Trans - Pelvis Flashcards
What separates the major and minor pelvis?
Superior pelvic aperture / pelvic brim
Major route of communication between pelvic cavity and lower limb
Greater sciatic foramen
Prior to puberty, the ilium, ischium, and pubis are three separate bones connected by:
Triradiate cartilage
T/F: The greater sciatic foramen serves as the entry point of neurovascular structures to the abdominal cavity
F. It serves as the exit. The lesser sciatic foramen is the entry point
In obstetrics, the most important pelvic diameter measured is:
Anteroposterior, because it is the shortest diameter
Most adequate diagonal conjugate for childbirth
Greater than or equal to 11.5 cm
Boundaries of the pelvic outlet
Anterior: pubic symphysis
Posterior: sacrum, coccyx
Lateral: ischial tuberosity
The normal female pelvic type is termed:
Gynecoid – pelvic inlet is rounded, oval shape, transverse diameter is wide
What muscle makes up most of the lateral pelvic wall?
Obturator internus
Largest muscle in the pelvic floor
Levator ani
Part of the levator ani that forms a muscular sling around the anorectal junction
Puborectalis
During childbirth, what is the most likely muscle to be injured? Why?
Pubococcygeus, because of its proximity to the uterus
In females, what are the two potential spaces in the pelvic area?
Vesicouterine: between bladder and uterus
Retrouterine / pouch of Douglas: between rectum and uterus
Serves as a bed for the sacral and coccygeal plexuses
Piriformis
Main nerve of perineum and chief sensory nerve of external genitalia
Pudendal nerve
T/F: The inferior gluteal nerve supplies both the gluteus maximus and the gluteus minimus
F. The superior gluteal nerve innervates both muscles. The inferior gluteal nerve only innervates gluteus maximus
T/F: The superior gluteal artery arises from the posterior division of the internal iliac artery
T
The artery supplying the ductus deferens and prostate originates from where?
inferior vesicular artery
The pelvic girdle is composed of:
- Innominate bones – ilium, ischium, pubis
2. Sacrum and coccyx
Dimples at buttocks are at the level of:
PSIS
When in a sitting position, a person is resting on his/her ________
Ischial tuberosity
Attachment of the inguinal ligament in the pelvis
Pubic tubercle
Sharp oblique ridge at the lateral part of the superior pubic ramus
Pectineal line / pecten pubis
The pubic arch is formed by:
Ischiopubic rami of both sides of the pelvis
How many longitudinal crests are on the dorsal part of the sacrum
5
Median sacral crest is formed from:
Fused spinous processes
Intermediate sacral crest is formed from:
Fused articular processes
Lateral sacral crest is formed from:
Fused transverse processes
`The coccyx is formed from the fusion of how many rudimentary vertebrae
4
Strongest ligament in the body
Sacroiliac ligament
Thickenings on the superior and inferior aspect of the pubic symphysis
Superior: superior pubic ligament
Inferior: arcuate ligament
Narrowest diameter which a baby has to pass through during childbirth
Obstetric conjugate
T/F: The obstetric conjugate is directly measurable
F, because the bladder is in the way
The diagonal conjugate is measured from:
Inferior end/base of the pubic bone to sacral promontory
The pelvic midplane is at the level of the:
Ischial spine
Common pelvic types in males
Android
Anthropoid
Exit of the urethra and vagina through the pelvic diaphragm
Urogenital hiatus
Sacral plexus: components
Lumbosacral trunk (L4, L5), ventral rami of S1-S4
Branches of the sacral plexus
- Sciatic nerve – lower limb
- Pudendal nerve – external genitalia
- Superior gluteal nerve – gluteus medius and minimus
- Inferior gluteal nerve – gluteus maximus
Obturator nerve arises from what plexus
Lumbar plexus
Superior gluteal nerve innervates:
gluteus medius
gluteus minimus
Inferior gluteal nerve innervates:
gluteus maximus
Obturator nerve innervates:
Medial thigh muscles
Coccygeal plexus: components
Ventral rami of S4, S5
Coccygeal nerves
The pudendal nerve splits the fascia of the obturator internus to form _________
Pudendal canal / Alock’s canal