The mechanical properties of the human hip capsule ligaments.
The human hip capsule is adapted to facilitate upright posture, joint stability, and ambulation, yet it routinely is excised in hip surgery without a full understanding of its mechanical contributions. The objective of this study was to provide information about the mechanical properties of the ligaments that form the hip capsule. Cadaver bone-ligament-bone specimens of the iliofemoral, ischiofemoral, and femoral arcuate ligaments were tested to failure in tension. The hip capsule was found to be an inhomogeneous structure and should be recognized as being composed of discrete constituent ligaments. The anterior ligaments, consisting of the 2 arms of the iliofemoral ligament, were much stronger than the posterior ischiofemoral ligament, withstanding greater force at failure and exhibiting greater stiffness. Knowledge of the anatomy and mechanical properties of the capsule may help the hip surgeon choose an appropriate surgical approach or repair strategy.
Hewitt
John D
JD
Orthopaedic Research Laboratories, Department of Surgery, Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Glisson
Richard R
RR
Guilak
Farshid
F
Vail
T Parker
TP
D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology; D000704:Analysis of Variance; D001696:Biomechanical Phenomena; D002102:Cadaver; D005260:Female; D006621:Hip Joint / Q000502:physiology*; D006801:Humans; D017746:Joint Capsule / Q000502:physiology*; D008023:Ligaments, Articular / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D013314:Stress, Mechanical