Regional material properties of the human hip joint capsule ligaments

Journal of Orthopaedic Research - Tập 19 - Trang 359-364 - 2001
John Hewitt1, Farshid Guilak1, Richard Glisson1, T Parker Vail1
1Division of Orthopaedic Surgery, Department of Surgery, Orthopaedic Research Laboratories, Duke University Medical Center, Box 3332 Durham, NC 27710, USA

Tóm tắt

Abstract

The hip joint capsule functions to constrain translation between the femur and acetabulum while allowing rotational and planar movements. Despite the crucial role it plays in the pathogenesis of hip instability, little is known about its biomechanical properties. The goal of this study was to determine the regional material properties of the iliofemoral and ischiofemoral ligaments of the capsule.

Ten human cadaveric specimens of each ligament were tested to failure in tension. The stress at failure, strain at failure, strain energy density at failure, toe‐ and linear‐region elastic moduli, and the Poisson's ratio were measured for each ligament.

The strain to failure was greatest in the ischiofemoral ligament, while no significant difference was noted in failure stress by region or ligament. The Young's moduli of elasticity ranged from 76.1 to 285.8 MPa among the different ligaments, and were generally consistent with properties previously reported for the shoulder capsule. The elastic moduli and strain energy density at failure differed by region. No significant differences in Poisson's ratio were found by region or ligament. The average Poisson's ratio was approximately 1.4, consistent with anisotropic behavior of ligamentous tissues.

Understanding the material properties of the hip capsule may help the orthopaedic surgeon better understand normal ligament function, and thereby choose a surgical approach or strategy of repair. Furthermore, knowledge of the normal mechanical function of the hip capsule ligaments could assist in the evaluation of the success of a repair. © 2001 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved.


Tài liệu tham khảo

10.1097/00007632-199512150-00010 10.1097/00003086-199609000-00003 10.1002/jor.1100100205 10.1016/0021-9290(84)90090-3 10.1016/S0006-355X(99)80001-8 10.1177/036354659101900319 DeLee JC, 1996, Fractures in adults, 1659 10.1016/0021-9290(94)90281-X Elliott DM, 1999, Direct measurement of the Poisson's ratio of human articular cartilage in tension, Trans Orthop Res Soc, 24, 649 Frank C, 1988, Biochemical heterogeneity within the maturing rabbit medial collateral ligament, Clin Orthop, 236, 279, 10.1097/00003086-198811000-00038 10.1002/aja.1001920102 Hedlundh U, 1996, Surgical experience related to dislocations after total hip arthroplasty, J Bone Joint Surg – British Volume, 78, 206, 10.1302/0301-620X.78B2.0780206 Hewitt J, 1999, Mechanical properties of the human hip joint capsule ligaments, Trans Orthop Res Soc, 24, 744 10.1620/tjem.171.203 Jenkins DB, 1991, Hollinshead's functional anatomy of the limbs and back, 229 Lu‐Yao GL, 1994, Outcomes after displaced fractures of the femoral neck meta‐analysis of one hundred and six published reports, J Bone Joint Surg [Am], 76, 15, 10.2106/00004623-199401000-00003 10.1016/0021-9290(87)90036-4 Mohler CG, 1998, Adult hip, 1142 Offierski CM, 1981, Traumatic dislocation of the hip in children, J Bone Joint Surg [Br], 63, 194, 10.1302/0301-620X.63B2.7217141 O'Leary C, 1987, Traumatic dislocation of the hip in rugby union football, Ir Med J, 80, 291 Rao JP, 1991, Dislocations following arthroplasties of the hip: incidence, prevention and treatment, Orthop Rev, 20, 261 Rees D, 1984, Traumatic dislocation of the hip in mini rugby, BMJ, 289, 19, 10.1136/bmj.289.6436.19-a Setton LA, 1999, Summer Bioengineering Conference, BED, 73 10.1097/00003086-199609000-00006 Stanisavljevic S, 1978, Orthopedic injuries in water skiing: etiology and prevention, Orthopedics, 1, 125 10.1016/S1058-2746(96)80053-X Vail TP, 1997, Textbook of surgery: the biological basis of modern surgical practice, 1432 10.1006/abbi.1996.0153 Walsh ZT, 1989, Hip dislocation in a high school football player, Phys Sports Med, 17, 112, 10.1080/00913847.1989.11709894 Wolfe MW, 1995, Posterior fracture‐dislocation of the hip in a jogger, J South Orthop Assoc, 4, 91 10.3233/BIR-1982-19301 10.1002/jor.1100010104 10.1177/036354659101900303 10.1002/jor.1100080513 10.1115/1.2891392 Yang RS, 1991, Traumatic dislocation of the hip, Clin Orthop, 265, 218