Cardinal ligament

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Cardinal ligament
Vessels of the uterus and its appendages, rear view. (Cardinal ligament not visible, but location can be inferred from position of uterine artery and uterine vein.)
Uterus and right broad ligament, seen from behind. (Cardinal ligament not labeled, but broad ligament visible at center.)
Details
Identifiers
Latinligamentum cardinale, ligamentum transversum cervicis, ligamentum transversalis colli
TA98A09.1.03.031
A09.1.03.022
TA23839
FMA77064
Anatomical terminology

The cardinal ligament (also transverse cervical ligament, lateral cervical ligament,

major ligament of the uterus formed as a thickening of connective tissue of the base of the broad ligament of the uterus. It extends laterally (on either side) from the cervix and vaginal fornix to attach onto the lateral wall of the pelvis. The female ureter, uterine artery, and inferior hypogastric (nervous) plexus course within the cardinal ligament. The cardinal ligament supports the uterus.[1]

Structure

The cardinal ligament is a paired structure on the lateral side of the uterus. It originates from the lateral part of the cervix.[3]

Attachments

It attaches the cervix to the lateral pelvic wall by its attachment to the obturator fascia of the obturator internus muscle.[4] It attaches to the uterosacral ligament.[3]

Relations

It is continuous externally with the fibrous tissue surrounding the pelvic blood vessels.[4]

Function

The cardinal ligament supports the uterus, providing lateral stability to the cervix.[1]

Clinical significance

The cardinal ligament may be affected in hysterectomy.[5][6] Due to its proximity to the ureters, it can get damaged during ligation of the ligament. It is routinely cut during some uterine operations, although this can have side effects.[3]

See also

References

Public domain This article incorporates text in the public domain from page 1261 of the 20th edition of Gray's Anatomy (1918)

External links