[Lig. capitis femoris. Arthroscopic diagnosis and treatment of degenerative and traumatic disorders].
The LT arises from the transverse acetabular ligament and the posterior inferior portion of the acetabular fossa and attaches to the femoral head at the fovea capitis. Lesions of the LT are accompanied by dislocation or subluxation of the hip as well as acetabular fractures. However, rupture may occur simply from a twisting injury in the absence of major trauma. Atraumatic degeneration associated with osteoarthritis and dysplasia as well as after Perthes' disease and slipped epiphysis capitis can occur. The symptoms of pain, popping, locking, and catching are nonspecific for a variety of intra-articular lesions. Most of the patients complain of deep anterior groin pain, but sometimes simply pain upon activity or loss of motion are described. No examination finding would distinguish injury to the ligament. The diagnosis of rupture of the LT remains elusive to various imaging techniques. Magnetic resonance arthrography is much more sensitive than magnetic resonance imaging at detecting various lesions but has a low sensitivity for ruptures of the LT. Lesions of the LT can be diagnosed using arthroscopy and respond remarkably well to arthroscopic débridement. Long-term results and potential consequences of treatment remain to be defined.
Rühmann
O
O
Orthopädische Klinik, Medizinische Hochschule, Hannover. ruehmann@annastift.de
Börner
C
C
von Lewinski
G
G
Bohnsack
M
M
D001182:Arthroscopy / Q000379:methods*; D003240:Connective Tissue Diseases / Q000473:pathology* / Q000601:surgery*; D006621:Hip Joint / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008023:Ligaments, Articular / Q000293:injuries / Q000473:pathology* / Q000601:surgery*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D019651:Plastic Surgery Procedures / Q000379:methods