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 develop.
Structure
The inguinal 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.
Structures that pass deep to the inguinal ligament include:
- Psoas major, iliacus, pectineus
- Femoral nerve, artery, and vein
- Lateral cutaneous nerve of thigh
- Lymphatics
Function
The midpoint of the inguinal ligament, halfway between the anterior superior iliac spine and pubic tubercle, is the landmark for the femoral nerve.
The mid-inguinal point, halfway between the anterior superior iliac spine and the pubic symphysis, is the landmark for the femoral artery.
The external iliac arteries pass the inguinal ligament posteriorly and inferiorly.