Department of Orthopaedics and Sports Medicine, University of Washington Seattle, Washington.
Clin Anat. 2014 Apr;27(3):489-97. doi: 10.1002/ca.22272. Epub 2013 Nov 30.
Quantitative descriptions of the hip joint capsular ligament insertional footprints have been reported. Using a three-dimensional digitizing system, and computer modeling, the area, and dimensions of the three main hip capsular ligaments and their insertional footprints were quantified in eight cadaveric hips. The iliofemoral ligament (ILFL) attaches proximally to the anterolateral supra-acetabular region (mean area = 4.2 cm(2)). The mean areas of the ILFL lateral and medial arm insertional footprints are 4.8 and 3.1 cm(2), respectively. The pubofemoral ligament (proximal footprint mean area = 1.4 cm(2)) blends with the medial ILFL anteriorly and the proximal ischiofemoral ligament (ISFL) distally without a distal bony insertion. The proximal and distal ISFL footprint mean areas are 6.4 and 1.2 cm(2), respectively. The hip joint capsular ligaments have consistent anatomic and insertional patterns. Quantification of the ligaments and their attachment sites may aid in improving anatomic repairs and reconstructions of the hip joint capsule using open and/or arthroscopic techniques.
髋关节囊韧带附着点的定量描述已有报道。通过使用三维数字化系统和计算机建模，在 8 具尸体髋关节中对三个主要髋关节囊韧带及其附着点的面积和尺寸进行了量化。髂股韧带（ILFL）近端附着于髋臼前上方区域（平均面积为 4.2cm²）。ILFL 外侧和内侧臂附着点的平均面积分别为 4.8cm²和 3.1cm²。耻骨股韧带（近端附着点平均面积为 1.4cm²）与 ILFL 内侧部在前方融合，与近端坐骨股韧带（ISFL）在后方融合，没有远端骨性附着。ISFL 的近端和远端附着点的平均面积分别为 6.4cm²和 1.2cm²。髋关节囊韧带具有一致的解剖和附着模式。对韧带及其附着部位的定量分析可能有助于通过开放和/或关节镜技术改善髋关节囊的解剖修复和重建。
