Posterior abdominal wall Flashcards
(47 cards)
What are the muscles of the posterior abdominal wall?
- Psoas major
- Psoas minor
- Quadratus lumborum
- Ileacus
What are the origins and insertions of psoas major?
Origins: Intervening discs, bodies and transverse processes of vertebrae L1-L5.
Insertions: Lesser trochanter (femur) – via iliopsoas tendon.
What is the innervation and function of psoas major?
Innervation: L1-L3 (segmental).
Functions: Flexes hip joint and trunk.
What are the origins and insertions of psoas minor?
Origins: Bodies of vertebrae T12-L1.
Insertions: Fascia over psoas muscle.
What is the innervation and function of psoas minor?
Innervation: L1.
Functions: Flexes spine.
What are the origins and insertions of quadratus lumborum?
Origins:
- Transverse process of L5
- Iliolumbar ligament
- Iliac crest (posterior 1/3)
Insertions:
- 12th rib
- Transverse processes of L1-L4
What is the innervation and function of quadratus lumborum?
Innervation: T12-L4.
Functions:
- Stabilises vertebral column
- Flexes 12th rib
What are the origins and insertions of iliacus?
Origins: Iliac crest.
Insertions: Lesser trochanter (via iliopsoas tendon).
What is the innervation and function of iliacus?
Innervation: L2-L4 (femoral nerve).
Functions: Flexes hip joint.
How does the lumbar plexus form?
- From anterior rami of upper 4 lumbar spinal nerves
- In Psoas major
What are the branches of the lumbar plexus?
- Iliohypogastric nerve (L1, main)
- Ilioinguinal nerve (L1, collateral)
- Genitofemoral nerve (L1,2)
- Lateral cutaneous nerve of the thigh (L2,3)
- Femoral nerve (L2-4, posterior divisions)
- Obturator nerve (L2-4, anterior divisions)
What does the ilioinguinal (L1) nerve supply?
Conjoint tendon (sensory)
What does the iliohypogastric nerve (L1) supply?
Conjoint tendon
Where does the ilioinguinal nerve originate?
As a collateral branch of the iliohypogastric nerve.
What does the femoral branch (L1) of the genitofemoral nerve supply?
Skin over upper anterior thigh.
What does the genital branch (L2) of the genitofemoral nerve supply?
- Cremasteric muscles
- Skin of anterior scrotum (males)
- Skin of mans pubis & labia majora
What does the lateral femoral cutaneous nerve (L2,3) supply?
Skin of the lateral thigh.
What does the femoral nerve (L2-4) supply?
- Quadriceps muscles
- Sartorius
- Pectineus
- Skin over thigh
What does the obturator (L2-4) supply?
- Adductor muscles
- Skin over medial thigh
At what level does the abdominal aorta bifurcate?
L4
At what level does the IVC form?
L5
What are the main tributaries of the IVC?
- Inferior phrenic veins
- Hepatic vein
- Adrenal veins
- Renal veins
- Gonadal veins
- Lumbar veins
What structure pass through the diaphragm and at what vertebral levels?
- Caval (T8): IVC, right phrenic nerve.
- Anterior hiatus (T9): Superior epigastric artery.
- Oesophageal hiatus (T10): Oesophagus, vagal trunks, lymphatics, oesophageal branches of left gastric vein.
- Aortic hiatus (T12, posterior to crura): Aorta, azygos/hemi-azygos veins, thoracic duct.
- Sympathetic chain passes through diaphragm posterior to medial arcuate ligament.
- Subcostal neurovascular bundle passes though diaphragm posterior to lateral arcuate ligaments.
What are the attachments of the diaphragm?
Anterior: Xephisternum
Lateral: Lower 6 ribs
Posterior: Various ligaments