Between the ligamento-and cartilaginous layers which cover the surfaces of
the bones at the pubic and sacro-iliac symphyses, a minute collection of
synovial fluid may be detected, like that found in the fibro-cartilages
between the vertebræ; it serves to lubricate their surfaces, and separates
them more or less, thereby increasing the thickness of the intervening
cartilaginous structure; and separating also the edges of the bones, to a
certain extent, more especially at the symphysis pubis. (Portal, _Anat.
Méd._) These laminæ of intervening fibro-cartilage are thicker in the
female than in the male, although of smaller extent; and this is still
more remarkable during pregnancy, this ligamento-cartilaginous structure
becoming now more cushiony and elastic, while in the latter months we can
easily distinguish blood-vessels ramifying through it, which are branches
of the pudic arteries and veins.
_Sacrum._ The sacrum, which forms the upper and posterior portion of the
pelvis, contributes greatly to the general solidity of the whole bony
circle. From its wedge-like shape, it is admirably adapted to support the
entire weight of the trunk, and acts, as we have before observed, as a
kind of keystone to the arch which is formed by the ossa innominata. It is
of a triangular shape, being concave before and convex behind. In the
foetus it consists of five distinct pieces of bone separated by
intervening layers of cartilage, like the vertebræ of the spinal column,
and from their resemblance to those bones they have been called false
vertebræ. These cartilages, after a time, gradually disappear; bony matter
is deposited in their place; so that by the period of puberty the five
sacral vertebræ become united into one solid bone, although they may be
distinguished, until an advanced period of life, by the ridges which their
edges form.
The upper surface of the sacrum, having to sustain the whole weight of the
spinal column, is broad and flat, and corresponds to the lower surface of
the last lumbar vertebra. Its anterior surface forms with that of the
other mentioned bone a considerable angle, which projects forwards and
more or less downwards towards the symphysis pubis, and is called the
_promontory of the sacrum_. Beneath this point, the sacrum takes a
considerable sweep backwards as it descends, gradually advancing again
forwards, as we approach its inferior extremity, forming an extensive
concavity upon its anterior surface: this is termed _the hollow of the
sacrum_.
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