Worksheet 1 - Anterior abdominal wall and inguinal region Flashcards
3 layers of muscle in the ant ab wall?
external oblique
internal oblique
transversus abdominus
what are the 3 ant ab wall muscles augmented by?
rectus abdominis
what is an aponeuroses ?
a sheet like tendon which joins one muscle to another muscle or bone
which aponeuroses joins the ant ab wall muscles?
rectus sheath
where does the inguinal ligament run from?
ASIS to pubic tubercle
what forms the lower border of the layers of the muscle?
inguinal canal
3 functions of ant ab wall muscles?
- contain + protect viscera
- compress abdomen during forced exhalation
- produce force required for defaecation, urination, child birth
nerve supply to muscles of ant ab wall ?
spinal nerves; T7-T12
iliohypogastric
ilioinguinal
which dermatome at xiphoid process?
T7
which dermatome at umbilical region?
T10
which dermatome at pubic tubercle?
L1
what is Scarpa’s fascia?
membranous layer of superficial fascia on ant ab wall
what is Scarpa’s fascia continous with - inferiorly?
Colles’ fascia
what is colles’ fascia?
membranous layer of superficial fascia on perineum
what does the attachments of Colles’ fascia form the boundaries of?
perineal pouch
which way do the external oblique fibres run?
fowards and downwards - hands in front pockets
what is the free inferior border of external oblique aponeurosis thickened to form?
inguinal ligament
what is superior to the public tubercle?
superficial inguinal ring
what passes through the superficial inguinal ring/
females = round ligament males = spermatic cord
which component of the spermatic cord is formed from the aponeurosis?
external fascia of spermatic cord + testes
orgin of external oblique
anterolateral border of lower 8 ribs
2 insertion points of external oblique?
- iliac crest
- pubic crest
which direction do internal oblique run?
backwards + downwards
internal oblique is comparable to which muscle of thoracic wall?
internal intercostal
how do the fibres of internal obliqye relate to inguinal ligament
the origin of the internal oblique consists of CT - this is deep to the lateral 1/3 of inguinal ligament
how do fibres of transverse abdominis relate to inguinal ligament?
their origin is the CT which is deep to the lateral 1/3 of inguinal ligament
function of conjoint tendon?
protects weak area in abdominal wall
where is the conjoint tendon?
lower part of internal oblique and transverse abdominis
what is the transversalis facia?
lining of anterolateral abdominal wall
where is the transversalis fascia?
between transverse abdominalis and peritoneum
2 origin of rectus abdominis
pubic symphysis
pubic crest
2 insertion of rectus abdominis?
Xiphoid process
5-7th costal cartilages
what is the linea alba?
tough fibrous band which extends from xiphoid process to pubic symphysis
what is the linea semilunaris?
curved tendinous intersection at either side of rectus abdominis muscle
what is the arcuate line
demarcation of posterior layer of rectus sheath
which 2 vessels run in the rectus sheath, deep to the rectus abdominis muscle?
superior epigastrid
inferior epigastric
what is prune belly syndrome?
partial or complete absence of stomach
which nerve enters the inguinal canal through?
genitofemoral nerve
what 4 things does the genitofemoral nerve supply?
- cremaster muscle
- skin over anterolateral thigh
- male = scrotum
- female = labia majora
how does the ilio-inguinal nerve enter the inguinal canal?
travels outside spermatic cord - next to it
what 4 things does the ilio-inguinal nerve supply?
- skin over anterolateral thigh
- male = scrotum + root of penis
- females = labia majora + mons pubis
- muscles of ant ab wall
what is the deep inguinal ring a defect of?
transversalis fascia
what occurs in terms of the testes with the inguinal cana?
the descent of the testes is through the inguinal canal
during development, which wall does the testis push its way through?
ant ab wall
3 coverings of testis + ductus deferens? superficial to deep
external spermatic fascia
cremasteric muscle
internal spermatic fascia
origination of cremasteric muscle
internal oblique
origination of internal spermatic fasica
transverse abdominis
origination of external spermatic fascia
external oblique
what is the tunica vaginalis derived from
peritoneum
what is the cremasteric reflex?
light poke on the medial thigh causes the contraction of cremasteric muscle - causes testis to move up
7 structures runnning in the spermatic cord
- vas deferens
- processus vaginalis
- genitofemoral nerve
- autonomic nerves
- pampiniform plexus
- testicular vein
- lymph vessels
medial border of deep inguinal ring
inf. epigastric vessels
lateral border of deep inguinal ring
transversalis fascia
boundaries of superficial inguinal ring
medial - cruca of pubic crest
lateral - cruca of pubic tubercle
inferior = inguinal ligament
anterior boundary of inguinal canal
aponeuoris of external oblique
posteruir boundary of inguinal canal
transveralis fascia
roof boundary of inguinal canal
lateral - trans fascia
central - trans fascia + internal oblique
medial - medial crus
floor boundary of inguinal canal
lateral - iliopubic tract
central - infolded inguinal ligament
medial - lacunar ligament
what 2 muscles form the conjoint tendon?
Internal oblique + transversus abdominuis