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Histologically, the disease demonstrates inflammation of joint capsule, capsular ligaments of the rotator interval, periarticular bursa, and tendons (1).
You can put the prosthesis in, but if you don't have the capsular ligaments and rotator cuff in position to hold it in place it's just going to slide in and out of the joint--and you're going to have a very unhappy patient," he said.
The ligamentous support is provided by the strong capsular ligaments that extend from the acetabulum to the femoral neck and the intertrochanteric region.