Defining the Origins of the Iliofemoral, Ischiofemoral, and Pubofemoral Ligaments of the Hip Capsuloligamentous Complex Utilizing Computer Navigation
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
To use computer navigation software to investigate the specific origins of the hip capsuloligamentous complex.
Six fresh frozen cadaver hips were anatomically landmarked utilizing a three-dimensional computer navigation system. The acetabular origins of the iliofemoral, pubofemoral, and ischiofemoral ligaments were statically digitized. Computer software was used to create a 180° (6:00) meridian line positioned over the midpoint of the acetabular notch, and to present the results in a clocklike manner in hours and minutes (00:00) and also degrees relative to the 12 o’clock position.
The iliofemoral ligament origin starts at 17° (±31°) from the 12 o’clock position, or 12:35 (±1:02) in hours and minutes, and ends at 69° (±13°) or 2:18 (±0:25), spanning a mean distance of 52° (±19°). The ischiofemoral ligament has the broadest origin, starting at 262° (±12°) or 8:44 (±0:24), and ending at 353° (±17°) or 11:45 (±0:14), spanning a mean distance of 90° (±6°). The pubofemoral ligament origin is the smallest, starting at 121° (±5°) or 4:02 (±0:11), and ending at 163° (±9°) or 5:27 (±0:18), spanning a mean distance of 42° (±5°). The iliofemoral ligament origin demonstrates the greatest anatomic variability with regards to its location and its size (p = 0.002).
This study demonstrates that there is significant variability in the size and location of the iliofemoral ligament origin versus the pubofemoral and ischiofemoral ligaments.
Level of Evidence
Level IV anatomic cadaveric study. See the guidelines online for a complete description of level of evidence.
- Crowninshield, RD, Johnston, RC, Andrews, JG, Brand, RA (1978) A biomechanical investigation of the human hip. J Biomech. 11: pp. 75-85 CrossRef
- DePalma AF, Callery G, Bennett GA. Variational anatomy and degenerative lesions of the shoulder joint. Instr Course Lect. 6. 1949:255–281.
- Fuss, FK, Bacher, A (1991) New aspects of the morphology and function of the human hip joint ligaments. Am J Anat. 192: pp. 1-13 CrossRef
- Hewitt, J, Guilak, F, Glisson, R, Vail, TP (2001) Regional material properties of the human hip joint capsule ligaments. J Orthop Res. 19: pp. 359-364 CrossRef
- Hewitt, JD, Glisson, RR, Guilak, F, Vail, TP (2002) The mechanical properties of the human hip capsule ligaments. J Arthroplasty. 17: pp. 82-89 CrossRef
- Hughes, PE, Hsu, JC, Matava, MJ (2002) Hip anatomy and biomechanics in the athlete. Sports Med Arthrosc Rev. 10: pp. 103-114 CrossRef
- Köhnlein, W, Ganz, R, Impellizzeri, FM, Leunig, M (2009) Acetabular morphology: implications for joint-preserving surgery. Clin Orthop Relat Res. 467: pp. 682-691 CrossRef
- O'Brien, SJ, Neves, MC, Arnoczky, SP, Rozbruck, SR, Dicarlo, EF, Warren, RF, Schwartz, R, Wickiewicz, TL (1990) The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder. Am J Sports Med. 18: pp. 449-456 CrossRef
- Stewart, KJ, Edmonds-Wilson, RH, Brand, RA, Brown, TD (2002) Spatial distribution of hip capsule structural and material properties. J Biomech. 35: pp. 1491-1498 CrossRef
- Stindel, E, Gil, D, Briard, JL, Merloz, P, Dubrana, F, Lefevre, C (2005) Detection of the center of the hip joint in computer-assisted surgery: An evaluation study of the surgetics algorithm. Comput Aided Surg. 10: pp. 133-139
- Warwick, R, Williams, PL (1973) Gray's Anatomy. Saunders, Philadelphia, PA
- Defining the Origins of the Iliofemoral, Ischiofemoral, and Pubofemoral Ligaments of the Hip Capsuloligamentous Complex Utilizing Computer Navigation
Volume 7, Issue 3 , pp 239-243
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- hip ligaments
- computer navigation
- hip capsule
- hip arthroscopy
- Industry Sectors
- Author Affiliations
- 1. Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA
- 2. Department of Orthopaedics and Sports Medicine, Union Memorial Hospital, Baltimore, Maryland, USA
- 3. Weill Cornell Medical College, New York, NY, 10065, USA