Thoracic wall/ ab Flashcards
Transverse thoracic
SA: Posterior surface of lower sternum
IA: Internal surface of costal cartilages 2-6
N: intercostal N
MA: weakly depresses ribs
Intercostals : external, internal, innermost
SA: Inferior border of ribs
IA: Superior border of ribs below
N: intercostal nerve
MA: External intercostal: during forced inspiration elevates ribs
Internal/ innermost intercostals: during forced respiration; interosseus part depresses ribs; interchondral part elevates ribs
External oblique
O: External surfaces of 5th-12th ribs
I: linea alba, pubic tubercle, and anterior half of illiac crest
N: thoraco-abdominal nerves (anterior rami of T7-T11) and subcostal nerve
MA: Compress and support abdominal viscera; flex and rotate trunk
Internal oblique
O: Thoracolumbar fascia, anterior 2/3 of illiac crest, and connective tissue deep to ingunial ligament
I:inferior borders of 10th-12th ribs, linea alba, and pubis via conjoint tendon
N:Thoraco-abdominal nerves (anterior rami of T7-T11), subcostal and first lumbar nerve
MA: Compress and support abdominal viscera; flex and rotate trunk
Transverse abdominis
O: internal surfaces of 7th-12th costal cartilages, thoraco-lumbar fascia, illiac crest, and connective tissue deep to inguinal ligament
I: linea alba with aponeurosis of internal oblique, pubic crest, and pubis via conjoint tendon
N:Thoraco-abdominal nerves (anterior rami of T7-T11) subcostal and first lumbar nerve
MA: compresses and supports abdominal viscera
Rectus abdominis
O: pubic symphysis and pubic crest
I: Xiphoid process and 5th-7th costal cartilages
N: Thoraco-abdominal and subcostal nerves (anterior rami of T7-T12 spinal nerves)
MA: Flexes trunk (lumbar vertebrae) and compresses abdominal viscera; stablizes and controls tilt of pelvis (antilordosis)
psoas major
SA: transverse process of lumbar; sides of bodies of T12-S1 vertebrae and intervening IV discs
IA: by a strong tendon to a lesser trochanter of femur
N: lumbar plexus via anterior branches of nerves L2-L4
MA: acting inferiorly: flexes thigh
acting superiorly: flexes vertebral column
acting inferiorly: flex trunk
Iliacus
SA: superior 2/3 of illiac fossa, ala of sacrum, and anterior sacro-iliac ligaments
IA: less trochanter of femur and shaft inferior to it and to psoas major tendon
N: femoral N (L2-L4)
MA: flexes thigh and stabilizes hip joint; acts with psoas major
Quadratus lumborum
SA: medial half of inferior border of 12th rib and tips of lumbar transverse processes
IA: iliolumbar ligament and internal lip of iliac crest
N: anterior branches of T12 and L1-L4 erves
MA: extends and laterally flexes vertebral column; fixes 12th rib during inspiration
Levator ani
PA: body of pubis, tendinous arch of levator ani, ischial spine
IA: pernieal body, coccyx, anococcygeal ligament, walls of prostate or vagina, rectum, and anal canal
N: N of levator ani (S4), inferior anal (rectal) nerve, coccygeal plexus
MA: helps support pelvic viscera; resists increases in intra-abdominal pressure
coccygeus
PA: ischial spine
IA: inferior end of sacrum and coccyx
N: branches of S4 and S5 nerves
MA: forms small part of pelvic diaphragm that supports pelvic viscera, flexes coccyx
Obturator internus
PA: pelvic surface of illium and ishcium, obturator membrane
IA: greater trochanter of femur
N: nerve to obturator internus (L5-S2)
MA: laterally rotates hip joint, assists in holding head of femur in acetabulum
Piriformis
PA: pelvic surface of 2nd-4th sacral segments; superior margin of greater sciatic notch and sacrotuberous ligament
IA: greater trochanter of femur
N: anterior rami of S1 and S2
MA: laterally rotates hip joint; abducts hip joint; assists in holding head of femur in acetabulum