Abdomen 1:Anteiror abdominal wall and inguinal canal Flashcards
What are the abdominal landmarks at the superior boundary?
- Superior boundary
- Xiphisternal joint
- Xiphoid process
- Costal margin
What are the abdominal landmarks at the inferior boundary?
- Inferior boundary
- Iliac crest
- ASIS
- Pubic symphysis
- Inguinal ligament
What are the soft tissue abdominal landmarks?
- Soft tissue landmarks
- Tendinous intersections
- Umbilicus (L4)
- Linea alba
- Linea semilunaris
- External Oblique
- Rectus abdominis
What is present in the superficial fascia layer of the abdominal wall?
- Superficial fascia:
- Camper’s fascia(fatty)
- Scarpa’s fascia(membranous)
- Camper’s fascia(fatty)
What is the anterolateral muscle of the abdominal wall?
External oblique muscle
What is the direction of the external oblique muscle?
-Inferomedial fibre direction
Where is the inguinal ligament located in respect to the external oblique muscle?
Inguinal ligament: free border of external oblique muscle
What is located in the rectus sheath layer (Anterior layer) of the abdominal wall?
- Aponeuroses of anterolateral muscles
- External and 1/2 internal oblique
What does the rectus sheath (Anterior layer) envelope?
Envelopes rectus abdominis and pyramidalis
What does the anterior muscles layer of the abdominal wall contain?
- External oblique muscle
- Internal oblique muscle
- Transversus abdominis muscle
What direction is the internal oblique muscle?
-Superomedial fibre direction
What direction is the transversus abdominis muscle?
-Transverse fibre direction
What does the vertical muscle layer of the abdominal wall contain?
- Rectus abdominis
- Pyramidalis
What is the rectus abdominis and what is it seperated by?
-Paired strap muscle separated by linea alba(white line).
How many tendinous intersections are present in the rectus abdominis?
-Three or more tendinous intersections
What does the lateral border of the vertical muscle form?
Lateral border forms linea semilunaris
What percentage of people don’t have the pyramidalis?
Absent from 20% of people
What is the rectus sheath (posterior layer) layer of the abdominal wall superior to?
- Superior to arcuate line:
- 1/2 internal oblique + transversus abdominis
What is the rectus sheath (Posterior layer) layer of the abdominal wall posterior to?
- Posterior to arcuate line
- Transversalis fascia and parietal peritoneum
Rectus sheath(Superior to arcuate line)
- Internal aponeurosis splits into two layers:
- Anterior laminae passes anterior to rectus abdmoinis
- Posterior laminae passes posterior to rectus abdominis
Rectus sheath(Inferior to arcuate line)
- 3 aponeuroses pass anterior to rectus abdominis
- Posterior layer is weaker as its only formed by transversalis fascia
What is the inguinal canal and what is its path?
An oblique passage that extends downwards and medially through the lower anterior abdominal wall