Abdominal wall Posterior

Identify the following abdominal wall muscles, innervation and the corresponding actions

Iliacus-

Innervation: Femoral nerve (L2-L4)

Action: Hip flexion, Stabilization of the hip


Psoas-

●Actions:

Hip flexion

■Joins with the iliacus to form the iliopsoas which is one of the strongest hip flexors

Lateral flexion of the vertebral column (side-bending)

Balancing the trunk

Flexing the trunk when sitting

Innervation: anterior branches of L1-L3

Quadratus lumborum:

Action:

○Lateral flexion of the trunk

○Extension of the lumbar spine

■When both sides contract

○Stabilization of the 12th rib during inspiration

■Provides a stable attachment point for the diaphragm

●Innervation:

○spinal nerves T12-L4

Identify the thoracolumbar fascia:

●Strong connective tissue

●Provides stability to the posterior abdominal wall

●Serves as an attachment sites

●Layers

○Posterior layer

○Middle Layer

○Anterior Layer


Identify the location and innervations of the posterior abdominal nerves


  • Innervation of the GI Tract:

  1. Splanchnic nerves: Nerves that come from the sympathetic trunk.

  1. Vagus nerves: Supplies everything from esophagus to the left colic flexure

  2. Pelvic splanchnic nerves: Parasymphatitic nerve


  • Lumbar Plexus

  1. Iliohypogastric nerve

  2. Ilioinguinal nerve

  3. Genitofemoral nerve

  4. Femoral nerve

  5. Lateral femoral cutaneous nerve

  6. Obturator nerve

  7. Lumbosacral trunk

  1. Identify the vascular supply of the posterior abdominal wall

    1. Abdominal aorta

      1. Inferior phrenic arteries/vein

      2. Middle suprarenal arteries/vein

      3. Gonadal (testicular or ovarian) arteries/vein

      4. Lumbar arteries/vein

    2. Celiac trunk

      1. R/L Gastric Artery/vein

      2. Splenic Artery/vein

      3. Common hepatic artery

      4. Gastroduodenal artery/vein

    3. Superior mesenteric artery/vein

    4. Inferior mesenteric artery/vein

    5. Renal artery/vein

    6. Suprarenal artery/vein

    7. Common iliac artery/vein

      1. Internal iliac artery/vein

      2. External iliac artery/vein

    8. Inferior vena cava

    9. Portal venous system