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Iliocapsularis muscle in human fetuses

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Abstract

Purpose

To determine the incidence of the iliocapsularis muscle in fetal period and its relationship with the hip joint capsule.

Methods

Twenty-one formalin-fixed fetuses (12 female and 9 male) with a mean gestational age of 29 ± 3.89 weeks (range 25–36) were dissected to reveal morphological properties of iliocapsularis muscle.

Results

Iliocapsularis muscle was observed in 39 out of 42 sides (92%). Its proximal attachment was detected either below the proximal attachment of rectus femoris muscle in 21 out of 39 sides (54%), or it was forming a common tendon with rectus femoris on the anterior inferior iliac spine in 10 out of 39 sides (26%), or it was forming an arch along the superior–medial–inferior sides of the proximal attachment of rectus femoris muscle in 8 out of 39 sides (20%). Muscle fibers originating from the anteromedial part of hip joint capsule were also constant in all sides. Distal attachment of iliocapsularis muscle was distal to the lesser trochanter in all specimens. Its form was as a broad muscle in 32 out of 39 sides (82%) and as a thin rectangular muscular slip in 7 out of 39 sides (18%). Iliopsoas and iliocapsularis muscles had their particular fascia in 34 out of 39 sides (87%), and in the other 5 sides, there was no fascia which prominently separated the two muscles. Its length was longer in females than males (p = 0.031) and it was wider on the right side (p = 0.029). Linear functions were y = 0.49 + 0.17 × weeks and y = 6.94 + 0.89 × weeks for width and length, respectively.

Conclusion

Data obtained with the present study about iliocapsularis muscle in fetal period revealed that it is an individual and constant muscle. Its dimension, location, and course over the hip joint capsule support the idea that it tightens the hip capsule and stabilizes the femoral head.

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References

  1. Babst D, Steppacher SD, Ganz R, Siebenrock KA, Tannast M (2011) The iliocapsularis muscle: an important stabilizer in the dysplastic hip. Clin Orthop Relat Res 469:1728–1734

    Article  CAS  Google Scholar 

  2. Bedi A, Galano G, Walsh C, Kelly BT (2011) Capsular management during hip arthroscopy: from femoroacetabular impingement to instability. Arthroscopy 27(12):1720–1731

    Article  Google Scholar 

  3. Camp CL, Reardon PJ, Levy BA, Krych AJ (2015) Creating and closing the T-capsulotomy for improved visualization during arthroscopic treatment of femoroacetabular impingement. Arthrosc Tech 4(6):e731–e735

    Article  Google Scholar 

  4. Carton P, Filan D (2016) Anterior inferior iliac spine (AIIS) and subspine hip impingement. Muscles Ligaments Tendons J 6(3):324–336

    Article  Google Scholar 

  5. Cooper HJ, Walters BL, Rodriguez JA (2015) Anatomy of the hip capsule and peri-capsular structures: a cadaveric study. Clin Anat 5:665–671

    Article  Google Scholar 

  6. Domb BG, Shindle MK, McArthur B, Voos JE, Magennis EM, Kelly BT (2011) Iliopsoas impingement: a newly identified cause of labral pathology in the hip. HSS J 7(2):145–150

    Article  Google Scholar 

  7. Dora C, Houweling M, Koch P, Sierra RJ (2007) Iliopsoas impingement after total hip replacement: the results of non-operative management, tenotomy or acetabular revision. J Bone Jt Surg Br 89(8):1031–1035

    Article  CAS  Google Scholar 

  8. Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232:26–36

    Google Scholar 

  9. Guillin R, Cardinal É, Bureau NJ (2009) Sonographic anatomy and dynamic study of the normal iliopsoas musculotendinous junction. Eur Radiol 19(4):995–1001

    Article  Google Scholar 

  10. Haefeli PC, Steppacher SD, Babst D, Siebenrock KA, Tannast M (2015) An increased iliocapsularis-to-rectus-femoris ratio is suggestive for instability in borderline hips. Clin Orthop Relat Res 473:3725–3734

    Article  Google Scholar 

  11. Hammoud S, Bedi A, Voos JE, Mauro CS, Kelly BT (2014) The recognition and evaluation of patterns of compensatory injury in patients with mechanical hip pain. Sports Health 6(2):108–118

    Article  Google Scholar 

  12. Harris JD (2016) Capsular management in hip arthroscopy. Clin Sports Med 35(3):373–389

    Article  Google Scholar 

  13. Kachlik D, Musil V, Baca V (2018) Contribution to the anatomical nomenclature concerning lower limb anatomy. Surg Radiol Anat 40(5):537–562

    Article  Google Scholar 

  14. Kuhns BD, Weber AE, Levy DM, Bedi A, Mather RC III, Salata MJ, Nho SJ (2016) Capsular management in hip arthroscopy: an anatomic, biomechanical, and technical review. Front Surg 3:13

    Article  Google Scholar 

  15. Lawrenson P, Grimaldi A, Crossley K, Hodges P, Vicenzino B, Semciw AI (2017) Iliocapsularis: technical application of fine-wire electromyography, and direction specific action during maximum voluntary isometric contractions. Gait Posture 54:300–303

    Article  Google Scholar 

  16. Mashriqi F, D’Antoni AV, Wilson C, Unno F, Lee CB, Mayo K, Tubbs RS (2017) The functional and surgical relevance of the iliocapsularis muscle: an anatomical review. Anatomy 11(3):146–148

    Article  Google Scholar 

  17. Moore KL, Dalley AF, Agur AMR (2014) Clinically oriented anatomy, 7th edn. Lippincott Williams & Wilkins, Baltimore

    Google Scholar 

  18. Netter FH (2014) Atlas of human anatomy, vol 1. Saunders, Bukupedia

    Google Scholar 

  19. Pourcho AM, Sellon JL, Lachman N, Krych AJ, Smith J (2015) Sonographic appearance of the iliocapsularis muscle of the hip. PMR 7(1):94–96

    Article  Google Scholar 

  20. Putz R, Sobotta J (2008) Sobotta atlas of human anatomy: head, neck, upper limb, thorax, abdomen, pelvis, lower limb. Elsevier, Amsterdam

    Google Scholar 

  21. Retchford TH, Crossley KM, Grimaldi A, Kemp JL, Cowan SM (2013) Can local muscles augment stability in the hip? A narrative literature review. J Musculoskelet Neuronal Interact 13:1–12

    CAS  PubMed  Google Scholar 

  22. Sato T, Sato N, Sato K (2016) Review of the iliocapsularis muscle and its clinical relevance. Anat Physiol 6:237

    Article  Google Scholar 

  23. Satoh JI (1965) The m. iliotrochantericus (m. iliocapsulo trochantericus) in macaques. Okajimas Folia Anat Jpn 40:323–337

    Article  CAS  Google Scholar 

  24. Standring S, Borley NR, Collins P, Crossman AR, Gatzoulis MA, Healy JC (2008) Gray’s anatomy: the anatomical basis of clinical practice, 40th edn. Elsevier, London

    Google Scholar 

  25. Tubbs RS, Shoja MM, Loukas M (2016) Bergman’s comprehensive encyclopedia of human anatomic variation. Wiley, Hoboken

    Book  Google Scholar 

  26. Walters BL, Cooper JH, Rodriguez JA (2014) New findings in hip capsular anatomy: dimensions of capsular thickness and pericapsular contributions. Arthroscopy 30(10):1235–1245

    Article  Google Scholar 

  27. Ward WT, Fleisch ID, Ganz R (2000) Anatomy of the iliocapsularis muscle. Relevance to surgery of the hip. Clin Orthop Relat Res 374:278–285

    Article  Google Scholar 

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Contributions

ÖE and MA: project development, data analysis, manuscript writing, and editing; EŞ: data collection and analysis; ZKO and AB: project development and editing.

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Correspondence to Özlem Elvan.

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Authors declared no conflict of interest.

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Elvan, Ö., Aktekin, M., Şengezer, E. et al. Iliocapsularis muscle in human fetuses. Surg Radiol Anat 41, 1497–1503 (2019). https://doi.org/10.1007/s00276-019-02312-w

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  • DOI: https://doi.org/10.1007/s00276-019-02312-w

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