A finite element analysis model to support ligamentum teres function

The function of the ligamentum teres (LT) remains debated, particularly its role in limiting motion. The aim of this study was to use finite element analysis to assess LT stress during hip movements, which included external rotation with flexion. A 3D model of the hip joint, including the femoral head and LT, was constructed from magnetic resonance imaging data using 3D Slicer. The models were imported into Ansys SpaceClaim 2022R1 for refinement and assembly. The von Mises stress in the LT was extracted during six hip movements: external rotation, internal rotation, abduction, adduction, flexion, and extension. LT stress response was also extracted during external rotation at hip flexion angles of 0°, 30°, 60°, and 90°. The results found there was a sharper increase in LT stress during movements involving hip external rotation, internal rotation, abduction, and adduction when compared to movements in flexion and extension. External rotation in larger hip flexion angles resulted in greater LT stress, with the highest stress observed at 90° flexion. These findings help to support the LT's role as a rotational stabilizer in the frontal and transverse planes wrapping around the femoral head to act as a sling. Additionally, the increased stress during external rotation at greater degrees of hip flexion suggests an enhanced role for the LT in hip stability as flexion increases. These results add as a proof of concept in that the LT is under stress during hip movements and has a potential role in stabilizing the hip joint.