Home Body Atlas Ligaments Anterior Sacrococcygeal Ligament
Ligament Lower Back

Anterior Sacrococcygeal Ligament

ligamentum sacrococcygeum anterius

The anterior sacrococcygeal ligament connects the anterior surfaces of the sacrum and coccyx, reinforcing the sacrococcygeal joint anteriorly. It is a continuation of the anterior longitudinal ligament.

Region: Lower Back
Biomechanics

Function & Actions

Resists excessive posterior coccyx flexion, maintains the sacrococcygeal joint, and provides the anterior fibrous support of the coccygeal region.

Clinical Relevance

Clinical Notes

Anterior sacrococcygeal ligament injury from direct posterior trauma (falling onto the coccyx) produces coccydynia. In sacrococcygeal teratoma resection, the anterior ligament and associated structures must be carefully dissected from the presacral space to avoid rectal injury.

Pathology

Common Injuries & Conditions

Anterior Sacrococcygeal Ligament Injury in Coccydynia

Disruption of the anterior sacrococcygeal ligament from fall trauma producing chronic coccyx pain, managed by manipulation, injection, or coccygectomy for refractory cases.

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