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    ANATOMY: Pelvic 2

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    Nur Liyana Mohamad
    1) The document describes the bones, ligaments, muscles, fascia and diameters of the male pelvis. It details the sacrotuberous, sacrospinous and sacroiliac ligaments. 2) It outlines the levator ani muscle which acts as a sling to support pelvic organs and resist increases in intra-abdominal pressure. 3) The pelvic fascia is divided into parietal and visceral layers, with the parietal layer lining the pelvic wall and overlying muscles, and the visceral layer covering the pelvic organs.

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    ANATOMY: Pelvic 2

    Uploaded by

    Nur Liyana Mohamad
    135 views16 pages
    1) The document describes the bones, ligaments, muscles, fascia and diameters of the male pelvis. It details the sacrotuberous, sacrospinous and sacroiliac ligaments. 2) It outlines the levator ani muscle which acts as a sling to support pelvic organs and resist increases in intra-abdominal pressure. 3) The pelvic fascia is divided into parietal and visceral layers, with the parietal layer lining the pelvic wall and overlying muscles, and the visceral layer covering the pelvic organs.

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    1) The document describes the bones, ligaments, muscles, fascia and diameters of the male pelvis. It details the sacrotuberous, sacrospinous and sacroiliac ligaments. 2) It outlines the levator ani muscle which acts as a sling to support pelvic organs and resist increases in intra-abdominal pressure. 3) The pelvic fascia is divided into parietal and visceral layers, with the parietal layer lining the pelvic wall and overlying muscles, and the visceral layer covering the pelvic organs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    135 views16 pages

    ANATOMY: Pelvic 2

    Uploaded by

    Nur Liyana Mohamad
    1) The document describes the bones, ligaments, muscles, fascia and diameters of the male pelvis. It details the sacrotuberous, sacrospinous and sacroiliac ligaments. 2) It outlines the levator ani muscle which acts as a sling to support pelvic organs and resist increases in intra-abdominal pressure. 3) The pelvic fascia is divided into parietal and visceral layers, with the parietal layer lining the pelvic wall and overlying muscles, and the visceral layer covering the pelvic organs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 16

    1

    Ligaments of pelvis
    1-Sacrotuberous lig.
    2-Sacrospinous lig.
    3-Sacroiliac lig.
    4-Sacrococcygeal lig
    2

    Sacrotuberous lig:

    Sacrum&coccyx---------------Ischial tuberosity

    Sacrospinous lig

    Sacrum &coccyx--------------Ischial spine

    Obturator membrane: Fibrous sheet closes the obturator


    foramen & leaving a small gap called (obturator canal)

    Diameters of pelvic brim (pelvic inlet)


    3
    4

    1-Anteroposterior dia.
    Extends from promontory of sacrum------------upper border
    of symphysis pubis
    5

    2-Oblique dia.(12cm)
    Sacroiliac joint-----------------iliopectineal eminence

    3-Transverse dia.(13cm)

    Extends between furthest points on opposite ileopectneal


    lines
    6

    Diameters of pelvic outlet

    Anatomical outlet Obstetric outlet

    Lower border of each bone diamond shape

    Sacrotuberous ligament

    Diameters of pelvis in cm

    Ant.post oblique transverse


    Circular Brim 11 cm 12 cm 13 cm
    Circular Cavity 12 cm 12 cm 12 cm
    Diamond Outlet 13 cm 12 cm 11 cm
    7

    Bones Ligaments Muscles

    Pelvic walls
    Fascia Peritoneum

    Pelvic walls

    Ant. wall Post. wall Lat. wall Inf.


    wall(Floor)
    Pelvic
    diaphragm
    Short long Lower part of
    hip bone
    Body of pubis Sacrum Obturator Levator ani M.
    membrane
    Rami of pubis Coccyx Sacrotuberous Coccygeus M.
    lig
    Symphysis Piriformis M. Sacrospinous Fascia
    pubis lig. covering
    these M.
    Fascia Obturator
    covering M. internus M.
    Fascia
    covering M.

     Anteriorly the pelvic diaphragm has a gap for the passage


    of urethra & vagina
    8
    9
    10
    11

    Levator ani Muscle

    Ant.Fibers Mid Fibers Post.Fibers


    Sphincter Puborectalis&pubococcygeus Iliococcygeus
    vaginae
    Body of Body of pubis Pubis
    pubis

    Anococcygeal body Coccyx &


    Perineal Anococcygeal
    body body
    12

    Action :
     Acts as a sling that support pelvic organs
     Resists the rise in intrapelvic pressure during
    strain(couphing)
     Acts as a sphincter (anorectal sphincter & vaginal
    sphincter)
    Coccygeus M.
    Ischial spine----------------------lower end of sacrum&coccyx
    Action: Supports pelvic organs
     Anococcygeal body:Mass of fibrous tissue lies between
    tip of coccyx& anal cnal
     Perineal body:Mass of fibrous tissue lies anterior to anal
    canal
     Piriformis M.:
    Sacrum---------passes through greater sciatic foramen--------
    inserted into greater trochanter of femur
    Action:Lateral rotates the femur at the hip
    13

     Obturator internus
    Pelvic surface of obturator membrane+Adjacent hip bone

    Lesser sciatic foramen

    Greater trochanter
    14

    Pelvic fascia

     It is formed of connective tissue


    Above ---with fascia lining abdominal wall
    Continuous
    Below----with fascia of perineum
     Pelvic fascia is divided into parietal & visceral layers
    15

    Parietal pelvic fascia:


    Lines the wall of pelvis & overlies the muscles of pelvis.it
    is named according to the Underlying muscles
    (example:obturator internus fascia)
    Pelvic fascia above pelvic diaphragm is called
    (superior fascial layer) which is continuous through
    deficient anteriorly with( inferior fascial layer) that lies
    on inferior surface of pelvic diaphragm

    In perineum below pelvic diaph.


    Parietal pelvic fascia covers sphincter urethra & perineal
    membrane(perineal layer of parietal pelvic fascia)which
    forms the superior fascial layer of fascia of urogenital
    diaphragm
    16

    Visceral layer of pelvic fascia


    It is formed of loose connective tissue covers all pelvic
    organs
    It is thickened to form ligaments & extends between
    pelvic wall & pelvic organs
    These ligaments are pubovesical & sacrocervical

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