The ligamentum teres of the hip: an arthroscopic classification of its pathology.
Pathology of the ligamentum teres is rarely diagnosed. We describe the classification of the lesions seen at hip arthroscopy based on a group of 20 patients. Three groups are noted: complete rupture, partial rupture, and the degenerate ligamentum. The complete ligamentum teres rupture group had a history of either major trauma or surgery and had a high incidence of other hip pathology such as labral tears and articular damage. The partial ligamentum rupture group presented with a long history of ill-defined hip pain. Minor associated hip abnormalities were seen at arthroscopy. Degenerate ligamentum teres rupture presented with symptoms of the underlying osteoarthritis. Debridement or washout was performed but, at 2 years, patients had severe persistent symptoms or had had a joint replacement.
Gray
A J
AJ
Department of Orthopaedic and Trauma Surgery, Western Infirmary, Glasgow, Scotland.
Villar
R N
RN
D000328:Adult; D005260:Female; D006617:Hip Dislocation / Q000473:pathology; D006620:Hip Fractures / Q000473:pathology; D006621:Hip Joint; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries* / Q000473:pathology*; D008297:Male; D015207:Osteoarthritis, Hip / Q000473:pathology; D012421:Rupture