Soft tissues contribution to hip joint kinematics and biomechanics

Stefano Zaffagnini, Cecilia Signorelli, Tommaso Bonanzinga, Nicola Lopomo, Federico Raggi, Tommaso Roberti Di Sarsina, Alberto Grassi, Giulio Maria Marcheggiani Muccioli, Maurilio Marcacci

Research output: Contribution to journalArticle

Abstract

Purpose: To quantitatively describe the kinematic behaviour of the hip joint with particular interest in the contribution of the periarticular soft tissues to the stability. To quantitatively assess the sealing function of the acetabular labrum of an intact labrum, the effect of a labral-chondral separation and different surgical approaches. The biomechanics of the joint during specific clinical examinations was also assessed. Methods: All the kinematics tests, manually performed, have been acquired using a navigation systems. For the first part of the study, 4 hemi-corpse specimens were evaluated with the hip in 36 different positions with all the soft tissues intact, after removal of skin and muscles and after partial capsulectomy. During the second and the third part of the analysis 8 fresh frozen hips were analysed. They were tested during 3 different positions used for femeroacetabular impingement (FAI) diagnosis, during pivoting motion and distraction test. Contact area between acetabulum and femoral head, range of movement (RoM) and hip joint centre (HJC) displacement were evaluated. Results: Femoral head displacement occured in all 3 directions and increased as more tissue was removed. Considering both pivoting motion and distraction test there was an increase of the HJC displacement after labral tear. Analogously, the tested surgical approaches showed different results compared to intact condition. Our analysis confirmed that the hip position with Hyperextension-External Rotation is specific for the analysis of the posteriorsuperior region of the acetabulum. Conclusions: The study showed that hip joint does not act as a true ball-and-socket joint and the femoral head anatomical displacement is strongly affected by the removal of periarticular soft tissues, labral repair as well as labrectomy.

Original languageEnglish
Pages (from-to)S23-S27
Number of pages5
JournalHIP International
Volume26
DOIs
Publication statusPublished - May 1 2016

Fingerprint

Hip Joint
Biomechanical Phenomena
Thigh
Hip
Acetabulum
Joints
Head Movements
Tears
Cadaver
Cartilage
Muscles
Skin

Keywords

  • FAI
  • Hip kinematics
  • Hip periarticular soft tissues
  • HJC displacement
  • Labral repair
  • Labrectomy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Soft tissues contribution to hip joint kinematics and biomechanics. / Zaffagnini, Stefano; Signorelli, Cecilia; Bonanzinga, Tommaso; Lopomo, Nicola; Raggi, Federico; Di Sarsina, Tommaso Roberti; Grassi, Alberto; Marcheggiani Muccioli, Giulio Maria; Marcacci, Maurilio.

In: HIP International, Vol. 26, 01.05.2016, p. S23-S27.

Research output: Contribution to journalArticle

Zaffagnini, S, Signorelli, C, Bonanzinga, T, Lopomo, N, Raggi, F, Di Sarsina, TR, Grassi, A, Marcheggiani Muccioli, GM & Marcacci, M 2016, 'Soft tissues contribution to hip joint kinematics and biomechanics', HIP International, vol. 26, pp. S23-S27. https://doi.org/10.5301/hipint.5000407
Zaffagnini S, Signorelli C, Bonanzinga T, Lopomo N, Raggi F, Di Sarsina TR et al. Soft tissues contribution to hip joint kinematics and biomechanics. HIP International. 2016 May 1;26:S23-S27. https://doi.org/10.5301/hipint.5000407
Zaffagnini, Stefano ; Signorelli, Cecilia ; Bonanzinga, Tommaso ; Lopomo, Nicola ; Raggi, Federico ; Di Sarsina, Tommaso Roberti ; Grassi, Alberto ; Marcheggiani Muccioli, Giulio Maria ; Marcacci, Maurilio. / Soft tissues contribution to hip joint kinematics and biomechanics. In: HIP International. 2016 ; Vol. 26. pp. S23-S27.
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AU - Bonanzinga, Tommaso

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AU - Raggi, Federico

AU - Di Sarsina, Tommaso Roberti

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AU - Marcheggiani Muccioli, Giulio Maria

AU - Marcacci, Maurilio

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