Abstract
Measurement of the length and width of the ligament of the head of femur (ligamentum teres) in 140 normal human fetuses between 12 weeks and term provides limits for growth changes in this structure. These observations provide no morphological evidence of a significant difference between males and females, or between the right and left sides, to explain the female and left hip preponderance reported in congenital hip disease. The ligament is shown to be variable in length, width, and shape, and it is not a distinctly linear structure through linearity may increase with age. Tests of femoral head mobility support the opinion that this ligament must play a role in fetal and neonatal hip joint stability. Weak correlation only was demonstrated between the ligament variables and acetabular depth, which suggests that ligament shape and socket shape are not closely related. Comparison of measurements from normal and 12 dysplastic or subluxated joints provides no evidence to support previous observations that this structure is unusually long in abnormal hip joints which are not frankly dislocated.
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- ANDERSEN H. Histochemical studies of the development of the human hip joint. Acta Anat (Basel) 1962;48:258–292. doi: 10.1159/000141844. [DOI] [PubMed] [Google Scholar]
- Crelin E. S. An experimental study of hip stability in human newborn cadavers. Yale J Biol Med. 1976 May;49(2):109–121. [PMC free article] [PubMed] [Google Scholar]
- Dunn P. M. Congenital dislocation of the hip (CDH): necropsy studies at birth. Proc R Soc Med. 1969 Oct;62(10):1035–1037. [PMC free article] [PubMed] [Google Scholar]
- Dunn P. M. The anatomy and pathology of congenital dislocation of the hip. Clin Orthop Relat Res. 1976 Sep;(119):23–27. [PubMed] [Google Scholar]
- GARDNER E., GRAY D. J. Prenatal development of the human hip joint. Am J Anat. 1950 Sep;87(2):163–211. doi: 10.1002/aja.1000870202. [DOI] [PubMed] [Google Scholar]
- Haines R. W. The development of joints. J Anat. 1947 Jan;81(Pt 1):33–55. [PMC free article] [PubMed] [Google Scholar]
- Lowry M. F. Congenital dislocation of the hip. Nurs Times. 1970 Jan 15;66(3):72–74. [PubMed] [Google Scholar]
- Parsons F. G. The Joints of Mammals compared with those of Man: A Course of Lectures delivered at the Royal College of Surgeons of England: Part II. J Anat Physiol. 1900 Apr;34(Pt 3):301–323. [PMC free article] [PubMed] [Google Scholar]
- Rális Z., McKibbin B. Changes in shape of the human hip joint during its development and their relation to its stability. J Bone Joint Surg Br. 1973 Nov;55(4):780–785. [PubMed] [Google Scholar]
- SCAGLIETTI O., CALANDRIELLO B. Open reduction of congenital dislocation of the hip. J Bone Joint Surg Br. 1962 May;44-B:257–283. doi: 10.1302/0301-620X.44B2.257. [DOI] [PubMed] [Google Scholar]
- Salter R. B. Etiology, pathogenesis and possible prevention of congenital dislocation of the hip. Can Med Assoc J. 1968 May 18;98(20):933–945. [PMC free article] [PubMed] [Google Scholar]
- Strayer L. M. The Embryology of the Human Hip Joint. Yale J Biol Med. 1943 Oct;16(1):13–26.6. [PMC free article] [PubMed] [Google Scholar]
- Sutton J. B. The Ligamentum Teres. J Anat Physiol. 1883 Jan;17(Pt 2):190.1–19193. [PMC free article] [PubMed] [Google Scholar]
- Walmsley T. A Note on the Retinacula of Weitbrecht. J Anat. 1916 Oct;51(Pt 1):61–64. [PMC free article] [PubMed] [Google Scholar]
- Watanabe R. S. Embryology of the human hip. Clin Orthop Relat Res. 1974 Jan-Feb;(98):8–26. doi: 10.1097/00003086-197401000-00003. [DOI] [PubMed] [Google Scholar]