Supraspinous ligament | |
---|---|
Details | |
From | Spinous process of C7 |
To | Sacrum |
Identifiers | |
Latin | ligamentum supraspinale |
TA98 | A03.2.01.005 |
TA2 | 1677 |
FMA | 13425 |
Anatomical terminology |
The supraspinous ligament (also known as the supraspinal ligament) is a ligament extending across the tips of the spinous processes of the vertebra of the vertebral column.
The supraspinous ligament connects the tips of the spinous processes from the seventh cervical vertebra to the sacrum. [1] Superior to the 7th cervical vertebra, the supraspinous ligament is continuous with the nuchal ligament. [2] : 45 It is thicker and broader in the lumbar region than in the thoracic region, and intimately blended with the neighboring fascia in both these regions. [3] Inferior to L4, the supraspinous ligament becomes indistinct, lost amid the prominent lumbar fascia. [4]
Between the spinous processes, the supraspinous ligament is continuous with the interspinous ligaments. [3]
The most superficial fibers of this ligament extend across 3-4 vertebrae, deeper fibres extend across 2-3 vertebrae, while the deepest connect the spinous processes of adjacent vertebrae. [3]
The supraspinous ligament becomes taut when the spine is fully flexed. [4] The supraspinous ligament, along with the posterior longitudinal ligament, interspinous ligaments and ligamentum flavum, help to limit hyperflexion of the vertebral column.
Lesions to the supraspinous ligament may result in palpable thickening. [5] Ultrasound is effective for detecting lesions. [5] [6] A strain injury can also damage the supraspinous ligament. [7]
The supraspinous ligament creates resistance during midline epidural anaesthetics when the needle is being inserted. This increased resistance needs to be taken into account, and is one of the first subcutaneous tissues. [8]
In human anatomy, the spinal canal, vertebral canal or spinal cavity is an elongated body cavity enclosed within the dorsal bony arches of the vertebral column, which contains the spinal cord, spinal roots and dorsal root ganglia. It is a process of the dorsal body cavity formed by alignment of the vertebral foramina. Under the vertebral arches, the spinal canal is also covered anteriorly by the posterior longitudinal ligament and posteriorly by the ligamentum flavum. The potential space between these ligaments and the dura mater covering the spinal cord is known as the epidural space. Spinal nerves exit the spinal canal via the intervertebral foramina under the corresponding vertebral pedicles.
The coccygeus muscle or ischiococcygeus is a muscle of the pelvic floor located posterior to levator ani and anterior to the sacrospinous ligament.
In human anatomy, the fibularis tertius is a muscle in the anterior compartment of the leg. It acts to tilt the sole of the foot away from the midline of the body (eversion) and to pull the foot upward toward the body (dorsiflexion).
The anterior longitudinal ligament is a ligament that extends across the anterior/ventral aspect of the vertebral bodies and intervertebral discs the spine.
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.
The thoracolumbar fascia is a complex, multilayer arrangement of fascial and aponeurotic layers forming a separation between the paraspinal muscles on one side, and the muscles of the posterior abdominal wall on the other. It spans the length of the back, extending between the neck superiorly and the sacrum inferiorly. It entails the fasciae and aponeuroses of the latissimus dorsi muscle, serratus posterior inferior muscle, abdominal internal oblique muscle, and transverse abdominal muscle.
The nuchal ligament is a ligament at the back of the neck that is continuous with the supraspinous ligament.
Iliocostalis muscle is the muscle immediately lateral to the longissimus that is the nearest to the furrow that separates the epaxial muscles from the hypaxial. It lies very deep to the fleshy portion of the serratus posterior muscle. It laterally flexes the vertebral column to the same side.
The anterior jugular vein is a vein in the neck.
The intercostal space (ICS) is the anatomic space between two ribs. Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it.
The pelvic brim is the edge of the pelvic inlet. It is an approximately butterfly-shaped line passing through the prominence of the sacrum, the arcuate and pectineal lines, and the upper margin of the pubic symphysis.
The ligamenta flava are a series of ligaments that connect the ventral parts of the laminae of adjacent vertebrae. They help to preserve upright posture, preventing hyperflexion, and ensuring that the vertebral column straightens after flexion. Hypertrophy can cause spinal stenosis.
Beneath the neck of the radius, on the medial side, is an eminence, the radial tuberosity; its surface is divided into:
The iliolumbar ligament is a strong ligament which attaches medially to the transverse process of the 5th lumbar vertebra, and laterally to back of the inner lip of the iliac crest.
The styloid process of the ulna is a bony prominence found at distal end of the ulna in the forearm.
The interspinous ligaments are thin, membranous ligaments that connect adjoining spinous processes of the vertebra in the spine. They take the form of relatively weak sheets of fibrous tissue and are well developed only in the lumbar region.
The gastrosplenic ligament is part of the greater omentum extending between the stomach and the spleen. It contains several blood vessels.
The lumbar fascia is the lumbar portion of the thoracolumbar fascia. It consists of three fascial layers - posterior, middle, and anterior - that enclose two muscular compartments. The anterior and middle layers occur only in the lumbar region, whereas the posterior layer extends superiorly to the inferior part of the neck, and the inferiorly to the dorsal surface of the sacrum. The quadratus lumborum is contained in the anterior muscular compartment, and the erector spinae in the posterior compartment. Psoas major lies anterior to the anterior layer. Various superficial muscles of the posterior thorax and abdomen arise from the posterior layer - namely the latissimus dorsi, and serratus posterior inferior.
The vertebral column, also known as the spinal column, spine or backbone, is the core part of the axial skeleton in vertebrate animals. The vertebral column is the defining and eponymous characteristic of the vertebrate endoskeleton, where the notochord found in all chordates has been replaced by a segmented series of mineralized irregular bones called vertebrae, separated by fibrocartilaginous intervertebral discs. The dorsal portion of the vertebral column houses the spinal canal, an elongated cavity formed by alignment of the vertebral neural arches that encloses and protects the spinal cord, with spinal nerves exiting via the intervertebral foramina to innervate each body segments.
Each vertebra is an irregular bone with a complex structure composed of bone and some hyaline cartilage, that make up the vertebral column or spine, of vertebrates. The proportions of the vertebrae differ according to their spinal segment and the particular species.