pelvis and perineum Flashcards
bony pelvis
basin-shaped bony ring that attaches the lower limbs to the spine and supports the visceral organs of the pelvis
what are the 4 bones that make up the bony pelvis?
2 hip bones (os coxae), sacrum, coccyx
houses certain abdominal viscera & contains abdominal organs
greater (false) pelvis
accommodates pelvic viscera, bladder, reproductive & urinary organs
lesser (true) pelvis
what do we refer to as the birth canal?
pelvic inlet and outlet
attachment site for sacrum, muscle attachment sites
ilium
dorsal portion of as coxae, attaches via ischial tuberosity for hamstring muscles
ischium
origin for adductor muscles
pubis
what unites to create the acetabulum?
ilium, ischium, pubis
what is separated by the pelvic brim?
the greater and lesser pelvis
what ligaments attach to the sacrum to to ischial spine or tuberosity which prevents the dislocation of the pelvis?
sacrospinous ligament, sacrotuberous ligament (prevents pelvis from rotating forward)
what forms foramen (passage for lumbar and sacral plexi)?
sacrospinous ligament and sacrotuberous ligament creating the greater & lesser sciatic foramen
hormone that is secreted that relaxes joints and ligaments in pregnant women
relaxin
pelvic diaphragm
extends from pubic symphysis to coccyx separating pelvic viscera from the perineal structures and supporting the pelvic organs
dynamic floor muscles
muscles in action at all times, support pelvic viscera and helps raise intra-abdominal pressure, voluntary control of urination, fecal continence, and uterus support
what separates the pelvic viscera from perineum?
pelvic diaphragm
organized to support pelvic organs and to prevent them from prolapsing through diaphragm and outside the body
pelvic diaphragm
how many muscles are in the pelvic diaphragm?
5 muscles
what are the muscles of the pelvic diaphragm?
levator ani muscle group (puborectalis, pubococcygeus, iliococcygeus), coccygeus, obturator internus
what is the function of the levator ani muscle group?
maintain inter-cavity pressure (fecal continents, urine)
why is the fourth muscle, coccygeus, not part of the levator ani group?
different innervation
what is the obturator internus?
the wall of the pelvic diaphragm and dynamic floor, permits passage of urethra, rectum, vagina via urogenital hiatus