Pelvic lat all & Associated structures -

Introduction :

•
The walls
of pelvis are
formed by bones
ligaments which
& are
partly
clothed
by muscles with
fascia and
parietal peritoneum .

°
The
pelvis presents five walls : -

ca ) Anterior wall

( bi Posterior wall
lol Two lateral walls

(d) wall / floor

Inferior

Anterior Intan :

•
The anterior wall in shallowest wall .

bodies
Formed
by Pelvic surfaces of
°

of pubic bone the pubic .

and the
rami .

pubic symphysis .

Pelvis ]
[ Anterior wall g

Posterior wall :

°
The
posterior wall in extensive and is

formed by pelvis surfaces of sacrum

and
coccyx
-

[ Posterior Hall ] .
It in lined by inform's muscles
p
with their
covering fascia
.

lateral Klatt :
-

•
The lateral formed by
wall in

pelvic surface of hip bone below

pelvic inlet the obturator membrane
, ,

the Sacro tuberous and Sacro

spinous [ lateral wall ]
 ligaments ,
and the obturator Infernus muscle with its fascia .

Inferior wall / Pelvic

floor :

The inferior wall formed by pelvic diaphragm which in

•
in
,

turn in
formed by levator ani and muscles with
coccyges
their
covering
.

Pelvic diaphragm :

It is a muscular partition between

true pelvis and perineum .

°
It forms gutter shaped pelvic floor . It is
formed by :

ca )
large levator ani

bi small muscles two sides

of
(
coccyges .

°
It in
incomplete anteriorly to allow passage for urethra in males ,

urethra
vagina in females
& .

Function :

•
The
pelvic diaphragm provides principal support to the pelvic
and has
viscera a
sphincteric action on rectum and
Vagina .

assists intra abdominal

°
It also
increasing the in
pressure during
defecation micturition parturition
,
&
.

Openings :

ca , Hiatus urogenital 's

Triangular btw two levator ani muscles
gap
-
.

ransmits the urethra in male .

and the urethra &

vagina in
female .

• Close
by Urogenital diaphragm .
cbs Hiatus metals It is sound between the
perineal
-
: a
opening
body and ano
coccygeal raphe .

•
It
provides passage
to anonectal
junction .

Pelvic fascia :

.
The
pelvic fascia in present in
form of two layers -

Parietal
ca ,
layer
Visceral
cb ,
layer
Parietal
layer .
:

continuation transversal 's anterior abdominal

.
It is g fascia of
wall In the
pelvis it is termed
by different basis
.

of
.
names on
structures it lines .

°
These are :

in ¥b :
Covers obturator infernus muscle .

Piri fascia layer covering

(2)
-
forme's : Thin
pin forme
's . The sacral

plexus btw pin forme 's

fascia
-

lies in & .
 (3)
Supen6rfasuiayPdiapham : Covers the
superior surface
g Pelvic diaphragm .

Visceral layer :

• It iscondensation of loose areolar tissue around the extra peritoneal

and blood
parts of pelvic viscera vessels .

loose & thin around distensible ( eg bladder )

Urinary
•

organs
.

around
•
Thick non - distensible
organs leg Prostate gland )
.

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