Skip to main content

Advertisement

SpringerLink
Log in

The morphometry, localization, and shape types of the fovea capitis femoris, and their relationship with the femoral head parameters

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to investigate the morphometric properties of the fovea capitis femoris (FCF) and its localization on the femoral head, the shape types, and the relationship with the femoral head parameters.

Methods

This study was performed on 146 dry femora. The morphological and morphometric properties were evaluated on dry bones and digital images of these bones. Some of the FCF and femoral head parameters were measured with a caliper on dry bones while others were measured using ImageJ software on digital images.

Results

The most common localization type was the Type 2 localization and the shape type was the oval type. The FCF sizes [except depth of the FCF (DFCF)] were found to be smaller in the Type 1 localization. The femoral neck shaft angle (NSA) was found to be greater in the triangular type than the round (or circular) type on the left side and in all cases. The vertical diameter of the femoral head (FHD-V), the anteroposterior diameter of the femoral head (FHD-AP), and the area of the femoral head (AREAHOF) values were greater in the triangular types than in the oval types in all cases. There was no relationship between the localization types and the shape types of the FCF.

Conclusion

Results showed that the morphometric properties, localization, and shape types of the FCF were related to some femoral head parameters. It is thought that our findings contributed to orthopedic and radiological applications and anthropological sciences.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Acar N, Karaarslan A, Karakasli A, Erduran M (2017) Femoral head fovea capitis variant configurations and age related changes: a radiological study. Iran J Radiol 14:e41130

    Google Scholar 

  2. Albanese J, Eklics G, Tuck A (2008) A metric method for sex determination using the proximal femur and fragmentary hipbone. J Forensic Sci 53:1283–1288

    PubMed  Google Scholar 

  3. Amenabar T, O'Donnell J (2012) Arthroscopic ligamentum teres reconstruction using semitendinosus tendon: surgical technique and an unusual outcome. Arthrosc Tech 1:e169–e174

    Article  Google Scholar 

  4. Bardakos N, Villar R (2009) The ligamentum teres of the adult hip. J Bone Jt Surg Br 91:8–15

    Article  CAS  Google Scholar 

  5. Başaloğlu H, Akbaş A (1996) İnsan femurlarinda Torsiyon Ve Kolladiafizer Açılarının Ölçümleri Ve Birbirleriyle İlişkileri. Acta Orthop Traumatol Turc 30:299–302

    Google Scholar 

  6. Beltran LS, Mayo JD, Rosenberg ZS, De Tuesta MD, Martin O, Neto LP Sr, Bencardino JT (2012) Fovea alta on MR images: is it a marker of hip dysplasia in young adults? AJR Am J Roentgenol 199:879–883. https://doi.org/10.2214/AJR.11.8193

    Article  PubMed  Google Scholar 

  7. Bensler S, Agten CA, Pfirrmann CWA, Sutter R (2018) Osseous spurs at the fovea capitis femoris—a frequent finding in asymptomatic volunteers. Skelet Radiol 47:69–77. https://doi.org/10.1007/s00256-017-2763-x

    Article  Google Scholar 

  8. Bertsatos A, Chovalopoulou ME, Giannaki K, Valakos E (2018) Morphological variation of the femoral head fovea capitis. Eur J Anat 22:397–402

    Google Scholar 

  9. Botser IB, Ozoude GC, Martin DE, Siddiqi AJ, Kuppuswami S, Domb BG (2012) Femoral anteversion in the hip: comparison of measurement by computed tomography, magnetic resonance imaging, and physical examination. Arthroscopy 28:619–627

    Article  Google Scholar 

  10. Cerezal L, Kassarjian A, Canga A, Dobado MC, Montero JA, Llopis E, Rolón A, Pérez-Carro L (2010) Anatomy, biomechanics, imaging, and management of ligamentum teres injuries. Radiographics 30:1637–1651

    Article  Google Scholar 

  11. Ceynowa M, Rocławski M, Pankowski R, Mazurek T (2018) The position and morphometry of the fovea capitis femoris in computed tomography of the hip. Surg Radiol Anat 41:101–107

    Article  Google Scholar 

  12. Chandler SB, Kreuscher PH (1932) A study of the blood supply of the ligamentum teres and its relation to the circulation of the head of the femur. J Bone Jt Surg 14:834–846

    Google Scholar 

  13. Chung S (1976) The arterial supply of the developing proximal end of the human femur. J Bone Jt Surg Am 58:961–970

    Article  CAS  Google Scholar 

  14. Garabekyan T, Chadayammuri V, Pascual-Garrido C, Mei-Dan O (2016) All-arthroscopic ligamentum teres reconstruction with graft fixation at the femoral head-neck junction. Arthrosc Tech 5:e143–e147

    Article  Google Scholar 

  15. Isaac B, Vettivel S, Prasad R, Jeyaseelan L, Chandi G (1997) Prediction of the femoral neck-shaft angle from the length of the femoral neck. Clin Anat 10:318–323

    Article  CAS  Google Scholar 

  16. Kafa İM, İlknur A (2004) Morfometrik çalışmalarda manüel (el ile) ve dijital (sayısal)-bilgisayar destekli ölçüm yöntemlerinin karşılaştırılması. Uludağ Tıp Derg 30:141–144

    Google Scholar 

  17. King CA, Işcan M, Loth SR (1998) Metric and comparative analysis of sexual dimorphism in the Thai femur. J Forensic Sci 43:954–958

    Article  CAS  Google Scholar 

  18. Kurylo JC, Templeman D, Mirick GE (2015) The perfect reduction: approaches and techniques. Injury 46:441–444

    Article  Google Scholar 

  19. Murton N, Eliopoulos C, Borrini M (2015) Sexual dimorphism of the fovea capitis femoris in a medieval population from Gloucester, England. Glob J Anthropol Res 2:9–14

    Article  Google Scholar 

  20. Nötzli H, Müller S, Ganz R (2001) Die radiologische Beziehung der Fovea capitis femoris zur azetabulären Belastungszone bei der normalen und dysplastischen Hüfte des Erwachsenen. Z Orthop Ihre Grenzgeb 319:502–506

    Article  Google Scholar 

  21. Ollivier M, Parratte S, Le Corroller T, Reggiori A, Champsaur P, Argenson JN (2015) Anatomy of the proximal femur at the time of total hip arthroplasty is a matter of morphotype and etiology but not gender. Surg Radiol Anat 37:377–384. https://doi.org/10.1007/s00276-014-1368-5

    Article  PubMed  Google Scholar 

  22. Perumal V, Woodley SJ, Nicholson HD (2017) The morphology and morphometry of the fovea capitis femoris. Surg Radiol Anat 39:791–798. https://doi.org/10.1007/s00276-016-1810-y

    Article  PubMed  Google Scholar 

  23. Sampatchalit S, Barbosa D, Gentili A, Haghighi P, Trudell D, Resnick D (2009) Degenerative changes in the ligamentum teres of the hip: cadaveric study with magnetic resonance arthrography, anatomical inspection, and histologic examination. J Comput Assist Tomogr 33:927–933

    Article  Google Scholar 

  24. Standring S, Borley NR (2008) Gray's anatomy: the anatomical basis of clinical practice, 40th edn. Churchill Livingstone, London, pp 1360–1390

    Google Scholar 

  25. Unnanuntana A, Toogood P, Hart D, Cooperman D, Grant RE (2010) Evaluation of proximal femoral geometry using digital photographs. J Orthop Res 28:1399–1404. https://doi.org/10.1002/jor.21119

    Article  PubMed  Google Scholar 

  26. Verma M, Joshi S, Tuli A, Raheja S, Jain P, Srivastava P (2017) Morphometry of proximal femur in Indian population. J Clin Diagn Res 11:AC01–AC04. https://doi.org/10.7860/JCDR/2017/23955.9210

    Article  PubMed  PubMed Central  Google Scholar 

  27. Wu C-C (2017) Is clinical measurement of anatomic axis of the femur adequate? A radiographic verification. Acta Orthop 88:407–410

    Article  Google Scholar 

  28. Yamamoto Y, Ide T, Ono T, Hamada Y (2003) Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy 19:269–273

    Article  Google Scholar 

  29. Yi L-H, Li R, Zhu Z-Y, Bai C-W, Tang J-L, Zhao F-C, Zheng X, Guo K-J (2019) Anatomical study based on 3D-CT image reconstruction of the hip rotation center and femoral offset in a Chinese population: preoperative implications in total hip arthroplasty. Surg Radiol Anat 41(1):117–124

    Article  Google Scholar 

Download references

Acknowledgements

We would like to thank the Ege University Faculty of Medicine Anatomy Chair for allowing us to use their bone collection.

Author information

Authors and Affiliations

  1. Department of Anatomy, Atatürk University, Medical Faculty, Erzurum, Turkey

    Burhan Yarar

  2. Department of Anatomy, Izmir Katip Çelebi University, Medical Faculty, Izmir, Turkey

    Mehmet Ali Malas & Gizem Çizmeci

Authors
  1. Burhan Yarar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mehmet Ali Malas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gizem Çizmeci
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

BY: project development, data collection and analysis, and manuscript writing; MAM: project development, data analysis; GÇ: data collection.

Corresponding author

Correspondence to Burhan Yarar.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yarar, B., Malas, M.A. & Çizmeci, G. The morphometry, localization, and shape types of the fovea capitis femoris, and their relationship with the femoral head parameters. Surg Radiol Anat 42, 1243–1254 (2020). https://doi.org/10.1007/s00276-020-02508-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-020-02508-5

Keywords

Search

Navigation