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Lab #23 Anal Triangle
THE BONY PELVIS AND ANAL TRIANGLE (Grant's Dissector [16th Ed.] pp. 141-145) TODAY’S GOALS: 1. Identify relevant bony features/landmarks on skeletal materials or pelvic models. 2. Identify the sacrotuberous and sacrospinous ligaments. 3. Describe the organization and divisions of the perineum into two triangles: anal triangle and urogenital triangle 4. Dissect the ischiorectal (ischioanal) fossa and define its boundaries. 5. Identify the inferior rectal nerve and artery, the pudendal (Alcock’s) canal and the external anal sphincter. DISSECTION NOTES: The perineum is the diamond-shaped area between the upper thighs and below the inferior pelvic aperture and pelvic diaphragm. It is divided anatomically into 2 triangles: the anal triangle and the urogenital (UG) triangle (Dissector p. 142, Fig. 5.2). The anal triangle is bounded by the tip of the coccyx, sacrotuberous ligaments, and a line connecting the right and left ischial tuberosities. It contains the anal canal, which pierced the levator ani muscle portion of the pelvic diaphragm. The urogenital triangle is bounded by the ischiopubic rami to the inferior surface of the pubic symphysis and a line connecting the right and left ischial tuberosities. This triangular space contains the urogenital (UG) diaphragm that transmits the urethra (in male) and urethra and vagina (in female). A. Anal Triangle Turn the cadaver into the prone position. Make skin incisions as on page 144, Fig. 5.4 of the Dissector. Reflect skin and superficial fascia of the gluteal region in one flap to expose the large gluteus maximus muscle. This muscle has proximal attachments to the posteromedial surface of the ilium, posterior surfaces of the sacrum and coccyx, and the sacrotuberous ligament. -
Surgical Approaches to Fractures of the Acetabulum and Pelvis Joel M
Surgical Approaches to Fractures of the Acetabulum and Pelvis Joel M. Matta, M.D. Sponsored by Mizuho OSI APPROACHES TO THE The table will also stably position the ACETABULUM limb in a number of different positions. No one surgical approach is applicable for all acetabulum fractures. KOCHER-LANGENBECK After examination of the plain films as well as the CT scan the surgeon should APPROACH be knowledgeable of the precise anatomy of the fracture he or she is The Kocher-Langenbeck approach is dealing with. A surgical approach will primarily an approach to the posterior be selected with the expectation that column of the Acetabulum. There is the entire reduction and fixation can excellent exposure of the be performed through the surgical retroacetabular surface from the approach. A precise knowledge of the ischial tuberosity to the inferior portion capabilities of each surgical approach of the iliac wing. The quadrilateral is also necessary. In order to maximize surface is accessible by palpation the capabilities of each surgical through the greater or lesser sciatic approach it is advantageous to operate notch. A less effective though often the patient on the PROfx® Pelvic very useful approach to the anterior Reconstruction Orthopedic Fracture column is available by manipulation Table which can apply traction in a through the greater sciatic notch or by distal and/or lateral direction during intra-articular manipulation through the operation. the Acetabulum (Figure 1). Figure 2. Fractures operated through the Kocher-Langenbeck approach. Figure 3. Positioning of the patient on the PROfx® surgical table for operations through the Kocher-Lagenbeck approach. -
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. -
Acetabular Center Axis: Is It the Future of Hip Navigation?
■ Feature Article Acetabular Center Axis: Is It the Future of Hip Navigation? SAM HAKKI, MD; VICTOR BILOTTA, MD; J. DANIEL OLIVEIRA, MD; LUIS DORDELLY, BS abstract There are 2 distinct methods of cup navigation in total hip arthroplasty. One resorted to piercing the skin to improve predicts orientation of the acetabulum through bony landmarks outside the ac- their registration efforts; others resorted etabulum (eg, the anterior pelvic plane); its unreliability is well published. The to using “adjusted” APP registration other identifi es acetabular center axis (ACA) and is patient-specifi c method that in which the APP registration is calcu- is independent of pelvic tilt, making it more reliable. Data from readily pal- lated according to the change of APP pable acetabular registration points were compared with postoperative pelvic with changes of pelvic tilt. Some results computed tomography images in 137 cases. Findings show that ACA software showed fairly accurate registration and is accurate in determining acetabular/cup version and inclination. Cup center good prediction of the inclination angle axis should coincide within 4 mm of ACA to minimize impingement and maxi- and version of the acetabulum.16-18 How- mize stability without altering preoperative femoral version. ever, the new hip center could be cranial, caudal, anterior, or posterior in relation to the acetabular center, or it could be he femoral neck axis normally device (eg, a Tilt-Meter) or by imaging, medialized by implant design or to gain coincides with the acetabu- such -
Bones and Joints of the Lower Limb: Pelvic Girdle and Femur
Unit 5: Bones and joints of the lower limb: pelvic girdle and femur Chapter 5 (Lower limb) and Chapter 3 (Pelvis and perineum) GENERAL OBJECTIVES: - recognize, name and correctly orient hip bones and femur - explain how is anatomy of hip bones/pelvis adjusted to its function - name and describe all joints of pelvis focusing of anatomical and functional properties - remember concepts and common structural properties of flat and long bones SPECIFIC OBJECTIVES: Bones of the pelvic girdle and femur HIP BONE Describe anatomical position of the hip bone, which bony elements lay in frontal plane? Which primary bones fuse to form hip bone? What are differences between male and female pelvis? Identify the bony structures on each of the following parts of the HIP BONE. Ileum: the body and alae, - Iliac crest - Gluteal surface and lines - Iliac fossa - Sacral side with auricular surface and iliac tuberosity Pubis: the body and rami (superior and inferior) - Superior ramus - Inferior ramus Ischium: the body and ramus -Ischial spine and tuberostiy -Greater and lesser sciatic notches Acetebulum Obturator foramen FEMUR - Upper (proximal) end: head, neck, angles, trochanters, intertrochanteric crest, trochanteric fossa - Shaft: linea aspera with lips - Lower (distal) end: condyles, intercondilar fossa, patellar surface, Joints of the pelvis and hip Bony Pelvis (Hip Bones, Sacrum & Coccyx) Bony Features & Articular Surfaces Attachments of: Ligaments & Muscles Lesser Pelvis Pelvic Brim -> Pelvic Inlet (Superior Aperture) Lateral & Posterior Walls: Obturator -
Biomechanics of the Sacroiliac Joint: Part I−−Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain
Biomechanics of the Sacroiliac Joint: Part I−−Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain Ali Kiapour, Amin Joukar, Hossein Elgafy, Deniz U. Erbulut, Anand K. Agarwal and Vijay K. Goel Int J Spine Surg published online 30 December 2019 http://ijssurgery.com/content/early/2019/12/30/6077 This information is current as of September 23, 2021. Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://ijssurgery.com/alerts The International Journal of Spine Surgery 2397 Waterbury Circle, Suite 1, Aurora, IL 60504, Phone: +1-630-375-1432 © 2019 ISASS. All RightsDownloaded Reserved. from http://ijssurgery.com/ by guest on September 23, 2021 International Journal of Spine Surgery, Vol. 00, No. 00, 0000, pp. 000–000 https://doi.org/10.14444/6077 ÓInternational Society for the Advancement of Spine Surgery Biomechanics of the Sacroiliac Joint: Part I—Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain ALI KIAPOUR, PHD,1,2 AMIN JOUKAR, MS,1 HOSSEIN ELGAFY, MD,1 DENIZ U. ERBULUT, PHD,1 ANAND K. AGARWAL, MD,1 VIJAY K. GOEL, PHD1 1Engineering Center for Orthopaedic Research Excellence (E-CORE), Departments of Bioengineering and Orthopaedics, The University of Toledo, Toledo, Ohio; 2Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts ABSTRACT Background: The sacroiliac joints (SIJs), the largest axial joints in the body, sit in between the sacrum and pelvic bones on either side. They connect the spine to the pelvis and thus facilitate load transfer from the lumbar spine to the lower extremities. The majority of low back pain (LBP) is perceived to originate from the lumbar spine; however, another likely source of LBP that is mostly overlooked is the SIJ. -
Introduction to Human Osteology Chapter 5: Pelvis and Dentition
Introduction to Human Osteology Chapter 5: Pelvis and Dentition Roberta Hall Kenneth Beals Holm Neumann Georg Neumann Gwyn Madden Revised in 1978, 1984, and 2008 Innominate The innominate is made up of three bones which fuse late during the adolescent phase, including the ilium, ischium, and pubis. The bones fuse together at the center of the acetabulum, the fossa in which the femur articulates, each making up part of the articulation. Ilium Iliac crest Greater sciatic notch Lesser sciatic notch Iliac tuberosity Preauricular sulcus Auricular surface Iliac fossa Anterior superior and inferior spines Ischium Ischial tuberosity Pubis Pubic symphyses Structures formed by the intersection of the three bones of the innominate: Obturator foramen Acetabulum Lunate face Fossa 1 Innominate. Anterior view. 2 Innominate. Posterior view. 3 Non-Metric Traits of the Pelvic Girdle Accessory iliac facet Additional facet located on the iliac tuberosity in the area that articulates with the sacrum. May be unilateral or bilateral. Accessory sacral facet Additional facet located on the posterior aspect of the sacrum near the first sacral foramen. May be unilateral or bilateral. Acetabular mark/notch U-shaped depression located in the superior aspect of the acetabulum on the lunate surface. (Mann and Hunt 2005) 4 Innominate 5 Sacrum 6 Postcranial Measurements For a complete list of standard postcranial measurements see Buikstra and Ubelaker (1994). Buikstra and Ubelaker (1994) have proposed a set of standard measurements and collection techniques to be employed by all practicing physical and forensic anthropologists to aid in data collection and comparison between researchers. Aging of the Postcranium Few options are available in aging the postcranium including epiphyseal union, bone measurements in infants, and degenerative change. -
The Stoppa Combined with Iliac Fossa Approach for the Treatment of Both-Column Acetabular Fractures Yun Yang†, Chang Zou† and Yue Fang*
Yang et al. Journal of Orthopaedic Surgery and Research (2020) 15:588 https://doi.org/10.1186/s13018-020-02133-3 RESEARCH ARTICLE Open Access The Stoppa combined with iliac fossa approach for the treatment of both-column acetabular fractures Yun Yang†, Chang Zou† and Yue Fang* Abstract Background: At present, the choice of surgical approach for both-column fractures is still controversial. The purpose of this study was to explore the efficacy of the Stoppa combined with iliac fossa (S+IF) approach in the treatment of both-column fractures. Methods: In this retrospective case series, 76 patients were included in the study from 2014 to 2018. They were divided into two groups according to the surgical approaches. The differences of intraoperative blood loss, operative time, quality of reduction, clinical outcome, and perioperative complications were compared between the two groups. Results: All patients had undergone the IL approach or the S+IF approach. The average operative time was 156.2 min (110~210 min) in group I and 126.5 min (80~180 min) in group II (P < 0.001). The average blood loss in group I was 784.1 ml, while the average blood loss in group II was 625.3 ml (P = 0.007). According to Matta’s criteria, 28 cases obtained anatomic reduction and 12 cases got imperfect reduction in group I; 21 cases obtained anatomic reduction and 7 cases got imperfect reduction in group II (P > 0.05). The clinical outcome (excellent to good) was 66% in group I versus 69% in group II (P > 0.05). -
7-Pelvis Nd Sacrum.Pdf
Color Code Important PELVIS & SACRUM Doctors Notes Notes/Extra explanation EDITING FILE Objectives: Describe the bony structures of the pelvis. Describe in detail the hip bone, the sacrum, and the coccyx. Describe the boundaries of the pelvic inlet and outlet. Identify the articulations of the bony pelvis. List the major differences between the male and female pelvis. List the different types of female pelvis. Overview: • check this video to have a good picture about the lecture: https://www.youtube.com/watch?v=PJOT1cQHFqA https://www.youtube.com/watch?v=3v5AsAESg1Q&feature=youtu.be • BONY PELVIS = 2 Hip Bones (lateral) + Sacrum (Posterior) + Coccyx (Posterior). • Hip bone is composed of 3 parts = Superior part (Ilium) + Lower anterior part (Pubis) + Lower posterior part (Ischium) only on the boys slides’ BONY PELVIS Location SHAPE Structure: Pelvis can be regarded as a basin with holes in its walls. The structure of the basin is composed of: Pelvis is the region of the Bowl shaped 4 bones 4 joints trunk that lies below the abdomen. 1-sacrum A. Two hip bones: These form the lateral and 2-ilium anterior walls of the bony pelvis. 3-ischium B. Sacrum: It forms most of the posterior wall. 4-pubic C. Coccyx: It forms most of the posterior wall. 5-pubic symphysis 6-Acetabulum Function # Primary: The skeleton of the pelvis is a basin-shaped ring of bones with holes in its wall connecting the vertebral column to both femora. Its primary functions are: bear the weight of the upper body when sitting and standing; transfer that weight from the axial skeleton to the lower appendicular skeleton when standing and walking; provide attachments for and withstand the forces of the powerful muscles of locomotion and posture. -
Bones of the Hindlimb
BONES OF THE HINDLIMB Andrea Heinzlmann University of Veterinary Medicine Budapest Department of Anatomy and Histology 1st Oktober 2019 BONES OF THE HINDLIMB COMPOSED OF: 1. PELVIC GIRDLE (CINGULUM MEMBRI PELVINI) 2. THIGH 3. LEG (CRUS) 4. FOOT (PES) BONES OF THE PELVIC LIMB (OSSA MEMBRI PELVINI) PELVIC GIRDLE (CINGULUM MEMBRI PELVINI): - connection between the pelvic limb and the trunk consists of: 1. two HIP BONES (OSSA COXARUM) Hip bones of a pig, dorsal aspect Hip bones of a pig, ventral aspect PELVIC GIRDLE (CINGULUM MEMBRI PELVINI) HIP BONE (OS COXAE): - in young animals each hip bone comprises three bones: 1. ILIUM (OS ILII) – craniodorsal 2. PUBIS (OS PUBIS) – cranioventral 3. ISHIUM (OS ISCHI) – caudoventral - all three bones united by a synchondrosis - the synchondrosis ossifies later in life Hip bones of an ox, left lateral aspect Hip bones of an ox, ventrocranial aspect PELVIC GIRDLE (CINGULUM MEMBRI PELVINI) HIP BONE (OS COXAE): ACETABULUM: - ilium, pubis and ischium meet at the acetabulum Left acetabulum of a horse, lateral aspect Hip bones of a dog, right lateral aspect Left acetabulum of an ox, lateral aspect PELVIC GIRDLE (CINGULUM MEMBRI PELVINI) HIP BONE (OS COXAE): SYMPHYSIS PELVINA: - the two hip bones united ventrally at the symphysis pelvina by a fibrocartilaginous joint ossified with advancing age - in females the fibrocartilage of the symphysis becomes loosened during pregnancy by action of hormones Hip bones of a horse, ventrocranial aspect Hip bones of an ox, ventrocranial aspect PELVIC GIRDLE (CINGULUM MEMBRI PELVINI) HIP BONE (OS COXAE): SYMPHYSIS PELVINA: - in females the fibrocartilage of the symphysis becomes loosened during pregnancy by action of hormones http://pchorse.se/index.php/en/articles/topic-of-the-month/topics-topics/4395-mars2017-eng PELVIC GIRDLE (CINGULUM MEMBRI PELVINI) HIP BONE (OS COXAE): SYMPHYSIS PELVINA divided into: 1. -
A Critical Review of the Sacroiliac Joint Lori Hefta University of North Dakota
University of North Dakota UND Scholarly Commons Physical Therapy Scholarly Projects Department of Physical Therapy 1993 A Critical Review of the Sacroiliac Joint Lori Hefta University of North Dakota Follow this and additional works at: https://commons.und.edu/pt-grad Part of the Physical Therapy Commons Recommended Citation Hefta, Lori, "A Critical Review of the Sacroiliac Joint" (1993). Physical Therapy Scholarly Projects. 203. https://commons.und.edu/pt-grad/203 This Scholarly Project is brought to you for free and open access by the Department of Physical Therapy at UND Scholarly Commons. It has been accepted for inclusion in Physical Therapy Scholarly Projects by an authorized administrator of UND Scholarly Commons. For more information, please contact [email protected]. A CRITICAL REVIEW OF THE SACROILIAC JOINT by Lori Hefta Bachelor of Science in Physical Therapy University of North Dakota, 1988 An Independent Study Submitted to the Graduate Faculty of the Department of Physical Therapy School of Medicine University of North Dakota in partial fulfillment of the requirements for the degree of Master of Physical Therapy Grand Forks, North Dakota May 1993 This Independent Study, submitted by Lori Hefta in partial fulfillment of the requirements for the Degree of Master of Physical Therapy from the University of North Dakota, has been read by the Chairperson of Physical Therapy under whom the work has been done and is hereby approved. (Ch irperson, Physical Therapy) ii PERMISSION Title A Critical Review of the Sacroiliac Joint Department Physical Therapy Degree Master of Physical Therapy In presenting this Independent Study Report in partial fulfillment of the requirements for a graduate degree from the University of North Dakota, I agree that the library of this University shall make it freely available for inspection. -
Gohil D Et Al: Morphological Features of Illium for Sex Determination
Gohil D et al: Morphological features of illium for sex determination www.jrmds.in Original Article A study of morphological features of ilium for sex determination in Gujarat state D.V. Gohil*, K P Dangar**, S.P.Rathod***, Kinjal Jethwa****, Geeta Singal***** *Associate Professor, Department of Anatomy, Shri M. P. Shah Govt. Medical College, Jamnagar, Gujarat, India ** Assistant Professor, *** Professor and Head, **** Resident, ***** Associate Professor, Department of Anatomy, PDU Medical College, Rajkot, Gujarat, India DOI: 10.5455/jrmds.20142415 ABSTRACT Background: Hip bone is most commonly used by forensic personnel as well as anatomist and anthropometric expert for sex determination. Many workers have calculated different types of indices to determine the sex of hip bone. Aim: In present study, determination of sex of hip bone was done by using morphological features. Materials & Method: Present study was conducted at Dept of Anatomy, PDU medical college, Rajkot on 108 (27 male & female of each side) adult human hip bones. Four morphological features of ilium, 1) Preauricular sulcus 2) Post auricular sulcus 3) Post auricular space and 4) iliac tuberosity were observed. Results: Iliac tuberosity was most efficient parameter to identify male hip bones (90.74%), while post-auricular sulcus was most efficient parameter to identify female hip bones (72.22%). Conclusion: Combination of morphological feature is more effective in sex determination than a single feature alone. Keywords: Morphological features, Sex determination, Ilium INTRODUCTION Present study was carried out at department of anatomy, PDU medical college, Rajkot, Gujarat. Total Correct sex identification of the human skeleton is 108 (27 male & female of each side) adult human hip important in bioarcheological and forensic practice.