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What is the Ligament Between the Femur and the Acetabulum?

Published in Hip Joint Anatomy 3 mins read

The hip joint, a crucial ball-and-socket joint, is stabilized by a network of strong ligaments that connect the femur (thigh bone) to the acetabulum (socket of the hip bone). Among these, a notable ligament extending from the tip of the femoral head to the acetabulum is the ligamentum teres, also known as the ligament of the head of the femur.

While the ligamentum teres is present, it plays a relatively minor role in the mechanical stability of the hip joint compared to the larger capsular ligaments. Its primary significance lies in housing a small artery that supplies blood to the femoral head, especially important during childhood.

Key Ligaments of the Hip Joint

Beyond the ligamentum teres, the hip joint is encased by a strong fibrous capsule reinforced by three primary extracapsular (or intrinsic) ligaments, which are vital for maintaining the joint's integrity and limiting excessive movement:

  1. Iliofemoral Ligament (Y-ligament of Bigelow):

    • Considered the strongest ligament in the human body.
    • Connects the anterior inferior iliac spine (part of the hip bone) to the intertrochanteric line of the femur.
    • Crucial for preventing hyperextension of the hip, allowing humans to stand upright with minimal muscle effort.
  2. Pubofemoral Ligament:

    • Located on the inferior and anterior aspect of the hip joint.
    • Extends from the pubic bone to the femoral neck.
    • Limits hip abduction (moving the leg away from the body) and hyperextension.
  3. Ischiofemoral Ligament:

    • Found on the posterior side of the hip joint.
    • Originates from the ischium (lower and back part of the hip bone) and spirals around the femoral neck, attaching to the greater trochanter.
    • Primarily restricts internal rotation and extension of the hip.

These three ligaments work together to form a robust capsular support system, ensuring the femoral head remains securely within the acetabulum.

Summary of Hip Joint Ligaments

Ligament Name Primary Location & Attachment Main Function(s) Stability Role
Ligamentum Teres From femoral head to acetabulum Houses artery to femoral head; minor mechanical stability Minor
Iliofemoral Ligament Anterior, AIIS to intertrochanteric line of femur Prevents hyperextension, supports standing upright Major
Pubofemoral Ligament Inferior/Anterior, pubis to femoral neck Limits hip abduction and hyperextension Major
Ischiofemoral Ligament Posterior, ischium to greater trochanter (femur) Limits internal rotation and hyperextension Major

For a visual understanding of the hip joint and its ligaments, consider exploring anatomical resources like those provided by the American Academy of Orthopaedic Surgeons.

Clinical Importance

The strength and intricate arrangement of these ligaments are vital for the hip's stability, allowing for a wide range of motion while preventing dislocation. Injuries to these ligaments, often due to trauma or repetitive stress, can lead to hip instability, pain, and reduced mobility. Understanding their specific roles helps in diagnosing and treating various hip conditions, from athletic injuries to degenerative joint diseases.