AI Article Synopsis
- - The study aimed to determine if patients who had surgery to remove the ligamentum teres showed signs of a complete rupture (Type I injury) post-operation.
- - A total of 217 patients were surveyed using a questionnaire about symptoms associated with Type I injuries, and 161 responses were analyzed, with the majority being able to fully bear weight after surgery.
- - Findings revealed that while most patients did not experience significant pain, some reported minor instability symptoms, suggesting they may have symptoms more similar to a partial tear (Type II injury) rather than a complete rupture.
Article Abstract
Purpose: The purpose of this study was to investigate whether patients who have undergone surgical hip dislocation with excision of the ligamentum teres exhibited symptoms of a Type I ligamentum teres rupture.
Method: A questionnaire was designed to enquire about specific symptoms attributed to Type I injuries (complete rupture) in the literature: gross instability, incomplete reduction, inability to bear weight and mechanical symptoms. 217 consecutive patients were surveyed and 161 patients (75%) returned 168 questionnaires (75%). Mean age was 34 and median follow-up was 51 months (35 to 97).
Results: All patients were able to fully weight bear after surgery while 77% experienced no groin pain and 61% experienced no pain on exercise. 35% of patients experienced popping and locking in their operated hip and 24% had subjective feeling of their hip giving way.
Conclusion: Patients who have had surgical excision of the ligamentum teres during open osteochondroplasty for cam deformities do not exhibit symptoms of a Type I ligamentum teres rupture. Our results show that minor instability symptoms may be present but symptoms present more like to Type II (partial) injuries. We propose that Type II injuries be divided into Type IIa; partial tear and Type IIb; iatrogenic rupture.
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Source |
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| http://dx.doi.org/10.5301/HIP.2012.9250 | DOI Listing |
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