Uterosacral ligament: Difference between revisions

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The '''uterosacral ligaments''' (or '''rectouterine ligaments''') are [[major ligaments of uterus]] that extend posterior-ward from the [[cervix]] to attach onto the (anterior aspect of the<ref name="GRAYS2005">{{cite book |last=Drake |first=Richard L. |title=Gray's anatomy for students |author2=Vogl, Wayne |author3=Tibbitts, Adam W.M. Mitchell |author4=illustrations by Richard |author5=Richardson, Paul |publisher=Elsevier/Churchill Livingstone |year=2005 |isbn=978-0-8089-2306-0 |location=Philadelphia |page=417}}</ref>) [[sacrum]].'''<ref name=":02">{{Cite book |last=Sinnatamby |first=Chummy |title=Last's Anatomy |publisher= |year=2011 |isbn=978-0-7295-3752-0 |edition=12th |pages=304}}</ref>'''
The '''uterosacral ligaments''' (or '''rectouterine ligaments''') belong to the [[major ligaments of uterus]].


==Structure==
== Anatomy ==
The [[rectouterine folds]] contain a considerable amount of fibrous tissue and non-striped muscular fibers which are attached to the front of the [[sacrum]] and constitute the uterosacral ligaments.<ref>* Netter, Atlas of Human Anatomy, 371 (4th Edition)</ref>


=== Structure ===
These ligaments travel from the uterus to the anterior aspect of the sacrum.<ref name=GRAYS2005>{{cite book|last=Drake|first=Richard L.|title=Gray's anatomy for students|year=2005|publisher=Elsevier/Churchill Livingstone|location=Philadelphia|isbn=978-0-8089-2306-0|author2=Vogl, Wayne |author3=Tibbitts, Adam W.M. Mitchell |author4=illustrations by Richard |author5= Richardson, Paul |page=417}}</ref>
The uterosacral ligaments consist of fibrous connective tissue, and smooth muscle tissue.'''<ref name=":02" />'''


=== Relations ===
The [[pelvic splanchnic nerves]] run on top of the ligament.<ref name=DAFTARY2011>{{cite book|last=Daftary|title=Manual of Obstetrics, 3/e|year=2011|isbn=978-81-312-2556-1|publisher=Elsevier|pages=1–16}}</ref>
The uterosacral ligaments pass inferior to the peritoneum. They embrace the [[rectouterine pouch]], and rectum.'''<ref name=":02" />''' The [[pelvic splanchnic nerves]] run on top{{Further explanation needed|reason="Superior to" or "upon"?|date=January 2023}} of the ligament.<ref name="DAFTARY2011">{{cite book|last=Daftary|title=Manual of Obstetrics, 3/e|year=2011|isbn=978-81-312-2556-1|publisher=Elsevier|pages=1–16}}</ref>

== Function ==
The uterosacral ligaments pull the cervix posterior-ward, counteracting the anterior-ward pull exerted by the [[round ligament of uterus]] upon the [[fundus of the uterus]], thus maintaining [[anteversion]] of the [[body of the uterus]].'''<ref name=":02" />'''

== Clinical significance ==
The uterosacral ligaments may be palpated during a [[rectal examination]], but not during [[pelvic examination]].'''<ref name=":02" />'''


==References==
==References==

Revision as of 23:55, 24 January 2023

Uterosacral ligament
Uterosacral ligament (in white color) connect between the sacrum and uterus.
Details
Identifiers
Latinligamentum rectouterinum
TA98A09.1.03.032
TA23840
FMA19111
Anatomical terminology

The uterosacral ligaments (or rectouterine ligaments) are major ligaments of uterus that extend posterior-ward from the cervix to attach onto the (anterior aspect of the[1]) sacrum.[2]

Anatomy

Structure

The uterosacral ligaments consist of fibrous connective tissue, and smooth muscle tissue.[2]

Relations

The uterosacral ligaments pass inferior to the peritoneum. They embrace the rectouterine pouch, and rectum.[2] The pelvic splanchnic nerves run on top[further explanation needed] of the ligament.[3]

Function

The uterosacral ligaments pull the cervix posterior-ward, counteracting the anterior-ward pull exerted by the round ligament of uterus upon the fundus of the uterus, thus maintaining anteversion of the body of the uterus.[2]

Clinical significance

The uterosacral ligaments may be palpated during a rectal examination, but not during pelvic examination.[2]

References

Public domain This article incorporates text in the public domain from page 1260 of the 20th edition of Gray's Anatomy (1918)

  1. ^ Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. p. 417. ISBN 978-0-8089-2306-0.
  2. ^ a b c d e Sinnatamby, Chummy (2011). Last's Anatomy (12th ed.). p. 304. ISBN 978-0-7295-3752-0.
  3. ^ Daftary (2011). Manual of Obstetrics, 3/e. Elsevier. pp. 1–16. ISBN 978-81-312-2556-1.