the pelvis - bones and joints

55
The Pelvis The Pelvis Raymond G Buick FRCS

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Page 1: The Pelvis - Bones and Joints

The PelvisThe Pelvis

Raymond G Buick FRCS

Page 2: The Pelvis - Bones and Joints

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

Page 3: The Pelvis - Bones and Joints

The PelvisBones• sacrum• 2 hip bones

(innominate bone)

Joints• sacro-iliac• pubic symphysis

Page 4: The Pelvis - Bones and Joints

The PelvisBones• sacrum• 2 hip bones

(innominate bone)made up of 3 bones

iliumilium

ischiumischium

pubispubis

Page 5: The Pelvis - Bones and Joints

The Pelvic Girdle

iliumilium

sacrumsacrum

ischiumischium

pubispubis

AuthorOriginal uploader was Wiechers at nl.wikipedia

Page 6: The Pelvis - Bones and Joints

anterior superior anterior superior iliac spineiliac spine

iliac crestiliac crest

anterior inferior anterior inferior iliac spineiliac spine

iliopubic iliopubic eminenceeminence

pubic tuberclepubic tubercle

Page 7: The Pelvis - Bones and Joints

iliac fossailiac fossa

Page 8: The Pelvis - Bones and Joints

iliac fossailiac fossa sacro-iliac jointsacro-iliac joint

Page 9: The Pelvis - Bones and Joints

iliac fossailiac fossa sacro-iliac jointsacro-iliac joint

symphysis pubissymphysis pubis

Page 10: The Pelvis - Bones and Joints

iliac fossailiac fossa sacro-iliac jointsacro-iliac joint

symphysis pubissymphysis pubis

inferior pubic ramusinferior pubic ramus

superior pubic ramussuperior pubic ramus ischiumischium

Page 11: The Pelvis - Bones and Joints

anterior superior anterior superior iliac spineiliac spine

anterior inferior anterior inferior iliac spineiliac spine

posterior inferior posterior inferior iliac crestiliac crest

Page 12: The Pelvis - Bones and Joints

ischial ischial tuberositytuberosity

ischial spineischial spine

Page 13: The Pelvis - Bones and Joints

greater sciatic greater sciatic notchnotch

lesser notchlesser notch

Page 14: The Pelvis - Bones and Joints

greater sciatic greater sciatic notchnotch

obturator obturator foramenforamen

lesser notchlesser notch

Page 15: The Pelvis - Bones and Joints

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

Page 16: The Pelvis - Bones and Joints

Acetabulum

ischial ischial tuberositytuberosity

anterior superior anterior superior iliac spineiliac spine

superior pubic superior pubic ramusramusanterior inferior anterior inferior

iliac spineiliac spine

Page 17: The Pelvis - Bones and Joints

Acetabulum

iliumilium

ischiumischium

pubispubis

Page 18: The Pelvis - Bones and Joints

The Pelvic Girdle

JOINTS

• sacro-iliac

• pubic symphysis

Page 19: The Pelvis - Bones and Joints

The Pelvic Girdle

JOINTS

• sacro-iliac

• pubic symphysis

Page 20: The Pelvis - Bones and Joints

The Pelvic Girdle

• sacro-iliac

• pubic symphysis

Page 21: The Pelvis - Bones and Joints

The Pelvic Girdle

• sacro-iliac– compound joint

• synovial joint• fibrous joint

• pubic symphysis

Page 22: The Pelvis - Bones and Joints

The Pelvic Girdle• sacro-iliac

– compound joint• synovial joint• fibrous joint

Page 23: The Pelvis - Bones and Joints

The Pelvic Girdle• sacro-iliac

– compound joint• synovial joint• fibrous joint

Page 24: The Pelvis - Bones and Joints

The Pelvic Girdle• sacro-iliac

– compound joint

Anterior • synovial joint

Page 25: The Pelvis - Bones and Joints

The Pelvic Girdle• sacro-iliac

– compound joint

Anterior • synovial joint

Posterior • fibrous joint

Page 26: The Pelvis - Bones and Joints

The Pelvic Girdle

• sacro-iliac

• pubic symphysis– secondary cartilaginous joint

Page 27: The Pelvis - Bones and Joints

The Pelvic Girdle

• sacro-iliac

• pubic symphysis– secondary cartilaginous joint– fibrous cartilage

• interpubic disc

hyalinehyaline

fibrocartilagefibrocartilage

Al please Al please redrawredraw

Page 28: The Pelvis - Bones and Joints

Joints

•Fibrous

•Cartilaginous

•Synovial

Page 29: The Pelvis - Bones and Joints

Joints

•Fibrous

•Cartilaginous

•Synovial

sutures

syndesmoses

gomphosis

Page 30: The Pelvis - Bones and Joints

Joints

•Fibrous

•Cartilaginous

•Synovial

Primary cartilaginous joints – synchondroses

Secondary cartilaginous joints – symphyses

Page 31: The Pelvis - Bones and Joints

The PelvisTwo functions

1. connects the vertebral column to the femurs.

2. contain and protect pelvic and some abdominal viscera

Page 32: The Pelvis - Bones and Joints

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

Page 33: The Pelvis - Bones and Joints

sacroiliac jointsacroiliac joint

hip jointhip joint

sacro-iliac joint

Page 34: The Pelvis - Bones and Joints

sacroiliac jointsacroiliac joint sacro-iliac joint

Page 35: The Pelvis - Bones and Joints

sacro-iliac jointjoint surfaces

sacro-iliac ligaments

Page 36: The Pelvis - Bones and Joints

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

Page 37: The Pelvis - Bones and Joints

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

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

Page 38: The Pelvis - Bones and Joints

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

sacro-iliac ligaments– posterior sacro-iliac ligaments

– interosseous sacro-iliac ligaments

Page 39: The Pelvis - Bones and Joints

sacro-iliac jointinterosseous sacro-iliac ligaments

Page 40: The Pelvis - Bones and Joints

sacro-iliac joint

Page 41: The Pelvis - Bones and Joints

sacro-iliac joint

Page 42: The Pelvis - Bones and Joints

sacro-iliac jointjoint surfaces– irregular contour– limited mobility

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

Page 43: The Pelvis - Bones and Joints

The sacroiliac jointsjoint surfaces

sacro-iliac ligaments

very taut joint capsules

iliolumbar ligament

accessory ligaments sacrospinosis sacrotuberous

Page 44: The Pelvis - Bones and Joints

The sacroiliac jointsvery taut joint capsules

joint surfaces

sacro-iliac ligaments

iliolumbar ligament

accessory ligaments sacrospinosis sacrotuberous

iliolumbar ligament

Page 45: The Pelvis - Bones and Joints

The sacroiliac jointsvery taut joint capsules

sacro-iliac ligaments

iliolumbar ligament

accessory ligaments sacrospinosis sacrotuberous

sacrotuberous ligament

Page 46: The Pelvis - Bones and Joints

The sacroiliac jointsvery taut joint capsules

sacro-iliac ligaments

iliolumbar ligament

accessory ligaments sacrospinosis sacretubeorus

sacrospinosis ligament

Page 47: The Pelvis - Bones and Joints

The sacroiliac joints

sacrospinosis ligament

ischial ischial tuberositytuberosity

ischial spineischial spine

sacrotuberous ligament

Page 48: The Pelvis - Bones and Joints

The Pelvis

FALSE PELVIS

TRUE PELVIS

Page 49: The Pelvis - Bones and Joints

The Pelvic Girdle

FALSE PELVIS

TRUE PELVISpelvic inletsuperior pelvic aperture

Page 50: The Pelvis - Bones and Joints

The Pelvic Girdlefemale – v – male

Page 51: The Pelvis - Bones and Joints

The Pelvic Girdlefemale – v – male

• wide pubic arch> 800

< 700

Page 52: The Pelvis - Bones and Joints

The Pelvic Girdlefemale – v – male

• wide pubic arch• pelvis - wider and shallower

> 800

< 700

Page 53: The Pelvis - Bones and Joints

The Pelvic Girdlefemale – v – male

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

Page 54: The Pelvis - Bones and Joints

The Female Pelvic Girdle

ischial spineischial spine

interspinous distanceinterspinous distance

Page 55: The Pelvis - Bones and Joints

The EndThe End

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