Praktikum Anatomi Repro Pelvis

8/13/2019 Praktikum Anatomi Repro Pelvis

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PRAKTIKUM ANATOMIPELVIS

BLOK REPRO 1

PSPD FK UNISMARima Zakiyah


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PELVIC

A. Solid part : Pelvic bone

B. Soft part : Pelvic ligament &muscle


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A. PELVIC BONE

- Os illium

- Os ischium

- Os pubic

Sacrum

Coccyx


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Bones


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PELVIC BONE


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PELVIC BONE


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PELVIC BONE


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SacrumPELVIC BONE


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Os CoccygisPELVIC BONE


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Ischium Function

Support body weight (tuber

ischiadica)


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Fungsi os Coccygis

In labor this bone extent to posterior

in order to wider the pelvic outlet


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Intro & Definitions

Pelvic Brim (green line)

Imagine a line drawnbetween promontory of thesacrum, arcuate line of theilium, pectineal line (pectin

of pubis) and pubic crest.

Greater (False) pelvis

All of the bony pelvisABOVE pelvic brim

Lesser (True) pelvis

All of pelvis BELOW pelvicbrim.


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P l i I l t/P l i b i /PAP


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Pelvic Inlet/Pelvic brim/PAP

Area bordered by:

Promontorium

Sacrum

Linea inominata

Ramus Superior

ossis Pubis

Upper border ofSymphisis pubis


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Pelvic outlet/ PBP

Area bordered by:

Ujung bawah

Sacrum

Tulang Tuber

Ischiadica

Sacro-coccygeal

Lower border of

symphisis pubis


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Normal pelvic measurement

Distansia

Spinarum

Distansia

Cristarum

Distansia Cristarum: 2829 cm

Distansia Spinarum: 2526 cm


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Inside Pelvic measurement

Conjugata Diagonalis = 12,513cm

Conjugata Vera = CD(1,52cm)

Conjugata Obstetrika = terpendek


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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 fromspina ischiadica

Hodge IV: parallel with hodge III, measured from

coccyx tip


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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


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Conjugata Vera


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Sacral promontory

Left sacro-iliac joint

Iliopectineal line

Sacrospinous ligament

Sacrotuberous ligament

Symphysis pubis

Ischial tuberosity

Ischial spine


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PELVIC MUSCLE

The inner aspect of the bony pelvis is covered withmuscles:

Above the brim --- iliacus & psoas

Sidewalls ---- obturator internus & its fascia

Post wall ---- pyriformis

Pelvic floor ---- levator ani & coccygeus


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PELVIC MUSCLE


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PELVIC EXAMINATION

X-Ray

Jangka Panggul

Distansia Cristarum

Distansia Spinarum Conjugata eksterna/Bouldeloque: distance

between upper border symphysis pubis withprosessus spinosus lumbal 5. the normal

measurement 1820 cm Vaginal Touch


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Vaginal Touch Examintion

Promontorium touched/not

Conjugata Vera normal/not

Spina Ischiadica prominent/notArkus pubis wide/narrow

Sakrum curve/not

Note:

Touched Promontory usually indicated narrow pelvic

Height 145 cm also indicated narrow pelvic


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Differentiation between female and male pelvic


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Pelvic Shape


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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


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PELVIC SHAPE

2-ANDROID

Typical male pelvis found in 1/3 white women1/6 non-white

Pelvic brim is heart shaped Pelvis funnels from above downwards

(convergent sidewalls)

Narrow pubic arch

Prominent spines


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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


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PLEASE WORK HARD IN

THIS NEW SEMESTER

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Praktikum Anatomi Repro Pelvis