Lacunar ligament | |
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Details | |
From | Inguinal ligament, pubic tubercle |
To | Pectineal line |
Identifiers | |
Latin | ligamentum lacunare (Gimbernati) |
TA98 | A04.5.01.010 |
TA2 | 2366 |
FMA | 20184 |
Anatomical terminology |
The lacunar ligament, also named Gimbernat's ligament, is a ligament in the inguinal region. [1] It connects the inguinal ligament to the pectineal ligament, [2] near the point where they both insert on the pubic tubercle. [3]
The lacunar ligament is the part of the aponeurosis of the external oblique muscle that is reflected backward and laterally and is attached to the pectineal line of the pubis.
It is about 1.25 cm. long, larger in the male than in the female, almost horizontal in direction in the erect posture, and of a triangular form with the base directed laterally.
Its base is concave, thin, and sharp, and forms the medial boundary of the femoral ring. Its apex corresponds to the pubic tubercle.
Its posterior margin is attached to the pectineal line, and is continuous with the pectineal ligament. Its anterior margin is attached to the inguinal ligament.
Its surfaces are directed upward and downward.
The lacunar ligament is the only boundary of the femoral canal that can be cut during surgery to release a femoral hernia. Care must be taken when doing so as up to 25% of people have an aberrant obturator artery (corona mortis) which can cause significant bleeding. [4]
The lacunar ligament is sometimes called Gimbernat's ligament after Antoni de Gimbernat. [5]
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.
In human anatomy, the groin, also known as the inguinal region or iliac region, is the junctional area between the torso and the thigh. The groin is at the front of the body on either side of the pubic tubercle, where the lower part of the abdominal wall meets the thigh. A fold or crease is formed at this junction known as the inguinal groove, or crease. This is also the area of the medial compartment of the thigh that contains attachments of the adductor muscles of the hip or the groin muscles. The groin is the common site for a hernia.
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.
The external iliac arteries are two major arteries which bifurcate off the common iliac arteries anterior to the sacroiliac joint of the pelvis.
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.
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.
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, an inferior ramus, and a body.
also known as superior tendon of abdominal cavity.
The obturator artery is a branch of the internal iliac artery that passes antero-inferiorly on the lateral wall of the pelvis, to the upper part of the obturator foramen, and, escaping from the pelvic cavity through the obturator canal, it divides into an anterior branch and a posterior branch.
In human anatomy, the inguinal region refers to either the groin or the lower lateral regions of the abdomen. It may also refer to:
Femoral hernias are hernias which occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness in the abdominal wall called the femoral canal. Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, almost all develop in women due to the increased width of the female pelvis. Femoral hernias are more common in adults than in children. Those that do occur in children are more likely to be associated with a connective tissue disorder or with conditions that increase intra-abdominal pressure. Seventy percent of pediatric cases of femoral hernias occur in infants under the age of one.
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.
The pubic tubercle is a prominent tubercle on the superior ramus of the pubis bone of the pelvis.
The femoral ring is the opening at the proximal, abdominal end of the femoral canal, and represents the base of the conically-shaped femoral canal. The femoral ring is oval-shaped, with its long diameter being directed transversely and measuring about 1.25 cm. The opening of the femoral ring is filled in by extraperitoneal fat, forming the femoral septum.
The femoral canal is the medial compartment of the three compartments of the femoral sheath. It is conical in shape. The femoral canal contains lymphatic vessels, and adipose and loose connective tissue, as well as - sometimes - a deep inguinal lymph node. The function of the femoral canal is to accommodate the distension of the femoral vein when venous return from the leg is increased or temporarily restricted.
The iliac fascia is the fascia overlying the iliacus muscle.
The iliopubic tract is a thickened band of fibers curving over the external iliac vessels, at the spot where they become femoral, on the abdominal side of the inguinal ligaments and loosely connected with it. It is apparently a thickening of the transversalis fascia joined laterally to the iliac crest, and arching across the front of the femoral sheath to be inserted by a broad attachment into the pubic tubercle and pectineal line, behind the conjoint tendon. In some subjects this structure is not very prominently marked, and not infrequently it is altogether wanting. It can be of clinical significance in hernia repair.
The pectineal ligament, sometimes known as the inguinal ligament of Cooper, is an extension of the lacunar ligament. It runs on the pectineal line of the pubic bone. The pectineal ligament is the posterior border of the femoral ring.
The aponeurosis of the abdominal external oblique muscle is a thin but strong membranous structure, the fibers of which are directed downward and medially.
The superficial inguinal ring is bounded below by the crest of the pubis; on either side by the margins of the opening in the aponeurosis, which are called the crura of the ring; and above, by a series of curved intercrural fibers.
This article incorporates text in the public domain from page 412 of the 20th edition of Gray's Anatomy (1918)