GREATER SCIATIC NOTCH AS an INDICATOR of SEX in HUMAN DEAD FETUSES of SOUTH INDIAN ORIGIN P Devadas *1, Saurabh a Bansode 2, B H Shiny Vinila 3
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Peripartum Pubic Symphysis Diastasis—Practical Guidelines
Journal of Clinical Medicine Review Peripartum Pubic Symphysis Diastasis—Practical Guidelines Artur Stolarczyk , Piotr St˛epi´nski* , Łukasz Sasinowski, Tomasz Czarnocki, Michał D˛ebi´nski and Bartosz Maci ˛ag Department of Orthopedics and Rehabilitation, Medical University of Warsaw, 02-091 Warsaw, Poland; [email protected] (A.S.); [email protected] (Ł.S.); [email protected] (T.C.); [email protected] (M.D.); [email protected] (B.M.) * Correspondence: [email protected] Abstract: Optimal development of a fetus is made possible due to a lot of adaptive changes in the woman’s body. Some of the most important modifications occur in the musculoskeletal system. At the time of childbirth, natural widening of the pubic symphysis and the sacroiliac joints occur. Those changes are often reversible after childbirth. Peripartum pubic symphysis separation is a relatively rare disease and there is no homogeneous approach to treatment. The paper presents the current standards of diagnosis and treatment of pubic diastasis based on orthopedic and gynecological indications. Keywords: pubic symphysis separation; pubic symphysis diastasis; pubic symphysis; pregnancy; PSD 1. Introduction The proper development of a fetus is made possible due to numerous adaptive Citation: Stolarczyk, A.; St˛epi´nski,P.; changes in women’s bodies, including such complicated systems as: endocrine, nervous Sasinowski, Ł.; Czarnocki, T.; and musculoskeletal. With regard to the latter, those changes can be observed particularly D˛ebi´nski,M.; Maci ˛ag,B. Peripartum Pubic Symphysis Diastasis—Practical in osteoarticular and musculo-ligamento-fascial structures. Almost all of those changes Guidelines. J. Clin. Med. -
Pelvic Anatomyanatomy
PelvicPelvic AnatomyAnatomy RobertRobert E.E. Gutman,Gutman, MDMD ObjectivesObjectives UnderstandUnderstand pelvicpelvic anatomyanatomy Organs and structures of the female pelvis Vascular Supply Neurologic supply Pelvic and retroperitoneal contents and spaces Bony structures Connective tissue (fascia, ligaments) Pelvic floor and abdominal musculature DescribeDescribe functionalfunctional anatomyanatomy andand relevantrelevant pathophysiologypathophysiology Pelvic support Urinary continence Fecal continence AbdominalAbdominal WallWall RectusRectus FasciaFascia LayersLayers WhatWhat areare thethe layerslayers ofof thethe rectusrectus fasciafascia AboveAbove thethe arcuatearcuate line?line? BelowBelow thethe arcuatearcuate line?line? MedianMedial umbilicalumbilical fold Lateralligaments umbilical & folds folds BonyBony AnatomyAnatomy andand LigamentsLigaments BonyBony PelvisPelvis TheThe bonybony pelvispelvis isis comprisedcomprised ofof 22 innominateinnominate bones,bones, thethe sacrum,sacrum, andand thethe coccyx.coccyx. WhatWhat 33 piecespieces fusefuse toto makemake thethe InnominateInnominate bone?bone? PubisPubis IschiumIschium IliumIlium ClinicalClinical PelvimetryPelvimetry WhichWhich measurementsmeasurements thatthat cancan bebe mademade onon exam?exam? InletInlet DiagonalDiagonal ConjugateConjugate MidplaneMidplane InterspinousInterspinous diameterdiameter OutletOutlet TransverseTransverse diameterdiameter ((intertuberousintertuberous)) andand APAP diameterdiameter ((symphysissymphysis toto coccyx)coccyx) -
The Cyclist's Vulva
The Cyclist’s Vulva Dr. Chimsom T. Oleka, MD FACOG Board Certified OBGYN Fellowship Trained Pediatric and Adolescent Gynecologist National Medical Network –USOPC Houston, TX DEPARTMENT NAME DISCLOSURES None [email protected] DEPARTMENT NAME PRONOUNS The use of “female” and “woman” in this talk, as well as in the highlighted studies refer to cis gender females with vulvas DEPARTMENT NAME GOALS To highlight an issue To discuss why this issue matters To inspire future research and exploration To normalize the conversation DEPARTMENT NAME The consensus is that when you first start cycling on your good‐as‐new, unbruised foof, it is going to hurt. After a “breaking‐in” period, the pain‐to‐numbness ratio becomes favourable. As long as you protect against infection, wear padded shorts with a generous layer of chamois cream, no underwear and make regular offerings to the ingrown hair goddess, things are manageable. This is wrong. Hannah Dines British T2 trike rider who competed at the 2016 Summer Paralympics DEPARTMENT NAME MY INTRODUCTION TO CYCLING Childhood Adolescence Adult Life DEPARTMENT NAME THE CYCLIST’S VULVA The Issue Vulva Anatomy Vulva Trauma Prevention DEPARTMENT NAME CYCLING HAS POSITIVE BENEFITS Popular Means of Exercise Has gained popularity among Ideal nonimpact women in the past aerobic exercise decade Increases Lowers all cause cardiorespiratory mortality risks fitness DEPARTMENT NAME Hermans TJN, Wijn RPWF, Winkens B, et al. Urogenital and Sexual complaints in female club cyclists‐a cross‐sectional study. J Sex Med 2016 CYCLING ALSO PREDISPOSES TO VULVAR TRAUMA • Significant decreases in pudendal nerve sensory function in women cyclists • Similar to men, women cyclists suffer from compression injuries that compromise normal function of the main neurovascular bundle of the vulva • Buller et al. -
Correlation Analysis of Greater Sciatic Notch Dimensions and His Index in Gender Prediction Based on Hip Bone
International Journal of Multidisciplinary and Current Educational Research (IJMCER) ISSN: 2581-7027 ||Volume|| 3 ||Issue|| 3 ||Pages 175-183 ||2021|| Correlation analysis of greater sciatic notch dimensions and his index in gender prediction based on hip bone 1,Aida Sarač – Hadžihalilović, 2,Emir Beganović, 3,Zurifa Ajanović, 4,Ilvana Hasanbegović, 5,Lejla Dervišević, 6,Senad Šljuka 1,3,4,5Department of Anatomy, Faculty of Medicine, University of Sarajevo, Bosnia and Herzegovina 2 Fachklinik fur Amputationsmedizin. Osterhofen, Bayern, Germany 6 Department of Biology, Faculty of Science, University of Sarajevo, Bosnia and Herzegovina ABSTRACT BACKGROUND/AIM: The greater sciatic notch is important because the gender of the hip bone can be determined on the basis of its appearance and dimensions. Important parameters that are taken into consideration when measuring greater sciatic notch dimensions are: the width and depth of the greater sciatic notch, the width of the upper part of greater sciatic notch. It is important to monitor the ratio of the width and depth of the notch, when assessing the appearance alone. The aim of the study was to determine correlations between the upper part of the greater sciatic notch with the values of it’s width, as well as between depth and width of the upper part of the great sciatic notch. MATERIALS AND METHODS: The study was conducted prospectively on 98 hip bone, of which 56 were single and 42 were within the pelvis. The gender and age of the bones were unknown. All bones belonged to adults in the Bosnian population. The research is based on the osteometric measurements of the width and depth of the greater sciatic notch and width of the upper part of greater sciatic notch, that was used for index calculations of the upper part of the greater sciatic notch. -
Systematic Approach to the Interpretation of Pelvis and Hip
Volume 37 • Number 26 December 31, 2014 Systematic Approach to the Interpretation of Pelvis and Hip Radiographs: How to Avoid Common Diagnostic Errors Through a Checklist Approach MAJ Matthew Minor, MD, and COL (Ret) Liem T. Bui-Mansfi eld, MD After participating in this activity, the diagnostic radiologist will be better able to identify the anatomical landmarks of the pelvis and hip on radiography, and become familiar with a systematic approach to the radiographic interpretation of the hip and pelvis using a checklist approach. initial imaging examination for the evaluation of hip or CME Category: General Radiology Subcategory: Musculoskeletal pelvic pain should be radiography. In addition to the com- Modality: Radiography plex anatomy of the pelvis and hip, subtle imaging fi ndings often indicating signifi cant pathology can be challenging to the veteran radiologist and even more perplexing to the Key Words: Pelvis and Hip Anatomy, Radiographic Checklist novice radiologist given the paradigm shift in radiology residency education. Radiography of the pelvis and hip is a commonly ordered examination in daily clinical practice. Therefore, it is impor- tant for diagnostic radiologists to be profi cient with its inter- The initial imaging examination for the evaluation pretation. The objective of this article is to present a simple of hip or pelvic pain should be radiography. but thorough method for accurate radiographic evaluation of the pelvis and hip. With the advent of cross-sectional imaging, a shift in residency training from radiography to CT and MR imag- Systematic Approach to the Interpretation of Pelvis ing has occurred; and as a result, the art of radiographic and Hip Radiographs interpretation has suffered dramatically. -
Applied Anatomy of the Hip RICARDO A
Applied Anatomy of the Hip RICARDO A. FERNANDEZ, MHS, PT, OCS, CSCS • Northwestern University The hip joint is more than just a ball-and- bones fuse in adults to form the easily recog- socket joint. It supports the weight of the nized “hip” bone. The pelvis, meaning bowl head, arms, and trunk, and it is the primary in Latin, is composed of three structures: the joint that distributes the forces between the innominates, the sacrum, and the coccyx pelvis and lower extremities.1 This joint is (Figure 1). formed from the articu- The ilium has a large flare, or iliac crest, Key PointsPoints lation of the proximal superiorly, with the easily palpable anterior femur with the innomi- superior iliac spine (ASIS) anterior with the The hip joint is structurally composed of nate at the acetabulum. anterior inferior iliac spine (AIIS) just inferior strong ligamentous and capsular compo- The joint is considered to it. Posteriorly, the crest of the ilium ends nents. important because it to form the posterior superior iliac spine can affect the spine and (PSIS). With respect to surface anatomy, Postural alignment of the bones and joints pelvis proximally and the PSIS is often marked as a dimple in the of the hip plays a role in determining the femur and patella skin. Clinicians attempting to identify pelvic functional gait patterns and forces associ- distally. The biomechan- or hip subluxations, leg-length discrepancies, ated with various supporting structures. ics of this joint are often or postural faults during examinations use There is a relationship between the hip misunderstood, and the these landmarks. -
Role of Greater Sciatic Notch in Sexing Human Hip Bones
International Journal of Recent Trends in Science And Technology, ISSN 2277-2812 E-ISSN 2249-8109, Volume 7, Issue 3, 2013 pp 119-123 Role of Greater Sciatic Notch in Sexing Human Hip Bones Rajashree Sheelawant Raut 1*, Prakash B. Hosmani 2, P. R. Kulkarni 3 1Assistant Professor, Department of Anatomy, B. J. Government Medical College, Pune, Maharashtra, INDIA. 2Associate Professor, Department of Anatomy, Dr. V. M. Government Medical College, Solapur, Maharashtra, INDIA. 3 Professor and Head, Department of Anatomy, Government Medical College, Latur, Maharashtra, INDIA. *Corresponding Address: [email protected] Research Article Abstract: Identification of the deceased person from bones is the in archaeological collections that they cannot be used for most critical problem faced by anatomist, forensic science experts sex determination. When pubic material is not preserved, & anthropologists. Skeletal remains have been used for sexing the sex determinations must be made using other less individual as bones of the body are last to perish after death. Hip bone, especially t he greater sciatic notch is valuable in deformed diagnostic features. The greater sciatic notch is especially bones because it is highly sexually dimorphic, is resistant to valuable in such situations because it is highly sexually damage, and thus can often be scored in poorly preserved dimorphic, is resistant to damage, and thus can often be skeletons. In present study one hundred and eighty three adult hip scored in poorly preserved skeletons[3]. Many attempts bones of known sex (125 male and 58 female) are studied for have been made to describe sex differences in the sciatic various parameters of greater sciatic notch. -
Understanding Cancer of the Vulva
Understanding Cancer of the Vulva An information sheet for women with cancer, their families and friends. This information has been prepared to help you If something goes wrong with the genes that understand more about cancer of the vulva control a cell, that cell may start behaving (vulvar cancer). It is an introduction to the strangely. Instead of growing normally, it may diagnosis, treatment and effects of this cancer. grow and divide in an uncontrolled way, forming a mass of cells. The mass of cells looks We cannot advise you about the best treatment and feels like a lump, and is called a tumour. for you. You need to discuss this with your doctors. However, we hope this information A tumour can be benign (not cancer) or it can will answer some of your questions and help be malignant (cancer). The difference is that you think about the questions you want to ask benign tumours do not spread to other parts of your doctors. the body, while malignant tumours can. For more detailed information on cancer of the A malignant tumour is made up of cancer cells. vulva, you may wish to contact the Cancer When it first develops, the tumour stays in one Council Helpline on 13 11 20 or refer to the place. This is called the primary tumour. list of recommended websites under the heading Information on the Internet on the If the cancer cells that make up the primary back page of this booklet. tumour are not treated, they may start to spread to other areas of the body and form new tumours. -
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. -
Curvature of the Greater Sciatic Notch in Sexing the Human Pelvis HIDEO TAKAHASHI1*
ANTHROPOLOGICAL SCIENCE Vol. 000, 000–000, 2006 Curvature of the greater sciatic notch in sexing the human pelvis HIDEO TAKAHASHI1* 1Department of Anatomy, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu-machi, Shimotuga-gun, Tochigi, 321-0293 Japan Received 11 November 2005; accepted 26 January 2006 Abstract The maximum curvature of the greater sciatic notch and two standardized indices were cal- culated for use in the sexing of human hip bones. This was done by means of quadratic regression of the contour points of the greater sciatic notch. The new variables are not directly affected by the osteo- metric landmarks (e.g. ischial spine, tubercle of the piriformis, and posterior inferior iliac spine) which determine the greatest width of the notch. These landmarks are, however, known to be ill-defined on occasion, but nevertheless have been used to derive the conventional depth-to-width index and angles of the sciatic notch. The curvature parameter and its new indices were applied to the sciatic notch of 164 Japanese hip bones of known sex (104 males and 61 females). The accuracy of the new variables in the determination of sex was assessed and compared with that of the conventional indices and angles of the sciatic notch. The best discriminating variable was found to be the posterior angle with an accu- racy of 91%. The new parameters of the present study that represent localized shape of the sharply curved edge of the notch diagnosed sex with an accuracy of 88%. In paleoanthropological or forensic cases, using the maximum curvature of the sciatic notch and its indices may be applicable to sexing the hip bones of specimens with postmortem damage. -
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. -
Covariation Between Human Pelvis Shape, Stature, and Head Size Alleviates the Obstetric Dilemma
Covariation between human pelvis shape, stature, and head size alleviates the obstetric dilemma Barbara Fischera,b,1 and Philipp Mitteroeckerb aCentre for Ecological and Evolutionary Synthesis, Department of Biosciences, University of Oslo, NO-0316 Oslo, Norway; and bDepartment of Theoretical Biology, University of Vienna, 1090 Vienna, Austria Edited by Robert G. Tague, Louisiana State University, Baton Rouge, Louisiana, and accepted by the Editorial Board March 25, 2015 (received for review October 24, 2014) Compared with other primates, childbirth is remarkably difficult in response to changes in nutrition, poor food availability, and infec- humans because the head of a human neonate is large relative to tious disease burden, among others, might influence the severity of the birth-relevant dimensions of the maternal pelvis. It seems the obstetric dilemma (17–19). puzzling that females have not evolved wider pelvises despite the Despite the effect of environmental factors, pelvic dimensions high maternal mortality and morbidity risk connected to child- are highly heritable in human populations (most pelvic traits birth. Despite this seeming lack of change in average pelvic have heritabilities in the range of 0.5–0.8) (20) (SI Text and Table morphology, we show that humans have evolved a complex link S1). It has further been claimed that low levels of integration in between pelvis shape, stature, and head circumference that was the pelvis enable high evolvability (14, 21, 22), yet pelvis shape not recognized before. The identified covariance patterns contribute has seemingly not sufficiently responded to the strong selection to ameliorate the “obstetric dilemma.” Females with a large head, pressure imposed by childbirth.