ANATOMY OF FEMALE PELVIC

Dr. Heny Anggraeny Lenap

PELVIC
A. Solid part : Pelvic bone
B. Soft part : Pelvic ligament &
muscle
A. PELVIC BONE
2 Innominate bone :
- Os illium
- Os ischium
- Os pubic

Sacrum
Coccyx

PELVIC BONE
PELVIC BONE
PELVIC BONE
Pelvic Inlet/Pelvic brim
Area bordered by:
Promontorium
Sacrum
Linea inominata
Ramus Superior
ossis Pubis
Uper border of
Symphisis pubis
Pelvic outlet
Area bordered by:
Ujung bawah
Sacrum
Tulang Tuber
Ischiadica
Sacro-coccygeal
Lower border of
symphisis pubis


Hodge line
Hodge I: imagination line drawn from
promontorium to the upper border of symphisis
pubis
Hodge II: parallel with hodge I measured from
lower border of symphisis
Hodge III: parallel with hodge II, measured
from spina ischiadica
Hodge IV: parallel with hodge III, measured
from coccyx tip

B. PELVIC LIGAMENT & MUSCLE
LIGAMENT connect the pelvic joint

Ligament interpubic pada symphysis pubis
Ligament sacro iliaca
Ligament sacro-coccygeal
Ligament sacro-tuberous
Ligament sacro spinosus
PELVIC MUSCLE

The inner aspect of the bony pelvis is covered with muscles:

Above the brim --- iliacus & psoas

Sidewalls ---- obturator internus & its fascia

Post wall ---- pyriformis

Pelvic floor ---- levator ani & coccygeus

PELVIC MUSCLE
Conjugata
Vera
L4

Ischial spine

Ischial tuberosity

48

Sacral promontory

Left sacro-iliac joint

Iliopectineal line

Sacrospinous ligament

Sacrotuberous ligament

Symphysis pubis
Sacral promontory
Left sacro-iliac joint
Iliopectineal line
Sacrospinous ligament
Sacrotuberous ligament
Symphysis pubis
Ischial tuberosity
Ischial spine
PELVIC EXAMINATION
Pelvic inlet examination
Pelvic outlet examination
Engagement
Jangka Panggul
Distansia Cristarum
Distansia Spinarum
Conjugata eksterna/Bouldeloque: distance between
upper border symphysis pubis with prosessus spinosus
lumbal 5. the normal measurement 1820 cm
Vaginal Touch
Pelvic outlet examination
biischial diameter,
intertuberous diameter, and
transverse diameter of the outlet.
A measurement of more than 8 cm is considered
normal
Normal pelvic measurement
Distansia
Spinarum
Distansia
Cristarum
Distansia Cristarum: 2829 cm
Distansia Spinarum: 2526 cm
Inside Pelvic measurement
Conjugata Diagonalis = 12,513cm
Conjugata Vera = CD (1,52cm)
Conjugata Obstetrika = terpendek
Vaginal Touch Examination
Promontorium touched/not
Conjugata Vera normal/not
Spina Ischiadica prominent/not
Arkus pubis wide/narrow
Sakrum curve/not

Note:
Touched Promontory usually indicated narrow pelvic
Height 145 cm also indicated narrow pelvic

Differentiation between female and male pelvic
Pelvic Shape
PELVIC SHAPE
1-GYNECOID
Typical female pelvis found in 50% of women
Roundedslightly oval inlet
Straight pelvic sidewalls with roomy pelvic cavity
Good sacral curve
Ischial spines are not prominent
Pubic arch is wide
PELVIC SHAPE
2-ANDROID
Typical male pelvis found in 1/3 white women 1/6
non-white
Pelvic brim is heart shaped
Pelvis funnels from above downwards
(convergent sidewalls)
Narrow pubic arch
Prominent spines

PELVIC SHAPE
3-ANTHROPOID
25% white women & 50% nonwhite
Pelvic brim APD > TD
Long & narrow pelvic canal with long sacrum
Straight pelvic sidewalls

4-PLATYPELLOID
3% of women
Pelvic brim TD >>>APD kidney shape
Sacral promontory pushed forwards
Thank you