pelvic girdle Flashcards
pelvic bone articulation with sacrum
anteriorly: pubic symphysis
posteriorly: SI joint
iliac crest located at
L4 vertebrae
PSIS located at
S2
movements of SI joint
flexion: ant mvmt of promontory, posterior of coccyx
extension: opposite
pelvic wall muscle functions
lateral hip rotation
pelvic wall muscles
piriformis
obturator internus: tendon in btw sup and inf gemelli
pelvic floor muscles
levator ani (pubococcygeus and iliococcygeus) coccygeus
function of pelvic floor muscles
support for pelvic organs
sphincter control of the bladder, rectum, vag (kegels)
pubic symphysis
stable joint between the bodies of the right and left pubis bones. held together by a fibrocartilagenous disc. superior and inferior pelvic ligaments support it.
ligs relax during pregnancy and there is slight movement to help the pelvis adapt to the size of the fetus
ligs of the SI joint
anterior sacroiliac: support ant portion
dorsal SI lig and interosseous lig: support the posterior portion
iliolumbar: connects transverse L4 with iliac crest. L5 ventral ramus can get trapped under
sacrotuberous lig: sacrum to ischial tuberosity
sacrospinous: sacrum to ischial spine
neutral posture position
ASIS and pubic tubercles aligned in vertical plane
ASIS on both sides aligned in horizontal plane
iliac crests even
anterior pelvic tilt and increased lumbar lordosis
action of erector spinae (upward pull on sacrum and ilium) and iliopsoas (pulls down on lumbar spine)
tilt brings the hip into flexion by bringing the pelvis close to the anterior portion of the thigh
posterior pelvic tilt and decreased lumbar curve
anterior abdominal wall muscles (upwardly pull on the anterior part of the pelvis/pubic bone) and hip extensors (pull down on ischium
lateral pelvic tilt
crests not level on both sides
abductors, glut med and min pull down on iliac crest
opposite lat abdominal muscles, ext and int obliques, transversis abdominus, quadratus lumborum, and adductors elevate the iliac crest on the opposite side
pelvis will tilt down on abductor side
posterior back muscle effect on pelvis
posteriorly and upwardly pull
anterior pelvic tilt
increased lordosis