Muscle O/I/N and nerves Flashcards
External Oblique
O: External Rib surfaces of 5-12
I: Linea Alba, pubic tubercle, ant. 1/2 iliac crest
N: Anterior Rami of T7-T11 (thoracoabdominal nerves) and subcostal nerve
Internal Oblique
O: Thoracolumbar Fascia, ant. 2/3 iliac crest, connective tissue deep to inguinal ligament
I: Inf. borders ribs 10-12, linea alba, pubis via conjoin tendon
N: Thoracoabdominal nerves (T7-T11 ant. rami) and first lumbar nerve (L1)
Transversus Abdominus
O: Internal surface ribs 7-12 costal cartilage, thoracolumbar fascia, iliac crest, connective tissue deep to inguinal ligament
I: Linea alba w/ aponeurosis of int. oblique, pubic crest, pectin pubis via conjoin tendon
N: Thoracoabdominal nerves (T7-T11) and first lumbar nerve (L1)
Rectus Abdominus
O: Pubic symphysis and pubic crest
I: Xiphoid Process and costal cartilage or 5-7
N: Thoracoabdominal nerves (Ant. rami of inf. 6 thoracic nerves)
Parietal Peritoneum Innervation
Somatic body wall nerves
Thoracoabdominal nerves
T7-T11. Continuation of lower intercostals. Run b/w 2nd and 3rd muscular layers. Lat and ant cutaneous branches enter subcutaneous tissue.
Innervate muscles of anterolateral wall and skin
Subcostal nerve
Ant ramus of T12.
Innervates anterolateral abdominal wall and overlying skin superior to iliac crest and umbilicus
Iliohypogastric nerve
L1.
Innervates skin overlying iliac crest, upper inguinal and hypogastric regions, internal oblique and transversus abdominus
Ilioinguinal nerve
L1. Passes b/w 2nd and 3rd muscular layers, then traverses inguinal canal
Innervates skin of scrotum/ labia majus and mons pubis, adjacent medial aspect of thigh, inferior most internal oblique and transversus abdominus
Pyramidalis Muscle
O: Pubic crest/symphysis
I: Linea alba
N: Subcostal (T12)
Tenses linea alba
Cremaster Muscle
N: Genital branch of genitofemoral
Dartos Muscle
N: Genital branch of genitofemoral nerve (L1-2)
Foregut innervation
Symp: T5-9 (symp chain ->greater splanchnic ->synapse in celiac ganglion -> follow celiac trunks to target organ)
Parasymp: Vagus (vagus -> through celiac plexus -> follow celiac trunks ->synapse in ganglia of gut plexuses -> short post synaptic to target organs)
Midgut innervation
Symp: T10-12 (symp chain -> lesser(T10-11)/least(T12) splanchnic -> synapse in SMA ganglion-> follow SMA trunks to target organs)
Parasymp: Vagus (vagus-> through SMA plexus->follow SMA trunks->synapse in ganglia of gut plexuses->short post synaptic to target organs)
Hindgut innervation
Symp: L1-L2 (symp trunk->lumbar splanchnic nerves (L1-L2)->synapse in IMA ganglion->post synaptic to target organs following IMA trunks
Parasymp: S2-S4 (Sacral spinal nerves S2-4 -> pelvic splanchnic -> through hypogastric and IMA plexuses -> follow branches of IMA to target -> synapse in ganglia in gut plexuses -> short post synaptic to target organs
Psoas Muscle
O:Trans processes of lumbar vert, sides of vertebral bodies and discs T12-S1
I: Lesser trochanter of femur
N: Lumbar plexus direct branches L2-4
Iliacus
O: Superior 2/3 of iliac fossa, ala of sacrum, anterior sacro-iliac ligamens
I: Lesser trochanter of femur and shaft inferior to it
N: Femoral nerve (L2-L4)
Quadratus Lumborum
O: Medial half of inf. border of 12th rib and tips of lumber transverse processes
I: iliolumbar ligament and internal lip of iliac crest
N: Ant branches of T12 and L1-4
Subcostal Nerve
O: ventral rami of T12
N: External oblique muscle and skin of anterolateral abdo wall
Lumbar spinal nerves
O: L1-5
N: [post rami] deep back muscles, skin of back [ant rami] skin and muscles of the most inferior trunk and lower limb
Lumbar Plexus
O: L1-4
Gives rise to: Ilioinguinal, iliohypogastric, genitofemoral, lateral femoral cutaneous, femoral nerve, Obturator nerve, accessory obturator nerve, lumbosacral trunk
Ilioinguinal and iliohypogastric nerves
O: L1
N: abdominal muscles an skin of inguinal and pubic regions
Genitofemoral nerve
O: L1-2(divides into genital and femoral branches)
N: Skin below inguinal ligament. Gen. branch innervates cremaster. Femoral branch innerv. skin under medial inguinal lig
Lateral femoral cutaneous nerve
O: L2-3
N anterolateral skin of thigh
Femoral nerve
O: L2-4
N: iliacus, hip flexors, knee extensors
Obturator nerve
O: L2-4
N: medial thigh and adductors
Accessory obturator nerve (usually not present)
O: L3-4
N: pectineus, hip joint
Lumbosacral Trunk
O: L4-5
I: Joins sacral plexus
Obturator internus
O: Obturator membrane and bony boundaries
I: Medial part of greater trochanter
N: Direct branches of sacral plexus (L5-S1)
Piriformis
O:Anterior sacrum
I: Apex of greater trochanter
N: Direct branches of sacral plexus (S1-S2)
Pelvic diaphragm
Levator ani (puborectalis, pubococcygeus, iliococcygeus) + coccygeus
Coccygeus aka ischiococcygeus
O: Sacrum
I: Ischial Spine
N: Direct branches from sacral plexus (S4-S5)
Levator ani
Pubococcygeus, puborectalis, iliococcygeus
Puborectalis
O: Sup. Pubic ramus bilaterally
I: Anococcygeal ligament
N: Direct from sacral plexus (S4) and inf. anal nerve
Pubococcygeus
O: Pubis, lateral to origin of puborectalis
I: Anococcygeal ligament, coccyx
N: Direct from sacral plexus (S4) and inf. anal nerve
Iliococcygeus
O: Internal obturator fascia of levator ani (tendinous arch)
I: Anococcygeal ligament, coccyx
N: Direct from sacral plexus (S4) and inf. anal nerve
Sciatic nerve
ant and post div. of Sacral plexus (L4-S3)
N: Lower limb. Travels through grater sciatic foramen
Pudendal nerve
ant. div. of Sacral plexus (S2-S4)
N: skin and muscles of perineum, main sensory for external genitalia. Exits through greater sciatic foramen, enters perineum via lesser sciatic foramen
Superior gluteal nerve
post div. of Sacral Plexus (L4-S1)
N: Gluteus medius, minimus, tensor fascia latae. Exits via greater sciatic foramen
Inferior gluteal nerve
post div of Sacral Plexus (L5-S2)
N: gluteus maximus
Dartos muscle
N: genital branch of genitofemoral
Sexual Function (nerves)
Erection: Parasymp. S2-4 splanchnics
Emission: Symp. L1-2 splanchnics
Ejaculation: Somatic (some autonomic) pudendal nerve (S2-4) Autonomics: symp-close int. sphincter, parasymp, contract urethral muscle
External urethral sphincter
Perineal branch of pudendal