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DESCRIPTION

BONY PELVIS MAIN


FUNCTION

TRANSMIT THE WEIGHT OF THE BODY FROM THE


VERTERBRAL COLUMN TO THE FEMURS
CONTAINS, SUPPORTS, AND PROTECTS PELVIC VISCERA
PROVIDES ATTACHMENT FOR TRUNK AND LOWER LIMB
MUSCLES
4 BONES:
2 HIP BONES (lateral and anterior)
SACRUM (back)
COCCYX (back)

BONY PELVIS OTHER


FUNCTION
BONY PELVIS IS
COMPOSED OF
SYMPHYSIS PUBIS
SACROILIAC JOINTS
PELVIC BRIM
PELVIS

ARTICULATION OF 2 HIP BONES ANTERIORLY


ARTICULATION OF 2 HIP BONES POSTERIORLY WITH THE
SACRUM
DIVIDES THE PELVIS INTO TWO PARTS
Behind: SACRAL PROMONTORY
Lateral: ILIOPECTINEAL LINES
Anterior: SYMPHYSIS PUBIS

SACRAL PROMONTORY ANTERIOR AND UPPER MARGIN OF S1


ILEOPECTINEAL LINES

LINE THAT RUNS FORWARD AND DOWNWARD AROUND THE


INNER SURFACE OF THE ILEUM

FALSE PELVIS

ABOVE THE BRIM (fa)

TRUE PELVIS

BELOW THE BRIM (tb)

****
SYMPHYSIS PUBIS
(PELVIC SURFACE)
FACES
SACRUM (ANTERIOR
SURFACE)
FALSE PELVIS

FALSE PELVIS

TRUE PELVIS
PELVIC INLET/PELVIC
BRIM

THE FRONT OF THE SYMPHYSIS PUBIS AND THE ANTERIOR


SUPERIOR ILIAC SPINES SHOULD LIE IN THE SAME VERTICAL
PLANE
UPWARD AND BACKWARD
FORWARD AND DOWNWARD
Behind: LUMBAR
Lateral: ILIAC FOSSA AND ILIACUS MUSCLES
Front: LOWER PART OF ABDOMINAL WALL
PART OF THE ABDOMINAL CAVITY
SUPPORTS THE ABDOMINAL CONTENTS
AFTER THE 3RD MONTH OF PRENANCY HELPS SUPPORT THE
UTERUS
HELPS GUIDE THE FETUS INTO THE TRUE PELVIS
INLET, OUTLET, CAVITY
Posterior: SACRAL PROMONTORY
Lateral: ILIOPECTINEAL LINES

Anterior: SYMPHYSIS PUBIS

PELVIC OUTLET
PELVIC OUTLET HAS
PUBIC ARCH
SCIATIC NOTCHES
SACROTUBEROUS
LIGAMENTS

PELVIC OUTLET

*SAME SA PELVIS STATED ABOVE*


Posterior: COCCYX
Lateral: ISCHIAL TUBEROSITIES
Anterior: PUBIC ARCH
3 WIDE NOTCHES
Anterior: BETWEEN ISCHIOPUBIC RAMI
Lateral: SCIATIC NOTCHES
DIVIDED BY SACROTUBEROUS AND SACROSPINOUS
LIGAMENTS INTO GREATER AND LESSER SCIATIC FORAMINA
STRONG AND INFLEXIBLE; FORMS PART OF THE PERIMETER
OF THE PELVIC OUTLET
DIAMOND SHAPED
Boundaries in Front: ISCHIOPUBIC RAMI AND SYMPHYSIS
PUBIS
Boundaries Behind: SACROTUBEROUS LIGAMENTS AND
COCCYX

PELVIC CAVITY

BETWEEN THE INLET AND OUTLET

PELVIC CAVITY

SHORT, CURVED CANAL


Anterior wall: SHALLOW
Posterior wall: DEEPER

WALL OF PELVIS

BONES-LIGAMENTS-MUSCLES-FASCIA-PARIETAL PERITONEUM

SHALLOWEST WALL. FORMED BY:


ANTERIOR PELVIC
- PUBIC BONES
WALL
- PUBIC RAMI
- SYMPHYSIS PUBIS
EXTENSIVE. FORMED BY:
POSTERIOR PELVIC
- SACRUM
WALL
- COCCYX
- PIRIFORMIS MUSCLES AND COVERING FASCIA
FIVE RUDIMENTARY VERTEBRAE
FORWARD CONCAVITY
SACRUM
Upper articulates with: L5
Lower articulates with: Coccyx
Laterally, with: 2 Iliac bones
ANTERIOR AND UPPER MARGINS OF S1 BULGE FORWARD AS
POSTERIOR MARGIN OF PELVIC INLET
SACRAL PROMONTORY
*important obstetrical landmark when measuring the size of
the pelvis*
FAILURE OF THE LAMINAE OF THE S5 (AND SOMETIMES THE
SACRAL HIATUS
S4) TO MEET IN THE MIDLINE
SACRAL CANAL
CONTAINS THE:
- ANTERIOR AND POSTERIOR ROOTS OF THE LUMBAR,
SACRAL, AND COCCYGEAL SPINAL NERVES

****
LUMBOSACRAL ANGLE
COCCYX
1ST COCCYGEAL VERT.
CORNUA

PIRIFORMIS MUSCLE

LATERAL PELVIC WALL

HIP BONE (children)

PUBERTAL STAGE

ACETABULUM
GREATER SCIATIC
NOTCH
SPINE OF THE
ISCHIUM
SS LIGAMENTS
ILIUM
ILIAC CREST

FILUM TERMINALE
FIBROFATTY MATERIAL
LOWER PART OF THE SUBARACHNOID SPACE (as far as
S2)
The sacrum is usually wider in proportion to its length in the
female than in the male
AN ANGLE FORMED WITH THE L5 WHEN SACRUM IS TITLED
FORWARD
FOUR VERTERBRAE FUSED AS A SMALL TRIANGULAR BONE
POSSESS A RUDIMENTARY TRANSVERSE PROCESS AND
CORNUA
REMAINS OF THE PEDICLES AND SUPERIOR ARTICULAR
PROCESS
- ARISES FROM THE FRONT OF LATERAL MASS OF THE
SACRUM
- LEAVES THE PELVIS TO ENTER THE GLUTEAL REGION
BY PASSING GREATER SCIATIC FORAMEN
- INSERTION:
UPPER
BORDER
OF
GREATER
TROCHANTER OF FEMUR
- ACTION: LATERAL ROTATOR OF FEMUR
- NS: SACRAL PLEXUS
HIP BONE BELOW THE PELVIC INLET
OBTURATOR MEMBRANE
OBTURATOR INTERNUS MUSCLES (with fascia)
SACROTUBEROUS AND SACROSPINOUS LIGAMENTS
Superiorly: ILIUM
Posteriorly and inferiorly: ISCHIUM
Anteriorly and inferiorly: PUBIS
*these separate bones are joined by cartilage at the
acetabulum*
THE THREE BONES (STATED ABOVE) WILL FORM AS ONE
LARGE, IRREGULAR BONE
DEEP DEPRESSION ON THE OUTER SURFACE OF THE HIP
BONE
ARTICULATES WITH THE HEMISPHERICAL HEAD OF THE
FEMUR
LARGE NOTCH BEHIND THE ACETABULUM
SEPARATES GREATER SCIATIC NOTCH FROM THE LESSER
CONVERTS SCIATIC NOTCHES TO FORAMINA (GREATER AND
LESSER)
UPPER FLATTENED PART OF THE HIP BONE
BETWEEN ANTERIOR AND POSTERIOR SUPERIOR ILIAC
SPINES

AURICULAR SURFACE
ILEOPECTINEAL LINE
ISCHIUM
PUBIS
BODY OF PUBIS

LIES ON THE INNER SURFACE OF THE ILIUM FOR


ARTICULATION WITH THE SACRUM
- RUNS DOWNWARD AND FORWARD AROUND THE
INNER SURFACE OF THE ILIUM
- DIVIDES THE FALSE FROM TRUE PELVIS
INFERIOR AND POSTERIOR PART OF THE HIP BONE
ANTERIOR PART OF THE HIP BONE
BEARS PUBIC CREST AND PUBIC TUBERCLE, ARTICULATES
WITH THE PUBIC BONE AT THE OPPOSITE SIDE AT THE
SYMPHYSIS PUBIS

OBTURATOR FORAMEN LARGE OPENING ON THE LOWER PART OF THE HIP BONE
OBTURATOR
MEMBRANE
OBTURATOR CANAL
SACROTUBEROUS
LIGAMENT
SACROSPINOUS
LIGAMENT
SS LIGAMENTS

OBTURATOR
INTERNUS MUSCLE

INFERIOR PELVIC
WALL/
PELVIC FLOOR

PELVIC DIAPHRAGM

FIBROUS SHEET THAT ALMOST COMPLETELY CLOSES THE


OBTURATOR
FORAMEN,
LEAVING
A
SMALL
GAPOBTURATOR CANAL
PASSAGEWAY OF OBTURATOR NERVE AND VESSELS AS THEY
LEAVE THE PELVIS TO ENTER THE THIGH
STRONG; EXTENDS FROM LATERAL PART OF SACRUM AND
COCCYX AND POSTERIOR INFERIOR ILIAC SPINE TO THE
ISCHIAL TUBEROSITY
STRONG; TRIANGULAR SHAPED
BASE: LATERAL PART OF THE SACRUM AND COCCYX
APEX: SPINE OF ISCHIUM
PREVENTS THE LOWER END OF THE SACRUM AND COCCYX
FROM BEING ROTATED UPWARD AT THE SACROILIAC JOINT
BY THE WEIGHT OF THE BODY
ARISES FROM THE PELVIC SURFACE OF THE OBTURATOR
MEMBRANE AND THE ADJOINING PART OF THE HIP BONE
CONVERGE TO A TENDON, LEAVES THE PELVIS THROUGH
LESSER SCIATIC FORAMEN
INSERTION: GREATER TROCHANTER OF THE FEMUR
ACTION: LATERALLY ROTATES THE FEMUR AT THE HIP JOINT
NS: NERVE TO THE OBTURATOR INTERNUS (BRANCH OF
SACRAL PLEXUS)
FORMED BY PELVIC DIAPHRAGM
DIVIDES THE PELVIS TO MAIN PELVIC CAVITY ABOVE, AND
PERINEUM BELOW
FORMED BY:
- LEVATORES ANI MUSCLES
- SMALL COCCYGEUS MUSCLES (with fascia)
*incomplete anteriorly to allow passage of the urethra in
males and the urethra and vagina in females*

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