WALL OF PELVIS INCLUDING PELVIC DIAPHRAGM
Structures that Form the Walls:
- Ilium: Largest and most medial bone of the pelvis
- Ischium: Forms the posterior wall of the pelvis
- Pubis: Forms the anterior wall of the pelvis
- Sacrum: Forms the posterior wall of the pelvis
- Coccyx: Forms the lowest part of the pelvis
Structures that Form the Pelvic Diaphragm:
- Levator Ani: Muscles that form the pelvic diaphragm
- Coccygeus: Muscles that form the pelvic diaphragm
- Sacrotuberous Ligament: Connects the sacrum to the ischial tuberosity
- Sacrospinous Ligament: Connects the sacrum to the ischial spine
Main Blood Vessels:
- Internal Iliac Artery: Branches into the anterior and posterior divisions
- Anterior Division: Supplies the anterior wall of the pelvis
- Posterior Division: Supplies the posterior wall of the pelvis
- Common Iliac Artery: Forms from the internal iliac artery
- External Iliac Artery: Forms from the common iliac artery
- Internal Pudendal Artery: Supplies the perineal region
- External Pudendal Artery: Supplies the external genitalia
Main Nerves:
- Pudendal Nerve: Supplies the perineal region
- Ilioinguinal Nerve: Supplies the inguinal region
- Genitofemoral Nerve: Supplies the external genitalia and femoral region
- Obturator Nerve: Supplies the medial compartment of the thigh
Applied Aspect:
- Childbirth: The pelvic diaphragm and walls are important structures during childbirth
- Surgery: The pelvic blood vessels and nerves are important structures to consider during pelvic surgery
- Trauma: The pelvic walls and diaphragm are vulnerable to injury during trauma
- Degenerative Diseases: The pelvic joints and surrounding structures can be affected by degenerative diseases such as osteoarthritis
Blood Supply and Nerve Supply of Pelvis and Perineum:
- Blood Supply โ Internal Iliac Artery โ Anterior and Posterior Divisions
- Nerve Supply โ Pudendal Nerve โ Perineal Region
- Blood Supply โ Internal Pudendal Artery โ Perineal Region
- Nerve Supply โ Ilioinguinal Nerve โ Inguinal Region
- Blood Supply โ Genitofemoral Nerve โ External Genitalia and Femoral Region
Flowchart of Blood Supply and Nerve Supply:
+---------------+ | Internal Iliac | | Artery | +---------------+ | | v +---------------+ | Anterior and | | Posterior Divisions | +---------------+ | | v +---------------+ | Pudendal Nerve | | (Perineal Region) | +---------------+ | | v +---------------+ | Internal Pudendal | | Artery (Perineal Region) | +---------------+