Pelvic Girdle

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Pelvic girdle BONES SACRAL JOINTS LUMBOSACRAL JOINT (synchondrosis, syndesmosis) intervertebral disc anterior and posterior longitudinal ligg. ligg. flava interspinal and supraspinal ligg. lig. iliolumbale (stabilizes the joint) ZYGAPOPHYSIAL JOINT Synovial joint between the 5th lumbar vertebra and the correspondig articular process of the sacrum SACROCOCCYGEAL JOINT (SYNCHONDROSIS) SACROILIAC JOINTS Pubic symphysis 1. Sacroiliac joints: pelvic bones + sacrum auricular surfaces of sacrum and ilium hyalin cart. superficialy, fibrous cart. deeply! Capsule: tight, dense, limited articular cavity Ligaments: - ventral sacroiliac ligament (weak) - dorsal sacroiliaca ligament (strong) - interosseal sacroliliac ligament (strong) 2. Pubic symphysis - symphysial surface of pubis and an interpubic discus - synchondrosis, fibrocartilage Not a true joint, however, it may contain a „cavity” within the disc Ligaments: superior pubic lig. (inf.!) arcuate pubic lig. SACROILIAC JOINTS Sacroiliac ligg. dorsal interosseal Hyalin cart. Fibrous cart. ventral Pubic symphysis Ligaments of the pelvis - sacrospinous ligament - sacrotuberal ligament (continues as falciform process) - obturator membrane - inguinal ligament (TENDON of the external oblique abdominis m.!!) Inguinal ligament subinguinal hiatus Inner hip muscles: -psoas major -iliacus (-psoas minor) Greater sciatic foramen divide by piriformis m. forms suprapiriform and infrapiriform hiatuses pelvis major pelvis minor - GREATER PELVIS - LESSER PELVIS SEPARATED BY LINEA TERMINALIS MALE AND FEMALE FEATURES DIAMETERS MALES FEMALES OBLIQUE TRANSVERSE DIAMETER DIAMETER DIAMETERS FEMALE PELVIS DIAGONAL CONJUGATE (DIAMETER) SAGITTAL DIAMETER of amplitudo pelvis ANATOMICAL CONJUGATE Pelvic inlet ANGUSTIA PELVIS INCLINATIO PELVIS (pubococcygeal distance) OBSTETRIC CONJUGATE Pelvic outlet AXIS PELVIS Folio 9v from the Epitome of Vesalius, Basel, 1543..

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Hybrid Solution Combining Osteosynthesis and Endoprosthesis for Double Column Acetabular Fractures in the Elderly Provide More Stability with Finite Element Model
Eklem Hastalıkları ve Eklem Hastalik Cerrahisi Cerrahisi 2019;30(2):106-111 Joint Diseases and Related Surgery Original Article / Özgün Makale doi: 10.5606/ehc.2019.66592 Hybrid solution combining osteosynthesis and endoprosthesis for double column acetabular fractures in the elderly provide more stability with finite element model Yaşlılarda çift kolon asetabuler kırıklar için osteosentez ve endoprotez hibrid kombinasyonu “finite element” yöntemi ile daha çok stabilite sağlar András Kocsis, MD1, Károly Váradi, MD2, Gábor Szalai2, Tamás Kovács, MD1, Tamás Bodzay, MD, PhD1 1Jenő Manninger National Institute of Traumatology, Budapest, Hungary 2Budapest University of Technology and Economics, Faculty of Mechanical Engineering, Department of Machine and Product Design, Hungary ABSTRACT ÖZ Objectives: This study aims to compare mechanical Amaç: Bu çalışmada yaşlılarda çift kolon kırıklarında stability of osteosynthesis (plate and screw fixation) alone osteosenteze (plak ve vida tespiti) kıyasla kalça artroplastisi ile versus the same method supplemented with hip arthroplasty desteklenen aynı yöntemin (hibrid çözüm) mekanik stabilitesi (hybrid solution) for double column fractures in elderly. karşılaştırıldı. Patients and methods: Mechanical investigations were Hastalar ve yöntemler: Çift kolon kırıkları için geliştirilen performed on an advanced finite element pelvis model ileri sonlu eleman pelvis modelinde mekanik araştırmalar developed for double column fractures. The following yapıldı. İncelenen simüle edilen implant kombinasyonları simulated
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The Pelvis Structure the Pelvic Region Is the Lower Part of the Trunk
The pelvis Structure The pelvic region is the lower part of the trunk, between the abdomen and the thighs. It includes several structures: the bony pelvis (or pelvic skeleton) is the skeleton embedded in the pelvic region of the trunk, subdivided into: the pelvic girdle (i.e., the two hip bones, which are part of the appendicular skeleton), which connects the spine to the lower limbs, and the pelvic region of the spine (i.e., sacrum, and coccyx, which are part of the axial skeleton) the pelvic cavity, is defined as the whole space enclosed by the pelvic skeleton, subdivided into: the greater (or false) pelvis, above the pelvic brim , the lesser (or true) pelvis, below the pelvic brim delimited inferiorly by the pelvic floor(or pelvic diaphragm), which is composed of muscle fibers of the levator ani, the coccygeus muscle, and associated connective tissue which span the area underneath the pelvis. Pelvic floor separate the pelvic cavity above from the perineum below. The pelvic skeleton is formed posteriorly (in the area of the back), by the sacrum and the coccyx and laterally and anteriorly (forward and to the sides), by a pair of hip bones. Each hip bone consists of 3 sections, ilium, ischium, and pubis. During childhood, these sections are separate bones, joined by the triradiate hyaline cartilage. They join each other in a Y-shaped portion of cartilage in the acetabulum. By the end of puberty the three bones will have fused together, and by the age of 25 they will have ossified. The two hip bones join each other at the pubic symphysis.
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HUMAN PELVIS HEIGHT IS ASSOCIATED with OTHER PELVIS MEASUREMENTS of OBSTETRIC VALUE Munabi Ian G
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Alekzs02.Pdf
cingulum Upper limb • S Stylopodium - 1 bone Zeugopodium - 2 bones Autopodium - distal part Shoulder (pectoral) girdle 2 • Klíček 4 1 • Lopatka 3 • PH 5 1 StC 2 1 2 AC 3 GH 4 3 4 SuA 5 TSc junction 5 1 Articulatio sternoclavicularis 2 Articulatio acromioclavicularis 9 2 discus 1 4 6a 6b 3 5 10 7 8 3- lig. interclaviculare 4-lig. sternoclaviculare 5-lig costoclaviculare 6-lig. coracoclaviculare a) lig. trapezoideum b) lig. conoideum 7-lig. coracoacromiale (fornix humeri) 8-lig. coracohumerale 9- lig. acromioclaviculare 10 – lig. transversum scapulae Articulatio acromioclavicularis C-C C-A C-H Scapula movements (Movements in thoracoscapular junction) with movements in StC Th3 and AC joint retraction protraction Th7 elevation depression rotation midposition – palm on the neck Ligamentum coracoclaviculare the strongest stabilizer of the AC joint. conoid trapezoid Long head BiBr Labrum glenoidale Glenoid lip Long headTriBr Superior aspect of the acromioclavicular joint 1 P L 1 M Lig. transversum Fornix humeri scapulae superius A X-ray https://www.auntminnie.com/index.aspx?sec=olce&sub=cotx&pag=cpages&ce_id=11221&pno=1 X-ray 1 2 3 7 5 6 4 1- extremitas acromialis 2-acromion 3-greater turebcle 4-lesser tubercle 5-caput humeri 6-cavitas glenoidalis 7-coracoid process Synovial joint description • 1) type and shape of joint General schema of synovial joint • 2) articular surfaces • 3) joint capsule attachment • 4) joint capsule reinforcement – ligaments, muscles • 5) range of movements • 6) midposition • 7) scheme 1-ball (head) 2- collateral ligament 3-fibrous capsule 4-synovial capsule 5- articular cartilage (hyaline) 6-articular lip (labrum 7-socket (fossa) 8- muscle with tendon 9-ligament 10-synovial bursa communicating with the joint cavity 11-menisc 12-synovial bursa (subtendinea) Art.
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HS 2017 MED-X620 Intro to Pelvis & Perineum; Anal Triangle
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