Lecture 38 - Abdominal Wall Flashcards
the pelvic diaphragm is composed of what two muscles
levator ani and coccygeus
superior boundaries of abdominal wall
xiphoid process and costal cartilages
inferior boundaries of abdominal wall
iliac crest, anterior superior iliac spines, inguinal ligaments, pubic tubercles, pubic crests, and pubic symphysis
4 muscles that form anterior and lateral wall
rectus abdominis, external/internal abdominal obliques, transversus abdominis
3 muscles that form the posterior wall
quadrates lumborum, iliacus, psoas muscles
midline depression between the two rectus abdominis
linea alba
laterally the edge of the rectus abdominis
linea semilunaris
lines dividing the rectus abdominis in 4 muscular portions
tendinous intersections or inscriptions
the upper part of the abdominal wall receives extensions of which nerves
intercostal and subcostal nerves
the lower region of the abdominal wall is innervated by which nerves
ilioinguinal and iliohypogastric nerves
2 fascial layers
superficial layer and a deep fascia
fatty layer of superficial layer
Camper’s fascia
membranous fascia of superficial layer
Scarpa’s fascia
thin layer of areolar tissue
deep fascia
formed by the aponeuroses of the three flat abdominal muscles and the rectus abdominis
rectus sheath
derived from the transverses abdominis and lines entire abdominal cavity
transversals fascia
deeper to the transverses abdominis aponeurosis
parietal peritoneum (endoabdominal fascia)
the lower edge of the rectus sheath is named the
arcuate line
the internal thoracic artery divides into the
musculophrenic and superior epigastric arteries
artery that supplies the diaphragm
musculophrenic
triangle formed by rectus abdominis, inferior epigastric vessels, and inguinal ligament
Hesselbach’s triangle (covered only w/ rectus sheath, weak region where hernias occur)
an oblique passage through the lower part of the abdominal wall
inguinal canal
boundaries of inguinal canal
superior: free edge of transverses abdominis
inferior: inguinal ligament
anterior: intercrural fibers
posterior: transversals fascia
just lateral to Hesselbach’s triangle, entrance to inguinal canal
deep inguinal ring
floor of inguinal canal
inguinal ligament
where the inguinal canal ends
superficial inguinal ring
in males, the inguinal canal allows the passage of the
spermatic cord down to the scrotum
extension of the external oblique aponeurosis of the abdomen
external spermatic fascia
extension of the internal oblique aponeurosis
cremaster muscle
extension of the fascia transversals of the abdomen
internal spermatic fascia
extension of periotenum
processus vaginalis
other things passing through males:
ilioinguinal nerve, genital br of genitofemoral nerve, pam-uniform plexus of veins, ductus deferens, testicular artery
responsible for the “wrinkling” of the scrotum with testicular elevation seen when the scrotum is exposed to cold temps
dartos muscle
contents of inguinal canal in females
ilioinguinal nerve, round ligament of the uterus, genital br of genitofemoral nerve, a fat pad