Pelvis Anatomy (General) Flashcards
What type of joint is the sacroiliac joint?
Synovial plane joint
What type of joint is the pubic symphysis?
Secondary cartilaginous joint
What structures pass through the greater sciatic foramen?
Piriformis muscle Sciatic nerve Gluteal nerves Pudendal nerve Gluteal arteries and veins Pudendal artery and vein
What structures pass through the obturator foramen?
Obturator nerve
Obturator artery
Obturator vein
What structures pass through the less sciatic foramen?
Obturator internus tendon
Internal pudendal vessels
Pudendal nerve
Nerve to obturator internus
List the structures which make up the pelvic inlet
Sacral promontory Ala (wing) of sacrum Arcuate line of ilium Pecten pubis Pubic tubercle Pubic crest Pubic symphysis
List the structures which make up the pelvic outlet
Inferior margin of pubic symphysis
Inferior rami of pubis
Sacrotuberous ligaments (laterally)
Tip of the coccyx (posteriorly)
Which muscle lines the lateral walls of the pelvic cavity?
Obturator internus
Which muscle makes up the posterior pelvic wall?
Coccygeus
List the muscles which make up the pelvic floor
Levator ani - Puborectalis - Pubococcygeus - Iliococcygeus Coccygeus
What innervates levator ani?
Ventral rami of S3 and S4
Perineal branch of pudendal nerve
What innervates coccygeus?
Ventral rami of S4 and S5
Which three pelvic arteries branch off the abdominal aorta? At which vertebral levels do they arise?
Gonadal arteries: L2
Superior rectal artery (terminal continuation of the inferior mesenteric artery, which arises at L3)
Medial sacral artery: L4
Which three arteries are branches of the posterior trunk of the internal iliac artery?
Iliolumbar artery
Lateral sacral artery
Superior gluteal artery
At what vertebral level does the abdominal aorta birfucate?
L4
Which artery is a continuation of the uterine artery in females?
Vaginal artery
In males, which artery supplies the prostate and seminal vesicles?
Inferior vesical artery
Which two veins drain into the common iliac vein rather than the internal iliac vein?
Iliolumbar vein
Middle sacral vein
At which vertebral level do the common iliac veins become the IVC?
L5
Which artery supplies the perineum?
Internal pudendal artery
List the four main nerves formed by the sacral plexus and give their nerve roots
Sciatic nerve - L4-S3
Pudendal nerve - S2-S4
Superior gluteal nerve - L4-S1
Inferior gluteal nerve - L5-S2
What is the root of the obturator nerve?
Anterior rami of L2-L4 (part of the lumbar plexus)
Which bony landmark is used when performing a pudendal nerve block during labour?
Ischial spine
Which area is drained by the external iliac lymph nodes?
Superior anterior pelvic area