Pelvis Flashcards
(20 cards)
Pelvis key boney landmarks
pubic crest
pectineal and arcuate lines
ischial ramus-inferior pubic ramus
Sciatic notches
Pelvic Ligaments
sacrospinous ligament
sacrotuberous ligament
Boundary Lines
Pelvic inlet
Pelvic outlet
Pelvic Regions
False Pelvis- lower part of abdomen
True Pelvis-
Triangles in muscular wall of pelvic outlet
urogenital triangle
anal triangle
Pelvis Muscles
Ventral
not present
Rectus abdominus`–
Pelvis Muscles
Subvertebral Musculature
not present
Psoas major and minor
Pelvis Muscles
Lateral Musculature– INTERNAL
aka pelvic floor
PILIP
Levator Ani Muscle Levator ani-Pubococcygeus part Levator Ani-Iliococcygeus part Ischiococcygeus msucle Piriformis
fx of all: compress urethra, vagina, and anus
elevate/ support/ active in normal breathing
Pelvis Muscles
Lateral Musculature– MIDDLE
Obturator Internus –annexed by lower limb
Pelvis Muscles
Lateral Musculature- MIDDLE anal triangle of perineum
Deep external anal sphincter
fx: narrows anal canal
Pelvis Muscles
Lateral Musculature- MIDDLE urogenital triangle of perineum
male: deep transverse perinei muscle external urethral sphincter female: sphincter urethrovaginalis compressor urethrae muscle external urethral sphincter
Pelvis Muscles
Lateral Musculature–External Layer- pelvis
obturator externus–annexed by lower limb
Pelvis Muscles
Lateral Musculature–External Layer- anal triangle of the perineum
superficial external anal sphincter muscle
fx: narrows anal canal
Pelvis Muscles
External Layer- urogenital triangle of the perineum
with functions
We got SIB’s
male:
Superficial transverse perinei (fx: stabalize pelvic floor by pulling on perineal body)
Ischiocavernosus (fx: assist in erection maintenance)
Bulbospongiosus (fx: compress spongy urethra to empty it; assists w ejaculation)
female:
superficial transverse perinei (same)
ischiocavernosus muscle (same)
bulbospongiosus muscle (fx: compress vaginal orifice; assist w erection, expresses secretions of greater vestibular gland)
Pelvis Muscles
Lateral Musculature- MIDDLE urogenital triangle of perineum
Functions
male:
deep transverse perinei muscle (fx: stabalize pelvic floor by pulling on perineal body)
external urethral sphincter (fx: close urethra; assist w ejaculation)
female:
sphincter urethrovaginalis (fx: close urethra)
compressor urethrae muscle (fx: in name)
external urethral sphincter (fx: elongate/compress urethra)
Pelvic Cavity: name boundaries
Upper
Wall
Floor
Upper: bottom of peritoneal sac; pelvic inlet
Wall: Sacrum, pubis, ischium and inferior most aspect of ilium
Floor: internal muscle layer: levator ani’s and ischiococcygeus
contents: repro’s, bladder, rectum
Perineum
Regions:
Ischioanal fossa: pudendal VAN
Deep perineal pouch or space: deep transverse perineal muscle (urethral muscles of male and female)
Superficial perineal pouch: crura and bulbs, SIB muscles
Integument
Blood Vessels of the Pelvis:
Internal Iliac Arteries (6)
II OILS
Iliolumbar lateral sacral superior gluteal inferior gluteal obturator artery internal pudendal
Blood Vessels of the Pelvis:
Visceral branches of the Internal Iliac (5)
oVum
Middle Rectal
Superior / Inferior Vesical
Uterine
Obliterated umbilical
Innervation of Pelvis:
Body Wall Nerve (1)
Visceral (Sympathetic and Parasympathetic)
BW: Pudendal Nerve (of sacral plexus and S2-4)
Visceral: sympathetic splanchnic and parasympathetic splanchnic from S2, 3, 4