AANA19 Hip Access Pass-Complete Tearing Effect of the Ligamentum Teres in Patients Undergoing Primary Hip Arthroscopy for FAI and Labral Tears-Dr. David R. Maldonado, M.D.

Complete Tearing Effect of the Ligamentum Teres in Patients Undergoing Primary Hip Arthroscopy for FAI and Labral Tears-Dr. David R. Maldonado, M.D.

Back to course

Video Transcription

Video Summary

David Maldonado presented a study on complete ligamentum teres (LT) tears in patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) labral tears. Historically considered vestigial, the LT is now linked to hip stability, proprioception, and pain. The study compared outcomes of FAI patients with complete LT tears to matched controls with intact LT over two years. Both groups showed significant improvement, with no difference in patient-reported outcomes, but those with complete LT tears had a threefold higher risk of converting to total hip arthroplasty (THA). The study suggests attention to LT condition but calls for further multi-center research to clarify cause-effect relationships.

Keywords

ligamentum teres tears

hip arthroscopy

femoroacetabular impingement

total hip arthroplasty risk

patient-reported outcomes