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Colin Endo/Repro Final > GA - Bony Pelvis and Pelvic Wall > Flashcards

GA - Bony Pelvis and Pelvic Wall Flashcards

1
Q

What is the difference between the False Pelvis and the True Pelvis?

A

False pelvis is the space between the left and right Iliums of the the pelvis, above the Pelvic Brim. The False pelvis is actually part of the abdomen

The True Pelvis is the space between the pelvic brim and the Pelvic Diaphragm

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2
Q

How do you define the Perineum?

A

The space between the thighs, below the Pelvic Diaphragm (where the “naughty bits” are)

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3
Q

What are the attachments of the Inguinal Ligament?

A

ASIS and Pubic Tubercle

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4
Q

What do you call the bone connecting the Body of the Pubis to the Ilium and Ischium?

A

Superior Pubic Ramus connects the Body of the Pubis to both the Ilium and Superior, medial portion of the Ischium

Inferior Pubic Ramus connects the Body of the Pubis to the Inferior, medial portion of the Ischium

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5
Q

What the the 4 spines of the Ilium called?

A

Anterior Superior Iliac Spine
Anterior Inferior Iliac Spine
Posterior Superior Iliac Spine
Posterior Inferior Iliac Spine

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6
Q

What is the auricular surface?

A

Surface that resembles the ear on the posterior, medial portion of the Ilium.

The Auricular surface the portion of the Ilium that interacts with the the Sacrum

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7
Q

What is the Arcuate Line?

A

Arcuate Line is a bony feature that connects the Auricular surface and the Superior Pubic Ramus.\

It forms part of the pelvic brim

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8
Q

What is the Pubic Symphyseal Surface?

A

Pubic symphyseal surface is the most medial portion of the ox coxa

It the surface where the pubic symphysis is found, connecting the pubis of both ox coxi

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9
Q

What is the Pectin Pubis?

A

AKA Pectineal Line of the Pubis

It is the line that follows the Superior, Posterior portion of the Superior Pubic Ramus

It contributes to the Pelvic Brim

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10
Q

What is the Acetabulum?

A

The socket where the femur attaches to the Ox Coxa

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11
Q

What is the Linea Terminalus?

A

The combination of the Pectin Pubis and the Arcuate Line of the Ilium

Forms the Pelvic Brim

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12
Q

What is Spondylolisthesis?

A

Dislocation/slipping between adjacent vertebrae

Can happen with L5 and Sacrum

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13
Q

What is the Superior Pelvic Aperature?

A

Imaginary opening of the pelvis formed by the Pelvic Brim

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14
Q

What is the inferior Pelvic Aperature?

A

Imaginary opening of the pelvis spanning from the inferior edge of the pubic symphysis to the tip of the cocyx

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15
Q

What three features make up the pelvic brim?

A

Arcuate Line of the Ilium

Pectin Pubis

Sacrum

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16
Q

Which sex has the narrower pubic arch?

A

Men

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17
Q

How do the obturator foraminae differ between sexes?

A

Men have rounder obturator foraminae

Women have more oval obturator foraminae

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18
Q

How do the acetabulum differ between sexes?

A

Acetabulum is greater in men than women

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19
Q

What are the names describing the normal male and female pelvic canals?

A

Female - Gynecoid

Male - Android

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20
Q

How do you call a pelvic canal that has been squished from the front and back?

A

Platypelloid

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21
Q

How do you call a pelvic canal that has been squished from the sides

A

Anthropoid

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22
Q

What is the Interpubic Disc?

A

Disc of cartilage connecting the pubic symphysis’ of the left and right Ox Coxi

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23
Q

What is the cartilage found between the pubic symphysis’?

A

Interpubic Disc

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24
Q

What are the 3 ligaments that travel vertically along the sacrum?

A

Anterior Longitudinal Ligament - found along anterior surface of the sacrum

Posterior Longitudinal Ligament - found along the anterior surface of the sacral canal

Ligamentum Flavum - found along the posterior surface of the sacral canal

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25
Q

What is the ligament that connects the lumbar spine to the ilium?

A

Iliolumbar Ligament

Attaches to the transverse process of L5 and the ilium

26
Q

What is the ligament that connects the lumbar spine to the sacrum?

A

Lumbosacral Ligament

Attaches to the transverse process of L5 and the sacrum

27
Q

What is the obturator membrane and what muscles are on either side of it?

A

Obturator membrane is a meshwork of ligments forming a membrane covering the obturator foramen

The muscle on the outside of the membrane is the Obturator Externus M.

The muscle on the inside of the membrane is the Obturator Internus M.

28
Q

What are the two ligaments found at the pubic symphysis?

A

Superior pubic ligament

Inferior pubic ligament

29
Q

What do you call the ligament that completes the acetabular ring?

A

Transverse Acetabular Ligament

30
Q

What makes the Sacro-iliac joint a compound joint?

A

It has both a fibrous joint and a synovial joint

Auricular surfaces form a Planar Synovial Joint

The Interosseus Sacroiliac Ligament forms the fibrous joint between the Iliac Tuberosity and the Sacral Tuberosity

31
Q

What is the deepest part of the abdominal cavity in males?

A

Rectovesical Pouch (between the rectum and the bladder)

*Vesical refers to bladder

32
Q

What are the deepest portions of the abdominal cavity in females?

A

Rectouterine Pouch (between the rectum and the uterus

Vesicouterine Pouch (between the uterus and the bladder)

*Vesical (or vesico) refer to bladder

33
Q

What do you call the spaces on either side of the rectum?

A

Pararectal Fossae

34
Q

What do you call the spaces on either side of the bladder?

A

Paravesical Fossae (vesical refers to bladder)

35
Q

What is the Broad ligament of the Uterus?

A

It is tissue that overlays the uterus and other female internal genitalia that is composed of PERITONEUM

36
Q

What are the three portions of the Broad Ligament of the Uterus?

A

Mesometrium (over uterus)

Mesovarium (over ovaries)

Mesosalpinx (over uterine tube)

37
Q

What are the subdivisions of pelvic fascia?

A

Membranous Pelvic Fascia

  • Visceral Membranous Pelvic Fascia
  • Parietal Membranous Pelvic Fascia

Endopelvic Fascia

  • Loose Endopelvic Fascia
  • Condensed Endopelvic Fascia
38
Q

Where can you find Visceral Membranous Pelvic Fascia?

A

On the pelvic organs:

  • Uterus
  • Rectum (rectal fascia)
  • Bladder (vesical fascia)
39
Q

Where can you find the Parietal Membranous Pelvic Fascia?

A

Obturator Fascia: lines the Obturator Internus M. and surrounds the Pudendal Canal

Tendinous Arch of Pelvic Fascia: It is Parietal membranous pelvic fascia that meet Visceral parietal Fascia
WOMEN:
- Uterosacral Ligament (found on either side [ant/post] of inferior rectal visceral tissue)
- Pubovesical Ligament (found between the pubis and the bladder
MEN:
- Rectoprostatic Ligament (found on either side [ant/post] of inferior rectal visceral tissue)
- Puboprostatic Ligament (found between the pubis and the bladder/prostate

Parietal Membranous Pelvic Fascia is also found:

  • Surrounding the Piriformis M.
  • Forms the Perineal Membrane
  • Surrounds the Pelvic Diaphragm
40
Q

What is the Uterosacral Ligament?

A

Found in women

Part of the Tendinous Arch of Pelvic Fascia

Formed from Parietal Membranous Pelvic Fascia

Found where Parietal Membranous Pelvic Fascia meet Visceral Membranous Pelvic Fascia (specifically around the uterus and rectum)

IS CLINICALLY SIGNIFICANT

41
Q

What is the Pubovesical Ligament?

A

Found in women

Part of the Tendinous Arch of Pelvic Fascia

Formed from Parietal Membranous Pelvic Fascia

Found where Parietal Membranous Pelvic Fascia meets Visceral Membranous Pelvic Fascia (specifically between the bladder and the pubis)

42
Q

What is the Obturator Fascia?

A

Obturator Fascia is a segment of Parietal Membranous Pelvic Fascia that surrounds the Obturator Internus M.

Important to note that the Obturator Fascia surrounds the Pudendal Canal

43
Q

What is the Rectoprostatic Ligament?

A

Found in men

Part of the Tendinous Arch of Pelvic Fascia

Formed from Parietal Membranous Pelvic Fascia

Found where Parietal Membranous Pelvic Fascia meets Visceral Membranous Pelvic Fascia (specifically spanning from rectum to prostate gland; just below bladder)

44
Q

What is the Puboprostatic Ligament?

A

Found in men

Part of the Tendinous Arch of Pelvic Fascia

Formed from Parietal Membranous Pelvic Fascia

Found where Parietal Membranous Pelvic Fascia meets Visceral Membranous Pelvic Fascia (specifically between the pubis and the prostate gland; just beneath the bladder)

45
Q

What is the difference between Loose Endopelvic Fascia and Condensed Endopelvic Fascia?

A

Loose Endopelvic Fascia = FAT FILLED SPACE

Condensed Endopelvic Fascia = Tougher fascia, but is NOT MEMBRANOUS

46
Q

Where can you find Loose Endopelvic Fascia in females?

A
  • Retropubic Space: between bladder and pubis
  • Paravesical Space: On both lateral sides of the bladder
  • Pelvirectal Space: Between the Uterus/cervix and the rectum
  • Retrorectal Space: Behind the rectum (between rectum and sacrum)
47
Q

Where can you find Condensed Endopelvic Fascia in females?

A

Hypogastric Sheath (made of three parts)

  • Lateral Ligament of the Bladder (Anterior Lamina of the Hypogastric Sheath): found on both lateral sides of the bladder
  • Transverse Cervical Ligament (Middle Lamina of the Hypogastric Sheath): found on both lateral sides of the cervix
  • Lateral Rectal Ligament (Posterior Lamina of the Hypogastric Sheath): found just behind and on both lateral sides
48
Q

What is the Retropubic Space?

A

Loose Endopelvic fascia located between the pubis and the bladder

49
Q

What is the Paravesical Space?

A

Loose Endopelvic Fascia found on both lateral sides of the bladder

50
Q

What is the Pelvirectal Space?

A

Loose Endopelvic Fascia found between the rectum and the cervix in women OR found between the bladder and rectum in men

51
Q

What is the Rectorectal Space?

A

Loose Endopelvic Fascia found posterior to the rectum

52
Q

What is the Anterior Lamina of the Hypogastric Sheath?

A

AKA the Lateral Ligament of the Bladder in both men and women

It is Condensed Endopelvic Fascia located on both lateral sides of the bladder

53
Q

What is the Middle Lamina of the Hypogastric Sheath?

A

AKA the Transverse Cervical Ligament in females and the Rectovesical Septum in males

They are both made of Condensed Endopelvic Fascia

Transverse Cervical Ligament is found on both lateral sides of the cervix and IS CLINICALLY SIGNIFICANT

54
Q

What is the Posterior Lamina of the Hypogastric Sheath?

A

AKA Lateral Rectal Ligament in both men and women

It is Condensed Endopelvic Fascia found behind and on either side of the rectum

55
Q

Where can you find Loose Endopelvic Fascia in males?

A

Retropubic Space - posterior to the pubis

Paravesical Space - on both lateral sides of the bladder

Pelvirectal Space - between the rectum and the bladder

Retrorectal Space - Posterior to the rectum

56
Q

Where can you find Condensed Endopelvic Fascia in males?

A

Lateral Ligament of the Bladder - found on both lateral sides of the bladder

Rectovesical Septum - barely present, but it is found on the posterior side of the bladder

Lateral Rectal Ligament - found on both lateral sides of the rectum

57
Q

What points make up the Perineal Quadrangular Space?

A

Pubic Symphysis
Left Ischial Tuberosity
Right Ischial Tuberosity
Coccyx

58
Q

How is the Perineal Quadrangle divided?

A

Into two triangles: Urogenital Triangle and the Anal Triangle

Urogenital triangle is formed from the Pubic Symphysis and the ischial tuberosities

Anal triangle is formed from the Coccyx and the ischial tuberosities

59
Q

What tissue surrounds the Pudendal Canal?

A

Obturator Fascia, which is made up of Pareital Membranous Pelvic Fascia

60
Q

What structures are found in the Anal triangle?

A

Ishioanal Fossa (contains a lot of fat)

Pudendal Canal (contains the pudendal nerve and the pudendal artery)

Colin Endo/Repro Final (12 decks)

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