updated February 12, 2004
Instructions for the Paper Pelvis!
On this page, this: | |
becomes this: | |
NOTE: Colored tape may be used to show you how to best
tape certain muscles. You can use clear tape.
NOTE: The color for these pictures have been adjusted
by me... so the pelvis in one picture may look
orange, and then red in the next picture. It's
consistently just one model throughout.
HINT: The more careful you are in the beginning, the
better the result will be.
HINT: For taping things, try putting the tape on the
smaller attachment first and then aligning and
fixing it to the larger element.
HINT: The DOTTED LINES are there to help you align
certain pieces. (Don't cut them.) ...............
The DASHED LINES interspersed with a shorter
dash are to be folded back, the two sides away
from each other. ___ _ ___ _ ___ _ ___ _ ___ _ __
The NORMAL DASHED LINES are to be folded forward,
the two side toward each other. ___ ___ ___ ___ _
The ZIG-ZAG should be curved with the two sides
toward each other. /\/\/\/\/\/\/\/\/\/\/\/\/\/\/\
The ))) LINE will be covered by a ligament later.
The SOLID LINES are for cutting. ________________
(1) Cut out the bones.
The result should look like this.
b1
(2) Fold at the dashed lines. (see the last hint above)
The result should look like this.
b2
b3
(3) Get the transparent tape ready.
Line up the two dotted lines shown below and then
tape it up well. See below for what you should get.
Be sure that it's aligned well and taped securely.
b4
The result should look like this.
b5
b6
(4) For the coccyx, you can curl it in a little, just
so it looks a little more realistic.
b7
b8
b9
(5) Cut out the ligaments.
The result should look like this.
c1
(6) Tape the ligaments to the bones.
Each ligament is labelled right and left. Don't
confuse your right and left with the model's. ;-)
It's pretty straightforward, except for the
sacrospinous and sacrotuberous, for which you want
to be more careful in aligning the ligaments and a
bit more stingy on the tape. Many things will
travel through the foramens you create.
For the sacrospinous, try to cover the marks drawn
on the bone. The marks look like this )))))))))))
Consult your anatomy book if the pictures are not
clear enough.
Suggested order of applying the ligaments:
d1
d2
d3
d4
d5
d6
d7
(7) Cut out piriformis and obturator internus.
Apply them as shown below. For muscles, try to
tape only the origin and the insertion for realism.
Piriformis exits the greater sciatic foramen, and
obturator internus exits the lesser sciatic
foramen, which is created by the sacrospinous
and sacrotuberous ligaments. After exiting,
obturator internus is pulled toward the greater
tubercle of the femur where it inserts. This is
in the direction of the obturator foramen.
NOTE: the femur attaches just above the obturator
foramen. See an anatomy book for details.
e1
e2
e3
(8) As shown below, pull the tendons for the obturator
internus and piriformis muscles toward the
greater trochanter of the femur and tape them
together to show how they would insert.
e4
(9) Levator ani (which includes puborectalis,
pubococcygeus, and iliococcygeus) and coccygeus
is best taped in the order shown below.
For these pictures, I didn't cut out the holes
for the anus, vagina, or urethra, but I meant to
have them cut out. :-) It's helpful to know where
the holes are.
f1
Not pictured well... but the ventral notch above the
urethra should be taped together too.
f2
(10) For those with large hands this may be a
frustrating step.
Trying taping the ventral side first with some
tape already on the levator ani, and then just
fixing it to the bone. See pictures for proper
alignment.
After that, tape the dorsal side to sacrum. One
alignment to watch out for is how iliococcygeus
goes toward the ischial spine and how coccygeus
inserts to the spine.
The best alignment tactic is shown in "g4" where
the end of the coccyx is at the same level as
the angle in the muscle dorsal to the analrectal
hiatus.
g1
g2
g3
g4
Here are some random pictures for your perusal.
h1
h2
h3
The story...
When I was a first year medical student studying for the
anatomy exam on the pelvis, I found
it hard to visualize where everything was in relation to
everything else. So I took some paper and made some molds
of a pelvis, first with the bone, and then with some ligaments
and muscles, using Netters as a guide.
Then I went through with some yarn and tape to
place the major nerves and blood vessels.
It really took some thought to place everything in the correct
place, and it paid off in the end.
Visual memorization or route memorization is good for some
things, but they can't compare with interacting with a
subject.
I'm not yet satisfied with what I've designed so far,
since it is still missing some major structures and I don't
have any instructions on nerves and blood vessels yet. And
it is only the female model, and the male pelvis is pretty
different.
Basically, the project is not done yet.
I suggest that you cut out your own perineal membrane along
with the muscles in that area. Use Plate 352 in Frank
Netters's Anatomy as a guide. And then use different colored
yarn for nerves and blood vessels (i.e., internal pedundal
artery--> perineal artery, inferior rectal)
Good luck!
I've copyrighted the book. Please do not attempt to reproduce it.
It's taken me a very very long time to refine the model to its
present state.
If you have any questions/suggestions/compliments for this page,
you can email me, Wei-Shin Lai at weishin@earthlink.net.
If you would like a copy of this book, I can send it to you as long
as you cover the postage. Just email you address to me. And then,
please please give me some feedback after you try making it. Thanks!