23 Bony Pelvis – Male and Female
The Bony Pelvis:
Like the foundation of a building, the pelvis is a load-bearing structure. Instead of concrete and steel bearing weight, the pelvis is made of bones and ligaments. The pelvis also helps protect the reproductive organs and other viscera. The two hip bones make up the pelvic girdle and are joined by the sacrum – the most inferior portion of the vertebrae – which complete the pelvis. Each hip bone is composed of three bones which are completely fused in adults.
The three fused bones are the:
Table 22 Bones composing the bony pelvis
| Bone | Description: |
| Ilium | The most superior portion of the pelvis. The superior part of the ilium forms the iliac crest which ends anteriorly forming the anterior superior iliac spine. |
| Ischium | The inferior and posterior part of the bony pelvis which connects with the pubis to form the obturator foramen, an opening through which vasculature and nerves flow. |
| Pubis | The anterior and inferior part of the pelvis, which fuses together with each other to form the pubic symphysis. |
In order to form the complete, ring-like structure called the bony pelvis, the sacrum connects the two hip bones. The sacrum is a fusion of five sacral vertebrae (S1-S5), positioned at the posterior end of the pelvis. The bony pelvis supports the weight of the upper body and provides attachment points for the lower limbs. View the diagram below to get a visual representation of the hip bones:
Pelvic Foramina:
The bones and ligaments of the pelvis come together to form several openings known as foramen:
Figure 48 Anterior view bony pelvic foramen
Figure 49 Posterior view of bony pelvis foramen
Table 23 Pelvic foramina and their descriptions
| Foreman | Description: |
| Inguinal canal (red line) | A passage in the lower abdominal area located above the inguinal ligament which connects iliac spine to the pubis which allows the passage of the spermatic cord in males and the round ligament for females (more on this later in chapter 3) |
| Obturator foramen (purple line) | The largest foramen in the body, located between the pubis and ischium covered by the obturator membrane allowing the obturator nerve, artery and vein to pass through into the thigh which service the medial portion of the thigh |
| Greater sciatic foramen (green line) | Situated between the ilium and ischium; formed by the sacrospinous ligament allowing the sciatic nerve – the largest nerve in the body – to pass from the pelvis to the gluteal region and down the leg |
| Lesser sciatic foramen (yellow line) | Located just below the greater sciatic foramen, allows the passage of the pudendal nerve, and internal pudendal blood vessels which service the genitalia and perineum |
Pelvic Brim (Pelvic Inlet):
The pelvic brim forms the pelvic inlet (opening) to the pelvic cavity and divides the true pelvis (below the brim) from the false pelvis (above the brim). The pelvic brim is approximately heart-shaped in males and oval in f