Anatomy of the Pelvis Flashcards

1
Q

What is meant by the lesser (true) pelvis?

A

The aspect of the pelvic where the pelvic organs lie (below the pelvic brim), above here you still have abdominal viscera.

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2
Q

What type of joint is the symphysis pubis?

A

Secondary cartilaginous joint, as it unites articulating surfaces by using a fibrocartilaginous disc

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3
Q

Name the three main ligaments of the pelvis

A

Sacrotuberus (sacrum to tubercle), sacrospinous (sacrum to the ischial spine) and sacroiliac (sacrum to ilium)

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4
Q

Describe the role of the sacrotuberous and sacrospinous ligaments

A

Prevent the lower end of the sacrum from being rotated upward at the sacroiliac joint as well as converting the sciatic notch into the greater and lesser sciatic foramina

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5
Q

How does the pelvic cavity differ between males and females?

A

More cylindrical in males, more cone shaped in men.

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6
Q

What makes up the anterior pelvic wall?

A

Pubic rami and pubic sympyhsis

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7
Q

What makes up the posterior pelvic wall?

A

Sacrum, coccyx and piriformis

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8
Q

What makes up the lateral pelvic wall?

A

Hip bone (below pelvic inlet), obturator membrane, sacrospinous and sacrotuberous ligaments as well as the obturator internus muscle

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9
Q

What is the pelvic diaphragm?

A

The pelvic floor

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10
Q

What is above and below the pelvic diaphragm?

A
Above = true pelvis
Below = perineum
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11
Q

What makes up the pelvic diaphragm?

A

Levator ani muscle and coccygeus

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12
Q

Why is the pelvic diaphragm incomplete anteriorly in females?

A

The urethra and vagina are here in females

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13
Q

Describe the role of the levator ani muscle

A

It supports and maintains pelvic viscera position, resists pressure (intrapelvic and expulsive from abdomen), assists urethral sphincter and has important action at ano-rectal junction and vaginal sphincters also.

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14
Q

Name the 4 divisions of the levator ani muscle

A
  • Levator prostate/sphincter vaginae (unimportant)
  • Puborectalis
  • Pubococcygeus
  • Iliococcygeus
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15
Q

What is the function of the levator prostate/sphincter vaginae ?

A

To form a sling around prostate/vagina and inset into perineal body to support prostate or constrict vagina

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16
Q

What is the function of the puborectalis muscle?

A

Forms a sling from pubic bone around the rectoanal junction, which is important for anal continence and also retracts the mucous membrane of the lower anal canal.

17
Q

What is the function of the pubococcygeus muscle?

A

Fibrous mass between tip of coccyx and anal canal

18
Q

What is the function of the iliococcygeus muscle?

A

ilium to anococcygeal body at the coccyx

19
Q

Which type of pelvic fractures are rare?

A

Those of the false pelvis

20
Q

Outline some of the complications that can come from a true pelvis fracture

A

Haemorrhage from pelvic veins, disruption of male urethra, bladder disruption, rectum damage and nerve injuries.

21
Q

What are the innominate bones of the pelvis?

A

ilium, ischium and pubis