Pelvis Flashcards
3 muscles of the Levator Ani?
puborectalis**
pubococcygeus
iliococcygeus
Levator Ani origin
posterior aspect of pubis
across obturator interns (as the tendinous arch)
ishial spine
Levator Ani insertion
perineal membrane
anal canal
anococcygeal ligament
Levator Ani action
suport pelvic contents
reinforces external anal sphincter
Levator Ani innervation
pudendal nerve & branches directly from S4
Pelvic diaphragm muscles?
- action?
levator ani (puborectalis, pubococcygeus, iliococcygeus)
and
coccygeus muscles
- support and raise pelvic floor
- pulls coccyx forward after deification
Greater Sciatic Foramen
- location (pelvic diaphragm)?
- passage from/to?
Superior to pelvic diaphragm
passage for structures to leave pelvic cavity and enter gluteal region
Lesser Sciatic Foramen
- location (pelvic diaphragm)?
- passage from/to?
Inferior to pelvic diaphragm
passage for structures to leave gluteal region and enter the perineum
- pudendal neurovascular bundle
Ligaments of the sacro-iliac joint
anterior, posterior and interoseous sacro-iliac ligament
- interosseous deep to posterior
Interosseous sacro-iliac ligament can be found?
posterior side of pelvis
- deep to posterior sacroiliac ligament
How lumbar vertebrae attach to sacrum?
Inferior articular facet of lumbar with Superior articular facet of sacrum (S1)
- Facet Joint (on the posterior side)
Arcuate line becomes?
Pectineal Line or Pectin Pubis
(same thing)
*note: pectineal line of the femur also exists
10% of the population has what variation?
6 lumbar and 4 sacral vertebrae
Between the 2 pubis
pubic symphysis
- superior and inferior pubic ligament
Ligament between ischial spine and sacrum
- separates?
sacrospinous ligament
- separates the greater and lesser sciatic foremen
Pelvic differences in males and females?
Pelvic inlet
Female: circular
Male: heart shaped
Pubic arch
female: 80-85* (thumb and index finger)
male: 50-60* (index and middle finger)
Ligament from ischium to sacrum?
- boney landmarks?
Sacrotuberous ligament
- lower transverse sacral tuberosity to ischial tuberosity
Ligaments that prevent upward tilting of sacrum?
- location of ligaments?
Sacrospinous Ligament
- ischial spine to sacrum
Sacrotuberous Ligament
- ischial tuberosity to sacrum
1 muscle to remember of the levator ani
- travels?
Puborectalis
- around anal sphincter
- attaches to other side (posterior aspect of pubis)