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4), (5) These include the very strong interosseous ligaments as well as the iliolumbar, sacrotuberous, and sacrospinous ligaments.
These injuries are rotationally unstable, there may also be some vertical displacement but this is limited by the sacrotuberous and sacrospinous ligaments, which typically remain intact (1,2).
The nerve runs between the sacrospinous and sacrotuberous ligaments, for instance, and entrapment between these two ligaments is probably the most common cause of pudendal neuralgia.
The sacrotuberous ligament fans out from the ischial tuberosity to the posterior superior iliac spine and the tuberosities of the sacrum; and the sacrospinous ligament, deep to the sacrotuberous ligament, attaches from the posterolateral aspects of the S3-S5 sacral body segments to the ischial spine .
For the posterior compartment repair, 1 implant strap on each side is placed via the sacrospinous ligament.
This combination is superior to anterior colporrhaphy or sacrospinous colpofixation with or without vaginal paravaginal repair.
The ligament is also portrayed as being in contact and partially fused with the sacrospinous ligament (Breathnach, 1965).
The surgery itself involves sectioning the sacrotuberous ligament into two parts to explore the proximal nerve, incising Alcock's canal, sectioning the sacrospinous ligament at the ischial spine, and then transposing the pudendal nerve.