Week 5 Lecture Material Flashcards
Os Coxae
comprised of the ilium, ischium and pelvis
What bones are the bony pelvis composed of
the Os Coxae, and the sacrum and the coccyx and the pubic symphysis.
What are the boundaries of the pelvis cavity
the pelvic inlet (superior opening) and the pelvic outlet is enclosed by the pelvis diaphragm. anterior walls (bodies of the pubic rami and pubic symphysis lateral walls: hip bones and obturator internus posterior walls: sacrum, coccyx, SI joint and ligaments.
False pelvis
above the pubic inlet (from L5/S1 to the pubic symphysis.
True pelvis
between the pelvic inlet and outlet
pelvic inlet and outlet
the inlet is from L5/S1 to the pubic symphysis and the outlet is from the pubic symphysis to the coccyx.
the mid plane line of the pelvis is from which two points
the ischial spines.
the obturator canal is ___ to the obturator internus
superior
what passes through the obturator canal
the obturator nerve
what two ligaments make the greater and lesser sciatic notches
sacrospinous and sacrotuberous ligaments.
Describe the male verse the female pelvis
male: thick and heavy, inlet is heart shaped, outlet is small, and the arch is narrow. The foramen is round and the acetabulum is large.
female: thin and light, inlet is oval, outlet is large, arch is wide and foramen is oval. Acetabulum is small.
Pubic arch or subpubic angle in a male pelvis is about what degree and what about in a female
les than 70 for males and more than 80 in females.
Pelvic floor. Where does is stretch from? what shape is it? what muscles make it up?
funnel shaped pelvic diaphragm. consists of the levator ani and coccygeus.
From the pubis anteriorly to the coccyx posteriorly and from the walls of the pelvis on each side.
Muscles of the levator ani
iliococcygeus, pubococcygeus, and the puborectalis.
the piriformis exits what?
the greater sciatic foramen.
the sacrospinous ligament is ___ to the coccygeus
deep
the iliococcygeus goes from the ___ to attach to the ___
ilium to the coccyx.
of the levator ani, which is the most posterior
most posterior is the coccygeus
what are the Origin, insertion and innervation of the levator ani muscles
origin: body of pubis, obturator fascia, ischial spine.
Inserts: coccyx
innervation: nerve to levator ani (S3, S4)
Action of the levator ani
forms the muscular sling to support the abdominopelvic viscera, holds pelvic viscera in position, and assists with cavity compression like during coughing and sneezing
where does the puborectalis go from
from the pubic bone to the coccyx.
Coccygeus
Origin: ischial spine
Insertion: inf. end of sacrum and coccyx
Innervation: branches of S4 and S5
Action: supports pelvic viscera, and forms part of the diaphragm.
Puborectalis
forms a sling to keep the rectum shut so poop doesn’t fly out. Usually at an 80 degree angle.
when there is excessive relaxation of the pelvic floor, what kind of herniations occur
rectocele (herniation of the rectum) and cystocele (herniation of the bladder, urethra and vaginal wall)