1: Anatomy - Pelvic side wall Flashcards
What is the relationship between the ureters and the uterine arteries?
WATER UNDER THE BRIDGE
Ureters run deep to the uterine arteries (in women)
Which vasculature is closely associated with the ureters?
Uterine arteries
Which structures are the uterine arteries closely associated with?
Ureters
During surgery, how would you be able to differentiate the ureters from the uterine arteries?
Ureters are deep to the uterine arteries
And the ureter vermiates when you touch it
Which bony features are also known as the sit bones?
Ischial tuberosities
Not the spines
Which bony feature is the distal attachment for coccygeus, a landmark on vaginal examination and can also be identified on pelvic X-rays?
Ischial spines
Which two pelvic ligaments must you remember?
What are their proximal and distal attacments?
Sacrospinous ligament - closely related to pudendal nerve; sacrum to ischial spine
Sacrotuberous ligament - sacrum to ischial tuberosity
Which three holes on each side of the pelvis must you remember?
Greater sciatic foramen
Lesser sciatic foramen
Obturator foramen
What is the covering of the obturator foramen?
Obturator membrane
:)
What structures run through the obturator foramen?
Obturator artery, vein and nerve
Which muscle is found superficial to the obturator membrane?
What is its function?
Obturator internus
LATERAL ROTATION of hip
Obturator ___ is a lateral rotator of the hip joint.
Obturator internus
The tendinous arch of which muscle runs from the pubic bone to the ischial spine?
Levator ani
The ___ ___ of levator ani runs from the pubic bone to the ischial spine.
tendinous arch of levator ani
Which fat-filled space contains the pudendal canal and is found deep to the tendinous arch of levator ani?
Ischioanal fossa
What is the clinical relevance of the ischioanal fossa?
Site of development of perineal abscesses and fistulae
Apart from obturator internus, which other lower limb muscle is found in the pelvis?
Piriformis
Which blood vessels are closely related to piriformis?
Superior and inferior gluteal arteries
Branches of the posterior division of internal iliac
At which vertebral level does the common iliac artery bifurcate?
L4
From which artery do all pelvic and perineal arteries arise?
Internal iliac artery
Which areas of the body are supplied by the
a) internal iliac artery
b) external iliac artery?
a) Pelvis and perineum
b) Lower limb
All pelvic and perineal arteries are supplied by the internal iliac artery.
What are the two exceptions, and from which vertebral levels do these arteries arise?
Gonadal artery @ L2 (think about developmental origin of the gonads)
Superior rectal artery from IMA @ L3
Name the vertebral levels at which
a) the common iliac artery bifurcates
b) the gonadal arteries come off the abdominal aorta
c) the IMA comes off the abdominal aorta.
a) L4
b) L2
c) L3
In the pelvis, the internal iliac artery splits into two ___.
two divisions