Sagittal slice of the female pelvis showing anatomical structures as genital organs (uterus, cervix, parametria, vagina, ovaries, adnexa), urinary system, muscles, arteries, veins, nerves and pelvic measurements. Spaces and foramens of the pelvic region.Digestive system including rectum and sigmoid colon.Urinary system including urinary bladder, ureter, urethra.Genital organs: uterus (with uterine zonal anatomy: endometrium, myometrium, junctional zone), cervix (central zone, cervical stroma), parametria, vagina, ovaries and adnexa with follicles.On "Anatomical parts", the user can choose the type of anatomical labels he wishes to display on the exam: This anatomical atlas was especially designed for radiologists, gynecologists, medicine students and residents.Īnatomy of the female pelvis : axial slice showing uterus, ovary, uterine tubes, ligament, vaginal cavity and other internal organs.Īnatomy of the human female pelvis: how to use the anatomical labels Interactive anatomical features have been developed with Adobe Animate. In this anatomy study, the user have access to a user-friendly and dynamic tool to learn and understand the main anatomical structures of the female pelvis.Ĭross-sectional anatomy: Magnetic Resonance Imaging (MRI) of the female pelvic regionĪn MR was performed on a healthy woman with two kinds of weightings: axial, coronal and sagittal spin-echo T2-weighted MR images and axial spin-echo gadolinium-enhanced fat-saturated T1-weighted MR images.ĭICOM images (from our PACS (Picture Archiving and Communicating System)) were exported to JPEG format and resized with Adobe Photoshop. doi:10.1148/rg.Magnetic resonance (MR) imaging is a valuable technique for the non-invasive evaluation of the female pelvic region (for example diagnosing or staging developmental anomalies, leiomyomas, adenomyosis, vaginal neoplasms, endometrial or cervical carcinoma, ovarian cysts, endometriosis, teratomas, polycystic ovaries or other ovarian masses), but also for the study of the normal anatomy of the female pelvis. Imaging of the Pubic Symphysis: Anatomy and Pathologic Conditions. MRI Diagnosis of Subpubic Cartilaginous Cyst. Athletic Pubalgia and "Sports Hernia": Optimal MR Imaging Technique and Findings. Atlas of Normal Roentgen Variants That May Simulate Disease E-Book. The Adult Human Pubic Symphysis: A Systematic Review. Diseases of the Pubis and Pubic Symphysis: MR Imaging Appearances. Supplied by branches of the pudendal and/or genitofemoral and/or iliohypogastric/ ilioinguinal nerves 2Ĭongenital widening of the pubic symphysis (rare) 5ĭue to anteriorly-situated secondary ossification centers may appear "V-shaped" in adolescents on axial slices but will normally be parallel in adults 1 Mainly supplied by branches of obturator and inferior epigastric arteries 2 Normally very little movement: up to 2 mm shift and 1° rotation 2. Proximal ends of the penile/clitoral shaftsīladder (separated from the pubic symphysis by the retropubic fat pad) Remaining thigh adductor muscles (adductor magnus, pectineus, gracilis) 7 Remaining anterior abdominal wall muscles (internal oblique, transversus abdominis) 7 Other ligaments which attach to the pubic symphysis include:Īdductor longus, adductor brevis and rectus abdominis muscles attach to the anterior pubic ligament and interpubic disc 2Įxternal oblique aponeurosis also reinforces the pubic symphysis anteriorly 3 Posterior pubic ligament: blends with periosteum of both pubic bodies posteriorly Inferior pubic (or subpubic or arcuate) ligament: runs from right to left inferior pubic ramusĪnterior pubic ligament: blends with periosteum laterally as well as the interpubic disc Superior pubic ligament: runs from pubic crest to pubic crest The pubic symphysis is reinforced by four strong ligaments 2,3: The width of the joint space differs at different ages:įor physiological reasons, women have a greater thickness of the fibrocartilaginous disc, allowing more mobility of the pelvic bones and thereby providing a larger pelvic diameter needed for childbirth. The pubic symphysis is a secondary cartilaginous joint, which means there is a wedge-shaped fibrocartilaginous interpubic disc situated between two layers of hyaline cartilage, which line the oval-shaped medial articular surfaces of the pubic bones 1,2.
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