Pelvis and Perineum Flashcards
describe the overall structure of the pelvis
basin shaped, caudal end of body cavity
continuous with abdomen above ,surrounded by bony pelvis, limited by pelvic floor / diaphragm
describe the overall structure of the perineum
area inferior (superficially) to pelvic floor, bounded by pelvic outlet limited inferiorly by the skin
what is the ischial spine and the ischial tuberosity
The ischial tuberosity is a rounded bone that extends from the ischium — the curved bone that makes up the bottom of your pelvis. It’s located just below the ischial spine, which is a pointed bone that extends up the backside of your pelvis
what is the greater and lesser sciatic notch
The greater sciatic notch is a passage from the pelvis into the buttock and thigh. … The lesser sciatic notch is formed by the sacrotuberous ligament and the sacrospinous ligaments
what separated the lesser and greater sciatic foramen
the sacrospinous ligament
what are the functions of the bony pelvis
surface for muscle attachments muscles of the trunk and the lower body
transfers weight of the trunk to the lower limbs (standing) or ischial tuberosity (sitting)
protect pelvic organs and developing embryo /foetus
what are the lateral walls of the pelvic floor
obturator internus / levator ani / prirformis
what is within the posterior wall of the pelvis
sacrum
branches of the internal iliac
sacral plexus - nerves of the lower limb, pelvic splanchnics (autonomic) and pudenal nerve (somatic)
what do the elevator ani and coccygeus muscles converge in the midline to form
perineal body
an-coccygeal body
what is the perineal body
fibromuscular mass at junction between urogenital hiatus and anus
essential for integrity of pelvic floor particularly in females
what happens in the perineal body ruptures during pregnancy
predispose women to prolapse
what is the internal iliac artery formed by
bifurcation of the common iliac artery
what does the internal iliac artery supply
viscera of the pelvis and perineum and also the musculature of the pelvis, perineum and hip joint
what are the 11 branches of the internal iliac artery
1 umbilical and obliterated umbilical 2 superior vesical 3 inferir vesical (male) vaginal (female) 4 uterine (female) 5 obturator 6 middle rectal (60%) 7 internal pudendal 8 inferior gluteal 9 superior gluteal 10 lateral sacral 11 illiolumbar