Anterolateral abdominal wall Flashcards

1
Q

What is the superior border of the anterolateral abdominal wall?

A

Xiphoid process of sternum

Costal cartilages of ribs 7-10

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2
Q

What is the inferior border of the anterolateral abdominal wall?

A

Iliac crest

Inguinal ligament

Pubic symphysis

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3
Q

What are the layers of the anterolateral abdominal wall, from superficial to deep?

A

Skin

Superficial fascia

Muscles and associated fascia layers

Extraperitoneal fat

Parietal perioneum

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4
Q

What is the superficial fascia made up of above the umbilicus?

A

Connective tissue

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5
Q

What happens to the superficial fascia below the umbilicus?

A

It splits into two layers

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6
Q

What are the two layers of superficial fascia below the umbilicus?

A

Superficial fatty layer

Deep membranous layer

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7
Q

What is the difference between the compositions of the superficial fatty layer and the deep membranous layer?

A

Superficial fatty layer contains largely fat

Deep membranous layer contains more collagen and elastic fibres

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8
Q

What are the different groups of muscles in the anterolateral abdominal wall?

A

Flat muscles

Vertical muscles

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9
Q

Where are the flat muscles located in the anterolateral abdominal wall?

A

Laterally

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10
Q

What are the flat muscles of the anterolateral abdominal wall, from superficial to deep?

A

External oblique

Internal oblique

Transversus abdominis

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11
Q

What direction do the fibres of external oblique run in?

A

Infero-medial direction (hands in pockets)

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12
Q

What does the inferior part of the external oblique form?

A

Inguinal ligament

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13
Q

What direction do the fibres of internal oblique run in?

A

Supero-medial

perpendicular to external oblique fibres

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14
Q

What are the actions of the external and internal oblique muscles?

A

Compress abdomen

Flex trunk

Rotate trunk

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15
Q

What direction do the fibres of transversus abdominis run in?

A

Horizontal

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16
Q

What is the action of the transversus abdominis musce?

A

Compresses abdomen

17
Q

Where are the neurovascular structures supplying the anterolateral abdominal wall located?

A

Between the internal oblique and transversus abdominis muscle

18
Q

What happens to the flat muscles as they approach the anterior midline?

A

From aponeuroses - flattened tendons

19
Q

Where exactly do the flat muscles form aponeuroses as they approach the anterior midline?

A

Medial to the mid-clavicular line

20
Q

What happens to the aponeuroses of the flat muscles at the mid-clavicular line?

A

Fuse together

to form linea semilunaris

21
Q

What is the name of the aponeuroses formed by the flat muscles medial to the mid-clavicular line?

A

Rectus sheath

22
Q

What happens to the rectus sheath in the anterior midline?

A

Rectus sheath on each side fuses with the other side

forming the linea alba

23
Q

What does the linea alba run between?

A

The xiphisternum

to the pubic symphysis

24
Q

What is the vertical muscle of the anterolateral abdominal wall?

A

Rectus abdominis

25
Q

Where is the rectus abdominis located in the anterolateral abdominal wall?

A

Anteriorly

26
Q

What separates the right and left rectus abdominis muscles?

A

Linea alba

27
Q

What is the rectus abdominis muscle contained in?

A

The rectus sheath

28
Q

How does the rectus sheath attach to the rectus abdominis muscle?

A

Anterior part of rectus sheath attaches to the anterior surface of rectus abdominis
at three horizontal tendinous intersections

29
Q

What are the actions of rectus abdominis?

A

Compresses abdomen

Flexes trunk

30
Q

What are the different walls of the rectus sheath?

A

Anterior wall that is anterior to rectus abdominis

Posterior wall that is posterior to rectus abdominis

31
Q

What is the anterior wall of the rectus sheath made up of?

A

Aponeurosis of external oblique

Half of aponeorosis of internal oblique

32
Q

What is the posterior wall of the rectus sheath made up of?

A

Half of aponeurosis of internal oblique

Aponeurosis of transversus abdominis

33
Q

Where does the arcuate line run?

A

Horizontal line midway between umbilicus and pubic symphysis

34
Q

What happens to the rectus sheath at the arcuate line?

A

Anterior wall of rectus sheath is made up of aponeurosis of all three flat muscles

Posterior wall of rectus sheath is made up of transversalis fascia

35
Q

What happens to the layers of the abdominal wall at the umbilicus?

A

They fuse together

36
Q

What are the functions of the anterolateral abdominal wall?

A

Protect and support abdominal viscera

Compress abdomen, increase intra-abdominal pressure

Assist in excretion of substances from abdomen

Assists in forceful expiration

Can also stretch to accommodate increased volume of abdominal viscera

Moves the trunk