IJCRR - 6(8), April, 2014
OSSIFIED TRANSVERSE ACETABULAR LIGAMENT - AN OSTEOLOGICAL STUDY
Author: A. Perumal, S. Sathiya
Background: The ossification of transverse acetabular ligament is a rare interesting anatomical variation which converts the acetabular notch into a foramen. The transverse acetabular ligament (TAL) contributes to the stability of the joint. Sometimes the ligament gets ossified which limits the movement of hip joint and also leads to the compression of the nutrient vessel and subsequently result in ischemia of the area supplied by it. Ossification of the ligament as found in the present study may be helpful for the clinicians for differential diagnosis. Literature regarding the incidence, cause and clinical implications of this variation is therefore essential for radiologists, orthopaedicians and surgeons operating in the hip replacement surgery. The presence of ossified transverse acetabular ligament was noted and analyzed statistically. The study throws light on the incidence of the ossification of transverse acetabular ligament and discusses its clinical implications. Materials and Methods: Two hundred (214) dry human hip bones (right- 100 and left- 114) were taken for the study. The presence of ossified TAL was noted by macroscopic examination with naked eye. Results were tabulated and statistical analysis was done. Results: 4.3% of bones showed complete ossification of TAL on the left side hip bones and 14% of bones showed incomplete ossification of TAL on the right side and 11.4% on the left side hip bones. Conclusion: The knowledge of incidence of ossified TAL is essential for surgeons, orthopaedicians in performing the hip replacement surgery. The present study may be helpful for clinicians, radiologists and surgeons for differential diagnosis.
Keywords: Hip bone, transverse acetabular ligament, compression, incidence, clinical implication.
A. Perumal, S. Sathiya. OSSIFIED TRANSVERSE ACETABULAR LIGAMENT - AN OSTEOLOGICAL STUDY International Journal of Current Research and Review. 6(8), April, 37-41
1. Standring S. Gray’s Anatomy: Anatomical Basis of Clinical Practice. 39th Ed., London, Elsevier Churchill-Livingstone 2008; 1389– 1390.
2. Sharmila Bhanu P and Devi Sankar P. Bilateral ankylosis of sacro-iliac joint with ossified sacrospinous, sacrotuberous and transverse acetabular ligaments: a case report. International Journal of Anatomical Variations 2011; 4: 123–127.
3. Stefan Milz,Georgios Valassis, Andreas Buttner, Markus Maier, Reinhard Putz, James R. Ralphs, Michael Benjamin. Fibrocartilage in the transverse ligament of the human acetabulum. Journal of Anatomy 2001; 198: 223-228.
4. Archbold.B, Mockford.D, Molloy.J, McConway.L, Ogonda.D, Beverland. The transverse acetabular ligament: an aid to orientation of the acetabular component during primary total hip replacement. British Editorial Society of Bone and Joint Surgery 2006; 88: 883-886.
5. Sam Hakki, Victor Bilotta, Janiel Oliveira, Luis dordelly. Acetabular Center Axis: Is It the Future of Hip Navigation?. Orthopaedics 2010; 33: 43-47.
6. A. Narvani, E. Tsiridis, C. C. Tai, P. Thomas. Acetabular labrum and its tears: Br J Sports Med 2003; 37: 207–211.
7. Daniel.J, Abramson, Samuel Kamberg, Jefferson Barracks, Missouri. Spondylitis, pathological ossification, and calcification associated with spinal-cord. The Jounal of bone and Joint Surgery 1949; 31-A: 275-283.
8. Luis Cerezal, Ara Kassarjian, Ana Canga, María Carmen Dobado, Juan Antonio Montero, EvaLlopis, Alejandro Rolon, Luis Perez-Carro. Anatomy, Biomechanics, Imaging and Management of Ligamentum Teres Injuries. RadioGraphics 2010; 30:1637– 1651.
9. Rafael J. Sierra, Robert T. Trousdale. Labral reconstruction using the ligamentum teres capitis. Clin Orthop Relat Res 2009; 467:753– 759.
10. Noah J. Epstein, Steven T. Woolson, Nicholas J. Giori. Acetabular Component Positioning Using the Transverse Acetabular Ligament. Clin Orthop Relat Res 2011; 469:412–416.
11. Sudsriluk Sampatchalit, Lina Chen, Parviz Haghighi, Debra Trudell, Donald L. Resnick. Changes in the Acetabular Fossa of the Hip: MR Arthrographic Findings Correlated With Anatomic and Histologic Analysis Using Cadaveric Specimens. AJR 2009; 193:127– 133.