The sacrotuberous ligament has tendinous components attaching to the posterior inferior iliac spine, lateral sacral crest (S3-S5), and coccyx, and inserts via a thickened lateral band onto the ischial tuberosity. The hamstring muscle origins (biceps femoris long head) blend with the inferior edge of this ligament.
The sacrotuberous ligament tendinous component is relevant in proximal hamstring surgery where the biceps femoris long head origin blends with the ligament. Tension on the sacrotuberous ligament during leg raising tests SIJ mobility and ligament integrity. Prolotherapy injections target the sacrotuberous ligament at its sacral and ischial attachments for sacroiliac joint instability.
Traction injury to the sacrotuberous tendinous component from explosive hip flexion or hamstring avulsion, producing posterior pelvic pain and SIJ dysfunction managed with prolotherapy and pelvic stabilisation.
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