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in this lesson we are going to be talking about a nominance and innominate somatic dysfunction this lesson as well as the two that will follow it which will be sacral and cranial these three topics collectively tend to give medical students a ton of headaches when it comes to memorizing information for comlex so pay special attention to everything that i mentioned in this video i think our conversation should begin with a discussion of the local anatomy the first high-yield anatomical area to to think about is the ilio lumbar ligament this ligament stabilizes anterior motion of l5 on the pelvis so itamp;#39;s kind of like the equivalent of the acl in the knee but in the pelvis the reason this is so high yield especially for comlex and in class exams is because the ilio lumbar ligament is usually the first ligament injured in inominate somatic dysfunction so if youamp;#39;re taking complex and you get a question that says or describes innominate somatic dysfunction maybe they wonamp;