Technique for the Management of Pediatric Developmental Dysplasia of Hip. Journal of Pediatric Orthopaedics, 10-1097.  [xi]  journals.lww.com

 

Fearnside, S., Lane, D., Lotsikas, P., Lotsikas, F., & Britt, C. N. (2025). Disorders of the Canine Pelvic Limb: Diagnosis and Treatment. Canine Sports Medicine and Rehabilitation, 599-648.  [xii]  onlinelibrary.wiley.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] Several factors play a role in the etiology of DDH, particularly mechanical structural (connective tissue laxity and capsular and acetabular structures, such as the labrum, pulvinar, ligamentum teres, and transverse acetabular ligament), genetic (racial characteristics and gender), and mechanical environmental factors (oligohydramniosis, breech birth, first birth, and postnatal position) [3,4,11].

 

The literature suggests that DDH is four to six times more common in females than in males, attributed to ligament laxity resulting from maternal and fetal hormones [15,16].

3. Ortiz-Neira CL, Paolucci EO, Donnon T. A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol 2012;81:e344–51.
4. Kolb A, Schweiger N, Mailath-Pokorny M, Kaider A, Hobusch G, Chiari C, et al. Low incidence of early developmental dysplasia of the hip in universal ultrasonographic screening of newborns: Analysis and evaluation of risk factors. Int Orthop 2016;40:123–7.
11. Shaw BA, Segal LS; SECTION ON ORTHOPAEDICS. Evaluation and referral for developmental dysplasia of the hip in infants. Pediatrics 2016;138:e20163107.
15. Omeroğlu H. Use of ultrasonography in developmental dysplasia of the hip. J Child Orthop 2014;8:105–3.
16. Ayanoğlu S, Çabuk H, Kuşku Çabuk F, Beng K, Yildirim T, Uyar Bozkurt S. Greater presence of receptors for relaxin in the ligamentum teres of female infants who undergo open reduction for developmental dysplasia of the hip. J Orthop Surg Res 2021;16:627.


[ii] Intraarticular sources [of greater trochanteric pain] include labral tears, loose bodies, femoroacetabular impingement, capsular laxity, ligamentum teres tears, and osteoarthritis.

  

[iii] Hip arthroscopy is an additional procedure that can treat intra-articular pathology, including labral tears, capsular laxity, ligamentum teres injury, and chondral damage, all of which are common in the setting of hip dysplasia.

 

[iv] Abstract

This evolving article collects views on the importance of the ligamentum capitis femoris (LCF) to the musculoskeletal system. Our collection aims to highlight the emerging fundamental shift in the current consensus in the orthopaedic and musculoskeletal research communities regarding the meaning of LCF. Here the convinced convince others. Ultimately, this once-unconventional idea will become established knowledge, enabling a transformation in clinicians’ thinking and in approaches to the prevention, diagnosis, and treatment of hip joint pathologies. 

 

[v] Teres is a relatively small ligament that runs from the acetabular fossa to the head of the femur. It provides some stability to the hip joint and carries a small artery that supplies blood to the femoral head.


[vi] To eliminate intra-articular obstacles and achieve stable reduction in a minimally invasive manner, arthroscopy of the right hip joint was performed. Intraoperatively, hourglass-shaped capsular deformity, hypertrophy of lipofibrous granulation tissue in the acetabular floor, and abnormal transverse and ligamentum teres were identified. Arthroscopic capsular release, granulation tissue debridement, and ligament resection were carried out.

 

[vii] Capsulotomy was done to remove intra-articular obstacles, including the pulvinar, transverse acetabular ligament, and ligamentum teres, before reducing the femoral head.

  

[viii] The artery of the round ligament contributes scarcely to the total irrigation of the femoral head, …

 

[ix] Hip preservation surgical techniques are available to patients who present with hip pain unrelated to arthritic changes, with the goal of preserving the native hip joint. Diagnoses indicated for these treatments include femoroacetabular impingement (FAI), labral tears, ligamentum teres tears, and acetabular dysplasia [1].

1. Enseki K, Harris-Hayes M, White DM et al. Nonarthritic hip joint pain. J Orthop Sports Phys Ther 2014;44:A1–32. doi: 10.2519/jospt.2014.0302

  

[x] The structures that can be assessed in detail during hip arthrograms include the cartilaginous femoral head; the labrum, limbus and neolimbus; the bony and cartilaginous acetabular roof; intra-capsular structures like pulvinar, ligamentum teres and transverse acetabular ligament; and extra-capsular structures like the psoas shadow and capsular constriction.

  

[xi] Abstract
Background:
The primary goal in the management of developmental dysplasia of the hip (DDH) is to obtain and maintain a stable, concentrically reduced hip via closed or open techniques while limiting iatrogenic risk. Recent studies suggest a 7% risk of recurrent instability following open reduction (OR) of idiopathic DDH and even higher rates of recurrent instability and complications with the management of neuromuscular or syndromic DDH. This study describes a novel technique of ligamentum teres reconstruction (LTR) performed during OR of idiopathic and nonidiopathic DDH.
Methods:
This is a prospective cohort study of 49 consecutive patients (61 hips) who underwent LTR with OR as an index procedure via a single surgeon from 2020 to 2024. The procedure combines an anterior and limited lateral approach with the use of a suture button device passed through a femoral tunnel and flipped along the inner table of the pelvis, inferior and posterior to the triradiate physis. Demographics, radiographic severity, and short-term outcomes were analyzed. Exclusion criteria included surgery performed in a revision setting (4 patients/4 hips), nonstandard implant (2 patients/2 hips), and <1 year follow-up (10 patients/14 hips).
Results:
A total of 33 patients (41 hips) met inclusion criteria—18 patients (21 hips) with idiopathic DDH and 15 patients (20 hips) with nonidiopathic DDH. Average follow-up was 27.6 months for idiopathic and 21.9 months for nonidiopathic patients. In the idiopathic cohort, all patients exhibited grade III or IV DDH. No loss of reduction or hardware failure occurred, and 5% of patients sustained minor complications. In the nonidiopathic cohort, only one loss of reduction was noted (5%).
Discussion:
The addition of LTR via a suture button device to OR demonstrates excellent short-term outcomes, including maintenance of reduction and low complication rates. Further studies are warranted to investigate the long-term effect on acetabular remodeling, range of motion, need for postoperative immobilization, and risk of iatrogenic avascular necrosis and future growth disturbance.


[xii] The coxofemoral joint derives most of its stability from the round ligament of the femoral head, the joint capsule, and the dorsal acetabular rim.

 

                                                                    

Author:

Arkhipov S.V. – candidate of medical sciences, surgeon, traumatologist-orthopedist. 


Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, history 

 


                                                                    

Labels:

Comments

Post a Comment

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...
Post a Comment
Read more

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,...
Post a Comment
Read more

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...
Post a Comment
Read more

2012FrederickP_KelmanDC

   Invention (Patent): Frederick P, Belew K, Jasper L, Gatewood J, Gibson L, Masonis J, Cooper M, Kelman DC. Methods and apparatus for FAI surgeries.  US20120283840A1   (2012).   US20120283840A1 US Inventors: Phillip Frederick, Kevin Belew, Lauren Jasper, James Gatewood, Luke Gibson, John Masonis, Michael Cooper, David C. Kelman Current Assignee: Smith and Nephew Inc Worldwide applications 2010 KR JP RU BR CA US CN EP CN WO AU 2014 US 2016 AU 2017 AU Application US13/202,612 events: 2010-02-25 Заявка подана Smith and Nephew Inc 2010-02-25 Приоритет US13/202,612 2012-11-08 Публикация US20120283840A1 2014-12-02 Заявка удовлетворена 2014-12-02 Публикация US8900320B2 Статус: Активный 2031-06-08 Измененный срок действия   Methods and apparatus for FAI surgeries Phillip Frederick, Kevin Belew, Lauren Jasper, James Gatewood, Luke Gibson, John Masonis, Michael Cooper, David C. Kelman   Abstract A partial rim implant for an acetabulum in a pelvic bone comprise...
Post a Comment
Read more

1920FrazerJES

  Fragments from the book Frazer JES. Anatomy of the Human Skeleton (1920). The author describes anatomy, embryology, development, and attachment of the ligamentum capitis femoris (LCF).   Fig. 104. — Outer view of the acetabular and ischio-pubic regions. A. is a region on the bone in front of the position of Quadratus femoris which is in relation with the tendon of Obturator externus and some loose fibro-fatty tissue that permits changes in place of the tendon with movement of the joint. B. is a sloping surface of bone which supports Pectineus but does not give origin to it; the surface extends out to the ilio-pectineal eminence where the fascia covering the Pectineus (pubic portion of fascia lata) reaches the bone at a. The front of the eminence is roughened by fibres belonging to the pubo-femoral group of ligaments. These are separated from the ilio-femoral set by an interval, apparent on the bone and marking the limit of the secondarily added pubic area of articular surfac...
Post a Comment
Read more

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 ...
Post a Comment
Read more

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...
Post a Comment
Read more

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...
Post a Comment
Read more

EMBRYOLOGY AND DEVELOPMENT

  embryology  AND  development ( embryology,  development . .. )  1841BarkowHCL  The author discusses development, anatomy and function of the LCF.  1864RambaudA_RenaultC  The authors describe the development of the hip joint in children and mention the place of attachment of the LCF . 1878Welcke rH  In the  article, the aut hor di scusses the embryonic development of the  ligamentum capitis femoris (LCF) in hum ans a nd certain animals (pinnipeds, tapirs).  1880SchusterH   The article discusses the embryonic development of the  LCF in  humans  and some animals.  1889AmantiniC  Selected excerpts from the article examine the role of the LCF vessels in the blood supply to the femoral head.  1 894KeithA  The paper discusses the development, anatomy, strength, and presence of the ligamentum LCF in various monkeys.   1 905BardeenCR The author briefly discusses the emergence of the LCF....
Post a Comment
Read more

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...
Post a Comment
Read more