Conjoint Tendon
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Conjoint Tendon
The conjoint tendon (previously known as the inguinal aponeurotic falx) is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining the muscle to the pelvis. It forms the medial part of the posterior wall of the inguinal canal. Structure The conjoint tendon is formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle. It inserts into the pubic crest and the pectineal line immediately behind the superficial inguinal ring. It is usually conjoint with the tendon of the internal oblique muscle, but they may be separate as well. It forms the medial part of the posterior wall of the inguinal canal. Clinical significance The conjoint tendon serves to protect what would otherwise be a weak point in the abdominal wall. A weakening of the conjoint tendon can precipitate a direct inguinal hernia. A direc ...
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Interfoveolar Ligament
Lateral to the conjoint tendon, previously known as the inguinal aponeurotic falx, there is a ligamentous band originating from the lower margin of the transversalis fascia and extending down in front of the inferior epigastric artery In human anatomy, inferior epigastric artery refers to the artery that arises from the external iliac artery. It anastomoses with the superior epigastric artery. Along its course, it is accompanied by a similarly named vein, the inferior epig ... to the superior ramus of the pubis; it is termed the interfoveolar ligament of Hesselbach and sometimes contains a few muscular fibers. It is named for Franz Kaspar Hesselbach. References Ligaments Muscular system {{ligament-stub ...
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Abdominal Wall
In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the anterolateral and posterior walls. There is a common set of layers covering and forming all the walls: the deepest being the visceral peritoneum, which covers many of the abdominal organs (most of the large and small intestines, for example), and the parietal peritoneum- which covers the visceral peritoneum below it, the extraperitoneal fat, the transversalis fascia, the internal and external oblique and transversus abdominis aponeurosis, and a layer of fascia, which has different names according to what it covers (e.g., transversalis, psoas fascia). In medical vernacular, the term 'abdominal wall' most commonly refers to the layers composing the anterior abdominal wall which, in addition to the layers mentioned above, includes the three layers of muscle: the transversus abdominis (transverse abdominal muscle), the internal (obliquus internus) and the external o ...
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Indirect Inguinal Hernia
An inguinal hernia is a hernia (protrusion) of abdominal cavity, abdominal-cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the Circulatory system, blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area. Risk factors for the development of a hernia include: Tobacco smoking, smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Predisposition to hernias is Genetic predisposition, genetic and they occur more often in certain families. ...
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Inguinal Ligament
The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may develop. Structure The inguinal ligament runs from the anterior superior iliac crest of the ilium to the pubic tubercle of the pubic bone. It is formed by the external abdominal oblique aponeurosis and is continuous with the fascia lata of the thigh. There is some dispute over the attachments. Structures that pass deep to the inguinal ligament include: *Psoas major, iliacus, pectineus *Femoral nerve, artery, and vein *Lateral cutaneous nerve of thigh *Lymphatics Function The ligament serves to contain soft tissues as they course anteriorly from the trunk to the lower extremity. This structure demarcates the superior border of the femoral triangle. It demarcates the inferior border of the inguinal triangle. The midpoint of the ingui ...
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Inferior Epigastric Vein
In human anatomy, inferior epigastric vein refers to the vein that drains into the external iliac vein and anastomoses from the superior epigastric vein. Along its course, it is accompanied by a similarly named artery, the inferior epigastric artery. Additional images File:Gray398.png, The interfoveolar ligament, seen from in front. File:Gray522.png, The internal mammary artery and its branches. File:Gray1036.png, Posterior view of the anterior abdominal wall in its lower half. The peritoneum is in place, and the various cords are shining through. See also *Terms for anatomical location * Hesselbach's triangle External links * - "Anterior Abdominal wall: Blood Vessels in the Rectus sheath The rectus sheath, also called the rectus fascia,. is formed by the aponeuroses of the transverse abdominal and the internal and external oblique muscles. It contains the rectus abdominis and pyramidalis muscles. Structure The rectus sheat ..." * - "Incisions and the con ...
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Inferior Epigastric Artery
In human anatomy, inferior epigastric artery refers to the artery that arises from the external iliac artery. It anastomoses with the superior epigastric artery. Along its course, it is accompanied by a similarly named vein, the inferior epigastric vein. These epigastric vessels form the lateral border of Hesselbach's triangle, which outlines the area through which direct inguinal hernias protrude. Structure Origin The inferior epigastric artery arises from the external iliac artery, immediately superior to the inguinal ligament. Course and relations It curves forward in the subperitoneal tissue, and then ascends obliquely along the medial margin of the abdominal inguinal ring; continuing its course upward, it pierces the transversalis fascia, and, passing in front of the linea semicircularis, ascends between the rectus abdominis muscle and the posterior lamella of its sheath. It finally divides into numerous branches, which anastomose, above the umbilicus, with the sup ...
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Rectus Abdominis
The rectus abdominis muscle, ( la, straight abdominal) also known as the "abdominal muscle" or simply the "abs", is a paired straight muscle. It is a paired muscle, separated by a midline band of connective tissue called the linea alba. It extends from the pubic symphysis, pubic crest and pubic tubercle inferiorly, to the xiphoid process and costal cartilages of ribs V to VII superiorly. The proximal attachments are the pubic crest and the pubic symphysis. It attaches distally at the costal cartilages of ribs 5-7 and the xiphoid process of the sternum. The rectus abdominis muscle is contained in the rectus sheath, which consists of the aponeuroses of the lateral abdominal muscles. The outer, most lateral line, defining the rectus is the linea semilunaris. Bands of connective tissue traverse the rectus abdominis, separating it into distinct muscle bellies. In the abdomens of people with low body fat, these muscle bellies can be viewed externally. They can appear in sets of as f ...
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Hesselbach's Triangle
In human anatomy, the inguinal triangle is a region of the abdominal wall. It is also known by the eponym Hesselbach's triangle, after Franz Kaspar Hesselbach. Structure It is defined by the following structures: * Medial border: Lateral margin of the rectus sheath. * Superolateral border: Inferior epigastric vessels. * Inferior border: Inguinal ligament. This can be remembered by the mnemonic RIP (Rectus sheath (medial), Inferior epigastric artery (lateral), Poupart's ligament (inguinal ligament, inferior). Clinical significance The inguinal triangle contains a depression referred to as the medial inguinal fossa, through which direct inguinal hernias protrude through the abdominal wall.MedNote. Red Anatomy. URLhttp://www.mednote.co.kr/Rednote/RedAnatom.htm. Accessed December 15, 2005. History The inguinal triangle is also known as Hesselbach's triangle, after Franz Kaspar Hesselbach. See also *Terms for anatomical location Standard anatomical terms of location are ...
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Direct Inguinal Hernia
An inguinal hernia is a hernia (protrusion) of abdominal-cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area. Risk factors for the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Predisposition to hernias is genetic and they occur more often in certain families. Deleterious mutations causing predisposition to hernias seem to have domina ...
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Superficial Inguinal Ring
The inguinal canals are the two passages in the anterior abdominal wall of humans and animals which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males. There is one inguinal canal on each side of the midline. Structure The inguinal canals are situated just above the medial half of the inguinal ligament. In both sexes the canals transmit the ilioinguinal nerves. The canals are approximately 3.75 to 4 cm long. , angled anteroinferiorly and medially. In males, its diameter is normally 2 cm (±1 cm in standard deviation) at the deep inguinal ring.The diameter has been estimated to be ±2.2cm ±1.08cm in Africans, and 2.1 cm ±0.41cm in Europeans. A first-order approximation is to visualize each canal as a cylinder. Walls To help define the boundaries, these canals are often further approximated as boxes with six sides. Not including the two rings, the remaining four sides are usually cal ...
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Connective Tissue
Connective tissue is one of the four primary types of animal tissue, along with epithelial tissue, muscle tissue, and nervous tissue. It develops from the mesenchyme derived from the mesoderm the middle embryonic germ layer. Connective tissue is found in between other tissues everywhere in the body, including the nervous system. The three meninges, membranes that envelop the brain and spinal cord are composed of connective tissue. Most types of connective tissue consists of three main components: elastic and collagen fibers, ground substance, and cells. Blood, and lymph are classed as specialized fluid connective tissues that do not contain fiber. All are immersed in the body water. The cells of connective tissue include fibroblasts, adipocytes, macrophages, mast cells and leucocytes. The term "connective tissue" (in German, ''Bindegewebe'') was introduced in 1830 by Johannes Peter Müller. The tissue was already recognized as a distinct class in the 18th century. ...
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Pectineal Line (pubis)
The pectineal line of the pubis (also pecten pubis) is a ridge on the superior ramus of the pubic bone. It forms part of the pelvic brim. Lying across from the pectineal line are fibers of the pectineal ligament, and the proximal origin of the pectineus muscle. In combination with the arcuate line, it makes the iliopectineal line The iliopectineal line is the border of the iliopubic eminence. It can be defined as a compound structure of the arcuate line (from the ilium) and pectineal line (from the pubis). With the sacral promontory, it makes up the linea terminalis The .... References External links * () {{Authority control Bones of the pelvis Pubis (bone) ...
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