Applied anatomy of reserch progress on hip capsule
Shi Xuyang, Wang Qingxian, Li Chenfei, Cao Guozheng
Orthopedic Trauma Emergency Center, the Third Hospital of Hebei Medical University, Hebei Institute of Orthopedics, Hebei Key Laboratory of Orthopaedic Biomechanics, Shijiazhuang 050051, China
Abstract：Objective This work aims to summarize the research progress of anatomy, biomechanics, and clinical treatment of hip capsules. Methods In the Chinese and English databases such as CNKI, Wanfang Data, PubMed, a total of 1 347 papers on the applied anatomy, biomechanics, and clinical treatment of hip capsules published before September 2022 were searched. Forty studies were included, and three anatomical works were read for analysis and summary. Results The hip capsule is a cylindrical fibrous connective tissue around the hip joint and is mainly connected and strengthened by four ligaments such as iliofemoral ligament, ischiofemoral ligament, pubofemoral ligament, and orbicularis band. Each ligament has its own specific start and end point and course. Currently, different views on these anatomical structures are available. The ligaments around the hip capsule play an important role in maintaining the function and stability of the hip joint. The iliofemoral ligament is the dynamic and static joint stabilizer of the hip joint. The ischiofemoral and pubofemoral ligaments play an important role in limiting the internal and external rotation of the hip joint. In addition, the chorda tympani is an important structure for maintaining the stability of the femoral head and resisting the axial traction of the hip joint. The role of post-operative joint capsule repair on hip stability has been affirmed. In deciding whether joint capsule repair is needed, specific consideration should be given to the type of surgery, the size of the incision, the patient's situation, and other influencing factors. Changes in joint capsule thickness are correlated with the occurrence of diseases, such as joint capsule laxity and femoroacetabular impingement. Conclusion The capsule of the hip joint and its surrounding ligaments play an important role in maintaining the stability of the hip joint, which is closely related to its anatomical structure and mechanical characteristics. The repair of hip capsule can enhance the stability of hip joint after hip operation. The thickness of the hip capsule is related to the occurrence of many kinds of hip joint diseases. The correct treatment of the hip capsule is of great clinical significance to the stability of the hip joint after operation and the prevention and treatment of hip joint diseases.
时旭阳, 王庆贤, 李晨飞, 曹国征. 髋关节囊的应用解剖与临床研究的进展[J]. 中华解剖与临床杂志, 2023, 28(9): 626-630.
Shi Xuyang, Wang Qingxian, Li Chenfei, Cao Guozheng. Applied anatomy of reserch progress on hip capsule. Chinese Journal of Anatomy and Clinics, 2023, 28(9): 626-630.
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