Iliac Fascia
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The iliac fascia (or Abernethy's fascia) is the
fascia A fascia (; : fasciae or fascias; adjective fascial; ) is a generic term for macroscopic membranous bodily structures. Fasciae are classified as superficial, visceral or deep, and further designated according to their anatomical location. ...
overlying the iliacus muscle. Superiorly and laterally, the iliac fascia is attached to the inner aspect of the
iliac crest The crest of the ilium (or iliac crest) is the superior border of the wing of ilium and the superolateral margin of the greater pelvis. Structure The iliac crest stretches posteriorly from the anterior superior iliac spine (ASIS) to the posterio ...
; inferiorly and laterally, it extends into the thigh to unite with the
femoral sheath The femoral sheath (also called the crural sheath) is a funnel-shaped downward extension of abdominal fascia within which the femoral artery and femoral vein pass between the abdomen and the thigh. The femoral sheath is subdivided by two vertica ...
; medially, it attaches to the periosteum of the ilium and iliopubic eminence near the
linea terminalis The linea terminalis or innominate line consists of the pubic crest, pectineal line (pecten pubis), the arcuate line, the sacral ala, and the sacral promontory. It is the pelvic brim, which is the edge of the pelvic inlet. The pelvic inlet i ...
, and blends with the psoas fascia and - over the quadratus lumborum muscle - with the anterior layer of
thoracolumbar fascia The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a complex, multilayer arrangement of fascial and aponeurotic layers forming a separation between the paraspinal muscles on one side, and the muscles of the posterior abdomina ...
. The iliac fascia overlies the femoral nerve, and lateral femoral cutaneous nerve.


Structure

It has the following connections: * ''laterally'', to the whole length of the inner lip of the
iliac crest The crest of the ilium (or iliac crest) is the superior border of the wing of ilium and the superolateral margin of the greater pelvis. Structure The iliac crest stretches posteriorly from the anterior superior iliac spine (ASIS) to the posterio ...
. * ''medially'', to the
linea terminalis The linea terminalis or innominate line consists of the pubic crest, pectineal line (pecten pubis), the arcuate line, the sacral ala, and the sacral promontory. It is the pelvic brim, which is the edge of the pelvic inlet. The pelvic inlet i ...
of the
lesser pelvis The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet (the superior opening of the pelvis). Its lower boundary is the pelvic floor. The pelvic cavity primarily contains the reproduc ...
, where it is continuous with the
periosteum The periosteum is a membrane that covers the outer surface of all bones, except at the articular surfaces (i.e. the parts within a joint space) of long bones. (At the joints of long bones the bone's outer surface is lined with "articular cartila ...
. At the iliopectineal eminence it receives the tendon of insertion of the psoas minor, when that muscle exists. Lateral to the femoral vessels it is intimately connected to the posterior margin of 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 ...
, and is continuous with the transversalis fascia. Immediately lateral to the femoral vessels the iliac fascia is prolonged backward and medialward from the inguinal ligament as a band, the iliopectineal fascia, which is attached to the iliopectineal eminence. This fascia divides the space between the inguinal ligament and the hip bone into two lacunæ or compartments: * the ''medial'' vascular lacuna transmits the femoral vessels. * the ''lateral'' muscular lacuna transmits the psoas major and Iliacus and the
femoral nerve The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. It is the largest branch of the lumbar plexus. Structure The femoral nerve is the major nerve supplying the ant ...
. Medial to the vessels the iliac fascia is attached to the pectineal line behind the conjoint tendon, where it is again continuous with the transversalis fascia.


See also

* Fascia iliaca block


References

Pelvis Fascia {{musculoskeletal-stub