Pelvis and Perineum: Part 2 Flashcards
What is the function of the pelvis?
Transfers weight of the upper body to the lower body
What four bones form the pelvic girdle?
Sacrum
Coccyx
Os Coaxae (Hip Bones) x2
What separates the Greater (false) pelvis from the Lesser (true) pelvis?
Pelvic Brim (Arcuate Line)
What are the structures of the os coxae? (hip bones)
Ilium
Acetabulum
Pubis
Ischium
Obturator Foramen
What structures form the posterior wall of the abdomen?
Lumbar Vertebrae
Where is the most common site of back pain?
L4 and L5
What divides the Sciatic Foramina?
Sacrospinous Ligament
Sacrotuberious Ligament
What runs through the Greater Sciatic Foramen?
Gluteal Nerves
Gluteal Arteries
Sciatic Nerve
Piriformis
What runs through the Lesser Sciatic Foramen?
Pudendal Nerve
Pudendal Artery
Pudendal Vein
What are the two main nerves form the Sacral Plexus?
Sciatic
Pudendal
What is the largest nerve in the entire body?
Sciatic Nerve
Where does the Sciatic nerve most commonly pass through?
Greater Sciatic Foramina
What spinal nerves make up the Sciatic nerve?
L4-S3
What is the main nerve of the perineum and the chief sensory nerve of the external genitalia?
Pudendal Nerve
Where does the Pudendal Nerve exit the pelvis?
Greater Sciatic Foramina
What spinal nerves make up the Pudendal Nerve?
Pudendal S2-S4
- keeps your shit and dick off the floor
What nerves make up the Coccygeal Plexus?
S4
S5
Coccygeal Nerve
Fibers that produce contraction of internal genital organs during orgasm and inhibit rectal peristalsis
Sympathetic
Stimulates contraction of the rectum and bladder for defecation and urination
Parasympathetic
What nervous system is responsible for an erection
Parasympathetic (P = Point)
How many main arteries are in the female pelvis?
4
How many main arteries are in the male pelvis?
3
What paired arteries arise below the renal artery and descend into the pelvis medial to the ureter?
Paired Ovarian Artery
Paired Testicular Artery
Know the major arteries inferior to the heart
See Image
What are the three parts of the Levator Ani Muscle?
Puborectalis
Iliococcygeus
Pubococcygeus
What portion of the Levator Ani Muscle is important for defication?
Puborectalis
What nerves innervate the Levator Ani Muscle?
Pudendal (S2-S4)
- keeps your shit and dick off the floor
What type of neuropathy is common after childbirth?
Pelvic Floor Dysfunction (neuropathy)
Where is the common site of gluteal injections and why?
Upper Outer Quadrant
- avoid nerves and arteries
What muscle is the lateral rotator when the hip is extended, and abductor of the thigh when the hip is flexed?
Piriformis
Connective ligaments of the Subperitoneal Endopelvic Fascia
Cardinal Ligament
Retrouterine
Hypogastric Sheath