Exam 3 Muscles of Thoracic Wall and Abdominal Wall Flashcards
What is the inferior attachment of external intercostal, internal intercostal, innermost intercostal?
superior border of ribs below
What is the superior attachment of the external intercostal, internal intercostal and innermost intercostal?
Inferior border of ribs
What is the innervation of external intercostal, internal intercostal and innermost intercostal?
intercostal nerve
What is the action for external intercostal, internal intercostal and innermost intercostal?
external=during forced inspiration; elevate ribs
internal/innermost=during forced respiration: interosseous part depresses ribs; interchondral part elevates ribs
What is the superior attachment of transversus thoracis?
Posterior surface of lower sternum
What is the inferior attachment of transversus thoracis?
internal surface of costal cartilages 2-6
What is the innervation of transversus thoracis?
intercostal nerve
What is the action of transversus thoracis?
weakly depresses ribs
What is the origin of external oblique?
external surfaces of 5th-12th ribs
What is the insertion of external oblique?
linea alba, pubic tubercle, and anterior half of iliac crest
What is the innervation for external oblique?
thoraco-abdominal nerves (anterior rami of T7-T11) and subcostal nerve
What is the main action for external oblique?
compress and support abdominal viscera; flex and rotate trunk
What is the origin of internal oblique?
thoracolumbar fascia, anterior two thirds of iliac crest, and connective tissue deep to inguinal ligament
What is the insertion of internal oblique?
inferior borders of 10th-12th ribs, linea alba, and pubis via conjoint tendon
What is the innervation of internal oblique?
thoraco-abdominal nerves (anterior rami of T7-T11), subcostal and first lumbar nerve
What is the action of internal oblique?
compresses and supports abdominal viscera; flex and rotate trunk
What is the origin of transversus abdominis?
Internal surfaces of 7th-12th costal cartilages, thoraco-lumbar fascia, iliac crest, and connective tissue deep to inguinal ligament
What is the insertion of transversus abdominis?
linea alba with aponeurosis of internal oblique, pubic crest and pubis via conjoint tendon
What is the innervation of transversus abdominis?
thoraco-abdominal nerves (anterior rami of T7-T11), subcostal and first lumbar nerve
What is the action of transversus abdominis?
compresses and supports abdominal viscera
What is the origin of rectus abdominis?
pubic symphysis and pubic crest
What is the insertion of rectus abdominis?
xiphoid process and 5th-7th costal cartilages
What is the innervation of rectus abdominis?
thoraco-abdominal and subcostal nerves (anterior rami of T7-T12 spinal nerves)
What is the action of rectus abdominis?
flexes trunk (lumbar vertebrae) and compresses abdominal viscera, stabilizes and controls tilt of pelvis (antilordosis)
Structures in the costal groove from superior to inferior?
VAN=vein, artery, nerve
What is the posterior portion of the superior thoracic aperature?
T1 vertebra
What is the lateral portion of the superior thoracic aperature?
first pair of ribs and their costal cartilages
What is the anterior portion of the superior thoracic aperature?
superior border of the manubrium
What is the posterior portion of the inferior thoracic aperature?
T12 vertebra
What is the posterolateral portion of the inferior thoracic aperature?
11th and 12th pairs of ribs
What is the anterolateral portion of the inferior thoracic aperature?
joined costal cartilages of ribs 7-10, forming the costal margin
What is the anterior portion of the inferior thoracic aperature?
xiphisternal joint
Diaphragm
Musculotendinous partition separating the thoracic and abdominal cavities
Chief muscle of inspiration, forms the convex floor of the thoracic cavity and the concave roof of the abdominal cavity
What is the superior attachment of psoas major?
Transverse processes of lumbar vertebrae; sides of bodies of T12-S1 vertebrae and intervening IV discs
What is the inferior attachment of the psoas major?
By a strong tendon to lesser trochanter of femur
What is the innervation of psoas major?
Lumbar plexus via anterior branches of nerves L2-L4
What is the action of psoas major?
Acting inferiorly with ilacus, flexes thigh; acting superiorly, flexes vertebral column laterally to balance the trunk; when sitting, acts inferiorly with iliacus to flex trunk
What is the superior attachment of iliacus?
Superior two thirds of iliac fossa, ala of sacrum, and anterior sacro-iliac ligaments
What is the inferior attachment of iliacus?
Lesser trochanter of femur and shaft inferior to it and to psoas major tendon
What is the innervation of iliacus?
Femoral nerve L2-L4
What is the action of the iliacus?
Flexes thigh and stabilizing hip joint; acts with psoas major
What is the superior attachment of quadratus lumborum?
Medial half of interior border of 12th rib and tips of lumbar transverse processes
What is the inferior attachment of quadratus lumborum?
Iliolumbar ligament and internal lip of iliac crest
What is the innervation for quadratus lumborum?
Anterior branches of T12 and L1-L4 nerves
What is the action of quadratus lumborum?
extends and laterally flexes vertebral column; fixes 12th rib during inspiration
What is the origin of obturator internus?
pelvic surface of ilium and ischium; obturator membrane
What is the insertion of obturator internus?
Greater trochanter of femur
What is the innervation of obturator internus?
Nerve to obturator internus (L5, S1, S2)
What is the action of obturator internus?
Laterally rotates hip joint; assists in holding head of femur in acetabulum
What is the origin of piriformis?
Pelvic surface of 2nd-4th sacral segments; superior margin of greater sciatic notch and sacrotuberous ligament
What is the insertion of piriformis?
greater trochanter of femur
What is the innervation of piriformis?
Anterior rami of S1 and S2
What is the action of the piriformis?
Laterally rotates hip joint; abducts hip joint; assists in holding head of femur in acetabulum
What is the origin of levator ani?
Body of pubis, tendinous arch of levator ani, ischial spine
What is the insertion of levator ani?
Perineal body, coccyx, anococygeal ligament, walls of prostate or vagina, rectum, anal canal
What is the innervation of levator ani?
Nerve to levator ani, anal nerve, coccygeal plexus
What is the action of levator ani?
helps suppport pelvic viscera; resists increases in intraabdominal pressure
What is the origin of coccygeus?
ischial spine
What is the insertion of coccygeus?
inferior end of sacrum and coccyx
What is the innervation of coccygeus?
Branches of S4 and S5 nerves
What is the action of coccygeus?
forms small part of pelvic diaphragm that supports pelvic viscera; flexes coccyx
What is the origin of the external anal sphincter?
Skin and fascia surrounding the anus and coccyx
What is the insertion of external anal sphincter?
passes around lateral aspects of anal canal, inserting into perineal body
What is the innervation of external anal sphincter?
inferior anal nerve, branch of pudendal nerve (S2-S4)
What is the action of the external anal sphincter?
Constricts anal canal during peristalsis, resisting defication, supports the pelvic floor
What is the origin of the bulbospongiosus?
Male: median raphe on ventral surface of bulb of penis and perineal body
Female: perineal body
What is the insertion of bulbospongiosus?
Male: surrounds lateral bulb of penis, inserts in perineal membrane, corpora spongiosum and cavernosa
Female: pubic arch of fascia of corpora cavernosa of clitoris
What is the innervation of bulbospongiosus?
Deep branch of pudendal nerve (S2-S4)
What is the action of the bulbospongiosus?
supports and fixes perineal body/pelvic floor
Male/femle: assists erection
What is the origin of ischiocavernosus?
Internal surface of ischio-pubic ramus and ischial tuberosity
What is the insertion of ischiocavernosus?
inferior and medial aspects of crus and to perineal membrane
What is the innervation of ischiocavernosus?
Deep branch of pudendal nerve
What is the action of ischiocavernosus?
maintains erection, pushes blood from root of penis or clitoris into body
What is the origin of superficial transverse perineal?
internal surface of ischio-pubic ramus and ischial tuberosity
What is the insertion of superficial transverse perineal?
perineal body
What is the innervation of superficial transverse perineal?
deep branch of pudendal nerve
What is the action of superficial transverse perineal?
support and fix perineal body (pelvic floor) to support abdomino-pelvic viscera