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A quantitative assessment of the insertional footprints of the hip joint capsular ligaments and their spanning fibers for reconstruction
Author(s) -
Telleria Jessica J.M.,
Lindsey Derek P.,
Giori Nicholas J.,
Safran Marc R.
Publication year - 2014
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.22272
Subject(s) - cadaveric spasm , medicine , anatomy , joint capsule , ligament , cadaver , footprint , joint (building) , articular capsule of the knee joint , capsule , surgery , knee joint , geology , architectural engineering , paleontology , engineering
Quantitative descriptions of the hip joint capsular ligament insertional footprints have been reported. Using a three‐dimensional digitizing system, and computer modeling, the area, and dimensions of the three main hip capsular ligaments and their insertional footprints were quantified in eight cadaveric hips. The iliofemoral ligament (ILFL) attaches proximally to the anterolateral supra‐acetabular region (mean area = 4.2 cm 2 ). The mean areas of the ILFL lateral and medial arm insertional footprints are 4.8 and 3.1 cm 2 , respectively. The pubofemoral ligament (proximal footprint mean area = 1.4 cm 2 ) blends with the medial ILFL anteriorly and the proximal ischiofemoral ligament (ISFL) distally without a distal bony insertion. The proximal and distal ISFL footprint mean areas are 6.4 and 1.2 cm 2 , respectively. The hip joint capsular ligaments have consistent anatomic and insertional patterns. Quantification of the ligaments and their attachment sites may aid in improving anatomic repairs and reconstructions of the hip joint capsule using open and/or arthroscopic techniques. Clin. Anat. 27:489–497, 2014. © 2013 Wiley Periodicals, Inc.