_Action._—It draws the costal cartilages inward and backward, thus
assisting in expiration.
_Structure._—Each muscle has the form of a scalene triangle, of which
the base is the strongly serrated external border. The muscle contains a
good deal of tendinous tissue. The anterior bundles are directed forward
and outward; the posterior backward and outward.
_Relations._—Superiorly, the endothoracic fascia and pleura; inferiorly,
the costal cartilages, the internal intercostal muscles, and the
internal thoracic vessels.
_Blood-supply._—Internal thoracic artery.
_Nerve-supply._—The intercostal nerves.
7. =Diaphragm.=—This is a broad, unpaired muscle which forms a partition
between the thoracic and abdominal cavities.[48] In outline it has some
resemblance to a palm-leaf fan. In form it is dome-shaped, compressed
laterally. On a median section it is seen to have a general direction
downward and forward from the lumbar vertebræ to the xiphoid cartilage.
The thoracic surface is strongly convex, and is covered by the pleura.
The abdominal surface is deeply concave, and is covered for the most
part by the peritoneum. The muscle consists of a peripheral fleshy
portion, two muscular crura, and a tendinous center.
_Attachments._—(1) =Costal part=: The cartilages of the ninth to the
fifteenth ribs, and the last three ribs at an increasing distance from
their sternal ends.
(2) =Sternal part=: The upper surface of the xiphoid cartilage.
(3) =Lumbar part=: (_a_) The =right crus= is attached to the inferior
common ligament, and by this means to the first four or five lumbar
vertebræ. (_b_) The =left crus= is attached in a similar fashion to the
first and second lumbar vertebræ.
_Action._—It is the principal muscle of inspiration and increases the
longitudinal diameter of the chest. The contraction produces a general
lessening of the curvature of the diaphragm. In the expiratory phase the
costal part and crura lie directly on the body walls, so that the bases
of the lungs are in contact with the tendinous center and sternal
portion only. In ordinary inspiration the fleshy rim recedes from the
chest-wall, so that the bases of the lungs move backward to a line about
parallel with the curve formed by the cartilages of the asternal ribs,
and about four or five inches (ca. 10 to 12 cm.) therefrom. It is stated
that the inspiratory movement affects the tendinous center much less
than the fleshy part, since the posterior vena cava is firmly attached
to the former. It should be noted, however, that the direction of the
thoracic part of the vena cava in the expiratory phase is oblique upward
and backward. Thus it would seem that there is no anatomical reason why
the diaphragm should not move as a whole in ordinary inspiration at
least.
Public-domain text, read in full here on John Shaqi.
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