髋关节圆韧带损伤的诊断与治疗进展

吴子煜; 韩小涛; 李皓桓

doi:10.14188/j.1671-8852.2024.0065

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髋关节圆韧带损伤的诊断与治疗进展

综述 | 更新时间：2026-11-05

- 髋关节圆韧带损伤的诊断与治疗进展
- Advances in the diagnosis and treatment of ligamentum teres injury of the hip joint
- 武汉大学学报（医学版） 2025年46卷第2期页码：272-276
- 作者机构：
  
  1.武汉大学人民医院运动医学与关节外科湖北武汉 430060
  2.华中科技大学国家脉冲强磁场科学中心湖北武汉 430074
- 作者简介：
  
  吴子煜，男，2000—，医学硕士生，主要从事运动医学与关节疾病研究，E⁃mail：ziyuwu2000@whu.edu.cn
  李皓桓，男，1976—，主任医师，主要从事运动医学与关节疾病研究，E⁃mail：lihaohuan@whu.edu.cn
- 基金信息：
  
  国家自然科学基金面上项目(12372139);武汉市科学技术局知识创新专项⁃基础研究项目(2022020801010473);武汉强磁场学科交叉基金资助项目(WHMFC202203);武汉大学人民医院交叉创新人才项目计划项目(JCRCYR⁃2022⁃004)
- DOI：10.14188/j.1671-8852.2024.0065
  中图分类号： R686.5
- 收稿：2024-01-24，
  
  纸质出版：2025-02-25
- 稿件说明：
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吴子煜,韩小涛,李皓桓.髋关节圆韧带损伤的诊断与治疗进展[J].武汉大学学报（医学版）,2025,46(02):272-276.

WU Ziyu,HAN Xiaotao,LI Haohuan.Advances in the diagnosis and treatment of ligamentum teres injury of the hip joint[J].Medical Journal of Wuhan University,2025,46(02):272-276.
吴子煜,韩小涛,李皓桓.髋关节圆韧带损伤的诊断与治疗进展[J].武汉大学学报（医学版）,2025,46(02):272-276. DOI： 10.14188/j.1671-8852.2024.0065.

WU Ziyu,HAN Xiaotao,LI Haohuan.Advances in the diagnosis and treatment of ligamentum teres injury of the hip joint[J].Medical Journal of Wuhan University,2025,46(02):272-276. DOI： 10.14188/j.1671-8852.2024.0065.

摘要

圆韧带是髋关节内韧带，这一韧带功能的重要性日益得到研究者们的重视。圆韧带损伤的诊断依靠髋关节镜下检查与3.0T磁共振成像技术，而治疗则涉及包括髋关节镜下清创、韧带重建术及关节囊紧缩成形术等多种术式方法。本文对髋关节圆韧带损伤的诊断与治疗进展进行了文献复习与综述，旨在进一步指导临床实践。

Abstract

The ligamentum teres is an internal ligament of the hip joint

and with the deepening of research

the importance of this ligament's function has been increasingly recognized by researchers. Diagnosis of ligamentum teres injury is based on hip arthroscopy and 3.0T magnetic resonance imaging

while treatment involves a variety of surgical methods

including hip arthroscopic debridement

ligament reconstruction

and capsular tightenoplasty. This article reviews the progress in the diagnosis and treatment of ligamentum teres injuries of the hip joint

aiming to further guide clinical practice.

关键词

Keywords

references

Dimitrakopoulou A , Villar R N . Ligamentum teres: Anatomy, structure and function [M ] //McCarthy J, Noble P, Villar R. Hip Joint Restoration . New York : Springer , 2017 : 53 ⁃ 55 .

Wenger D , Miyanji F , Mahar A , et al . The mechanical properties of the ligamentum teres: A pilot study to assess its potential for improving stability in children's hip surgery [J ] . J Pediatr Orthop , 2007 , 27 ( 4 ): 408 ⁃ 410 .

Bardakos N V , Villar R N . The ligamentum teres of the adult hip [J ] . J Bone Jt Surg Br Vol , 2009 , 91 ⁃B( 1 ): 8 ⁃ 15 .

Devitt B M , Smith B , Stapf R , et al . The reliability of commonly used arthroscopic classifications of ligamentum teres pathology [J ] . J Hip Preserv Surg , 2017 , 4 ( 2 ): 187 ⁃ 193 .

Gray A J , Villar R N . The ligamentum teres of the hip: An arthroscopic classification of its pathology [J ] . Arthroscopy , 1997 , 13 ( 5 ): 575 ⁃ 578 .

Domb B G , Lareau J M , Baydoun H , et al . Is intraarticular pathology common in patients with hip dysplasia undergoing periacetabular osteotomy? [J ] . Clin Orthop Relat Res , 2014 , 472 ( 2 ): 674 ⁃ 680 .

Lodhia P , Gui C C , Martin T J , et al . Central acetabular impingement is associated with femoral head and ligamentum teres damage: A cross⁃sectional matched⁃pair analysis of patients undergoing hip arthroscopy for acetabular labral tears [J ] . Arthroscopy , 2018 , 34 ( 1 ): 135 ⁃ 143 .

Domb B G , Martin D E , Botser I B . Risk factors for ligamentum teres tears [J ] . Arthroscopy , 2013 , 29 ( 1 ): 64 ⁃ 73 .

马新瑜 , 李涛 , 李瑞珍 , 等 . 儿童发育性髋关节脱位52例影像分析 [J ] . 武汉大学学报(医学版) , 2011 , 32 ( 2 ): 239 ⁃ 242 .

Ma X Y , Li T , Li R Z , et al . Imaging analysis of 52 children with developmental dislocation of hip joint [J ] . Med J Wuhan Univ , 2011 , 32 ( 2 ): 239 ⁃ 242 .

de SA D , Phillips M , Philippon M J , et al . Ligamentum teres injuries of the hip: A systematic review examining surgical indications, treatment options, and outcomes [J ] . Arthroscopy , 2014 , 30 ( 12 ): 1634 ⁃ 1641 .

白辉 , 谭威 , 马贺骥 , 等 . 3.0T MR单髋关节扫描诊断圆韧带损伤 [J ] . 中国医学影像技术 , 2020 , 36 ( 1 ): 125 ⁃ 129 .

Bai H , Tan W , Ma H J , et al . 3.0T MR unilateral hip scanning and arthroscopy in diagnosis of ligamentum teres tears [J ] . Chin J Med Imag Technol , 2020 , 36 ( 1 ): 125 ⁃ 129 .

Alam S , Yousaf A , Alborno Y , et al . Edema of the ligamentum teres as a novel MRI marker for non⁃traumatic painful hip pathology: A retrospective observational study [J ] . Cureus , 2022 , 14 ( 3 ): e23388 .

Kraeutler M J , Garabekyan T , Pascual⁃Garrido C , et al . Ligamentum teres tendinopathy and tears [J ] . Muscles Ligaments Tendons J , 2016 , 6 ( 3 ): 337 ⁃ 342 .

崔学良 , 全坤 , 梅炯 . 圆韧带损伤的诊断及治疗 [J ] . 中国矫形外科杂志 , 2015 , 23 ( 6 ): 533 ⁃ 536 .

Cui X L , Quan K , Mei J . Diagnosis and treatment of ligamentum teres injury [J ] . Orthop J China , 2015 , 23 ( 6 ): 533 ⁃ 536 .

O'Donnell J , Klaber I , Takla A . Ligamentum teres reconstruction: Indications, technique and minimum 1⁃year results in nine patients [J ] . J Hip Preserv Surg , 2020 , 7 ( 1 ): 140 ⁃ 146 .

Knapik D M , Farivar D , Kunze K N , et al . Indications and outcomes after ligamentum teres reconstruction: A systematic review [J ] . Arthrosc Sports Med Rehabil , 2021 , 3 ( 3 ): e939 ⁃e949.

Menge T J , Mitchell J J , Briggs K K , et al . Anatomic arthroscopic ligamentum teres reconstruction for hip instability [J ] . Arthrosc Tech , 2016 , 5 ( 4 ): e737 ⁃e742.

Lall A C , Ankem H K , Ryan M K , et al . In⁃line pullout strength of 2 acetabular fixation methods for ligamentum teres reconstruction of the hip: A cadaveric study [J ] . Orthop J Sports Med , 2021 , 9 ( 12 ): 23259671211052533 .

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