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Selfi Handayani

Blok Reproduksi

(1) pelvis

Pelvis
Organa genitalia feminina:
- organ genitalia feminina externa
- organ genitalia feminina interna
Mammae

Regio di inferior dan belakang abdomen


Membentuk dinding yang membatasi
ruangan
Dinding: bagian keras dan lunak
Ruangan (cavitas pelvis): isi viscera pelvis
Organ reproduksi
Bag tractus urinarius
Bag tractus digestivus
N, v, a, l

Bagian keras:
skeleton pelvis
- ossa coxae
dexter et sinister:
os ilium, os
ischium, os pubis
- os sacrum
- os coccygeum

Bagian lunak:
- ligamenta
- musculi
- fasciae
- n, v, a, l

Pintu dibatasi:
Promontorium
Sacrum
Linea inominata
Ramus Superior
ossis Pubis
Uper border of
Symphisis pubis

Pintu dibatasi:
Ujung bawah
Sacrum
Tulang Tuber
Ischiadica
Sacro-coccygeal
Tepi bawah
symphisis ossis
pubis

Distansia
Cristarum

Distansia
Spinarum

Distansia Cristarum: 2829 cm


Distansia Spinarum: 2526 cm

Conjugata Diagonalis = 12,513cm


Conjugata Vera = CD (1,52cm)
Conjugata Obstetrika = terpendek

Hodge I: imagination line drawn from


promontorium to the upper border of
symphisis pubis
Hodge II: parallel with hodge I measured
from lower border of symphisis
Hodge III: parallel with hodge II, measured
from spina ischiadica
Hodge IV: parallel with hodge III, measured
from coccyx tip

LIGAMENT connect the pelvic joint


Ligament
Ligament
Ligament
Ligament
Ligament

interpubic pada symphysis pubis


sacro iliaca
sacro-coccygeal
sacro-tuberous
sacro spinosus

The inner aspect of the bony pelvis is covered


with muscles:

Above the brim --- iliacus & psoas

Sidewalls ---- obturator internus & its fascia

Post wall ---- pyriformis

Pelvic floor ---- lavator ani & coccygeus

Sacral promontory

Left sacro-iliac
joint

Iliopectineal line

Sacrospinous ligament

Sacrotuberous ligament
Ischial spine
Symphysis pubis

Ischial tuberosity

X-Ray
Jangka Panggul
Distansia Cristarum
Distansia Spinarum
Conjugata eksterna/Bouldeloque: distance

Vaginal Touch

between upper border symphysis pubis with


prosessus spinosus lumbal 5. the normal
measurement 1820 cm

Promontorium touched/not
Conjugata Vera normal/not
Spina Ischiadica prominent/not
Arcus pubis wide/narrow
Sakrum curve/not

Note:
Touched Promontory usually indicated narrow pelvic
Height 145 cm also indicated narrow pelvic

Differentiation between female and male pelvic

1-GYNECOID
Typical female pelvis found in 50% of women
Roundedslightly oval inlet
Straight pelvic sidewalls with roomy pelvic cavity
Good sacral curve
Ischial spines are not prominent
Pubic arch is wide

2-ANDROID
Typical male pelvis found in 1/3 white women
1/6 non-white
Pelvic brim is heart shaped
Pelvis funnels from above downwards
(convergent sidewalls)
Narrow pubic arch
Prominent spines

3-ANTHROPOID
25% white women & 50% nonwhite
Pelvic brim APD > TD
Long & narrow pelvic canal with long sacrum
Straight pelvic sidewalls
4-PLATYPELLOID
3% of women
Pelvic brim TD >>>APD kidney shape
Sacral promontory pushed forwards

A. Panggul Naegele
B. Panggul Rakhitis
C. Panggul Skoliosis
D. Panggul Kifosis
E. -- dari Samping

F. Panggul Osteomalasia
G. Panggul Spondilolistesis
H. Panggul Robert