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Pelvic Walls
for PA school Anatomy
30
Anatomy
Graduate
10/11/2009

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Term
pelvis
Definition
lies between the abdomen and perineum
Term
organs of the pelvic cavity
Definition
rectum, urinary bladder, reproductive viscera
Term
pelvic diaphragm
Definition
the floor of the pelvic cavity, consists primarily of the left and right levator ani muscles
Term
perineum
Definition
the most inferior region of the trunk, contains external genitalia and anal canal
Term
pubic symphysis
Definition
joins the pubic parts of the left and right coxal bones
Term
sacroiliac joint
Definition
joins the iliac part of the coxal bone on each side with the sacrum, a synovial joint
Term
sacrococcygeal joint
Definition
joins the sacrum and coccyx, a cartilaginous joint
Term
sacrotuberous ligament
Definition
binds the ischial tuberosity to the sacrum and coccyx
Term
sacrospinous ligament
Definition
binds the ischial spine to the sacrum and coccyx
Term
pelvic inlet
Definition
the superior opening of the pelvis
Term
pelvic brim
Definition
border of the pelvic inlet
Term
pelvic brim anterior border
Definition
pubic crests of coxal bones
Term
pelvic brim lateral borders
Definition
ileopectineal lines of coxal bones
Term
pelvic brim posterior borders
Definition
scral promontory = anterosuperior edge of the body of the 1st sacral vertebra
Term
pelvic outlet
Definition
inferior opening of the pelvis
Term
pelvic outlet anterior border
Definition
pubic arch
Term
pubic arch
Definition
the midline arch of the bony pelvis bordered above by the pubic symphysis and on the sides by inferior pubic rami
Term
pelvic outlet lateral borders
Definition
ischial tuberosities
Term
pelvic outlet posterior borders
Definition
sacrotuberous ligaments and the tip of the coccyx
Term
differences female vs male pelvic cavity
Definition
1) shallower and more cylindrical, 2)subpubic angle is more rounded and 20-30 degrees greater, 3)pelvic outlet has greater cicumference
Term
bony pelvis structures palpated during routing obstetrical examination
Definition
ischial spines, ischial tuberosities, sacral promontory, lower border of pubic symphysis
Term
obstetric conjugate diameter
Definition
can not be measured directly, the distance from the midpoint of the sacral promontory to the closest point on the posterior surface of the pubic symphysis
Term
diagonal conjugate diameter
Definition
distance from the midpoint of the sacral promontory to the inferior margin of the pubic symphysis, subtract 1.5 cm to get an estimate of obstetric conjugate diameter
Term
interspinous diameter
Definition
distance between ischial spines
Term
plane of least pelvic dimensions
Definition
anterior border = inferior margin of pubic symphysis, a transverse diameter of the interspinous diameter
Term
cardinal movements of labor
Definition
1)engagement, 2)flexion, 3)descent, 4) internal rotation, 5)extension 6)external rotation
Term
left and right coccygeus muscles
Definition
form the most posterior part of the pelvic floor, orginate from pelvic side of ischial spine and sacrospinous ligament, insert onto the coccyx
Term
pudendal nerve path
Definition
arises from sacral plexus, receives fibers from S2, S3, S4, passes through greater and lesser sciatic foramen
Term
pudendal nerve innervation
Definition
levator ani, all muscles of perineum, cutaneous to external genitalia
Term
internal iliac artery
Definition
one branch of common iliac artery, aka hypogastric artery, anterior and posterior divisions which supply pelvic and perineal viscera
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