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