Sacrospinous ligament Sacrospinous ligament The sacrospinous ligament (small or anterior sacrosciatic ligament) is a thin, triangular ligament in the human pelvis. The base of the ligament is attached to the outer edge of the sacrum and coccyx, and the tip of the ligament attaches to the spine of the ischium, a bone in the human pelvis. Its fibres are intermingled with the sacrotuberous ligament. The sacrotuberous ligament passes behind the sacrospinous ligament. In its entire length it covers the equally triangular coccygeus muscle, to which its closely connected. The presence of the ligament in the greater sciatic notch creates an opening (foramen),
Ischium muscle. Above the spine is a large notch, the greater sciatic notch; Below the spine is a smaller notch, the lesser sciatic notch. The superior ramus of the ischium (descending ramus) projects downward and backward from the body and presents for examination three surfaces: external, internal, and posterior. The external surface is quadrilateral in shape. It is bounded above by a groove that lodges the tendon of the external obturator; below, it is continuous with the inferior ramus; in front it is limited by the posterior margin of the obturator foramen; behind, a prominent margin separates it from the posterior