Pelvic and Perineal Osteology and Arthrology Flashcards
Pelvis or Pelvic Cavity
the region of the trunk inferoposterior to the Abdomen, between the Pelvic Brim and Pelvic Diaphragm.
The Pelvis is also the transition point between trunk and Lower Extremity
Perineum
area of the trunk between the Thighs and Buttocks, from the Coccyx to the Pubis, inferior to
the Pelvic Diaphragm
Boney Pelvis
includes the Paired Coxal Bones, The Sacrum and the Coccyx
Pelvic Girdle
describes the paired Coxal Bone, which are joined anteriorly at the Pubic Symphysis
spondylolisthesis
Abnormal anteriorly directed separation of the L5 vertebral segment from the Sacrum
spondylolysis
vertebral arch separates from the vertebral body
superior pelvic aperture (pelvic inlet)
exists at the Pelvic Brim, between the Greater and Lesser Pelves, and is formed by the Sacral Promentory,
Superior edge of the Sacral Ala, Arcuate Line of the Ilium, Pectin Pubis, posterior edge of the Pubic crest and
superior edge of the Pubic Symphysis
inferior pelvic aperture (pelvic outlet)
is bound by the inferior
edge of the Pubic Symphysis, Inferior Pubic and Ischial Rami, Ischial Tuberosities, Sacrotuberous Ls. and the
Coccyx. The Pelvic Canal is the passage between the two Apertures
male pelvis
thicker, heavier Pelves, a deeper greater Pelvis, narrower and
deeper lesser Pelvis, Android Pelvic Inlet, small Pelvic Outlet, narrow Pubic Arch, round Obturator Foramen
and large Acetabulum
female pelvis
thinner, lighter Pelves, a shallow greater Pelvis, wide and shallow lesser
Pelvis, Gynecoid Pelvic Inlet, large Pelvic Outlet, wide Pubic Arch, oval-shaped Obturator Foramen and small
Acetabulum
android
classically male
gynecoid
classically female
anthropoid
elongated anterior to posterior
platypelloid
elongated laterally
pelvic diameters (conjugates)
important measurements obstetrically to determine the capacity of a female to bear a child
pelvic fractures or crush fractures
always involve multiple fractures
superior ad inferior pubic rami are often broken on both side as a result of this kind of injury
lumbosacral joint and intervertebral joint
symphysis
zygopophyseal joint
planar synovial
sacroiliac joint
compound joint anteriorly between Auricular surface of the Sacrum and Articular surface of the Ilium: Planar Synovial; posteriorly between the Sacral and Ischial Tuberosities: Fibrous Syndesmosis
male peritoneum
covers the superior and lateral aspects of the Urinary Bladder and Rectum
paravesical fossa (M)
depressed areas lined with Peritoneum on
either side of the Urinary Bladder
pararectal fossae (M)
depressed areas lined with Peritoneum on either side of the Rectum
rectovesical pouch (M)
depressed area lined with Peritoneum between the Rectum and Urinary Bladder
female peritoneum
covers the superior and lateral aspects of the Urinary Bladder, Uterus, Uterine Tubes, Ovaries and Rectum
paravesical fossae (F)
depressed areas lined with Peritoneum on
either side of the Urinary Bladder
broad ligament of the uterus
double layer of Peritoneum (Mesentery), extends from the Lateral Pelvic Walls to the Uterus, enclosing the Uterus, Uterine Tubes, Round L. of the Uterus and Ligament of the Ovary,
described as having three parts, also includes the Suspensory L. of the Ovary
mesometrium
part of the Broad L. that supports the Uterus, also surrounds the Ligament of the Ovary and the Round L. of the Uterus
mesosalpinx
part of the Broad L. that supports the Uterine Tubes
mesovarium
part of the Broad L. that supports the Ovaries
suspensory ligament of the ovary
prolonged lateral
extension from the Ovary enclosing the Ovarian Vessels
pararectal fossae (F)
depressed areas lined with Peritoneum on either side of the Rectum
vesicouterine pouch (F)
depressed area lined with Peritoneum between the Urinary Bladder and the Uterus
rectouterine pouch (F)
cul-de-sac, of Douglas; depressed area lined with Peritoneum between the Uterus and the Rectum
membranous pelvic fascia
possesses parietal and visceral components
obturator fascia
lines the pelvic side of the Obturator Internus M., is continuous superiorly with Transversalis Fascia, forms the walls of the Pudendal Canal, forms the Tendinous Arch of the Levator Ani Ms.
tendinous arch of the pelvic fascia (M)
puboprostatic L
sacrogenital L
Restroprostatic L
tendinous arch of the pelvic fascia (F)
pubovesicle L
sacrogenital L
uterosacral L
visceral pelvic fascia
surrounds Pelvic Viscera, except where
the Pelvic viscera penetrates the Pelvic Diaphragm, where the Parietal and
Visceral layers come together to form the Tendinous Arch of Pelvic Fascia
loose endopelvic Fascia
fat filled potential spaces
retropubic space
Prevesical Space; between Pubis and Urinary Bladder, continuous posterolaterally with
the Paravesical Space
paravesical space
between Obturator Fascia and anterior part of the Hypogastric Sheath, separated from the Pelvirectal Space by the Hypogastric Sheath
pelvirectal space
surrounding the Rectum, separated into anterior and posterior parts by the Lateral Rectal L
retrorectal space
Presacral Space; between the Sacrum and the Rectum, continuous anterolaterally with the Pelvirectal Space
condensed endopelvic fascia
increased density of Collagen and Elastic Fibers, responsible for compartmentalizing the Loose Endopelvic
Fascia
hypogastric sheath
thick band of condensed fascia, serves as conduit for nerves and vessels going from the Lateral Pelvic Wall to Pelvic Viscera, including the Ureters and in the male the Ductus Deferens, is divided into anterior, middle and posterior Lamina
lateral L of the bladder
extension of the Hypogastric Sheath to the Urinary Bladder
retovesical septum (M)
between the rectum and urinary bladder
transverse cervical L (F)
extension of the hypogastric sheath to the cervix of the uterus
lateral rectal L
extension of the Hypogastric Sheath to the posterior aspect of the Rectum
quadrangular space
Pubic Symphysis (anteriorly), the Coccyx (posteriorly) and the two Ischial Tuberosities (laterally
iscioanal fossa
around the wall of the Anal Canal, inferior to
the Pelvic Diaphragm, narrow superiorly, wide inferiorly, filled with fat and loose connective tissue that allows for expansion of the Anal
Canal during defecation
pudendal canal
space inside Obturator Fascia which transmits
the Internal Pudendal A., V. and Pudendal N.
perineal membrane
extends between the two sides of the
Pubic Arch, covers the anterior portion of the Inferior Pelvic Aperture
superficial perineal fascia
continuous with the Superficial Fascia of the Abdomen, made up of a Fatty and Membranous component
fatty (superficial) superficial perineal fascia
in the Female forms the fatty layers of the Labia Majora and the Mons Pubis, replaced by the Penis and Scrotum in the Male
membranous (Deep) superficial perineal fascia
forms the Dartos Fascia of the Penis and Scrotum
deep perineal fascia
in the Female exists primarily as Perineal Membrane, in the Male makes up the Deep Fascia of the Penis and
Perineal Membrane
superficial perineal pouch (M)
Bulb and Crura of the Penis, Superficial Perineal Muscles, Proximal Spongy Urethra, branches of the
Internal Pudendal A. and V., and of the Pudendal N.
superficial perineal pouch (F)
Crura of the Clitoris, Bulbs of the Vestibule, Superficial Perineal Muscles, Greater Vestibular Glands,
branches of the Internal Pudendal A. and V., and of the Pudendal N.
deep perineal pouch (M)
Membranous Urethra, Muscles of the Urogenital Diaphragm, Bulbourethral Glands
deep perineal pouch (F)
Muscles of the Urogenital
Diaphragm
pelvic brim
arcuate line and pectin pubis (linea terminalis)
sacral promontory and sacral ala
linea terminalis
arcuate line and petin pubis
obturator groove
transmits obturator n a and v
pelvic canal
passage between two pelvic apertures
public symphysis joint
symphysis
sacrococcygeal joint
symphysis
greater sciatic foramen
inferior border is sacrospinous L
lesser sciatic foramen
inferior boder is sacrotuberous L
superior boder is sacrospinous L
urogenital triangle
anterior half of quadrangular space
anal triangle
posterior half of quadrangular space