Pubic tubercle

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Pubic tubercle
Gray321.png
Pubic symphysis exposed by a coronal section. (Pubic tubercle labeled at upper left.)
Skeletal pelvis-pubis.svg
Pelvis. Pubic tubercle is 4d.
Details
Identifiers
Latin tuberculum pubicum ossis pubis
TA98 A02.5.01.303
TA2 1348
FMA 16953
Anatomical terms of bone

The pubic tubercle is a prominent tubercle on the superior ramus of the pubis bone of the pelvis.

Contents

Structure

The pubic tubercle is a prominent forward-projecting tubercle on the upper border of the medial portion of the superior ramus of the pubis bone. The inguinal ligament attaches to it. [1] Part of the abdominal external oblique muscle inserts onto it. [1] The inferior epigastric artery passes between the pubic tubercle and the anterior superior iliac spine. [2] The pubic spine is a rough ridge that extends from the pubic tubercle to the upper border of the pubic symphysis.

Clinical significance

The pubic tubercle may be palpated. [3] It serves as a landmark for local anaesthetic of the genital branch of the genitofemoral nerve, which lies slightly lateral to the pubic tubercle. [3] This may also be used for the obturator nerve. [4]

Hernias

The pubic tubercle is a useful landmark for identifying hernias. [5] An inguinal hernia will lie anteromedial to the pubic tubercle. [5] A femoral hernia will lie inferolateral to the pubic tubercle. [5]

Related Research Articles

<span class="mw-page-title-main">Femoral artery</span> Large artery in the thigh

The femoral artery is a large artery in the thigh and the main arterial supply to the thigh and leg. The femoral artery gives off the deep femoral artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal, and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh.

<span class="mw-page-title-main">Inguinal canal</span> Human abdominal anatomy

The inguinal canal is a passage in the anterior abdominal wall on each side of the body which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males.

<span class="mw-page-title-main">Inguinal ligament</span> Band running from the pubic tubercle to the anterior superior iliac spine

The inguinal ligament, also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may develop.

<span class="mw-page-title-main">Obturator internus muscle</span> One of six small hip muscles in the lateral rotator group

The internal obturator muscle or obturator internus muscle originates on the medial surface of the obturator membrane, the ischium near the membrane, and the rim of the pubis.

The posterior tibial artery of the lower limb is an artery that carries blood to the posterior compartment of the leg and plantar surface of the foot. It branches from the popliteal artery via the tibial-fibular trunk.

<span class="mw-page-title-main">Iliopsoas</span> Joined psoas and the iliacus muscles.

The iliopsoas muscle refers to the joined psoas major and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name iliopsoas. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip.

<span class="mw-page-title-main">Anterior superior iliac spine</span> Bony projection of the iliac bone

The anterior superior iliac spine (ASIS) is a bony projection of the iliac bone, and an important landmark of surface anatomy. It refers to the anterior extremity of the iliac crest of the pelvis. It provides attachment for the inguinal ligament, and the sartorius muscle. The tensor fasciae latae muscle attaches to the lateral aspect of the superior anterior iliac spine, and also about 5 cm away at the iliac tubercle.

<span class="mw-page-title-main">Obturator foramen</span>

The obturator foramen is the large, bilaterally paired opening of the bony pelvis. It is formed by the pubis and ischium. It is mostly closed by the obturator membrane except for a small opening - the obturator canal - through which the obturator nerve and vessels pass.

<span class="mw-page-title-main">Inferior epigastric artery</span> Blood vessel

In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath.

<span class="mw-page-title-main">Femoral nerve</span> Long nerve down the thigh and inner leg

The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. It is the largest branch of the lumbar plexus.

<span class="mw-page-title-main">Pubis (bone)</span> Most forward-facing of the three main regions making up the os coxa

In vertebrates, the pubis or pubic bone forms the lower and anterior part of each side of the hip bone. The pubis is the most forward-facing of the three bones that make up the hip bone. The left and right pubic bones are each made up of three sections, a superior ramus, inferior ramus, and a body.

<span class="mw-page-title-main">Iliolumbar artery</span>

The iliolumbar artery is the first branch of the posterior trunk of the internal iliac artery.

<span class="mw-page-title-main">Innermost intercostal muscle</span>

The innermost intercostal muscle is a layer of intercostal muscles. It may also be called the intima of the internal intercostal muscles. It is the deepest muscular layer of the thorax, with muscle fibres running vertically. It is present only in the middle of each intercostal space, and often not present higher up the rib cage. It lies deep to the plane that contains the intercostal nerves and intercostal vessels, and the internal intercostal muscles. The diaphragm is continuous with the innermost intercostal muscle.

<span class="mw-page-title-main">Transversalis fascia</span> Aponeurosis between the transverse abdominal muscle and the extraperitoneal fat

The transversalis fascia is the fascial lining of the anterolateral abdominal wall situated between the inner surface of the transverse abdominal muscle, and the preperitoneal fascia. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fascia.

<span class="mw-page-title-main">Pelvic brim</span>

The pelvic brim is the edge of the pelvic inlet. It is an approximately Mickey Mouse head-shaped line passing through the prominence of the sacrum, the arcuate and pectineal lines, and the upper margin of the pubic symphysis.

<span class="mw-page-title-main">Lacunar ligament</span>

The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle.

<span class="mw-page-title-main">Superior rectal artery</span>

The superior rectal artery is an artery that descends into the pelvis to supply blood to the rectum.

The saphenous nerve is the largest cutaneous branch of the femoral nerve. It is derived from the lumbar plexus (L3-L4). It is a strictly sensory nerve, and has no motor function. It commences in the proximal (upper) thigh and travels along the adductor canal. Upon exiting the adductor canal, the saphenous nerve terminates by splitting into two terminal branches: the sartorial nerve, and the infrapatellar nerve. The saphenous nerve is responsible for providing sensory innervation to the skin of the anteromedial leg.

<span class="mw-page-title-main">External spermatic fascia</span>

The external spermatic fascia is a thin membrane, prolonged downward around the surface of the spermatic cord and testis. It is separated from the dartos tunic by loose areolar tissue. It is occasionally referred to as 'Le Fascia de Webster' after an anatomist who once described it.

<span class="mw-page-title-main">Hip bone</span> Bone of the pelvis

The hip bone is a large flat bone, constricted in the center and expanded above and below. In some vertebrates it is composed of three parts: the ilium, ischium, and the pubis.

References

PD-icon.svgThis article incorporates text in the public domain from page 236 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 Jacob, S. (January 1, 2008), Jacob, S. (ed.), "Chapter 4 - Abdomen", Human Anatomy, Churchill Livingstone, pp. 71–123, doi:10.1016/b978-0-443-10373-5.50007-5, ISBN   978-0-443-10373-5 , retrieved January 22, 2021
  2. Garcia-Tsao, Guadalupe (January 1, 2018), Sanyal, Arun J.; Boyer, Thomas D.; Lindor, Keith D.; Terrault, Norah A. (eds.), "15 - Ascites and Hyponatremia", Zakim and Boyer's Hepatology (Seventh Edition), Philadelphia: Elsevier, pp. 220–232.e4, ISBN   978-0-323-37591-7 , retrieved January 22, 2021
  3. 1 2 Narchi, Patrick; Singelyn, François; Paqueron, Xavier (January 1, 2008), Benzon, Honorio T.; Rathmell, James P.; Wu, Christopher L.; Turk, Dennis C. (eds.), "Chapter 49 - Truncal Blocks", Raj's Practical Management of Pain (Fourth Edition), Philadelphia: Mosby, pp. 905–915, ISBN   978-0-323-04184-3 , retrieved January 21, 2021
  4. Candido, Kenneth D.; Benzon, Honorio T. (January 1, 2005), Benzon, Honorio T.; Raja, Srinivasa N.; Molloy, Robert E.; Liu, Spencer S. (eds.), "Chapter 76 - Lumbar Plexus, Femoral, Lateral Femoral Cutaneous, Obturator, Saphenous, and Fascia Iliaca Blocks", Essentials of Pain Medicine and Regional Anesthesia (Second Edition), Philadelphia: Churchill Livingstone, pp. 645–658, ISBN   978-0-443-06651-1 , retrieved January 22, 2021
  5. 1 2 3 Jacob, S. (January 1, 2008), Jacob, S. (ed.), "Chapter 6 - Lower limb", Human Anatomy, Churchill Livingstone, pp. 135–179, doi:10.1016/b978-0-443-10373-5.50009-9, ISBN   978-0-443-10373-5 , retrieved January 22, 2021