pelvic landmarks

Pelvic landmarks

 

 

1-Sacral promontory – 

Sacral promontory is the anterior projecting margin of the first sacral vertebra (S1). It forms the posterior boundary of the pelvic brim and is an important landmark used in measuring pelvic diameters, especially the conjugate diameters in obstetrics.

 

2-Alae  or wing  of the Sacrum –

The ala  or wings  of sacrum is located on either side of the first sacral vertebra, lateral to the sacral promontory, forming the upper lateral part of the sacrum .

3-Sacroiliac joints 

 

Sacroiliac joint is the joint between the sacrum and ilium . There are two sacroiliac joint present in each side of the pelvis 

4-Iliopectineal lines 

 

Iliopectineal line is a ridge on the inner surface of the hip bone formed by the arcuate line of the ilium and the pectineal line of the pubis. It forms the lateral boundary of the pelvic brim .

5-Iliopectineal eminence 

 

The iliopectineal eminence is a bony prominence at the junction of the ilium and pubis, formed by the meeting of the arcuate line and pectineal line. 

6-Superior Ramus of the pubic bone 

 

The superior ramus of the pubic bone is the upper branch of the pubis extending from the body of the pubis to the ilium. It forms part of the pelvic brim and contributes to the structure of the pelvis.

7-Upper inner border of the pubic bone .

It is a sharp ridge on the superior ramus of the pubic bone, on its inner side.

8-Upper  inner border of the symphysis pubis 

 

upper margin of the pubic symphysis on its inner (pelvic) side

 

1. Which of the following forms the posterior boundary of the pelvic brim?
A. Pubic symphysis
B. Iliopectineal line
C. Sacral promontory
D. Pubic tubercle

Answer: C. Sacral promontory

2. The iliopectineal line is formed by:
A. Sacrum and ilium
B. Arcuate line + pectineal line
C. Pubic crest + pubic tubercle
D. Sacral ala + ilium

Answer: B. Arcuate line + pectineal line

3. The anterior boundary of the pelvic brim is formed by:

A. Sacrum
B. Ischium
C. Upper border of symphysis pubis
D. Sacroiliac joint

Answer: C. Upper border of symphysis pubis

4. The sacroiliac joint is formed between:

A. Sacrum and ischium
B. Sacrum and ilium
C. Ilium and pubis
D. Pubis and ischium

Answer: B. Sacrum and ilium

5. Iliopectineal eminence is formed by junction of:

A. Sacrum and ilium
B. Ilium and ischium
C. Arcuate line andh pectineal line
D. Pubis and ischium

Answer: C. Arcuate line and pectineal line

6. Ala of sacrum is formed from:

A. Body of sacrum
B. Spinous process
C. Transverse process of S1
D. Coccyx

Answer: C. Transverse process of s1

7. Which structure divides false pelvis and true pelvis?

A. Pubic crest
B. Pelvic brim
C. Sacroiliac joint
D. Pubic tubercle

Answer: B. Pelvic brim 

8. Which structure is used to measure pelvic diameters?
A. Pubic crest
B. Sacral promontory
C. Ischial spine
D. Pubic tubercle
Answer: B. Sacral promontory
9-  Iliopectineal line is part of:
A. Pelvic outlet
B. Pelvic cavity
C. Pelvic brim
D. Sacrum only
Answer: C. Pelvic brim

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