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Abdominal Muscles

Key Point:
  • The muscles of the anterior abdominal wall comprise thin sheets that compress and protect the abdominal contents, and, therefore, are involved in a range of actions, including defecation and micturition, parturition, and forceful expiration of air (as in heavy breathing, coughing, or yelling).
External oblique:
  • Originates from the external surfaces of ribs 5-12
  • Inserts on the ilium (the anterior ½ of the iliac crest and the anterior superior iliac spine), the pubic tubercle, and, via its aponeurosis, the linea alba.
  • The inferior border of this aponeurosis forms the inguinal ligament, which is a strong cord of connective tissue to which other muscles attach.
  • The fibers of the external oblique extend inferomedially from their posterior origins.
  • The external obliques compress the abdomen and flexes and rotates the trunk.
  • Originates on the lateral 2/3rds of the inguinal ligament, the iliac crest, and the thoracolumbar fascia.
  • It inserts at the linea alba, pubic crest and pectineal line, and external surfaces of ribs 9-12; it gives rise to an aponeurosis, which inserts at the midline.
  • Its fibers run superomedially at an oblique angle.
  • The internal oblique works with the external oblique to compress the abdomen and flex and rotate the trunk.
Rectus abdominis:
  • Originates on the pubic crest and pubic symphysis of the pelvis.
  • Inserts into the xiphoid process of the sternum and on the external surfaces of the costal cartilages of ribs 5-7.
  • Rectus abdominis depresses the ribs and flexes the trunk.
  • Rectus sheath covers anterior and posterior surfaces of rectus abdominis; it is formed by the aponeuroses of the other abdominal muscles.
  • Its fibers run vertically in four segments that are separated by horizontal tendinous intersections.
  • Originates on the lateral 1/3rd of the inguinal ligament, the iliac crest, the thoracolumbar fascia, and the external surfaces of the costal cartilages of ribs 7-12.
  • Inserts along the linea alba, pubic crest, and pectineal line.
  • Transversus abdominis compresses the abdomen and depresses the ribs.