PRAKTIKUM ANATOMI

PELVIS
BLOK REPRO 1

Rima Zakiyah
PSPD FK UNISMA
 PELVIC

A. Solid part : Pelvic bone

B. Soft part : Pelvic ligament &
muscle
A. PELVIC BONE

-Os illium
-Os ischium

-Os pubic

Sacrum
Coccyx
Bones
PELVIC BONE
PELVIC BONE
PELVIC BONE
PELVIC BONE
Sacrum
PELVIC BONE
Os Coccygis
Ischium Function
Support body weight (tuber
ischiadica)
Fungsi os Coccygis
In labor this bone extent to
posterior in order to wider the
pelvic outlet
Intro & Definitions
Pelvic Brim (green line)
Imagine a line drawn
between promontory of
the sacrum, arcuate line
of the ilium, pectineal
line (pectin of pubis) and
pubic crest.

Greater (False) pelvis

All of the bony pelvis
ABOVE pelvic brim

Lesser (True) pelvis

All of pelvis BELOW
pelvic brim.
Pelvic Inlet/Pelvic brim/PAP

Area bordered by:

Promontorium
Sacrum
Linea inominata
Ramus Superior
ossis Pubis
Upper border of
Symphisis pubis
 Pelvic outlet/ PBP

Area bordered by:

Ujung bawah

Sacrum
Tulang Tuber

Ischiadica
Sacro-coccygeal

Lower border of

symphisis pubis
 Normal pelvic measurement

Distansia
Cristarum

Distansia
Spinarum

Distansia Cristarum: 2829 cm

Distansia Spinarum: 2526 cm
Inside Pelvic measurement

Conjugata Diagonalis = 12,513cm

Conjugata Vera = CD (1,52cm)
Conjugata Obstetrika = terpendek
 Hodge line
Bidang hodge adalah bidang khayal untuk
menentukan seberapa jauh bagian depan anak
turun ke dalam rongga panggul
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
 IV
H
II III
I H H
H
B. PELVIC LIGAMENT &
MUSCLE
LIGAMENT connect the pelvic joint

Ligament interpubic pada symphysis pubis

Ligament sacro iliaca
Ligament sacro-coccygeal
Ligament sacro-tuberous
Ligament sacro spinosus
Conjugata Vera
 Sacral promontory

Left sacro-iliac joint

Iliopectineal line

Sacrospinous ligament

Sacrotuberous ligament

Ischial spine

Symphysis pubis

Ischial tuberosity
PELVIC MUSCLE
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 ---- levator ani & coccygeus

PELVIC MUSCLE
 PELVIC EXAMINATION
X-Ray
Jangka Panggul
Distansia Cristarum
Distansia Spinarum
Conjugata eksterna/Bouldeloque:
distance between upper border symphysis
pubis with prosessus spinosus lumbal 5. the
normal measurement 1820 cm
Vaginal Touch
Vaginal Touch Examintion
Promontorium touched/not
Conjugata Vera normal/not
Spina Ischiadica prominent/not
Arkus 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
Pelvic Shape
PELVIC SHAPE
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

PELVIC SHAPE

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
PELVIC SHAPE
3-ANTHROPOID
25% white women & 50% nonwhite

Long & narrow pelvic canal with long

sacrum
Straight pelvic sidewalls

4-PLATYPELLOID
3% of women

Sacral promontory pushed forwards

THANK YOU

PLEASE WORK HARD IN

THIS NEW SEMESTER