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| The Trunk Wall —— 2, Musculature: Functional Groups 2.9 The Muscles of the Thoracic Cage: The Diaphragm Stemalpar ental Veruca Esophageal Lumberg. Lumbar par, vier leven acta Seade uate i Nimo . “wlth Prom arcade vertebre pecicapectre| 1A Overview ofthe diaphragm origin Insertion: ‘ation: + Costal part: lower margin of costal arch (loner surface of seventh through twelfth bs) + Lumbar part ight and lef cra: ~ Medial parts: LI-L3 vertebral boss, second and third intervertebral dss, anterior longitcinal ligament ~ Lateral parts: fst tendinous arch af the abdominal aorta (median arcuate ligament) 2 Ll associated ‘ith it anterior surface; second tendinous arch of the psoas arcade (medil arcuate ligament from [2 vertebral body to assoc ated costal proces third tendinous arch ofthe quadrats lamborum arcade (lateral arcuate ligament) from the costa process ofl2tothetip ofrib 12 + ternal part: posterior surface ofthe xiphoid process ental tendon Principal muscle of respration(daphragmaticand thoraie resthing), acs in compressing te abdominal viscra (abdominal press) Innervation: Phrenic nerve rom the ceva plexus (C3-C5) Ba 8 Position ofthe diaphragm and ribs at full nspiration and ‘expiration Thoracic cage, anterior view. ‘not the diferent positions ofthe dlaphragm atfullinspration (red) and {ull expiration (Bue). During a physical examination, the posterior lung bouncaries can be identified by percussion (tapping the body surface), ‘The respiratory movement ofthe dlaphragm from end-expration £0 ‘end-inspraton shouldbe determined: itis approximately 4~Gcm. The Trunk Wall —— 2. Musculature: Functional Groups i sternum cons steralpart tenon of capa agit dome at

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