Spatial distribution of loose connective tissues on the anterior hip joint capsule: a combination of cadaveric and in-vivo study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
24 11 2021
Historique:
received: 30 08 2021
accepted: 15 11 2021
entrez: 25 11 2021
pubmed: 26 11 2021
medline: 3 2 2022
Statut: epublish

Résumé

Recently, pathological changes in the fat pad on the anterior inferior iliac spine (AIIS), between the proximal rectus femoris and joint capsule, have been highlighted as a cause of anterior hip pain. However, precise fat pad features, such as the spatial distribution distal to the AIIS, histological features, and in vivo tissue elasticity, remain unclear. This study aimed to investigate the morphological characteristics of the fat pad on the AIIS. Four hips from four cadaveric donors were both macroscopically and histologically investigated, and eight hips from four volunteers were assessed using ultrasonography. The fat pad on the AIIS was also surrounded by the iliopsoas and gluteus minimus, extending distally to the superficial portion of the vastus lateralis, and the anterior portion of the gluteus maximus tendon. Histological analysis revealed that the fat pad was composed of loose connective tissue. Based on the ultrasonography, the shear wave velocity in the fat pad was significantly lower than that in the joint capsule. Conclusively, the pathological adhesion between the joint capsule and pericapsular muscles, if caused by fat pad fibrosis, may occur following the abovementioned fat pad spatial distribution.

Identifiants

pubmed: 34819610
doi: 10.1038/s41598-021-02381-1
pii: 10.1038/s41598-021-02381-1
pmc: PMC8613189
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

22813

Subventions

Organisme : Japan Society for the Promotion of Science
ID : JP 19K18488
Organisme : JA Kyosai Research Institute
ID : Agricultural Cooperative Insurance Research Institute
Organisme : JA Kyosai Research Institute
ID : Agricultural Cooperative Insurance Research Institute

Informations de copyright

© 2021. The Author(s).

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Auteurs

Masahiro Tsutsumi (M)

Department of Clinical Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. tsutsumi.fana@tmd.ac.jp.
Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, Osaka, Japan. tsutsumi.fana@tmd.ac.jp.

Akimoto Nimura (A)

Department of Functional Joint Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Hajime Utsunomiya (H)

Tokyo Sports & Orthopaedic Clinic, Tokyo, Japan.

Shintarou Kudo (S)

Inclusive Medical Science Research Institute, Morinomiya University of Medical Sciences, Osaka, Japan.

Keiichi Akita (K)

Department of Clinical Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

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