Posterior Abdominal Wall Flashcards
what is the ceiling of the abdominal cavity?
diaphragm
what is the floor of the abdominal cavity?
pelvic organs
*no physical barrier
posterior wall of abdominal cavity
spinal cord & some ribs
anterior wall of abdominal cavity
ribs & associated cartilage
what structure is this?
iliac crest
what structure is this?
iliac fossa
what structure is this?
anterior superior iliac spine
what structure is this?
inguinal ligament
what structure is this?
pubic tubercle
what structure is this?
obturator foramen
what structure is this?
sacrum
what structure is this?
ilium
what structure is this?
diaphragm
what structure is this?
rib 12
what structure is this?
iliac crest
what structure is this?
iliacus muscle
what structure is this?
quadratus lumborum muscle
what structure is this?
psoas major muscle
what structure is this?
psoas minor muscle
innervation of the muscles of the posterior abdominal wall
somatic motor and sensory
innervation of quadratus lumborum
ventral rami of T12-L4
innervation of psoas major and minor
ventral rami of L1-3
innervation of iliacus
femoral nerve
quadratus lumborum
O: iliac crest
I: 12th rib & transverse processes of lumbar vertebrae
A: helps maintain balance
iliacus muscle
O: ?
I: femur
A: hip flexion
Psoas major
O: transverse processes of lumbar vertebrae
I: femur
A: hip flexion
Psoas minor
frequently missing 1 or both
-maybe add more? idk
iliopsoas
iliacus + psoas
what muscle?
quadratus lumborum
what muscle?
Psoas major
what muscle?
Psoas minor
what muscles are these?
anterolateral abdominal wall mm.
what structure is this?
thoracolumbar fascia
what structure is this?
psoas fascia
what structure is this?
quadratus fascia
what structure is this?
diaphragm
medial arcuate ligament
enlargement of fascia for attachment of diaphragm
lateral arcuate ligament
enlargement of fascia for attachment of diaphragm
median arcuate ligament
forms aortic hiatus
right crus length
L1-3
*longer and thicker
left crus length
L1-2
what structure is this?
lateral arcuate ligament
what structure is this?
medial arcuate ligament
what structure is this?
median arcuate ligament
what structure is this?
left crus
what structure is this?
right crus
what structure is this?
aortic hiatus
what is the lumbar plexus?
set of bilateral nerves made of the ventral rami of T12-L5 spinal nerves
what types of axons does the lumbar plexus carry?
somatic motor, somatic sensory, and sympathetics to body wall structures
do the nerves in the lumbar plexus carry axons from just one spinal cord level?
no- carry axons from more than one spinal cord level
*make big nerves out of smaller ones
why is the lumbar plexus necessary?
the large muscles of the limb need to be more complex and require innervation from multiple spinal nerves
*more efficient to combine the axons supplying large muscles into large nerves
why do limb muscles require innervation from multiple spinal nerves?
because limb muscles are derived from multiple myotomes
flexion of the hip
bringing knee closer to chest
extension of the hip
bringing knee further from chest
abduction of the hip
moving leg away from midline
adduction of the hip
moving leg towards the midline
ventral rami of spinal nerves carry:
somatic sensory
somatic motor
sympathetics to skin
NO PARASYMPATHETICS
nerves of the lumbar trunk are supplied by:
ventral rami of spinal nerves
L1 passes _____ psoas major
behind
T12=
subcostal nerve
subcostal nerve contains
somatic motor, somatic sensory & sympathetics
L1=
iliohypogastric nerve
ilioinguinal nerve
iliohypogastric nerve contains
somatic motor, somatic sensory & sympathetics
ilioinguinal nerve contains
somatic motor, somatic sensory & sympathetics
L1-2=
genitofemoral nerve
genitofemoral nerve contains
somatic sensory ONLY in females
somatic sensory and somatic motor in males
also sympathetics
L2-3=
lateral femoral cutaneous nerve
lateral femoral cutaneous nerve contains
somatic sensory ONLY
L2-4=
femoral nerve & obturator nerve
femoral nerve contains
somatic motor, somatic sensory & sympathetics
femoral nerve action
allows for hip flexion and knee extension
obturator nerve contains
somatic motor, somatic sensory & sympathetics
obturator nerve action
innervates thigh adductors
L4-5=
lumbosacral trunk
lumbosacral trunk
no individual function
allows for contribution to other nerves from L4 and L5
miliary tuberculosis of the spine
pellets of pus invade spine
what nerve is this?
obturator nerve
what structure is this?
lumbosacral trunk
what structure is this?
sympathetic trunk
what nerve is this?
femoral nerve
what nerve is this?
genitofemoral nerve
what nerve is this?
lateral femoral cutaneous nerve
what nerve is this?
ilioinguinal nerve
what nerve is this?
iliohypogastric nerve
what nerve is this?
subcostal nerve
what structure is this?
abdominal wall
what structure is this?
quadratus lumborum
what structure is this?
psoas major
what nerve supplies this region?
subcostal nerve
what nerve supplies this region?
ilioinguinal
what nerve supplies this region?
genitofemoral nerve
what nerve supplies this region?
lateral femoral cutaneous nerve
what nerve supplies this region?
femoral nerve
what nerve supplies this region?
obturator nerve