Pelvic Walls and Floor Flashcards

1
Q

What are the posterior and anterior pelvic boundaries?

A

Bony walls

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2
Q

What is the lateral pelvic boundary?

A

Bony and muscular walls

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3
Q

What is the inferior pelvic boundary?

A

Muscular at the pelvic outlet

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4
Q

What is the superior pelvic boundary?

A

Is the inlet to the abdominal cavity

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5
Q

What is the function of the greater and lesser sciatic notches?

A

To allow the passage of nerves, arteries, veins and muscles from the internal surface of the pelvis to the perineum and gluteal region

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6
Q

What turns the sciatic notches into foramen?

A

The presence of ligaments

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7
Q

What foramen allows the anterior part of the pelvis to be lighter?

A

Obturator foramen

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8
Q

What structures keep the foramen closed?

A
  • Obturator internis
  • Obturator externis
  • Obturator membrane
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9
Q

The obturator foramen is pierced by what structures?

A

Obturator nerve and vessels

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10
Q

What structure is a bony landmark for the pudendal nerve?

A

Ischial spine

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11
Q

What is the name of the bone at the site of the hip joint where the ball and socket joint forms with the femur?

A

Acetabulum

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12
Q

What do the iliac blades provide attachment for anteriorly and posteriorly?

A

Anterior - iliacus

Posterior - gluteus muscles

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13
Q

What structures of the pelvis are attachment sites for the inguinal ligament?

A

Anterior superior iliac spine

Pubic tubercle

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14
Q

What nerves pass through the sacral foramen to exit the vertebral column and supply the structures within the pelvis and lower limb?

A

Sacral nerves

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15
Q

What two large ligaments attach to the sacrum?

A
  • Sacrotuberous

- Sacrospinous

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16
Q

What is the distal attachment of the sacrotuberous ligament?

A

The ischial tuberosity

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17
Q

What is the distal attachment of the sacrospinous ligament?

A

The ischial spine

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18
Q

Together, the sacrospinous and sacrotuberous form what strcuture?

A

The greater and lesser sciatic foramen

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19
Q

How is the inguinal ligament formed?

A

The aponeurosis of external oblique as it rolls over itself to form the anterior wall and floor of the inguinal canal

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20
Q

What type of joint is the anterior sacroiliac joint and what ligament protects it?

A

Plane synovial joint protected by the anterior sacroiliac ligament

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21
Q

What type of joint is the posterior sacroiliac joint and what ligament protects it?

A

Fibrous joint supported by the posterior sacroiliac ligament

22
Q

Whatis the name of the classic female shape of the pelvis inlet?

23
Q

What is the name of the classic male shape of the pelvic inlet?

24
Q

What is the name given to a more flattened pelvic inlet in an anterior posterior direction?

A

Platypelloid

25
What is the name given to a wider pelvic inlet in an anterior posterior direction?
Anthropoid
26
What nerve innervates the iliacus muscles?
Femoral nerve
27
What is the action of the iliacus muscle?
To flex the hip
28
What nerve innervates the psoas muscle?
Anterior rami of L2-L4
29
What is the action of the psoas muscle?
Flex the hip
30
What is the main action of the obturator externus muscle?
- to abduct the thigh | - to laterally rotate the thigh
31
What muscle attaches to the membrane and sends its tendons through the the lesser sciatic notch to reach the femur?
Obturator internus
32
What tendon runs between the two glamelli muscles?
Obturator internus
33
What muscle is a useful landmark in the pelvis as the sciatic nerve and pudendal nerve form on its superior surface?
Piriformis
34
What is the main function of the piriformis muscle?
To support the pelvic wall by partially covering the opening of the greater sciatic foramen
35
What two muscle blocks form the pelvic diaphragm?
- Levator ani (anteriorly) | - Coccygeus (posteriorly)
36
What is the main function of the coccygeus muscle and what nerve is it innervated by?
- To flex the coccyx | - Direct branches from the sacral plexus (S4-5)
37
What are the two divisions of the levator ani?
- Pubococcygeus | - Iliococcygeus
38
What is the main function of the pubococcygeus muscle?
To support the vagina, prostate and rectum
39
What provides the levator ani with motor innervation?
- Nerve to levator ani | - Pudendal nerve
40
What two sections of the pubococcygeus muscle are found in males?
- Levator prostatae | - Puborectalis
41
What two sections of the pubbococcygeus muscle are found in females?
- Pubovaginallis | - Puborectalis
42
What nerve innervates the pubococcygeus muscle?
- Pudendal nerve | - Nerve to levator ani
43
What is the main function of the puborectalis muscle?
To maintain continence by bending the rectum
44
What nerve innervates the puborectalis muscle?
- Pudendal nerve | - Nerve to levator ani
45
What is the attachment site for the Iliococcygeus muscle?
Tendinous arch of levator ani
46
What nerve innervates the iliococcygeus muscle?
- Pudendal nerve | - Nerve to levator ani
47
What muscles from the pelvic region attach to the perineal body?
- Levator prostatae - Pubovaginalis - External anal sphincter
48
What pelvis fascia covers the internal wall?
Parietal pelvic fascia
49
What pelvis fascia covers the organs?
Visceral pelvic fascia
50
What pelvis fasica acts as packing material around the organs?
Endopelvic fascia