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Clinical anatomy is concerned with the anatomic relationships between various structures of the living human organism. These relationships in the pelvis and their physiologic alterations along with the degree of independent function of each organ system are the concern of the gynecologist. Pelvic anatomy is complex and requires careful study and cadaveric dissection. A three-dimensional understanding of the interplay between bones, ligaments, pelvic organs, and muscles helps the gynecologist and pelvic surgeon identify and treat disorders of the pelvic floor. In this chapter, the anatomy of the pelvic structures will be described from the clinician's point of view. The pelvis is divided into sections to facilitate understanding of its key components. The pelvis is a basin-shaped structure that supports the spinal column and protects the abdominal and pelvic organs. It contains three pairs of hip bones: the ilium, ischium and pubis, as well as the sacrum and the coccyx. All three hip bones fuse together in the acetabulum. The pelvic bones serve as the origin and insertion points of the pelvic muscles and ligaments.
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