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The inguinal ligament runs from the anterior superior iliac crest of the ilium to the pubic tubercle of the pubic bone. It is formed by the external abdominal oblique aponeurosis and is continuous with the fascia lata of the thigh. There is some dispute over the attachments. [3] Structures that pass deep to the inguinal ligament include:
The pectineal ligament is strong, and holds suture well. [citation needed] This facilitates reconstruction of the floor of the inguinal canal. [citation needed] It is a useful landmark for pelvic surgery. [1] A variant of non-prosthetic inguinal hernia repair, first used by Georg Lotheissen in Austria, now bears his name. [citation needed]
It provides attachment for the inguinal ligament, the sartorius muscle, [1] [4] and the tensor fasciae latae muscle. [2] [3] A variety of structures lie close to the anterior superior iliac spine, including the subcostal nerve, [5] the femoral artery (which passes between it and the pubic symphysis), [4] and the iliohypogastric nerve. [6]
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.
Below, it has the following attachments: posteriorly, to the whole length of the iliac crest, between the attachments of the transverse abdominal and Iliacus; between the anterior superior iliac spine and the femoral vessels it is connected to the posterior margin of the inguinal ligament, and is there continuous with the iliac fascia. [2]
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 ...
The portion which is reflected from the inguinal ligament at the pubic tubercle is attached to the pectineal line and is called the lacunar ligament. From the point of attachment of the latter to the pectineal line, a few fibers pass upward and medialward, behind the medial crus of the superficial inguinal ring, to the linea alba; they diverge ...
It is thinner and more membranous in character than the superficial fascia of Camper, and contains a considerable quantity of orange elastic fibers.. It is loosely connected by areolar tissue to the aponeurosis of the external oblique muscle, but in the midline it is more intimately adherent to the linea alba and the pubic symphysis, and in the male, it is prolonged on to the dorsum of the ...