Anterior Abdominal Wall Flashcards
Describe anterolateral abdominal wall from superficial to deep
- Skin 2. Subcutaneous tissue (fatty) 3. Muscle layers 4. Peritoneum
What are the 3 paired muscles form the anterolateral abdominal wall?
- External oblique 2. Internal oblique 3. Transversus abdominus
How do the external oblique muscles run?
Forward and downwards
How do the internal oblique muscles run?
Opposite to external
What is the peritoneum?
Membrane lining abdominal cavity and encompassing some organs - Parietal peritoneum (around body wall) - Visceral peritoneum (around organs)
As right and left external obliques come towards midline, what does it form?
A flat tendinous sheet –> aponeurosis In midline, there is thickened aponeurosis (N.B. this happens for all 3 layers, so there is an aponeurosis for internal and transverses abdominus too)
What is an aponeurosis?
A flat tendinous sheet
What is the linea alba?
Thickened aponeurosis in midline of abdomen (where muscle fibres join)
Where is the rectus abdominis muscle?
Muscle in midline
What is a ‘6 pack’?
Muscle bellies of rectus abdominis separated by tendinous intersections in midline (attached from costal margin down to pelvis)
What is a 6-pack covered by?
Subcutaneous fat
What are rectus abdominis covered by?
Aponeurosis from anterolateral muscles (pearly white)
What are the 3 paired muscles supported anteriorly and posterioly by?
- Rectus abdominis
- Quadratus lumborum
What 2 main groups can the muscles of the anterolateral abdominal wall be divided into?
- Flat muscles - three flat muscles, situated laterally on either side of the abdomen.
- Vertical muscles – two vertical muscles, situated near the mid-line of the body
In the anteromedial aspect of the abdominal wall, what does each flat muscle form?
An aponeuorisis (a broad, flat tendon) which covers the vertical rectus abdominis muscle
The aponeuroses of all the flat muscles become entwined in the midline to form what?
The linea alba (a fibrous structure that extends from the xiphoid process of the sternum to the pubic symphysis)
What are the 3 flat muscles?
- External oblique
- Internal oblique
- Transversus abdominis
Describe the external oblique
The largest and most superficial flat muscle in the abdominal wall. Its fibres run inferomedially.
Where do the external obliques originate from?
Ribs 5-12 and inserts into the iliac crest and pubic tubercle
What is function of external obliques?
- Flexion of torso (pulls chest down to compress abdominal cavity)
- Contralateral rotation of torso
What are external obliques innervated by?
Thoracoabdominal nerves (T7-T11) and subcostal nerve (T12)
Describe the internal obliques
Lie deep to the external oblique. It is smaller and thinner in structure, with its fibres running superomedially (perpendicular to the fibres of the external oblique).
Where do the internal obliques originate from?
The inguinal ligament, iliac crest and lumbodorsal fascia, and inserts into ribs 10-12.
What is the function of the internal obliques?
Bilateral contraction compresses the abdomen, while unilateral contraction ipsilaterally rotates the torso.
What are the internal obliques innervated by?
Thoracoabdominal nerves (T7-T11), subcostal nerve (T12) and branches of the lumbar plexus.