The Female Pelvis Chp16

FALSE PELVIS

(MAJOR OR GREATER) IS THE DEFINED AS THE MORE SUPERIOR ASPECT OF THE PELVIC CAVITY, EXTENDING FROM THE ILIAC CREAST SUPERIORLY TO THE LINEA TERMINALIS INFERIORLY

TRUE PELVIS

(MINOR OR LESSER) EXTENDS FROM THE LINEA TERMINALIS TO THE PELVIS DIAPHRAGM INFERIORLY. IT IS BOWL SHAPED CAVITYALIGNED POSTERIOLY AND INFERIORLY W/IN SKELETAL FRAME

LINEA TERMINALIS

AN IMAGINARY ARCUATE LINE DRAWN ALONG THE INNER SURFACE OF THE PELIVC BONE FROM THE PUBIC OR PUBIS SYMPHYSIS ANTERIORLY, TO THE SACRAL PROMONTORY THAT MARKS THE PLANE SEPARATING THE FALSE FROM THE TRUE PELVIS

CORPUS

FUNDUS IS CONTINUOUS WITH THE BODY AND LARGEST PART OF THE UTERUS

BICORNUATE UTERUS

IS THE MOST COMMON OF THE CONGENITAL MALFORMATIONS OF THE FEMALE GENITAL TRACT. IT IS RECOGNIZED BY PRESENCE OF TWO ENDOMETRIAL CANALS THAT COMMUNICATE AT THE LEVEL OF THE CERVIX

MYOMETRIUM

MUSCLE LAYER FORMS THE BULK OF THE UTERUS. HAS 3 DISTINCT LAYERS: OUTER LONGITUDINAL FIBERS, INERMEDIATE SPIRAL BANDS AND INNER CIRCULAR AND LONGITUDINAL FIBERS. ENLARGE DURING PREGNANCY

ILIAC CRESTS

OF THE INNOMINATE BONES DEFINE THE MOST SUPERIOR ASPECT OF THE PELIVC CAVITY. THE TWO ILIAC CRESTS AND THE PUBIC SYMPHYSIS ARE PALPABLE EXTERNAL LANDMARKS

ADNEXA

PERITONEAL CAVITY SPACES LOCATED POSTERIOR TO BROAD LIGAMENT

ISTHMUS

THE CORPUS IS CONTINOUS WITH THE UTERINE CERVIX AT THE POINT MARKED BY CONSTRICTION CALLED_________ DURNING LATE PREGNANCY THIS IS TAKEN IS TAKEN UP INTO THE CORPUS TO FORM THE LOWER UTERINE SEGMENT.

PARAMETRIUM

THE FALLOPIAN TUBE, ROUND LIGAMENT, OVARIAN LIGAMENT & VASCULAR STRUCTURES OF THE UTERUS & OVARIES ARE POSITIONED BETWEEN THE TWO LAYERS OF EACH BROAD LIGAMENT. THESE ARE SURROUNDED BY FAT AND CELLULAR CONNECTIVE TISSUE CALLED _________

ENDOMETRUIM

THE INNERMOST LAYER OF THE UTERINE WALL, IS A MUCOSAL LAYER THAT IS CONTINUOUS W / VAGINAL EPITHELIUM INFERIORLY & UTERINE TUBE MUCOSA SUPEROLATERALLY.

PUBIS OR PUBIC SYMPHYSIS

THE INNOMINATE BONES ENCIRCLE MOST OF THE PELVIC CAVITY FORMING THE IT'S LATERAL AND ANTERIOR MARGINS. EACH INNOMINATE BONE IS COMPRISED OF THE ILIUM,ISCHIUM &PUBIS. THEY JOIN POSTERIORLY AT THE SACRUM & COCCYX & FUSE ANTERIORLY @ THE PUBIS

CERVIX

THE LOWER CYLINDRICAL PORTION OF THE UTERUS THAT PROJECTS INTO THE VAGINA

POSTERIOR CUL DE SAC

THE RECTOUTERINE REFLEXTION OFTHE PERITONEUM CREATES A LARGER POTENTIAL SPACE BETWEEN THE POSTERIOR WALL OF THE UTERUS & THE ANTERIOR WALL OF THE RECTUM. ALSO KNOW AS RECTOUTERINE POUCH OR POUCH OF DOUGLAS.

FORNICES

THE SPACE WITHIN THE VAGINAL CANAL ENCIRCLING THE THE CERVIX

ANTERIOR CUL DE SAC

THE VESICOUTERINE REFLECTION OF PERITONEUM EXPANDS OVER THE URINARY BLADDER AND COVERS THE ANTERIOR WALL OF THE UTERUS. THIS REFLECTION CREATES A SHALLOW SPACE WITHIN THE PERITONEAL CAVITY

FUNDUS

THE WIDEST AND MOST SUPERIOR SEGMENT OF THE UTERUS SITUATED BETWEEN THE INSERTION OF THE UTERINE TUBES AT THE LEVEL OF THE UTERINE CORNUA.