Connections of the Pelvis Bones
1. Bones forming the pelvis
- Two hip bones (os coxae: ilium, ischium, pubis – fused in adult).
- Sacrum.
- Coccyx.
2. Joints of the pelvis
1. Lumbosacral joint
- Between L5 vertebra and sacrum.
- Type: secondary cartilaginous (symphysis) + synovial (zygapophyseal joints).
- Ligaments: iliolumbar, lumbosacral.
2. Sacroiliac joints
- Between auricular surfaces of sacrum & ilium.
- Type: synovial plane joint.
- Ligaments: anterior, interosseous, posterior sacroiliac ligaments.
3. Pubic symphysis
- Between bodies of right and left pubic bones.
- Type: secondary cartilaginous (fibrocartilage disc).
- Ligaments: superior & inferior pubic ligaments.
4. Sacrococcygeal joint
- Between sacrum and coccyx.
- Type: secondary cartilaginous.
- Ligaments: anterior, posterior sacrococcygeal.
3. Ligaments strengthening the pelvis
- Sacrotuberous ligament (sacrum → ischial tuberosity).
- Sacrospinous ligament (sacrum → ischial spine).
- These convert the greater and lesser sciatic notches → greater and lesser sciatic foramina.
Form of the Pelvis
1. General shape
- Pelvis = basin-like ring formed by sacrum + 2 hip bones.
- Divided into:
- Greater (false) pelvis: above pelvic brim, part of abdomen.
- Lesser (true) pelvis: below pelvic brim, contains pelvic organs.
2. Pelvic inlet (superior pelvic aperture)
- Bounded by:
- Sacral promontory,
- Ala of sacrum,
- Arcuate line of ilium,
- Pectineal line & pubic crest,
- Pubic symphysis (upper border).
3. Pelvic outlet (inferior pelvic aperture)
- Bounded by:
- Tip of coccyx,
- Sacrotuberous ligament,
- Ischial tuberosities,
- Ischiopubic rami,
- Pubic symphysis (lower border).