{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:25:31Z","timestamp":1770769531160,"version":"3.50.0"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T00:00:00Z","timestamp":1566345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>In clinical settings, the pectineal ligament forms a basic landmark for surgical approaches. However, to date, the detailed fascial topography of this ligament is not well understood. The aim of this study was to describe the morphology of the pectineal ligament including its fascial connections to surrounding structures. The spatial\u2013topographical relations of 10 fresh and embalmed specimens were dissected, stained, slice plastinated, and analyzed macroscopically, and in three cases histological approaches were also used. The pectineal ligament is attached ventrally and superiorly to the pectineus muscle, connected to the inguinal ligament by the lacunar ligament and to the tendinous origin of rectus abdominis muscle and the iliopubic tract. It forms a site of origin for the internal obturator muscle, and throughout its curved course, the ligament attaches to both the fasciae of iliopsoas and the internal obturator muscle. However, dorsally, these fasciae pass free from the bone, while the pectineal ligament itself is adhered to it. The organ fasciae are seen apart from the pectineal ligament and its connections. The pectineal ligament seems to form a connective tissue junction between the anterior and medial compartment of the thigh. This ligament, however, is free to other compartments arisen from the embryonal gut and to the urogenital ridge. These features of the pectineal ligament are important to consider during orthopedic and trauma surgical approaches, in gynecology, hernia and incontinence surgery, and in operations for pelvic floor and neovaginal reconstructions. Clin. Anat. 32:961\u2013969, 2019. \u00a9 2019 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.23445","type":"journal-article","created":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T14:51:22Z","timestamp":1565016682000},"page":"961-969","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The fascial connections of the pectineal ligament"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7117-9330","authenticated-orcid":false,"given":"Hanno","family":"Steinke","sequence":"first","affiliation":[{"name":"Institute of Anatomy, Leipzig University  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Wiersbicki","sequence":"additional","affiliation":[{"name":"Institute of Anatomy, Leipzig University  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"V\u00f6lker","sequence":"additional","affiliation":[{"name":"Orthopedics, Trauma Surgery and Plastic Surgery, Spine Center, University Hospital Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Pieroh","sequence":"additional","affiliation":[{"name":"Orthopedics, Trauma Surgery and Plastic Surgery, Spine Center, University Hospital Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Kulow","sequence":"additional","affiliation":[{"name":"Institute of Anatomy, Leipzig University  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department for Gynecology University Hospital Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Osterhoff","sequence":"additional","affiliation":[{"name":"Orthopedics, Trauma Surgery and Plastic Surgery, Spine Center, University Hospital Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2017.01.014"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-015-1444-8"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7580.2010.01300.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)36367-0"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000013575"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(16)30026-7"},{"key":"e_1_2_6_8_1","volume-title":"The Anatomy and Surgical Treatment of Inguinal and Congenital Hernia I","author":"Cooper A","year":"1804"},{"key":"e_1_2_6_9_1","volume-title":"The Anatomy and Surgical Treatment of Hernia II","author":"Cooper A","year":"1807"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2003.09.003"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-001-0237-1"},{"key":"e_1_2_6_12_1","first-page":"292","volume-title":"Terminologia Anatomica: International Anatomical Terminology","author":"Federative Committee on Anatomical Terminology","year":"1998"},{"key":"e_1_2_6_13_1","first-page":"876","article-title":"Prolapse of the sigmoid neovagina: Report of three cases","volume":"83","author":"Freundt I","year":"1994","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000269"},{"key":"e_1_2_6_15_1","first-page":"160","volume-title":"Heidelberg Plastination Folder: Collection of Technical Leaflets of Plastination","author":"Hagens GV","year":"1986"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ase.1270"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0714-8"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22348"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.05.028"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.11.060"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199608000-00011"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00591232"},{"key":"e_1_2_6_23_1","first-page":"931","article-title":"The anatomic basis for inguinal and femoral hernioplasty","volume":"139","author":"McVay CB","year":"1974","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_6_24_1","first-page":"560","volume-title":"The Developing Human. Clinically Oriented Embryology","author":"Moore KL","year":"2016"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-2-13"},{"key":"e_1_2_6_26_1","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/978-3-642-55190-1","volume-title":"Romeis\u2010Mikroskopische Technik","author":"Mulisch M","year":"2015"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3009-5"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2018.06.001"},{"key":"e_1_2_6_29_1","first-page":"52","article-title":"Etude anatomique du ligament de Cooper: Int\u00e9r\u00eat dans la cure chirurgicale de l'incontinence urinaire de la femme","volume":"27","author":"Perdu M","year":"1998","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200403000-00009"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22559"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1048-6666(01)80008-2"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199801000-00009"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0940-9602(01)80234-X"},{"key":"e_1_2_6_35_1","first-page":"224","volume-title":"Atlas of Human Fascial Topography. Photography by Anna Rowedder","author":"Steinke H","year":"2018"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/ase.179"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2017.10.001"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-015-2883-7"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.23445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ca.23445","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23445","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T07:35:05Z","timestamp":1693812905000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.23445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,21]]},"references-count":37,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1002\/ca.23445"],"URL":"https:\/\/doi.org\/10.1002\/ca.23445","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,21]]},"assertion":[{"value":"2019-05-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-08-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}