Lesions of Ligamentum capitis femoris as a cause of the necrotic changes in Articulatio coxae

Dimo Krаstev, A. Alexieva, Zlatka Traikova-Todorova
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Abstract

Aim of the research There is more and more research on one rather underestimated object, which is a part of the hip joint - namely Ligamentum capitis femoris. Many doctors still believe that it plays a minor role in joint trophism, but a number of studies disprove this. The present study aims to demonstrate the lesions that occur in the hip joint when the Ligamentum capitis femoris (also known in literature as Ligamentum teres) is found damaged, with a focus on the blood vessels going alongside the ligament and supplying the head of the hip joint. The aim of the study is to demonstrate the pathological changes that occur in the hip joint due to obstruction of the arterial vessel entering the joint together with the ligament. This vascular change can be a result of many factors - traumatic, septic and aseptic. Materials and Methods To achieve our goals we set the following main tasks: to examine the structure of Ligamentum capitis femoris with an optical microscope after staining the samples with Hematoxylin Eosin and AZAN and to make a comparative complex analysis of the morphological characteristics of Ligamentum capitis femoris in humans. Results The examination of ligaments from cadavers - which have pathological changes in the hip joint - clearly shows the damage of the Ligamentum capitis femoris. Conclusions From the histological examination we conducted, we found that Ligamentum capitis femoris has a biological, mechanical and trophic role in the hip joint and its preservation is important in preventing future complications.
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股骨头韧带病变是髋关节坏死改变的一个原因
研究目的越来越多的研究对象被低估了,这是髋关节的一部分,即股头韧带。许多医生仍然认为它在关节营养中起着次要作用,但一些研究反驳了这一观点。本研究旨在证明当股头韧带(在文献中也被称为圆韧带)被发现受损时,髋关节发生的病变,重点关注韧带周围和供应髋关节头部的血管。本研究的目的是证明髋关节由于动脉血管与韧带一起进入关节的阻塞而发生的病理改变。这种血管改变可能是许多因素造成的——创伤性、败血性和无菌性。材料和方法为了达到我们的目的,我们确定了以下主要任务:用苏木精伊红和AZAN对样品进行染色后,在光学显微镜下检查股头韧带的结构,并对人类股头韧带的形态特征进行比较复杂的分析。结果对尸体韧带的检查显示,股骨头韧带损伤明显。结论通过组织学检查,我们发现股头韧带在髋关节中具有生物学、力学和营养作用,保存股头韧带对预防未来并发症具有重要意义。
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