PELVIS Flashcards
Composition of pelvic brim
Ant- symphysis pubis
Lat- iliopectineal line
Post- sacral promontory
Boundaries:
Post- lumbar
Lat- iliac fossa and iliacus m
Ant- ant abd wall
False pelvis
Important in OB, baby pass through has inlet, outlet, cavity
True pelvis
Boundaries of pelvic INLET
Ant- symphysis pubis
Lat- iliopectineal line
Post- sacral promontory
Boundaries of pelvic outlet
Ant- pubic arch
Lat- ischial tuberosities
Post- coccyx
Pelvic cavity:
Shallower, oval, bigger cavity, shorter wider flatter sacrum, pubic arch rounded, EVERTED ischial spine, obturator foramen rectangular or triangle
Female
Pelvic cavity:
Heart shaped inlet, smaller cavity and outlet, larger thinner curved sacrum, inverted ischial spine, round obturator foramen
Male
Measurement of inlet:
Sacral promontory to superior margin of pubic symphysis
True conjugate diameter
Measurement of inlet:
Sacral promontory to inferior pubic symphysis
Measured during IE
Diagonal conjugate
Measurement of inlet:
Shortest pelvic diameter fetal head must pass
Sacral promontory to few mm from top of pubic symphysis
Obstetrics conjugate
Measurement of outlet:
Distance bet ischial tuberosities
Transverse diameter
Measurement of inlet:
Distance bet ischial spines
Interspinous diameter
Typical type of pelvis
Gynecoid
Male or funnel shaped pelvis with contracted outlet
Android
Long narrow oval shaped pelvis
Anthropoid
Wide pelvis flattened at brim with promontory pushed forward
Platypelloid
Divide sciatic notches to Greater and Lesser sciatic foramen
Sacrotuberous and sacrospinous ligament
Separate greater and lesser notches
Ischial spine
Exit from pelvis into gluteal region
Greater sciatic foramen
Entrance into perineum from gluteal region
Lesser sciatic foramen
Structures pass both to greater and lesser sciatic foramen
Pudendal nerve
Nerve to obturator internus
Internal pudendal vessels
Structures in urogenital diaphragm
Sphincter urethrae
Deep transverse perineal
Levator ani + coccygeus
Pelvic diaphragm
Levator ani muscles
Puborectalis, pubococcygeus, iliococcygeus