Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 9/2011

01-09-2011 | Hip

Arthroscopic debridement of the isolated Ligamentum Teres rupture

Authors: Barak Haviv, John O’Donnell

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2011

Login to get access

Abstract

Purpose

Most tears of the Ligamentum Teres (LT) are diagnosed when treating other hip pathologies. The purpose of this study was to evaluate the outcome of arthroscopic surgery for a unique group of patients with symptomatic isolated Ligamentum Teres rupture of the hip.

Methods

The study included 29 patients who suffered from an isolated Ligamentum Teres rupture of the hip and were treated with an arthroscopic debridement from 2003 to 2008. Patients with femoroacetabular impingement or other hip pathologies except Ligamentum Teres tear were excluded. Clinical results were measured preoperatively and postoperatively with the modified Harris Hip Score (MHHS) and Non-Arthritic Hip Score (NAHS). The mean age was 25 years (SD ± 11) with a mean follow-up time of 2.5 years (SD ± 1.5).

Results

At the last follow-up, the mean MHHS improved from 70 to 86 [mean difference = 16 (95% CI 4–27)] and the mean NAHS improved from 64 to 86 [mean difference = 22 (95% CI 10–33)]. Five patients have had a second arthroscopic debridement due to symptomatic recurrent tears.

Conclusion

Arthroscopic debridement alone of the isolated Ligamentum Teres rupture has a short-term beneficial result in more than 80% of cases.
Literature
1.
go back to reference Baber YF, Robinson AH, Villar RN (1999) Is diagnostic arthroscopy of the hip worthwhile? A prospective review of 328 adults investigated for hip pain. J Bone Joint Surg Br 81:600–603PubMedCrossRef Baber YF, Robinson AH, Villar RN (1999) Is diagnostic arthroscopy of the hip worthwhile? A prospective review of 328 adults investigated for hip pain. J Bone Joint Surg Br 81:600–603PubMedCrossRef
2.
go back to reference Bardakos NV, Villar RN (2009) The Ligamentum Teres of the adult hip. J Bone Joint Surg Br 91:8–15PubMed Bardakos NV, Villar RN (2009) The Ligamentum Teres of the adult hip. J Bone Joint Surg Br 91:8–15PubMed
3.
go back to reference Barrett IR, Goldberg JA (1989) Avulsion fracture of the Ligamentum Teres in a child: a case report. J Bone Joint Surg Am 71:438–439PubMed Barrett IR, Goldberg JA (1989) Avulsion fracture of the Ligamentum Teres in a child: a case report. J Bone Joint Surg Am 71:438–439PubMed
4.
5.
go back to reference Byrd JW, Jones KS (2010) Prospective analysis of hip arthroscopy with 10-year followup. Clin Orthop Relat Res 468:741–746PubMedCrossRef Byrd JW, Jones KS (2010) Prospective analysis of hip arthroscopy with 10-year followup. Clin Orthop Relat Res 468:741–746PubMedCrossRef
6.
go back to reference Byrd JW, Jones KS (2004) Traumatic rupture of the Ligamentum Teres as a source of hip pain. Arthroscopy 20:385–391PubMedCrossRef Byrd JW, Jones KS (2004) Traumatic rupture of the Ligamentum Teres as a source of hip pain. Arthroscopy 20:385–391PubMedCrossRef
7.
go back to reference Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC (2003) The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res 406:75–83PubMedCrossRef Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC (2003) The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res 406:75–83PubMedCrossRef
8.
go back to reference Delcamp DD, Klaaren HE, Pompe van Meerdervoort HF (1988) Traumatic avulsion of the Ligamentum Teres without dislocation of the hip. Two case reports. J Bone Joint Surg Am 70:933–935PubMed Delcamp DD, Klaaren HE, Pompe van Meerdervoort HF (1988) Traumatic avulsion of the Ligamentum Teres without dislocation of the hip. Two case reports. J Bone Joint Surg Am 70:933–935PubMed
9.
go back to reference Ebraheim NA, Savolaine ER, Fenton PJ, Jackson WT (1991) A calcified Ligamentum Teres mimicking entrapped intraarticular bony fragments in a patient with acetabular fracture. J Orthop Trauma 5:376–378PubMedCrossRef Ebraheim NA, Savolaine ER, Fenton PJ, Jackson WT (1991) A calcified Ligamentum Teres mimicking entrapped intraarticular bony fragments in a patient with acetabular fracture. J Orthop Trauma 5:376–378PubMedCrossRef
10.
go back to reference Gray AJ, Villar RN (1997) The Ligamentum Teres of the hip: an arthroscopic classification of its pathology. Arthroscopy 13:575–578PubMedCrossRef Gray AJ, Villar RN (1997) The Ligamentum Teres of the hip: an arthroscopic classification of its pathology. Arthroscopy 13:575–578PubMedCrossRef
11.
go back to reference Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51:737PubMed Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51:737PubMed
12.
go back to reference Hayashi K, Markel MD (1998) Thermal modification of joint capsule and ligamentous tissues. Oper Tech Sports Med 6:120–125CrossRef Hayashi K, Markel MD (1998) Thermal modification of joint capsule and ligamentous tissues. Oper Tech Sports Med 6:120–125CrossRef
13.
go back to reference Kamath AF, Componovo R, Baldwin K, Israelite CL, Nelson CL (2009) Hip arthroscopy for labral tears: review of clinical outcomes with 4.8-year mean follow-up. Am J Sports Med 37:1721–1727PubMedCrossRef Kamath AF, Componovo R, Baldwin K, Israelite CL, Nelson CL (2009) Hip arthroscopy for labral tears: review of clinical outcomes with 4.8-year mean follow-up. Am J Sports Med 37:1721–1727PubMedCrossRef
14.
go back to reference Kashiwagi N, Suzuki S, Seto Y (2001) Arthroscopic treatment for traumatic hip dislocation with avulsion fracture of the Ligamentum Teres. Arthroscopy 17:67–69PubMedCrossRef Kashiwagi N, Suzuki S, Seto Y (2001) Arthroscopic treatment for traumatic hip dislocation with avulsion fracture of the Ligamentum Teres. Arthroscopy 17:67–69PubMedCrossRef
15.
go back to reference Kusma M, Jung J, Dienst M, Goedde S, Kohn D, Seil R (2004) Arthroscopic treatment of an avulsion fracture of the Ligamentum Teres of the hip in an 18-year-old horse rider. Arthroscopy 20(Suppl 2):64–66PubMedCrossRef Kusma M, Jung J, Dienst M, Goedde S, Kohn D, Seil R (2004) Arthroscopic treatment of an avulsion fracture of the Ligamentum Teres of the hip in an 18-year-old horse rider. Arthroscopy 20(Suppl 2):64–66PubMedCrossRef
16.
go back to reference Mason JB, McCarthy JC, O’Donnell J, Barsoum W, Mayor MB, Busconi BD et al (2003) Hip arthroscopy: surgical approach, positioning, and distraction. Clin Orthop Relat Res 406:29–37PubMedCrossRef Mason JB, McCarthy JC, O’Donnell J, Barsoum W, Mayor MB, Busconi BD et al (2003) Hip arthroscopy: surgical approach, positioning, and distraction. Clin Orthop Relat Res 406:29–37PubMedCrossRef
17.
go back to reference Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA (2009) Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br 91:16–23PubMedCrossRef Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA (2009) Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br 91:16–23PubMedCrossRef
18.
go back to reference Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK (2009) Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy 25:169–174PubMedCrossRef Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK (2009) Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy 25:169–174PubMedCrossRef
19.
go back to reference Philippon MJ, Zehms CT, Briggs KK, Manchester DJ, Kuppersmith DA (2007) Hip Instability in the athlete. Arthroscopy 15:189–194 Philippon MJ, Zehms CT, Briggs KK, Manchester DJ, Kuppersmith DA (2007) Hip Instability in the athlete. Arthroscopy 15:189–194
20.
go back to reference Rao J, Zhou YX, Villar RN (2001) Injury to the Ligamentum Teres. Mechanism, findings and results of treatment. Clin Sports Med 20:791–799PubMedCrossRef Rao J, Zhou YX, Villar RN (2001) Injury to the Ligamentum Teres. Mechanism, findings and results of treatment. Clin Sports Med 20:791–799PubMedCrossRef
21.
go back to reference Schaumkel JV, Villar RN (2009) Healing of the ruptured Ligamentum Teres after hip dislocation–an arthroscopic finding. Hip Int 19:64–66PubMed Schaumkel JV, Villar RN (2009) Healing of the ruptured Ligamentum Teres after hip dislocation–an arthroscopic finding. Hip Int 19:64–66PubMed
22.
go back to reference Shindle MK, Ranawat AS, Kelly BT (2006) Diagnosis and management of traumatic and atraumatic hip instability in the athletic patient. Clin Sports Med 25:309–326PubMedCrossRef Shindle MK, Ranawat AS, Kelly BT (2006) Diagnosis and management of traumatic and atraumatic hip instability in the athletic patient. Clin Sports Med 25:309–326PubMedCrossRef
23.
go back to reference Yamamoto Y, Usui I (2006) Arthroscopic surgery for degenerative rupture of the Ligamentum Teres femoris. Arthroscopy 22:689PubMedCrossRef Yamamoto Y, Usui I (2006) Arthroscopic surgery for degenerative rupture of the Ligamentum Teres femoris. Arthroscopy 22:689PubMedCrossRef
24.
go back to reference Yamamoto Y, Villar RN, Papavasileiou A (2008) Supermarket hip: an unusual cause of injury to the hip joint. Arthroscopy 24:490–493PubMedCrossRef Yamamoto Y, Villar RN, Papavasileiou A (2008) Supermarket hip: an unusual cause of injury to the hip joint. Arthroscopy 24:490–493PubMedCrossRef
Metadata
Title
Arthroscopic debridement of the isolated Ligamentum Teres rupture
Authors
Barak Haviv
John O’Donnell
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1318-7

Other articles of this Issue 9/2011

Knee Surgery, Sports Traumatology, Arthroscopy 9/2011 Go to the issue