Anterior Abdominal Wall and Inguinal Region Flashcards
What is an aponeurosis?
Flattened tendinous structure that connects anterolateral abdominal wall muscles to linea alba
What are the functions of the anterior abdominal wall muscles?
Movement (flexion and rotation of trunk, control of pelvic tilt)
Increasing intra abdominal pressure
Whatg is the nerve supply to the skin and muscle of the anterior abdominal wall?
T7-T11 (Intercostal nerves)
T12 (Subcostal nerve)
L1 (Iliohypogastric and ilioinguinal)
Which dermatome lies at the level of the xiphisternum?
T6
Which dermatome lies at the level of the umbilicus?
T10
Which dermatome lies at the level of the pubic tubercle?
T12/L1
What is Scarpa’s fascia?
Membranous layer of superficial fascia on the anterior abdominal wall
Scarpa’s fascia is continuous inferiorly with the membranous layer of superficial fascia of the perineum.
What name is given to this fascia in the perineum?
Colle’s fascia
In which direction do the fibres of external oblique run?
Downwards and forwards (like external intercostal)
The free inferior border of external oblique forms what structure?
Inguinal ligament
What structure is found superior to the pubic tubercle, as a ‘gap’ in the aponeurosis of external oblique?
Superficial inguinal ring
As it passes through the superficial inguinal ring, the aponeurosis of external oblique forms which component the spermatic cord?
External spermatic fascia
What forms the anterior wall of the inguinal canal?
Aponeurosis of external oblique
also has lateral reinforcement by muscle fibres of internal oblique
What forms the posterior wall of the inguinal canal?
Transversalis fascia, with medial reinforcement by conjoint tendon
What forms the roof of the inguinal canal?
Laterally: transversalis fascia
Centrally: musculoaponeurotic arches of internal oblique and transversus abdominis
Medially: Medial crus
What forms the floor of the inguinal canal?
Laterally: iliopubic tract
Centrally: inguinal ligament
Medially: Lacunar ligament