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] August
05, 2025. academic.oup.com
Khan, O., O’Donnell, J., & Chau, M. (2025). Femoroacetabular Impingement in Young Athletes. Orthopedic Clinics. [iv] orthopedic.theclinics.com
Berry, D. J., & Maloney, W. J.
(2025). Master Techniques in Orthopaedic Surgery: The Hip: eBook without
Multimedia. Lippincott Williams & Wilkins. [v] books.google
Shah, S.,
Carsen, S., & Smit, K. (2025). Single-Event Bilateral Modified Dunn
Osteotomy for Bilateral Severe SCFE: Restoring Function in a High-Level
Athlete. JBJS Case Connector, 15(3), e25.
[vi] journals.lww.com
Koshinski, J. L., Deter, C. J.,
SanCraint, C. L., Dahodwala, T., & Murphy, J. E. (2025). The Effect of
Acetabular Retroversion on Ipsilateral Injuries During Traumatic Hip
Dislocation. Injury, 112654. [vii]
injuryjournal.com
Huyke-Hernández, F. A., & Cohn,
R. M. (2025). Editorial Comment: Outcomes of Revision Hip Labral Reconstruction
for Failed Primary Repair-A Cautionary Tale to Do It Right the First Time. Arthroscopy:
The Journal of Arthroscopic & Related Surgery. [viii] arthroscopyjournal.org
Li, M., Xiao, J., Wang, D., & Xu,
F. (2025). A novel technique for posterior internal fixation of acetabular
fractures. Journal of Orthopaedic Surgery and Research, 20(1), 765. [ix] josr-online.biomedcentral.com
Stetzelberger, V. M., Segessenmann,
J. T., Cek, C., Popa, V., Zurmühle, C. A., Schwab, J. M., & Tannast, M.
(2025). A three-dimensional analysis of fovea morphology in normal and diseased
hips. Journal of Hip Preservation Surgery, hnaf046. [x]
academic.oup.com
Zbar, A. (2025). Anatomy of the Upper
and Lower Limbs: A Pocket Guide. [xi] books.google
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] Ligamentum teres may play a role in hip stability in cases
of mild dysplasia.
Similar
to this, intraoperative causes [instability] may include ligamentum teres debridement, iliopsoas tenotomy, labral
debridement, over-resection of the acetabular rim, and unrepaired
capsulotomy.
[ii] Impingement between the cam lesion
and the lateral acetabular rim restricts hip abduction, a condition known as
hinge abduction. This restriction is often accompanied by associated
pathologies, such as synovial proliferation, ligamentum teres tears, loose bodies,
labral tears, and cartilage damage, ultimately leading to early-onset
osteoarthritis [8–12].
[iii] Femoral head
osteochondral allograft transplantation …
During the procedure, the patient is
placed in a lateral decubitus position under general anesthesia. A lateral
approach facilitates exposure of the peri-trochanteric space, and a
trochanteric osteotomy is performed with an oscillating saw. In cases where the
patient exhibits increased soft tissue laxity and hypermobility, a trochanteric
osteotomy is not required to facilitate joint exposure. Careful elevation of
the abductor and iliocapsularis permits visualization of the capsule, which is
cut in a Z-fashion. Once the femoral head is exposed, the ligamentum teres is
cut, and the femoral head is dislocated anteriorly.
[iv] MRI can
provide high-resolution imaging of the labrum, articular cartilage, and
ligamentum teres, …
[v] The function
of the ligamentum teres in the mature adult has previously not been well defended, but the ligamentum
teres is felt to provide some stability to the hip.
The treatment
of ligamentum teres rupturesis
generally arthroscopic debridement and local
synovectomy.
[vi] … slipped capital femoral epiphysis
… [Two joints]
[One side The other side.] The ligamentum teres was functionally absent.
[Other side] The ligamentum teres was again absent.
[vii] The femoral head sits in the acetabulum of the pelvis, within the anterior and posterior columns and is secured by fibrocartilage and ligamentous structures, including the acetabular labrum and the ligamentum teres.
[viii] While labrum
repair in addition to osteoplasty remains the standard of treatment for FAIS,
there is a subset of FAIS patients that present with labral tears that are not
amenable to repair, such as in the case of large segmental defects or severe
labral degeneration. To address these issues, labral reconstruction was
introduced in 2009 by Sierra and Trousdale. Their initial report used a resected
ligamentum teres capitis autograft to reconstruct five patients with relatively
favorable results [2]. This technique has since been adopted and modified to
produce reliably favorable outcomes [3-7].
2. Sierra RJ, Trousdale RT. Labral Reconstruction using the ligamentum teres capitis: report of a new technique. Clinical orthopaedics and related research. 2009 Mar;467(3):753-9.
3. Rahl MD, LaPorte C, Steinl GK, O’Connor M, Lynch TS, Menge TJ.
Outcomes after arthroscopic hip labral reconstruction: a systematic review and
meta-analysis. The American Journal of Sports Medicine. 2020 Jun;48(7):1748-55.
4. Ayeni OR, Alradwan H, de Sa D, Philippon MJ. The hip labrum
reconstruction: indications and outcomes—a systematic review. Knee Surgery,
Sports Traumatology, Arthroscopy. 2014 Apr;22(4):737-43.
5. Maldonado DR, Kyin C, Chen SL, Rosinksy PJ, Shapira J, Meghpara MB,
Lall AC,85Domb BG. In search of labral restoration function with hip
arthroscopy: outcomes of hip86labral reconstruction versus labral repair: a
systematic review. Hip International. 2021 Nov;31(6):704-13.
6. Trivedi NN, Sivasundaram L, Su CA, Knapik D, Nho SJ, Mather III RC,
Salata MJ. Indications and outcomes of arthroscopic labral reconstruction of
the hip: a systematic review. Arthroscopy: The Journal of Arthroscopic &
Related Surgery. 2019 Jul 1;35(7):2175-86. Journal Pre-proof
7. Curley AJ, Padmanabhan S, Prabhavalkar ON, Perez-Padilla PA,
Maldonado DR, Domb BG. Durable outcomes after hip labral reconstruction at
minimum 5-year follow-up: A systematic review. Arthroscopy: The Journal of
Arthroscopic & Related Surgery. 2023 Jul 1;39(7):1702-13.96
Fig. 3. Male,
39 years old, traffic accident. Posterior dislocation of the left femoral head,
transverse with posterior wall fracture. A1 Pre-reduction X-ray films. A2/3 Comminuted
fracture of the posterior wall on three-dimensional CT. B1/2 Iliac oblique view
and obturator oblique view at 8-month postoperatively displaying a good union. B3
CT shows the standard position of the plate. C1/2 Blue arrow shows the
collapsed articular fragment. White arrow shows the ruptured ligament of the
femoral head. C3 Intraoperative image showing the implantation of USAPA. D1-4 Anatomical
reduction and effective fixation of the articular surface at 6-months
postoperative CT when compared with the preoperative CT scans. [Open access]
[x] The fovea capitis, a cartilage-free area
on the femoral head, serves as the attachment site for the ligamentum teres
(LT) that is embedded within the acetabular fossa [1].
Cerezal L, Kassarjian A, Canga A et al. Anatomy, biomechanics, imaging,
and management of ligamentum teres injuries. Radiographics 2010;30:1637–51.
A previous study found a larger fovea
capitis in degenerated ligaments (including LT) [7].
Sampatchalit S, Barbosa D, Gentili A
et al. Degenerative changes in the ligamentum teres of the hip:
cadaveric study with magnetic resonance arthrography, anatomical inspection,
and histologic examination. J Comput Assist Tomogr 2009;33:927–33.
Figure 1(A). The fovea capitis in this male patient with developmental
dysplasia of the hip and coxa valga is located more superiorly and
decentralized outside the acetabular fossa on the anteroposterior pelvic
radiograph. (B) The intraoperative documentation from surgical hip dislocation
shows a degenerated ligamentum teres and associated lesions on the acetabular
fossa cartilage in this patient. (CC BY 4.0, Attribution 4.0 International)
[xi] … the transverse acetabular ligament adherent here to the ligamentum teres (aka the ligament of the head of the femur). The other end attaches to the pit in the head of the femur (fovea femoris).
There
is a small branch from the lateral branch of the obturator artery that travels
into the ligamentum teres into the hip joint and which typically
obliterates in adolescence. This is important since it limits the blood
supply to the head of the femur…
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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