General pelvis Flashcards

1
Q

where is the pelvis located?

A

below abdomen

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2
Q

pelvis contains support and protects ?

A

bladder, rectum and reproductive organs

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3
Q

bones of pelvis provides attachments to some muscles of ?

A

trunk and lower limb

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4
Q

illium + ishium + pubis =

A

hip bone

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5
Q

hip bone + sacrum =

A

pelvic girdle

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6
Q

what bone is the bone that we sit on

A

ishium

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7
Q

lower back pain can come from which joint?

A

sacroilliac joint

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8
Q

head of femur sits on which structure?

A

acetabulum

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9
Q

whats a promontory

A

junction between L5 and S1

bulges inward

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10
Q

pelvic inlet boundaries

A

anterior: pubic crest
lateral: pecten pubis, arcuate line and margin ala
posterior: promontory of sacrum

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11
Q

pelvic outlet borders

A

anterior: inferior margin of pubic symphysis
lateral: ischial tuberosity and ischiopubic ramus
post. lateral: inferior margin of sacrotuberous lig
inferior: anterior border of the coccyx

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12
Q

why is it called a false pelvis

A

because its found in the abdominal cavity (colon is found there)

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13
Q

inlet diameters

A

antero posterior -> between sacral promontory and upper border of pubic symphysis (10cm)

transverse -> between opposite sides of pelvic brim (12.5cm)

oblique diameter -> between illiopubic eminence and opposite sacroiliac joint (11.5 cm)

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14
Q

outlet diameters

A

antero-posterior -> distance from the pubis to the sacrococcygeal joint (12.5 cm)

transverse -> ischial tuberosities along the plane passing through anus (10cm)

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15
Q

diagonal conjugate

A

most useful measurment
called the birth canal
from the lower border of the pubis to the sacral promontory
12.5cm

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16
Q

what makes the diagonal conjugate important and most useful?

A

Estimates pelvis size, if it is smaller than normal, the fetus will not pass through and will require a c section

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17
Q

compare male and female pelvis: general structure

A

females: light and thin
males: heavy and thick

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18
Q

compare male and female pelvis: false pelvis

A

females: shallow
males: deep

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19
Q

compare male and female pelvis: pelvic inlet

A

females: larger and more oval
males: smaller and heart shaped

20
Q

compare male and female pelvis: acetabellum

A

females: small and faces anteriorlly
males: large and faces laterally

21
Q

compare male and female pelvis: obturator foramen

A

female: oval
male: round

22
Q

compare male and female pelvis: pubic arch

A

females: greater than 90 degree angle
males: less than 90 degrees angle

23
Q

ilium parts

A
iliac crest
iliac tubercle
ASIS
anterior inferior iliac spine (AIIS)
PSIS
PIIS
greater sciatic notch
24
Q

Ischium parts

A

ischial spine (between greater and lesser sciatic notch)
ischial tuberosity
ischial ramus
lesser sciatic notch

25
pubic bone
superior ramus of pubis pubic tubercle body of pubis ischiopubic ramus
26
what passes through sacral canal
nerves
27
parts of sacrum with explanation (if needed):
sacral promontory (btwen l5 to s1) anterior sacral foramina (bigger size than posteior) posterior sacral foramina transverse ridges (where sacral vertebra join) lateral sacral crest median sacral crest sacral hiatus (termination of sacral canal) coccyx (tail bone)
28
what convert lesser sciatic and greater sciatic notches to formaina
sacrospinous ligament and sacrotuberous ligament
29
what runs down the anterior surface of the spine
anterior Longitudinal ligament
30
what links hip bones
pubic symphysis
31
contents of greater sciatic foramen
Sciatic nerve superior gluteal and inferior gluteal nerve posterior femoral cutaneous nerve superior and inferior gluteal artery and vein piriformis muscle
32
contents of lesser sciatic foramen
pudendal nerve pudendal artery and vein obturator internus muscle
33
anterior pelvic wall
posterior surface of the bodies of pubic bones
34
posterior pelvic wall
sacrum and coccyx, piriformis muscle and parietal pelvic fascia
35
lateral pelvic wall
hip bone, obturator membrane, sacrotuberous and sacrospinous ligament and obturator internus muscles with its fascia
36
pelvic floor or inferior pelvic wall
pelvic diaphragm
37
what does pelvic diaphragm consist of?
levitator ani and coccygeous muscle
38
piriformis: origin, insertion, actions, and nerve
origin: sacrum insertion: greater trocanter actions: external rotator of the thigh nerve: nerve to the piriformis (L5, S1 and S2)
39
obturator internus: origin, insertion, actions, an nerve
origin: the inner surface of the obturator membrane and adjoining part of the hip bone insertion: greater trochanter function: lateral rotator of hip joint Nerve to obturator internus from sacral plexus of nerves
40
levator ani parts
pubococcygeal muscle | iliococcygeus muscle
41
another word for ischiococcygeus muscle
coccygeal muscle
42
levator ani nerve supply
s4 and pudendal nerve
43
leviator ani function
prevents prolapse supports pelvic organs forms a sphincter around the anorectal junction and vagina
44
levator ani origin and insertion
orgin: body of pubis, fascia obterator internus and spine of ischium inserstion: perineal body, anococcygeal body, walls of prostate, vagina, rectum and anal canal
45
attachments of coccygeus muscle
spine of ischium to lower end of sacrum, coccyx
46
nerve supply and function of coccygeus muscle
s4-s5 | function: assists levator ani to support pelvic viscera
47
damage of pelvic floor can lead to
urinary incontinence: (unintentional passage of urine) | pelvic organ prolapse: (slip down of pelvic organs from their original position)