Thoracolumbar Fascia
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Thoracolumbar Fascia
The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a deep investing membrane throughout most of the posterior thorax and abdomen although it is a thin fibrous lamina in the thoracic region. Above, it is continuous with a similar investing layer on the back of the neck—the nuchal fascia. It is formed of longitudinal and transverse fibers that bridge the aponeuroses of internal oblique and transversus, costal angles and iliac crest laterally, to the vertebral column and sacrum medially. In doing so, they cover the paravertebral muscles. It is made up of three layers, anterior, middle, and posterior. The anterior and middle layers insert onto the transverse processes of the vertebral column while the posterior layer inserts onto the tips of the spinous processes, hence it is indirectly continuous with the interspinous ligaments. The anterior layer is the thinnest and the posterior layer is the thickest. Two spaces are formed between these three layers of the ...
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Thoracic
The thorax or chest is a part of the anatomy of humans, 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 creature's body, each of which is 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. Many diseases may affect the chest, and one of the most common symptoms is chest pain. Etymology The word thorax comes from the Greek θώραξ ''thorax'' "breastplate, cuirass, corslet" via la, thorax. Plural: ''thoraces'' or ''thoraxes''. Human thorax 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, ...
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Quadratus Lumborum Muscle
The quadratus lumborum muscle, informally called the ''QL'', is a paired muscle of the left and right posterior abdominal wall. It is the deepest abdominal muscle, and commonly referred to as a back muscle. Each is irregular and quadrilateral in shape. The quadratus lumborum muscles originate from the wings of the ilium; their insertions are on the transverse processes of the upper four lumbar vertebrae plus the lower posterior border of the twelfth rib. Contraction of one of the pair of muscles causes '' lateral flexion'' of the lumbar spine, ''elevation'' of the pelvis, or both. Contraction of both causes ''extension'' of the lumbar spine. A disorder of the quadratus lumborum muscles is pain due to muscle fatigue from constant contraction due to prolonged sitting, such as at a computer or in a car.Core Topics in Pain, p. 131, Anita Holdcraft and Sian Jaggar, 2005. Kyphosis and weak gluteal muscles can also contribute to the likelihood of quadratus lumborum pain. Structure Th ...
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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 pointed, and at ...
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Thoracolumbar Fascia
The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a deep investing membrane throughout most of the posterior thorax and abdomen although it is a thin fibrous lamina in the thoracic region. Above, it is continuous with a similar investing layer on the back of the neck—the nuchal fascia. It is formed of longitudinal and transverse fibers that bridge the aponeuroses of internal oblique and transversus, costal angles and iliac crest laterally, to the vertebral column and sacrum medially. In doing so, they cover the paravertebral muscles. It is made up of three layers, anterior, middle, and posterior. The anterior and middle layers insert onto the transverse processes of the vertebral column while the posterior layer inserts onto the tips of the spinous processes, hence it is indirectly continuous with the interspinous ligaments. The anterior layer is the thinnest and the posterior layer is the thickest. Two spaces are formed between these three layers of the ...
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Serratus Posterior Inferior
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 inhalatio ...
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Latissimus Dorsi
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 dorsorum'') comes from Latin and means "broadest uscleof the back", from "latissimus" ( la, broadest)' and "dorsum" ( la, back). The pair of muscles are commonly known as "lats", especially among bodybuilders. The latissimus dorsi is the largest muscle in the upper body. 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 sca ...
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Transversospinales Muscles
The transversospinales are a group of muscles of the human back. Their combined action is rotation and extension of the vertebral column. These muscles are small and have a poor mechanical advantage for contributing to motion. They include: * the three semispinalis muscles, spanning 4-6 vertebral segments ** semispinalis thoracis ** semispinalis cervicis ** semispinalis capitis * multifidus The multifidus (multifidus spinae : ''pl. multifidi'' ) muscle consists of a number of fleshy and tendinous fasciculi, which fill up the groove on either side of the spinous processes of the vertebrae, from the sacrum to the axis. While very thin ..., spanning 2-4 vertebral segments * rotatores, spanning 1-2 vertebral segments ** rotatores cervicis ** rotatores thoracis ** rotatores lumborum External links * Musculoskeletal Interventions: Techniques for Therapeutic exercise. Authors: Michael L. Voight, Barabara J. Hoogenboom, William E. Prentice. Muscles of the torso {{muscle-stu ...
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Erector Spinae
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 pointed, and at ...
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Anterior Longitudinal Ligament
The anterior longitudinal ligament is a ligament that runs down the anterior surface of the spine. It traverses all of the vertebral bodies and intervertebral discs on their ventral side. It may be partially cut to treat certain abnormal curvatures in the vertebral column, such as kyphosis. Structure The anterior longitudinal ligament runs down the vertebral bodies and intervertebral discs of all of the vertebrae on their ventral side. The ligament is thick and slightly more narrow over the vertebral bodies and thinner but slightly wider over the intervertebral discs. This effect is much less pronounced than that seen in the posterior longitudinal ligament. It tends to be narrower and thicker around thoracic vertebrae, but wider and thinner around cervical vertebrae and lumbar vertebrae. The anterior longitudinal ligament has three layers: superficial, intermediate and deep. The superficial layer traverses 3 – 4 vertebrae, the intermediate layer covers 2 – 3 and the deep la ...
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Nuchal Fascia
The nuchal fascia is a fascia covering the autochthonous musculature of the neck as a part of the cervical fascia. It proceeds the thoracolumbar fascia to the top (cranial). The fascia itself is made of two parts: A superficial layer ( lat.: ''Fascia nuchae superficialis)'' and a deeper layer that is located among the Trapezius muscle and that sheaths the deeper cervical musculature from dorsal side. Expanding laterally, the fascia also covers the dorsal musculature. In the middle of the deeper layer a bulge is resided – the nuchal ligament The nuchal ligament is a ligament at the back of the neck that is continuous with the supraspinous ligament. Structure The nuchal ligament extends from the external occipital protuberance on the skull and median nuchal line to the spinous proces .... Sources References Literature * * Fascia {{anatomy-stub ...
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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 th ...
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Fascia
A fascia (; plural fasciae or fascias; adjective fascial; from Latin: "band") is a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches to, stabilizes, encloses, and separates muscles and other internal organs. Fascia is classified by layer, as superficial fascia, deep fascia, and ''visceral'' or ''parietal'' fascia, or by its function and anatomical location. Like ligaments, aponeuroses, and tendons, fascia is made up of fibrous connective tissue containing closely packed bundles of collagen fibers oriented in a wavy pattern parallel to the direction of pull. Fascia is consequently flexible and able to resist great unidirectional tension forces until the wavy pattern of fibers has been straightened out by the pulling force. These collagen fibers are produced by fibroblasts located within the fascia. Fasciae are similar to ligaments and tendons as they have collagen as their major component. They differ in their location and function: ligament ...
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