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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 

 


                                                                    

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