Iliac fascia
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The iliac fascia, or Abernethy's fascia, is a
fascia A fascia (; plural fasciae or fascias; adjective fascial; from Latin: "band") is a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches to, stabilizes, encloses, and separates muscles and other internal organs ...
in the region of the ilium of the
pelvis The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The ...
. It has the following connections: * ''laterally'', to the whole length of the inner lip of the
iliac crest The crest of the ilium (or iliac crest) is the superior border of the wing of ilium and the superiolateral margin of the greater pelvis. Structure The iliac crest stretches posteriorly from the anterior superior iliac spine (ASIS) to the poster ...
. * ''medially'', to the
linea terminalis The linea terminalis or innominate line consists of the pubic crest, pectineal line (pecten pubis), the arcuate line, the sacral ala, and the sacral promontory. It is the pelvic brim, which is the edge of the pelvic inlet. The pelvic inlet is t ...
of the
lesser pelvis The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet (the superior opening of the pelvis). Its lower boundary is the pelvic floor. The pelvic cavity primarily contains the reprodu ...
, where it is continuous with the
periosteum The periosteum is a membrane that covers the outer surface of all bones, except at the articular surfaces (i.e. the parts within a joint space) of long bones. Endosteum lines the inner surface of the medullary cavity of all long bones. Structu ...
. At the iliopectineal eminence it receives the tendon of insertion of the Psoas minor, when that muscle exists. Lateral to the femoral vessels it is intimately connected to the posterior margin of the
inguinal ligament The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may ...
, and is continuous with the
transversalis fascia The transversalis fascia (or transverse fascia) is a thin aponeurotic membrane of the abdomen. It lies between the inner surface of the transverse abdominal muscle and the parietal peritoneum. It forms part of the general layer of fascia lining ...
. Immediately lateral to the femoral vessels the iliac fascia is prolonged backward and medialward from the inguinal ligament as a band, the iliopectineal fascia, which is attached to the iliopectineal eminence. This fascia divides the space between the inguinal ligament and the hip bone into two lacunæ or compartments: * the ''medial''
vascular lacuna The vascular lacuna (Latin: ''lacuna vasorum'') is the compartment beneath the inguinal ligament which allows for passage of the femoral vessels, lymph vessels and lymph nodes. Its boundaries are the iliopectineal arch, the inguinal ligament, ...
transmits the femoral vessels. * the ''lateral''
muscular lacuna The muscular lacuna (Latin: ''lacuna musculorum'') is the lateral compartment of the thigh inferior to the inguinal ligament, for the passage of the iliopsoas muscle, the femoral nerve and the lateral cutaneous nerve of the thigh The lateral ...
transmits the
Psoas major The psoas major ( or ; from grc, ψόᾱ, psóā, muscles of the loins) is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis. It joins the iliacus muscle to form the ilio ...
and Iliacus and the
femoral nerve The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. Structure The femoral nerve is the major nerve supplying the anterior compartment of the thigh. It is the largest ...
. Medial to the vessels the iliac fascia is attached to the pectineal line behind the
conjoint tendon The conjoint tendon (previously known as the inguinal aponeurotic falx) is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining ...
, where it is again continuous with the transversalis fascia.


See also

* Fascia iliaca block


References

Pelvis Fascia {{musculoskeletal-stub