Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
=Muscles.=--The _external oblique muscles_ form the outermost layer of
the abdominal wall. They rise from the external surface of the eight
lower ribs on either side and are inserted in the anterior half of the
iliac crest as well as by aponeurosis in the linea alba, where each
joins its fellow from the opposite side, the fibers running downward
and inward like the fingers in the trouser’s pocket. Along the lower
border of the aponeurosis is a broad fold, _Poupart’s ligament_.
The _internal oblique_ rises on either side from the outer half of
Poupart’s ligament and the anterior part of the crest of the ilium
and is inserted into the crest of the os pubis, the cartilages of the
lower ribs, and the linea alba. Its fibers run at right angles to those
of the external oblique. These oblique muscles serve to compress the
viscera, to flex the body, and also assist in expiration.
The deepest of the abdominal muscles is the _transversalis_, which
rises from the outer third of Poupart’s ligament and the adjoining part
of the crest of the ilium, from the six lower costal cartilages, and
by a broad aponeurosis, the _lumbar fascia_, from the lumbar vertebræ.
It is inserted into the pubic crest and by aponeurosis into the linea
alba. There is one of these muscles on either side.
[Illustration: FIG. 51.--Muscles of the trunk from before (left side,
superficial; and right side, deep): 1, Pectoralis major; 2, deltoid;
3, portion of latissimus dorsi; 4, serratus magnus; 5, subclavius; 6,
the pectoralis, sternocostal portion; 7, serratus magnus; 12, rectus
abdominis; 13, internal oblique; 14, external oblique; 15, abdominal
aponeurosis and tendinous intersections of rectus abdominis; 16, over
symphysis pubis; 17, linea semilunaris; 18, gluteus medius; 19, tensor
vaginæ femoris; 20, rectus femoris; 21, sartorius; 22, femoral part of
iliopsoas; 23, pectineus; 24, adductor longus; 25, gracilis. (Dorland’s
Dictionary.)]
The _rectus abdominis_ is also really two muscles and extends from the
symphysis pubis to the cartilages of the fifth, sixth, and seventh
ribs. At first it passes back of the oblique and transversalis
muscles, but about a fourth of the way up it passes in front of the
transversalis and between two layers of the internal oblique, which
thereafter forms its sheath. Its chief duty is to flex the chest on the
pelvis, though it also compresses the abdominal viscera.
One other muscle, a small one, is found in front, the _pyramidalis_,
which rises from the pubic crest and is inserted into the linea alba
midway to the umbilicus.
At the back the open space over the kidneys, between the lower ribs
and the os innominatum, is closed in on either side by the _quadratus
lumborum_, which extends from the three or four lower lumbar vertebræ
and the adjacent iliac crest to the last rib and the upper four
lumbar vertebræ. It flexes the trunk laterally or forward according
as one muscle or both are used, and may aid in either expiration or
inspiration.
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