L5. GA - Overview of Pelvic Cavity
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Questions and Answers

Which bones collectively form the pelvis?

  • Femur and tibia
  • Ilium, ischium, and pubis (correct)
  • Patella and fibula
  • Scapula and clavicle

What defines the boundary between the true pelvis and the perineum?

  • Pelvic diaphragm (correct)
  • Pelvic inlet
  • Pubic symphysis
  • Pelvic outlet

Which feature is associated with determining the pelvic inlet?

  • Acetabulum
  • Obturator foramen
  • Greater sciatic notch
  • Linea terminalis (correct)

Which muscle is NOT a part of the pelvic diaphragm?

<p>Obturator internus (C)</p> Signup and view all the answers

Which of the following ligaments is involved in defining the greater and lesser sciatic foramen?

<p>Sacrospinous ligament (A)</p> Signup and view all the answers

What are the components of the pelvic diaphragm?

<p>Levator ani and coccygeus muscles (A)</p> Signup and view all the answers

Which pelvic structure is specifically defined by the formation of the median raphe?

<p>Urogenital hiatus (B)</p> Signup and view all the answers

How does the female bony pelvis differ from the male bony pelvis?

<p>Females have a more oval-shaped pelvic outlet (B)</p> Signup and view all the answers

Which bone is NOT part of the pelvic bone?

<p>Sacrum (D)</p> Signup and view all the answers

What structure forms the acetabulum?

<p>Fusion of ilium, ischium, and pubis (A)</p> Signup and view all the answers

Which of the following structures is associated with the ischium?

<p>Ischial tuberosity (D)</p> Signup and view all the answers

What role does the iliococcygeus muscle play in pelvic anatomy?

<p>It is part of the pelvic diaphragm (C)</p> Signup and view all the answers

Which structure is located inferior to the ischial spine?

<p>Lesser sciatic notch (A)</p> Signup and view all the answers

Which pelvic structure is connected by the pubic symphysis?

<p>Two pubic bones (D)</p> Signup and view all the answers

What does the term 'innominate bone' refer to?

<p>Pelvic bone (C)</p> Signup and view all the answers

What defines the boundary between the true pelvis and false pelvis?

<p>The linea terminalis (B)</p> Signup and view all the answers

Which of the following features is NOT associated with the ilium?

<p>Ischial tuberosity (C)</p> Signup and view all the answers

Which structure is NOT part of the defining features of the linea terminalis?

<p>Lateral sacral foramen (D)</p> Signup and view all the answers

What marks the transition from the abdominal cavity to the true pelvis?

<p>The pelvic inlet (C)</p> Signup and view all the answers

Which of the following describes the pelvic outlet?

<p>Circular dimension from the pubic symphysis to the coccyx (C)</p> Signup and view all the answers

How are gynecological conjugates measured?

<p>From the pubic symphysis to the sacral promontory (D)</p> Signup and view all the answers

Which structure is located inferior to the pelvic inlet?

<p>True pelvis (D)</p> Signup and view all the answers

Which features mark the boundaries of the pelvic outlet?

<p>Coccyx, sacrotuberous ligament, and pubic symphysis (A)</p> Signup and view all the answers

What does the term 'promontory' refer to in this context?

<p>Part of the sacrum defining the pelvic inlet (B)</p> Signup and view all the answers

What is the primary method for determining the pelvic outlet?

<p>Measuring from the inferior aspect of the pubic symphysis to the tip of the coccyx (B)</p> Signup and view all the answers

Which statement about the female bony pelvis is true?

<p>The pelvic inlet is wider and usually circular/oval. (A)</p> Signup and view all the answers

What distinguishes the male bony pelvis compared to the female pelvis?

<p>It has a heart-shaped pelvic inlet. (C)</p> Signup and view all the answers

What is the approximate subpubic angle in the female pelvis?

<p>80-85 degrees (D)</p> Signup and view all the answers

Which ligament is essential for maintaining the integrity of the pelvic bones?

<p>Superior pubic ligament (C)</p> Signup and view all the answers

How does the neck of the femur differ between the male and female pelvis?

<p>The orientation is ~15-20 degrees anterior in females. (D)</p> Signup and view all the answers

What describes the male pelvic bones in comparison to female pelvic bones?

<p>They are denser and taller. (A)</p> Signup and view all the answers

Which of the following statements about the obturator membrane is correct?

<p>It covers most of the obturator foramen. (D)</p> Signup and view all the answers

What is the primary function of the tendinous arch?

<p>To suspend part of the levator ani muscles from the pelvic wall (D)</p> Signup and view all the answers

Where does the obturator internus muscle insert?

<p>Greater trochanter of the femur (B)</p> Signup and view all the answers

What is the origin of the piriformis muscle?

<p>Anterior surface of the sacrum (C)</p> Signup and view all the answers

Which structure helps to differentiate the true pelvis from the perineum?

<p>Tendinous arch (C)</p> Signup and view all the answers

How does the tendon of the obturator internus exit the perineum?

<p>By making a 90-degree bend around the lesser sciatic notch (B)</p> Signup and view all the answers

What does the obturator internus muscle attach to on the pelvic wall?

<p>Internal surface of the obturator membrane (C)</p> Signup and view all the answers

What role does the fascia forming the pudendal canal serve?

<p>It contains important neurovascular structures in the perineum (B)</p> Signup and view all the answers

Which muscle is located in both the true pelvis and the perineum?

<p>Obturator internus (A)</p> Signup and view all the answers

What is the function of both the piriformis and obturator internus muscles?

<p>Laterally rotate the femur (A)</p> Signup and view all the answers

Which muscles comprise the levator ani?

<p>Puborectalis, pubococcygeus, iliococcygeus (C)</p> Signup and view all the answers

Where does the pelvic diaphragm split anterior to the anal canal?

<p>To allow passage of the urethra and vagina (A)</p> Signup and view all the answers

What is formed by the fusion of the two halves of the pelvic diaphragm?

<p>Median raphe (A)</p> Signup and view all the answers

What ligament suspends the anal canal to the tip of the coccyx?

<p>Anococcygeal ligament (B)</p> Signup and view all the answers

Which structure aids in preventing abdominal and pelvic viscera from escaping into the perineum?

<p>Urogenital diaphragm (B)</p> Signup and view all the answers

How does the pelvic diaphragm connect posterior to the anal canal?

<p>By the anococcygeal ligament (D)</p> Signup and view all the answers

Flashcards

What bones make up the bony pelvis?

The bony pelvis is formed by two hip bones (ilium, ischium, pubis), the sacrum, and the coccyx.

What is the linea terminalis?

The linea terminalis is an imaginary line that divides the bony pelvis into two sections: the true pelvis and the false pelvis.

What is the pelvic inlet?

The pelvic inlet is the upper opening of the true pelvis, defined by the linea terminalis.

What is the pelvic outlet?

The pelvic outlet is the lower opening of the true pelvis. It's defined by the tip of the coccyx, the sacrotuberous ligaments, and the ischial tuberosities.

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What is the function of ligaments and membranes in the pelvis?

The ligaments and membranes of the bony pelvis provide stability and support to the pelvic joints. Key examples include the sacroiliac ligaments, the pubic ligaments, and the obturator membrane.

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What is the pelvic diaphragm?

The pelvic diaphragm is a muscular sheet that forms the floor of the pelvic cavity. It's formed by the levator ani muscles and the coccygeus muscle.

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What is the function of the puborectalis muscles?

The puborectalis muscles are part of the levator ani muscle group. They play a crucial role in supporting the anorectal junction and controlling defecation.

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What is the urogenital hiatus?

The urogenital hiatus is an opening in the pelvic diaphragm through which the urethra and vagina pass.

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Pelvic bone

A large bone formed by the fusion of the ilium, ischium, and pubis. It plays a key role in forming the hip joint and supporting the pelvic floor.

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Bony Pelvis

The bony structure formed by the sacrum, coccyx, and two pelvic bones. It provides support for the abdomen and protects the pelvic organs.

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Iliac Crest

The largest part of the ilium, providing attachment for muscles and ligaments.

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Anterior Superior Iliac Spine (ASIS)

A bony landmark on the ilium serving as an attachment site for muscles and ligaments.

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Iliac Fossa

The depression on the inner surface of the ilium that provides space for muscles to attach.

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Greater Sciatic notch

A large, curved notch on the ilium that allows passage for nerves and blood vessels.

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Ischial Tuberosity

A strong, bony prominence on the ischium that supports body weight during sitting.

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Lesser Sciatic Notch

A prominent notch on the ischium that provides passage for nerves and blood vessels.

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What is the true pelvis?

The region below the linea terminalis. It contains organs like the bladder, rectum and reproductive organs.

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What is the false pelvis?

The region above the linea terminalis. It supports the abdominal organs and is broad and shallow.

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What are gynecological conjugates?

Measurements that determine the dimensions of the birth canal. They're important to assess the mother's ability to give birth.

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What is the diagonal conjugate?

The distance from the superior surface of the pubic symphysis to the sacral promontory. It's one of the important measurements when assessing the pelvic inlet for childbirth.

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What is the posterior sagittal diameter?

The distance from the tip of the coccyx to the pubic symphysis. It's one of the important measurements when assessing the pelvic outlet for childbirth.

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What is the subpubic angle?

The subpubic angle is the angle formed by the two pubic rami at the inferior aspect of the pubic symphysis. It is wider in females (80-85 degrees) than in males (50-60 degrees).

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How does the orientation of the femur differ between males and females?

The orientation of the neck of the femur is ~15-20 degrees anterior to the alignment in males. This, and the widening of the female pelvic-inlet and -outlet, moves the lower limbs away from the birth canal.

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How does the sacral ala and promontory differ between males and females?

The sacral ala is wider and the promontory is not as pronounced in females.

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How does the pelvic inlet differ between males and females?

The female pelvic inlet is wider and usually circular/oval (gynocoid), while the male inlet is narrower and usually heart-shaped (Android).

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Pelvic Inlet

The pelvic inlet is the upper opening of the true pelvis, defined by the linea terminalis.

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What is the function of the superior and inferior pubic ligaments?

The superior and inferior pubic ligaments are vital for maintaining the stability of the right and left pelvic bones.

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What is the obturator membrane?

The obturator membrane is a tendinous membrane covering most of the obturator foramen.

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Piriformis and Obturator Internus Function

The piriformis and obturator internus muscles are both responsible for laterally rotating the femur. They are essential for movements like walking and running by enabling the leg to swing outward.

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What makes up the levator ani?

The levator ani muscle is composed of three muscles: the puborectalis, pubococcygeus, and iliococcygeus. These muscles contribute to the pelvic floor and play a role in continence and defecation.

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What is the boundary defined by the pelvic diaphragm?

The pelvic diaphragm forms the barrier between the pelvic cavity and the perineum, the area between the thighs.

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What forms the median raphe?

The two halves of the pelvic diaphragm fuse to create the median raphe, a midline structure important for supporting the anal canal and the pelvic floor.

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What is the role of the pelvic diaphragm and urogenital diaphragm together?

The pelvic diaphragm and the urogenital diaphragm, working together, reinforce the lower boundary of the peritoneal cavity - the space containing the viscera - preventing organs from spilling into the perineum.

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What is the obturator internus muscle?

A broad muscle that fills the obturator foramen, exits the pelvis through the lesser sciatic foramen, and inserts on the greater trochanter of the femur. Its function is to externally rotate and abduct the thigh.

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What is the tendinous arch?

A thick, fibrous band derived from the obturator internus fascia. Its function is to suspend part of the levator ani muscle, contributing to the pelvic diaphragm.

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How does the tendinous arch affect the pelvic anatomy?

The tendinous arch bisects the obturator internus muscle, acting as a divider between the true pelvis and the perineum.

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What is the piriformis muscle?

A muscle that originates on the pelvic surface of the sacrum and exits the pelvis through the greater sciatic foramen, eventually attaching to the greater trochanter of the femur. Its function is to externally rotate and abduct the thigh.

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How do the piriformis and obturator internus muscles differ in their exit points?

The piriformis muscle exits the pelvis through the greater sciatic foramen, while the obturator internus exits through the lesser sciatic foramen.

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Where is the obturator internus muscle located?

The obturator internus muscle is found both in the true pelvis (superior to the tendinous arch) and in the perineum (inferior to the tendinous arch).

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What is the significance of the obturator internus and piriformis muscles?

The obturator internus and piriformis muscles are two important muscles of the pelvic wall. They both contribute to hip movement and stability, contributing to external rotation and abduction.

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How do the obturator internus and piriformis muscles contribute to hip function?

The obturator internus muscle extends from the pelvic floor to the thigh, while the piriformis muscle connects the sacrum to the thigh, contributing to hip stability and movement.

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Study Notes

Learning Objectives

  • Summarize the bones that form the pelvis
  • Describe the anatomical features of the bony pelvis (linea terminalis, pelvic inlet/outlet, pelvic conjugates, orientation, gender differences, ligaments, and muscles of the pelvic wall)
  • Describe the pelvic diaphragm (composition, muscles, and relationship to the urogenital diaphragm)

Session Outline

I. The Bony Pelvis

A. Pelvic Bone

  • Ilium
  • Ischium
  • Pubis

B. Sacrum and Coccyx

II. Features of the Bony Pelvis

A. Linea Terminalis

  • Regional bony features defining the linea terminalis

B. Pelvic Inlet, Outlet, and Pelvic Conjugates

  • Pelvic inlet
  • Pelvic outlet
  • Gynecological conjugates

C. Orientation of the Pelvis

  • Describes how the pelvis is positioned

D. Gender Differences in the Pelvis

  • Female bony pelvis
  • Male bony pelvis

III. The Pelvic Diaphragm

A. Composition of the Pelvic Diaphragm

  • Relationship to the anococcygeal ligament
  • Formation of the median raphe
  • Formation of the urogenital hiatus
  • Boundary between the true pelvis and perineum

B. Pelvic Diaphragm Muscles

  • Levator ani
  • Puborectalis muscles
  • Attachments and definition of the anorectal flexure
  • Function of the puborectalis
  • Pubococcygeus muscles
  • Relationship to the urogenital hiatus
  • Iliococcygeus muscles
  • Coccygeus muscles

C. Relationship with the Urogenital Diaphragm

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Test your knowledge on the anatomy of the pelvis with this quiz. Explore the bones, ligaments, muscles, and structural features that define this vital area. Challenge yourself with questions about differences between male and female pelvises and key anatomical definitions.

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