Descending part of iliofemoral ligament

Pars descendens ligamenti iliofemoralis

The medial, nearly vertical limb of the Y-shaped iliofemoral ligament, running from the ilium to the lower intertrochanteric line.

At a glance

English
Descending part of iliofemoral ligament
Latin (TA2)
Pars descendens ligamenti iliofemoralis
System
Ligament
Side
Paired, left and right

About the descending part of iliofemoral ligament

The iliofemoral ligament lies over the front of the hip joint and is the strongest ligament in the body. It is shaped like an inverted Y. Its stem is attached to the lower part of the anterior inferior iliac spine and the adjoining rim of the acetabulum, and from there two limbs fan out to the intertrochanteric line of the femur. The descending part is the medial limb. It runs almost straight down to the lower part of the intertrochanteric line, near the lesser trochanter, while the other limb, the transverse part, runs more horizontally to the upper end of the line.

The descending part is a thickening of the fibrous capsule rather than a separate band. On its medial side lies the pubofemoral ligament, and between the two is a thinner area of capsule over which the tendon of iliopsoas passes on its way to the lesser trochanter. A bursa beneath this tendon sometimes communicates with the joint cavity.

The ligament becomes taut as the hip extends. In upright standing it stops the pelvis tipping backwards on the femoral heads, so that a person can stand with little muscular effort by resting their weight on it. Its strength means it usually survives hip dislocation, and it is used as a fulcrum when a dislocated hip is reduced. In a posterior dislocation the intact ligament helps hold the limb in its typical bent, adducted and inwardly rotated position.

Attachments and function

Attaches from
Stem of the iliofemoral ligament: lower part of the anterior inferior iliac spine and adjoining acetabular rim.
Attaches to
Lower part of the intertrochanteric line of the femur.
Function
Tightens in extension of the hip, limiting hyperextension and letting the body hang on the ligament when standing upright.
Nerve supply
Articular branches to the front of the hip joint from the femoral nerve, with a contribution from the obturator nerve.
Blood supply
Branches of the medial and lateral circumflex femoral arteries.

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