All of the following are TRUE regarding iliolumbar ligament EXCEPT
(C) Lower part attached to sacrospinous ligament[?]ILIOLUMBAR LIGAMENT:AttachmentsOrigin: transverse process of L5Insertion: deep into ventral margin of iliac crest 6-7cm from mid-lineMain part of ILL originates from L5 transverse processes, insert was shield by crest dorsally, making it inaccessible to palpation.Function: It plays an important role in restraining movement in lumbosacral and the sacroiliac joints.Iliolumbar ligament strengthen the lumbosacral joint assisted by the lateral lumbosacral ligament, and, like all other vertebral joints, by the posterior & anterior longitudinal ligaments, the Ligamentum flava, and the interspinous & supraspinous ligaments.Pathology/lnjuryIliolumbar ligament syndrome or Iliac crest pain syndrome, involves inflammation or tear of iliolumbar ligamentSoft tissue injury to the iliac insertion of the ligamentCan be from direct trauma, a fall in which the ligament is pulled at that iliac crest insertion site, or a lifting injury.Exacerbated pain by physical activity involving the spine, e.g. twisting or bending, and long periods of sitting can also bring on the pain.Usually chronic or recurring, unilateral low back pain with a tender point at the posterior iliac crest.Most painful or tender spot is lateral to the more mid-line facets. Worse with prolonged sitting or standing.If the initial iliolumbar ligament injury is worsened, this is generally due to instability in the affected lumbar vertebrae that causes the 4th vertebra to slip and the 5th to move. This can lead to disc herniationEPONYMOUS LIGAMENTS AT A GLANCE!* Bertin's ligamentIliofemoral ligament.* Bichat's ligamentLower part of the dorsal sacroiliac ligament, or Transverse iliac ligament.* Bigelow's ligamentIliofemoral ligament.* Otallo's ligamentLigamentum arteriosum.* Bourgery's ligamentOblique popliteal ligament.* Bums'ligamentFalciform margin of the fascia lata at the saphenous opening.* Colles'ligamentReflected inguinal ligament.* Cooper's Ligament(1) Pectineal ligament: (2) Suspensory ligament of the breast.* Fallopian ligament or archInguinal ligament.* Flood's ligamentSuperior glenohumeral ligament.* Gerdy's ligamentSuspensory ligament of the axilla.* Gimbemat's ligamentLacunar ligament.* Gruber, ligament ofPetroclinoid ligament.* Henle's ligamentLateral expansion of the lateral edge of the rectus abdominis, together with transversalis fascia and the transversus aponeurosis; it forms the medial boundary of the femoral ring.* Hesselbach's ligamentInterfoveolar ligament; a thickening of the transversalis fascia (and possibly of the extra-peri- toneal tissue around the inferior epigastric vessels) extending from the inner edge of the deep inguinal ring upward along the inferior epigastric vessels, toward the arcuate line.* Hey's ligamentFalciform margin of the fascia lata at the saphenous opening.* Lisfranc's ligamentInterosseous ligament between the second metatarsal and the medial cuneiform bone.* Lockwood's ligamentSling for the eyeball; it is formed by muscular sheaths.* Mackenrodt's ligamentLateral (transverse) cervical or cardinal ligament of the uterus.* Petit's ligamentsUterosacral ligaments.* Weitbrecht's ligamentOblique cord of the proximal radio-ulnar joint.* Winslow, ligament ofOblique popliteal ligament.* Wrisberg, ligament ofPosterior meniscofemoral ligament.
Attached to iliac crest
Upper part continuous with thoracolumbar fascia
Lower part attached to sacrospinous ligament
Attached to transverse process of L4 vertebra
Abdomen & Pelvis