WordNet

of or relating to or near the groin
the syllable naming the fourth (subdominant) note of the diatonic scale in solmization

PrepTutorEJDIC

鼠蹊(そけい)部の(足のもものつけ根)
ファ(全音階の第4音)

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/01/02 15:56:54」(JST)

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The conjoint tendon (previously known as the inguinal aponeurotic falx) is a structure formed from the lower part of the common aponeurosis of the internal abdominal oblique and the transverse abdominis as it inserts into the crest of the pubis and pectineal line immediately behind the superficial inguinal ring. It is usually conjoint with the tendon of the abdominal internal oblique muscle, but they may be separate as well. It forms the medial part of the posterior wall of the inguinal canal.

Clinical significance

The conjoint tendon serves to protect what would otherwise be a weak point in the abdominal wall. A weakening of the conjoint tendon can precipitate a direct inguinal hernia.^[1]

A direct inguinal hernia will protrude through Hesselbach's triangle, whose borders are the rectus abdominus (medially), inferior epigastric artery and vein (superolaterally), and the inguinal ligament (inferiorly). The hernia will lie medial to the inferior epigastric artery.^[2] This is in contrast to an indirect inguinal hernia, which will protrude laterally to the inferior epigastric artery and is most commonly due to an embryological defect in the closure of the deep inguinal ring.

Additional Images

Anterior abdominal wall.Intermediate dissection.Anterior view

References

^ Relevant Anatomy at University of Connecticut Health Center. Retrieved Jan 2013
^ Clinical Anatomy by Ernest W. April. 3rd Edition. Published by Lippincott Williams & Wilkins, 1997. Pages 326-327.

External links

-764739507 at GPnotebook
Anatomy photo:35:18-0103 at the SUNY Downstate Medical Center - "Anterior Abdominal Wall: Reflection of the Transversus Abdominis Muscle"
Anatomy image:7531 at the SUNY Downstate Medical Center
digest/abwall^{[ dead link ]} at the Memorial University of Newfoundland

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UpToDate Contents

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1. 鼠径ヘルニアおよび大腿ヘルニアの修復：開放的手技 inguinal and femoral hernia repair open techniques
2. 小児における鼡径ヘルニアの概要 overview of inguinal hernia in children
3. 鼠径ヘルニアおよび大腿ヘルニアの分類および診断 classification and diagnosis of inguinal and femoral hernias
4. 小児における鼠径部腫脹の評価 evaluation of inguinal swelling in children
5. 鼠径ヘルニアおよび大腿ヘルニアに対する治療の概要 overview of treatment for inguinal and femoral hernias

English Journal

A new method of spermatic cord mobilization in herniorrhaphy.

Tan YH, Xiao YG, Du GN, Liu JW, Li M, Xu LX, Qiu WS.SourceThird Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China.
Clinical anatomy (New York, N.Y.).Clin Anat.2012 Nov;25(8):1074-9. doi: 10.1002/ca.22037. Epub 2012 Feb 3.
Spermatic cord mobilization is a routine part of inguinal hernia repair, but the method of cord mobilization varies among surgeons. This study establishes an anatomic plane for spermatic cord mobilization. We studied the anatomy of the superficial cremasteric fascia in 105 male patients during herni
PMID 22308072

Falx inguinalis: a forgotten structure.

Sen T, Ugurlu C, Kulacoglu H, Elhan A.SourceAnkara University School of Medicine, Department of Anatomy, Ankara, Turkey.
ANZ journal of surgery.ANZ J Surg.2011 Mar;81(3):112-3. doi: 10.1111/j.1445-2197.2010.05653.x.
PMID 21342379

「結合腱」

Conjoint tendon
	The interfoveolar ligament, seen from in front. (Inguinal aponeurotic falx labeled at lower left.)
Details
Latin	falx inguinalis, tendo conjunctivus
Identifiers
Gray's	p.414
Dorlands; /Elsevier	f_02/12354419
TA	A04.5.01.020
FMA	FMA:20275
	Anatomical terminology