Evidence map›Paper›PMID 34555959›Full record

ArticleBone & joint research2021

Capsular ligaments provide a passive stabilizing force to protect the hip against edge loading.

Kabelan J Karunaseelan, Oliver Dandridge, Sarah K Muirhead-Allwood, Richard J van Arkel, Jonathan R T Jeffers

Open access · goldAbstract read
In one paragraph

Article in Bone & joint research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kabelan J KarunaseelanDepartment of Mechanical Engineering, Imperial College London, London, UK.ORCID 0000-0003-4192-8350
Oliver DandridgeDepartment of Mechanical Engineering, Imperial College London, London, UK.
Sarah K Muirhead-AllwoodThe London Hip Unit, Princess Grace Hospital, London, UK.
Richard J van ArkelDepartment of Mechanical Engineering, Imperial College London, London, UK.ORCID 0000-0002-1301-1337
Jonathan R T JeffersDepartment of Mechanical Engineering, Imperial College London, London, UK.
City and Islington College · GBImperial College London · GBThe Princess Grace Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn the native hip, the hip capsular ligaments tighten at the limits of range of hip motion and may provide a passive stabilizing force to protect the hip against edge loading. In this study we quantified the stabilizing force vectors generated by capsular ligaments at extreme range of motion (ROM), and examined their ability to prevent edge loading.

methodsTorque-rotation curves were obtained from nine cadaveric hips to define the rotational restraint contributions of the capsular ligaments in 36 positions. A ligament model was developed to determine the line-of-action and effective moment arms of the medial/lateral iliofemoral, ischiofemoral, and pubofemoral ligaments in all positions. The functioning ligament forces and stiffness were determined at 5 Nm rotational restraint. In each position, the contribution of engaged capsular ligaments to the joint reaction force was used to evaluate the net force vector generated by the capsule.

resultsThe medial and lateral arms of the iliofemoral ligament generated the highest inbound force vector in positions combining extension and adduction providing anterior stability. The ischiofemoral ligament generated the highest inbound force in flexion with adduction and internal rotation (FADIR), reducing the risk of posterior dislocation. In this position the hip joint reaction force moved 0.8° inbound per Nm of internal capsular restraint, preventing edge loading.

conclusionThe capsular ligaments contribute to keep the joint force vector inbound from the edge of the acetabulum at extreme ROM. Preservation and appropriate tensioning of these structures following any type of hip surgery may be crucial to minimizing complications related to joint instability. Cite this article:

Indexed as

acetabulumadductionCapsuleflexionHipHip arthroscopic surgeryHip instabilityhip jointhipship surgeryiliofemoral ligamentsligamentsLigamentsreaction forcestiffnesses

Identifiers

PMID34555959
PMCPMC8479567
OpenAlexW3199291722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.