Posterior Sacrococcygeal Ligament
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Posterior Sacrococcygeal Ligament
The posterior sacrococcygeal ligament or dorsal sacrococcygeal ligamentOMD: Definition is a ligament which stretches from the sacrum to the coccyx and thus dorsally across the sacrococcygeal symphysis shared by these two bones. This ligament is divisible in two parts: A short deep part which unites the two bones, and a larger superficial portion which completes the lower back part of the sacral canal. On either side, two lateral sacrococcygeal ligaments run between the transverse processes of the coccyx and the inferior lateral angle of the sacrum.Sinnatamby (2006), p 336 It is in relation, behind, with the gluteus maximus. Deep part The deep dorsal sacrococcygeal ligament (ligamentum sacrococcygeum posterius profundum) is a continuation of the posterior longitudinal ligament. 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.Morris (20 ...
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Pelvis
The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The pelvic region of the trunk includes the bony pelvis, the pelvic cavity (the space enclosed by the bony pelvis), the pelvic floor, below the pelvic cavity, and the perineum, below the pelvic floor. The pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones. The two hip bones connect the spine with the lower limbs. They are attached to the sacrum posteriorly, connected to each other anteriorly, and joined with the two femurs at the hip joints. The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and mainly consists of the reproductive organs (sex organs) and the rectum, while the pelvic f ...
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Gluteus Maximus
The gluteus maximus is the main extensor muscle of the hip. It is the largest and outermost of the three gluteal muscles and makes up a large part of the shape and appearance of each side of the hips. It is the single largest muscle in the human body. Its thick fleshy mass, in a quadrilateral shape, forms the prominence of the buttocks. The other gluteal muscles are the medius and minimus, and sometimes informally these are collectively referred to as the glutes. Its large size is one of the most characteristic features of the muscular system in humans,Norman Eizenberg et al., ''General Anatomy: Principles and Applications'' (2008), p. 17. connected as it is with the power of maintaining the trunk in the erect posture. Other primates have much flatter hips and cannot sustain standing erectly. The muscle is made up of muscle fascicles lying parallel with one another, and are collected together into larger bundles separated by fibrous septa. Structure The gluteus maximus is the ...
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Ganglion Impar
The pelvic portion of each sympathetic trunk is situated in front of the sacrum, medial to the anterior sacral foramina. It consists of four or five small sacral ganglia, connected together by interganglionic cords, and continuous above with the abdominal portion. Below, the two pelvic sympathetic trunks converge, and end on the front of the coccyx in a small ganglion, the ganglion impar, also known as azygos or ganglion of Walther. Clinical significance A study found that in some cases a single injection of nerve block at the ganglion impar offered complete relief from coccydynia Coccydynia is a medical term meaning pain in the coccyx or tailbone area, often brought on by a fall onto the coccyx or by persistent irritation usually from sitting. Synonyms Coccydynia is also known as coccygodynia, coccygeal pain, coccyx pain, .... References * Munir MA, Zhang J, Ahmad M. (2004)A modified needle-inside-needle technique for the ganglion impar block. Can J Anaesth. 2004 Nov;51 ...
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Coccydynia
Coccydynia is a medical term meaning pain in the coccyx or tailbone area, often brought on by a fall onto the coccyx or by persistent irritation usually from sitting. Synonyms Coccydynia is also known as coccygodynia, coccygeal pain, coccyx pain, or coccalgia. Anatomy Structure Coccydynia occurs in the lowest part of the spine, the coccyx, which is believed to be a vestigial tail, or in other words the “tail bone”. The name coccyx is derived from the Greek word for cuckoo due to its beak like appearance. The coccyx itself is made up of 3 to 5 vertebrae, some of which may be fused together. The ventral side of the coccyx is slightly concave whereas the dorsal aspect is slightly convex. Both of these sides have transverse grooves that show where the vestigial coccygeal units had previously fused. The coccyx attaches to the sacrum from the dorsal grooves, with the attachment being either a symphysis or as a true synovial joint, and also to the gluteus maximus muscle, the coccyge ...
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Anterior Sacrococcygeal Ligament
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.Morris (2005), p 59 This shortSinnatamby (2006), p 336 ligament forms the continuation of the anterior longitudinal ligament and stretches over the sacrococcygeal symphysis.OMD: DefinitionJinkins (2000), p 538Ebrall (2004), 243 See also * Posterior sacrococcygeal ligament * Coccydynia (coccyx pain, tailbone pain) * Ganglion impar The pelvic portion of each sympathetic trunk is situated in front of the sacrum, medial to the anterior sacral foramina. It consists of four or five small sacral ganglia, connected together by interganglionic cords, and continuous above with the ab ... Notes References * * * * Ligaments of the torso Bones of the vertebral column {{ligament-stub ...
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Ligamenta Flava
The ligamenta flava (singular, ''ligamentum flavum'', Latin for ''yellow ligament'') are a series of ligaments that connect the ventral parts of the lamina of the vertebral arch, laminae of adjacent vertebrae. They help to preserve Bipedalism, upright posture, preventing Anatomical terms of motion, hyperflexion, and ensuring that the vertebral column straightens after flexion. Hypertrophy can cause spinal stenosis. Structure Each ligamentum flavum connects the Lamina of the vertebral arch, laminae two adjacent vertebrae. They begin with the junction of the Axis (anatomy), axis and third cervical vertebra, continuing down to the junction of the fifth lumbar vertebra and the sacrum. They are best seen from the interior of the vertebral canal. when looked at from the outer surface they appear short, being overlapped by the lamina of the vertebral arch. Each ligament consists of two Anatomical terms of location#Left and right (lateral), and medial, lateral portions which commence on ...
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Sacral Hiatus
The sacrum (plural: ''sacra'' or ''sacrums''), in human anatomy, is a large, triangular bone at the base of the spine that forms by the fusing of the sacral vertebrae (S1S5) between ages 18 and 30. The sacrum situates at the upper, back part of the pelvic cavity, between the two wings of the pelvis. It forms joints with four other bones. The two projections at the sides of the sacrum are called the alae (wings), and articulate with the ilium at the L-shaped sacroiliac joints. The upper part of the sacrum connects with the last lumbar vertebra (L5), and its lower part with the coccyx (tailbone) via the sacral and coccygeal cornua. The sacrum has three different surfaces which are shaped to accommodate surrounding pelvic structures. Overall it is concave (curved upon itself). The base of the sacrum, the broadest and uppermost part, is tilted forward as the sacral promontory internally. The central part is curved outward toward the posterior, allowing greater room for the pelv ...
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Posterior Longitudinal Ligament
The posterior longitudinal ligament is a ligament connecting the posterior surfaces of the vertebral bodies of all of the vertebrae. It weakly prevents hyperflexion of the vertebral column. It also prevents posterior spinal disc herniation, although problems with the ligament can cause it. Structure The posterior longitudinal ligament is situated within the vertebral canal. It extends along the posterior surfaces of the bodies of the vertebrae, from the body of the axis to the sacrum and possibly the coccyx. It is continuous with the tectorial membrane of atlanto-axial joint. The ligament is thicker in the thoracic than in the cervical and lumbar regions. In the thoracic and lumbar regions, it presents a series of dentations with intervening concave margins. The posterior longitudinal ligament is narrow at the vertebral bodies, where it covers the basivertebral veins, and widens at the intervertebral disc space. It is generally quite wide and thin. This ligament is composed of ...
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Lateral Sacrococcygeal Ligament
In the human body, the lateral sacrococcygeal ligaments is a pair of ligaments stretching from the lower lateral angles of the sacrum to the transverse processes of the first coccygeal vertebra. Together with the anterior, posterior, and intercornual sacrococcygeal ligaments, they stabilize the sacrococcygeal symphysis, i.e. the joint between the sacrum and the coccyx.Morris (2005), p 59 They complete the foramina In anatomy and osteology, a foramen (;Entry "foramen"
in
for the last sacral nerve. There are up to three lateral sacrococcygeal ligaments on either side of the
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Sacrum
The sacrum (plural: ''sacra'' or ''sacrums''), in human anatomy, is a large, triangular bone at the base of the spine that forms by the fusing of the sacral vertebrae (S1S5) between ages 18 and 30. The sacrum situates at the upper, back part of the pelvic cavity, between the two wings of the pelvis. It forms joints with four other bones. The two projections at the sides of the sacrum are called the alae (wings), and articulate with the ilium at the L-shaped sacroiliac joints. The upper part of the sacrum connects with the last lumbar vertebra (L5), and its lower part with the coccyx (tailbone) via the sacral and coccygeal cornua. The sacrum has three different surfaces which are shaped to accommodate surrounding pelvic structures. Overall it is concave (curved upon itself). The base of the sacrum, the broadest and uppermost part, is tilted forward as the sacral promontory internally. The central part is curved outward toward the posterior, allowing greater room for the pel ...
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Sacral Canal
The sacrum (plural: ''sacra'' or ''sacrums''), in human anatomy, is a large, triangular bone at the base of the spine that forms by the fusing of the sacral vertebrae (S1S5) between ages 18 and 30. The sacrum situates at the upper, back part of the pelvic cavity, between the two wings of the pelvis. It forms joints with four other bones. The two projections at the sides of the sacrum are called the alae (wings), and articulate with the ilium at the L-shaped sacroiliac joints. The upper part of the sacrum connects with the last lumbar vertebra (L5), and its lower part with the coccyx (tailbone) via the sacral and coccygeal cornua. The sacrum has three different surfaces which are shaped to accommodate surrounding pelvic structures. Overall it is concave (curved upon itself). The base of the sacrum, the broadest and uppermost part, is tilted forward as the sacral promontory internally. The central part is curved outward toward the posterior, allowing greater room for the pelvi ...
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Sacrococcygeal Symphysis
The sacrococcygeal symphysis (sacrococcygeal articulation, articulation of the sacrum and coccyx) is an amphiarthrodial joint, formed between the oval surface at the apex of the sacrum, and the base of the coccyx. It is a slightly moveable jointMorris (2005), p 59 which is frequently, partially or completely, obliterated in old age,Palastanga (2006), p 334 homologous with the joints between the bodies of the vertebrae. Disc The sacrococcygeal disc or interosseus ligamentHuijbregts (2001), p 13 is similar to the intervertebral discs but thinner, thicker in front and behind than at the sides, and with a firmer texture. The articular surfaces are elliptical with longer transversal axes. The surface on the sacrum is convex and that on the coccyx concave. Occasionally the coccyx is freely movable on the sacrum, most notably during pregnancy; in such cases a synovial membrane is present. Ligaments The joint is strengthened by a series of ligaments: * The ventral or anterior sac ...
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