New Pelvis Dan Perineum

8/18/2019 New Pelvis Dan Perineum

1/100

PELVIS DAN PERINEUM

OLEH : E. R.


2/100

SURFACE ANATOMY


3/100


4/100


5/100

DINDIN* PELVIS

+ Tulang : "s ,"-ae"s sa,'#m"s ,",,%e#s

Mem$en! (elvi, i'dle+ Liamen

+ O&"&+ Fas,ia

DIENTU/ OLEH


6/100

Pelvi, i'dle0Ran!a Pelvis

+ Men%ana $e$an $#h $aian a&as saa&d#d#! dan $e'di'i

+ T'ans1e' $e$an $#h da'i s!ele&"n a-ial !e

a((endi,#la' saa& $e'di'i dn $e')alan+ Se$aai (e'le!a&an "&"&2"&"& l"!"m"&"' dana$d"men3 se'&a menahan &e!anan %andihasil!an "leh !e')a "&"& &e'se$#&

+ Melind#ni "'an vis,e'a (elvis+ Se$aai (e'le!a&an )a'inan e'e!&il da'i

eni&alia e!s&e'na


7/100

OS COXAE

+ De-&'a dan Sinis&'a

e'sendi :

+ Di an&e'i"': s%m(hisis

(#$is

+ Di ("s&e'i"': "s sa,'#m

+ Di la&e'al : "s 1em"'is


8/100

OS CO4AE

+ OS ILIUM

+ OS PUBIS

+ OS ISCHII

Acetabulum

ForamenObturatum


9/100

OS CO4AE

OS ILIUM/ tulang

usus

+ C"'(#s "ssis ilii

+ Ala "ssis ilii

di$a&asi Linea a',#a&a


10/100

OS COXAE

OS ILIUM :Ala ossisilii

Tepi bebas : crista iliaca

Ke anterior :Spina iliaca anterior

superior

Spina iliaca anterior

inferiorKe posterior :

Spina iliaca posteriorsuperior

Spina iliaca posterior


11/100

OS ISCHII/tulang

uu!

+ C"'(#s "ssis is,hii

+ Ram#s s#(e'i"'

"ssis is,hii

+ Ram#s in1e'i"' "ssisis,hii

OS CO4AE


12/100

OS ISCHII: Cor"us

oss#s #sc$##

+In,is#'a is,hiadi,ama)"'

+ S(ina is,hiadi,a

+ In,is#'a is,hiadi,a

min"'

+ T#$e' is,hiadi,#m

OS CO4AE


13/100

OS PUBIS/tulang

!emaluan:

+ C"'(#s "ssis (#$is

+ Ram#s s#(e'i"'

"ssis (#$is

+ Ram#s in1e'i"' "ssis(#$is

OS CO4AE


14/100

Os Sa,'#m 5S6 7 S89

+ Te'$en! da'i 8 ve'&e$'a %an men%a

+ Pe'm#!aan s#(e'i"' $e'sendi d ve'&e$'ae

l#m$alis 8

+ Pe'm#!aan in1e'i"' $e'sendi d "s ,",,%is


15/100

Os C",,%is

+ Dise$#& )#a &ail$"ne; 5lan e!"'9+ Te'$en! da'i (en%aan


16/100

Os Sa,'#m

Fi#'e =.6>a3 $


17/100


18/100

CAVUM PELVIS

Pelvis &e'$ai d#a "leh $idan % melal#i :+ P'"m"n&"'i#m+ Linea &e'minalis D0S3 %ai a$#nan da'i

+ Linea a',#a&a+ Linea (e,&inea

+ a. S#(e'i"' s%m(hisis (#$is

B#ang a#tus/ a"ertura "el%#ssu"er#or/"el%#c br#m


19/100


20/100

Adis0a(e''a (elvis in1e'i"'

Di$a&asi+ An&e'i"' : A',#s (#$is

+ La&e'al :T#$e'is,hiadi,#s

+ P"s&e'"la&e'al :Liamenmsa,'"$e'"s#m

+ P"s&e'i"' : U)#n "s,",,%is


21/100


22/100

Pelvis Ma%"' vs. Min"'

+ Pelvis Ma%"'01alse(elvis 7 ,'anial d'adis (elvis s#(e'i"'&e&a(i masih &e'lind#nala "s ili#m 7 e'isi "'an a$d"men

+ Pelvis Min"'0 &'#e(elvis 7 in1e'i"' d'adis (elvis s#(e'i"'

7 e'isi ,"l"n3 'e,m3vesi,a #'ina'ia3 "va'i#m$a 1al"(ii dan #&e'#s

7 Di $aian $?h di$a&asidia1'ama (elvis


23/100

DINDIN* PELVIS

e'dasa' $en! adis (elviss#(e'i"':

+ An&h'"("id: "val0l"n)"n

sai&al @ &'ansve'sal

+ *%nae,"id : $#la&

+ Pla&%(el"id : l"n)"n

&'ansve'sal @ sai&al+ And'"id : sei&ia

ENTU/ ADITUS PELVIS


24/100


25/100

F'"li,h3 H#man Ana&"m%3 Pelvis I

Female Male

Cav#m (elvis le$a' dan dan!al

Adis (elvis0(elvi, $'im le$ih

$#nda' T#lan le$ih 'inan dan &i(is

S#d#& 0 an#l#s (#$is le$ih

$esa'

Os ,",,%is le$ih l#'#s

Cavi#m (elvis sem(i& dan dalam

Adis (elvis le$ih sem(i&

T#lan le$ih $e'a& dan &e$al

S#d#& (#$is sem(i&

Os ,",,%is le$ih melen!#n


26/100


27/100

Pelvi, *i'dle0Ran!a Pelvis

aian (alin sem(i& % a!an dile?a&i $a%i

saa& (e'salinan

6.Diame&e' da'i $aian ("s&e'i"' sim1isis

(#$is !e ('"m"n&"'i#m ,"n)#a&a

"$s&e&'i!

.Ba'a! in&e'2s(ina is,hiadi,a


28/100


29/100

aian pelvic

girdle % 'en&an,ede'a :

+Ram#s (#$is

+ A,e&a$#l#m+Sendisa,'"illia,a

+ Ala "s illii

e'a!i$a&&hd( "'an

vis,e'a (elvis


30/100

DINDIN* PELVIS

+ T#lan

+ L#gamen+ O&"&

+ Fas,ia

DIENTU/ OLEH


31/100

LiamenFungsi : memperkuat pelvic girdle

dengan cara membatasi geraksendinya (terbatas pada gliding dan rotasi

Sendi utama:• Articulatio sacroiliaca

diperkuat ligamen sacroiliaca• Simfisis pubis• Articulatio lumbosacralis• Articulatio sacrococcygeus

Ligamen tambahan :• Ligamentum sacrotuberosum• Ligmentum sacrospinalis

Ligamentum ini akan relaksasisaat kehamilan diameterpelvic girdle meningkat 10 –1!" kec# $on%ugata obtetriktetap


32/100

L#$an (d Dindin Pelvis

+ F"'amen di$en! :

li. Sa,'"$e'"s#m dan

li. Sa,'"s(inalis3 in,is#'aIs,hiadi,a ma)"' e& min"'

+ F"'amen Is,hiadi,a Ma)"'5"leh m. (%'i1"'mis9

7 F"'amen S#('a(i'i1"'mis

7 F"'amen In1'a(i'i1"'mis

+ F"'amen Is,hiadi,a Min"'

MEDIAL

FORAMEN LI*AMEN


33/100

DINDIN* PELVIS

+ T#lan

+ Liamen+ Otot

+ Fas,ia

DIENTU/ OLEH


34/100

Pelvi, Fl""'0 Dasa' (elvis

F#nsi :

+ Men%"!"n "'an (elvis dan a$d"mensaa& &e!anan in&'a a$d"men menin!a&

+ Mena' 1#nsi e!s!'esi dan (e'salinan

+ Mena' 1#nsi se!s#al dan mi!si5&e'#&ama (ada ('ia9


35/100

DINDIN* PELVIS

+ La&e'al : m. O$'a&"' in&e'n#s

+ D"'sal : m. P%'i1"'mis

+ Ca#dal : mm. dia(h'ama (elvis

OTOT


36/100

DINDIN* PELVIS

+ La&e'al : m& Obturator #nternus

O'i":mem$'ana "$'a&"'3a',#s &dn.leva&"' ani

Ins&. : &'",han&e' ma%"' "s 1em#'.5L82S629

+ D"'sal : m& P'r#(orm#s

O'i" : sa,'#m21a,ies (elvina

Ins&. : &'",han&e' ma%"' "s 1em#' 5n.seS629

+ Ca#dal : mm. dia(h'ama (elvis

OTOT


37/100


38/100

DINDIN* PELVIS

+ La&e'al : m. O$'a&"' in&e'n#s

+ D"'sal : m. P%'i1"'mis

+ Ca#dal : mm& #a"$ragma "el%#s

OTOT


39/100

DIAPHRA*MA PELVIS

+ Pa's M#s,#la'is 7 M& Le%ator an# : m. P#$",",,%e#s

m. Ili",",,%e#s

7M& Cocc'geus 0 m. Is,hi",",,%e#s Inv.: '. ven&'alis n. semen&alis S III2IV

5 d' '. (e'inealis n. (#dend#s9

+ Pa's Mem$'ana,ea ven&'"medial3 an&a'a &e(i medial m. leva&"' ani

&e'( la(is 1as,ia dia(h'ama (elvis

di&em$#s #'e&h'ae3 'e,m3 dan vaina

)IBE*TU+


40/100


41/100

ARCUS TENDINEUS

M. LEVATOR ANI

+ Di$en! :

2 1as,ia m. "$'a&"' in&e'n#s

2 1as,ia dia(h'ama (elvis s#(e'i"' + Da'i 'am#s s#(e'i"' "ssis (#$is !e s(ina

is,hiadi,a


42/100


43/100


44/100


45/100


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48/100


49/100


50/100

FASCIA PELVIS

Te'di'i $aian :

6. Fas,ia Pelvis Pa'ie&alis

. Fas,ia Pelvis Vis,e'alis

Di an&a'an%a &d(& 1as,ia end"(elvi,


51/100

FASCIA PELVIS

6. Fasc#a Pel%#s Par#etal#s

7 Lan)#&an 1as,ia &'ansve'sa a$d"minis

7 Mela(isi (e'm#!aan "&"&2"&"& (elvi, 1l""'

7 Td': 1as,ia dia(h'ama (elvis s#(. dan in1.1as,ia ilia,a

1as,ia "$'a&"'ia

. Fasc#a Pel%#s ,#sceral#s

7 Lan)#&an Fas,ia Pelvis Pa'ie&alis

7 Mela(isi "'an2"'an (elvis se$aai ni,a

adven&i&ia2n%a


52/100


53/100


54/100

FASCIA ENDOPELVIC

+ Di$en! )a'. e!s&'a(e'i&"neal % meli(#&i "'an

(elvis dan vasa 5$e'#(a mem$'an3 )a'. lema!3 )a'.

a'e"la'9

+ Mena!"m"dasi (em$esa'an VU dan 'e,m

+ Men)aa ("sisi "'an (elvis

+ Pene$alan : liamen $e'isi "&"&

se(m 0 (li,a 'e,&"vesi,alis se(m 0 (li,a 'e,&"vainalis

liamen ,e'vi,al &'ansve'sal0 ,a'dinal


55/100


56/100

T#mbul !arena !elema$an

stru!tur #n#

+ L#"atan (asc#a eno"el%#c :

+ L#gamen "ubo%es#cal

+ Fasc#a "ubo%es#cal "aa

uret$ro%es#cal -unct#on

+ Le%ator an# .member#

su""ort untu!

uret$ro%es#cal -unct#on

+ Integr#tas (ungs#onal ar#

s"$#ncter uretra


57/100


58/100

Tim$#l !a'ena

hilann%a s#(("'&

da'i

+Liamenm

,a'dinale 0

#&e'"sa,'al

+Leva&"' ani


59/100

PERINEUM

+ Ca#dal d' dia(h'ama (elvis

+ Celah $elah !e(a&

+ a&as adis (elvis in1e'i"'

7 An&e'i"' : sim1isis (#$is

7 In1e'i"' : 'am#s (#$is dan is,hii

7 La&e'al : $e' is,hii

7 P"s&e'" la&e'al : liamenm Sa,'"$e'"s#m

7 P"s&e'i"' : ,",,%-


60/100

PERINEUM

+ T'i"n#m U.*. 5an&e'i"'9 dila(isi 1as,ia

(e'inei

+ T'i"n#m anale 5("s&e'i"'9

BA0IA*


61/100


62/100

PERINEUM

La(isan 5,a#dal !e ,'anial9

6. C#&is

. Fas,ia Pe'inei S#(e'1i,ialis


63/100

+ Ba'inan S#$ ,#&an s#(e'1i,ial 5la$ia ma%"'a3 m"ns (#$is9 lan)#& !e an&e'i"' a$d"men

)adi 1as,ia Cam(e'3 !e ("s&e'i"' lema! di 1"ssa is,hi"anal. P'ia : lan)#& ni,a Da'&"s

+ La(isan mem$'an : C"lles 5han%a (d &'i"n#m U*9 !e an&e'i"' a$d"men )adi 1as,ia

S,a'(a

Fasc#a Per#ne# Pro(unus .0allauet :


64/100

.

Menem(el (d m. $#l$"s("ni"s#s3 m. is,hi",ave'n"s#s3 m&'ansve's#s (e'inei s#(e'1i,ialis


65/100

PERINEUM

SPATIUM PERINEI SUPERFICIALIS

+ R#an an&a'a 1as,ia (e'inei ('"1. d 1as,iadia(h'ama U.*. in1.

+ Di dalamn%a &e'da(a& : m. is,hi" ,ave'n"s#s 5 ,'#'a (enis0,li&"'is9

m. $#l$"s("ni"s#s 5 $#l$#s (enis0ves&i$#la'is9

m. &'ansve's#s (e'inei s#(e'1i,. #'e&h'a (a's s("ni"s#s

,a$. a. (#dendalis in&e'na n. (#dend#s

land#la ves&i$#la'is ma%"' 5?ani&a9

T1I0O*UM U&0&


66/100

SPATIUM PERINEI SUPERFICIAIS


67/100


68/100


69/100

PERINEUM

SPATIUM PERINEI PROFUNDUS

+ Te'isi "leh #a"$ragma U&0&

+ Di( 1as,ia dia(h'ama U.*. s#(. dan in1.

+ e'isi:

7 0lanula bulbouret$ral#s ."r#a

7 M& trans%ersus "er#ne# "ro(unus

7 M& s"$#ncter uret$rae e2ternum

7 *er%us 3 %as!ular ut! "en#s/cl#tor#s

+ Di&em$#s : #'e&h'ae

T1I0O*UM U&0&


70/100

PERINEUM

S(a&i#m Pe'inei P'"1#nd#s

DIAPHRA*MA U.*.

+ T'a(eG"id

+ Ba'. m#s,#l"&endine#s

+ An&a'a !ed#a 'am#s in1. "s. Is,hii dan "s.P#$is

+ Ca#dal d' Mm. (#$",",,%e#s+ Di an&e'i"' (e'ine#m,elah $e$as 5di ,a#dalli. A',#am (#$is9l?& v. d"'salis (enis5('ia9

T1I0O*UM U&0&


71/100


72/100


73/100

PERINEUM

+ aian (e'ine#m an&a'a an#s dan eni&al. e-&.+ Ba'. 1i$'"m#s,#la' dan ,"laen+ Dile!a&i :

6. M. T'ansve's#s (e'inei s#(e'1i,.. M. T'ansve's#s (e'inei ('"1.


74/100

http://f/GRAYS/www.bartleby.com/107/120.htmlhttp://f/GRAYS/www.bartleby.com/107/120.html


75/100

T'i"n#m Anale

+ F"ssa Is,hi"'e,&alis

+ Canalis (#dendalis Al,",!

+ Anal ,anal


76/100

FOSSA ISCHIORECTALIS

ATAS2ATAS :

+ a&as medi",'anial :

m. leva&"' ani

1as,ia dia(h'ama (elvis in1e'i"'

li. sa,'"s(in"s#m

+ a&as medi",a#dal :

m. s(hin,&e' ani e-&e'na

+ a&as la&e'al :

m. "$'a&"' in&e'n#s 1as,ia


77/100


78/100

CANALIS PUDENDALIS 5ALCOC/9

+ e')alan di &e(i ,a#dal 'am#s in1e'i"' "s.

Is,hii dan "s. P#$is

+ Di$en! : 1as,ia "$'a&"'ia

li. Fal,i1"'me

5li. Sa,'"$e'"s#m9

+ e'isi : vasa (#dendalis in&e'na n. (#dend#s


79/100


80/100

Ine'vasi (e'ine#m

N. P#dend#s3,a$ann%a :

+ N. Pe'inealis

+ N. Re,&alisin1e'i"'

CAVUM PELVIS


81/100

CAVUM PELVISTe'$ai < "leh (e'i&"ne#m

+ Ca%um "el%#s "er#toneal#s ,'anial (e'i&"ne#m

"'an dili(#&i (e'i&"ne#m

+ Ca%um "el%#s sub"er#toneal#s ,a#dal (e'i&"ne#m

,'anial dia(h'ama (elvis

$e'isi "'an (elvis

+ Ca%um "el%#s subcutanea

5@ 1"ssa is,hi"'e,&alis0is,hi"analis9

,a#dal dia(h'ama (elvis


82/100

A & i d l i

+ Se$aian $esa' d',a$an A. Ilia,ai &


83/100

A'&e'i (d ,av#m (elvisin&e'na+ Y lans#n ,a$. d'.

A"'&a : A. "va'i,a3 A.

sa,'alis media.+ A. 'e,&alis s#(e'i"'

,a$ d'. A.Mesen&e'i,a In1.

RECTUM


84/100

+ M#lai saa& mes"sim"idmenhilan

+ Se&ini ve'&. sa,'alis III

+ Pan)an !i'a 6 ,m+ Te'$ai a&as:

6. Pa's sa,'alis 'e,&i 5(a's

am(#la'is 'e,&i9. Pa's (e'inealis 5analis 'e,&i9


85/100

RECTUM


86/100

+ T#ni,a m#s,#la'is 7 S&'am l"nidinalis

7 S&'am ,i',#la'is

+ Tela s#$m#,"sa 5)a'. i!a&9

+ T#ni,a m#,"sa

STRU/TUR

RECTUM


87/100

PLICA TRANSVERSALISRECTI

+ Di$en! ni,a m#,"sa

dan s&'am ,i',#la'is+ Ada 5a&a#


88/100

+ COLUMNA RECTALISMOR*A*NI

li(a&an m#!"sa l"nidinal

"&"& l"nidinal

+ ANNULUSHAEMORRHOIDALIS

&"n)"lan ,i',#la' 5dlm !eadaan

n"'mal9 m. s(hin,&e' ani in&e'n#s

STRU/TUR PARS ANALIS RECTI

RECTUM


89/100

+ M. S(hin,&e' anie-&e'n#m

+ M. Leva&"' ani

+ Fas,iadia(h'ama

(elvis s#(.

FI/SASI

RECTUM


90/100

+ Lnn. H%("as&'i,#s 5(a'sam(#la'is9

+ Lnn. In#inalis s#(e'1i,.

&'a,s h"'iG"n&alis5(a's analis 'e,&i9

LYMPHE


91/100


92/100

RECTUM


93/100

6. A. Haem"''h"idalis s#(. 5,a$. a.mesen&e'i,a in1.9

. A. Haem"''h"idalis in1. 5,a$. a.

(#dendalis in&e'na9


94/100

Va'i,es haem"'h"idalis


95/100

Va'i,es haem"'h"idalis

+ Dila&asi (le-#s ven"s#shaem"'h"idalis in&e'n#s

+ Di dae'ah ann#l#s haem"'h"idalis

+ Se(e'&i am(#la


96/100


97/100

SE/IAN


98/100


99/100


100/100

Documents

New Pelvis Dan Perineum