Iliolumbar ligament

Last updated
Iliolumbar ligament
Gray319.png
Articulations of pelvis. Anterior view (iliolumbar ligament labeled at center top)
Gray320.png
Articulatios of pelvis. Posterior view (iliolumbar ligament labeled at center top)
Details
FromTransverse process of fifth lumbar vertebra
ToPosterior part of iliac crest
Identifiers
Latin ligamentum iliolumbale
TA98 A03.2.07.002
TA2 1853
FMA 21493
Anatomical terminology

The iliolumbar ligament is a strong ligament [1] which attaches medially to the transverse process of the 5th lumbar vertebra, and laterally to back of the inner lip of the iliac crest (upper margin of ilium).

Contents

Anatomy

The ligament extends inferolaterally from its medial attachment, [1] radiating laterally. [2] It represents the thickened inferior border of anterior and middle layers of thoracolumbar fascia. Inferiorly, the ligament is partially continuous with the lumbosacral ligament [1] (which may be considered an inferior subdivision of the iliolumbar ligament). [3]

Attachments

Medial

The ligament's medial attachment is at the apex [4] [2] and anteroinferior aspect of the transverse process of lumbar vertebra L5 (and occasionally an additional weak attachment at the transverse process of L4). [2]

Lateral

Laterally, the ligament attaches onto the posterior part of the inner lip of the iliac crest. [1] More precisely, its lateral attachment is by two main bands: [2]

Development

During in newborns and children, this structure is in fact muscular; the muscle tissue is then gradually replaced by ligamentous tissue until the fifth decade of life. [2]

Variation

Occasionally, a small ligamentous band stretches from the apex of transverse process of L4 inferior-ward to the iliac crest posterior to the main ligament; usually, fibrous strands are found between this latter process and the iliac crest, but these are only considered a true ligament when dense enough. [1]

Function

The iliolumbar ligament strengthens the lumbosacral joint assisted by the lateral lumbosacral ligament, and, like all other vertebral joints, by the posterior and anterior longitudinal ligaments, the ligamenta flava, and the interspinous and supraspinous ligaments. [4] It reduces the range of movement of the lumbosacral joint. [6]

Related Research Articles

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.

<span class="mw-page-title-main">Atlas (anatomy)</span> First cervical vertebra of the spine which supports the skull

In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck.

Articles related to anatomy include:

<span class="mw-page-title-main">Sacrum</span> Triangular-shaped bone at the bottom of the spine

The sacrum, in human anatomy, is a large, triangular bone at the base of the spine that forms by the fusing of the sacral vertebrae (S1–S5) between ages 18 and 30.

<span class="mw-page-title-main">Hip</span> Anatomical region between the torso and the legs, holding the buttocks and genital region

In vertebrate anatomy, the hip, or coxa(pl.: coxae) in medical terminology, refers to either an anatomical region or a joint on the outer (lateral) side of the pelvis.

<span class="mw-page-title-main">Quadratus lumborum muscle</span> Muscle in the lower back

The quadratus lumborum muscle, informally called the QL, is a paired muscle of the left and right posterior abdominal wall. It is the deepest abdominal muscle, and commonly referred to as a back muscle. Each is irregular and quadrilateral in shape.

<span class="mw-page-title-main">Lumbar plexus</span> Web of nerves in the lower spine

The lumbar plexus is a web of nerves in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.

<span class="mw-page-title-main">Ischium</span> Lower and back region of the hip bone

The ischium forms the lower and back region of the hip bone.

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

The sacrotuberous ligament is situated at the lower and back part of the pelvis. It is flat, and triangular in form; narrower in the middle than at the ends.

<span class="mw-page-title-main">Erector spinae muscles</span> Human muscle group

The erector spinae or spinal erectors is a set of muscles that straighten and rotate the back. The spinal erectors work together with the glutes to maintain stable posture standing or sitting.

<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">Wing of ilium</span> Flat portion of the hip bone

The wing(ala)of ilium is the large expanded portion of the ilium, the bone which bounds the greater pelvis laterally. It presents for examination two surfaces—an external and an internal—a crest, and two borders—an anterior and a posterior.

<span class="mw-page-title-main">Iliac crest</span> Top border of the hip

The crest of the ilium is the superior border of the wing of ilium and the superiolateral margin of the greater pelvis.

<span class="mw-page-title-main">Iliac fascia</span> Fascia of the pelvis

The iliac fascia is the fascia overlying the iliacus muscle.

<span class="mw-page-title-main">Deep circumflex iliac artery</span> Artery in the pelvis

The deep circumflex iliac artery is an artery in the pelvis that travels along the iliac crest of the pelvic bone.

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.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<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.

<span class="mw-page-title-main">Pelvis</span> Lower torso of the human body

The pelvis is the lower part of the trunk, between the abdomen and the thighs, together with its embedded skeleton.

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

The lumbosacral ligament or lateral lumbosacral ligament is a ligament that helps to stabilise the lumbosacral joint. The ligament's medial attachment is at transverse process of lumbar vertebra L5; its lateral attachment is at the ala of sacrum.

References

  1. 1 2 3 4 5 Palastanga N, Soames R (2012). Anatomy and Human Movement: Structure and Function. Physiotherapy Essentials (6th ed.). Edinburgh: Churchill Livingstone/Elsevier. pp. 283–284. ISBN   978-0-7020-3553-1.
  2. 1 2 3 4 5 6 7 8 9 Standring S (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42th ed.). New York. p. 842. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  3. Musil V, Blankova A, Baca V (May 2018). "A plea for an extension of the anatomical nomenclature: The locomotor system". Bosnian Journal of Basic Medical Sciences. 18 (2): 117–125. doi:10.17305/bjbms.2017.2276. PMC   5988530 . PMID   29144891.
  4. 1 2 Palastanga N, Field D, Soames R (2006). Anatomy and Human Movement: Structure and Function. Elsevier Health Sciences. pp. 332–333. ISBN   0-7506-8814-9.
  5. 1 2 Gray H (1918). "III. Syndesmology. 5h. Articulation of the Vertebral Column with the Pelvis The Iliolumbar Ligament. Gray, Henry. 1918. Anatomy of the Human Body". www.bartleby.com. p. 306. Retrieved 2021-01-30.
  6. Yamamoto I, Panjabi MM, Oxland TR, Crisco JJ (November 1990). "The Role of the Iliolumbar Ligament in the Lumbosacral Junction". Spine. 15 (11): 1138–1141. doi:10.1097/00007632-199011010-00010. PMID   2267607. S2CID   31100278.