the pelvis Flashcards

1
Q

2 functions of the pelvis

A
  • girdle for lower limb attachment - force transduction

- basin to hold pelvic viscera

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2
Q

force transduction

A

allows force to be transduced from the ground through bone

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3
Q

pelvic girdle is made up of

A

sacrum and 2 os coxa

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4
Q

os coxa

A

three bones that fuse during development

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5
Q

broad pelvis

A

distance covered by momentum moving over a fixed limb is larger
increased the efficiency in bipedalism

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6
Q

distance between acetabulum and the scare-iliac joint is short

A

centre of mass is vertically closer to the hip joint - easier to control and balance

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7
Q

rickets

A

issues with the composition of the bone of the pelvis

bones can bend in pathological ways due to force transduction

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8
Q

pelvic inlet/brim defines

A

true pelvis - beneath it

false pelvis - above it

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9
Q

pelvic brim is the same as

A

pelvic inlet

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10
Q

sacral promontory

A

part of the S1 vertebral body protruding into the pelvis

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11
Q

pubic symphysis

A

anterior mechanical link between limbs
weaker than posterior link
bone on with side (pubic bone), N plate cartilage and fibrous cartilage in the middle
capsular ligaments thickened at the top and the bottom - superior and inferior pubic ligament

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12
Q

joint cavities

A
  • can be due to trauma
  • common in multiparous women
  • fibrous cartilage tears
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13
Q

sacroiliac joint

A

synovial joint
auricular surfaces articulate
auricular cavity - not fully connected

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14
Q

capsular ligaments in the sacroiliac joint

A

ventral sacroiliac - thin

dorsal interosseous sacroiliac - very thick, resists more forces

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15
Q

sacrospinous ligament

A

between sacrum and spine off the ischium

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16
Q

sacrotuberous ligament

A

from the sacrum to the ischial tuberosity

17
Q

iliolumbar

A

between L5 and the ilium

18
Q

coronal and forntal stability

A

keystone principle
SI joint can slip in the coronal plane - wedges itself
resisted by dorsal interosseous and iliolumbar ligament

19
Q

more slip of the SI joint

A

means more tension on the ligaments
holds ileum to sacrum more securely
limits further movement

20
Q

functional leg length discrepency

A

changes in where the joint is positioned

causes difference in legs length due to SI joint

21
Q

lumbosacral joint and sagittal stability

A

joint is steeply sloped
60 degrees for males and up to 80 in females
force on lumbar to slip anteriorly

22
Q

resistance to lumbar slipping

A

dorsal ligaments
iliolumbar ligaments
neural arch components (articular processes)

prevent arteries displacement

23
Q

tendency of the sacrum to rotate forwards relative to the ilium is resisted by

A

dorsal interosseous SI ligament
sacrotubuerous ligament
sacrospinous ligament

24
Q

greater sciatic foramen is formed by

A

sacrotuberous ligament

25
lesser sciatic foramen is formed by
sacrospinous ligament
26
what plugs up the obturator foramen
obturator muscles - internal and external | internus tendon passes through lesser sciatic foramen
27
what covers obturator internus muscle
obturator fascia | forms attatchemtn for the pelvic diaphragm
28
what passes through the obturator canal
obturator nerve and vessels
29
what passes through the greater sciatic Foramen
- piritoforms muscle - sciatic nerve - gluteal nerves and vessels - pudendal nerves and vessels
30
what passes through the lesser sciatic foramen
- obturator inernus tendon | - pedundal nerve and vessels
31
what closes the pelvic outlet
pelvic floor - levator ani - all support abdomino pelvic viscera - elevates anal canal - made from 3 muscles - used to be 4
32
levator ani is made up of
1. pubococcygeus 2. iliococcygeus 3. puborectalis
33
sexual dimorphism in male pelvis
external features related to load bearing and muscle attachment tend to be bigger
34
sexual dimorphism in female pelvis
internal diameters are larger - predict likelihood of successful vaginal delivery - creates larger and rounder pelvic cavity
35
male pelvis internal morphology
has less variation - not an evolutionary pressure
36
bipedalism changes pregnancy centre of mass issues
increased tendency to fall forwards the hormone relaxin makes ligament stretchier - decreases joint stability lordotic curve supports baby weight
37
lordotic curve
adaptation made to avoid and reduce pressure of prolapse due to upright body position