Anterior Abdominal Wall Flashcards
What are the layers of the anterior abdominal wall?
Skin, fatty layer of superficial fascia (Camper’s fascia), membranous layer of superficial fascia (Scarpa’s fascia), external oblique, internal oblique, transversus abdominus, fascia transversalis, extra peritoneal fat, parietal peritoneum
What direction are the fibres of external oblique?
Anteroinferior (hands in front pockets)
What is the upper origins of the external oblique muscle?
Overlaps the costal margin and extends onto the front of the lower 8 ribs - lies edge to edge with pec major and serratus anterior
What is the lower insertion of the external oblique muscle?
Anterior half of the iliac crest, ASIS, pubic tubercle and pubic crest
What are the 3 free edges of the external oblique muscle?
superior aponeurotic edge (where pec major starts), free posterior muscle edge, free inferior edge (inguinal ligament)
What direction are the fibres of internal oblique?
Posteroinferior (hands in back pockets)
What is the upper origin of the internal oblique muscle?
The costal margin
What is the lower insertion of the internal oblique muscle?
Anterior 2/3rds of the iliac crest and the lateral 2/3rds of the inguinal ligament and the pubic crest (insert as the conjoined tendon)
What is the posterior origin of the internal oblique muscle?
Thoracolumbar fascia
What direction are the fibres of transverses abdominus?
Horizontal
What is the upper origin of the transversus abdominus?
The diaphragm - it is in one continuous muscle plane
What is the lower insertion of the transversus abdominus muscle?
Anterior 2/3rds of the iliac crest and the lateral 1/2 of the inguinal ligament and the pubic crest (insert as the conjoined tendon)
What is the posterior origin of the transversus abdominus?
thoracolumbar fascia
What direction are the fibres of rectus abdominus?
Vertical
What is the upper origin of rectus abdominus?
Costal cartilage 5,6 and 7
What is the lower insertion of rectus abdominus?
Body and crest of the pubis
What is the lateral border of rectus abdominus?
Linea semilunaris
What is the medial border of rectus abdominus?
Linea alba
Where are the tendinous intersections of rectus abdominus?
The umbilicus, the xiphy sternum and half way in between
What is the surface marking for the gall bladder?
Where linea semilunaris intersects with the costal margin
What is the rectus sheath?
An aponeurotic envelope that contains rectus abdominus - formed by the aponeusosi of the 3 muscles of the anterior abdominal wall
What makes up the anterior part of the rectus sheath above the arcuate line?
aponeurosis of external oblique and half of internal oblique