A note on the morphology of the iliofemoral ligament of the hip-joint

1940 ◽  
Vol 11 (5) ◽  
pp. 218-221
Author(s):  
A. Ananthanarayana Ayer
Keyword(s):  
Hip Joint ◽  
Iliofemoral Ligament

scholarly journals Portal enlargement in hip arthroscopy preserving the iliofemoral ligament: a novel access technique protecting soft tissue restraints

2020 ◽  
Vol 7 (2) ◽  
pp. 313-321 ◽  
Author(s):  
Victor M Ilizaliturri ◽  
Ruben Arriaga Sánchez ◽  
Rafael Zepeda Mora ◽  
Carlos Suarez-Ahedo
Keyword(s):  
Soft Tissue ◽  
Hip Joint ◽  
Hip Arthroscopy ◽  
Central Compartment ◽  
Peripheral Compartment ◽  
Hip Instability ◽  
Hip Stability ◽  
Relevant Role ◽  
Iliofemoral Ligament

Abstract Capsulotomy in different modalities has been used to provide adequate exposure to access both the central and peripheral compartment in hip arthroscopy. Even though the hip joint has inherent bony stability, soft tissue restraints may be important in patients with ligaments hyperlaxity or in some cases with diminished bony stability. Biomechanical studies and clinical outcomes have shown the relevant role of the capsule in hip stability, mainly the role of the iliofemoral ligament. Although is not very common, iatrogenic post-arthroscopy subluxation and dislocation have been reported and many surgeons are concerned about the role aggressive capsulotomy or capsulectomy in this situation, thus capsule repair has become very popular. We present a novel technique to access the hip without cutting the iliofemoral ligament. With this technique we can obtain adequate arthroscopic access to the hip joint in order to treat adequately the central compartment pathologies reducing the risk of iatrogenic post-operative hip instability.

LENGTH CHANGE OF THE ILIOFEMORAL LIGAMENT DURING TESTS FOR ANTERIOR MICROINSTABILITY OF THE HIP JOINT: A CADAVERIC VALIDITY STUDY.

2019 ◽  
Vol 14 (4) ◽  
pp. 613-622 ◽  
Author(s):  
Benjamin R. Kivlan ◽  
Lindsay Carroll ◽  
Allison Burfield ◽  
Keelan R. Enseki ◽  
RobRoy L. Martin
Keyword(s):  
Hip Joint ◽  
Length Change ◽  
Validity Study ◽  
Iliofemoral Ligament

scholarly journals The role of the iliofemoral ligament as a stabilizer of the hip joint

2021 ◽  
Vol 6 (7) ◽  
pp. 545-555
Author(s):  
Riccardo D’Ambrosi ◽  
Nicola Ursino ◽  
Carmelo Messina ◽  
Federico Della Rocca ◽  
Michael Tobias Hirschmann
Keyword(s):  
Hip Joint ◽  
External Rotation ◽  
Hip Dislocation ◽  
Primary Role ◽  
Hip Instability ◽  
Hip Stability ◽  
Current Systematic Review ◽  
Iliofemoral Ligament ◽  
And Function

The purpose of this systematic literature review is to analyse the role of the iliofemoral ligament (ILFL) as a hip joint stabilizer in the current literature. A total of 26 articles were included in the review. The ILFL is the largest hip ligament consisting of two distinct arms and is highly variable, both in its location and overall size, and plays a primary role in hip stability; in the case of hip dislocation, the iliofemoral ligament tear does not heal, resulting in a persistent anterior capsule defect. Clinically, the ILFL is felt to limit external rotation in flexion and both internal and external rotation in extension. The abduction–hyperextension–external rotation (AB-HEER) test is overall the most accurate test to detect ILFL lesions. Injuries of the ILFL could be iatrogenic or a consequence of traumatic hip instability, and can be accurately studied with magnetic resonance imaging. Different arthroscopic and open techniques have been described in order to preserve the ILFL during surgery and, in case of lesions, several procedures with good to excellent results have been reported in the existing literature. The current systematic review, focusing only on the ILFL of the hip, summarizes the existing knowledge on anatomy, imaging and function and contributes to the further understanding of the ILFL, confirming its key role in anterior hip stability. Future studies will have to develop clinical tests to evaluate the functionality and stability of the ILFL. Cite this article: EFORT Open Rev 2021;6:545-555. DOI: 10.1302/2058-5241.6.200112

scholarly journals New insight into the iliofemoral ligament based on the anatomical study of the hip joint capsule

2019 ◽  
Vol 236 (5) ◽  
pp. 946-953 ◽  
Author(s):  
Masahiro Tsutsumi ◽  
Akimoto Nimura ◽  
Keiichi Akita
Keyword(s):  
Hip Joint ◽  
Anatomical Study ◽  
Joint Capsule ◽  
Iliofemoral Ligament ◽  
Insight Into

Hip Capsular Management

2018 ◽  
Vol 02 (03) ◽  
pp. 111-116 ◽  
Author(s):  
Kyle Kunze ◽  
Natalie Leong ◽  
Shane Nho ◽  
William Neal
Keyword(s):  
Hip Joint ◽  
Hip Arthroscopy ◽  
Patient Reported Outcomes ◽  
Operative Time ◽  
Normal Anatomy ◽  
Crucial Component ◽  
Patient Reported ◽  
Hip Capsule ◽  
Available Technology ◽  
Iliofemoral Ligament

AbstractDue to both the currently available technology and anatomic constraints of the hip joint, capsulotomy is necessary to perform hip arthroscopy. Proper management of the hip capsule is a crucial component of hip arthroscopy that has evolved with increased awareness that capsular closure during hip arthroscopy reestablishes the normal anatomy of the iliofemoral ligament and thus restores the biomechanical characteristics of the hip joint. This article reviews the biomechanical rationale for hip access and closure, as well as recent clinical studies on patient-reported outcomes with regard to capsular closure. Additionally, capsulotomy techniques including capsulectomy as well as interportal and T-capsulotomy techniques are reviewed, and the authors' preferred technique for capsular management is described. While capsular closure is technically challenging and increases operative time, meticulous closure improves outcomes by reducing postoperative micro- and gross instability.

Evaluation of Sacroiliac Wedge Rotation to Increase Acetabular Ventroversion

1999 ◽  
Vol 12 (04) ◽  
pp. 173-177 ◽  
Author(s):  
R. L. Aper ◽  
M. D. Brown ◽  
M. G. Conzemius
Keyword(s):  
Hip Joint ◽  
Hip Dysplasia ◽  
Clinical Effect ◽  
Pelvic Osteotomy ◽  
Alternative Method ◽  
Angular Measurements ◽  
Si Joint ◽  
In Vivo Effects ◽  
Canine Hip Dysplasia

SummaryTreatment of canine hip dysplasia (CHD) via triple pelvic osteotomy (TPO) is widely accepted as the treatment that best preserves the existing hip joint. TPO, however, has several important disadvantages. In an effort to avoid some of the difficulties associated with TPO an alternative method of creating acetabular ventroversion (AW) was sought. The purpose of this study was to explore the effects of placement of a wedge in the sacroiliac (SI) joint on A W and to compare this to the effect of TPO on A W . On one hemipelvis a 30° pelvic osteotomy plate was used for TPO. The contralateral hemipelvis had a 28° SI wedge inserted into the SI joint. Pre- and postsurgical radiographs of each pelvis were taken and the angular measurements were recorded. On average, the 28° SI wedge resulted in 20.9° of A W, the 30° canine pelvic osteotomy plate resulted in 24.9° A W . Significant differences were not found (p >0.05) between the two techniques. Sacroiliac wedge rotation effectively creates A W and has several theoretical advantages when compared to TPO. The in vivo effects of sacroiliac wedge rotation should be studied in order to evaluate the clinical effect of the technique.Sacroiliac wedge rotation was tested as an alternative method to increase the angle of acetabular ventroversion. This technique effectively rotated the acetabulum and has several theoretical advantages when compared to triple pelvic osteotomy.

Síndrome da Anca de Ressalto

2018 ◽  
Vol 9 (1) ◽  
pp. 8
Author(s):  
Bernardo Almeida
Keyword(s):  
Surgical Treatment ◽  
Hip Joint ◽  
Scientific Literature ◽  
Therapeutic Targets ◽  
Clinical History ◽  
Disease Diagnosis ◽  
Diagnosis And Treatment ◽  
Snapping Hip ◽  
Predominant Symptom ◽  
Snapping Hip Syndrome

Snapping hip syndrome is a condition in which the predominant symptom is the snapping feelingaround the hip joint caused by a dynamic impingement between muscles or tendons and boneprominences. The etiology of the snapping hip types and consequently the therapeutic targets havebeen subjects of discussion and controversy along the years. A careful clinical history and physicalexamination is frequently enough for this disease diagnosis. Treatment is typically conservative,however when it is not successful surgical treatment is indicated, consisting on the snapping muscleor tendons lengthening. The authors review in this paper the current scientific literature about functionalanatomy, physiopathology, symptoms, diagnosis and treatment of snapping hip.

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