Lecture 5: Anterior and posterior abdominal wall muscles Inguinal canal Flashcards
What is the origin and insertion of the Obliquus externus abdominis?
O: External surfaces of lower 8 ribs
I: -Linea alba, pubic tubercle, anterior half of iliac crest
Which abdominal muscle is the largest and most superficial of the later region of the torso?
obliquus externus abdominis
What are the origins and attachments of the obliquus internus abdominis?
O: -lateral 1/3 of inguinal ligament
-anterior 2/3 of iliac crest
-thoracolumbar fascia
I:-linea alba
-lower three ribs
What are the origins and insertions of the Transversus abdominis?
O: -inguinal ligament, iliac crest, Thoracolumbar fascia, cartilages of the lower six ribs
I: Linea alba
What are the origins and insertions of rectus abdominis?
O: pubic crest, symphysis of pubis
I: xiphoid process, cartilages of ribs 5,6,7
What are the 3 fibrous bands that cross the rectus abdominis?
Tendinous Intersections
What feature separates the R & L rectus abdominis?
Linea Alba
What are the layers of the abdominal wall?
-skin
-Campers fascia
-Scarpa’s fascia
-Rectus sheath
-Transversalis fascia
-Extraperitoneal fat
-Parietal Peritoneum
Describe the camper’s fascia:
Fatty layer:
-Thick superficial layer of adipose and areolar connective tissue
-Sits just deep to the skin of the abdomen
-More prominent in lower aspect of abdomen (inferior to umbilicus)
Describe scarpa’s fascia:
Deep membranous layer:
-Sits between campers fascia and rectus sheath
-Anchored laterally to the aponeurosis of the external oblique and medially to the linea alba of the rectus sheath
Describe the rectus sheath:
Protective covering over rectus abdominis:
-Composed of the aponeurosis of the three flat muscles as they converge to the midline to form the median linea alba
-external oblique
-Internal oblique
-Transversus abdominis
-Composition of sheath changes inferior to the umbilicus (arcuate line)
Where is the arcuate line located?
1/2 of the distance between the umbilicus and pubic symphysis
Anterior to this point, the aponeurosis of all 3 lateral abdominal muscles pass anterior to the rectus abdominis muscle.
At what level is the rectus abdominis muscle in direct contact with the transversalis fascia?
After the arcuate line
What is the thin layer of connective tissue located between the TA muscle and and the extraperitoneal fat of the parietal peritoneum called?
Transversalis fascia
Name the layers of the abdominal wall:
1) skin
2) camper’s fascia
3) Scarpa’s fascia
4) Rectus sheath
5) Transversalis fascia
6) Extraperitoneal fat
7) Parietal peritoneum
What are the two laminas of the rectus sheath?
Anterior and Posterior Lamina
What does the anterior lamina consist of in the superior portion of the rectus sheath?
full aponeurosis of the external oblique and anterior 1/2 of the aponeuroses of the internal oblique.
What does the posterior lamina consist of in the superior portion of the rectus sheath?
Posterior 1/2 of the aponeuroses of the internal oblique and full aponeurosis of transversus abdominis
What does the anterior lamina consist of in the Inferior portion of the rectus sheath?
aponeurosis of the 3 abdominal muscles (external oblique, internal oblique, & transversus abdominis)
What does the posterior lamina consist of in the Inferior portion of the rectus sheath?
No layer
- Transversalis fascia now meets with the rectus abdominis
Name the structures:
1) skin
2) Camper’s fascia
3) Scarpa’s fascia
4) External oblique
5) Internal Oblique
6) Transverus abdominis
7) Fascia transversalis
8) Extraperitoneal tissue
9) Parietal layer of peritoneum
What are the Origins and insertions of the quadratus lumborum?
O: Iliac crest, iliolumbar ligament
I: Rib 12, TP’s of L1-L4
What nerve innervates the quadratus lumborum?
Ventral rami of the spinal nerves: T12, L1, 2, 3, 4
What is the origin and insertion of the Psoas major?
O: Bodies of the TP’s of L1-L5
I: Lesser trochanter of femur
What nerve innervates the psoas major?
Lumbar plexus (L1,L2, L3)
What is the origin and insertion of the Iliacus?
O: iliac fossa, sacral ala
I: lesser trochanter of femur
What nerve innervates the iliacus?
Femoral Nerve
What is the oblique canal about 4cm long, placed parallel and a little above the medial half of the inguinal ligament?
Inguinal Canal
The inguinal canal contains the spermatic chord (males, and the round ligament (females). (True/False)
True
A triangular gap in the external oblique aponeurosis.
Superficial inguinal ring