Postrior Abdominal Wall, Kidney (Gray's) Flashcards
(35 cards)
What are the 3 regions of the diaphragm?
- Sternal Portion
- Costal Portion
- Vertebral Portion
Where does the sternal portion of the diaphragm arise from?
Xiphoid process
Where does the costal portion of the diaphragm arise form?
Lower ribs
Where does the vertebral portion of the diaphragm arise from?
Vertebrae via musculocutendinous crura
Which ligament of the the vertebrae are the musculocutendinous crura associated with?
Anterior longitudinal ligament
What is the attachment point of the right crus of the diaphragm?
vertebrae L1-L3 (and intervertebral discs)
What is the attachment point of the left crus of the diaphragm?
vertebrae L1-L3 (and intervertebral discs)
What is the attachment point of the median arcuate ligament of the diaphragm?
Connects R and L crus across midline
What is the attachment point of the medial arcuate ligament of the diaphragm?
- Medially attaches to vertebrae L2 (left) and L3 (right)
- Laterally to the TRANSVERSE processes of L1
Which tendinous arch of the diaphragm is formed by the thickening of the fascia that cover quadratus lumborum?
Lateral arcuate ligament
Where is the lateral arcuate ligament attached medially and laterally?
Medially: transverse process of vertebra L1
Laterally: rib 12
T or F: the aorta enters the diaphragm by passing between the L and R crura.
True
What nerve passes through the diaphragm with the IVC?
right phrenic n.
What vein passes through the left crus of the diaphragm?
hemi-azygos vein
What passes on posteriorly on either side of the medial arcuate ligament?
Sympathetic trunks
What are the vertebral levels for the aortic, caval, and esophageal hiatuses?
Aortic - T12
IVC - T8
Esophagus - T10
What supplies the motor innervation to the diaphragm?
C3,4,5
Where does sensory innervation for the diaphragm come from?
- Phrenic n.
- some contribution from intercostal n.
Where does blood supply for the diaphragm come from?
- Musculophrenic
- pericardicophrenic
- superior phrenic aa.
Inferior surface
1. Inferior phrenic aa.
Psoas major origin
Bodies of lumbar vertebrae
Psoas major insertion
Lesser Trochanter of femur
Psoas major innervation
L1-L3 ventral rami
Psoas major action
Flexion of the Hip
Psoas minor origin
bodies of the lumbar vertebrae