Pelvis and Perineum Flashcards

1
Q

Describe the differences between the male and female pelvis (2).

A

Male: acute angle between inferior pubic rami; narrower iliac crest
Female: obtuse angle between inferior pubic rami; wider iliac crest

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2
Q

Describe the true and false pelvises.

A

The true and false pelvises are divide by the arcuate line. The false pelvis is really the lowermost part of the abdominal cavity. It lies between iliac fossae. The true plevis is found inferior to the superior pelvic aperture and contains the pelvic viscera.

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3
Q

What is the pelvic diaphragm and what are its components?

A

The pelvic diaphragm forms the floor of the pelvis and separates the pelvis from the perineum. It is made up of levator ani, coccygeus, and pelvic fascia (parietal and visceral)

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4
Q

What is the origin of levator ani?

A
  1. Body of pubis
  2. Arcus tendineus
  3. Ischial spine
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5
Q

What is the insertion of levator ani?

A
  1. Perineal body
  2. Coccyx
  3. Anococcygeal raphe
  4. Walls of prostate or vagina
  5. Rectum
  6. Anal canal
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6
Q

What is the function of levator ani?

A
  1. Supports pelvic viscera

2. Raises pelvic floor

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7
Q

What are the components of levator ani?

A
  1. Iliococcygeus

2. Pubococcygeus

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8
Q

What are the components of pubococcygeus?

A
  1. Puborectalis
  2. True pubococcygeus
  3. Pubovaginalis OR puboprostaticus
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9
Q

What is the origin of coccygeus?

A
  1. Ischial spine

2. Sacrospinous ligament

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10
Q

What is the insertion of coccygeus?

A
  1. Inferior sacrum

2. Coccyx

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11
Q

What is the function of coccygeus?

A
  1. Supports pelvic viscera

2. Draws coccyx forward

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12
Q

What forms the lateral pelvic wall?

A

Obturator internus

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13
Q

What forms the posterior pelvic wall?

A

Piriformis

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14
Q

What is found below the pelvic diaphragm? What does it do?

A

Urogenital diaphragm; provides a solid support for pelvic viscera

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15
Q

What pelvic ligament joins two pubic bones?

A

Pubic symphysis

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16
Q

What does the sacroiliac ligament connect?

A

Sacral and iliac tuberosities

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17
Q

What does the iliolumbar ligament connect?

A

L5 transverse process and iliac crest

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18
Q

What does the sacrotuberous ligament connect?

A

Sacrum/coccyx and ischial tuberosity

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19
Q

What does the sacrospinous ligament connect?

A

Sacrum and ischial spine

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20
Q

What does the inguinal ligament connect?

A

ASIS and pubic tubercle

21
Q

What forms the greater and lesser sciatic foramen?

A

Sacrospinous and sacrotuberous ligaments

22
Q

The uterus is ___ at the junction of the uterus and cervix and ___ at the junction of the vagina and cervix.

A

Anteflexed; anteverted

23
Q

What are the four parts of the fallopian tubes beginning from the uterus?

A
  1. Isthmus
  2. Ampulla
  3. Infundibulum
  4. Fimbriae
24
Q

Describe the path of the various vesicles in the male reproductive system.

A

The vas deferens enters the abdomen through the deep inguinal ring. The seminal vesicle join the distal end of the vas deferens to form the ejaculatory duct near the back of the bladder.

25
Q

What is the origin of obturator internus?

A

Obturator membrane/surrounding bone

26
Q

What is the insertion of obturator internus?

A
  1. Greater trochanter of femur
27
Q

What is the function of obturator internus?

A
  1. Lateral rotation of extended thigh

2. Abduction of flexed thigh at hip

28
Q

Obturator internus exits out the ___ foramen and takes a 90 degree turn to insert on the ___.

A

Lesser sciatic; greater trochanter of the femur

29
Q

What is the origin of piriformis?

A
  1. Sacrum

2. Sacrotuberous ligament

30
Q

What is the insertion of piriformis

A
  1. Greater trochanter of the femur
31
Q

What is the function of piriformis?

A
  1. Lateral rotation of extended thigh

2. Abduction of flexed thigh at hip

32
Q

What is the origin of iliacus?

A
  1. Iliac fossa
  2. Ala of sacrum
  3. Anterior sacroiliac ligaments
33
Q

What is the insertion of iliacus?

A
  1. Lesser trochanter of femur

2. Psoas major tendon

34
Q

What is the function of iliacus?

A
  1. Flexion of thigh at hips

2. Stabilizes hip joint

35
Q

Piriformis exits out the ___ foramen to insert on the greater trochanter of the femur.

A

Greater sciatic foramen

36
Q

What are the two uterine pouches?

A
  1. Vesico-uterine pouch

2. Recto-uterine pouch (Douglas pouch)

37
Q

What are the fascial layers of the perineum?

A
  1. Skin
    2a. Colles’ (superficial fascia)
    2b. Dartos (superficial fascia)
    3a. Buck’s (deep fascia)
    3b. Bulbospongiosus fascia (deep fascia)
  2. Perineal membrane
  3. Deep fascia of UG diaphragm
  4. Deep fascia of pelvic diaphragm
38
Q

In the perineum, which triangle is posterior and which is anterior?

A

Posterior - anal triangle

Anterior - urogenital triangle

39
Q

What are the nerves and vessels contained in the anal triangle?

A
  1. Pudendal nerve + branches

2. Internal pudendal artery/vein

40
Q

What is the anchor point for most of the small muscles of the perineum?

A

Perineal body (central tendon)

41
Q

Describe the layers of the UG triangle, beginning with the skin.

A
  1. Skin
  2. Superficial perineal fascia (Colle’s and Darto’s)
  3. Deep perineal fascia (Buck’s and bulbospongiosus)
  4. Superficial pouch
  5. Perineal membrane (inferior fascia of UG diaphragm)
  6. Deep pouch
  7. Superior fascia of UG diaphragm
  8. Deep fascia of pelvic diaphragm
42
Q

What are the muscular contents of the superficial pouch?

A
  1. Ischiocavernosus
  2. Bulbospongiosus
  3. Superficial transverse perineus
43
Q

What are the visceral contents of the superficial pouch in a female?

A
  1. Clitoris (glans, prepuce, crus)
  2. Labia majora
  3. Labia minora
  4. Hymen
  5. Vaginal entrance
  6. Vestibule (bulb)
  7. Urethral opening
  8. Vestibular glands
44
Q

What are the visceral contents of the superficial pouch in a male?

A
  1. Penis

2. Scrotum + Testicles

45
Q

What are the 2 openings of the glans of the penis?

A
  1. Coronal

2. Urethral

46
Q

What is contained within the shaft of the penis?

A

2 Corpora cavernosa, 1 corpus spongiosum, 1 urethra

47
Q

What is continuous with the corpora cavernosa in the penis?

A

2 Crura (crus)

48
Q

What forms the base for the penile/clitoral musculature and the penis/clitoris?

A

Perineal membrane (inferior fascia of UG diaphragm)

49
Q

What are the contents of the deep pouch of the UG triangle?

A
  1. Membranous urethra
  2. Bulbourethral glands (males)
  3. Muscles - spincter urethra and deep transverse perinei