PELVIC ANATOMY Flashcards

1
Q

List the bones which form the “bony pelvis”

A
  • 2 innominate bones (fusion between ilium, ischium and pubis)
  • Sacrum
  • Coccyx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where does the iliac crest span from?

A

from PSIS to ASIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What part of the pelvis do you sit on?

A

ischial tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where does the inguinal ligament attach?

A

between the ASIS and pubic tubercle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name the 5 joints of the pelvis

A

2 x sacroiliac
2 x hip joint
1 x pubic symphysis (secondary cartilaginous)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How can you palpate the ischial spines?

A

During vaginal examination, at about a finer breadth into the vagina (approx 4 and 8 o clock positions)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where does the sacrospinous ligament attach ?

A

to the sacrum and ischial spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where does the sacrotuberous ligament attach?

A

to the sacrum and ischial tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Does the pelvic girdle include the coccyx?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the purpose of the sacrotuberous and sacrospinous ligaments?

A

ensure the inferior part of the sacrum is not pushed superiorly when weight is suddenly transferred vertically through the vertebral column (e.g. when jumping or during late pregnancy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What happens to the sacrotuberous and sacrospinous ligaments during later pregnancy?

A

they relax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which foraminae are formed by the sacrotuberous and sacrospinous ligaments?

A

the greater and lesser sciatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which bones form the pelvic inlet?

A

Sacral promontory
Ilium
Superior pubic ramus
Pubic symphysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which bones form the pelvic outlet?

A
Pubic symphysis
Ischiopubic ramus
Ischial tuberosities
Sacrotuberous ligaments 
Coccyx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the borders of the pelvic cavity?

A

pelvic inlet and pelvic floor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Give 6 functions of the bony pelvis

A

Support of the upper body when sitting and standing

Transference of weight from one long pole (the vertebral column) to two poles (the femurs) to allow standing and walking

Attachment for muscles of locomotion and abdominal wall

Attachment for external genitalia

Protection of pelvic organs, their blood & nerve supply, their venous and lymphatic drainage

Passage for childbirth

17
Q

What is the impact of trauma to the bony pelvis?

A

Life threatening haemorrhage and/or damage to pelvic organs

18
Q

How is the female pelvis different to the male pelvis?

A

The AP and transverse diameters are larger at the pelvic inlet and outlet

The suprapubic angle is wider

The pelvic cavity is more shallow

19
Q

What is “moulding”?

A

the movement of one bone over another to allow the foetal head to pass through the pelvis during labour

20
Q

Which structures allow moulding to occur?

A

sutures and fontanelles

21
Q

Which structures outline the vertex?

A

anterior and posterior fontanelles and the parietal eminences

22
Q

Which foetal head diameter is longer?

A

occipitofrontal > biparietal

more long than wide

23
Q

Which diameter is wider at the pelvic inlet?

A

transverse > AP

24
Q

What is the station?

A

the distance of the foetal head from the ischial spines
(-ve = sup to spines)
(+ve = inf to spines)

25
Q

How should the baby enter the pelvic cavity?

A

right or left transverse direction then rotate as descending to have a flexed position

26
Q

Which diameter is wider at the pelvic outlet?

A

AP > transverse

27
Q

What position should the baby leave the pelvic cavity?

A

occipitoanterior (OA) with baby’s head in extension

28
Q

What happens once the baby’s head has been delivered?

A

there is a further rotation so that the shoulders and the rest of baby can then be delivered

29
Q

What nerves and vessels may be damaged as a result of pelvic trauma?

A

common iliac artery and vein

sacral plexus