Supracristal plane (''Planum supracristale'') (or supracrestal plane) is an anatomical
transverse plane
The transverse plane (also known as the horizontal plane, axial plane and transaxial plane) is an anatomical plane that divides the body into superior and inferior sections. It is perpendicular to the coronal and sagittal planes.
List of cli ...
lying at the upper most part of the
pelvis, the
iliac crest
The crest of the ilium (or iliac crest) is the superior border of the wing of ilium and the superiolateral margin of the greater pelvis.
Structure
The iliac crest stretches posteriorly from the anterior superior iliac spine (ASIS) to the poste ...
. This is usually at the level of the L4 vertebrae. It passes through the
umbilical region
The umbilical region, is one of the nine regions of the abdomen. It is the region that surrounds the area around the umbilicus and is placed approximately half way between the xiphoid process and the pubic symphysis. This region of the abdomen c ...
and the left and right
lumbar
In tetrapod anatomy, lumbar is an adjective that means ''of or pertaining to the abdominal segment of the torso, between the diaphragm and the sacrum.''
The lumbar region is sometimes referred to as the lower spine, or as an area of the back i ...
regions.
Clinical significance
The supracristal plane can be used as a landmark for several nerve branches, as well as an approximate marker for the
umbilicus
Umbilicus may refer to:
*The navel or belly button
*Umbilicus (mollusc), a feature of gastropod, Nautilus and Ammonite shell anatomy
* ''Umbilicus'' (plant), a genus of over ninety species of perennial flowering plants
*Umbilicus urbis Romae
The ...
(belly button). It is also used as the divider between the lower (
left
Left may refer to:
Music
* ''Left'' (Hope of the States album), 2006
* ''Left'' (Monkey House album), 2016
* "Left", a song by Nickelback from the album ''Curb'', 1996
Direction
* Left (direction), the relative direction opposite of right
* L ...
and
right
Rights are legal, social, or ethical principles of freedom or entitlement; that is, rights are the fundamental normative rules about what is allowed of people or owed to people according to some legal system, social convention, or ethical th ...
) and upper (
left
Left may refer to:
Music
* ''Left'' (Hope of the States album), 2006
* ''Left'' (Monkey House album), 2016
* "Left", a song by Nickelback from the album ''Curb'', 1996
Direction
* Left (direction), the relative direction opposite of right
* L ...
and
right
Rights are legal, social, or ethical principles of freedom or entitlement; that is, rights are the fundamental normative rules about what is allowed of people or owed to people according to some legal system, social convention, or ethical th ...
) quadrants of the
abdomen
The abdomen (colloquially called the belly, tummy, midriff, tucky or stomach) is the part of the body between the thorax (chest) and pelvis, in humans and in other vertebrates. The abdomen is the front part of the abdominal segment of the tors ...
(where the vertical midline divides left from right).
It is also the level where the
abdominal aorta
In human anatomy, the abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta (of the thorax).
Structure
The abdominal aorta begins at the level of the diaphragm ...
bifurcates into the left and right
common iliac artery
The common iliac artery is a large artery of the abdomen paired on each side. It originates from the aortic bifurcation at the level of the 4th lumbar vertebra. It ends in front of the sacroiliac joint, one on either side, and each bifurcates i ...
and just superior to the union of the
common iliac veins
In human anatomy, the common iliac veins are formed by the external iliac veins and internal iliac veins. The left and right common iliac veins come together in the abdomen at the level of the fifth lumbar vertebra, forming the inferior vena ca ...
.
It can help in the identification of the level of L4/L5 where a
lumbar puncture
Lumbar puncture (LP), also known as a spinal tap, is a medical procedure in which a needle is inserted into the spinal canal, most commonly to collect cerebrospinal fluid (CSF) for diagnostic testing. The main reason for a lumbar puncture is to ...
can be done.
References
Pelvis
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