Pelvic Wall Flashcards
Boundaries of the Pelvic Brim
- (post.) Sacral promontory
- (lat.) Iliopectineal lines
- (ant.) Symphysis pubis
What exits the greater sciatic foramen
- Sciatic nerves
- Pudendal nerves
- Gluteal nerves and vessels
The lesser sciatic foramen transmits the
- Pudendal nerve
- Internal pudendal vessels
False pelvis?
Above the pelvic brim
True pelvis composed of
Inlet (pelvic brim), outlet, and cavity
Pelvic outlet is bounded by
- (post.) coccyx
- (lat.) ischial tuberosity
- (ant.) pubic arch
Pubic arch is formed by
Ischiopubic rami
False pelvis boundaries
- (post.) lumbar vertebrae
- (lat.) Iliac fossa & iliacus muscle
- (ant.) lower part of ant. abdominal wall
Anterior pelvic wall formed by
(1) bodies of pubic bone
(2) pubic rami
(3) symphysis pubis
Posterior pelvic wall formed by
(1) sacrum & coccyx
(2) piriformis muscle
(3) parietal pelvic fascia
The sacral canal contains
(1) ant. and post. roots of the lumbar, sacral, & coccygeal spinal nerves
(2) filum terminale
(3) fibrofatty material
Piriformis muscle (OIAN)
O: Anterior part of the lateral mass of the sacrum
I: Upper border of the greater trochanter
A: lateral rotator of femur at the hip joint
N: Sacral plexus
Lateral pelvic wall components:
(1) hip bone below the pelvic inlet
(2) obturator membrane
(3) obturator internus muscle and its fascia
(4) sacrotuberous and sacrospinous ligament
Obturator Internus muscle (OIAN)
O: pelvic surface of the obturator membrane and
adjoining part of the hip bone
I: greater trochanter of the femur
A: same with piriformis muscle
N: sacral plexus
Inferior pelvic wall divides pelvis into
(1) main pelvic cavity
(2) perineum
Inferior pelvic wall formed by
Pelvic diaphragm and its associated fascia
Pelvic diaphragm is formed by
(1) levator ani muscles
(2) coccygeus muscles
Levator ani muscles
(1) iliococcygeus m.
(2) pubococcygeus m.
(3) puborectalis m.
Levator ani muscles (OIAN)
O: Body of the pubis, fascia of obturator internus, Spine of ischium
I: Perineal body
A: Supports pelvic viscera, sphincter for anorectal Junction and vagina
N: Perineal branch of S4 and pudendal nerve
Coccygeus muscle (OIAN)
O: Spine of ischium
I: Lower end of sacrum, coccyx
A: Support pelvic viscera
N: S4 and S5 nerve
Pelvic ligaments arise from
Visceral pelvic fascia
Where does the sacral plexus lie?
At the posterior pelvic wall infront of the piriformis muscle
Sacral plexus is formed by
L4 - L5 and S1 - S4
Lumbrosacral trunk is formed by
L4 and L5
Anterior to the sacral plexus is the
Internal iliac vessels
Obturator nerve is formed by
L2, L3, and 4
Pudendal branch of the sacral plexus is formed by
S2, 3, 4
Sciatic nerve of the sacral plexus is formed by
L4 - 5, S2 - 3
Branches of the Sacral plexus
- lumbrosacral trunk
- superior gluteal nerve
- inferior gluteal nerve
- nerve to obturator internus
- nerve to quadratus femoris
- sciatic nerve
- posterior cutaneous nerve to the thigh
- perforating cutaneous nerve
- pudendal nerve
Stimulus that triggers the voiding (micturition) or urination reflex
bladder wall stretch
MALE VS. FEMALE PELVIS