Conjoint tendon

Changed by Andrew Murphy, 27 Oct 2020

Updates to Article Attributes

Body was changed:

The conjoint tendon, also known as Henle's ligament, forms when the medial fibres of the internal oblique aponeurosis unite with the deeper fibres of the transversus abdominis aponeurosis. The conjoint tendon then turns inferiorly and attaches onto the pubic crest and pecten pubis 1

Relations

It medially reinforces the posterior wall of the inguinal canal, with the transversalis fascia forming the majority of the posterior wall. It is located directly posterior to the superficial inguinal ring. Laterally, the fibres can fuse with those of the interfoveolar ligament

Clinical importance

The conjoint tendon may prediposepredispose to a direct inguinal hernia if it weakens2  Young males with well developed abdominal musculature may be predisposed to a direct hernia known as Bugosa hernia, or Gill-Ogilvie hernia2

Related pathology

  • Bugosa hernia
  • direct Inguinal hernia
  • -<p>The <strong>conjoint tendon, </strong>also known as<strong> Henle's ligament</strong>, forms when the medial fibres of the <a href="/articles/internal-oblique-muscle">internal oblique</a> aponeurosis unite with the deeper fibres of the <a href="/articles/transversus-abdominis-muscle">transversus abdominis</a> aponeurosis. The conjoint tendon then turns inferiorly and attaches onto the pubic crest and pecten pubis <sup>1</sup>. </p><h5>Relations</h5><p>It medially reinforces the posterior wall of the <a href="/articles/inguinal-canal">inguinal canal</a>, with the transversalis fascia forming the majority of the posterior wall. It is located directly posterior to the superficial inguinal ring. Laterally, the fibres can fuse with those of the <a href="/articles/interfoveolar-ligament-1">interfoveolar ligament</a>. </p><h4>Clinical importance</h4><p>The conjoint tendon may predipose to a direct inguinal hernia if it weakens<sup>2</sup>  Young males with well developed abdominal musculature may be predisposed to a direct hernia known as <a title="Bugosa hernia" href="/articles/bugosa-hernia">Bugosa hernia</a>, or Gill-Ogilvie hernia<sup>2</sup>. </p><h4>Related pathology</h4><ul>
  • +<p>The <strong>conjoint tendon, </strong>also known as<strong> Henle's ligament</strong>, forms when the medial fibres of the <a href="/articles/internal-oblique-muscle">internal oblique</a> aponeurosis unite with the deeper fibres of the <a href="/articles/transversus-abdominis-muscle">transversus abdominis</a> aponeurosis. The conjoint tendon then turns inferiorly and attaches onto the pubic crest and pecten pubis <sup>1</sup>. </p><h5>Relations</h5><p>It medially reinforces the posterior wall of the <a href="/articles/inguinal-canal">inguinal canal</a>, with the transversalis fascia forming the majority of the posterior wall. It is located directly posterior to the superficial inguinal ring. Laterally, the fibres can fuse with those of the <a href="/articles/interfoveolar-ligament-1">interfoveolar ligament</a>. </p><h4>Clinical importance</h4><p>The conjoint tendon may predispose to a direct inguinal hernia if it weakens <sup>2</sup>  Young males with well developed abdominal musculature may be predisposed to a direct hernia known as <a href="/articles/bugosa-hernia">Bugosa hernia</a>, or Gill-Ogilvie hernia <sup>2</sup>. </p><h4>Related pathology</h4><ul>

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