The capsular ligaments provide more hip rotational restraint than the acetabular labrum and the ligamentum teres
Author(s)
van Arkel, RJ
Amis, AA
Cobb, JP
Jeffers, JRT
Type
Journal Article
Abstract
In this in vitro study of the hip joint we examined which soft tissues act as primary and secondary passive rotational restraints when the hip joint is functionally loaded. A total of nine cadaveric left hips were mounted in a testing rig that allowed the application of forces, torques and rotations in all six degrees of freedom. The hip was rotated throughout a complete range of movement (ROM) and the contributions of the iliofemoral (medial and lateral arms), pubofemoral and ischiofemoral ligaments and the ligamentum teres to rotational restraint was determined by resecting a ligament and measuring the reduced torque required to achieve the same angular position as before resection. The contribution from the acetabular labrum was also measured. Each of the capsular ligaments acted as the primary hip rotation restraint somewhere within the complete ROM, and the ligamentum teres acted as a secondary restraint in high flexion, adduction and external rotation. The iliofemoral lateral arm and the ischiofemoral ligaments were primary restraints in two-thirds of the positions tested. Appreciation of the importance of these structures in preventing excessive hip rotation and subsequent impingement/instability may be relevant for surgeons undertaking both hip joint preserving surgery and hip arthroplasty.
Date Issued
2015-04-01
Date Acceptance
2014-11-14
Citation
Bone & Joint Journal, 2015, 97B (4), pp.484-491
ISSN
2049-4394
Publisher
British Editorial Society of Bone and Joint Surgery
Start Page
484
End Page
491
Journal / Book Title
Bone & Joint Journal
Volume
97B
Issue
4
Copyright Statement
This is an open-access article distributed under the terms of the Creative Commons CC-BY license, which permits copying and redistributing the material in any medium or format, remixing, transforming and building upon the material for any purpose, even commercially, provided the original author and source are credited, and changes made are indicated. This may be done in a reasonable manner, but not in any way that suggests the licensor endorses you or your use.
License URL
Sponsor
Wellcome Trust
Engineering & Physical Science Research Council (EPSRC)
Identifier
https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.97B4.34638
Grant Number
088844/Z/09/Z
EP/K027549/1
Subjects
Science & Technology
Life Sciences & Biomedicine
Orthopedics
Surgery
FEMOROACETABULAR IMPINGEMENT
ARTHROSCOPY
DISLOCATION
JOINT
REPLACEMENTS
INSTABILITY
SURGERY
ARTHROPLASTY
SUBLUXATION
MORPHOLOGY
Publication Status
Published
Date Publish Online
2015-04-01