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Ligament

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(Redirected from Ligaments) Connective tissue between bones For the structure of a bivalve shell, see Ligament (bivalve).
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Ligament
Details
SystemMusculoskeletal system
FunctionConnect bones to other bones; maintain position of organs
Identifiers
Latinligamentum (Plural: ligamenta)
MeSHD008022
TA98A03.0.00.034
FMA70773 30319, 70773
Anatomical terminology[edit on Wikidata]

A ligament is the fibrous connective tissue that connects bones to other bones. It also connects flight feathers to bones, in dinosaurs and birds. All 30,000 species of amniotes (land animals with internal bones) have ligaments.

It is also known as articular ligament, articular larua, fibrous ligament, or true ligament.

Comparative anatomy

Ligaments are similar to tendons and fasciae as they are all made of connective tissue. The differences among them are in the connections that they make: ligaments connect one bone to another bone, tendons connect muscle to bone, and fasciae connect muscles to other muscles. These are all found in the skeletal system of the human body. Ligaments cannot usually be regenerated naturally; however, there are periodontal ligament stem cells located near the periodontal ligament which are involved in the adult regeneration of periodontist ligament.

The study of ligaments is known as desmology.

Humans

Other ligaments in the body include the:


Articular ligaments

Articular ligament

"Ligament" most commonly refers to a band of dense regular connective tissue bundles made of collagenous fibers, with bundles protected by dense irregular connective tissue sheaths. Ligaments connect bones to other bones to form joints, while tendons connect bone to muscle. Some ligaments limit the mobility of articulations or prevent certain movements altogether.

Capsular ligaments are part of the articular capsule that surrounds synovial joints. They act as mechanical reinforcements. Extra-capsular ligaments join in harmony with the other ligaments and provide joint stability. Intra-capsular ligaments, which are much less common, also provide stability but permit a far larger range of motion. Cruciate ligaments are paired ligaments in the form of a cross.

Ligaments are viscoelastic. They gradually strain when under tension and return to their original shape when the tension is removed. However, they cannot retain their original shape when extended past a certain point or for a prolonged period of time. This is one reason why dislocated joints must be set as quickly as possible: if the ligaments lengthen too much, then the joint will be weakened, becoming prone to future dislocations. Athletes, gymnasts, dancers, and martial artists perform stretching exercises to lengthen their ligaments, making their joints more supple.

The term hypermobility refers to the characteristic of people with more-elastic ligaments, allowing their joints to stretch and contort further; this is sometimes still called double-jointedness.

Hypermobile finger

The consequence of a broken ligament can be instability of the joint. Not all broken ligaments need surgery, but, if surgery is needed to stabilise the joint, the broken ligament can be repaired. Scar tissue may prevent this. If it is not possible to fix the broken ligament, other procedures such as the Brunelli procedure can correct the instability. Instability of a joint can over time lead to wear of the cartilage and eventually to osteoarthritis.

Artificial ligaments

One of the most often torn ligaments in the body is the anterior cruciate ligament (ACL). The ACL is one of the ligaments crucial to knee stability and persons who tear their ACL often undergo reconstructive surgery, which can be done through a variety of techniques and materials. One of these techniques is the replacement of the ligament with an artificial material. Artificial ligaments are a synthetic material composed of a polymer, such as polyacrylonitrile fiber, polypropylene, PET (polyethylene terephthalate), or polyNaSS poly(sodium styrene sulfonate).

Examples

There are about 900 ligaments in an average adult human body, of which about 25 are listed here.

Head and neck
Thorax
Pelvis
Wrist
Knee

Peritoneal ligaments

Certain folds of peritoneum are referred to as ligaments. Examples include:

Fetal remnant ligaments

Certain tubular structures from the fetal period are referred to as ligaments after they close up and turn into cord-like structures:

Fetal Adult
ductus arteriosus ligamentum arteriosum
extra-hepatic portion of the fetal left umbilical vein ligamentum teres hepatis (the "round ligament of the liver").
intra-hepatic portion of the fetal left umbilical vein (the ductus venosus) ligamentum venosum
distal portions of the fetal left and right umbilical arteries medial umbilical ligaments

See also

References

  1. "ligament" at Dorland's Medical Dictionary
  2. Asahara, Hiroshi; Inui, Masafumi; Lotz, Martin K. (September 2017). "Tendons and Ligaments: Connecting Developmental Biology to Musculoskeletal Disease Pathogenesis". Journal of Bone and Mineral Research. 32 (9): 1773–1782. doi:10.1002/jbmr.3199. ISSN 0884-0431. PMC 5585011. PMID 28621492.
  3. Daniel John Cunningham (1918). Cunningham's text-book of anatomy (5th ed.). Oxford Press. p. 1593.
  4. R.A., Hauser; E.E., Dolan; H.J., Phillips; A.C., Newlin; R.E., Moore; B.A., Woldin (2013-01-23). "Ligament Injury and Healing: A Review of Current Clinical Diagnostics and Therapeutics" (PDF). The Open Rehabilitation Journal. 6 (1): 5. doi:10.2174/1874943701306010001.
  5. Lessim S, Migonney V, Thoreux P, Lutomski D, Changotade S (June 2013). "PolyNaSS bioactivation of LARS artificial ligament promotes human ligament fibroblast colonisation in vitro". Biomed Mater Eng. 23 (4): 289–297. doi:10.3233/BME-130753. PMID 23798650.
  6. "Ligament". Physiopedia. Retrieved 2023-09-11.
  7. "Ligament: Anatomy, Function, Sprain". Cleveland Clinic. Retrieved 2023-09-11.
Joints
Types
Terminology
Motions
Components
Joints and ligaments of the head and neck
Temporomandibular
Atlanto-occipital
Joints and ligaments of the arm
Shoulder
Sternoclavicular
Acromioclavicular
Glenohumeral
Elbow
Humeroradial
Humeroulnar
Proximal radioulnar
Forearm
Distal radioulnar
Hand
Wrist/radiocarpal
Intercarpal
  • Radiate carpal
  • Dorsal intercarpal
  • Palmar intercarpal
  • Interosseous intercarpal
  • Scapholunate
  • Pisiform joint (Pisohamate
  • Pisometacarpal)
  • Carpometacarpal
    Intermetacarpal
    Metacarpophalangeal
    Interphalangeal
    Other
    Joints and ligaments of torso
    Vertebral
    Syndesmosis
    Of vertebral bodies
    Of vertebral arches
    Symphysis
    Synovial joint
    Atlanto-axial
    • Lateral: no ligaments
    Zygapophysial
    • no ligaments
    Lumbosacral
    Sacrococcygeal
    Thorax
    Costovertebral
    Head of rib
    Costotransverse
    Sternocostal
    Interchondral
    • no ligaments
    Costochondral
    • no ligaments
    Pelvis
    Syndesmoses of pelvic girdle
    Pubic symphysis
    Sacroiliac
    Joints and ligaments of the human leg
    Hip
    Knee
    Tibiofemoral
    Patellofemoral
    Tibiofibular
    Superior tibiofibular
    Inferior tibiofibular
    Foot
    Talocrural and ankle
    Subtalar/talocalcaneal
    Transverse tarsal
    Talocalcaneonavicular
    Calcaneocuboid
    Distal intertarsal
    Cuneonavicular
    Cuboideonavicular
    Intercuneiform
    Other
    Tarsometatarsal/Lisfranc
    Intermetatarsal/metatarsal
    Metatarsophalangeal
    Interphalangeal
    Arches
    Anatomy of the peritoneum and mesentery
    General
    Abdominal
    From
    ventral mesentery
    From
    dorsal mesentery
    Abdominal cavity
    General
    Pelvic
    Uterus/ovaries
    Recesses
    Spaces
    Fetal vascular remnant ligaments
    Heart
    Liver
    Umbilical
    Connective tissue
    Physiology
    Composition
    Cells
    Resident
    Wandering cells
    Extracellular
    matrix
    Ground substance
    Fibers
    Types
    Proper
    Loose
    Dense
    Embryonic
    Specialized
    Categories: