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The deep dorsal sacrococcygeal ligament (ligamentum sacrococcygeum posterius profundum) is a continuation of the posterior longitudinal ligament. [1] A flat band arising inside the sacral canal, posteriorly at the orifice of the fifth sacral segment, it descends to the dorsal surface of the coccyx under its longer fellow described below. [3]
The dorsal or posterior sacrococcygeal ligament has a deep and a superficial part: The deep dorsal ligament is a flat band which corresponds to the posterior longitudinal ligament (PLL) that run down inside the vertebral canal on the posterior surfaces of the bodies of the vertebrae. From the posterior side of the fifth sacral body inside the ...
The anterior ligament is not much of a ligament at all and in most cases is just a slight thickening of the anterior joint capsule. The anterior ligament is thin and not as well defined as the posterior sacroiliac ligaments. The posterior sacroiliac (SI) ligaments can be further divided into short (intrinsic) and long (extrinsic). [9]
These can all be a source of pain and inflammation if the SI joint is dysfunctional. [9] [2] The sacroiliac joint is highly dependent on its strong ligamentous structure for support and stability. [9] The most commonly disrupted and/or torn ligaments are the iliolumbar ligament and the posterior sacroiliac ligament. [9]
The anterior sacrococcygeal ligament or ventral sacrococcygeal ligament consists of a few irregular fibers, which descend from the anterior surface of the sacrum to the front of the coccyx, blending with the periosteum. [1]
Other ways that coccydynia develops are partial dislocation of the sacrococcygeal synchondrosis that can possibly result in abnormal movement of the coccyx from excessive sitting, and repetitive trauma of the surrounding ligaments and muscles, resulting in inflammation of tissues and pain.
The posterior sacroiliac ligament is situated in a deep depression between the sacrum and ilium behind; it is strong and forms the chief bond of union between the bones. It consists of numerous fasciculi , which pass between the bones in various directions.
The lowest fibres of gluteus maximus are attached to the posterior surface of the ligament; superficial fibres of the lower part of the ligament continue into the tendon of biceps femoris. The ligament is pierced by the coccygeal branches of the inferior gluteal artery, the perforating cutaneous nerve and filaments of the coccygeal plexus. [2]