Characterisation and classification of the neural anatomy in the human hip joint

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Michael GerhardtC Thomas Vangsness

Abstract

Hip arthroscopy remains a useful surgical intervention for labral injuries. The literature has predominantly focused on structural and vascular considerations of the hip joint, with few studies examining the neurohistology of the surrounding periarticular tissues. We mapped and identified the periarticular neural anatomy, to identify the presence of sensory nerve fibres and mechanoreceptors within the hip joint. Eight human cadaveric hips were dissected into a total of ten specimens per hip. Histological staining was used to identify neural structures taken from the superolateral, anterior, inferior, and posterior positions of the hip joint. The frozen sections were analyzed by light microscopy to calculate relative concentrations of mean neural fibres per high power field (mnf/hpf). Neural end organs were found in the hip capsule, acetabular labrum, ligamentum teres and transverse acetabular ligament. The highest levels of mechanoreceptors were found in the superolateral aspect of the hip capsule (9.6 mnf/hpf). The labrum showed highest levels of sensory fibres (3.4 mnf/hpf) and mechanoreceptors (4.3mnf/hpf) within the anterior zone. Sensory fibres and mechanoreceptors densely populate the acetabular labrum, capsule and transv...Continue Reading

Associated Clinical Trials

May 12, 2021·Anirudh RamachandranAnirudh Ramachandran

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Citations

Jan 13, 2019·Regional Anesthesia and Pain Medicine·John TranPhilip Peng
Oct 28, 2019·Acta Anaesthesiologica Scandinavica·Niels D NielsenThomas F Bendtsen
Jul 26, 2019·Current Opinion in Anaesthesiology·Maria Fernanda ArboledaPhilip W H Peng
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