Zona orbicularis explained

Zona orbicularis
Latin:zona orbicularis articulationis coxae

The zona orbicularis or annular ligament is a ligament on the neck of the femur formed by the circular fibers of the articular capsule of the hip joint. It is also known as the orbicular zone, ring ligament, and zonular band.[1]

Structure

The zona orbicularis forms a ring around the neck of the femur.[2] The articular capsule is much thicker above and in front of the joint, where the greatest amount of resistance is required, and thin and loose behind and below the joint.

The capsule consists of two sets of fibers, circular and longitudinal. The circular fibers, the zona orbicularis, are most abundant at the lower and back part of the capsule where they form a sling or collar around the femoral neck. Anteriorly, they blend with the deep surface of the iliofemoral ligament, and gain an attachment to the anterior inferior iliac spine.[3]

Function

The zona orbicularis and proximal hip joint capsule are poorly understood. Recent studies seem to confirm that the proximal to middle part of the articular capsule, including the zona orbicularis, acts biomechanically as a locking ring wrapped around the femoral neck and thus is a key structure for hip stability in distraction.[4] [5] It tightens the joint capsule of the hip when iliopsoas muscle contracts.

Additional images

Zona orbicularis used as arthroscopic landmark for iliopsoas muscle.

References

Notes and References

  1. Web site: Zona orbicularis . Irish Health. March 2000 . 21 June 2009.
  2. Magerkurth. Olaf. Jacobson. Jon A.. Morag. Yoav. Caoili. Elaine. Fessell. David. Sekiya. Jon K.. October 2013. Capsular Laxity of the Hip: Findings at Magnetic Resonance Arthrography. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 29. 10. 1615–1622. 10.1016/j.arthro.2013.07.261. 23993056. 0749-8063.
  3. Gray's Anatomy (1918), 7a3
  4. Ito H. et al (2009)
  5. Bedi. Asheesh. Galano. Gregory. Walsh. Christopher. Kelly. Bryan T.. December 2011. Capsular Management During Hip Arthroscopy: From Femoroacetabular Impingement to Instability. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 27. 12. 1720–1731. 10.1016/j.arthro.2011.08.288. 22047925. 0749-8063.