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The iliofemoral ligament is a thick and very tough triangular capsular ligament of the hip joint situated anterior to this joint. It attaches superiorly at the inferior portion of the anterior inferior iliac spine and adjacent portion of the margin of the acetabulum ; it attaches inferiorly at the intertrochanteric line .
The ligament becomes taut when the thigh is both flexed and either adducted or laterally/externally rotated. The ligament is usually too weak to actually function as a ligament [4] past childhood; [5] excessive movement at the hip joint is instead primarily limited by the three capsular ligament of the hip joint. [4]
The transverse acetabular ligament (transverse ligament [1] or Tunstall's ligament [citation needed]) bridges the acetabular notch, creating the a foramen (through which blood vessels and nerves pass into the joint cavity). [2] The ligament is one of the sites of attachment of the ligament of head of femur. [1] [3]: 789
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.
1. Hip Opener. How to: Start standing with feet shoulder-width apart and elbows bent at 90-degree angles. Lift right leg and bend the knee, circling it in, up, and around.
This causes the femur to rotate and point the knee laterally. The lateral rotators also oppose medial rotation by the gluteus medius and gluteus minimus. When the hip is flexed to 90 degrees, piriformis abducts the femur at the hip and reverses primary function, internally rotating the hip when the hip is flexed at 90 degrees or more. [7]
The lowest fibres of gluteus maximus are attached to the posterior surface of the ligament; superficial fibres of the lower part of the ligament continue into the tendon of biceps femoris. The ligament is pierced by the coccygeal branches of the inferior gluteal artery, the perforating cutaneous nerve and filaments of the coccygeal plexus. [2]
This lateral rotation may be initiated in conjunction with hip abduction and medial rotation of the femur while kicking a soccer ball. The tensor fasciae latae works in synergy with the gluteus medius and gluteus minimus muscles to abduct and medially rotate the femur. The TFL is a hip abductor muscle.