contracted pelvis

Question 1

Definition

Answer 1

• is 1 in which an imp diameter is 1cm less than that of the gynecoid pelvis
• it may be generally contracted in wh pelvis has normal configuration but all measurements r ↓ in proportion

Question 2

Diagnosis

Answer 2

can be diagnosed by
1. pelviometry + VE
● Measure conjugate diagonalis by VE
● Palpate sacral curvature + length, sacrococcygeal junction + mobility, thickness n prominence of ischial spine
● Subpubic angle is estimated ( N ≥ 90º )
● Inter-tuberous diameter ( N = width of fist )
2. X-ray pelvimetry

Question 3

Classification

Answer 3

1. 4 basic types
   ● Gynecoid
   ● Android
   ● Anthrapoid
   ● Platypelloid – simplex, ricketicus
2. acc º of narrowing ( conjugate vera / CV / true conjugate )
   ● 1st º - 9.5 – 11cm
   ● 2nd º - 7.5 – 9.5cm
   ● 3rd º - 7.5 – 6.5cm
   ● 4th º - < 6.5cm

Question 4

differentiation fr clinically contracted pelvis

Answer 4

• contracted pelvis r clinically deformed eg absence of sacral ala, sacral shortening on 1 side
• contracted pelvis r associated w
  ● bone disease eg TB, OM
  ● trauma
  ● nutritional deficiency eg osteomalacia, Rickets