| 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