Medial Arcuate Ligament
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Medial Arcuate Ligament
The medial arcuate ligament (also medial lumbocostal arch and internal arcuate ligament) is a tendinous fascia that arches over the psoas major muscle as it passes posterior the diaphragm. Structure The medial arcuate ligament is an arch in the fascia covering the upper part of the psoas major. It is attached to the side of the body of the first or second lumbar vertebra, laterally, it is fixed to the front of the transverse process of the first and, sometimes also, to that of the second lumbar vertebra. It lies between the lateral arcuate ligament and the midline median arcuate ligament. The sympathetic chain enters the abdomen by passing deep into this ligament of the diaphragm. This is in contrast to the parasympathetic Vagus nerve which passes through the esophageal hiatus. See also * Lateral arcuate ligament * Median arcuate ligament The median arcuate ligament is a ligament under the diaphragm that connects the right and left crura of diaphragm. Structure The medi ...
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Diaphragm (anatomy)
The thoracic diaphragm, or simply the diaphragm ( grc, διάφραγμα, diáphragma, partition), is a sheet of internal skeletal muscle in humans and other mammals that extends across the bottom of the thoracic cavity. The diaphragm is the most important muscle of respiration, and separates the thoracic cavity, containing the heart and lungs, from the abdominal cavity: as the diaphragm contracts, the volume of the thoracic cavity increases, creating a negative pressure there, which draws air into the lungs. Its high oxygen consumption is noted by the many mitochondria and capillaries present; more than in any other skeletal muscle. The term ''diaphragm'' in anatomy, created by Gerard of Cremona, can refer to other flat structures such as the urogenital diaphragm or pelvic diaphragm, but "the diaphragm" generally refers to the thoracic diaphragm. In humans, the diaphragm is slightly asymmetric—its right half is higher up (superior) to the left half, since the large liv ...
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Psoas Major
The psoas major ( or ; from grc, ψόᾱ, psóā, muscles of the loins) is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis. It joins the iliacus muscle to form the iliopsoas. In animals, this muscle is equivalent to the tenderloin. Structure The psoas major is divided into a superficial and a deep part. The deep part originates from the transverse processes of lumbar vertebrae L1–L5. The superficial part originates from the lateral surfaces of the last thoracic vertebra, lumbar vertebrae L1–L4, and the neighboring intervertebral discs. The lumbar plexus lies between the two layers. Together, the iliacus muscle and the psoas major form the iliopsoas, which is surrounded by the iliac fascia. The iliopsoas runs across the iliopubic eminence through the muscular lacuna to its insertion on the lesser trochanter of the femur. The iliopectineal bursa separates the tendon of the iliopsoas muscle from t ...
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Lumbar Vertebra
The lumbar vertebrae are, in human anatomy, the five vertebrae between the rib cage and the pelvis. They are the largest segments of the vertebral column and are characterized by the absence of the foramen transversarium within the transverse process (since it is only found in the cervical region) and by the absence of facets on the sides of the body (as found only in the thoracic region). They are designated L1 to L5, starting at the top. The lumbar vertebrae help support the weight of the body, and permit movement. Human anatomy General characteristics The adjacent figure depicts the general characteristics of the first through fourth lumbar vertebrae. The fifth vertebra contains certain peculiarities, which are detailed below. As with other vertebrae, each lumbar vertebra consists of a ''vertebral body'' and a ''vertebral arch''. The vertebral arch, consisting of a pair of ''pedicles'' and a pair of ''laminae'', encloses the ''vertebral foramen'' (opening) and su ...
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Lateral Arcuate Ligament
The lateral arcuate ligament (also lateral lumbocostal arch and external arcuate ligament) is a ligament under the diaphragm that arches across the upper part of the quadratus lumborum muscle. It is traversed by the subcostal nerve, artery and vein. Structure The lateral arcuate ligament runs from the front of the transverse process of the first lumbar vertebra, and, laterally, to the tip and lower margin of the twelfth rib. It forms an arch over the quadratus lumborum muscle. Variations The lateral arcuate ligament is commonly described in anatomy textbooks as attaching at the first lumbar vertebra (L1). However, other instances have been found in cadaver studies with attachments at either the second (L2) or third (L3) lumbar vertebra. In around 5% of people, inferolateral extensions of the lateral arcuate ligaments, such as thickened nodular areas, are found adjacent to the lateral diaphragmatic surface which can be visualized with computed tomography (CT) scans. History The l ...
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Median Arcuate Ligament
The median arcuate ligament is a ligament under the diaphragm that connects the right and left crura of diaphragm. Structure The median arcuate ligament is formed by the right and left crura of the diaphragm. The crura connect to form an arch, behind which is the aortic hiatus, through which pass the aorta, the azygos vein, and the thoracic duct. Variation In between 10% and 24% of people, the median arcuate ligament occurs very low. Clinical significance Compression of celiac artery and celiac ganglia by the median arcuate ligament can lead to the median arcuate ligament syndrome, which is characterized by abdominal pain, weight loss, and an epigastric bruit. See also * Medial arcuate ligament The medial arcuate ligament (also medial lumbocostal arch and internal arcuate ligament) is a tendinous fascia that arches over the psoas major muscle as it passes posterior the diaphragm. Structure The medial arcuate ligament is an arch in the f ... * Lateral arcuate ligamen ...
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Vagus Nerve
The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and right vagus nerves—but they are typically referred to collectively as a single subsystem. The vagus is the longest nerve of the autonomic nervous system in the human body and comprises both sensory and motor fibers. The sensory fibers originate from neurons of the nodose ganglion, whereas the motor fibers come from neurons of the dorsal motor nucleus of the vagus and the nucleus ambiguus. The vagus was also historically called the pneumogastric nerve. Structure Upon leaving the medulla oblongata between the olive and the inferior cerebellar peduncle, the vagus nerve extends through the jugular foramen, then passes into the carotid sheath between the internal carotid artery and the internal jugular vein down to the neck, chest, and ...
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Esophageal Hiatus
In human anatomy, the esophageal hiatus is an opening in the diaphragm through which the esophagus and the vagus nerve pass. Structure It is located in the right crus, one of the two tendinous structures that connect the diaphragm to the spine. Fibers of the right crus cross one another below the hiatus. It is located approximately at level of the tenth thoracic vertebra ( T10) and the 8th or 9th intercostal spaces. The esophageal hiatus is situated in the muscular part of the diaphragm at the level of the tenth thoracic vertebra, and is elliptical in shape. It is placed superior, anterior, and slightly left of the aortic hiatus, and transmits the esophagus, the vagus nerve, the left inferior phrenic vessels, and some small esophageal arteries from left gastric vessels. The right crus of the diaphragm loops around forming a sling around the esophagus. Upon inspiration, this sling would constrict the esophagus, forming a functional (not anatomical) sphincter that prevents sto ...
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Lateral Arcuate Ligament
The lateral arcuate ligament (also lateral lumbocostal arch and external arcuate ligament) is a ligament under the diaphragm that arches across the upper part of the quadratus lumborum muscle. It is traversed by the subcostal nerve, artery and vein. Structure The lateral arcuate ligament runs from the front of the transverse process of the first lumbar vertebra, and, laterally, to the tip and lower margin of the twelfth rib. It forms an arch over the quadratus lumborum muscle. Variations The lateral arcuate ligament is commonly described in anatomy textbooks as attaching at the first lumbar vertebra (L1). However, other instances have been found in cadaver studies with attachments at either the second (L2) or third (L3) lumbar vertebra. In around 5% of people, inferolateral extensions of the lateral arcuate ligaments, such as thickened nodular areas, are found adjacent to the lateral diaphragmatic surface which can be visualized with computed tomography (CT) scans. History The l ...
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Median Arcuate Ligament
The median arcuate ligament is a ligament under the diaphragm that connects the right and left crura of diaphragm. Structure The median arcuate ligament is formed by the right and left crura of the diaphragm. The crura connect to form an arch, behind which is the aortic hiatus, through which pass the aorta, the azygos vein, and the thoracic duct. Variation In between 10% and 24% of people, the median arcuate ligament occurs very low. Clinical significance Compression of celiac artery and celiac ganglia by the median arcuate ligament can lead to the median arcuate ligament syndrome, which is characterized by abdominal pain, weight loss, and an epigastric bruit. See also * Medial arcuate ligament The medial arcuate ligament (also medial lumbocostal arch and internal arcuate ligament) is a tendinous fascia that arches over the psoas major muscle as it passes posterior the diaphragm. Structure The medial arcuate ligament is an arch in the f ... * Lateral arcuate ligamen ...
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Ligaments Of The Torso
A ligament is the fibrous connective tissue that connects bones to other bones. It is also known as ''articular ligament'', ''articular larua'', ''fibrous ligament'', or ''true ligament''. Other ligaments in the body include the: * Peritoneal ligament: a fold of peritoneum or other membranes. * Fetal remnant ligament: the remnants of a fetal tubular structure. * Periodontal ligament: a group of fibers that attach the cementum of teeth to the surrounding alveolar bone. Ligaments are similar to tendons and fasciae as they are all made of connective tissue. The differences among them are in the connections that they make: ligaments connect one bone to another bone, tendons connect muscle to bone, and fasciae connect muscles to other muscles. These are all found in the skeletal system of the human body. Ligaments cannot usually be regenerated naturally; however, there are periodontal ligament stem cells located near the periodontal ligament which are involved in the adult regenerat ...
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