Pelvic outlet
{{Infobox bone
| Name = Pelvic outlet
| Latin = apertura pelvis inferior
| Image = Gray239.png
| Caption = Diameters of inferior aperture of lesser pelvis (female)
| Image2 = 1116 Muscle of the Female Perineum.png
| Caption2 = Muscles of the female perineum
}}
The lower circumference of the lesser pelvis is very irregular; the space enclosed by it is named the inferior aperture or pelvic outlet. It is an important component of pelvimetry.
Boundaries
It has the following boundaries:
- anteriorly: the pubic arch
- laterally: the ischial tuberosities
- posterolaterally: the inferior margin of the sacrotuberous ligament
- posteriorly: the anterior border of the middle of the coccyx.{{cite book|isbn=978-0-443-10281-3|year=2010|publisher=Elsevier Ltd|author=Sara Paterson-Brown, Phillip Bennett, Catherine Williamson|title=Basic Science in Obstetrics and Gynaecology (Fourth Edition) - Obstetric pelvic definitions and dimensions}}
Notches
These eminences are separated by three notches:
- one in front, the pubic arch, formed by the convergence of the inferior rami of the ischium and pubis on either side.
- The other notches, one on either side, are formed by the sacrum and coccyx behind, the ischium in front, and the ilium above; they are called the sciatic notches; in the natural state they are converted into foramina by the sacrotuberous and sacrospinous ligaments.
In situ
When the ligaments are in situ, the inferior aperture of the pelvis is lozenge-shaped, bounded as follows:
- in front, by the pubic arcuate ligament and the inferior rami of the pubes and ischia
- laterally, by the ischial tuberosities
- behind, by the sacrotuberous ligaments and the tip of the coccyx.
See also
Additional images
File:Gray319.png|Articulations of pelvis. Anterior view.
File:Gray320.png|Articulations of pelvis. Posterior view.
File:Low-dose CT of sagittal pelvic outlet diameter.jpg|Low-dose CT scan of sagittal pelvic outlet diameter as part of pelvimetry
File:Low-dose CT scan of intertuberous diameter.jpg|Intertuberous diameter, as a measure of the transverse measure of the pelvic outlet
References
{{Reflist}}
External links
- {{NormanAnatomy|pelvis}} ({{NormanAnatomyFig|medialpelvissmall}}, {{NormanAnatomyFig|malepelvissagittalinlet&outletsml}})
{{Pelvis}}
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