Pelvis and Perineum Flashcards

1
Q

What 3 bones make the innominate bones?

A

Ilium
Ischium
Pubis

Aka coxal bones or os coxae

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2
Q

What makes up the pelvic girdle?

A

Innominate
Sacrum (5 fused bones)
Coccyx (4 fused bones)

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3
Q

What is the joint between the 2 innominates called?

A

Pubic symphysis

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4
Q

Learn pelvic girdle landmarks

A
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5
Q

What is the superior pelvic cavity border made from?

A

Pelvic inlet (abdominal cavity)

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6
Q

What is the inferior pelvic cavity border formed from?

A

Pelvic diaphragm (below this: perineum)

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7
Q

What forms the lateral pelvic cavity border?

A

(Hip bones), obturator internus muscle

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8
Q

What forms the anterior pelvic cavity border?

A

Public bones (pubhc symphysis)

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9
Q

What forms the posterior pelvic cavity border?

A

Piriformis muscle
Sacrum and coccyx

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10
Q

What is the roof of the pelvic cavity formed by?

A
  • The promontory and ala of Sacrum
  • The right and left linea terminalis
    (Arcuate line, pectineal line and pubic crest)
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11
Q

What does the roof of the pelvic cavity do?

A
  • Marks the plane of the pelvic inlet
  • Separates the true and false pelvis
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12
Q

Compare the male and female sacrum

A

Female sacrum is wider and shorter

Female sacral curvature is more prominent

Male sacral promontory is more ventral

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13
Q

Compare the male and female coccyx

A

Female coccyx is more movable

Female straighter, male curves more ventrally

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14
Q

Compare male and female greater sciatic notch

A

Female: wider but shallower

Male: narrow but deep

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15
Q

Compare the male and female pelvic inlet

A

Female: wider, oval from side to side

Male: narrow, basically heart shaped

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16
Q

Compare the male and female pelvic outlet

A

Female: wider
Shorter ischial tuberosities
Farther apart
Turned outwards

Male:
Narrower
Longer ischial tuberosities
Sharper
Point more medially

17
Q

Compare the male and female subpubic angle

A

Acute in men
Obtuse in women

18
Q

What can cause a high energy blunt force trauma?

A
  • Sudden deceleration
  • External blow to the pelvis
19
Q

What are the threats of a high energy blunt force trauma?

A
  • Complex fractures
  • Life-threatening haemorrhage
  • Potential injury to pelvic organs and structures
20
Q

What percentage of bladder ruptures are caused by blunt trauma?

A

> 95%

21
Q

What are the 3 types of pelvic ligaments

A
  1. Articular - fibrous tissue joining bone to bone
  2. Peritoneal - folds of the peritoneal membrane
  3. Foetal remnants - remains of tubular structures
22
Q

Where do articular ligaments of pelvis join the girdle together?

A

At joints

Elsewhere

23
Q

Continue from slide 22

A