Pelvic Organs Flashcards
Os Coxa
- formed by the fusion of the ischium, ilium, and pubis
Acetabulum
- socket of the hip joined located at the fusion of the three pelvic bones
Four Pelvic Spines
ASIS - Anterior Superior Iliac Spine
AIIS - Anterior Inferior Iliac Spine
PSIS - Posterior Superior Iliac Spine
PIIS - Posterior Inferior Iliac Spine
Greater Sciatic Notch
- indent between PIIS and the iscial spine
Lesser Sciatic Notch
- indent between the ichial spine and the ischial tuberosity
Divisions of the Pelvic Cavity
False Pelvis - lower abdominal cavity (between the Iliac crests and the linea terminalis
True Pelvis - below the linea terminalis/pelvic inlet
Sections of the Linea Terminalis
Pubic Crest → Pectineal Line → Arcuate Line → Sacral Ala → Sacral Promentory
Pelvic Anatomical Position
- the ASIS and the antero-superior edge of the pubic symphysis are vertical
- true pelvis therefore inferior and posterior to false pelvis
Male vs. Female Bony Pelvis
Women - Gynecoid Pelvis
- round/oval pelvic inlet
- widely spaced ischial spines
- pubic arch >= 80 degrees
Male - Android Pelvis
- triangular/heart-shaped pelvic inlet
- narrowly spaced ischial spines
- pubic arch <=70 degrees
Bones of the Pelvic Wall
- sacrum, coccyx, and os coxa
Sacrospinous Ligament
- extends between the sacrum/coccyx and the ischial spine
Sacrotuberous Ligament
- extends between PSIS and the ischial tuberosity
Obturator Canal
- between the obturator membrane and the pubis (passageway between the pelvic cavity and the thigh)
Greater Sciatic Foramen
Formed by the:
- greater sciatic notch
- sacrospinous ligament
- sacrotuberous ligament
- ischial spine
**major passageway between the pelvic cavity and lower limb
Lesser Sciatic Foramen
Formed by:
- lesser sciatic notch
- ischial spine
- sacrospinous ligament
- sacrotuberous ligament
**passageway between the perineum and lower limb
Obturator Internus Muscle
- covers most of the anterolateral pelvic wall
Piriformis Muscle
- covers most of the posterolateral pelvic wall
Pelvic Outlet
- diamond-shaped inferior margin of the true pelvis
Boundaries:
- Pubic Symphisis (anterior)
- Ischiopubic Ramus (lateral)
- Ischial Tuberosity (lateral)
- Sacrotuberous ligament (posterior)
- Coccyx (posterior)
**closed inferiorly by the pelvic diaphragm
Rectum
- most posterior organ
- lacks taeniae coli, epiploic appendices, and haustra
- has transverse folds and the rectal ampulla that supports the fecal matter
Anorectal Junction
- pulled anteriorly (perineal flexure) by the action of the pelvic diaphragm
- causes anal canal to move posteriorly through the pelvic floor
Ureter Travel
Anterior to the common iliac veins
Posterior the the gonadal veins
- travel obliquely through the wall of the bladder - allows valvular action (prevents vesicoureteral reflux)
Bladder
- most anterior organ in the pelvis
- empty - has a pyramid shape
Apex (anterior) - medial umbilical ligament extends from apex to umbilicus
Base (posterior)- trigone on the inside
Neck (inferior)- rests on prostate/pelvic diaphragm
Detrusor Muscle
- muscle forming the wall of the bladder
Trigone
- smooth triangular area bw the openings of the ureters (superiorly) and the urethra (inferiorly)
Uvula
Male - located at the inferior angle of the trigone
- a small protrusion of the prostate into the bladder wall
- enlargement may result from prostratic hyperplasia
Male Urethra
- ~20cm
- divided into four regions
Preprostatic
Prostatic
Membranous
Spongy