Anatomy study note · Pelvis

Ligaments of the uterus

The uterus is supported mainly by levator ani and the perineal body and by three condensations of pelvic fascia (transverse cervical, pubocervical and sacrocervical ligaments). The broad and round ligaments are lax and give little support.

Key points

• Main supports: levator ani, perineal body, cardinal, pubocervical, uterosacral ligaments.
• Broad + round ligaments: lax, little support.
• Round ligament → inguinal canal → labium majus.
• Ureter under the uterine artery at the broad ligament base.
• Pouch of Douglas = lowest point of the peritoneal cavity.
• Gubernaculum → ligament of ovary + round ligament.
• Weak uterine ligaments → uterine prolapse.
• Ligament/tendon: dense regular CT — parallel collagen bundles.

The full note in the atlas also covers

Features · Histology · Development · Clinical notes

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Written from

• Snell’s Clinical Anatomy by Regions, 10th ed., ch. 9, PDF pp. 1128–1131, 1134–1135, 1141–1143
• Inderbir Singh’s Human Embryology, ch. 16, PDF pp. 306–307
• BRS Cell Biology & Histology, 7th ed., ch. 6, PDF pp. 110–111; ch. 19, PDF p. 352

More from the pelvis

• Obturator internus
• Obturator membrane
• Obturator nerve
• Ovary
• Pelvic lymph nodes
• Piriformis
• Prostate
• Pubic symphysis
• Rectum
• Sacral plexus
• Sacrococcygeal joint
• Sacroiliac joint

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