6b. Pelvis HAL - Worksheet Flashcards
what are the 3 parts of the pelvic bone
ilium
ischium
pubis
what are the 2 landmarks of the ilium
iliac fossa and ASIS
what are the 2 landmarks for ischium
ischial tuberosity
ischial spine
what are the 2 bony landmarks of the pubis
pubic tubercle
pubis symphysis
what are the organs in the false pelvis
abdominal organs (eg caecum, appendix, sigmoid colon, small bowel)
what are the organs in the true pelvis
pelvis organs (eg bladder, uterus, rectum, prostate, vagina)
what divides the true and false pelvis
pelvic inlet - true is below the inlet and false is above
what does the sacrum consist of
5 fused vertebrae
what is the sacrums angle
superior portion is relatively horizontal and its distal portion is relatively vertical
in what view could you expect to see the sacral canal and its contents in its entirety
sagittal
can you assess S1-3 nerve roots simultaneously in a coronal plane
no due to angulation pf proximal portion as not in same vertical plane
what forms the SI joints
alae of the sacrum and the iliac bones
what kind of joint is the anterior SIJ
synovial joint
what kind of joint is the posterior SIJ
fibrous joint
the pubic symphysis joins the 2 pubic bones in what direction
anteriorly
if you see signs of trauma in one of these joints in the xray images what else do you want to check for and why
look for dislocation/fracture in other pelvic bones and joints as the pelvis is a ring structure and always fail in 2 places
from anterior to posterior what are the major organs in the male pelvis
bladder > rectum
from anterior to posterior what are the major organs in the female pelvis
bladder > uterus/vagina > rectum
what does the rectum usually contain that the other organs do not that make it easy to spot on cross sectional imaging
gas
which bones does the bladder always sit posterior to
pubic bones and symphysis
what is the rectouterine pouch/of douglas
forms the most inferior part of the abdominal cavity when patient is standing
why is the rectouterine pouch/of douglas clinically relevant
as it is the most dependent part of the abdomen when erect this is where things will gather such as fluid (blood/pus etc) or metastases/endometriosis cast offs etc
it is therefore an important area to check
what is anteversion of the uterus
uterus points to the front
in the female pelvis what lies on top of the bladder
uterus
what are the 2 other orientations of the uterus aside from anteversion
retroverted or midposed
the ovaries are linked to the uterus via what
uterine tubes
what is the relative position of the ovaries in the pelvis
on the lateral wall of the pelvis
what is the organ located inferior to the male bladder
prostate
is the prostate more or less dense than the bladder and why
more dense as the prostate is solid and not fluid filled while the bladder is fluid filled