MRCEM Notes

Abdominal wall

Overview of the abdominal muscles



Diagram illustrating cross sectional anatomy of the abdominal wall


Extent of the anterior abdominal muscles

MuscleOriginInsertion
External obliqueLower 8 ribs (7-12)Xiphoid process
Linea alba
Pubic crest
Pubic tubercle
Iliac crest
Internal obliqueLumbar fascia
Iliac crest
Lateral 2/3 inguinal ligament
Lower 3 ribs (10-12) and costal cartilages
Xiphoid process
Linea alba
Pubic symphysis
Transversus abdominusLower 6 costal cartilages
Lumbar fascia
Iliac crest
Lateral 1/3 inguinal ligament
Xiphoid process
Linea alba
Pubic symphysis
Rectus abdominusPubic Symphysis
Pubic crest
5th-7th costal cartilages
Xiphoid process

Nerve supply of anterior abdominal muscles

MuscleNerve Supply
External ObliqueThoracoabdominal nerves (T7-11)
Subcostal nerve (T12)
Internal ObliqueThoracoabdominal nerve (T6-T11)
Subcostal nerve (T12)
Iliohypogastric nerve (L1)
Ilioinguinal nerve (L1)
Transversus abdominusThoracoabdominal nerve (T6-T11)
Subcostal nerve (T12)
Iliohypogastric nerve (L1)
Ilioinguinal nerve (L1)
Rectus abdominusSegmentally by thoracoabdominal nerves (T7 to T11)

Arrangement of the abdominal obliques

Diagram illustrating external oblique lateral view


Diagram illustrating internal & external oblique

On the left side the external oblique has been removed to reveal the internal oblique below

Diagram illustrating transversus abdominus anterior and lateral views



Diagram illustrating rectus abdominus
Full-size image