MRCEM Notes

Pelvic stability: pelvic ligaments

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The pelvis

The pelvis is formed by the sacrum, coccyx and a pair of innominate bones. The innominate bones are formed by the fusion of 3 bones (pubis, ilium and ischium).


Sacroiliac joint
The sacroiliac joint is a synovial joint. It is reinforced by a number of ligaments:
  • Sacrotuberous ligament
  • Sacrospinous ligament
  • Iliolumbar ligament
  • Sacroiliac ligaments (anterior and posterior)

Key ligaments contributing to stability of the SIJ

LigamentOriginInsertion
Sacrotuberous ligamentsacrumtuberosity of the ischium
Sacrospinous ligament Ischial spinesacrum
Iliolumbar ligamentTransverse process of fifth lumbar vertebraPosterior part of iliac crest
Sacroiliac ligamentsSacrumIlium

Anterior view of the pelvis: overview of the pelvic ligaments contributing to pelvic stability

View with lateral angulation highlighting sacrotuberous and sacrospinous ligaments

Sacrococcygeal joint
Cartilaginous joint between sacrum and coccyx. It is also called the sacrococcygeal symphysis and features a sacrococcygeal disc between the sacrum and coccyx. The joint is reinforced by dorsal, ventral and lateral sacrococcygeal ligaments.

Symphysis pubis

Cartilaginous joint joining the two pubic bones in the midline. A fibrocartilaginous disc seperates the two cartilaginous surfaces.
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