A cadaveric model for ligamentum teres function: a pilot study.

Purpose: Despite the prevalence and clinical consequences of ligamentum teres pathology, its function is poorly understood. The purpose of this study was to help define the role the ligamentum teres may have in hip joint stabilization and determine whether a ball and string model could be used to de...

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Publicado en:Knee Surgery, Sports Traumatology, Arthroscopy Vol. 21; no. 7; pp. 1689 - 1694
Autores principales: Martin, Robroy L, Kivlan, Benjamin R, Clemente, F Richard
Formato: research Journal Article
Publicado: Wiley-Blackwell Jul2013
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Knee Surgery, Sports Traumatology, Arthroscopy
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      dt: Jul2013
      vid: 21
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        104078128
        NLM23117165
        2012160108
        10.1007/s00167-012-2262-5
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        atl: A cadaveric model for ligamentum teres function: a pilot study.
      aug:
        au:
          Martin, Robroy L
          Kivlan, Benjamin R
          Clemente, F Richard
        affil: Department of Physical Therapy, Duquesne University, 114 Rangos School of Health Sciences, Pittsburgh, PA, 15282, USA, martinr280@duq.edu.
      sug:
        subj:
          Hip Joint Physiology
          Ligaments, Articular Physiology
          Aged
          Aged, 80 and Over
          Kinematics
          Cadaver
          Female
          Human
          Male
          Pilot Studies
          Range of Motion Physiology
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Purpose: Despite the prevalence and clinical consequences of ligamentum teres pathology, its function is poorly understood. The purpose of this study was to help define the role the ligamentum teres may have in hip joint stabilization and determine whether a ball and string model could be used to describe the function of the ligamentum teres.Methods: Eight embalmed cadavers were dissected to remove all soft tissue from around the hip, leaving only the ligamentum teres intact. Available hip abduction, adduction, medial rotation, and lateral rotation range of motion were measured for three repeated trials. The position of the ligamentum teres in relation to the femoral head was recorded at the endpoint position of these movements.Results: An endpoint position as limited by the ligamentum teres for abduction, medial rotation, and lateral rotation was identified at a mean of 73°(SD 11°), 64°(SD 11°), and 58°(SD 10°), respectively. Hip adduction was limited by bony contact and therefore was not measured. The ligamentum teres wrapped around the femoral head to prevent inferior, posterior, and anterior subluxation with abduction, medial rotation, and lateral rotation, respectively. Repeated measures ANOVA indicated no significant difference in endpoint position based on trial number for the three movements (n.s.).Conclusion: The ligamentum teres consistently tightened to limit hip abduction, medial rotation, and lateral rotation. These results support a ball and string model for the femoral head and ligamentum teres. This information could be important for those with hip instability and ligamentum teres pathology.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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