Capsular Ligaments
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A ligament is the fibrous connective tissue that connects bones to other bones. It is also known as ''articular ligament'', ''articular larua'', ''fibrous ligament'', or ''true ligament''. Other ligaments in the body include the: * Peritoneal ligament: a fold of peritoneum or other membranes. *
Fetal remnant ligament A fetus or foetus (; plural fetuses, feti, foetuses, or foeti) is the unborn offspring that develops from an animal embryo. Following embryonic development the fetal stage of development takes place. In human prenatal development, fetal develo ...
: the remnants of a fetal tubular structure. *
Periodontal ligament The periodontal ligament, commonly abbreviated as the PDL, is a group of specialized connective tissue fibers that essentially attach a tooth to the alveolar bone within which it sits. It inserts into root cementum one side and onto alveolar b ...
: a group of fibers that attach the cementum of teeth to the surrounding alveolar bone. Ligaments are similar to tendons and
fasciae A fascia (; plural fasciae or fascias; adjective fascial; from Latin: "band") is a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches to, stabilizes, encloses, and separates muscles and other internal organs. ...
as they are all made of
connective tissue Connective tissue is one of the four primary types of animal tissue, along with epithelial tissue, muscle tissue, and nervous tissue. It develops from the mesenchyme derived from the mesoderm the middle embryonic germ layer. Connective tiss ...
. The differences among them are in the connections that they make: ligaments connect one bone to another bone, tendons connect muscle to bone, and fasciae connect muscles to other muscles. These are all found in the skeletal system of the
human body The human body is the structure of a Human, human being. It is composed of many different types of Cell (biology), cells that together create Tissue (biology), tissues and subsequently organ systems. They ensure homeostasis and the life, viabi ...
. Ligaments cannot usually be regenerated naturally; however, there are periodontal ligament stem cells located near the periodontal ligament which are involved in the adult regeneration of periodontist ligament. The study of ligaments is known as .


Articular ligaments

"Ligament" most commonly refers to a band of dense regular connective tissue bundles made of
collagen Collagen () is the main structural protein in the extracellular matrix found in the body's various connective tissues. As the main component of connective tissue, it is the most abundant protein in mammals, making up from 25% to 35% of the whole ...
ous fibers, with bundles protected by dense irregular connective tissue sheaths. Ligaments connect bones to other bones to form joints, while tendons connect bone to
muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of muscl ...
. Some ligaments limit the mobility of articulations or prevent certain movements altogether. Capsular ligaments are part of the articular capsule that surrounds
synovial joint A synovial joint, also known as diarthrosis, joins bones or cartilage with a fibrous joint capsule that is continuous with the periosteum of the joined bones, constitutes the outer boundary of a synovial cavity, and surrounds the bones' articulat ...
s. They act as mechanical reinforcements. Extra-capsular ligaments join in harmony with the other ligaments and provide joint stability. Intra-capsular ligaments, which are much less common, also provide stability but permit a far larger range of motion. Cruciate ligaments are paired ligaments in the form of a cross. Ligaments are viscoelastic. They gradually strain when under tension and return to their original shape when the tension is removed. However, they cannot retain their original shape when extended past a certain point or for a prolonged period of time. This is one reason why dislocated joints must be set as quickly as possible: if the ligaments lengthen too much, then the joint will be weakened, becoming prone to future dislocations. Athletes, gymnasts, dancers, and martial artists perform stretching exercises to lengthen their ligaments, making their joints more supple. The term '' hypermobility'' refers to the characteristic of people with more-elastic ligaments, allowing their joints to stretch and contort further; this is sometimes still called ''double-jointedness''. The consequence of a broken ligament can be instability of the joint. Not all broken ligaments need surgery, but, if surgery is needed to stabilise the joint, the broken ligament can be repaired. Scar tissue may prevent this. If it is not possible to fix the broken ligament, other procedures such as the
Brunelli procedure The Brunelli ProcedureA new surgical technique for carpal instability with scapho-lunar dislocation, G A Brunelli, G R Brunelli. https://pubmed.ncbi.nlm.nih.gov/8519586/ is a surgical procedure that can be used to correct instability in the wrist. ...
can correct the instability. Instability of a joint can over time lead to wear of the cartilage and eventually to osteoarthritis.


Artificial ligaments

One of the most often torn ligaments in the body is the anterior cruciate ligament (ACL). The ACL is one of the ligaments crucial to knee stability and persons who tear their ACL often undergo reconstructive surgery, which can be done through a variety of techniques and materials. One of these techniques is the replacement of the ligament with an artificial material. Artificial ligaments are a synthetic material composed of a polymer, such as polyacrylonitrile fiber, polypropylene, PET (polyethylene terephthalate), or polyNaSS poly(sodium styrene sulfonate).


Examples

;Head and neck *
Cricothyroid ligament The cricothyroid ligament (also known as the cricothyroid membrane or cricovocal membrane) is a ligament in the neck. It connects the cricoid cartilage to the thyroid cartilage. It prevents these cartilages from moving too far apart. It is cut dur ...
*
Periodontal ligament The periodontal ligament, commonly abbreviated as the PDL, is a group of specialized connective tissue fibers that essentially attach a tooth to the alveolar bone within which it sits. It inserts into root cementum one side and onto alveolar b ...
*
Suspensory ligament of the lens The zonule of Zinn () (Zinn's membrane, ciliary zonule) (after Johann Gottfried Zinn) is a ring of fibrous strands forming a wikt:zonule#Noun, zonule (little band) that connects the ciliary body with the crystalline lens (anatomy), lens of the huma ...
;Thorax *
Phrenoesophageal ligament The phrenoesophageal ligament (phrenicoesophageal ligament, or phrenoesophageal membrane) is the ligament by which the esophagus is attached to the diaphragm. It is an extension of the inferior diaphragmatic fascia and is divided into an upper a ...
* Suspensory ligament of the breast ;Pelvis * Anterior sacroiliac ligament * Posterior sacroiliac ligament *
Sacrotuberous ligament The sacrotuberous ligament (great or posterior sacrosciatic 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. Structure It runs from the sacrum (the lower ...
* Sacrospinous ligament *
Inferior pubic ligament The pubic symphysis is a secondary cartilaginous joint between the left and right superior rami of the pubis of the hip bones. It is in front of and below the urinary bladder. In males, the suspensory ligament of the penis attaches to the pubic ...
*
Superior pubic ligament The pubic symphysis is a secondary cartilaginous joint between the left and right superior rami of the pubis of the hip bones. It is in front of and below the urinary bladder. In males, the suspensory ligament of the penis attaches to the pubic ...
* Suspensory ligament of the penis ;Wrist * Palmar radiocarpal ligament * Dorsal radiocarpal ligament * Ulnar collateral ligament * Radial collateral ligament * Scapholunate ligament ;Knee * Anterior cruciate ligament * Lateral collateral ligament * Posterior cruciate ligament * Medial collateral ligament * Cranial cruciate ligament — quadruped equivalent of anterior cruciate ligament *
Caudal cruciate ligament The posterior cruciate ligament (PCL) is a ligament in each knee of humans and various other animals. It works as a counterpart to the anterior cruciate ligament (ACL). It connects the posterior intercondylar area of the tibia to the medial con ...
 — quadruped equivalent of posterior cruciate ligament * Patellar ligament


Peritoneal ligaments

Certain folds of peritoneum are referred to as ''ligaments''. Examples include: * The hepatoduodenal ligament, that surrounds the hepatic portal vein and other vessels as they travel from the
duodenum The duodenum is the first section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear, and the terms anterior intestine or proximal intestine m ...
to the liver. * The
broad ligament of the uterus The broad ligament of the uterus is the wide fold of peritoneum that connects the sides of the uterus to the walls and floor of the pelvis. Structure Subdivisions Contents The contents of the broad ligament include the following: * Reprodu ...
, also a fold of peritoneum.


Fetal remnant ligaments

Certain tubular structures from the fetal period are referred to as ''ligaments'' after they close up and turn into cord-like structures:


See also

* Ligamentous laxity *
Broström procedure The Broström operation (or Broström-Gould technique) is a repair of ligaments on lateral ankle. It is designed to address ankle instability. More importantly, it is primarily used to repair the anterior talofibular ligament (ATFL) in the ankle. I ...


References

{{Authority control Soft tissue Skeletal system