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Lecture Objectives
Be bl to identify th f ll i B able t id tif the following structures on a normal pelvic radiograph: t t l l i di h Pelvis Ilium Ischial spine Ischial tuberoses Pubis Superior pubic ramus S i bi Inferior pubic ramus Sacrum Coccyx Pubic symphysis Acetabulum Femur Head Neck N k Greater trochanter Lesser trochanter Pelvis continued.. Obturator foramen Sacro-iliac joints Pelvic inlet Anterior-superior iliac spine
Lecture Objectives
Be able to identify the following anatomy on Pelvis CT:
Anatomy R i A t Review
1 2 3
Pelvic inlet
3 2
Anterior 1. Ischiopubic rami 2. Obturator Foramen 3. Anterior superior Iliac Spine 4. Iliac Crest 5. Iliac Fossa 6. Ischial Spine 7. Pubic Tubercle 8. Pubic Crest 9. Pubic Symphysis 9 P bi S h i 10. Sacro-iliac joints 11. Ala of sacrum
1. Iliac Crest p p 2. Anterior superior iliac spine 3. Acetabulum 4. Superior pubic ramus 5. Inferior pubic ramus 6. Ischial spine 7. 7 Ischial tuberosity 8. Obturator foramen 9. Greater sciatic notch 10. Lesser Sciatic notch
Muscles of Pelvis
1. Piriformis 2. Obturator Internus 3. Levator Ani
1 2 2
1 3
8 4 5 6
1 2
Artery 6. External Iliac Artery 7. Internal Iliac Artery 7 I t l Ili A t 8. Inferior Vena Cava
1. Uterus 2. Ovary
2 6 1 3 4
3 1 2 5 4
4. Rectum 5. Urethra
Femur
4. Lesser trochanter
2 3
RADIOLOGY ATLAS
What is this particular type of radiograph called? KUB radiograph is focused on Kidneys, Ureter, Ureter Bladder
Ala of sacrum L Ili C t Iliac Crest R Anterior superior iliac spine L Ili F Iliac Fossa
R acetabulum
L Sacroiliac joint
R Ischial Spine
Pubic Tubercle
R ischial tuberosity
Rectum
L Obturator foramen
1 2 3 4 5
1. Femoral Head 2. 2 Greater Trochanter of femur 3. Intertrochanteric Crest 4. Femoral Neck 5. Obturator foramen
8 7
6. Lesser Trochanter of femur 7. 7 Acetabulum 8. Hip Joint 9. Ischial Tuberosity y
9 6
Sacrum Ilium R Anterior superior iliac spine R acetabulum R Ischial Spine Ala of sacrum L Iliac Crest
L Iliac Fossa
R femoral head R femoral neck R superior pubic ramus Pubic Symphysis R ischial tuberosity R inferior pubic ramus Ischium Pubic bone
L Obturator foramen f
1 2
2 2 1 1 3 3
4 5 76
6 7
1. 2. 3. 4.
2 1 3 1 3 7 8 4 8 4 5 6 5 7 6
1. 2. 3. 4. 4
1. 2. 3. 4. 4
4 1 7 3 4
1. 2. 3. 4.
1 2 1 2
4 3 4
1. 2. 3. 4.
1. Coccyx
CT ATLAS OF PELVIS
1 2
6 5
6 5
4 2 3
7 8
6 5
2 7
6 3 4
2 7
5 6 3 4
6 5
3 2 4
8 7
5 6
Male Pelvis Sagittal view 1. Pubic Symphysis 2. Bladder 3. Prostate gland 4. Rectum 5. Seminal vesicle 6. Recto-vesical pouch 5 6
2 1 3
3 2 1 2 1 3
Female Pelvis Sagittal view 4. Rectum 5. Recto-uterine 5 Recto uterine pouch 6. Vescio-uterine pouch
5 4 6 5 4
1 4 3
1 4
3 4. Rectum 5
1 1 2 3 5 8 6 8 7 4 2 3 5
4 7
1 1 2 3 5 6 8 8 6
2 3
4 7