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Thoracolumbar Fascia
The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a complex, multilayer arrangement of fascial and aponeurotic layers forming a separation between the paraspinal muscles on one side, and the muscles of the posterior abdominal wall (quadratus lumborum, and psoas major) on the other. It spans the length of the back, extending between the neck superiorly and the sacrum inferiorly. It entails the fasciae and aponeuroses of the latissimus dorsi muscle, serratus posterior inferior muscle, abdominal internal oblique muscle, and transverse abdominal muscle. In the lumbar region, it is known as lumbar fascia and here consists of 3 layers (posterior, middle, and anterior) enclosing two muscular compartments. In the thoracic region, it consists of a single layer (an upward extension of the posterior layer of the lumbar fascia). The thoracolumbar fascia is most prominent at its lower end where its various layers fuse into a thick composite. Anatomy Thoracic reg ...
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Human Back
The human back, also called the dorsum (: dorsa), is the large posterior area of the human body, rising from the top of the buttocks to the back of the neck. It is the surface of the body opposite from the chest and the abdomen. The vertebral column runs the length of the back and creates a central area of recession. The breadth of the back is created by the shoulders at the top and the pelvis at the bottom. Back pain is a common medical condition, generally benign in origin. Structure The central feature of the human back is the vertebral column, specifically the length from the top of the thoracic vertebrae to the bottom of the lumbar vertebrae, which houses the spinal cord in its spinal canal, and which generally has some curvature that gives shape to the back. The ribcage extends from the spine at the top of the back (with the top of the ribcage corresponding to the T1 vertebra), more than halfway down the length of the back, leaving an area with less protection betwe ...
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Latissimus Dorsi Muscle
The latissimus dorsi () is a large, flat muscle on the back that stretches to the sides, behind the arm, and is partly covered by the trapezius on the back near the midline. The word latissimus dorsi (plural: ''latissimi dorsi'') comes from Latin and means "broadest uscleof the back", from "latissimus" () and "dorsum" (). The pair of muscles are commonly known as "lats", especially among bodybuilders. The latissimus dorsi is responsible for extension, adduction, transverse extension also known as horizontal abduction (or horizontal extension), flexion from an extended position, and (medial) internal rotation of the shoulder joint. It also has a synergistic role in extension and lateral flexion of the lumbar spine. Due to bypassing the scapulothoracic joints and attaching directly to the spine, the actions the latissimi dorsi have on moving the arms can also influence the movement of the scapulae, such as their downward rotation during a pull up. Structure Variations ...
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Serratus Posterior Inferior Muscle
The serratus posterior inferior muscle, also known as the posterior serratus muscle, is a muscle of the human body. Structure The muscle is situated at the junction of the thoracic and lumbar regions. It has an irregularly quadrilateral form, broader than the serratus posterior superior muscle, and separated from it by a wide interval. It arises by a thin aponeurosis from the spinous processes of the lower two thoracic and upper two or three lumbar vertebrae. Passing obliquely upward and lateralward, it becomes fleshy, and divides into four flat digitations. These are inserted into the inferior borders of the lower four ribs, a little beyond their angles. The thin aponeurosis of origin is intimately blended with the thoracolumbar fascia, and aponeurosis of the latissimus dorsi muscle. Function The serratus posterior inferior draws the lower ribs backward and downward to assist in rotation and extension of the trunk. This movement of the ribs may also contribute to i ...
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Abdominal Internal Oblique Muscle
The abdominal internal oblique muscle, also internal oblique muscle or interior oblique, is an abdominal muscle in the abdominal wall that lies below the external oblique muscle and just above the transverse abdominal muscle. Structure Its fibers run perpendicular to the external oblique muscle, beginning in the thoracolumbar fascia of the lower back, the anterior 2/3 of the iliac crest (upper part of hip bone) and the lateral half of the inguinal ligament. The muscle fibers run from these points superomedially (up and towards midline) to the muscle's insertions on the inferior borders of the 10th through 12th ribs and the linea alba. In males, the cremaster muscle is also attached to the internal oblique. Nerve supply The internal oblique is supplied by the lower intercostal nerves, as well as the iliohypogastric nerve and the ilioinguinal nerve. Function The internal oblique performs two major functions. Firstly as an accessory muscle of respiration, it acts as an ...
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Transverse Abdominal Muscle
The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral (front and side) abdominal wall, deep to (layered below) the internal oblique muscle. It serves to compress and retain the contents of the abdomen as well as assist in exhalation. Structure The transverse abdominal, so called for the direction of its fibers, is the innermost of the flat muscles of the abdomen. It is positioned immediately deep to the internal oblique muscle. The transverse abdominal arises as fleshy fibers, from the lateral third of the inguinal ligament, from the anterior three-fourths of the inner lip of the iliac crest, from the inner surfaces of the cartilages of the lower six ribs, interdigitating with the diaphragm, and from the thoracolumbar fascia. It ends anteriorly in a broad aponeurosis (the Spigelian fascia), the lower fibers of which curve inferomedially (medially and do ...
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Lumbar Fascia
The lumbar fascia is the lumbar portion of the thoracolumbar fascia. It consists of three fascial layers - posterior, middle, and anterior - that enclose two (anterior and posterior) muscular compartments. The anterior and middle layers occur only in the lumbar region, whereas the posterior layer (as part of the thoracolumbar fascia) extends superiorly to the inferior part of the neck, and the inferiorly to the dorsal surface of the sacrum. The quadratus lumborum is contained in the anterior muscular compartment (between anterior and middle layers), and the erector spinae in the posterior compartment (between middle and posterior layers). Psoas major lies anterior to the anterior layer. Various superficial muscles of the posterior thorax and abdomen arise from the posterior layer - namely the latissimus dorsi, and serratus posterior inferior. Anatomy The posterior layer and middle layer unite at the lateral margin of erector spinae, forming a though raphe; all three layers th ...
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Thoracic
The thorax (: thoraces or thoraxes) or chest is a part of the anatomy of mammals and other tetrapod animals located between the neck and the abdomen. In insects, crustaceans, and the extinct trilobites, the thorax is one of the three main divisions of the body, each in turn composed of multiple segments. The human thorax includes the thoracic cavity and the thoracic wall. It contains organs including the heart, lungs, and thymus gland, as well as muscles and various other internal structures. The chest may be affected by many diseases, of which the most common symptom is chest pain. Etymology The word thorax comes from the Greek θώραξ ''thṓrax'' " breastplate, cuirass, corslet" via . Humans Structure In humans and other hominids, the thorax is the chest region of the body between the neck and the abdomen, along with its internal organs and other contents. It is mostly protected and supported by the rib cage, spine, and shoulder girdle. Contents Th ...
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Serratus Posterior Superior Muscle
The serratus posterior superior muscle is a thin, quadrilateral muscle. It is situated at the upper back part of the thorax, deep to the rhomboid muscles. Structure The serratus posterior superior muscle arises by an aponeurosis from the lower part of the nuchal ligament, from the spinous processes of C7, T1, T2, and sometimes T3, and from the supraspinal ligament. It is inserted, by four fleshy digitations into the upper borders of the second, third, fourth, and fifth ribs past the angle of the rib. Function The serratus posterior superior muscle elevates the second to fifth ribs. This aids deep respiration. Additional images File:Serratus posterior superior muscle animation small.gif, Position of serratus posterior superior muscle (shown in red). File:Serratus posterior superior.jpg, Serratus posterior superior muscles are labeled at center left and center right. See also * Serratus anterior muscle * Serratus posterior inferior muscle The serratus ...
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Deep Cervical Fascia
The deep cervical fascia (or fascia colli in older texts) lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap. The investing portion of the fascia is attached behind to the ligamentum nuchæ and to the spinous process of the seventh cervical vertebra. The ''alar fascia'' is a portion of the ''deep cervical fascia''. Divisions The deep cervical fascia is often divided into a superficial, middle, and deep layer. The superficial layer is also known as the investing layer of deep cervical fascia. It envelops the trapezius, sternocleidomastoid, and muscles of facial expression. It also contains the submandibular and parotid salivary gland as well as the muscles of mastication (the masseter, pterygoid, and temporalis muscles). The middle layer is also known as the pretracheal fas ...
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Sacrotuberous Ligament
The sacrotuberous ligament (great or posterior sacrosciatic ligament) is situated at the lower and back part of the pelvis. It is flat, and triangular in form; narrower in the middle than at the ends. Structure It runs from the sacrum (the lower transverse sacral tubercles, the inferior margins sacrum and the upper coccyx) to the tuberosity of the ischium. It is a remnant of part of biceps femoris muscle. The sacrotuberous ligament is attached by its broad base to the posterior superior iliac spine, the posterior sacroiliac ligaments (with which it is partly blended), to the lower transverse sacral tubercles and the lateral margins of the lower sacrum and upper coccyx. Its oblique fibres descend laterally, converging to form a thick, narrow band that widens again below and is attached to the medial margin of the ischial tuberosity. It then spreads along the ischial ramus as the falciform process, whose concave edge blends with the fascial sheath of the internal pudendal vessels ...
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Thoracolumbar Fascia
The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a complex, multilayer arrangement of fascial and aponeurotic layers forming a separation between the paraspinal muscles on one side, and the muscles of the posterior abdominal wall (quadratus lumborum, and psoas major) on the other. It spans the length of the back, extending between the neck superiorly and the sacrum inferiorly. It entails the fasciae and aponeuroses of the latissimus dorsi muscle, serratus posterior inferior muscle, abdominal internal oblique muscle, and transverse abdominal muscle. In the lumbar region, it is known as lumbar fascia and here consists of 3 layers (posterior, middle, and anterior) enclosing two muscular compartments. In the thoracic region, it consists of a single layer (an upward extension of the posterior layer of the lumbar fascia). The thoracolumbar fascia is most prominent at its lower end where its various layers fuse into a thick composite. Anatomy Thoracic reg ...
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Erector Spinae Muscles
The erector spinae ( ) or spinal erectors is a set of muscles that straighten and rotate the back. The spinal erectors work together with the glutes ( gluteus maximus, gluteus medius and gluteus minimus) to maintain stable posture standing or sitting. Structure The erector spinae is not just one muscle, but a group of muscles and tendons which run more or less the length of the spine on the left and the right, from the sacrum, or sacral region, and hips to the base of the skull. They are also known as the sacrospinalis group of muscles. These muscles lie on either side of the spinous processes of the vertebrae and extend throughout the lumbar, thoracic, and cervical regions. The erector spinae is covered in the lumbar and thoracic regions by the thoracolumbar fascia, and in the cervical region by the nuchal ligament. This large muscular and tendinous mass varies in size and structure at different parts of the vertebral column. In the sacral region, it is narrow and ...
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