PELVIS


-By Dr Pranidhi Thakore
Mpt in musculoskeletal sciences
SOCPT
 Introduction

 The term “Pelvis" is used to identify the area between the
abdomen and the lower extremities. It can be divided into the
greater pelvis and the lesser pelvis.
  The pelvis consists of the sacrum, the coccyx, the ischium, the
ilium, and the pubis.
  The structure of the pelvis supports the contents of the abdomen
while also helping to transfer the weight from the spine to the
lower limbs.
  During walking, the joints within the pelvis work together to
decrease the amount of force transferred from the ground and
lower extremities to the spine and upper extremities.

 SIDE
DETERMINATION

 The hip bone has two surfaces (lateral and medial) and is bounded
by four margins (anterior, posterior, superior and inferior).
 The lateral surface houses the most prominent landmark of the
bone, the acetabulum. It is a socket shaped articular surface via
which the hip bone articulates with femur and makes the hip joint.
 The ilium extends superiorly to the hip joint, therefore, it
comprises the superior portion of the acetabulum.
 The ischium is the massive poster inferior part of the hip bone thus
it fits into the poster inferior third of the acetabulum.
 The pubic bone builds the anteroinferior third of acetabulum and is
the anteroinferior part of the bone that articulates with the
contralateral hip bone.
 Osteology of the Pelvis

The pelvic bones are:
 Sacrum
 Coccyx
Two innominate(No name and shape) bones, which consist of
the:
 Ischium
 Ilium
 Pubis

Overview of Differences between the Female and Male Pelvis

Female pelvis Male pelvis

Pelvic weight

Bones of the pelvis are
lighter and thinner
Bones of the pelvis are
thicker and heavier

Pelvic inlet has a round Pelvic inlet is heart-

Pelvic inlet shape
or oval shape shaped

Lesser pelvic cavity Lesser pelvic cavity is Lesser pelvic cavity is

shape shorter and wider longer and narrower

Subpubic angle is greater Subpubic angle is less

Subpubic angle
than 80 degrees than 70 degrees

Pelvic outlet is rounded

Pelvic outlet shape Pelvic outlet is smaller
and larger
 FEMALE BONY PELVIS
• The female true pelvis differs from the male in being shallower, having
straighter sides, a wider angle between the pubic rami at the symphysis,

 Gynecoid/genuine pelvis 
and a proportionately larger pelvic outlet.

the brim is round, wider, and both ischial spines are less prominent this
allows easy baby delivery.
 Android pelvis
like a heart-shaped brim with a narrow pelvic cavity than presented in
gynecoid one, get narrower at the supra-pubic arch, and both ischial
spines are prominent. During delivery, she needs to take an active role.
 Anthropoid pelvis
oval brim, slightly narrower pelvic cavity than above with larger outlet
diameter.
 Platypelloid pelvis
shallow pelvic cavity, and decreased antero-posterior diameter, broad
outlet, during labour there will be difficult for the baby to enter the pelvis
at the beginning.

 JOINT
ARTICULATIONS

 There are three articulations within the pelvis:
 Inferiorly between the sacrum and the coccyx
 Posteriorly between the sacrum and each ilium (sacroiliac (SI) joint)
 Anteriorly between the pubic bodies (pubic symphysis)
 Other articulations:
 The pelvis and femur articulate via the acetabulum(hip joint)