The proximal hip joint capsule and the zona orbicularis contribute to hip joint stability in distraction

Hiroshi Ito, Yongnam Song, Derek P. Lindsey, Marc R. Safran, Nicholas J. Giori

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

The structure and function of the proximal hip joint capsule and the zona orbicularis are poorly understood.We hypothesized that the zona orbicularis is an important contributor to hip stability in distraction. In seven cadaveric hip specimens from seven male donors we distracted the femur from the acetabulumin a direction parallel to the femoral shaft with the hip in the neutral position. Eight sequential conditions were assessed: (1) intact specimen (muscle and skin removed), (2) capsule vented, (3) incised iliofemoral ligament, (4) circumferentially incised capsule, (5) partially resected capsule (distal to the zona orbicularis), (6) completely resected capsule, (7) radially incised labrum, and (8) completely resected labrum. The reduction of the distraction load was greatest between the partially resected capsule phase and completely resected capsule phase at 1, 3, and 5mmjoint distraction (p = 0.018). The proximal to middle part of the capsule, which includes the zona orbicularis, appears grossly and biomechanically to act as a locking ring wrapping around the neck of the femur and is a key structure for hip stability in distraction.

Original languageEnglish
Pages (from-to)989-995
Number of pages7
JournalJournal of Orthopaedic Research
Volume27
Issue number8
DOIs
Publication statusPublished - 2009 Aug 1
Externally publishedYes

Keywords

  • Distraction force
  • Hip joint
  • Stability

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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