pelvis and perineum Flashcards
the parts of the pelvic bone
Ilium
Ischium
Pubis
pelvic opening ;Subinguinal canal
Abdomen / abdominopelvis and
anterior thigh
pelvic openings :Obturator canal
Pelvis and medial thigh
pelvic openings : Greater sciatic foramen
Pelvis and gluteal region
pelvic openings;Lesser sciatic foramen
Gluteal region and perineum
βfalse pelvisβ
β’ The iliac blades contribute to the abdominal cavity
βtrue pelvisβ
Below the pelvic inlet is the pelvic cavity
Pelvic inlet
sacral promontory, sacral ala, arcuate line, pectineal line,
pubic crest
Pelvic outlet - Anterior
pubic symphysis, ischiopubic ramus
Pelvic outlet - posterior
ischial tuberosities, sacrotuberous ligaments and sacrum
Sacroiliac joints
Iliac and sacral ala
Sacrospinous ligament
From sacrum to ischial spine
Sacrotuberous ligament
From sacrum to ischial tuberosity
Sacrotuberous and
sacrospinous
ligaments action
oppose
posterior sacral rotation
what do we use pelvic measurements for
to determine the fixed size of
the birth canal and the
likelihood of a safe vaginal
delivery
pelvic wall muscles :
β Piriformis
β Obturator internus
pelvic floor muscles
Funnel shaped muscle that reinforces the pelvic organ
β Coccygeus
β Levator ani
β Levator ani functions
assists in
maintaining fecal and urinary
continence
what forms the levator ani
-Iliococcygeus
β’ Pubococcygeus
β’ Puborectalis
Anterior defect in the pelvic diaphragm :
urogenital hiatus
perineal body
where all perineal
muscles converge
Episiotomy
oblique cut through muscles to prevent excessive damage to the external anal sphincter
Pudendal canal β Alcockβs canal
Passage within the obturator fascia (lateral wall of ischioanal
fossa)
Superior gluteal (L4-S1) supplies the :
gluteus medius, minimus,
tensor fascia lata
SCIATIC supplies :
-Tibial (L4 - S3) skin of posterior leg and muscles of posterior thigh and leg -Common fibular (L4 β S2) skin and muscles of anterior leg, lateral leg, and dorsal foot
Posterior femoral
cutaneous (S1-3) supplies :
skin on posterior aspect of the
thigh
Pudendal (S2-4) supplies :
skin and muscles of the
perineum
Inferior gluteal (L5-S2) supplies :
gluteus maximus
pelvic blood supply :
The abdominal aorta bifurcates at L4 into the common iliac arteries(divides into internal and external iliac artery )
Pelvic blood supply :Internal iliac artery
supplies the pelvis and gluteal region
Pelvic blood supply :External iliac artery
gives the deep circumflex iliac artery and inferior epigastric artery and then It becomes the femoral artery as it passes deep to the inguinal
ligament and supplies the lower limb
he internal iliac vein receives blood from ?
pelvic organs, pelvic wall and gluteal region
The external iliac vein receives blood from ?
lower anterior abdominal wall and lower limb
Pudendal nerve block
The ischial spine can be palpated via the vaginal canal
The spine is used as a landmark for administering a pudendal nerve block