Pelvic wall and floor Flashcards
Greater pelvis
part of abdominal pelvic cavity that sits above pelvic inlet
Lesser pelvis
part of abdominal pelvic cavity that sits below pelvic inlet
Pelvic inlet borders
Promotory, Sacral ala, Acruate line, Pecten of pubis, pubic crest
Pelvic outlet borders
Pubic sympythis, Ischiopubic ramus, sacrotuberous lig, coccyx
Nutation
movement of promotory of sacrum rotationg anteriorly and inferiorly around the axis.
- The ilium is in flare and ischium is out flare
Sacrospinous ligament
Origin: lateral side and anterior aspect of sacrum & coccyx
Insertion: ischial spine
Function: avoid nutation
sacro tuberous ligament
Origin: posterior and lateral aspect of sacrum & coccyx
Insertion: medial aspect of ischial tuberosity
function:
avoid nutation
Piriformis
Origin: anterior sacrum
Insertion: medial surface of greater trochanter
Innervation: direct branch of sacral plexus
Function: lateral hip rotation
Obturator internus
Origin: inner surface of obturator internus membrane. Then gives rise to a tenden traveling through lesser sciatic notch and turning sharp behind ischial spine
Insertion: medial surface of greater trochanter
Innervation: direct branch of sacral plexus
Function: lateral hip rotation
Coccygeus
Origin: Ischial Spine
Insertion: Lateral margin of sacrum and coccyx
Innervation: Pudendal
Function: Support pelvic viscera
Lavator ani - iliococcygeus
Origin: Tendinous arch
Insertion: Lateral and anterior coccyx
Innervation: Pudendal
Function: Support pelvic viscera
Levator ani - pubococcygeus
Origin: posterior pubic bone
Insertion: coccyx
Innervation: Pudendal
Function: Support pelvic viscera
Levator ani - pubo rectalis
Origin: posterior body of pubis
Insertion: wraps around rectum to join contra lateral fibres
Innervation: Pudendal
Function: Support pelvic viscera
Bulbospongiosus
Origin: inner surface of perineal membrane
Insertion: root of clitorus or penis
Innervation: Pudendal
Function: ejaculation and drain last drops of urine
Ischio-cavernous
Origin: inner surface ischiopubic ramus
Insertion: root of penis or clitorus
Innervation: Pudendal
Function: maintain erection