WordNet

any connection or unifying bond
a sheet or band of tough fibrous tissue connecting bones or cartilages or supporting muscles or organs

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靱帯(じんたい)(骨と骨を結びつてけ関節の動きを調節する)

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/04/19 07:58:07」(JST)

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The inguinal ligament (Poupart's ligament or groin ligament) is a band running from the pubic tubercle to the anterior superior iliac spine. Its anatomy is very important for operating on hernia patients.

Structure

It forms the base of the inguinal canal through which an indirect inguinal hernia may develop.

The inguinal (crural) ligament runs from the anterior superior iliac crest of the ilium to the pubic tubercle of the pubic bone. It is formed by the external abdominal oblique aponeurosis and is continuous with the fascia lata of the thigh.

There is some dispute over the attachments.^[1]

Structures that pass deep to the inguinal ligament include:

Psoas major, iliacus, pectineus
Femoral nerve, artery, and vein
Lateral cutaneous nerve of thigh
Lymphatics

The midpoint of inguinal ligament is midpoint between the anterior superior iliac spine and pubic tubercle.^{[citation needed]}

Function

The ligament serves to contain soft tissues as they course anteriorly from the trunk to the lower extremity. This structure demarcates the superior border of the femoral triangle.^[2] It demarcates the inferior border of the inguinal triangle.

The midpoint of inguinal ligament is halfway between the anterior superior iliac spine and pubic tubercle. It's the landmark for the femoral nerve. The mid inguinal point is halfway between the anterior superior iliac spine and pubic symphysis. It's the landmark for femoral artery.

History

It is also referred to as Poupart's ligament, because François Poupart gave it relevance in relation to hernial repair, calling it "the suspender of the abdomen" (French: "le suspenseur de l'abdomen"). It is sometimes termed the Fallopian ligament. Colles' ligament is reflex ligament not inguinal ligament.^[3]^[4]

Additional images

Articulations of pelvis. Anterior view.
The subcutaneous inguinal ring.
Femoral sheath laid open to show its three compartments.

The relations of the femoral and abdominal inguinal rings, seen from within the abdomen. Right side.
The left femoral triangle.
Posterior view of the anterior abdominal wall in its lower half. The peritoneum is in place, and the various cords are shining through.
Inguinal ligament
Inguinal ligament

References

^ Acland RD (January 2008). "The inguinal ligament and its lateral attachments: correcting an anatomical error". Clin Anat 21 (1): 55–61. doi:10.1002/ca.20579. PMID 18092366.
^ Ryan, Jeffrey M.; Starkey, Chad (2002). Evaluation of orthopedic and athletic injuries. Philadelphia: F.A. Davis Co. ISBN 0-8036-0791-1.
^ synd/2633 at Who Named It?
^ F. Poupart. Chirurgie complète. Paris, 1695.

External links

1053818915 at GPnotebook
Anatomy figure: 12:03-02 at Human Anatomy Online, SUNY Downstate Medical Center - "Deep muscles of the anterior thigh."
Anatomy photo:35:os-0107 at the SUNY Downstate Medical Center - "Anterior Abdominal Wall: Osteology and Surface Anatomy "
Anatomy photo:35:08-0100 at the SUNY Downstate Medical Center - "Anterior Abdominal Wall: The Inguinal Ligament"
Anatomy image:7179 at the SUNY Downstate Medical Center
Anatomy image:7431 at the SUNY Downstate Medical Center
Diagram at gensurg.co.uk

UpToDate Contents

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1. 膝内側側副靱帯損傷 medial collateral ligament injury of the knee
2. 外側側副靭帯損傷および関連する膝後外側支持機構損傷 lateral collateral ligament injury and related posterolateral corner injuries of the knee
3. 前十字靱帯損傷 anterior cruciate ligament injury
4. Prophylactic vaginal apex suspension at the time of hysterectomy
5. 鼠径ヘルニアおよび大腿ヘルニアの分類、臨床症状、および診断 classification clinical features and diagnosis of inguinal and femoral hernias in adults

English Journal

Femoral hernias: primary versus recurrence.

Bendavid R1.
International surgery.Int Surg.1989 Apr-Jun;74(2):99-100.
PMID 2753631

[Contribution to the macro- and microscopic anatomical study of the relations of the "fascia transversalis" to the inguinal (Poupart) and pectineal (Cooper) ligaments. Their surgical importance].

de SIQUEIRA J, DUARTE-LANA JM.
Hospital (Rio de Janeiro, Brazil).Hospital (Rio J).1962 Apr;61:795-808.
PMID 13913419

[Alternate points over the arch of Poupart in the modified Andrews technique].

BONILLA NAAR A.
Revista de la Asociacion Medica Argentina.Rev Asoc Med Argent.1949 Oct 15-30;63(663-664):503-5.
PMID 15395730

Japanese Journal

術後の対側発症からみた乳幼児そけいヘルニア手術法の要点

日本小児外科学会雑誌 18(6), 1235-1239, 1982
NAID 110002081254

「鼡径靭帯」

Inguinal ligament
	Inguinal ligament is labeled at bottom right.
	Structures passing behind the inguinal ligament.
Details
From	anterior superior iliac spine
To	pubic tubercle
Identifiers
Latin	Ligamentum inguinale
TA	A04.5.01.009
FMA	19855
	Anatomical terminology [edit on Wikidata]

　　[★]

英: inguinal ligament (KH), inguinal ligaments
ラ: ligamenta inguinale
同: プーパル靱帯プーパル靭帯 Poupart's ligament Poupart靭帯 Poupart ligament、鼠径靭帯
関: 大腿輪、大腿管、裂孔靭帯。鼡径三角、下肢筋群

図：KH.96,
外腹斜筋腱膜の下縁 (KH.96)
上前腸骨棘と恥骨結節の間に張る。

Henry Gray (1825-1861). Anatomy of the Human Body. 1918.

[pmid18092366-1] Acland RD (January 2008). "The inguinal ligament and its lateral attachments: correcting an anatomical error". Clin Anat 21 (1): 55–61. doi:10.1002/ca.20579. PMID 18092366.

[isbn0-8036-0791-1-2] Ryan, Jeffrey M.; Starkey, Chad (2002). Evaluation of orthopedic and athletic injuries. Philadelphia: F.A. Davis Co. ISBN 0-8036-0791-1.

[3] synd/2633 at Who Named It?

[4] F. Poupart. Chirurgie complète. Paris, 1695.

匿名

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案内

案内

Poupart ligament