Pelvis and Pelvic Viscera Flashcards
3 components of the pelvic girdle
innominate
sacrum
coccyx
innominate includes
ilium
ischium
pubis
greater pelvis DEF
located superiorly, it provides support of the lower abdominal viscera (such as the ileum and sigmoid colon). It has little obstetric relevance.
lesser pelvis DEF
located inferiorly. Within the lesser pelvis reside the pelvic cavity and pelvic viscera.
What is the division between the greater and lesser pelvis?
the pelvic inlet
Boundaries/components of the of the pelvic inlet (brim)
sacral promontory
arcuate line of ilium
pectineal line of pubis
pubic symphysis
Components of the pelvic outlet
Coccyx, sacrotuberous lig., sacrospinous lig., ischial tuberosities, pubic arch
The pelvic outlet is located at the end of the lesser pelvis, and the beginning of the pelvic wall.
What the pelvic outlet an opening into?
perineum NOT lower extremity
What two joints are included in the pelvic girdle?
pubic symphysis- secondary cartilagenous joint
—Usually, there are no movements on this joint, except in pregnancy when the ligaments and cartilage soften, allowing the increase of pelvic diameters during labor.
sacroiliac joint- synovial joint
–limited mobility: gliding and rotation; ligaments of the joint soften during pregnancy –> increase of pelvic diameter during childbirth
iliolumbar ligament attachments
from transverse process of L5 & sacrum to iliac crest
iliolumbar ligament function
restrains contralateral flexion of L5 on S1
inguinal ligament attachments
from anterior superior iliac spine to pubic tubercle
lacunar ligament- from medial end of the inguinal ligament to medial end of pecten pubis
pectineal ligament- from the inguinal ligament to the pectineal line
sacroiliac ligaments - ventral
the anterior sacroiliac ligament extends from the ala of the ilium, just anterior to the auricular surface, to the pelvic surface of the sacrum.
sacroiliac ligaments- dorsal
from lateral sacral crest to posterior superior iliac spine
sacrospinous ligament attachments
** SEPARATION BETWEEN GREATER AND LESSER SCIATIC FORAMEN
from the ischial spine to the lateral margin of the sacrum
sacrotuberous ligament attachments
from posterior iliac spine & lateral margin of sacrum to ischial tuberosity
sacroiliac ligament- interosseous
goes between articular surfaces
a short but very strong band that spans the gap between the sacrum and ilium on the posterior side of the joint by attaching to their tuberosities, just behind the auricular surfaces.
What is the subpubic angle for males?
70 degrees
What is the subpubic angle for females?
90-100 degrees
Male pelvis characteristics
heart shaped inlet
narrow outlet
narrow cavity
narrow, convex sacrum