FEB16_Anatomy of the Pelvis

Question 1

What are the innominate bones?

Where do they fuse?

Answer 1

ilium, ischium, pubis

at the acetabulum (hip socket), cartilaginous joint

Question 2

What are the components of the bony pelvis?

Where do they fuse?

Answer 2

2 hip (aka innominate) bones, the sacrum and coccyx.

The sacrum articulates with the ilium at the sacroiliac joint.

Pubic bones articulate at the pubic symphysis.

innominate bones (ilium, ischium, pubis)

Question 3

What are the three types of joint classifications?

Answer 3

Fibrous joints
cartilaginous joints
synovial joints

Question 4

Describe fibrous joints.

give an example

Answer 4

nearly bone on bone with fibrous connective tissue holding them together.

ex: sacroiliac joint

Question 5

Describe cartilaginous joints.

Answer 5

the bones are united either by a plate of hyaline cartilage or by a fibrocartilaginous disc.

Question 6

What are synchondroses vs symphyses?

Answer 6

Synchondroses are temporary joints where hyaline cartilage

Question 7

What to do if your TOT has point groin pain?

Answer 7

Give marcaine, lidocaine, kenolog injection at least 4 weeks out due to steroid.

OR if sooner, skip the steroid

Question 8

how to distinguish pudendal vs sciatic pain in SSLF?

Answer 8

Sciatic-screaming in PACU

pudendal-nagging in the office pain

Question 9

Pudendal pain after SSLF treatment options?

Answer 9

trigger point injection, gabapentin, course of steroids or NSAIDs

be aggressive about treatment options, but not rush to the OR to remove the stitch

Question 10

ATLA

Answer 10

lateral attachments of levator muscles onto the obturator

Question 11

ATFP

ATRV

Answer 11

anterior corner attachment of the vagina to the side wall

posterior corner attachment of the vagina to the side wall

Question 12

Levator plate

Answer 12

the center area where the puborectalis mm meet