6b. Pelvis HAL - Worksheet Flashcards

(73 cards)

1
Q

what are the 3 parts of the pelvic bone

A

ilium
ischium
pubis

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2
Q

what are the 2 landmarks of the ilium

A

iliac fossa and ASIS

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3
Q

what are the 2 landmarks for ischium

A

ischial tuberosity

ischial spine

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4
Q

what are the 2 bony landmarks of the pubis

A

pubic tubercle

pubis symphysis

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5
Q

what are the organs in the false pelvis

A

abdominal organs (eg caecum, appendix, sigmoid colon, small bowel)

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6
Q

what are the organs in the true pelvis

A

pelvis organs (eg bladder, uterus, rectum, prostate, vagina)

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7
Q

what divides the true and false pelvis

A

pelvic inlet - true is below the inlet and false is above

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8
Q

what does the sacrum consist of

A

5 fused vertebrae

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9
Q

what is the sacrums angle

A

superior portion is relatively horizontal and its distal portion is relatively vertical

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10
Q

in what view could you expect to see the sacral canal and its contents in its entirety

A

sagittal

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11
Q

can you assess S1-3 nerve roots simultaneously in a coronal plane

A

no due to angulation pf proximal portion as not in same vertical plane

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12
Q

what forms the SI joints

A

alae of the sacrum and the iliac bones

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13
Q

what kind of joint is the anterior SIJ

A

synovial joint

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14
Q

what kind of joint is the posterior SIJ

A

fibrous joint

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15
Q

the pubic symphysis joins the 2 pubic bones in what direction

A

anteriorly

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16
Q

if you see signs of trauma in one of these joints in the xray images what else do you want to check for and why

A

look for dislocation/fracture in other pelvic bones and joints as the pelvis is a ring structure and always fail in 2 places

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17
Q

from anterior to posterior what are the major organs in the male pelvis

A

bladder > rectum

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18
Q

from anterior to posterior what are the major organs in the female pelvis

A

bladder > uterus/vagina > rectum

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19
Q

what does the rectum usually contain that the other organs do not that make it easy to spot on cross sectional imaging

A

gas

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20
Q

which bones does the bladder always sit posterior to

A

pubic bones and symphysis

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21
Q

what is the rectouterine pouch/of douglas

A

forms the most inferior part of the abdominal cavity when patient is standing

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22
Q

why is the rectouterine pouch/of douglas clinically relevant

A

as it is the most dependent part of the abdomen when erect this is where things will gather such as fluid (blood/pus etc) or metastases/endometriosis cast offs etc

it is therefore an important area to check

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23
Q

what is anteversion of the uterus

A

uterus points to the front

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24
Q

in the female pelvis what lies on top of the bladder

A

uterus

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25
what are the 2 other orientations of the uterus aside from anteversion
retroverted or midposed
26
the ovaries are linked to the uterus via what
uterine tubes
27
what is the relative position of the ovaries in the pelvis
on the lateral wall of the pelvis
28
what is the organ located inferior to the male bladder
prostate
29
is the prostate more or less dense than the bladder and why
more dense as the prostate is solid and not fluid filled while the bladder is fluid filled
30
what structures are associated with the posterior aspect of the bladder 3 things
ureters and the seminal vesicles and vas deferens
31
why would the ureter be of importance
assessing for kidney stone
32
above the pelvic inlet and nestled in the iliac bones are what organs
small and large bowels
33
what part of the large bowel is nestled close to the right iliac fossae
caecum/appendix
34
what part of the large bowel is nestled close to the left iliac fossae
sigmoid colon
35
the descending and ascending colon are between what 2 structures
between pelvic bones and ribs
36
the rectum begins at what vertebral level
S3 vertebral level
37
what is above the S3 vertebral level
sigmoid colon
38
what joint does the head of femur and acetabulum form
multiaxial synovial joint
39
do you expect to see the head and greater trochanter of the femur in the same axial slice
yes superiorly we just see head but there is plenty of overlap more inferiorly
40
what 2 large muscles insert onto the greater trochanter
gluteus medius and minimus
41
what part of the pelvis do the gluteus med and min originate from
lateral and gluteal surface of ilium
42
what path do the psoas major and iliacus muscles take relative to the hip joint and what do they do at the insertion
pass anterior to hip joint and form common tendon on lesser trochanter
43
where do the psoas major and iliacus insert
lesser trochanter
44
how do you describe the appearance of the psoas maj muscle on a axial cross section
more circular
45
how do you describe the appearance of the iliacus muscle on a axial cross section
longer, thinner and flatter
46
what does the foramen look like on cross section
space between 2 bits of bone filled with muscles and neurovascular stuff
47
what pelvic muscle passes through the GSF
piriformis
48
what neurovascular structure lies anterior to the piriformis
sacral plexus
49
the obturator internus fills what aspect of the which foramen
inner aspect of obturator foramen
50
where does the obturator internus pass out
LSF
51
what is the path of the obturator internus around the ischium
90 degree bend around the ischium
52
where does the obturator internus insert
femur
53
at what vertebral level does the abdominal aorta bifurcate
L4
54
what does the abdominal aorta bifurcate into
2 common iliac arteries
55
at what vertebral level does the IVC bifurcate
L5
56
what 2 vessels forms the IVC
common iliac veins
57
what is the relationship of the common iliac veins to the common iliac arteries
veins run medial to arteries but cross underneath - inferior
58
what is the issue of the relationship of the common iliac vein and arteries relationship
compression or obstruction eg aneurysm or pregnancy
59
what do the common iliacs divide into
internal and external iliac vessesl
60
at the bifurcation of the common iliacs into the int and ext what structure will you find anterior to this point
ureter cross anterior to bifurcation of common iliac arteries
61
what skeletal landmark helps estimate the bifurcation of the common iliac vessels
anterior SIJ
62
what muscles do the external iliac vessels run anterior to
psoas major
63
the external iliac vessels are called what vessels after it passes under what structure
under inguinal ligament femoral vessels
64
what is the femoral vessels joined by
femoral nerve
65
what is the order of structures from lateral to medial in the femoral triangle
nerve, artery, vein
66
what does the sacral plexus arise from in terms of nerve roots
L4-S4 of spinal cord
67
where do the sacral nerve roots contributing to the sacral plexus emerge from specifically
anterior sacral foramina
68
can you see all of the sacral nerve roots in one coronal plane
no as there is angulation of the sacrum posteriorly
69
the sacral plexus forms anteriorly to which muscle
piriformis
70
which space does the piriformis and the terminal branches of the sacral plexus exit the pelvis cavity
GSF
71
the sciatic nerve supplies what parts of the leg
posterior thigh and everything below the knee joint
72
what is the relation of the sciatic nerve to the hip joint
posterior relation
73
how can the sciatic nerve be compromised as it exits the pelvis
space occupying lesion in GSF can cause compression of nerve (eg inflammation of piriformis or tumor) anatomical variation (eg nerve travels through piriformis and not under it) pelvic fracture around GSF/SIJ