Cooper's Pubic Ligament
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The pectineal ligament, sometimes known as the inguinal ligament of Cooper, is an extension of the
lacunar ligament The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle. Structure The lacunar ligam ...
. It runs on the pectineal line of the pubic bone. The pectineal ligament is the posterior border of the femoral ring.


Structure

The pectineal ligament connects to the
lacunar ligament The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle. Structure The lacunar ligam ...
, and therefore to the
inguinal ligament The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may dev ...
. It connects to the pectineus muscle on its ventral and superior aspects. It connects to the
rectus abdominis muscle The rectus abdominis muscle, ( la, straight abdominal) also known as the "abdominal muscle" or simply the "abs", is a paired straight muscle. It is a paired muscle, separated by a midline band of connective tissue called the linea alba. It exte ...
, and the abdominal internal oblique muscle, of the
anterior abdominal wall In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the anterolateral and posterior walls. There is a common set of layers covering and forming all the walls: the deepest being the vi ...
. The pectineal ligament is usually around 6 cm long in
adults An adult is a human or other animal that has reached full growth. In human context, the term ''adult'' has meanings associated with social and legal concepts. In contrast to a "minor", a legal adult is a person who has attained the age of majori ...
. It is close to the major vasculature of the
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 ...
, including
external iliac vein External may refer to: * External (mathematics), a concept in abstract algebra * Externality, in economics, the cost or benefit that affects a party who did not choose to incur that cost or benefit * Externals, a fictional group of X-Men antagon ...
.


Clinical significance

The pectineal ligament is strong, and holds suture well. This facilitates reconstruction of the floor of the inguinal canal. It is a useful landmark for
pelvic 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 ...
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
. A variant of non-prosthetic
inguinal hernia An inguinal hernia is a hernia (protrusion) of abdominal-cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third ...
repair, first used by
Georg Lotheissen Georg Lotheissen (September 14, 1868 – October 28, 1941) was an Austrian surgeon born in Geneva, Switzerland. In 1892 he earned his medical doctorate in Vienna, and following graduation was an assistant to Emil Zuckerkandl (1849–1910), ...
in
Austria Austria, , bar, Östareich officially the Republic of Austria, is a country in the southern part of Central Europe, lying in the Eastern Alps. It is a federation of nine states, one of which is the capital, Vienna, the most populous ...
, now bears his name.


History

The pectineal ligament was characterized by
Astley Cooper Sir Astley Paston Cooper, 1st Baronet (23 August 176812 February 1841) was a British surgeon and anatomist, who made contributions to otology, vascular surgery, the anatomy and pathology of the mammary glands and testicles, and the pathology ...
in 1804.Cooper, A. The Anatomy and Surgical Treatment of Internal and Congenital Hernia." London. 1804


See also

*
Inguinal ligament The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may dev ...
*
Lacunar ligament The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle. Structure The lacunar ligam ...
* Inguinal canal *
Cooper's ligaments Cooper's ligaments (also known as the suspensory ligaments of Cooper and the fibrocollagenous septa) are connective tissue in the breast that help maintain structural integrity. They are named for Astley Cooper, who first described them in 1840. ...


References


External links

* http://anatomy.uams.edu/AnatomyHTML/joints_abdomen.html {{Authority control Ligaments