Tendinous arch of pelvic fascia | |
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Details | |
Identifiers | |
Latin | arcus tendineus fasciae pelvis |
TA98 | A04.5.03.010 |
TA2 | 2439 |
FMA | 77252 |
Anatomical terminology |
At the level of a line extending from the lower part of the pubic symphysis to the spine of the ischium is a thickened whitish band in this upper layer of the diaphragmatic part of the pelvic fascia. It is termed the tendinous arch or white line of the pelvic fascia, and marks the line of attachment of the special fascia (pars endopelvina fasciae pelvis) which is associated with the pelvic viscera. It joins the fascia of the pubocervical fascia that covers the anterior wall of the vagina. If this fascia falls, the ipsilateral side of the vagina falls, carrying with it the bladder and the urethra, and thus contributing to urinary incontinence. [1]
The levator ani is a broad, thin muscle group, situated on either side of the pelvis. It is formed from three muscle components: the pubococcygeus, the iliococcygeus, and the puborectalis.
The bulbospongiosus muscles are a subgroup of the superficial muscles of the perineum. They have a slightly different origin, insertion and function in males and females. In males, these muscles cover the bulb of the penis, while in females, they cover the vestibular bulbs.
The rectouterine pouch is the extension of the peritoneum into the space between the posterior wall of the uterus and the rectum in the human female.
The internal obturator muscle or obturator internus muscle originates on the medial surface of the obturator membrane, the ischium near the membrane, and the rim of the pubis.
The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral abdominal wall, deep to the internal oblique muscle. It is thought by most fitness instructors to be a significant component of the core.
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath.
The sacrotuberous ligament is situated at the lower and back part of the pelvis. It is flat, and triangular in form; narrower in the middle than at the ends.
The inferior gluteal artery is a terminal branch of the anterior trunk of the internal iliac artery. It exits the pelvis through the greater sciatic foramen. It is distributed chiefly to the buttock and the back of the thigh.
The sympathetic trunks are a paired bundle of nerve fibers that run from the base of the skull to the coccyx. They are a major component of the sympathetic nervous system.
The suspensory ligament of the ovary, also infundibulopelvic ligament, is a fold of peritoneum that extends out from the ovary to the wall of the pelvis.
The ischioanal fossa is the fat-filled wedge-shaped space located lateral to the anal canal and inferior to the pelvic diaphragm. It is somewhat prismatic in shape, with its base directed to the surface of the perineum and its apex at the line of meeting of the obturator and anal fasciae.
The pudendal canal is an anatomical structure formed by the obturator fascia lining the lateral wall of the ischioanal fossa. The internal pudendal artery and veins, and pudendal nerve pass through the pudendal canal, and the perineal nerve arises within it.
The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet. Its lower boundary is the pelvic floor.
The obturator fascia, or fascia of the internal obturator muscle, covers the pelvic surface of that muscle and is attached around the margin of its origin.
The deep circumflex iliac artery is an artery in the pelvis that travels along the iliac crest of the pelvic bone.
The deep perineal pouch is the anatomic space enclosed in part by the perineum and located superior to the perineal membrane.
The membranous urethra or intermediate part of male urethra is the shortest, least dilatable, and, with the exception of the urinary meatus, the narrowest part of the urethra. It extends from the apex of the prostate proximally to the bulb of urethra distally. It measures some 12 mm in length. It traverses the pelvic floor. It is surrounded by the external urethral sphincter, which is in turn envelopped by the superior fascia of the urogenital diaphragm.
The rectus sheath is a tough fibrous compartment formed by the aponeuroses of the transverse abdominal muscle, and the internal and external oblique muscles. It contains the rectus abdominis and pyramidalis muscles, as well as vessels and nerves.
The fornices of the vagina are the superior portions of the vagina, extending into the recesses created by the vaginal portion of cervix. The word fornix is Latin for 'arch'.
The vaginal support structures are those muscles, bones, ligaments, tendons, membranes and fascia, of the pelvic floor that maintain the position of the vagina within the pelvic cavity and allow the normal functioning of the vagina and other reproductive structures in the female. Defects or injuries to these support structures in the pelvic floor leads to pelvic organ prolapse. Anatomical and congenital variations of vaginal support structures can predispose a woman to further dysfunction and prolapse later in life. The urethra is part of the anterior wall of the vagina and damage to the support structures there can lead to incontinence and urinary retention.
This article incorporates text in the public domain from page 422 of the 20th edition of Gray's Anatomy (1918)