Praktikum Anatomi Repro Pelvis
-
Upload
nining-octavia-pradnyaparamita -
Category
Documents
-
view
228 -
download
0
Transcript of Praktikum Anatomi Repro Pelvis
-
8/13/2019 Praktikum Anatomi Repro Pelvis
1/33
PRAKTIKUM ANATOMIPELVIS
BLOK REPRO 1
PSPD FK UNISMARima Zakiyah
-
8/13/2019 Praktikum Anatomi Repro Pelvis
2/33
PELVIC
A. Solid part : Pelvic bone
B. Soft part : Pelvic ligament &muscle
-
8/13/2019 Praktikum Anatomi Repro Pelvis
3/33
A. PELVIC BONE
- Os illium
- Os ischium
- Os pubic
Sacrum
Coccyx
-
8/13/2019 Praktikum Anatomi Repro Pelvis
4/33
Bones
-
8/13/2019 Praktikum Anatomi Repro Pelvis
5/33
PELVIC BONE
-
8/13/2019 Praktikum Anatomi Repro Pelvis
6/33
PELVIC BONE
-
8/13/2019 Praktikum Anatomi Repro Pelvis
7/33
PELVIC BONE
-
8/13/2019 Praktikum Anatomi Repro Pelvis
8/33
SacrumPELVIC BONE
-
8/13/2019 Praktikum Anatomi Repro Pelvis
9/33
Os CoccygisPELVIC BONE
-
8/13/2019 Praktikum Anatomi Repro Pelvis
10/33
Ischium Function
Support body weight (tuber
ischiadica)
-
8/13/2019 Praktikum Anatomi Repro Pelvis
11/33
Fungsi os Coccygis
In labor this bone extent to posterior
in order to wider the pelvic outlet
-
8/13/2019 Praktikum Anatomi Repro Pelvis
12/33
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.
-
8/13/2019 Praktikum Anatomi Repro Pelvis
13/33
P l i I l t/P l i b i /PAP
-
8/13/2019 Praktikum Anatomi Repro Pelvis
14/33
Pelvic Inlet/Pelvic brim/PAP
Area bordered by:
Promontorium
Sacrum
Linea inominata
Ramus Superior
ossis Pubis
Upper border ofSymphisis pubis
-
8/13/2019 Praktikum Anatomi Repro Pelvis
15/33
Pelvic outlet/ PBP
Area bordered by:
Ujung bawah
Sacrum
Tulang Tuber
Ischiadica
Sacro-coccygeal
Lower border of
symphisis pubis
-
8/13/2019 Praktikum Anatomi Repro Pelvis
16/33
-
8/13/2019 Praktikum Anatomi Repro Pelvis
17/33
Normal pelvic measurement
Distansia
Spinarum
Distansia
Cristarum
Distansia Cristarum: 2829 cm
Distansia Spinarum: 2526 cm
-
8/13/2019 Praktikum Anatomi Repro Pelvis
18/33
Inside Pelvic measurement
Conjugata Diagonalis = 12,513cm
Conjugata Vera = CD(1,52cm)
Conjugata Obstetrika = terpendek
-
8/13/2019 Praktikum Anatomi Repro Pelvis
19/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
20/33
-
8/13/2019 Praktikum Anatomi Repro Pelvis
21/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
22/33
Conjugata Vera
-
8/13/2019 Praktikum Anatomi Repro Pelvis
23/33
Sacral promontory
Left sacro-iliac joint
Iliopectineal line
Sacrospinous ligament
Sacrotuberous ligament
Symphysis pubis
Ischial tuberosity
Ischial spine
-
8/13/2019 Praktikum Anatomi Repro Pelvis
24/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
25/33
PELVIC MUSCLE
-
8/13/2019 Praktikum Anatomi Repro Pelvis
26/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
27/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
28/33
Differentiation between female and male pelvic
-
8/13/2019 Praktikum Anatomi Repro Pelvis
29/33
Pelvic Shape
-
8/13/2019 Praktikum Anatomi Repro Pelvis
30/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
31/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
32/33
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
-
8/13/2019 Praktikum Anatomi Repro Pelvis
33/33
THANK YOU
PLEASE WORK HARD IN
THIS NEW SEMESTER