Arthroscopic debridement of the isolated Ligamentum Teres rupture

Haviv, Barak; O’Donnell, John

doi:10.1007/s00167-010-1318-7

Cited by 76 publications

(79 citation statements)

References 25 publications

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“…However, no specific functional limitations were reported for these individuals [8]. Similar, findings were reported by Haviv and O'Donnell [12] as they noted the average modified Harris hip scores improved from 70 to 86 at a 12-month follow-up period in their case series of 29 subjects. Again specific functional limitations were not reported for these individuals [12].…”

Section: Introductionsupporting

confidence: 82%

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Ligamentum teres: a functional description and potential clinical relevance

Martin

Palmer²,

Martin³

2011

Knee Surg Sports Traumatol Arthrosc

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Section: Introductionsupporting

confidence: 82%

“…A ligamentum teres lesion was the third most common arthroscopic finding [7], noted in 4-15% of individuals [1,8,12,20]. Traditionally, it is been believed that the ligamentum teres does not play a significant role in joint stabilization.…”

Section: Introductionmentioning

confidence: 99%

Ligamentum teres: a functional description and potential clinical relevance

Martin

Palmer²,

Martin³

2011

Knee Surg Sports Traumatol Arthrosc

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“…LT tears associated with symptoms of instability, increased external rotation of the involved hip [23], or tears with accompanying hip joint pathology such as labral tears, patulous capsular tissue, or femoroacetabular impingement may be candidates for reconstruction [24]. Debridement for LT tears is widely considered in current practice; Byrd and Jones [8] and Haviv and O'Donell [25] have reported satisfactory results for debridement. The results of the current study confirm the effectiveness of the LT test in detecting LT rupture and, secondly, rupture of the ligamentum teres may decrease hip scores of the involved hips indicating decreased activity levels and increased pain.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Ligamentum Teres Integrity on Hip Scores

Desteli¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Displazik kalçalarda Ligamentum Teres'in (LT) hiperlaksite ve stabiliteye etkisi daha önceki çalışmalarda vurgulanmıştır. LT kesilmiş hastalarda instabilite ve rahatsızlık gözlenmektedir. Duyusal sinir sonlanmalarının varlı-ğı LT'nin eklem propriyosepsiyonu ve nosisepsiyonunda işlevi olduğuna işa-ret etmektedir. Çalışmamızda kalça eklemindeki LT bütünlüğünün klinik işlev-lere etkisinin kıyaslanması amaçlandı. Gereç ve Yöntem: Evre 2-3 koksartrozu olan ardışık 92 hastaya LT testi uygulandı. İç veya dış rotasyonda ağrı LT testinin pozitif olduğunu gösterdi. LT testini takiben hastaların, Kalça Kısıtlılık ve Osteoartrit Sonuç Skoru (HOOS) ve Harris Kalça Skoru (HHS) kaydedildi. Her hastanın etkilenen kalçasından Manyetik Rezonans Görüntüleme (MRG) elde edildi. Bulgular: MR bulguları ile LT testi etkililiği değerlendirildiğinde, sensitivite % 87.37, spesifite ise % 73.47 iken, pozitif ve negatif prediktif değerler sırasıyla % 74.5 ve 80.4 olarak not edildi. MR bulguları ve LT testine göre bağı intakt olan 36 kalça (grup 1) ile bağı yırtık 38 kalça (grup 2) HOOS ve HHS skorları ile karşılaştırıldı. Her iki skorlama da Grup 1'de Grup 2'ye göre önemli ölçüde daha yüksekti (p<0.001). Tartışma: Bilindiği kadarıyla, yırtık ve intakt LT karşılaştırmasıyla bağ bütünlüğünün kalça fonksiyonel skorlarına etkisi literatürde ilk kez çalışmamızda ele alınmaktadır. Ligamentum teres bütünlü-ğünün bozulması, kalça fonksiyonel skorlarını düşürmektedir. Anahtar KelimelerLigamentum Teres; Koksartroz; Kalça; Kalça Skoru Abstract We aimed to compare the clinical functioning of the hips with an intact Ligamentum Teres (LT) to ruptured LT. Patients with resected LT have feelings of instability and discomfort. The effect of LT on hip stability in dysplastic hips and hyperlaxity has been emphasized before. Existence of sensory nerve endings demonstrates that LT has a function in joint proprioception and nociception. LT test was conducted to 92 consecutive patients with Grade 2-3 coxarthrosis. Pain on either internal or external rotation is consistent with a positive LT test result. Following LT test, Hip disability and osteoarthritis outcome score (HOOS) and Harris Hip Score (HHS) were conducted to all of the patients. Each patient underwent MRI Scanning of the involved hip. The efficacy of LT test was evaluated in comparison to MRI findings, sensitivity of the test was 87.37 % and spesificity was 73.47 positive and negative predictive values were found to be 74.51 % nd 80.43 % respectively. 36 hips which had intact LT according to MRI and LT test (Group 1) was compared to the 38 hips with ruptured LT in both LT test and MRI (Group 2) regarding HOOS and Harris Hip Scores. HOOS and Harris Hip Scores of Group 1 were found to be significantly higher than Group 2. As far as we know from the literature this is the first clinical study to investigate the effect of LT integrity on hip scores by comparing hips with ruptured LT to hips with intact LT.

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“…periacetabular osteotomy or derotational femoral osteotomy) is not indicated. Both LT debridement and reconstruction have demonstrated improved subjective outcome scores and range of motion and a high rate of return to sport 18 . In one study 23 , 29 patients underwent arthroscopic debridement for an isolated LT rupture. At 12 months followup, the mean Modified Harris Hip Score (MHHS) and Non-Arthritic Hip Score (NAHS) had improved significantly compared to preoperatively.…”

Section: Surgical Managementmentioning

confidence: 99%

Ligamentum teres tendinopathy and tears

Kraeutler

Garabekyan

Pascual‐Garrido

et al. 2016

MLTJ

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SummaryBackground: The ligamentum teres (LT) consists of two bands that originate on the ischial and pubic sides of the acetabular notch and insert on the fovea capitis of the femoral head. Recent studies have established the LT as an important hip stabilizer in a squatting position, particularly in patients with osseous instability. Purpose: This review aims to concisely present the literature on LT tendinopathy and tears in order to guide health care professionals in the appropriate diagnosis and treatment of these disorders. Methods: We reviewed the literature on the diagnosis and surgical management of ligamentum teres tendinopathy and tears. Conclusions: The ligamentum teres is an important stabilizer to the hip joint, particularly with hip flexion and external rotation. Older age and acetabular bony pathomorphology are two of the known risk factors for LT tears. Symptoms of LT tendinopathy are largely non-specific, mimicking a wide range of other hip disorders including impingement and instability. Debridement of LT tears or reactive tissue has been reported with good outcomes, with more recent studies describing reconstruction of a completely torn, nonfunctional, or absent LT using various graft sources including synthetic grafts, autografts, and allografts. Level of evidence: II.

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Arthroscopic debridement of the isolated Ligamentum Teres rupture

Abstract: Arthroscopic debridement alone of the isolated Ligamentum Teres rupture has a short-term beneficial result in more than 80% of cases.

Cited by 76 publications

References 25 publications

Ligamentum teres: a functional description and potential clinical relevance

Ligamentum teres: a functional description and potential clinical relevance

The Effect of Ligamentum Teres Integrity on Hip Scores

Ligamentum teres tendinopathy and tears

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