Arthroscopic treatment of an avulsion fracture of the ligamentum teres of the hip in an 18-year-old horse rider

Kusma, M.; Jung, Jochen; Dienst, Michael; Goedde, S; Kohn, Dieter; Seil, Romain

doi:10.1016/j.arthro.2004.04.041

Cited by 48 publications

(24 citation statements)

References 5 publications

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“…Those who describe pain as the primary symptom should be treated with a judicious debridement of the disrupted fibres. 6,17,19,20 It is the small subset of high demand patients with instability of the hip who are refractory to standard arthroscopic management that may require a ligamentum teres reconstruction. Our practice is to proceed with reconstruction only after treatment of femoroacetabular impingement, including capsular plication and labral repair or reconstruction has failed to relieve symptoms.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic reconstruction of the ligamentum teres

Philippon

Pennock

Gaskill

2012

The Journal of Bone and Joint Surgery. British volume

100

101

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Femoroacetabular impingement causes groin pain and decreased athletic performance in active adults. This bony conflict may result in femoroacetabular subluxation if of sufficient magnitude. The ligamentum teres has recently been reported to be capable of withstanding tensile loads similar to that of the anterior cruciate ligament, and patents with early subluxation of the hip may become dependent on the secondary restraint that is potentially provided by the ligamentum teres. Rupture of the ligamentum may thus cause symptomatic hip instability during athletic activities. An arthroscopic reconstruction of the ligamentum teres using iliotibial band autograft was performed in an attempt to restore this static stabiliser in a series of four such patients. Early clinical results have been promising. The indications, technique and early outcomes of this procedure are discussed.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic reconstruction of the ligamentum teres

Philippon

Pennock

Gaskill

2012

The Journal of Bone and Joint Surgery. British volume

100

101

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“…Degenerative tears of LT are usually associated with osteoarthritis [19]. Acute hyperabduction of the hip may cause avulsion of the ligament from acetabular fovea causing Type 1 or Type 2 tears [20]. Acute injury to the ligament may occur by minor trauma and most of them are femoral avulsions [21,22].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Ligamentum Teres Integrity on Hip Scores

Desteli¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Displazik kalçalarda Ligamentum Teres'in (LT) hiperlaksite ve stabiliteye etkisi daha önceki çalışmalarda vurgulanmıştır. LT kesilmiş hastalarda instabilite ve rahatsızlık gözlenmektedir. Duyusal sinir sonlanmalarının varlı-ğı LT'nin eklem propriyosepsiyonu ve nosisepsiyonunda işlevi olduğuna işa-ret etmektedir. Çalışmamızda kalça eklemindeki LT bütünlüğünün klinik işlev-lere etkisinin kıyaslanması amaçlandı. Gereç ve Yöntem: Evre 2-3 koksartrozu olan ardışık 92 hastaya LT testi uygulandı. İç veya dış rotasyonda ağrı LT testinin pozitif olduğunu gösterdi. LT testini takiben hastaların, Kalça Kısıtlılık ve Osteoartrit Sonuç Skoru (HOOS) ve Harris Kalça Skoru (HHS) kaydedildi. Her hastanın etkilenen kalçasından Manyetik Rezonans Görüntüleme (MRG) elde edildi. Bulgular: MR bulguları ile LT testi etkililiği değerlendirildiğinde, sensitivite % 87.37, spesifite ise % 73.47 iken, pozitif ve negatif prediktif değerler sırasıyla % 74.5 ve 80.4 olarak not edildi. MR bulguları ve LT testine göre bağı intakt olan 36 kalça (grup 1) ile bağı yırtık 38 kalça (grup 2) HOOS ve HHS skorları ile karşılaştırıldı. Her iki skorlama da Grup 1'de Grup 2'ye göre önemli ölçüde daha yüksekti (p<0.001). Tartışma: Bilindiği kadarıyla, yırtık ve intakt LT karşılaştırmasıyla bağ bütünlüğünün kalça fonksiyonel skorlarına etkisi literatürde ilk kez çalışmamızda ele alınmaktadır. Ligamentum teres bütünlü-ğünün bozulması, kalça fonksiyonel skorlarını düşürmektedir. Anahtar KelimelerLigamentum Teres; Koksartroz; Kalça; Kalça Skoru Abstract We aimed to compare the clinical functioning of the hips with an intact Ligamentum Teres (LT) to ruptured LT. Patients with resected LT have feelings of instability and discomfort. The effect of LT on hip stability in dysplastic hips and hyperlaxity has been emphasized before. Existence of sensory nerve endings demonstrates that LT has a function in joint proprioception and nociception. LT test was conducted to 92 consecutive patients with Grade 2-3 coxarthrosis. Pain on either internal or external rotation is consistent with a positive LT test result. Following LT test, Hip disability and osteoarthritis outcome score (HOOS) and Harris Hip Score (HHS) were conducted to all of the patients. Each patient underwent MRI Scanning of the involved hip. The efficacy of LT test was evaluated in comparison to MRI findings, sensitivity of the test was 87.37 % and spesificity was 73.47 positive and negative predictive values were found to be 74.51 % nd 80.43 % respectively. 36 hips which had intact LT according to MRI and LT test (Group 1) was compared to the 38 hips with ruptured LT in both LT test and MRI (Group 2) regarding HOOS and Harris Hip Scores. HOOS and Harris Hip Scores of Group 1 were found to be significantly higher than Group 2. As far as we know from the literature this is the first clinical study to investigate the effect of LT integrity on hip scores by comparing hips with ruptured LT to hips with intact LT.

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“…It has been shown that the labrum is often hypertrophic in the dysplastic hip and can contain intrasubstance ganglion cysts and labral tears contributing to pain (62). Pain also can result from the inflammation, hypertrophy, or tears of the ligamentum teres and is considered a consequence of the instability rather than the cause (43). It has been shown that dancers with generalized joint hyperlaxity, Figure 1: Forcing turnout.…”

Section: Dysplasiamentioning

confidence: 99%

Hip Pain in Dancers

Moser

2014

Current Sports Medicine Reports

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Dancers require extreme ranges of motion in their hips. They require this for many styles and performances. Hip pain and hip injury in dancers can lead to lost work and performance time. There are many potential causes for hip pain in the dancer, including dysplasia, hyperlaxity, both intra- and extra-articular impingement, and soft tissue injuries. This article will review the current literature on these topics in dancers and how they can be applied to the dancer patient.

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Arthroscopic treatment of an avulsion fracture of the ligamentum teres of the hip in an 18-year-old horse rider

Cited by 48 publications

References 5 publications

Arthroscopic reconstruction of the ligamentum teres

Arthroscopic reconstruction of the ligamentum teres

The Effect of Ligamentum Teres Integrity on Hip Scores

Hip Pain in Dancers

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