Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
The aponeurosis of the external oblique muscle occupies the whole of
that space which I have marked as the inguinal triangle, B C D, Pl. 28.
The fleshy fibres of the muscle, A, after forming the lateral wall of
the abdomen, descend to the level of C, the iliac spinous process, and
here give off the inguinal part of their broad tendon, a. The fibres of
this part of the tendon descend obliquely downwards and forwards to
become inserted at the median line of the abdomen into the linea alba, B
D, as also into the symphysis and crista of the os pubis. The lower band
of the fibres of this tendinous sheath--viz., that which is stretched
between C, the iliac spine, and D, the crista pubis, is named Poupart's
ligament; and this is strongly connected with H, the iliac portion of
the fascia lata of the thigh.
Poupart's ligament is not stretched tensely in a right line, like the
string of a bow, between the points, C and D. With regard to these
points it is lax, and curves down towards the thigh like the arc of a
circle. The degree of tension which it manifests when the thigh is in
the extended position is chiefly owing to its connexion with the fascia
lata. If in this position of the limb we sever the connexion between the
ligament and fascia, the former becomes relaxed in the same degree as it
does when we flex the thigh upon the abdomen. The utmost degree of
relaxation which can be given to Poupart's ligament is effected by
flexing the thigh towards the abdomen, at the same time that we support
the body forwards. This fact has its practical application in connexion
with the reduction of herniae.
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