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Varna Medical Forum

Lesions of Ligamentum capitis femoris as a cause of the necrotic changes in Articulatio coxae

Dimo Krаstev, Alexandra Alexieva, Zlatka Traikova-Todorova

Abstract

Aim of the research

There is more and more research on one rather underestimated object, which is a part of the hip joint - namely Ligamentum capitis femoris. Many doctors still believe that it plays a minor role in joint trophism, but a number of studies disprove this. The present study aims to demonstrate the lesions that occur in the hip joint when the Ligamentum capitis femoris (also known in literature as Ligamentum teres) is found damaged, with a focus on the blood vessels going alongside the ligament and supplying the head of the hip joint. The aim of the study is to demonstrate the pathological changes that occur in the hip joint due to obstruction of the arterial vessel entering the joint together with the ligament. This vascular change can be a result of many factors - traumatic, septic and aseptic.

Materials and Methods

To achieve our goals we set the following main tasks: to examine the structure of Ligamentum capitis femoris with an optical microscope after staining the samples with Hematoxylin Eosin and AZAN and to make a comparative complex analysis of the morphological characteristics of Ligamentum capitis femoris in humans.

Results

The examination of ligaments from cadavers - which have pathological changes in the hip joint - clearly shows the damage of the Ligamentum capitis femoris.

Conclusions

From the histological examination we conducted, we found that Ligamentum capitis femoris has a biological, mechanical and trophic role in the hip joint and its preservation is important in preventing future complications.


Keywords

hip joint, ligament of the femoral head, blood supply to the femoral head, lesions, necrosis

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References

Георгиев, Б., Байчева, В., Гочева, Н., Съдови усложнения при захарен диабет: ролята на ендотелната дисфункция. Наука Ендокринология 2, 2008

Barney J, Piuzzi NS, Akhondi H. Femoral Head Avascular Necrosis. [Updated 2021 Feb 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546658/DOI, PMID

Itokazu M, Takahashi K, Matsunaga T, Hayakawa D, Emura S, Isono H, Shoumura S. A study of the arterial supply of the human acetabulum using a corrosion casting method. Clin Anat. 1997;10(2):77-81. doi: 10.1002/(SICI)1098-2353(1997)10:2<77::AID-CA1>3.0.CO;2-Q.PMID: 9058012.

O‘Donnell, J. M., Pritchard, M., Salas, A. P., & Singh, P. J. (2014). The ligamentum teresits increasing importance. Journal of hip preservation surgery, 1(1), 3–11.https://doi.org/10.1093/jhps/hnu003

Rühmann O, Börner C, von Lewinski G, Bohnsack M. Lig.capitis femoris. Arthroskopische Diagnostik und Behandlung degenerativer und traumatischer Veränderungen [Lig. capitis femoris. Arthroscopic diagnosis and treatment of degenerative and traumatic disorders]. Orthopade. 2006 Jan;35(1):59, 61-4, 65-6. German. doi: 10.1007/s00132-005-0893-7.PMID: 16333649.




DOI: http://dx.doi.org/10.14748/vmf.v10i2.7885

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