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Pelvic diaphragm
• AN 48.1) DESCRIBE MUSCLES OF PELVIC
DIAPHRAGM
WHITE LINE OF OBTURATOR FASCIA
ANOCOCCYGEAL LIGAMENT
Pelvic muscles
Pelvic diaphragm
• Gutter shaped
muscular
partition
separates pelvic
cavity from
perineum
Component parts
• Two muscles on each
side—
1) Levator ani
2) Coccygeus
• Two fascia – sup. &
Inf. Fascia of pelvic
diaphragm
Levator ani
• Consists of
Pubo- coccygeus
& Iliococcygeus
often separated
by gap
Origin of levator ani
PELVIC DIAPHRAGM
PUBOCOCCYGEUS
1)ANTERIOR FIBERS
2)MIDDLE FIBERS (puborectalis)
3)POSTERIOR FIBERS
ILIOCOCCYGEUS
COCCYGEUS
• ISCHICOCCYGEUS
LEVATOR ANI
Pubo-coccygeus
• Anterior fibres—arise from
pelvic surface of body of
pubis & inserted into
perineal body . ( males–
levator prostatae & in
females sphincter vaginae)
Pubo-coccygeus
• Middle fibres– arise from
lateral part of pelvic surface
of body of pubis
(puborectalis)
• Posterior fibres—arise from
ant. Half of white line on
obturator fascia & inserted
into anococcygeal lig. & tip of
coccyx (anorectal ring)
Ilio-coccygeus
• Origin- post. Half white
line on obturator fascia
& pelvic surface of
ischial spine
• Insertion- lower two
pieces of coccyx & ano-
coccygeal ligament
Coccygeus
• Also called ischio-
coccygeus, triangular
in shape
• Origin- pelvic surface
ischial spine & sacro-
spinous lig.
• Insertion- upper two
pieces coccyx &
sacrum
Nerve supply of levator ani
• Levator ani
supplied by 4th
sacral nerve &
inferior rectal n.
• Coccygeus
supplied by 4th &
5th sacral nerves
Functions of pelvic diaphragm
• Supports pelvic viscera
• In male elevate prostate
• In females prevents downward displacement of
uterus through vaginal canal
• Resist increased intra-abdominal pressure & help
maintain continence of bladder & rectum
• PUBOVAGINALIS: as vaginal sphincter
Relations of levator ani
• Superior or pelvic surface- covered with pelvic fascia, separate it
from bladder, prostate, rectum & peritoneum
• Inferior or perineal surface- covered with anal fascia & forms
medial boundary of ischioanal fascia
• Anterior border of two muscles separated by triangular gap for
passage of urethra & vagina
• Posterior border is free & lie against anterior margin of coccygeus
Applied anatomy
• Perineal body may
be torn in females
during parturition
resulting in
cystocoele or
prolapse of uterus

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Pelvic diaphargm

  • 2. • AN 48.1) DESCRIBE MUSCLES OF PELVIC DIAPHRAGM
  • 3.
  • 4.
  • 5. WHITE LINE OF OBTURATOR FASCIA
  • 7.
  • 8.
  • 10.
  • 11. Pelvic diaphragm • Gutter shaped muscular partition separates pelvic cavity from perineum
  • 12.
  • 13.
  • 14. Component parts • Two muscles on each side— 1) Levator ani 2) Coccygeus • Two fascia – sup. & Inf. Fascia of pelvic diaphragm
  • 15. Levator ani • Consists of Pubo- coccygeus & Iliococcygeus often separated by gap
  • 17. PELVIC DIAPHRAGM PUBOCOCCYGEUS 1)ANTERIOR FIBERS 2)MIDDLE FIBERS (puborectalis) 3)POSTERIOR FIBERS ILIOCOCCYGEUS COCCYGEUS • ISCHICOCCYGEUS LEVATOR ANI
  • 18.
  • 19.
  • 20. Pubo-coccygeus • Anterior fibres—arise from pelvic surface of body of pubis & inserted into perineal body . ( males– levator prostatae & in females sphincter vaginae)
  • 21.
  • 22. Pubo-coccygeus • Middle fibres– arise from lateral part of pelvic surface of body of pubis (puborectalis) • Posterior fibres—arise from ant. Half of white line on obturator fascia & inserted into anococcygeal lig. & tip of coccyx (anorectal ring)
  • 23. Ilio-coccygeus • Origin- post. Half white line on obturator fascia & pelvic surface of ischial spine • Insertion- lower two pieces of coccyx & ano- coccygeal ligament
  • 24.
  • 25. Coccygeus • Also called ischio- coccygeus, triangular in shape • Origin- pelvic surface ischial spine & sacro- spinous lig. • Insertion- upper two pieces coccyx & sacrum
  • 26. Nerve supply of levator ani • Levator ani supplied by 4th sacral nerve & inferior rectal n. • Coccygeus supplied by 4th & 5th sacral nerves
  • 27. Functions of pelvic diaphragm • Supports pelvic viscera • In male elevate prostate • In females prevents downward displacement of uterus through vaginal canal • Resist increased intra-abdominal pressure & help maintain continence of bladder & rectum • PUBOVAGINALIS: as vaginal sphincter
  • 28. Relations of levator ani • Superior or pelvic surface- covered with pelvic fascia, separate it from bladder, prostate, rectum & peritoneum • Inferior or perineal surface- covered with anal fascia & forms medial boundary of ischioanal fascia • Anterior border of two muscles separated by triangular gap for passage of urethra & vagina • Posterior border is free & lie against anterior margin of coccygeus
  • 29. Applied anatomy • Perineal body may be torn in females during parturition resulting in cystocoele or prolapse of uterus