The Pelvis - Bones and Joints

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Transcript of The Pelvis - Bones and Joints

The PelvisThe Pelvis

Raymond G Buick FRCS

The PelvisTwo functions

1. connects the vertebral column to the femurs.• bear the weight of the upper body and transfers that weight

from the axial skeleton to the appendicular skeleton• provide attachments for muscles of locomotion and posture.2. contain and protect pelvic and some abdominal viscera• urinary tracts• internal reproductive organs• provide attachment for external reproductive organs and

associated muscles and membranes

The PelvisBones• sacrum• 2 hip bones

(innominate bone)

Joints• sacro-iliac• pubic symphysis

The PelvisBones• sacrum• 2 hip bones

(innominate bone)made up of 3 bones

iliumilium

ischiumischium

pubispubis

The Pelvic Girdle

iliumilium

sacrumsacrum

ischiumischium

pubispubis

AuthorOriginal uploader was Wiechers at nl.wikipedia

anterior superior anterior superior iliac spineiliac spine

iliac crestiliac crest

anterior inferior anterior inferior iliac spineiliac spine

iliopubic iliopubic eminenceeminence

pubic tuberclepubic tubercle

iliac fossailiac fossa

iliac fossailiac fossa sacro-iliac jointsacro-iliac joint

iliac fossailiac fossa sacro-iliac jointsacro-iliac joint

symphysis pubissymphysis pubis

iliac fossailiac fossa sacro-iliac jointsacro-iliac joint

symphysis pubissymphysis pubis

inferior pubic ramusinferior pubic ramus

superior pubic ramussuperior pubic ramus ischiumischium

anterior superior anterior superior iliac spineiliac spine

anterior inferior anterior inferior iliac spineiliac spine

posterior inferior posterior inferior iliac crestiliac crest

ischial ischial tuberositytuberosity

ischial spineischial spine

greater sciatic greater sciatic notchnotch

lesser notchlesser notch

greater sciatic greater sciatic notchnotch

obturator obturator foramenforamen

lesser notchlesser notch

anterior superior anterior superior iliac spineiliac spine

ischial ischial tuberositytuberosity

anterior inferior anterior inferior iliac spineiliac spine

iliac crestiliac crest

ischial spineischial spine

posterior inferior posterior inferior iliac crestiliac crest

symphysis pubissymphysis pubis

Acetabulum

ischial ischial tuberositytuberosity

anterior superior anterior superior iliac spineiliac spine

superior pubic superior pubic ramusramusanterior inferior anterior inferior

iliac spineiliac spine

Acetabulum

iliumilium

ischiumischium

pubispubis

The Pelvic Girdle

JOINTS

• sacro-iliac

• pubic symphysis

The Pelvic Girdle

JOINTS

• sacro-iliac

• pubic symphysis

The Pelvic Girdle

• sacro-iliac

• pubic symphysis

The Pelvic Girdle

• sacro-iliac– compound joint

• synovial joint• fibrous joint

• pubic symphysis

The Pelvic Girdle• sacro-iliac

– compound joint• synovial joint• fibrous joint

The Pelvic Girdle• sacro-iliac

– compound joint• synovial joint• fibrous joint

The Pelvic Girdle• sacro-iliac

– compound joint

Anterior • synovial joint

The Pelvic Girdle• sacro-iliac

– compound joint

Anterior • synovial joint

Posterior • fibrous joint

The Pelvic Girdle

• sacro-iliac

• pubic symphysis– secondary cartilaginous joint

The Pelvic Girdle

• sacro-iliac

• pubic symphysis– secondary cartilaginous joint– fibrous cartilage

• interpubic disc

hyalinehyaline

fibrocartilagefibrocartilage

Al please Al please redrawredraw

Joints

•Fibrous

•Cartilaginous

•Synovial

Joints

•Fibrous

•Cartilaginous

•Synovial

sutures

syndesmoses

gomphosis

Joints

•Fibrous

•Cartilaginous

•Synovial

Primary cartilaginous joints – synchondroses

Secondary cartilaginous joints – symphyses

The PelvisTwo functions

1. connects the vertebral column to the femurs.

2. contain and protect pelvic and some abdominal viscera

The PelvisTwo functions

1. connects the vertebral column to the femurs.• bear the weight of the upper body and transfers that weight

from the axial skeleton to the appendicular skeleton• provide attachments for muscles of locomotion and posture.

2. contain and protect pelvic and some abdominal viscera

sacroiliac jointsacroiliac joint

hip jointhip joint

sacro-iliac joint

sacroiliac jointsacroiliac joint sacro-iliac joint

sacro-iliac jointjoint surfaces

sacro-iliac ligaments

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

sacro-iliac ligaments– posterior sacro-iliac ligaments– interosseous sacro-iliac ligaments

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

sacro-iliac ligaments– posterior sacro-iliac ligaments

– interosseous sacro-iliac ligaments

sacro-iliac jointinterosseous sacro-iliac ligaments

sacro-iliac joint

sacro-iliac joint

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

sacro-iliac ligaments– posterior sacro-iliac ligaments– interosseous sacro-iliac ligaments– anterior sacro-iliac ligaments

The sacroiliac jointsjoint surfaces

sacro-iliac ligaments

very taut joint capsules

iliolumbar ligament

accessory ligaments sacrospinosis sacrotuberous

The sacroiliac jointsvery taut joint capsules

joint surfaces

sacro-iliac ligaments

iliolumbar ligament

accessory ligaments sacrospinosis sacrotuberous

iliolumbar ligament

The sacroiliac jointsvery taut joint capsules

sacro-iliac ligaments

iliolumbar ligament

accessory ligaments sacrospinosis sacrotuberous

sacrotuberous ligament

The sacroiliac jointsvery taut joint capsules

sacro-iliac ligaments

iliolumbar ligament

accessory ligaments sacrospinosis sacretubeorus

sacrospinosis ligament

The sacroiliac joints

sacrospinosis ligament

ischial ischial tuberositytuberosity

ischial spineischial spine

sacrotuberous ligament

The Pelvis

FALSE PELVIS

TRUE PELVIS

The Pelvic Girdle

FALSE PELVIS

TRUE PELVISpelvic inletsuperior pelvic aperture

The Pelvic Girdlefemale – v – male

The Pelvic Girdlefemale – v – male

• wide pubic arch> 800

< 700

The Pelvic Girdlefemale – v – male

• wide pubic arch• pelvis - wider and shallower

> 800

< 700

The Pelvic Girdlefemale – v – male

• wide pubic arch• pelvis - wider and shallower• pelvic inlet F=oval: M =heart-shaped

The Female Pelvic Girdle

ischial spineischial spine

interspinous distanceinterspinous distance

The EndThe End

A narrated tutorial on this subject will be available soon on

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