Repository logo
  • Log In
    Log in via Symplectic to deposit your publication(s).
Repository logo
  • Communities & Collections
  • Research Outputs
  • Statistics
  • Log In
    Log in via Symplectic to deposit your publication(s).
  1. Home
  2. Faculty of Engineering
  3. Mechanical Engineering
  4. Mechanical Engineering
  5. The capsular ligaments provide a passive stabilising force to protect the hip against edge loading
 
  • Details
The capsular ligaments provide a passive stabilising force to protect the hip against edge loading
File(s)
2046-3758.109.bjr-2020-0536.r1.pdf (774.97 KB)
Published version
Author(s)
Karunaseelan, Kabelan
Dandridge, Oliver
Muirhead-Allwood, Sarah
van Arkel, Richard
Jeffers, Jonathan
Type
Journal Article
Abstract
Aims: In the native hip, the hip capsular ligaments tighten at the limits of range of hip motion and may provide a passive stabilising force to protect the hip against edge loading. In this study we quantified the stabilising force vectors generated by capsular ligaments at extreme range of movement (ROM) and examined their ability to prevent edge loading. Methods: Torque-rotation curves of the hip joint were obtained from nine human cadaveric specimens to define the rotational restraint contributions of the capsular ligaments in 36 positions. A ligament model was developed to determine the line of action and effective moment arms of the medial/lateral iliofemoral, ischiofemoral and pubofemoral ligaments in all positions. The net force vector generated by the capsule was evaluated in each position and functioning ligament forces and stiffness were determined. Results: The medial and lateral arms of the iliofemoral ligament generated the highest net inbound force vector in positions combining extension and adduction providing anterior stability. The ischiofemoral ligament generated the highest net inbound force in flexion, adduction and internal rotation (FADIR), reducing the risk of posterior dislocation. In this position the hip joint reaction force moved 0.7° inbound for each Nm of internal capsular 17restraint, preventing edge loading. Conclusion: The hip ligaments contribute to keep the joint force vector inbound from the edge of the acetabulum at extreme ROM. Preservation and appropriate tensioning of these structures following any type of hip surgery may be crucial to minimising complications related to joint instability.
Date Issued
2021-09-01
Date Acceptance
2021-06-08
Citation
Bone and Joint Research, 2021, 10 (9), pp.594-601
URI
http://hdl.handle.net/10044/1/90334
DOI
https://www.dx.doi.org/10.1302/2046-3758.109.BJR-2020-0536.R1
ISSN
2046-3758
Publisher
The British Editorial Society of Bone & Joint Surgery
Start Page
594
End Page
601
Journal / Book Title
Bone and Joint Research
Volume
10
Issue
9
Copyright Statement
© 2021 Author(s) et al. This is an open- access article distributed under the terms of the Creative Commons Attribution Non- Commercial No Derivatives (CC BY- NC- ND 4.0)
licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https:// creativecommons. org/ licenses/by-nc-nd/4.0/
License URL
https:// creativecommons. org/ licenses/by-nc-nd/4.0/
Sponsor
Wellcome Trust
Engineering & Physical Science Research Council (EPSRC)
Engineering & Physical Science Research Council (E
National Institute for Health Research
Grant Number
088844/Z/09/Z
EP/K027549/1
EP/N006267/1
NIHR300013
Subjects
Capsule
Hip
Hip arthroscopic surgery
Hip instability
Ligaments
acetabulum
adduction
flexion
hip joint
hip surgery
hips
iliofemoral ligaments
ligaments
reaction force
stiffnesses
1103 Clinical Sciences
1106 Human Movement and Sports Sciences
Publication Status
Published
Date Publish Online
2021-09-24
About
Spiral Depositing with Spiral Publishing with Spiral Symplectic
Contact us
Open access team Report an issue
Other Services
Scholarly Communications Library Services
logo

Imperial College London

South Kensington Campus

London SW7 2AZ, UK

tel: +44 (0)20 7589 5111

Accessibility Modern slavery statement Cookie Policy

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science

  • Cookie settings
  • Privacy policy
  • End User Agreement
  • Send Feedback