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The deep dorsal sacrococcygeal ligament (ligamentum sacrococcygeum posterius profundum) is a continuation of the posterior longitudinal ligament. [1] A flat band arising inside the sacral canal, posteriorly at the orifice of the fifth sacral segment, it descends to the dorsal surface of the coccyx under its longer fellow described below.
It stretches from median sacral crest [3] and the free margin of the sacral hiatus [1] to the dorsal surface of the coccyx. [1] The lateral sacrococcygeal ligaments run from the lower lateral angles of the sacrum to the transverse processes of the first coccygeal vertebra to complete the foramina for the last sacral nerve. [1]
The anterior sacrococcygeal ligament or ventral sacrococcygeal ligament consists of a few irregular fibers, which descend from the anterior surface of the sacrum to the front of the coccyx, blending with the periosteum. [1]
In the human body, the lateral sacrococcygeal ligament is a bilaterally paired ligament extending between the transverse process coccyx, and the inferolateral angle of the sacrum. [1] The ligament forms a foramen for [2] [1] an anterior ramus [1] of the fifth sacral nerve (S5). [2] [1] The ligament may become ossified. [1]
The sacrospinous ligament (small or anterior sacrosciatic ligament) is a thin, triangular ligament in the human pelvis.The base of the ligament is attached to the outer edge of the sacrum and coccyx, and the tip of the ligament attaches to the spine of the ischium, a bony protuberance on the human pelvis.
It runs from the sacrum (the lower transverse sacral tubercles, the inferior margins sacrum and the upper coccyx [1]) to the tuberosity of the ischium. It is a remnant of part of biceps femoris muscle. The sacrotuberous ligament is attached by its broad base to the posterior superior iliac spine, the posterior sacroiliac ligaments (with which ...
The coccygeal plexus is a small nervous plexus upon the pelvic (anterior) surface of the coccygeus muscle. [1]This plexus is formed by the ventral rami of the fourth and fifth sacral nerves (S4-S5), and the ventral ramus of the coccygeal nerve (Co).
A simple test to determine whether the coccyx is involved is injection of local anesthetic into the area. If the pain relates to the coccyx, this should produce immediate relief. [5] If the anesthetic test proves positive, then a dynamic (sit/stand) X-ray or MRI scan may show whether the coccyx dislocates when the patient sits. [6]