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46 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
greater (false) pelvis extends from
iliac crest inferiorly to the pelvic brim
lesser (true) pelvis extends from
pelvic brim to pelvic diaphragm(floor)
pelvic brim = a plane marked by
sacral promontory
arcuate line
pectineal line
upper edge of the pubic symphysis
sacral promontory is located
just below the junction of the sacrum with the 5th lumbar vertebrae
true obstetrical conjugate is the
anteroposterior distance between the inner surface of pubic symphysis and sacral promontory
diagonal conjugate is the distance between
the inferior surface of the pubic symphysis and the sacral promontory
anatomical conjugate is equal to the length of the
pelvic brim measurement
bony pelvis is formed by 4 bones
2 os coxi; sacrum; coccyx
each os coxi is a fusion of
three bones
complete fusion of os coxi bones occurs between
15-20th year
three bones of os coxi are
ilium
ischium
pubis
sacral hiatus is marked on each side by
inferior sacral comu
sacral hiatus is important clinically for
the space for injection of anasthetics and steroids
dural sac is still present at S2, but the spinal cord has terminated at L2
where the three bones of os coxi come together
acetabulum
אָדוֹן
Lord, master
Senhor
pelvic bones become progressively smooth until age____ and then become increasingly pitted at ages_____
30-40
greater than 50
in general the female pelvis is
lighter, has larger subpubic angle, shallow pelvis, with an oval and rounded pelvic brim, the pelvic outlet is larger and the sacrum is straighter
gynecoid
typical female shaped pelvis
android
typical male shaped pelvis
anthropoid
pelvis that has been elongated anterior to posterior dimension-
platypelloid
broad pelvis with a subpubic angle greater than 90
pelvic fractures from automobile accidents involve the
displacement of pubic symphysis posteriorly, breaking superior and inferior rami
sacroiliac joint is both
fibrous
synovial
pubic symphysis is a ____ joint with
fibrocartilaginous joint with interpubic disc between the pubic bones in the midline
during pregnancy the hormones___ and ___ are said to partially _______ which may permit some movement of pelvic joints, especially the_____
progesterone
relaxin
degrade collagen fibers
pubic symphysis
the obturator internus muscle passes
posteriorly from the pelvis out the lesser sciatic foramen turning laterally to attach to the greater trochanter of the femur to laterally rotate the leg
the prirformis muscle runs
horizontallly and exits out the greater sciatic foramen to attach to the greater trochanter of the femur causing lateral rotation and abduction of the leg.
tendinous arch of levator ani is also called
white line
pelvic diaphragmis formed by what two muscles
levator ani
coccygeus muscle
the pelvic diaphragm is laterally attached to
the medial surface of the obturator internus muscle
the levator ani muscle is composed of three parts that are innervated by ___
S4 mainly
what are the three parts of the levator ani muscle?
pubococcygeus
puborectalis
iliococcygeus
pubococcygeus
largest part, attached from the body of the pubis to the coccyx
puborectalis
attached from the medial body of the pubis to form a U-shaped muscular sling around the anorectal junction
iliococcygeus
attached from a tendinous arch of fascia on top of the obturator internus muscles and the ischial spine to the coccyx
coccygeus muscles attach from the
ishcial spine to the distal sacrum and coccyx
coccygeus muscles are innervated by
S4
coccygeus muscles run
parallel and internal to sacrospinous ligament
puborectalis muscle runs ____ to the anorectal junction, pulling it anterioly creating an ______ which aids in maintaining _____
posterior
anorectal angle
fecal continence
kegel exercises are contractions of
pubococcygeus muscle and pelvic diaphragm
kegel exercises during pregnancy tends to help
prevent urinary stress incontinence during and after pregnancy
also thought to help prevent injuries during parturition including- uterine prolapse and urinary stress incontinence
pubococcygeus supports and adds sphincter tone to
urethra, vagina, anal canal
if the pubococcygeus muscle is not working properly, the result is
urinary stress incontinence, uterine prolapse
superficial to the perineal membrane is a space called the
superficial perineal space
contains erectile tissues and muscles of the external genetalia
deep to the perineal membrane is a region called
deep perineal space
contains striated muscle of the urethra and a deep transverse perineal muscle that support the free edge of perineal membrane
nerves are arteries are here as well.
straddle injuries bleed into the
superficial perineal space
blood is limited by the superficial perineal membrane